HACC Diversity Planning Forum
This project is supported with
funding under the Home and
Community Care Program by the
Commonwealth Government and
the Victorian Government.
HDG Consulting Group
February - March 2011
Welcome
Acknowledgement of Traditional Custodians
Session overview
In this session we will:
•
explain the policy context and requirements for diversity
planning
•
talk about what diversity planning is and what it means for
HACC funded agencies
•
share ideas about diversity planning approaches
•
provide an opportunity to discuss practical examples.
Policy context
Background
• Building on access and equity work
• Moving from cultural to diversity planning
• Continuous Quality Improvement
Diversity planning and practice
• A strategic population planning initiative that supports and
encourages a holistic, person-centred approach to HACC
service delivery.
• Underlying principles:
– equitable access to HACC services
– a sensitive and responsive approach to planning services
– consideration of diversity as core business.
Does not mean that any one group will be prioritised for
services over another. It is to ensure that people have
access based upon assessed relative need.
Continuous Quality Improvement
• The Active Service Model, the Assessment
Framework and Diversity Planning and Practice
share a key aim:
strengthening person-centred care.
• The future:
– ASM approach as core business
– Diversity Planning encompassed within broader
quality improvement planning.
HACC Quality Improvement
Personcentred
care
Outcomes
Key requirements
Diversity planning requires all HACC funded agencies to:
 demonstrate an understanding of their catchment’s HACC target population
 identify groups or individuals who may not be accessing services
 identify barriers to service access for these groups or individuals
 develop and implement an action plan to improve access to your services with
achievable and measurable outcomes in accordance with Regional Diversity Plan
 monitor the action plan against outcomes
 review the plan and use what is relevant to develop the next plan.
Monitoring will be on an annual basis by Regions and triennially through quality
review processes.
Implementation
Action
Diversity Planning Forums
Finalisation of statewide diversity priorities
Timeline
February to March 2011
mid 2011
Development of Regional Diversity Plans
1 July to 31 December
2011
commencing mid 2011
First Common Community Care Quality
Framework reviews
Development of Agency Diversity Plans
1 January to 30 June
2012
Implementation of Regional and Agency Diversity Commencing 30 June
Plans for 2012-2015
2012
Benefits of diversity planning
• It will increase your agency’s capability to respond
to diversity within your local community.
• It will assist to inform planning and resource
allocation decisions.
• It will support a diversity responsive workforce.
• It will improve equitable access to services by
diverse and disadvantage groups.
• It will enable HACC services to better understand
and measure diversity within their communities.
Strengthening diversity planning and practice:
A guide for HACC services in Victoria
Why is a guide needed?
• A new concept – shared understanding and
expectations.
• To support agencies to implement Diversity
planning and practice.
What is in the guide?
• Introduction to diversity planning
• Outline of key requirements
• Information and tools to :
–
–
–
–
understand diversity
apply diversity lenses to your services
set priorities
review your progress.
14
What is diversity?
What do we mean by diversity?
•
Diversity is recognising that people are individuals and
have unique needs and preferences.
•
People may also belong to, or identify with a community
or group who have different needs and expectations.
•
Diversity planning embraces and reflects cultural
differences.
•
Culture is self-ascribed and defines who we are, how we
think, what we value and what is important.
Diversity
Literature
HACC special needs groups
• people from Aboriginal and Torres Strait Islander backgrounds
• people from CALD backgrounds
• people with dementia
• people living in rural and remote areas
• people experiencing financial disadvantage (including people
who are homeless or at risk of homelessness).
Diversity Planning and Practice asks us to consider a range
of special needs and other diverse and disadvantaged
groups in our local area, and consider how their diversity
impacts on service access.
Understanding diversity
‘Know the community – know what works’
(NHMRC, 2006)
Diversity planning
Planning processes
• Diversity planning focuses on understanding the needs
of your existing and potential clients and developing
actions to improve your service delivery to meet those
needs.
• For many HACC services it will not be necessary to
establish new plans.
• Where planning already occurs, existing planning
processes and plans may be extended to include
HACC diversity planning requirements and
demonstrate specific outcomes for HACC clients.
Options
• Option 1: Include HACC diversity planning within existing
organisational and/or service planning processes. Ensure
HACC diversity considerations are effectively considered and
priorities, objectives and actions documented. Ensure
outcomes are specified for HACC clients.
• Option 2: Participate in a local area planning process to
develop an integrated HACC Diversity Plan with other local
agencies. Develop shared goals and priorities. Ensure specific
objectives, actions and performance measures are noted for
each agency.
• Option 3: Develop a stand-alone HACC Diversity Plan for your
agency. Specify goals, priorities, actions and performance
measures.
Example: Extending existing processes
Local government with a large and culturally
diverse aged population.
• Council prepared an overarching Later Years
Strategy to provide a framework to address the
needs of its older citizens and to improve social
conditions.
• Used existing planning process and extended it to
incorporate HACC specific diversity actions.
• This required analysis of HACC MDS data and
additional actions and performance measures.
Example: interagency approach
Interagency approach by three HACC funded
agencies in catchment.
• Shared data and jointly discussed interpretation.
• Agreed on improving access for CALD people with
dementia as a shared priority.
• Documented a simple, shared plan.
• Outlined roles, responsibilities and actions.
• Agreed to review progress quarterly through
telephone meetings.
Example: agency specific plan
HACC funded Aboriginal Community Controlled
Organisation
• MDS data showed 90% PAG participants were
female.
• Engaged a respected male Elder to consult with
male community members.
• Priority to establish a separate PAG for men.
• Worked with the local TAFE and Men’s Shed
program to do so.
• What planning processes does your
agency currently have in place?
• Can diversity planning be included in this
process?
• Are there partner agencies which could
work with yours to develop a plan?
Governance and leadership
• Effective diversity planning and implementation
requires leadership by agency management.
• Ensure that people with the capacity to make
decisions about service development, use of
resources and human resource development are
engaged in the planning stage.
• Who should be involved?
 Who will lead your planning?
Board
CEO
Management
• Vision, Mission, Values
• Strategic planning
DH Regional Diversity Plan
HACC Manager
Coordinator
HACC planning
• Diversity Plan
• ASM Plan
Staff
• Other programs
and service
plans
Key components
These are typical for many planning processes
Gathering information
• Gather information on the diversity of existing or
potential client groups.
• Population and service usage data.
• Complaints records or service refusal records.
• Surveying and consultation with:
• consumer representatives
• special interest groups and liaison officers
• community leaders.
• Mapping current client profile against demographics of
your catchment.
Understand the barriers
• Why are people not accessing services?
• Do they want HACC?
• Do they know about the services?
• Are the services provided in a way or place
that doesn’t suit them?
• What would be more suitable?
• Do they live far away from town?
Priority setting considerations
• Based on relative assessed need.
• Aligned to Regional Diversity Plan
• Number of HACC eligible people wthin a
diverse group affected
• What is already being done by others.
• Capacity of your agency and of partner
agencies
• Most efficient use of resources and
greatest impact
• Achievable within the timeframe and
resources available
Setting objectives
S
M
A
Example: To develop a team of home care providers with
specific skills and knowledge to provide services to clients in
local caravan parks/boarding houses/temporary
accommodation sites
Measurable Example: 4EFT home care providers complete xx training;
develop link with 10 accommodation providers
Specific
Achievable Example: Develop and conduct training sessions by working
R
Realistic/
resources
T
Time
orientated
in partnership with other xxx HACC services, xxx community
health and HACC training coordinator.
Example: using combined resources of partnership and
workforce development funds
Example: by 31 December 2012
Tips for effective planning
• Diversity planning is about evidence and
quality of outcomes, not quantity.
• Be realistic, keep it simple, set priorities
and make sure objectives are measureable
and achievable.
• Be inclusive and responsive, collaborate
with other agencies, consumers and other
key stakeholder groups.
Case Study
Metropolitan council.
Feedback received about need to make services
more responsive to older GLBTI.
– Met with Gay and Lesbian Health Victoria staff
members and developed an action plan.
– Workshops on how to create a GLBTI inclusive
service and staff training.
– A statement of commitment to GLBTI people.
– A self evaluation using Val’s Café audit tool.
– Preparation to for the Rainbow tick.
Success
Successful diversity planning means:
• adapting and enhancing existing planning
processes where appropriate
• understanding your local community and their
needs
• where appropriate, working collaboratively on how
to best respond to increasing needs in your
community
• setting clear, measurable and achievable goals
and objectives
• meeting quality standards.
Questions?
Group activity
Group activity
1. Form small groups and introduce group members..
2. Choose a speaker and note taker.
3. Share examples of service planning to meet diverse
needs of HACC clients.
4. What do you already know about population groups
who are not accessing HACC services?
5. What data sources do you use to analyse and
understand the diversity within your community?
6. What partnerships or collaborations will be helpful?.
Key points from each group
Population groups?
Using data?
Partnerships for diversity planning?
Examples of diversity planning?
Feedback and discussion
For further information please contact:
Natasha Kukanja
HACC Service Development
 natasha.kukanja@health.vic.gov.au
 03 9096 9959
Or your Department of Health Regional Office