Aged Care Workforce Reform
Request For Proposal Information Session
Thursday 19 January 2012, 2.30 - 3.30pm
Building Workforce Capacity & Capability in Residential Aged Care
Facilities
(HWA-RFP/2011/003)
Information session outline
Session 2: Thurs 19 January 2.30 – 3.30pm
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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.
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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 email
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Agenda: RFP 003
• 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
Q&A on HWA Aged Care Workforce Reform
webpage
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Request for Proposal (RFP)
• You have expressed interest in HWA -ACR -RFP 003
• 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
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General Health & Aged Care workforce issues
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Strategy: use our current workforce more productively for more accessible
and responsive services; drive large scale adoption
Overcome
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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)
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RFP: Implementation projects
Broad requirements:
• Work backwards from client needs (access & responsiveness)
• 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
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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 ).
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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 RFPs1-3: 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
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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).
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Location of Evidence
• Throughout the RFP references to sources of evidence
used in Workforce Innovation: Caring for Older People
program (CfOP) 2010-11
• 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 :
www.hwa.gov.au/cfop-event
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HWA RFP – ACR – RFP 003
Sub-Project
Building
Workforce
Capacity &
Capability in
Residential
Aged Care
Project Focus
More productive &
flexible balance of
broad generalist,
core support and
full scope of clinical
practice workforce
within the RACF
across services and
transition points.
Suitable RFP
Organisations
Individual
Project $
Lead
Organisation
Project $
Health services
and aged care
Max
$150,000
organisations
$400,000
from
(excl GST)
facilitation of
government,
non-government per proposal leadership for
or private
change,
Up to eight
sectors; with
organisations knowledge
linkages to GP
management,
teams and acute
coherence
care
and rigour
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Specific workforce redesign (RFP 003)
 Systems approach to reform & reorient to Healthy Ageing
 Functions, evidence based practice and competencies mapped across
client journey/ key services – drive fit for purpose redesign for all workforce
 Competencies based approach to redesign skill mix, configuration of
roles and deployment of RACF staff, GP teams (particularly role of
Practice Nurses) and AHPs including pharmacists and support staff at four
levels
 Full and/or expanded scopes of practice for support and care workers,
Assistants in Nursing (AINs) and Enrolled Nurses (ENs) with remote
support mechanisms (+ focus on generalists); release clinical staff for full
scope of practice
 High performing, virtual inter-disciplinary team across boundaries to
optimise collaboration between RACFs and General Practices and other
community health service providers
 Harnessing role of volunteers and family/ carers
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Enablers (RFP 003)
 Enablers - local:
 skillsets enhanced by delegation, protocol-driven care, review,
monitoring and supervision practices;
 e-health technologies to connect / supervise;
 agreed EB care pathways/ roles across transition points
 ‘fit for purpose’ training , consistency of that training, and ongoing
education to support continuous improvement (this relates particularly to
the Cert III and IV level training- RTO partnerships);
 competencies in the application of a wellness model; self efficacy
training for clients & workforce; mental health/ behaviour management
 application of evidence based practice and research.
 Enablers - systems: foreshadow industrial & funding policy
changes
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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
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Future Client
Care- Core
competencies
Risk
Consumer Self
Range
Directed
Efficacy of Ax
Choice
Social
Providing
Care CoInclusion Care on an ordination
evidence
base (EB)
(technical/
professiona
l / support)
Producing
Research
for Evidence
Based
Practice
Expert
6
4
5
6
5
6
5
6
Clinical
5
5
5
5
5
5
5
5
Advanced
support/ tech
3-4
4
4
3-4
4
2/3/4
3-4
2/3/4
Core
2
3
3
2
3
1
2
1
AND
Levels of
action
Example only
Levels : 1 awareness; 2 identify ; 3 interpret and analyse; 4 strategise;
5 leadership; 6 policy and planning
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HWA RFP Information Session
• Posted questions pre- webinar
• Your questions posted during the information session
• Q&A on webpage
- per specific RFP HWA_ACR_RFP2@hwa.gov.au, or
- general acwr@hwa.gov.au
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