Our New Service Model IFA Conference - Melbourne
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- Melvin Arnold
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1 Our New Service Model IFA Conference - Melbourne
2 About UnitingCare Ageing Single largest provider in NSW and ACT 5,802 operational residential aged care places in 77 facilities. 2,405 independent living units in 79 villages 5,536 community care places 2,097 volunteers 2008/09 turnover was $375m Until 2004 administered by 52 local boards.
3 And so the INSPIRE journey began!
4 What is a Service Model What services do we provide? To whom do we provide them? In which communities? What do we do and what do we do with others?
5 Aged Care Reforms National Health and Hospital Reform Commission People first not programs deregulation of supply Single classification for care More flexibility in financing options including bonds separation of accommodation from care Interface with Primary Health Care and Subacute care E health record around the client One level of Government responsible
6 Evidence Base - Summary Extensive research that supports: Benefits of restorative approach to ageing Importance of timely targeted interventions focused on enhancing independence and individual control Importance of good clinical person centered assessment, care planning and case management Importance of home and community to older people
7 Evidence Base Summary (Cont) Importance of social engagement Emergence of new forms of service integrated housing Importance of carers in delivering high levels of home based care Difficulties carers have in navigating the aged care system and in obtaining timely and transparent information to assist making choices.
8 The Service Continuum
9 Separation of accommodation from care SERVICE COMMUNITY SETTING HOME INDEPENDENT LIVING UNIT SERVICED APARTMENTS RESIDENTIAL AGED CARE FACILITY Spiritual & Emotional Support Chaplaincy and pastoral care Information Access Centre Help Line, Internet, Written Content, Referral Services Basic Support Services Social Connection & Engagement Shopping Men s Sheds Day Centres Maintenance, cleaning etc Community Based Clinical Care & Support Healthy Ageing Centres Community Transport (location often dependent on funding partners) Respite & Transition Care Community Nursing Supported Residential Services Transition care after hospitalization Carer Support in Homes Respite Care Live-In Care, Accommodation & 24x7 Support Palliative Care 24x7 Low Care Support 24x7 Complex Care SERVICE DELIVERY PROGRAMS ACROSS RANGE OF LOCATIONS
10 How we developed the Service Model Extensive market research and literature reviews throughout first half of 2008 A draft position paper was prepared Workshops held in second half of 2008 involved around 100 participants Position paper prepared Service Model launched in 2009.
11 FOUNDATION PRINCIPLES Client Choice and involvement Independence and wellbeing Social Inclusion Social Justice Separation of Housing and Care Recognising the value of carers
12 Key Features of the Service Model Single access point for services Comprehensive information service across NSW/ACT Our own brand of INSPIRED CARE Special focus on helping people navigate all parts of the service continuum Focus on specialised services especially for those who are vulnerable and disadvantaged eg homlessness, mental health.
13 Key Features of the Service Model A focus on community care assertive growth 60:40 target Medium growth in a range of housing options Stable growth in traditional forms of residential care Planning around communities for social inclusion
14 Key Features of the Service Model A specialised focus on Chronic Illness and disability for older people Services organised around a hub and spoke where the hub is ideally a community care centre Use our congregations and community networks to go the extra mile
15 The Common Operating Model
16 Capability Development Clinical assessment for chronic illness and disability Person Centred Inspired Care Customer focus Planning around communities for social inclusion Business development across the service model continuum Business processes changing especially at first contact and intake Housing capability
17 What will be different? Customers not programs Much greater focus on healthy ageing and reenablement 10 year Regional Service Development Plans around targeted communities Age integrated developments A greater focus on all types of community care this is our entry point in a community Greater reliance on state of the art electronic care management systems with remote access and telemedicine Partnerships in communities Homes NOT facilities!
18 Be Inspired.. Our Inspire Journey Continues Only those who risk going too far can possibly find out how far we can go. TS Elliot
19 Thank you
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