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

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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: 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/homecarepackagesEmail: 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: AgedCareReformEnquiries@dss.gov.au

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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