cdc models: breaking up or breaking down?

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Turn to us for innovative solutions CDC Models: Breaking up or breaking down? Presented to: LASA Tri-State Conference Presented by: Mollie Sullivan, Verso Consulting Monday 24 February 2014

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CDC Models: Breaking up or breaking down?. Presented to: LASA Tri-State Conference Presented by: Mollie Sullivan, Verso Consulting Monday 24 February 2014. Pilots I have known…. Aged Care Assessment Teams 1980s Community Options/Linkages 1990s Hostel Options and CACPs1990 - PowerPoint PPT Presentation

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Page 1: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

CDC Models:Breaking up or breaking down?

Presented to: LASA Tri-State ConferencePresented by: Mollie Sullivan, Verso Consulting

Monday 24 February 2014

Page 2: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

Pilots I have known…

• Aged Care Assessment Teams 1980s• Community Options/Linkages 1990s• Hostel Options and CACPs1990• EACH and EACHD 2000s• CDC Packages 2010 .....

Page 3: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

Common care package models

• Case management + in-house care (integrated teams or business unit silos)

• Case management + brokerage• Case Management + mixed care model• Intake team and delivery team• Outreach from residential care team

Page 4: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

Case management (Challis)

• Case finding (delegated to ACATs)• Assessment• Care planning• Care coordination• Monitoring• Case closure

Page 5: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

Major change elements of CDC

• Greater consumer choice• Consumers in the drivers’ seat• Goal base cared planning• Transparent overheads and

coordination costs

Page 6: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

CDC pilot models

• Progressive or tiered model– Fixed admin fee with graded coordination

fees, higher initially and lowered as consumer takes more responsibility

• Capacity building/mentoring model• DIY optional model• Enhanced choice model

Page 7: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

What has stayed the same?

“The relationship with the coordinator was particularly important and valued by participants.”

(Evaluation of CDC initiative – Final Report, January 2012)

Page 8: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

“Core advice and management”

• Case finding – suitability for CDC ☺• Assessment – goal driven ☺• Agreement & care plan/budget ☺• Care implementation/coordination ?• Ongoing Monitoring and Reviews☺• Transition support and ACAT referral☺• Single point of contact ?HCP Program Guidelines, 2013 Part D – 3.1.5 p 31-32

Page 9: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

ISP facilitation model (Victoria)

• Case finding and eligibility (DHS)• Goal setting ☺• Support plan ☺• Implement plan ☺• Reviews – scheduled annually and

responding to changes as needed

Page 10: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

ISP facilitation funding

• Two Levels of facilitation complexity– Up to 5 hours– Up to10 hours

• Completed in 3 months• Hourly rate $52.60/hour*

* Victorian Dept Human Services, North Division ISP FAC/ND/2013

Page 11: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

2012 ACAR CDC models

• Status quo with consumer goals and increased choice (new brokerage)

• National head office – customer service model with “road warrior” coordinators

• Tiered model with increased focus on consumer/carer education

• Others ?

Page 12: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

Future CDC models

• Facilitation model as per ISPs• Customer service model• Case management “products” model• Billable hours model• Partnership model with MOU framework• Others ?

Page 13: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

Impacts for case managers..

• Practice and scope of role changes• New teamwork models• Competitive cost cutting• New training needs

Page 14: CDC Models: Breaking up or breaking down?

Turn to us for innovative solutions

Verso’s response

• Update of CM Survey conducted by Verso in 2004 to ascertain changes

• “Positive CDC Practice” – Workshops targeted to Co-ordinators and Case Managers in HCPs

Email: [email protected] or call Mollie on 0407 093 355