Activities of Daily Living
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of care recipients who experienced a decline in activities of daily living (ADL).
Numerator
Number of care recipients who experienced a decline in their ADL assessment total score of one or more points.
Denominator
Total number of care recipients assessed for ADL function.
Exclusions
Care recipients who were receiving end-of-life care for the entire quarter; or were absent from the service for the entire quarter; or did not have a previous quarter ADL assessment total score.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
A single assessment for each care recipient is completed around the same time every quarter and compared to their ADL assessment total score in the previous quarter to determine decline. Data items collected: Number of care recipients assessed for ADL function. Number of care recipients excluded because they were receiving end-of-life care. Number of care recipients excluded because they were absent from the service for the entire quarter. Number of care recipients excluded because they did not have an ADL assessment total score recorded for the previous quarter. Number of care recipients with an ADL assessment total score of zero in the previous quarter. Number of care recipients who experienced a decline in ADL assessment total score of one or more points.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reported at national, state, remoteness (www.gen-agedcaredata.gov.au/Topics/Quality-in-aged-care/Residential-Aged-Care-Quality-Indicators-latest-release) and facility level (www.myagedcare.gov.au/find-a-provider/search-by-name), every quarter. Included within an overall five-star quality rating program (n=5 QIs). Contributes to Star Ratings (care recipients with one or more pressure injuries).
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Department of Health and Aged Care. National Aged Care Mandatory Quality Indicator Program (QI Program). 2023 www.health.gov.au/our-work/qi-program
Link to Measurement Tools
Wade DT and Collin C (1988) The Barthel ADL Index: a standard measure of physical disability, International Disability Studies. 10(2): 64–67. See Appendix A www.health.gov.au/resources/publications/national-aged-care-mandatory-quality-indicator-program-manual-30-part-a