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Comparing NSQHS and Aged Care Quality Standards

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Comparing NSQHS and Aged Care Quality Standards

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Both

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The difference between the NSQHS and the Aged Care quality standards is quite obvious in the difference in domains between curative and supportive. The Aged Care standards are also very much client focused to generate safety and quality where as the NSQHS are more objective through the emphasis on data driven change and improvement.

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The comparison of the NSQHS and Aged care quality standards 

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The comparison of the NSQHS and Aged care quality standards 

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They were very specific to their relevant areas, focusing on acute care vs ongoing care management, and are very focused on client dignity when I find the NSQHS is focused on safety and response with a medical focus whereas the aged care quality standards are based on supportive and dignified care.

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National standards for disability services and NSQHS Standards.

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National standards for disability services and NSQHS Standards.

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Both sets of standards correlate to endeavour to support individuals accessing services in the health care and disability sector. NSQHS standards are more general and further reaching that the standards for the disability services for example disability standards focus on rights and expectations of people with disabilities to access services where as NSQHS has medication and infection control standards as well as other standards that are for all people regardless who they are.

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NSQHS STANDARDS V AGED CARE QUALITY STANDARDS

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NSQHS STANDARDS V AGED CARE QUALITY STANDARDS

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The NSQHS standards have a section dedicated to the patient experience ensuring consumer involvement with the remainder focused on the quality of care delivered including governance and clinician efficacy. Aged care standards appear to have the reverse focus, with the facility and its clinical measures representing a lesser significance (still important) and a bigger focus on resident/consumer satisfaction and safety of care, i.e the accreditation process for aged care places a greater value on the provision of care based on consumer choice and preference.

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Comparing the standards of the NCQSHC standards with Aged Care standards.

NCQSHC standards are more detailed.  Both standards are concerned with the patient being at the centre of care; safety and quality of care; that there is a governance framework for improving safety/quality, complaints procedure and qulaity measurement.

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Comparing the Aged care standards with disability:Majority of the aged care and disability standards sit together when it comes to Consumers rights, dignity, choice and inclusion.However, I have noted that Aged care standards doesn’t include service accessibility which I think is also important factor for the  community to be able to choose or fit into right kind of facility they choose to be in; for the rest of their life.  

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Comparing the Aged care standards with disability:Majority of the aged care and disability standards sit together when it comes to Consumers rights, dignity, choice and inclusion.However, I have noted that Aged care standards doesn’t include service accessibility which I think is also important factor for the  community to be able to choose or fit into right kind of facility they choose to be in; for the rest of their life.  

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NSQHS STANDARD AND THE AGED CARE QUALITY STANDARDS 

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NSQHS STANDARD AND THE AGED CARE QUALITY STANDARDS 

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The Aged Care Quality standards focuses more on maintaining the dignity and independence of aged care residents. It is more personal-centred as it encompasses standards that promote quality care among aged care residents. It is more centred on promoting independence on personal care and choices, on how they prefer they day-to-day living and how to maintain their safety in the environment.

The NSQHS standards are more focused on delivering safety and quality in hospital level. It encompasses safety and delivery in medication administration, prevention of AEs and safety administration of blood products, recognition of deterioration among patients and a system of clinical governance.

A similarity among these 2 standards is the inclusion of the aged care resident/patient in the health management where one is viewed as a partner in care.

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Each set of standards is person centred and focuses on partnership between consumer and provider, however each set varies in some aspects specific to the service being provided.
For example: NSQHS standards include prevention of nosocomial infections and management of blood products whereas the Aged Care quality standards include services and supports for daily living.

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Comparing aged care standards with National standards for Disability services. 

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Comparing aged care standards with National standards for Disability services. 

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National standards for disability services are much simpler which it consists 6 standards compare to national aged care standards has 8. both of them are patient centred care, focusing on safety and quality of care. encourage patient's autonomy and respect patient's dignity and support their decisions

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What surprised me about the Aged Care Quality Standards is that they don't encompass medication administration unlike the NSQHS which dedicates an entire standard to it. On the flip side to that, the NSQHS does not have a complaints and feedback standard and yet it probably would benefit from one. Interesting to compare the two. Truth be told, I didn't realise the Aged Care sector had a different set of standards!

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As someone who has never worked in the aged care sector I was unaware that they had their own standards when it came to accreditation. The NSQHS eight standards are more geared towards patients receiving acute medical treatment (i.e. recognising and responding to acute deterioration, blood management and medication safety) where as the aged care standards, naturally, focus more on a consumers long term treatment and is very centred around dignity and consumer rights.

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Comparing the standards of the NCQSHC standards on clinical governance with the aged care and disabiity services standards:

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Comparing the standards of the NCQSHC standards on clinical governance with the aged care and disabiity services standards:

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The NSQHC standards are clear, in-depth and most relevant to nursing in a public hospital. I like the four critieria: governance, leadership and culture; patient safety and quality systems; clinical performance and effectiveness; safety environment for the delivery of care. They say it so clearly and do not mice words. Be safe, implement strategies to improve patient care, be responsible and reliable, take feedback.....
The aged care framework was what I had originally seen in the last section and was very helpful in realising how an organisation can begin to write standards. It set out clearly how to write: introduction, clinical governance--what your goals are and who does what, plans to implement, measures of success, regular reviews. I can see why the Government wrote the framework. It was very helpful. It set me on a direction. The disability standards was less relatable to me because it was entirely patient focused, which makes me sound selfish, but it was perfect to direct those whop care for people with disabilities, but also to empower those less able-bodied individuals. It had sections that focused on person choice and support, encouraging family involvement and allowing patients to take risks. Having faith in a person's ability is empowering and all we all ask for. It fulfills its task.
Vivienne Speirs

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Similarities
-They both have a clinical or organisational governance standard whereby they are working within a framework that has a large organisation that guides the workers in the delivery of care based on most evidence based research. This guides the healthcare workers and managers to deliver safe and high-quality care.
- Consumers are considered in both sets of standards. This means the idea of partnering with patients is expanding and will hopefully lead to improved patient experiences within healthcare.
- comprehensive care & services and support for daily living is similar in that it encompasses a holistic approach to delivering care to the patient.
Differences:
- The NSQHSS specifically focuses on common care delivered within a hospital setting, where it looks at HAI, medication safety, blood management and acute deterioration recognition and response; however the ACQS do not focus on these areas. Rather, they look at the environment of their consumer, and less acute health care needs such as ADL management, dealing with complaints, etc.

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All 3 standards focus on safety for the consumes based on the healthcare setting relevant to the consumer.  Patient involvement and rights are included in all 3 standards.  Variance in the stamdard's are based on healthcare setting such as medication safety, nocosomial infections, blood management etc.
All have a systems management for complaints or recording of errors

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Both standards(NSQHS&ACQHS) put emphasis on partnering with consumers on safety and quality of health care to provide safe and effective care.

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Both standards(NSQHS&ACQHS) put emphasis on partnering with consumers on safety and quality of health care to provide safe and effective care.

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The main aim of these standards is to protect public from harm and improve quality of health services to ensure the public is getting safe and quality care they deserve.These standards are providing quality assurance to ensure safety and quality standards are met and consumers are kept from harm.

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After comparing the National Safety and Quality Health Service standards to the Aged care Quality Standards, both reflect the importance of partnering with consumer's  which "should" provide a safe quality health care service.   Both the aged care standards and NSQHS state that the boards/ organisation demonstrate on how they  also provide safe quality care. The NSQHS extends to further in depth high risk requirements compared.

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After comparing the National Safety and Quality Health Service standards to the Aged care Quality Standards, both reflect the importance of partnering with consumer's  which "should" provide a safe quality health care service.   Both the aged care standards and NSQHS state that the boards/ organisation demonstrate on how they  also provide safe quality care. The NSQHS extends to further in depth high risk requirements compared.

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They both have to be assessed to see how they comply with the standards for each specific service.
Do I think some of the differences matter ? no I don't, everyone deserve the highest safest quality care.

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Comparing the NSQHS standards against the Aged care quality standards both are driven by a consumer focus through developing a partnership, however the NSQHS standards are more organisation and clinician action or behavior focused, to promote delivery of safe care where acute medical intervention is likely with standards like blood management, medication safety, and recognising & responding to acute deterioration all-inclusive of collaborating with consumer elements , and the Aged care standards are more consumer expectations and desired living outcomes through organisation actions. I think this is appropriate as the aged care service is about creating a living and lifestyle environment in which they feel safe and at home, through standards around dignity, choice, personal care, daily living support, and environment setting.

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Comparing the National Safety and Quality Health Service Standards (NSQHSS) to the Aged Care Quality Standards (ACQS)

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Comparing the National Safety and Quality Health Service Standards (NSQHSS) to the Aged Care Quality Standards (ACQS)

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The NSQHSS focus more on the guidance of providing safety in healthcare while working with the consumers to ensure it is person centred. The ACQS looks to focus on the environment, maintaining dignity for the consumer and supporting the consumer. Both have the intent of ensuring the consumer is in control of their healthcare.

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Comparing NSQHS with the National Standards for Disability Standards The NSQHS focused and covered 8 standards to protect the public from harm and to improve the quality of health service provision. It provided a national consistent statement about the standard of care that all the consumers expected from their health organizations.  The national standards for disability standards focused on 6 national standards focusing on rights and outcomes for people with disability.  

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Comparing NSQHS with the National Standards for Disability Standards The NSQHS focused and covered 8 standards to protect the public from harm and to improve the quality of health service provision. It provided a national consistent statement about the standard of care that all the consumers expected from their health organizations.  The national standards for disability standards focused on 6 national standards focusing on rights and outcomes for people with disability.  

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Comparison of disability standards and NSQHS:

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Comparison of disability standards and NSQHS:

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The disability national standards focuses on the rights and outcomes of people with disability whereas the national safety and health quality standards the focus is more on providing a standard of practice that consumers can expect when using healthcare services.

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With the National Safety and Quality Health Service Standards

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- What differences do you note in terms of emphasis in the different sets of standards?
- Do you think these differences matter in terms of the quality and safety of care for all patients/clients?