Commonwealth Aged Care Reforms insert title of presentation

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Commonwealth Aged Care Reforms

Commonwealth Aged Care Reforms

<insert title of presentation and who the audience is> <insert name of presenter> <insert

<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

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

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 4

Commonwealth objectives Australian Government vision is that by 2022 Australia’s aged care system will:

Commonwealth objectives Australian Government vision is that by 2022 Australia’s aged care system will: ü Be sustainable and affordable, long into the future ü Provide diverse and rewarding career options ü Encourage aged care businesses to invest and grow ü Offer greater choice, with control in the hands of consumers ü 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 5

Timeline of HACC/CCSP transition > 65 years • • • HACC program ceased Commonwealth

Timeline of HACC/CCSP transition > 65 years • • • HACC program ceased Commonwealth HACC Program 65+ commenced 1 Jul 2012 • Transition of Commonwealth HACC Program to CHSP Full functionality rollout of My Aged Care Gateway 1 Nov 2015 New CHSP Contracts 1 Jul 2015 Contracts for Commonwealth HACC devolved to LHDs HACC/CHSP $80 M approx. 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 < 65 years 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 $20 M approx.

My Aged Care Gateway My. Aged. Care http: //www. myagedcare. gov. au/ National Contact

My Aged Care Gateway My. Aged. Care http: //www. myagedcare. gov. au/ National Contact Centre • 1800 200 422 • 8 am-8 pm (Monday to Friday) • 10 am-2 pm (Saturdays)

What is My Aged Care? • My Aged Care is a national gateway commencing

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: ü Provide a standardised national approach from screening through to comprehensive aged care assessments ü Centralise all registration and screening ü Introduce and maintain a central Client Record ü Simplify and streamline client assessment ü Match and refer clients for appropriate services 8

My Aged Care benefits for clients Identifiable entry point providing timely and reliable information

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

My Aged Care impacts for NSW Health What will change for NSW Health front-line staff? ü New clients referred through My Aged Care ü Different referral pathways ü Maintenance of the central Client Record ü Determine My Aged Care or existing referral pathways for clients 10

My Aged Care Assessment & Service Referral Pathways Inbound Referral ASSESSMENT MATCH & REFER

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

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

NSAF

Assessment and Referral Pathways (RAS and ACATs) • A single referral pathway through My

Assessment and Referral Pathways (RAS and ACATs) • A single referral pathway through My Aged Care by 31 December 2015: ü Regional Assessment Services (RAS) to commence 1 July 2015 ü 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 14

What is the Regional Assessment Service (RAS)? • A national assessment workforce, operating regionally

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

Commonwealth Home Support Programme (CHSP) • The Commonwealth Home Support Programme (CHSP) will bring together the following programs: ü ü 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 16

HACC transition to CHSP Community and Home Support Objective • To provide entry-level support

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 • • • 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 17

CHSP impacts for NSW Health What will change for NSW Health front-line staff? ü

CHSP impacts for NSW Health What will change for NSW Health front-line staff? ü Referrals for your service will now come through My Aged Care electronically ü Service provision will continue, except for case management, assessment, and care coordination services ü Regional Assessment Services (RAS) will now provide short term case management, assessment and care coordination services. What will continue for LHDs? ü Continued delivery of services under CHSP ü Funding continuity until 30 June 2017 18

Timeline of RAS/ACAT transition to My Aged Care 2 Nov 2015 1 July 2013

Timeline of RAS/ACAT transition to My Aged Care 2 Nov 2015 1 July 2013 My Aged Care website and contact centre established NSW ACATs use full functionality of My Aged Care Full functionality rollout of RAS and My Aged Care 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

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: GPO@dss.

Further Information - DSS My Aged Care Website: www. dss. gov. au/myagedcare Email: GPO@dss. gov. au Commonwealth Home Support Programme Website: www. dss. gov. au/chsp Email: CHSP@dss. gov. au Home Care Packages Website: www. dss. gov. au/homecarepackages Email: homecarepackages@dss. gov. au Quality Indicators- Pilot in residential care KPMG – Free call 1800 881 436 Email: AU-FMACQIS@kpmg. com. au General Aged Care Information DSS Website: www. dss. gov. au/agedcare Information: Aged. Care. Reform. Enquiries@dss. gov. au

Further Information – NSW Health • The NSW Ministry of Health (Mo. H) is

Further Information – NSW Health • The NSW Ministry of Health (Mo. H) 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 22