High Impact High Prevalence Risk Guidance Resource

Falls Prevention, Pressure Injury Prevention and Management, Wound Management, Skin Integrity, Choking Risk, Malnutrition, Unplanned Weight Loss, Managing Hydration and Nutrition, Infection Prevention and Management, Sepsis, Delirium, Diabetes, Pain Management, Palliative and End of Life Care, Oral Health, Non-Weight-Bearing, Compression Therapy, Oxygen Therapy, Intravenous (IV) Therapy, Catheter Management, Stoma Care, Urinary Tract Infections, Continence, Blood Pressure Monitoring, Anticoagulants, Fluid Restriction.

Medication Management, Psychotropic Medicines, Polypharmacy, Managing Time-Sensitive Medicines.

Changing Behaviours and Behaviour Support Plans, Responsive Behaviours, Restrictive Practices, Decision Making in Aged Care, Advocacy, Cultural Safety, Diversity, Privacy and Dignity, Elder Abuse, Social Isolation, Trauma-Aware and Healing-Informed Care.

Hearing Loss, Visual Impairment, Communication Difficulties, At Risk Smoking Behaviours, ETOH Consumption and Alcohol Abuse, Unexplained Absence, Transitions in Care.

High impact, high prevalence (HIHP) risks are the care risks that happen frequently in aged care and carry a high chance of serious harm, such as falls, pressure injuries, medication harm, and restrictive practices. The Aged Care Quality and Safety Commission expects providers to identify each individual's HIHP risks and manage them through their clinical governance framework, and Standard 5 Clinical Care makes this explicit under the strengthened Aged Care Quality Standards.

The HIHP Risk Guidance Resource is an 88-page guide covering 48 high impact, high prevalence risk areas, from falls and pressure injuries to medication management, restrictive practices, and end-of-life care. It also includes a statement from the Aged Care Quality and Safety Commission, the HIHP risk process, the Aged Care Code of Conduct, the Statement of Rights, an evidence-base list, and a CARE NOTES poster. Anchor Excellence produces it, ISBN 978-1-7644323-1-3.

The HIHP resource is written for registered nurses, direct care workers, clinical leaders, and quality and governance teams across residential aged care, home care, and retirement living. Teams use it to onboard new staff, refresh existing staff, and prepare for an Aged Care Quality and Safety Commission audit.

The resource covers 48 high impact, high prevalence risk areas across 88 pages. They span clinical and physical risks such as falls, wounds, and sepsis, medication risks including psychotropics and polypharmacy, and behaviour, cognition, and rights topics such as restrictive practices, elder abuse, and decision making in aged care.

The HIHP resource gives your team a consistent, evidence-based reference for HIHP risk that supports the evidence you present at a registration or renewal audit and in the Care Delivery Evidence Collection Tool (CDECT). It is designed to be applied through your own clinical governance framework, so it helps you show an Aged Care Quality and Safety Commission assessor that staff understand the risks and that governance actively manages them, rather than sitting as a standalone document.

Yes. Anchor Excellence produces a tailored edition of the HIHP Risk Guidance Resource with your organisation's branding, so it fits within your own onboarding and education materials. Enquire through the tailored edition button on the page for pricing and options.

The HIHP Risk Guidance Resource is $25.00 through the Anchor Excellence website, postage and tax excluded. A tailored, branded edition is available by enquiry, and organisations wanting copies for a whole team can ask about volume options at the same time.

The resource is written around the Aged Care Act 2024 and the strengthened Aged Care Quality Standards, and Standard 5 Clinical Care in particular, which require providers to manage high impact, high prevalence risk. It also carries the Aged Care Code of Conduct and the Statement of Rights, the core obligations every aged care worker is expected to meet, so the guidance sits inside the current regulatory framework rather than a superseded one.