Commonwealth Aged Care Reforms. Contents Drivers for Commonwealth Aged Care Reforms My Aged Care and...
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Transcript of Commonwealth Aged Care Reforms. Contents Drivers for Commonwealth Aged Care Reforms My Aged Care and...
Commonwealth Aged Care Reforms
<insert title of presentation and who the audience is>
<insert name of presenter><insert date of presentation>
Contents
• Drivers for Commonwealth Aged Care Reforms
• My Aged Care and Regional Assessment Services (RAS) – from 1 July 2015
• Commonwealth Home and Community Care (HACC) Transition to Commonwealth Home Support Programme (CHSP)
• NSW ACATs transition to My Aged Care by the end of 2015
Drivers for Commonwealth Aged Care reforms
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Increasing demands on
aged care system & workforce
Increased demands from
people with complex needs
Increased number of people living
with chronic diseases
Growing and ageing population Increasingly
fragmented, complex system
Expansion in separately funded
home support programs
Societal changes
Rising consumer expectations
Commonwealth objectives
Australian Government vision is that by 2022 Australia’s aged care system will:
Be sustainable and affordable, long into the future
Provide diverse and rewarding career options
Encourage aged care businesses to invest and grow
Offer greater choice, with control in the hands of consumers
Support people to stay at home, and part of their communities, for as long as possible
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NSW Health is working with the Commonwealth to implement Aged Care reforms, organising aged and community care services for older people that better meet
their changing needs
2012 2013 2014 2015 2016 2017 2018
NDISFull implementation
1 Jul 2018
• NSW CCSP funding extended by AHDC
• Hunter Pilot site transition complete and their NSW CCSP funding ceases
30 Jun 2016
CHSP contracts end
• Transition of Commonwealth HACC Program to CHSP
• Full functionality rollout of My Aged Care Gateway
1 Jul 2015
NSW CCSP transition to NDIScomplete
30 Jun 2018
30 Jun 2017
• HACC program ceased
• Commonwealth HACC Program 65+ commenced
1 Jul 2012 Contracts for Commonwealth HACC devolved
to LHDs
Hunter Pilot site transition to NDIS commences
1 Jan 2014
1 Jul 2013
Timeline of HACC/CCSP transition
> 65yearsHACC/CHSP
$80M approx.
< 65yearsCCSP/NDIS
$20M approx.
• HACC Program ceased; NSW CCSP <65 commenced• NSW CCSP contracts
devolved to LHDs
1 Jul 2012
New CHSP Contracts
1 Nov 2015
My Aged Care Gateway
MyAgedCare http://www.myagedcare.gov.au/
National Contact Centre• 1800 200 422• 8am-8pm (Monday to Friday) • 10am-2pm (Saturdays)
What is My Aged Care?
• My Aged Care is a national gateway commencing from 1 July 2015. It will provide a single entry point for access to Commonwealth funded aged care services
• My Aged Care has 3 online portals: for clients and carers, assessors and service providers
• My Aged Care aims to: Provide a standardised national approach from screening
through to comprehensive aged care assessments Centralise all registration and screening Introduce and maintain a central Client Record Simplify and streamline client assessment Match and refer clients for appropriate services
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My Aged Care benefits for clients
Identifiable entry point providing timely and
reliable information on aged care
A central client record, accessible by
assessors, service providers and clients
Simplified and standardised aged care
needs assessment
Support to locate and access appropriate
services
My Aged Care Website
My Aged Care Contact Centre
Client RecordNational Screening & Assessment Form
Service Finders
National Screening & Assessment Form
Regional Assessment Services (RAS)ACATs
Electronic Referrals
Action/Support Plan
Action/Support Plan
My Aged Care impacts for NSW Health
What will change for NSW Health front-line staff?
New clients referred through My Aged Care
Different referral pathways
Maintenance of the central Client Record
Determine My Aged Care or existing referral pathways for clients
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My Aged Care Assessment & Service Referral Pathways
ASSESSMENT MATCH & REFER TO SERVICES
Inbound Referral
My Aged Care Contact Centre
- Registration- Screening
Service Planning &
Delivery
Regional Assessment
Service (RAS) – Home Support
Assessment
Home Support Program
• Basic level / Low intensity home support services
• Wellness / reablement focus
Residential Aged Care• Permanent placement• Respite placement
(low/high)• Complex multiple needs
Home Care PackagesComplex multiple care needs
• Levels 1 and 2• Levels 3 and 4
Transitional Aged Care
Aged Care Assessment
Team (ACAT) – Comprehensive
Assessment
National Screening and Assessment Form (NSAF)
• Commenced by My Aged Care contact centre during registration and screening
• Holistic• Restorative philosophy underpins assessment• Assessment building on information collected at
screening, with appropriate questions at each level of assessment
• Previously collected information displayed so clients do not have to repeat their story
• Built in algorithms will assist to identify client needs, goals & preferences in a support plan
NSAF
Assessment and Referral Pathways (RAS and ACATs)
• A single referral pathway through My Aged Care by 31 December 2015:
Regional Assessment Services (RAS) to commence 1 July 2015
ACAT referral and assessment services to transition on 2 November 2015
• Some LHD referral pathways will remain unchanged i.e. Compacks, post-acute nursing, CCSP
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What is the Regional Assessment Service (RAS)?
• A national assessment workforce, operating regionally across Australia (except Vic and WA)
• NSW Health one of 13 agencies operating RAS • Face-to-face assessment of clients with reablement
focus• Matching and referral of assessed clients to appropriate
CHSP service• Benefit: streamlined referrals process. One assessment
for multiple client services
Commonwealth Home Support Programme (CHSP)
• The Commonwealth Home Support Programme (CHSP) will bring together the following programs:
HACC National Respite for Carers Program Day Therapy Centres Program Assistance with Care and Housing for the Aged Program
• Introduction of a nationally-consistent fees policy
• Underpinned by a restorative care approach (wellness and reablement) and consumer directed care
• Sector support and development – with operational guidance from NSW Health
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HACC transition to CHSP
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Community and Home Support
Objective • To provide entry-level support services to assist older people to live independently at home and in the community
Target Group • Frail, older people aged 65 years and over (or 50 years and over for Aboriginal and Torres Strait Islander people) who need assistance with daily living to remain living independently at home and in the community
Service types funded
• Meals• Other food services• Transport• Domestic assistance• Personal care• Home maintenance• Home modifications• Social support – individual• Social support – group (formerly
Centre-Based Day Care)
• Nursing• Allied Health and
Therapy Services• Goods, Equipment
and Assistive technology
CHSP impacts for NSW Health
What will change for NSW Health front-line staff?
Referrals for your service will now come through My Aged Care electronically
Service provision will continue, except for case management, assessment, and care coordination services
Regional Assessment Services (RAS) will now provide short term case management, assessment and care coordination services.
What will continue for LHDs?
Continued delivery of services under CHSP
Funding continuity until 30 June 2017
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2013 2014 2015 2016 2017 2018
Full functionality rollout of RAS and My Aged Care
1 Jul 2015
Timeline ofRAS/ACAT transition to My Aged Care
My Aged Care website and contact centre established
NSW ACATs use accept/reject process in My Aged Care
1 July 2013
NSW ACATs use full functionality of My Aged Care
30 Jun 2016
Current ACAP contract ceases
2 Nov 2015
Current RAS contract ceases
ACAT transition to My Aged CareKey Transition Steps for ACATs ACAT Activity
My Aged Care – Accept /Reject Process starts 1 July 2015
• Continue business as usual• Inbound referrals accepted from My
Aged Care as well as other referral sources
My Aged Care – Full Functionality will commence by the end of 2015
• All clients will be referred through My Aged Care
• ACATs will commence using full My Aged Care functionality
My Aged Care Website: www.dss.gov.au/myagedcare Email: [email protected]
Commonwealth Home Support Programme
Website: www.dss.gov.au/chsp Email: [email protected]
Home Care Packages Website: www.dss.gov.au/homecarepackagesEmail: [email protected]
Quality Indicators- Pilot in residential care
KPMG – Free call 1800 881 436 Email: [email protected]
General Aged Care Information
DSS Website: www.dss.gov.au/agedcare Information: [email protected]
Further Information - DSS
Further Information – NSW Health
• The NSW Ministry of Health (MoH) is working closely with LHDs to support and prepare for the implementation of My Aged Care and the transition to the CHSP on 1 July 2015
• A new NSW Health Aged Care website will be updated frequently with information on the Aged Care changes, impacts for LHDs, FAQs, DSS fact sheets, tools and resources. Check the ‘What’s New’ tab for updates: www.health.nsw.gov.au/agedcare
• For information on local implementation and processes in your LHD contact your HACC Transition Manager or Aged Care Contact –available on the NSW Health website
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