Transcript Aged Care Reform in NSW

Commonwealth Aged Care Reforms
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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
Increased number
of people living
with chronic
diseases
Increased
demands from
people with
complex needs
Growing and
ageing population
Increasing
demands on
aged care
system &
workforce
Increasingly
fragmented,
complex system
Expansion in
separately funded
home support
programs
Rising consumer
expectations
Societal changes
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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
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
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Timeline of HACC/CCSP transition
> 65years
•
•
•
HACC program
ceased
Commonwealth
HACC Program 65+
commenced
•
Transition of
Commonwealth
HACC Program to
CHSP
Full functionality
rollout of My Aged
Care Gateway
1 Nov 2015
New CHSP
Contracts
1 Jul 2015
1 Jul 2012
HACC/CHSP
$80M
approx.
Contracts for
Commonwealth
HACC devolved
to LHDs
CHSP contracts end
30 Jun 2017
1 Jul 2013
2012
2013
2014
2016
2015
•
HACC Program ceased;
NSW CCSP <65
commenced
• NSW CCSP contracts
devolved to LHDs
< 65years
2018
30 Jun 2018
1 Jan 2014
1 Jul 2012
2017
Hunter Pilot site
transition to NDIS
commences
30 Jun 2016
•
•
NSW CCSP funding
extended by AHDC
Hunter Pilot site
transition complete
and their NSW CCSP
funding ceases
NSW CCSP
transition to NDIS
complete
1 Jul 2018
NDIS
Full implementation
CCSP/NDIS
$20M
approx.
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:
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
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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
My Aged Care
Website
My Aged Care
Contact Centre
Client Record
National Screening &
Assessment Form
Action/
Support Plan
Simplified and
standardised aged care
needs assessment
Regional Assessment
Services (RAS)
ACATs
National Screening &
Assessment Form
Action/
Support Plan
Support to locate and
access appropriate
services
Service Finders
Electronic Referrals
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
Inbound Referral
ASSESSMENT
MATCH & REFER TO SERVICES
Regional
Assessment
Service (RAS) –
Home Support
Assessment
Home Support Program
My Aged Care
Contact Centre
• Basic level / Low intensity
home support services
• Wellness / reablement
focus
Residential Aged Care
• Permanent placement
• Respite placement
(low/high)
• Complex multiple needs
- Registration
- Screening
Aged Care
Assessment
Team (ACAT) –
Comprehensive
Assessment
Home Care Packages
Complex multiple care needs
• Levels 1 and 2
• Levels 3 and 4
Transitional Aged Care
Service
Planning &
Delivery
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:
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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
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
•
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•
•
•
•
•
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Meals
Other food services
Transport
Domestic assistance
Personal care
Home maintenance
Home modifications
Social support – individual
Social support – group (formerly
Centre-Based Day Care)
•
•
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Nursing
Allied Health and
Therapy Services
Goods, Equipment
and Assistive
technology
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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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Timeline of
RAS/ACAT transition to My Aged Care
2 Nov 2015
NSW ACATs use full
functionality of My Aged
Care
Full functionality
rollout of RAS and
My Aged Care
1 July 2013
My Aged Care
website and
contact centre
established
30 Jun 2016
1 Jul 2015
Current
ACAP
contract
ceases
NSW ACATs use
accept/reject
process in My
Aged Care
2013
2014
Current RAS
contract ceases
2015
2016
2017
2018
ACAT transition to My Aged Care
Key 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
Further Information - DSS
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/homecarepackages
Email: [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 – 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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