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HACC Services Review Indigo Shire

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HACC Services Review Indigo Shire HACC Services Review Indigo Shire Indigo Shire Council Offices Beechworth Glenview Community Care Rutherglen Beechworth Health Services Contents 1. Introduction 2. Executive Summary & Recommendations 3. Background & Scope of Project 4. Home and Community Care Literature Review 5. Methodology & Data Collection 6. Central Intake 7. Integrated Service 8. Developing effective Tools 9. Planning process 10. Conclusion Appendices 1. Proposed IHA TOR 2. Central Intake Model 3. Planning Document. 4. Evaluation Tool 5. Quantitative Data Analysis/Referrals 6. Qualitative Data Summary References HACC Service Review Indigo Shire 2 1.0 Introduction Indigo Shire is located in the North East of Victoria with a supportive tourist economy, strong agricultural base and a large wine producing industry in the Rutherglen region. The shires of Towong, Wodonga & Wangaratta, border the Indigo shire. Approximately 60% of the population is based in the main areas of Beechworth, Chiltern or Rutherglen with total population of 14,891. Population demographics indicate that in 2001, 19% of the population was aged over 60. By 2021 it is expected that this will increase to 30% of the population. In terms of Home & Community Care (HACC) services there are three main providers within the Shire. Glenview Community Care provides: District Nursing Planned activity Groups Assessment and Care Management. Beechworth Health Service provides: District Nursing Planned Activity Groups Podiatry Assessment and Care Management. Indigo Shire provides: Personal Care Home Care Respite Care Property Maintenance Meals on Wheals Assessment and Care Management Planned activity groups Volunteer support. The three providers of health services have initiated, through a consultative and respectful process a common approach to health service delivery in the Indigo Shire that is underpinned by the DHS document “Rural Directions- A better State of Health,” November 2005. The document provides clear direction on the future of service delivery in the State of Victoria with the statement “Creating solid partnerships between different health services will help people get care as close to home as possible”. HACC Service Review Indigo Shire 3 The aim of the project is to office recommendations for the three key Indigo Shire health providers to enable them to strategically partner for the future in a cohesive and constructive manner in delivering HACC services in the Indigo Shire. The three key health providers in the Indigo Shire initiated the project, and identified the need to structure HACC services to better meet the demands of clients and providers alike early in the planning process. It was proposed that the key health providers would progress from an integrated services planning group to a more formalised structure very early in the consultative discussions with the executive. This structure will be described as the Indigo Shire Health Alliance (IHA) and is described further on in the report. The aim of the project is to offer recommendations for the Indigo Shire health providers to enable them to strategically partner for the future in a cohesive and constructive manner in delivering HACC services in the Indigo Shire. 2. Executive Summary & Recommendations. An interest in understanding how HACC Services might be coordinated and directed towards improving the health of the Indigo Shire community was the basis for this HACC review. At the inaugural meeting the integrated service planning group focused on the current documents released by the Department of Human Services. (DHS). Documents desirable to be included in the review as guiding direction and policy were the “Ambulatory Care Framework” the “Rural directions- For a Better State of Health” and the recent document “Strategic Directions in Assessment, Victorian Home and Community Care Program”. These documents were considered to be imperative frameworks for the integrated services group to utilise for the review and determine outcomes that were favourable to the community. The integrated services planning group-reviewed data collected from a wide range of stakeholders, staff, volunteers and consumers. Workshops held in conjunction with the group management meetings offered an opportunity to hear about a variety of community experiences around HACC services. Consultation with these groups clearly indicated a need for a more streamlined approach to the assessment of HACC clients. Anecdotal and qualitative evidence concluded that there were significant discrepancies within the Shire in the delivery of HACC services. On the basis of the information received from workshops, HACC Service Review Indigo Shire 4 individual interviews and committee consultation, several recommendations were nominated for inclusion in the report and will be discussed further in the document It is anticipated that agencies will not see the outcomes of this report as an opportunity to establish cost saving demands. It is about developing healthy client outcomes in the community and creating collaborative partnerships for the betterment of the client. It is therefore with confidence that the recommendations indicated below are made: Recommendation 2.1 Develop a proposed Central Intake Model (CIM) for service delivery. It is expected that the model be drafted by the poposed IHA. The model will have input from staff within the Indigo Shire. A proposed draft HACC CIM is included as Appendix 2. The proposed CIM draft flow chart was developed as a work in progress for the IHA. (See section 6) Recommendation 2.2 Beechworth Health Services, Indigo Shire and Glenview Community Care form an Indigo Health Alliance (IHA) for the Indigo Shire. The group will have formalised Terms of Reference and will work towards the betterment of care to clients in the Indigo Shire. It is expected that all decisions regarding future service expansion and delivery for HACC services will be made by this Alliance. Proposed IHA, Terms of Reference (TOR) is attached as Appendix1 to this document. (See section 7) Recommendation 2.3 A comprehensive suite of tools is sourced to work with and complement the SCOT tool and that the process be guided by the proposed IHA as an priority of the newly formed partnership. (See section 8) Recommendation 2.4 IHA establish a planning document that will be used to guide development of the newly formed service. The planning document will include:- HACC Service Review Indigo Shire 5 • Strategies to pool funds for more efficient use of health resources • Working closely with those who are not funded • A communication strategy to inform the community about improvements to the HACC assessment and intake system • Change management strategy for staff and the community. • Proposed comprehensive Evaluation Tool to enable the process to be soundly evaluated as a component of the ongoing Alliance outcomes. (See section 9) A proposed draft Planning Document & Evaluation Tool developed by IHA is attached as Appendices 3 and 4. 3. Background and Scope of Project. The Home and Community Care (HACC) programme was introduced as a Federal Legislative Act in 1985 to develop a comprehensive range of integrated services to assist frail older people and people with disabilities to remain in their own homes and in the community. In 1991National HACC Service guidelines were introduced to provide the basis for a nationally consistent approach to the quality and delivery of all HACC funded services. A literature review conducted on community service delivery recognised that a streamlined intake & assessment system was a concept that was being developed across numerous countries and was supportive of the current move towards creating efficiencies and equity of service to the community. The HACC service system currently incorporates a large number and a diverse range of service providers involved in the delivery of HACC services. The following are designated HACC services:- • Assessment & Care management • Personal care • Volunteer co-ordination • Planned activity groups • Linkages • Home care • Respite care • Property maintenance • Nursing Support In recent years, ongoing escalating change and expansion has had significant impact on the level, range and types of HACC service HACC Service Review Indigo Shire 6 provided. Consequently the rate of expansion of services has had a major impact on the role and functions of program staff. Increasingly high demand on HACC services, rapidly increasing numbers of high complex needs clients, increasing accountability in reporting requirements has had significant impact on service delivery and staff morale. Through this project the proposed IHA has indicated that issues of access, equity, consistency of service, service allocation and creation of efficiencies will be addressed. The project included all HACC funded agencies within the Indigo Shire inclusive of Beechworth Health Service, Glenview Community Care and The Indigo Shire component as a provider of health services. Recipients of HACC services were also included in the consultations. 4. Home and Community Care Literature Review The aim of the HACC review is to engage with the three principal HACC service providers in the Shire of Indigo (Beechworth Health Service, Glenview Community Health Services and Indigo Shire Council) to identify a need for clear points of access to the health and support services provided in the shire. It is within this context that the literature review will sustain the group to develop a consistent understanding of the meaning of service coordination and how
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