Transcript Aged Care Workforce Reform Request For Proposal

Aged Care Workforce Reform
Request For Proposal Information Session
Thursday 19 January 2012, 12.30-1.30pm
Building Workforce Capacity for Safe Medication Management in
the Community
(HWA-RFP/2011/002)
Information session outline
Session 1: Thurs 19th January 12.30 – 1.30pm
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Rules and conduct of the Webinar Information
session (1 hour)
Webinar scheduled for 1 hour
– 0 - 25min Webinar conduct & HWA presentation
– 25 - 45min Q&A session questions submitted prior
– 45 - 60min Open Q&A items posted during Webinar.
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All participants on mute for first part
Posting questions – via the control panel.
Recorded & lodged on HWA website afterwards
If you log out by mistake: revisit registration
confirmation email
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Agenda: RFP 002
• General issues for health and aged care
reform across all four Request for
Proposals (RFPs)
• Issues specific to this RFP
• Access to video-recording of the session
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Request for Proposal (RFP)
• You have expressed interest in HWA -ACR -RFP 002
• General: all proposals required by 17 February - submit
completed template (Section 3 of RFP)
• Information provision will continue via FAQ section on
website
• Workforce focus; aged care irrespective of setting; not a
service design project
• Themes: represent major pressures on system +
evidence for workforce change
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General Health & Aged Care workforce issues
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Strategy: use our current workforce more productively for more accessible
and responsive services; drive large scale adoption
Overcome
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Poor uptake of evidence ; not built on lessons of the past
Trying to put service evidence in place with rigid old workforce structures
Think differently about way we design and use workforce: paradigm shift
Single role workforce projects with limited scope to affect large scale change
Silos of action across boundaries
Disconnected / duplicated work across client journey
Not reorienting successfully to wellness, early intervention, primary health care
Implement evidence of what works
– CfOP project + jurisdictional initiatives + international evidence;
- mostly known what we should be changing;
- barriers to how we mainstream change (policy: industrial, funding)
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RFP: Implementation projects
Broad requirements:
• Work backwards from client needs
• Comprehensive package of change (all workforce in theme)
reflecting systems change
• Must be competency-based redesign of roles v. traditionally
allocated work
– changes to workforce skill mix, configuration and deployment
• Focus on capacity of assistants & generalist staff to drive full
scope of practice in other groups
• Internal - Partnering arrangement reflecting continuum of care
• External - Capacity building: leadership for change +
knowledge management in your RFP group
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Project management
Funding agreements: three-stage approach to implementing evidence
of redesigned workforce models
• Stage 1 – Setup: three to six months to set up the evidence based
and agreed model for implementation and evaluation framework
against set criteria in the RFP.
• Stage 2 – Implementation: implement and monitor the model for at
least ten months.
• Stage 3 – Evaluation structured evaluation process that HWA will
develop in partnership with the organisations for common and
specific outputs and outcomes (will include use of Impact
Assessment Framework, Investment Logic Standard ).
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How do we expect you to work together?
 Work closely with HWA via a variety of mechanisms to achieve
optimal redesign and diffusion of knowledge
 Lead organisation for RFPs 1-3: drive leadership for change, knowledge
management, challenge and innovation to push the boundaries,
performance/ process/ data & sustainability
 Internal partnering with your own stakeholders
 Attendance at up to three funded workshops for knowledge
management and to drive shared redesign / reform approaches in your
RFP group
 Capacity building - leadership for change and management development
with HWA and partners
 Demonstration of sustainability beyond funding ; determination of what is
required for large scale adoption
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Anticipated outcomes & evaluation
 Decreased pressure on system: avoidable Emergency Department
presentations or GP visits
 Population health : less episodes of deterioration or preventable
age related conditions
 Workforce productivity: whole net gains for greater number of
services for same or less cost
 Models of flexible workforce configuration (balance of
professional/ support staff);
 Workforce responsiveness: increased and continuous access to
supply of right services, first time;
 Workforce flexibility: models of workforce practice adaptable and
flexible to future change;
 Workforce supply: sustainability factors (measured for net cost and
cost effectiveness).
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Location of Evidence
• Throughout the RFP references to sources of evidence
used in Workforce Innovation: Caring for Older People
program (CfOP) 2010-11
• CfOP: de-identified draft reports pre - RFP. Full
availability post contract negotiation
• Your RFP group knowledge management
• CfOP Wrap Up Event 23/24 Feb 2012 :
www.hwa.gov.au/cfop-event
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HWA RFP – ACR – RFP 002
Sub-Project
Building
Workforce
Capacity for
Safe
Medications
Management
in the
Community
Project Focus
Improve consistency
and efficiency of
workforce focusing on
support staff and full
scope of practice via a
competencies - based
approach to role
determination & scopes
of practice; training, job
readiness continuous
improvement; and good
governance
Suitable RFP
Organisations
Individual
Project $
Lead
Organisation
Project $
Health services
Max
$150,000
and aged care
$250,000
organisations
(excl GST)
facilitation of
from government, per proposal
leadership for
non-government
change,
or private sectors
Up to six
in the community organisations knowledge
with multiple sites
management,
coherence and
rigour
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Specific workforce redesign (RFP 002)
 Systems reform & reorientation to Healthy Ageing
 Functions, evidence based practice & competencies mapped across client
journey/ key services to drive fit for purpose redesign
 Redesigned skill mix, configuration of roles and deployment of staffing :
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At four levels - core support, advanced or technical support, clinical, advanced clinical
Increase breadth of core service provision - common core competencies at transition points
Use support/assistant workers to introduce or reinforce risk alerts, early intervention and
referrals
Ensuring clinical staff (particularly nursing) are released to work to full scope of practice
 High performing, inter-disciplinary team management & guidelines for a
systems approach to safe medication management : aligns GP teams,
accredited pharmacist roles and practices, community health and aged care
services
 Self-efficacy and health literacy : clients, carers & workforce
 Harnessing and supporting the role of volunteers and carers
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RFP 002 – Enablers
 Enablers - local:
 skillsets enhanced by delegation, protocol-driven care, review, monitoring and
supervision practices;
 e-health technologies to connect / supervise;
 agreed care pathways/ roles across transition points;
 ‘fit for purpose’ training to support delivery of safe medications management,
consistency of that training, and ongoing education to support continuous
improvement (relates particularly to the Cert III and IV level training – RTO
partnerships);
 competencies in application of wellness model; mental health/ behaviour
management
 application of evidence based practice and research to drive better medication
management outcomes (reduction in errors); and
 determination and management of barriers such as health records, ordering, and
recordings systems for medications
 Enablers - systems: foreshadow industrial & funding policy changes
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Using competency-based redesign
• Framework designed for ‘whole of workforce’ approach
• Common core competencies at transition points
• Capture productivity benefits flowing on from any
workforce change
• Four levels of competence across all service elements to
increase access & responsiveness
– Core support
– Advanced / technical support
– Clinical
– Advanced / expert clinical
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Future Client
Care- Core
competencies
Risk
Consumer Self
Range
Directed
Efficacy of Ax
Choice
Social
Providing
Care CoInclusion Care on an ordination
evidence
base (EB)
(technical/
professiona
l / support)
Applying
Research
for Evidence
Based
Practice
Expert
6
4
5
6
5
6
5
6
Clinical
5
5
5
5
5
5
5
5
Advanced
support/ tech
3-4
4
4
3-4
4
2/3/4
3-4
2/3/4
Core
2
3
3
2
3
1
2
1
AND
Levels of
action
Example only
Levels : 1 awareness; 2 identify ; 3 interpret and analyse; 4 strategise;
5 leadership; 6 policy and planning
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HWA RFP Information Session
• Posted questions pre-webinar
• Your questions posted during the information session
• Q&A on webpage
- per specific RFP [email protected], or
- general [email protected]
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