Book contents
- Frontmatter
- Contents
- List of Tables, figures and boxes
- List of Contributors
- Foreword
- Part I Introduction
- Part II Long-term care quality systems based on ‘professionalism’
- Part III Long-term care quality systems based on regulatory inspection frameworks
- 6 Regulating long-term care quality in Australia
- 7 Regulating the quality and safety of long-term care in England
- Quality monitoring of long-term care in The Netherlands
- 9 The regulatory structure of Spanish long-term care: the case of Catalonia’s service structures and quality assurance systems
- Part IV Long-term care quality systems based on data measurement and public reporting
- Part V Long-term care quality systems and developing regulatory systems
- Part VI Conclusion
- Index
- References
6 - Regulating long-term care quality in Australia
Published online by Cambridge University Press: 05 February 2014
Book contents
- Frontmatter
- Contents
- List of Tables, figures and boxes
- List of Contributors
- Foreword
- Part I Introduction
- Part II Long-term care quality systems based on ‘professionalism’
- Part III Long-term care quality systems based on regulatory inspection frameworks
- 6 Regulating long-term care quality in Australia
- 7 Regulating the quality and safety of long-term care in England
- Quality monitoring of long-term care in The Netherlands
- 9 The regulatory structure of Spanish long-term care: the case of Catalonia’s service structures and quality assurance systems
- Part IV Long-term care quality systems based on data measurement and public reporting
- Part V Long-term care quality systems and developing regulatory systems
- Part VI Conclusion
- Index
- References
Summary
Introduction
This chapter describes the arrangements in Australia for regulating the quality of long-term care services delivered in the community or in a residential setting. Its focus is on the long-term care of ‘older people’ – ‘aged care’ in Australian parlance. The chapter begins with an overview of Australia’s aged care system and its quality framework, including its place within the broader health and welfare system. It then discusses the arrangements for regulating the quality of residential care, which have been a major focus in recent decades, and the arrangements for regulating the quality of community care, which have a shorter history and are less developed. The chapter then discusses current reforms, which are aimed at better integrating these arrangements within and across programmes, and concludes with some reflections on the key challenges currently facing Australian public policy in this area.
Overview of Australia’s aged care system and its quality framework
Australia’s aged care system is funded and regulated through a complex set of arrangements, involving different levels of government and a diverse range of stakeholders, including informal carers and formal care providers from the not-for-profit (religious and charitable), for-profit and government sectors. These arrangements reflect, in part, the broader Australian health and welfare system, involving a similarly complex range of providers, with responsibilities for funding, regulation and service delivery shared between the three levels of government: federal, state and territory (‘state’), and local (AIHW, 2010, 2011a).
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- Regulating Long-Term Care QualityAn International Comparison, pp. 149 - 179Publisher: Cambridge University PressPrint publication year: 2014
References
(2007). Lifetime marriage and divorce trends. Australian Social Trends 2007 (cat. no. 4102.0). Canberra: ABS.Google Scholar
(2008a). Australian Historical Population Statistics, 2008 (cat. no. 3105.0.65.001). Canberra: ABS.Google Scholar
(2008b). Population Projections, Australia, 2006–2101 (cat. no. 3222.0). Canberra: ABS.Google Scholar
(2010). The Health and Welfare of Australia’s Aboriginal and Torres Strait Islander Peoples (cat. no. 4704.0). Canberra: ABS.Google Scholar
(2007). Evaluation of the Impact of Accreditation on the Delivery of Quality of Care and Quality of Life to Residents in Australian Government-Subsidised Residential Aged Care Homes. Canberra: ADoHA.Google Scholar
(2010c). Report on the Operation of the Aged Care Act 1997, 1 July 2009–30 June 2010. Canberra: ADoHA.Google Scholar
(2010d). Submission to the Productivity Commission Inquiry Caring for Older Australians. Canberra: ADoHA.Google Scholar
(2011a). Second Submission to the Productivity Commission Inquiry Caring for Older Australians. Canberra: ADoHA.Google Scholar
(2011b). Technical Paper on the Changing Dynamics of Residential Care (prepared to assist the Productivity Commission Inquiry Caring for Older Australians). Canberra: ADoHA.Google Scholar
(2010). Australia to 2050, Future Challenges. Intergenerational Report 2010. Canberra: Australian Government.Google Scholar
(2011). Media release by the Prime Minister of Australia, the Hon Julia Gillard MP, 8 August 2011. At:
(1995). The Coming of Age: New Aged Care Legislation for the Commonwealth: Review of Legislation Administered by Department of Human Services and Health. Sydney: ALRC.Google Scholar
(2003). Managing Residential Aged Care Accreditation. Audit Report no. 42. Canberra: ANAO.Google Scholar
(2011). Report on Monitoring and Compliance Arrangements of Care in Residential Care Homes. Audit Report no.48. Canberra: ANAO.Google Scholar
(1982). In a Home or at Home: Accommodation and Home Care for the Aged. Report of the inquiry by the House of Representatives Standing Committee on Expenditure. Canberra: Australian Government Publishing Service (AGPS).Google Scholar
(1985a). In a Home or at Home: Accommodation and Home Care for the Aged: Follow-up Report. Report of the inquiry by the House of Representatives Standing Committee on Expenditure. Canberra: AGPS.Google Scholar
(1985b). Private Nursing Homes in Australia: Their Conduct, Administration and Ownership. Report of the inquiry by the Senate Select Committee on Private Hospitals and Nursing Homes. Canberra: AGPS.Google Scholar
(1994) Home but Not Alone: Report on the Home and Community Care Program. Report of an inquiry by the House of Representative Standing Committee on Community Affairs. Canberra: AGPS.Google Scholar
(2005). Quality and Equity in Aged Care: Report of the Inquiry by the Senate Community Affairs Reference Committee. Canberra: Australian Parliament.Google Scholar
(2006). The Blame Game: Report of the House of Representatives Standing Committee on Health and Ageing Inquiry into Health Funding. Canberra: Australian Parliament.Google Scholar
(2009). Residential and Community Aged Care in Australia: Report of the Inquiry by the Senate Finance and Public Administration Committee. Canberra: Australian Parliament.Google Scholar
, , and (1993). Raising the Standard: Resident Centred Nursing Home Regulation in Australia. Aged and Community Care Service Development and Evaluation Reports no. 10. Canberra: AGPS.Google Scholar
(2010). Selecting Tools for ACAT Assessment: A Report for the Expert Clinical Reference Group. Canberra: ADoHA.Google Scholar
, , and (2010). Quantification of the proportion of transfers from residential care facilities to the Emergency Department that could be avoided through improved primary care services. Australasian Journal on Ageing, 29(4): 167–71.CrossRefGoogle ScholarPubMed
(2003a). Historical Perspectives: the Evolution of the Australian Government’s Involvement in Supporting the Needs of Older People. Review of Pricing Arrangements in Residential Care Background Paper no. 4. Canberra: ADoHA.Google Scholar
(2003b). The Commonwealth Legislative Framework. Review of Pricing Arrangements in Residential Care Background Paper no. 2, Canberra: ADoHA.Google Scholar
, , , and (2008). Transition care: will it deliver?Medical Journal of Australia, 188(4): 251–3.Google ScholarPubMed
(1993). Review of the Structure of Nursing Home Arrangements: Stage 1. Aged and Community Care Service Development and Evaluation Reports no. 11. Canberra: AGPS.Google Scholar
(1994). Review of the Structure of Nursing Home Arrangements: Stage 2. Aged and Community Care Service Development and Evaluation Reports no. 12. Canberra: AGPS.Google Scholar
(2006). Caring for an Older Australia – a Presentation to the Economic and Social Outlook Conference: Making the Boom Pay. Melbourne Institute.Google Scholar
(2009). A Healthier Future for All Australians. Canberra: National Health and Hospitals Reform Commission.Google Scholar
(2008). Trends in Aged Care Services: Some Implications. Canberra: Productivity Commission.Google Scholar
(2011). Report of the Inquiry into Caring for Older Australians. Canberra: Productivity Commission.Google Scholar
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