A look at the Victorian Active Service Model Anglicare Australia Aged and Community Care Network A look at the Victorian Active Service Model Jeremy McAuliffe General Manager, Benetas Home Care 1 June 2017

Overview Aged Care Reform In Victoria Assessment & Fees Wellness & reablement

Aged Care Reform in Victoria My Aged Care, Increasing Choices and CHSP but some variations to the national agenda and timeframe. Delayed transition of Victorian HACC to CHSP, so still elements of the pre My Aged Care system. Key impacts include assessment service arrangements and fee structures. CHSP & HCP integration whilst delayed nationally may play out differently.

Assessment Regional Assessment Service (RAS) -100 HACC assessment services across Victoria. The Framework for Assessment in the HACC program in Victoria, 2007 – enter anywhere, no wrong door. 500 HACC providers, all conduct a specific assessment for the services provided. Transitioning assessment to MAC NSAF. Has been heavily resourced by State government.

Fees Victorian HACC Fee Policy in place since 2006. Fees are recommended maximums so providers effectively set rates, typically lower, not consistent. Moving from self declaration to formal assessment of capacity to pay, some consumers may be unwilling to participate. Moving from zero and low fees to higher prescribed fees, may compromise consumer acceptance of service. Heavy impacts on CHSP recipients take up of HCPs.

Active Service Model - Goals Active Service Model assists people to live in the community as independently and autonomously as possible. Independence refers to the capacity of people to self- manage the activities of their daily life, including social and community participation. Autonomy refers to making decisions about one’s life, and to be as actively involved in decision making as possible.

Active Service Model- Principles People have the potential to improve their capacity. People’s needs should be viewed in an holistic way. Services should be organised around the person and their carer, the person should not be slotted into existing services. Needs are best met where there are strong partnerships and collaborative working relationships between the person, their carers and family, support workers and between service providers.

Active Service Model-Components ‘Wellness’ or ‘active ageing’ approach, optimal physical and mental health; capacity building, and restorative care. Holistic person-centred approach, active participation in goal setting and decision making. Timely and flexible services, responding to recipient and their carer’s needs. Encouragement to participate in local health promoting activities Strengthening care relationships, family networks and social support.

Active Service Model-Plan

Active Service Model-Diversity The ASM is “partnered” by an assessment and a diversity component. There is a strong suggestion that ASM goals will not be attained without a diversity approach. Providers are required to have an annual Diversity Plan.

Active Service Model-Diversity Plan

Active Service Model - supports State government support of ASM implementation has been significant. Funded agencies are required to develop and submit individual ASM implementation plans. Regional ASM consultants available to support providers to develop and implement ASM responses. Research, evaluation & case studies - go here or here to review.

Active Service Model – staff impacts ASM is a “must do” not a “nice to do”. Provides a structured framework for design and implementation. Supports a common and consistent approach. Tackles the language issue. Started a challenging shift away traditional approaches. Plenty of support and resourcing.

Questions Thank you for your interest and attention. Contact me: jeremy.mcauliffe@benetas.com.au More about Benetas: www.benetas.com.au