1. Aged Care Workforce Reform Request For Proposal Information Session Thursday 19 January 2012, pm
Building Workforce Capacity for Safe Medication Management in the Community (HWA-RFP/2011/002)

2. Information session outline
Session 1: Thurs 19th January – 1.30pm
Rules and conduct of the Webinar Information session (1 hour)
Webinar scheduled for 1 hour
0  -  25min   Webinar conduct & HWA presentation
25 - 45min   Q&A session questions submitted prior
45 - 60min    Open Q&A items posted during Webinar.
All participants on mute for first part
Posting questions – via the control panel.
Recorded & lodged on HWA website afterwards
If you log out by mistake: revisit registration confirmation

3. Agenda: RFP 002
General issues for health and aged care reform across all four Request for Proposals (RFPs)
Issues specific to this RFP
Access to video-recording of the session

4. Request for Proposal (RFP)
You have expressed interest in HWA -ACR -RFP 002
General: all proposals required by 17 February - submit completed template (Section 3 of RFP)
Information provision will continue via FAQ section on website
Workforce focus; aged care irrespective of setting; not a service design project
Themes: represent major pressures on system + evidence for workforce change

5. General Health & Aged Care workforce issues
Strategy: use our current workforce more productively for more accessible and responsive services; drive large scale adoption
Overcome
Poor uptake of evidence ; not built on lessons of the past
Trying to put service evidence in place with rigid old workforce structures
Think differently about way we design and use workforce: paradigm shift
Single role workforce projects with limited scope to affect large scale change
Silos of action across boundaries
Disconnected / duplicated work across client journey
Not reorienting successfully to wellness, early intervention, primary health care
Implement evidence of what works – CfOP project + jurisdictional initiatives + international evidence; - mostly known what we should be changing;
- barriers to how we mainstream change (policy: industrial, funding)

6. RFP: Implementation projects
Broad requirements:
Work backwards from client needs
Comprehensive package of change (all workforce in theme) reflecting systems change
Must be competency-based redesign of roles v. traditionally allocated work
changes to workforce skill mix, configuration and deployment
Focus on capacity of assistants & generalist staff to drive full scope of practice in other groups
Internal - Partnering arrangement reflecting continuum of care
External - Capacity building: leadership for change + knowledge management in your RFP group

7. Project management
Funding agreements: three-stage approach to implementing evidence of redesigned workforce models
Stage 1 – Setup: three to six months to set up the evidence based and agreed model for implementation and evaluation framework against set criteria in the RFP.
Stage 2 – Implementation: implement and monitor the model for at least ten months.
Stage 3 – Evaluation structured evaluation process that HWA will develop in partnership with the organisations for common and specific outputs and outcomes (will include use of Impact Assessment Framework, Investment Logic Standard ).

8. How do we expect you to work together?
Work closely with HWA via a variety of mechanisms to achieve optimal redesign and diffusion of knowledge
Lead organisation for RFPs 1-3: drive leadership for change, knowledge management, challenge and innovation to push the boundaries, performance/ process/ data & sustainability
Internal partnering with your own stakeholders
Attendance at up to three funded workshops for knowledge management and to drive shared redesign / reform approaches in your RFP group
Capacity building - leadership for change and management development with HWA and partners
Demonstration of sustainability beyond funding ; determination of what is required for large scale adoption

9. Anticipated outcomes & evaluation
Decreased pressure on system: avoidable Emergency Department presentations or GP visits
Population health : less episodes of deterioration or preventable age related conditions
Workforce productivity: whole net gains for greater number of services for same or less cost
Models of flexible workforce configuration (balance of professional/ support staff);
Workforce responsiveness: increased and continuous access to supply of right services, first time;
Workforce flexibility: models of workforce practice adaptable and flexible to future change;
Workforce supply: sustainability factors (measured for net cost and cost effectiveness).

10. Location of Evidence
Throughout the RFP references to sources of evidence used in Workforce Innovation: Caring for Older People program (CfOP)
CfOP: de-identified draft reports pre - RFP. Full availability post contract negotiation
Your RFP group knowledge management
CfOP Wrap Up Event 23/24 Feb 2012 :

11. Suitable RFP Organisations Lead Organisation Project $
HWA RFP – ACR – RFP 002
Sub-Project
Project Focus
Suitable RFP Organisations
Individual Project $
Lead Organisation Project $
Building Workforce Capacity for Safe Medications Management
in the Community
Improve consistency and efficiency of workforce focusing on support staff and full scope of practice via a competencies - based approach to role determination & scopes of practice; training, job readiness continuous improvement; and good governance
Health services and aged care organisations from government, non-government or private sectors in the community with multiple sites
Max $250,000 (excl GST) per proposal
Up to six organisations
$150,000
facilitation of leadership for change, knowledge management, coherence and rigour

12. Specific workforce redesign (RFP 002)
Systems reform & reorientation to Healthy Ageing
Functions, evidence based practice & competencies mapped across client journey/ key services to drive fit for purpose redesign
Redesigned skill mix, configuration of roles and deployment of staffing :-
At four levels - core support, advanced or technical support, clinical, advanced clinical
Increase breadth of core service provision - common core competencies at transition points
Use support/assistant workers to introduce or reinforce risk alerts, early intervention and referrals
Ensuring clinical staff (particularly nursing) are released to work to full scope of practice
High performing, inter-disciplinary team management & guidelines for a systems approach to safe medication management : aligns GP teams, accredited pharmacist roles and practices, community health and aged care services
Self-efficacy and health literacy : clients, carers & workforce
Harnessing and supporting the role of volunteers and carers

13. RFP 002 – Enablers Enablers - local:
skillsets enhanced by delegation, protocol-driven care, review, monitoring and supervision practices;
e-health technologies to connect / supervise;
agreed care pathways/ roles across transition points;
‘fit for purpose’ training to support delivery of safe medications management, consistency of that training, and ongoing education to support continuous improvement (relates particularly to the Cert III and IV level training – RTO partnerships);
competencies in application of wellness model; mental health/ behaviour management
application of evidence based practice and research to drive better medication management outcomes (reduction in errors); and
determination and management of barriers such as health records, ordering, and recordings systems for medications
Enablers - systems: foreshadow industrial & funding policy changes

14. Using competency-based redesign
Framework designed for ‘whole of workforce’ approach
Common core competencies at transition points
Capture productivity benefits flowing on from any workforce change
Four levels of competence across all service elements to increase access & responsiveness
Core support
Advanced / technical support
Clinical
Advanced / expert clinical

15. Future Client Care- Core competencies
AND
Risk
Consumer Directed Choice
Self Efficacy
Range of Ax
Social Inclusion
Providing Care on an evidence base (EB)
(technical/ professional / support)
Care Co-
ordination
Applying Research for Evidence Based Practice
Levels of action
Expert 6 4 5
Clinical
Advanced support/ tech
3-4
2/3/4
Core 2 3 1
Example only Levels : 1 awareness; 2 identify ; 3 interpret and analyse; 4 strategise; leadership; 6 policy and planning

16. HWA RFP Information Session
Posted questions pre-webinar
Your questions posted during the information session
Q&A on webpage - per specific RFP or
- general