1 Table of Contents Program overview ........................................................................................................... 3 About this training program ................................................................................................. 3 Aims and objectives .............................................................................................................. 3 Target audience .................................................................................................................... 3 Training program structure .................................................................................................. 4 Learning objectives ............................................................................................................... 5 Program delivery information .......................................................................................... 6 Delivery schedule.................................................................................................................. 6 Icons ...................................................................................................................................... 7 Conducting workshop activities ........................................................................................... 7 Session plans ................................................................................................................... 9 Program Introduction ........................................................................................................... 9 Topic 1: Understanding Compliance .................................................................................. 11 Topic 2: Managing Service Quality ..................................................................................... 29 Topic 3: Quality Documentation Practices ......................................................................... 39 Topic 4: Monitoring and Continuous Improvement of Program Delivery ......................... 59 2 Program overview About this training program The DES Contractual Compliance Training Program has been developed by Disability Employment Australia (DEA) to provide DES employment practitioners, particularly frontline managers, with the skills and knowledge to effectively comply with the DES provider contract requirements (DES Deed). The training program centers on ‘getting back to basics’ to ensure that employment practitioners are able to meet the DES provider contract compliance requirements. Aims and objectives The aim of this training program is to provide support to DES providers to ensure that frontline management staff understand the legal and ethical imperatives relating to contractual compliance and accountability of government funding. This entails: Building capability to understand the legal nature of the DES Deed and the contractual obligations of DES providers Understanding the transactional element of the Department of Social Services and Disability Employment Services provider relationship and documentary evidence for key employment services milestones Understanding the importance of the frontline manager role in terms of DES provider compliance with the DES Deed Utilising support mechanisms, tools and techniques to assist in effectively complying with the DES Deed. Target audience This training program is designed for Disability Employment Services provider staff, with particular focus on managers operating at the frontline. Individual sections / topics can also be used as ‘back to basics’ tools to deliver to experienced DES employment practitioners, with the purpose being to confirm or update existing knowledge and skills. 3 Training program structure The DES Contractual Compliance Training Program is a 1-day facilitator-led workshop. The workshop is supported by a participant workbook which contains core knowledge requirements to assist workshop participants in achieving the learning outcomes. The workbook content and practical activities are designed to build underpinning skills and knowledge associated with DES compliance. Training program learning will be in the form of group work, individual activities and facilitator-led questioning and discussions. The wide range of activities included in this program allows the DES provider to select those activities that are best suited to their staff needs, organisational imperatives and pertinent compliance issues. The DES Contractual Compliance Training Program consists of four topics. A brief overview of each of these topics is provided below. Topic 1: Understanding compliance This topic examines the key concepts of compliance and outlines the Department of Social Services' approach to DES program assurance. It also provides an overview of the core provider obligations to DSS. Topic 2: Managing service quality The second topic of this training program explores the foundations of service quality: duty of care, ethical decision making, the National Standards for Disability Services and quality documentation. Topic 3: Quality documentation practices Topic 3 examines in detail the principles and practices of quality documentation underpinning the provision of Disability Employment Services – from program entry through to providing ongoing support. Topic 4: Monitoring and continuous improvement of program delivery The final topic considers the practical aspects of monitoring compliance and facilitating continuous improvement of program delivery. It considers the compliance monitoring and improvement process and provides strategies to assist monitoring, evaluation and continuous improvement. 4 IMPORTANT NOTE Many documents referred to and used as resources in this training program refer to the Department of Education, Employment and Workplace Relations (DEEWR). Please note that the government regulatory responsibility for Disability Employment Services programs now rests with the Department of Social Services (DSS) and many of these documents are now in the process of being reviewed and updated to reflect this regulatory change. Learning objectives When learners have completed the DES Contractual Compliance Training Program they should be able to demonstrate: 1. The key legislative and contractual compliance requirements associated with the provision of disability employment services 2. The relevance of key contractual requirements to your own role and responsibilities, and those of your organisation 3. How to ensure compliance with the DES Deed and guidelines via a range of appropriate methods 4. How to adjust plans, processes and procedures to improve performance against key contractual requirements 5 Program delivery information The DES Contractual Compliance Training Program is a one-day interactive facilitator-led workshop. The learning will take the form of whole group work, individual activities and facilitator-led questioning and discussions. NOTE: Whilst this training program is designed for delivery as a one-day workshop, due to the nature of the topic and the comprehensiveness of the learning materials and the interactive approach, the delivery period may be extended according to the DES provider and learner needs. The workshop group should consist of no more than 20 participants at a time to ensure maximum impact and engagement. Delivery schedule A delivery schedule for the workshop, including detailed session plans, is provided on the following pages. Time Session Title Slides 9.00 – 9.20am (20 min.) Workshop/module introduction 1-4 9.20 – 10.30am (70 min.) Topic 1: Understanding compliance 5 - 27 10.30 – 10.45am (15 min.) Morning tea break -- 10.45 – 11.30am (45 min.) Topic 1 continued 11.30am – 12.30pm (60 min.) Topic 2: Managing service quality 28 - 36 12.30 – 1.15pm (45 min.) Lunch break -- 1.15 – 3.15pm (120 min.) Topic 3: Quality documentation practices 37 - 54 3.15 – 3.30pm (15 min.) Afternoon tea break -- 3.30 – 4.00pm (30 min.) Topic 3 continued 4.00 – 5.00pm (60 min.) Topic 4: Monitoring and continuous improvement of program delivery 6 55 - 63 Icons The session plans for the workshop provided on the following pages include a number of icons to assist you in easily identifying facilitation requirements: PowerPoint slide Evaluation /writing Activity – individual Distribute materials Activity - group Use the white board URL/links and/or additional information Use the flipchart Question Checklist Reference documents (i.e. readings) Break (lunch, afternoon tea etc) Note: Where references to ‘PW’ are made in the Facilitator Guide, for example ‘PW 6’, please note that these references refer to a particular page in the Participant Workbook, such as ‘Participant Workbook page 6’. These references are made to assist you in easily accessing participant workbook information and to also help to quickly refer learners to specific information in the participant workbook. Conducting workshop activities When facilitating the various activities included in this training program you will need to reflect on your organisation’s Service Delivery Model. The model answers to the activities that are provided in the session plans for the workshop are very broad in nature, however there is an opportunity to tailor these activities to your specific organisational structure and DES program services delivered by your organisation. 7 Activity delivery options There are a number of options that can be used to facilitate and deliver activities: Activity delivery option 1 – individual learner activity Conduct the activity as a self-paced, individual learner activity that the learners can use to reflect on their own thoughts about working in Disability Employment Services and what they believe is important from the job candidate’s perspective. Activity responses can be written directly into the participant’s workbook. Once the activity has been completed, the facilitator can randomly ask participants to share their answers and generate discussion. Activity delivery option 2 – small group activity Split the class into groups of three or four (depending on the activity itself, the number of learners, and the number of questions in the activity). Each group is to answer one of the questions and summarise on butcher’s paper. Each group should then present their findings to all other learners. Activity delivery option 3 – round robin activity Some activities can be delivered as a round robin activity where the facilitator has the question/s written on the top of butcher’s paper and hangs them on the walls of the training room. Split the class into small groups of 3-4 and allow them a few minutes to discuss one idea regarding each question and to write this down on the butcher’s paper and then move onto the next question. This will allow for diversity of different ideas to be generated from the whole group. 8 Session plans Program Introduction Time allotted to this session: 9.00am – 9.20am (20 minutes) Slide Slide 1: DES Contractual Compliance (Title Slide) Type of Activity Facilitator Notes / Instructions Introduce yourself & welcome learners. Explain that the DES Contractual Compliance Training Program has been developed by Disability Employment Australian (DEA) to provide DES employment practitioners with the skills and knowledge to effectively comply with the DES provider contract requirements (DES Deed). Address housekeeping and evacuation arrangements: Please ensure your mobile phone is switched off or set to meeting mode Please be aware of any trip hazards as you move around the room In case of an emergency our nearest exit is… Our assembly point if evacuated will be… Slide 2: Agenda Outline the agenda for today’s workshop. Slide 3: Program Objectives Outline the purpose of the workshop – i.e. program objectives. Slide 4: Learning outcomes Provide an overview of the learning outcomes for the workshop. ASK learners: What do you hope to get out of this workshop? – as a lead in to activity in the introduction of Participant Workbook... Activity: Your objectives What are the key areas you would like to address as part of this training? What are the key compliance skills you would like to 9 Slide Type of Activity Facilitator Notes / Instructions improve as a result of this training? Learners to complete activity individually and share responses. This activity should be returned to at the end of the day to determine whether the key objectives have been satisfied. 10 Topic 1: Understanding Compliance Time allotted to this session: 9.20am – 11.30am (115 minutes – with 15 min. break @ 10.30am) Slide Slide 5: Topic 1 – Understanding Compliance Slide 6: The importance of compliance Type of Activity Facilitator Notes / Instructions Topic 1 – Understanding Compliance: Examines the key concepts of compliance outlines the Department of Social Services' approach to DES program assurance provides an overview of the core DES provider obligations to DSS Use the statistics to emphasise the importance of contractual compliance. ASK: ‘Why do you think that compliance can be difficult at times?’ as a lead-in to the following activity. Activity: Compliance challenges (PW 8) Advise learners that they have 60 seconds to write down all the words associated with compliance & the challenges that it brings. After 60 seconds writing time is completed, seek responses. Responses are likely to include the following: Complexity, changing guidelines/rules, trying to stay up to date No room for human error, getting dates mixed up, not having time to document everything / keeping on top of file notes Paperwork and documentary evidence Audits Administration heavy Program assurance Difference between activity test & participation requirements Time management 11 Slide Slides 7-8: Defining compliance Type of Activity Facilitator Notes / Instructions Understanding the different types of participation requirements for each cohort Department changing the rules to compliance and eligibility for DES program Ambiguity in the DES Deed and Guidelines National Standards that overarch the DES Deed are conflicting Understanding Social Security Law ES IT System too complex Demanding caseload of participants/job seekers Not having enough time to work with participants to assist them into employment as there is too much administration Read out general & DES definitions of ‘compliance’ (Slide 7) and then show Slide 8 – advise that in practical terms this means that DES providers and their staff are required to comply with the DES Deed and all of the deed guidelines in delivering program services. ASK: ‘What does “compliance” mean to you personally?’ as a lead-in to the next activity... Activity: What does ‘compliance’ mean to you? (PW 10) Refer learners to PW 10 and get them to reflect on the following (either individually, in small groups or as whole workshop group): Thinking about your day-to-day work as a DES practitioner, what does 'compliance' mean to you? How would you personally define it? Seek responses and explain that ‘compliance’ is about ensuring that... the correct documentary evidence is available in the job seeker file, the ES IT System & completed in full and that the evidence demonstrates the activities that have been undertaken by both the job seeker and the DES provider the government is satisfied regarding the services that have been delivered and it is of value for money as a practitioner you have met the Employment Services 12 Slide Type of Activity Facilitator Notes / Instructions Code of Conduct and delivered DES services to participants as per the Service Guarantee Slide 9: Principles of compliance Outline the fundamental principles that underpin DES compliance – see PW 10-12 Activity: How the principles of compliance impact on your work Break learners into 6 small groups / pairs and assign each group one of the principles to consider & report back on (alternatively break into 3 groups & assign two of the principles). Provide groups with butchers paper & markers for recording their responses. Possible learner responses should address the following: VALUE FOR MONEY Ensuring money paid to the DES provider is paid accordingly for the achievement of the DES Objectives – i.e. paid, sustainable and open employment. In the process of providing assistance to the job seeker, assistance is provided and paid by the provider that will deliver on the individual job seeker’s goal ensuring that their right are protected and the individual is treated with dignity EFFECTIVENESS Achieving KPIs / reaching targets Commencement of DES Participants in the DES program Education Outcomes Job placements Employment Outcomes Winning DES business at tender and/or reallocation Achieving high star rating performance Passing DSS audit EFFICIENCY Passing quality assurance audits Placing participants into employment quickly / within reasonable times and achieving outcomes quickly Engaging clients in activities to achieve employment and 13 Slide Type of Activity Facilitator Notes / Instructions independence in the workplace Achieving KPIs within the required timeframes Claiming fees and outcomes within required timeframes ETHICAL BEHAVIOUR Positive relationship with job seekers and staff Treating clients with dignity, respect and upholding their human rights Maintaining confidentiality and privacy, e.g. keeping the filing cabinet locked or personal information out of view of the public Placing clients into employment that meets their objectives Providing individually tailored DES services Being non-judgmental and accepting of people’s diversity, sex, religion, cultural backgrounds Conducting work honestly and fairly Ensuring compliance is met to the best of your ability and knowledge Abiding with WHS laws TRANSPARENCY Sharing own expertise and knowledge with staff and clients Not withholding information that is pertinent to business Open and honest communication ACCOUNTABILITY Slide 10: DSS approach to program Responsiveness to job seekers Responsive to contract compliance Performing required job tasks as per position description Ensuring compliance to the DES Deed Compliance to the National Standards Responsiveness to the public for the achievement of results/outcomes The Department of Social Services’ approach to assuring the integrity of disability employment services is set out in: 14 Slide assurance Type of Activity Facilitator Notes / Instructions (a) the Employment Services Compliance and Assurance Framework – which outlines the way in which DSS will work with employers to ensure integrity of employment services (b) The Employment Services Charter of Contract Management – which sets out the minimum standards of performance and conduct that DES providers can expect from the Department Refer to PW 13 - provide an overview of the four strategies used by DSS to provide assurance for DES programs: 1. Prevention 2. Deterrence 3. Detection 4. Correction Slide 11: A risk based framework Advise learners that a risk based framework is used by DSS to gain assurance that program objectives and requirements of the DES deed and guidelines are being met by DES providers – outline the mechanisms used to do this (see slide & PW 14). Slide 12: Prevention Outline the ways in which the DSS uses ‘prevention’ as a program assurance mechanism. (See PW 14) Slide 13: Deterrence Outline the ways in which DSS uses ‘deterrence’ as a program assurance mechanism (see PW 14). ASK: Does anyone know what the DSS’s 2014 targeted program assurance activities are? In 2014 the Department has identified areas of risk which may be the focus of targeted assurance activities as: Direct Registration Employment Pathway Plans Ongoing Support Outcome Fees Wage subsidies Exits. These assurance activities allow DES providers to ensure they have good governance and procedures in place to support the delivery of these services, and that payments are accurate and 15 Slide Type of Activity Facilitator Notes / Instructions consistent with the Deed arrangements. Targeted program assurance activities enable the Department to identify the risk of non-compliance and to detect actual noncompliance. The Department’s compliance activities will be provider specific, looking at claims / activities by an individual provider or a small number of high risk providers. Slide 14: Detection Outline the detection strategies used by the DSS to identify noncompliance / practices that impact on the integrity of employment programs. (See PW 14-15) Advise that the DSS may also make direct contact with employers, participants and other relevant parties to verify evidence provided by the DES provider. Slide 15: Correction Outline the correction strategies used by the DSS to address non-compliance by DES providers. Explain that the level of sanctions used will depend on the nature and level of non-compliance identified. Advise that DSS does not usually apply sanctions other than debt recovery where the provider self-identifies non-compliance. See PW 16) Slide 16: The risk level continuum Explain the risk level continuum and advise that each provider is assigned a risk level (which is periodically reviewed) This risk differentiation approach determines the frequency and intensity of scrutiny which is applied to each provider and/or site. All DES providers are scanned using a variety of ‘risk filters’ to detect matters of concern. Activity: What attracts DSS’s attention? (PW 16) ASK: What types of things are likely to attract DSS’s attention in terms of detecting non-compliance? Depending on time available, conduct activity as either a small group activity or individual activity where learner responses can be sought and written on whiteboard or butchers paper for recording purposes. Note: For guidance regarding model response you should use the ‘Checklist of what will attract attention’ on page 6 of 16 Slide Type of Activity Facilitator Notes / Instructions Employment Services Compliance and Assurance Framework. In addition, possible learner responses may include: Very high rates of exit / return to employment services Variations on patterns of claims as a result of desktop monitoring Higher amount of special claims indicating internal inefficiencies to lodging claims with the required time period Past record of non-compliance Complaints from job seekers and/or CRRS ES Staff tip off line reporting levels of non-compliance High amount of recoveries identified High amount of claims/fees not taken by the provider Unusual patterns of activity in particular with outcome claims with the one employer Non-compliance with the DES Deed Activity: Helping ensure compliance (PW 18) Ask each person to mention one way in which the DSS program assurance approach can be explained to staff until responses have been exhausted. Learner responses are likely to include the following: Talk about the difference between ‘should’ and ‘must’ compliance requirements – ‘must’ is a non-negotiable that needs to occur; ‘should’ is something that it is recommended you do Program assurance – DSS approach is a risk management / risk minimisation approach, i.e. DSS will look for signpost data and where they see signposts that might indicate noncompliance they will take a closer look Evidence that an effective service has been delivered Demonstrates a participant’s journey to employment File notes tells the story and documentary evidence supports the events that have been undertaken Compliance is about justifying value for taxpayers money – demonstrates provision of service and progression of job 17 Slide Type of Activity Facilitator Notes / Instructions seekers Slide 17: The Employment Services Charter of Contract Management Slide 18: DSS site monitoring by contract managers Legal requirement under Social Security Act and Disability Services Act Evidence can be used in the law of court if subpoenaed Ensures that the objectives of DES program are being met Program assurance makes sure that DES are doing the right thing in the right way Continuous improvement practices Outline underpinning principles of the Employment Services Charter of Contract Management (see slide & PW 19) and explain that the Charter: Sets out minimum standards of performance and conduct that providers can expect of DSS Outlines transparent practices and standards regarding DSS’s dealings with DES providers Seeks to strike a balance between achieving the goals of the program and creating an environment that fosters and encourages good practices – it endeavours to achieve this by ensuring effective consultation, communication, collaboration and consistency in the DSS’s relations with DES providers and by building supportive, positive business partnerships with key stakeholders Site monitoring of DES providers is conducted by DSS contract managers as part of the informal performance assessments undertaken as part of the Deed requirements (ref. Section 133.4). Explain that in practical terms this means that contract managers visit the sites where services are delivered and go through files and check evidence and the provider must provide reasonable assistance to: inspect its sites or premises inspect the performance of services, and locate, inspect, copy and remove, all material including data stored on the provider’s ES IT system, and any other IT systems. 18 Slide Type of Activity Facilitator Notes / Instructions Activity: Interactions with DSS personnel (PW 21) Note: This is an optional activity and depends on specific group needs – based on responses provided in the Compliance Challenges activity. Activity instructions: Place two sheets of butchers paper on the wall – one labelled ‘Contract Manager’ and the other labelled ‘Account Manager’ (alternatively, just one sheet of butchers paper labelled DSS). Provide post-it notes to learners and ask them to reflect on/write down on the post-it note the challenges that they personally have in their interactions with contract managers and account managers – or DSS as a whole. Share and discuss learner responses – learner responses to this activity may include the following (see ‘Challenges’ below). Following discussion re challenges, discuss ways in which communications could be improved (see ‘Improvements’ below). Important Note: Many will say they never see their contract manager any more (government resources have been constrained), BUT there is usually lots of communication (email, phone etc) between providers and contract managers. CHALLENGES Contract Manager: Difficult to have direct contact with Contract Manager as communication is via a central email box Internal communication protocols and channels must be exhausted before contact can be had with contract managers Responses received from DSS are quotes from Deed or guidelines without the desired contexualisation needed to effectively address an issue/problem DES organisations may not want to raise issues as this may spark an audit by the Department Delays in receiving responses from Department (e.g. may have to wait up to a week to receive a response) 19 Slide Type of Activity Facilitator Notes / Instructions Account Manager: Communications with Account Managers are usually had with senior of DES providers Operations staff of DES providers may not be aware who the Account Managers are IMPROVEMENTS DES practitioners should keep contracts professional, concise and accurate – don’t ask (or try not to ask) questions the department has gone to efforts to answer on the provider portal, they will think you have not done your ‘homework’ and they will simply refer you to the portal. It is always best to outline the steps you have already taken to determine an answer before asking DSS a question or for clarification, e.g. the Employment Assistance Knowledge Base (EAKB), Provider Portal, Deed, Guidelines, etc. DES practitioners will say they are only allowed to email their contract manager to a central email box. This is the current preference of DSS, so considerations need to be around the quality and accuracy of the written communication i.e.: Slide 19: Core obligations of DES provider Be clear and concise in the communication with DSS personnel Provide actual examples and/or case study of a real situation that needs to be clarified when seeking clarification of any ambiguity in the Deed or Guidelines Ensure positive and open communication with DSS at all times Be aware of DSS service levels & sometimes slow response times from DSS Outline the core obligations that DES providers have in regard to provision of services and programs are that they meet the requirements of the DES Deed and guidelines – as per slide. The obligations are set out in the DES Deed, with clarification and guidance provided in the operational guidelines. The DES Deed is the legal contract that sets out the terms that will apply when a DES provider is appointed to deliver program services – it contains: Basic conditions of delivery of services 20 Slide Type of Activity Facilitator Notes / Instructions Information and information management requirements Deed administration The specific DES programs to be delivered by the provider Fees associated with delivery of the services / programs Code of Practice and Service Guarantee. Explore the core obligations further – refer to the following slides for detail. Slide 20: 1. Maintain high standards of service and conduct Slide 21: 2. Achieve KPIs Advise how each of the following are used by the DES provider and individual staff members to ensure high quality standard of service and conduct (refer to PW 23-25) Internal policies and procedures The DES Deed and guidelines The National Standards for Disability Services The Service Guarantee Employment Services Code of Practice to inform your work There are a number of KPIs set out in the DES Performance Framework that a DES provider must achieve as part of its obligations to provide the disability employment services set out in its DES Deed – outline the components of the framework (as per slide & PW 26-30) The key objectives of the DES Performance Framework are to ensure it delivers: A fair system of performance measurement (Star Ratings) that measures provider performance, and produces reliable comparison based on actual performance of DES providers Transparency for participants and employers as to how providers are assessed and rated Improved information available for job seekers and employers in choosing a DES provider A consistent focus on achieving outcomes for participants Clearer and more timely information to assist DES providers to manage and improve their own performance A performance framework that supports a commitment to continuous improvement. 21 Slide Type of Activity Facilitator Notes / Instructions Make sure you address the following in detail: 1. The DES provider’s Star Rating which is based on measurement of their performance against KPIs (see Figure 5: KPIs – objectives and measures on PW 28) 2. Weightings and financial values for each of the performance measures (see Figure 6 on PW 29). Activity: Other performance assessment factors (PW 30) Refer learners to activity in workbook and ASK: What compliance considerations arise in relation to the additional performance assessment factors (from Section 133.3) outlined above? Conduct as a group round robin activity. Possible responses include: Updated complaints register clearly documenting the action and outcome of all complaints Results of previous audits and program assurance activities Delivering individual and tailored services to job seekers Ensuring case notes are clear, relevant and concise Management of stakeholders, i.e. RTO, community services, etc Internal forms used are relevant for the delivery of DES services Compliance with documentary evidence Appropriate record management and storage of files Compliance with the National Standards Accurate recording of job seeker activity in ES IT System Evidence of job seeker appointments, actioning of notice board etc Activity: The impact of the Performance Framework on my role (PW 31) Note: Do either the group activity above (Other performance assessment factors) or this individual learner activity. Learner responses should include some or all of the following: 22 Slide Slide 22: 3. Document and report on service provision and key milestones Type of Activity Facilitator Notes / Instructions Site and individual KPIs for placement and outcomes are reviewed to ensure good performance in the star rating DES commencement KPIs Quarterly KPIs, ensuring claims are lodged at the end of each quarter so that they are counted towards star ratings Increase in post placement support activities to ensure job seekers remain in employment for the 52 week indicator Placing clients into long term and sustainable employment for the star rating weightings Up to date JSCI When to perform an exit of a job seeker from the service without impacting and effective performance Effective record keeping and meeting contract compliance and documentary evidence Directs focus on what DES services are required to be delivered and the type of employment outcomes that need to be achieved Part of a practitioner’s professional development plan Determines a DES provider’s training requirements Performance framework can drive a DES provider’s business and service delivery model to ensure it meets the objectives of DES Provides guidance on attracting suitable employers and vacancies for job seekers Guidance on partnering with relevant training organisation to develop a skilled workforce Relevant legislation (such as Social Security, Privacy and Disability Services Act) drives the appropriate behaviours to ensure integrity is delivered through the performance framework A fundamental compliance requirement for DES providers is to record and report on key milestones and to demonstrate that services have been delivered to support each service fee claim. The key milestones (as shown on slide) are associated with: confirming and documenting participant eligibility – e.g. direct registration 23 Slide Type of Activity Facilitator Notes / Instructions assessment and planning – e.g. initial service fee job placement – e.g. job placement fee, 13 week outcomes, 26 week outcomes providing ongoing support – e.g. flexible OGS fees Advise that the key milestones & documentary evidence associated with each of the milestones will be examined in Topic 3. Slide 23-25: 4. Operate ethically and prevent fraud ASK learners: What is fraud? How do we prevent fraud? What are the consequences of deliberately providing false information? What about unintentionally providing incorrect or false information? Provide definition of fraud (see slide) and outline what it means to operate ethically and prevent fraud – see PW 33-35. DES providers have an obligation to operate effectively, efficiently and ethically – this extends to detecting, preventing and reporting any fraudulent activity and taking necessary disciplinary and preventive action. Prevention of fraud can be achieved through vigilance and effective internal policies, processes and procedures and also having an open, honest workplace culture which actively encourages adherence to compliance requirements. NOTE: This section should highlight that fraud in DES is used too loosely and there needs to be clear distinction on the actual definition of ‘fraud’ as related to the Criminal Code Act 1995. Clearly make this distinction and emphasise that fraud is committed based on the premise that the intent or deception was deliberate. Use examples provided on Slides 24 & 25 to illustrate this point. Activity: Detecting or preventing fraud (PW 35) Refer learners to activity in workbook and ASK: What strategies does your organisation use to (a) prevent fraudulent activity; and (b) detect whether any fraudulent 24 Slide Type of Activity Facilitator Notes / Instructions activity has occurred? Conduct as either small group activity with debrief/share with whole group or as whole group activity with responses contributed individual learners – whiteboard responses. Learner responses may include: Checklist to ensure compliance and documentary evidence for claim Periodic internal audits Team leader or site manager checks documentary evidence before claims are made Centralised claims Monitoring of complaints Staff complaints of internal activities Activity: Fraudulent activity (PW 36) ASK: What are the likely sanctions for behaviour found to be consistent and wilful? What is consistent and wilful behaviour? Facilitator Note: Draw answers from the Sanctions Framework for the Employment Services Deed and the Disability Employment Services Deed (available on Provider Portal). Gather verbal responses from learners, which may include: Loss of employment Government imposed ban working for any agency that is contracted to deliver government contracts Loss of practicing licence, i.e. accountant, etc Criminal record Fines Sanctions on business, i.e. not able to tender for more business in the future Imprisonment Following the activity, refer learners to the information in their workbook (PW 36) regarding the Employment Services Tip-Off Line – this tip off line lets current & former employees of providers who suspect, or have evidence of, any activities that may be a breach of the DES Deed to report their concerns 25 Slide Type of Activity Facilitator Notes / Instructions (confidentially) to the appropriate authority in full confidence that any allegations will be properly investigated. Slide 26: 5. Use the ES IT System to aid compliance One of the core obligations that DES providers have in regard to provision of services and programs is that they use the Employment Services IT System to document service provision and demonstrate compliance. Managers need to understand the ES IT System clearly and they need to ensure their staff know how, why and when to use the system and that they complete training in how to use the ES IT System. Provide learners with some tips and techniques that they can employ to help them better use the ES IT System – refer to tips & techniques on PW 37. Activity: IT system challenges, tips and techniques (PW 37-38) Note: Optional activity ASK learners: What issues and challenges do you face when using the ES IT System? Learner responses re challenges may include: Internet may be down and cannot access the information Not able to find the answer you’re looking for as there is too much information May need to read and understand several guidelines before you can answer a question Too many updates and bulletins, difficult to keep track of all the changes as well as work with job seekers No training available on how to use the Provider Portal Sharing of tips and techniques, e.g.: Keep a work journal where you list the priorities for the day Ensure all file notes are recorded before you leave at the end of the day Using templates (which can be edited) for file notes – this can help cover off on contractual obligations, e.g. a note to confirm you have reviewed the EPP During regular staff meetings focus on a particular IT or compliance issue. 26 Slide Type of Activity Facilitator Notes / Instructions Following discussion regarding challenges associated with using the ES IT System, ask learners to share their own tips, techniques or strategies that they use to use the System as effectively as possible for recording and reporting service delivery. Activity: Compliance and the frontline manager Frontline managers have considerable accountabilities and obligations in relation to contractual compliance. To complete Topic 1 learning, ask learners, working in small groups (with groups based around specific job roles, if possible), to complete this optional activity by reflecting on the following questions: What are the ways in which you as a manager ensure that your organisation and relevant staff members meet the DES Deed obligations and maintain compliance? Possible learner responses: Conduct spot audits / random file audits Regular reviews with staff, e.g. allocate a senior staff member to lead peer reviews of files Bring up compliance concerns during staff meetings; discuss ‘lessons learned’ through compliance audits Regular staff training, e.g. ensure sufficient staff time to complete learning centre modules and attend compliance training Checklists Centralised claiming units File notes Documentary evidence retained in client file or third party management software systems Ensure a learning and improvement culture in your team What specific compliance responsibilities do you have as part of your job role? Possible responses, depending on job role, may include: Auditing Quality officer, ensuring procedures and checklists are available for staff 27 Slide Slide 27: Core obligations of DES provider Type of Activity Facilitator Notes / Instructions Contract trainer, delivering training in a series of formats to ensure contractual understanding of the DES program Check documentary evidence before claims are made Employer liaison staff have responsibility of ensuring placements meet payable outcome guidelines for valid claims Employment consultants – EPP, diary management, payable outcomes, assessments such as JSCI, direct registration, etc To close topic, briefly recap on the core obligations of the DES provider (that have been examined in this topic), i.e.: 1. Maintain high standards of services and conduct 2. Achieve Key Performance Indicators 3. Document and report on service provision and key milestones 4. Operate ethically and prevent fraud 5. Use the ES IT System to aid compliance 28 Topic 2: Managing Service Quality Time allotted to this session: 11.30am – 12.30pm (60 minutes) Slide Slide 28: Topic 2 title slide Slide 29: The Foundations of service quality Type of Activity Facilitator Notes / Instructions This topic examines those elements of service quality that form the foundations for effective compliance. Provide an overview of the four foundational elements that constitute ‘service quality’ as presented in the diagram, i.e.: exercising a duty of care ethical decision making adherence to the National Standards for Disability Services producing and keeping quality documentation to support DES program delivery Each of these elements will be examined in this topic in the context of complying with DES Deed contractual obligations. Slide 30: Duty of care Explain the duty of care framework for DES practitioners – key areas for consideration include: Who do you have a duty of care to? What is your duty of care to those in or associated with your organisation? What do you need to do / not do to ensure that there is no breach of duty of care, and that no one will suffer harm or loss because of your actions / inactions? As part of duty of care to program participants, you need to carefully assess the person’s capabilities and risks (both physically and emotionally), taking into account the relevant issues, rights and interests and attending to the consultation requirements. The framework for duty of care is designed to assist you in making such assessments and managing your duty of care. The JobAccess website (see PW 41) also provides useful information regarding the duty of care of DES providers and their employees. 29 Slide Type of Activity Facilitator Notes / Instructions Activity: My duty of care (PW 42 - optional activity) As an employment practitioner, to whom do I have a duty of care and what is this duty of care? Seek responses from learners until all duty of care obligations have been addressed. Responses should include: Slide 31: Ethical decision making Duty of care to the job seeker/participant is to ensure that: o they are working in a stable environment that has good WHS practices o their rights and privacy are respected when they attend the DES provider o they are free from discrimination to access the service freely and they have the supports that they choose Duty of care to employer is to assure that: o the participant is meeting WHS policies and that there are reasonable adjustments in place to ensure safety of all o there is a clear and concise plan for the participant to follow & to allow informed decision making and choices Read quote and advise that: DES practitioners must demonstrate a high level of personal ethics and principles in the management and delivery of DES programs. Section 2B of the Deed requires providers to carry out the DES program services efficiently, effectively and ethically. DES providers must at all times act in good faith towards the DSS and their customers, and in a manner that maintains the good reputation of the DES sector. Ethical conduct and decision making is about the standards expected and it’s concerned with values, principles and adherence to the DES Deed, Service Guarantee, the Employment Services Code of Conduct and internal policies and procedures. The Employment Services Code of Practice emphasises “behaving ethically and acting with honesty, due care and diligence”. 30 Slide Type of Activity Facilitator Notes / Instructions Activity: The impact of ethics (PW 43 – optional activity) ASK: What do the terms ‘honesty, integrity, probity, diligence, fairness and consistency’ mean to you when you go about your everyday work? Ask learners to work in small groups and assign one of the terms (honesty, integrity, probity, diligence, fairness, consistency) to each group. Each group should: Write their own definition of the term Brainstorm how this term applies to their role / different roles within the DES organisation. Share their responses with the other groups. When undertaking this activity, prompt learners to consider what ethical issues / decisions they’ve been faced with in their own experiences and how they’ve dealt with them. Slide 32: REFLECT decision making model It can sometimes be difficult to make informed decisions about the management and delivery of DES programs given the myriad of legal and ethical issues associated with working in this sector. The Australian Public Service Commission has developed the REFLECT decision making model is a useful tool that can be used when faced with making difficult ethical decisions. Go through the REFLECT model and ASK learners how and when they might apply this model in the course of their work. Activity: What if... (PW 42) Refer learners to activity on page 42 of their workbook. Break learners into five small groups and assign one of the situations/ethical dilemmas to each group. Ask each group to consider the ethical dilemmas: (i) What questions do you need to ask yourself? (ii) What action do you need to take? (iii) How do you address / resolve this situation? Ask each group to report back on how they would deal with the ethical dilemma. Model responses for each situation are provided below for activity debriefing purposes. 31 Slide Type of Activity Facilitator Notes / Instructions Situation 1 – model response: What are the circumstances of Jay’s personal situation? Is he at risk of not engaging? Should I notify Centrelink that Jay is at risk and may require intervention from a social worker or a psychologist? Have I rescheduled appointment times with Jay when it is suitable for him to come into the office? Situation 2 – model response: Will this claim pass an audit? Do I have the necessary paperwork completed to substantiate the claim? Can the claim be taken without all the relevant documentary evidence? What additional evidence do I need to ensure the claim is valid? Documentary evidence must be adhered to ensure valid claim. You can’t be sure what you have entered is accurate – you need to ensure you have declarations in writing or comprehensive file notes to support claim evidence. Contact the client to collect the missing information for valid claim. Prepare the paperwork for the client to sign verifying the correct information. Contact the client’s employer to ensure appropriate information is retained in file. Situation 3 – model response: Will recording the department store as the employer withstand scrutiny? Will this pass audit? Does this meet outcome and documentary evidence guidelines? Will I be committing fraud by recording incorrect information in the ES IT System? Ask the client to bring in their pay slip to verify who their employer is. Ask the client if you can contact their supervisor to verify details of their employment. Ask the staff member to correct the mistake. Implement correct training for the staff member to ensure that they understand the requirements of an outcome claim and correct documentary evidence. Retract the placement and anchor from the ES IT System until correct employer details have been gathered and ensure this is documented in the file notes and corrective action is taken. 32 Slide Type of Activity Facilitator Notes / Instructions Situation 4 – model response: Ask the staff member the reasons for the contradiction and identify whether the client/employer confirmed hours of employment. Identify whether the information in the file notes was incorrectly documented and ensure a file note of the incorrect information is noted and corrected. Identify with the employer the correct hours: o Ask employer or client of a payment summary over the 26 week period confirming hours o If possible, check JRRR/JEHR of what was declared to Centrelink to confirm hours of employment on the signed declaration. Where further evidence cannot be gathered, retract the full claim and claim a pathway outcome. Situation 5 – model response: Double check file notes and other forms of documentary evidence to ensure all employment hours have been correctly recorded. Explain to the manager that the client had not worked the required hours for a full outcome, thus a pathway outcome will need to be claimed. Negotiate with the employer and client, if possible, to work the extra two hours for the claim period. Consult with other staff regarding the situation of the claim and explain a full outcome cannot be claimed due to compliance issues. Consider the repercussions of claiming outcomes based on incorrect information – remember it is the person lodging the claim or providing the information that will be at risk of providing false or misleading information. Activity: Workload and decision making (PW 47 – optional activity) Break learners into small working groups for this activity – provide groups with butchers paper & markers to record their responses. Refer learners to the activity in their workbook (PW 47) and ask 33 Slide Type of Activity Facilitator Notes / Instructions them to reflect on the comment by an employment practitioner regarding workload and decision making. Ask them to think about how, if they found themself in a similar situation, they would you deal the situation. Following group reflection time, ask each group to report back and discuss responses in relation to how employment practitioners can effectively make appropriate decisions about supporting participants and stay on top of their workload at the same time. Activity responses may include the following: Slide 33: National Standards for Disability Services. Speak to the manager and determine what assistance can be provided to support the demands of the case load Support the client to take more control over making their own appointments with health professionals Restructure appointment times and increase the duration so that EPPs and other relevant documentation can be done during client appointments Consider what other external community services are available to assist, e.g. Personal Helpers & Mentors (PHaMS) Where sites have administration staff, request assistance from in preparing resumes and application letters Empower clients by providing them with the resources to support their own job search where possible. Create group appointments for those clients who are more job ready and facilitate a job club –more clients can be seen during the same appointment time providing more time to attend to other clients during one-on-one appointments. The NSDS are designed to ensure a nationally consistent approach to improving the quality of disability services – they use a person-centred approach and focus on the rights and outcomes for people with disability. The 6 standards are supported by 26 KPIs which state the Australian Government’s expectations of service quality, and which link directly to core organisational processes and outcomes under Quality Assurance principles. Each standard is underpinned by the same basic elements: the rights for people - the individual rights that each 34 Slide Type of Activity Facilitator Notes / Instructions standard promotes or supports Slide 34: Indicators of practice the outcomes for people - what an individual using services or supports should experience through the effective achievement of each standard the standards for service - the requirements involved for services to achieve each standard. ASK: So how do you know if you are compliant with the NSDS? Seek verbal responses and discuss the indicators of practice (see PW 50) in the NSDS Evidence Guide which provide guidance on the activities and ways of working that should be in place to support each of the standards. Also refer learners to NSDS resources – PW 52. Activity: Evidence to show standards are being met (PW 51) (Note: Activity can be done as either a group activity – where group is split into 6 small groups and each group assigned a standard, individual activity or round robin activity.) For each of the indicators of practice listed, ask learners to outline how they would provide evidence to demonstrate that they and the organisation are meeting the required standard. Share responses. Responses may include: 1. Rights Disability access to premises Information about DES can be received in various forms to ensure the client understands the services they can expect Policies and procedures on discrimination Grievance handling policies and procedures EPP outlining roles and responsibilities between the client and the DES provider Duty of care - staff display ethical behaviour when working with participants Code of conduct Staff training and development on rights and duty of care 2. Participation and inclusion DES provider has links to employers, community service 35 Slide Type of Activity Facilitator Notes / Instructions providers and training organisations that can support their employment goals MOUs with community organisations DES participants have appropriate access to participate in activities relevant to their employment goals DES participants have the right support to enable their participation in employment and training 3. Individual outcomes Up to date EPP which aligns with activities & supports Activities in EPP are individualised and tailored to support the client’s needs and meet their employment goals EPPs are negotiated with the client and they have the opportunity to negotiate the support that they require to meet their employment goals DES provider delivers the supports as per EPP, taking into consideration any limitations of the client Client is placed into open employment, receiving the correct wages according the relevant Award Employer workplace meets the relevant WHS laws Client is provided the opportunity to enter the open labour market 4. Feedback and complaints Client access to CRRS Internal policies and procedures DES provider has clear/visible mechanisms and processes where clients can provide feedback and complaints Complaints are addressed and actioned Clients are given an opportunity to be heard should they not be happy with the services they receive, e.g. access to external complaint facility, National Abuse & Neglect Hotline 5. Service access Skills assessment ESat/JCA are reviewed and barriers are addressed to ensure access to supports and services 36 Slide Type of Activity Facilitator Notes / Instructions JSCI is up to date and the information is correctly recorded EPP activities address the barriers to employment 6. Service management Slide 35: Quality documentation Continuous improvement processes Internal procedures and processes are regularly reviewed and updated to ensure currency of services Internal audit of service provisions Continuous improvement feedback mechanisms available for staff and clients Improvements to services are evidence based Outline the DES Dee requirements regarding quality documentation. ASK: What constitutes quality documentation? Discuss and refer to next slide. Slide 36: What constitutes quality documentation Outline what constitutes good quality documentation that helps deliver services effectively and supports compliance. Explain that it’s good business practice to keep comprehensive, evidence based, well-ordered records which are supported by efficient business processes – this helps make sure day-to-day work practices are conducted as effectively as possible and that compliance requirements are met in a systematic way. Activity: Documentation practices (PW 54) Question 1: Provide each learner with 6 post-it notes. Place two sheets of butchers paper on walls (1 – titled ‘Does Well; 2 – titled ‘Could Do Better’). Ask learners to share / write their responses on the post-it notes and place them on the butchers paper. Conduct whole group debrief to discuss similarities & differences in responses. Responses are likely to include: (Note: these answers can go in either column as they will be 37 Slide Type of Activity Facilitator Notes / Instructions relevant to the practices within each organisation) File notes Internal procedures on documentary evidence collection Third party software that assists with better practices and compliance Central claiming units Practices identified for improvements during internal audits Forms that enable collection of correct documentary evidence for claiming Over-compensating on documentary evidence, i.e. some organisations request that pay slips and signed employment forms are required for claims Forms stored electronically All documentary evidence is checked for compliance before claims are taken Question 2: Ask learners to write down one improvement they could immediately make and to share/discuss this with the person next to them. Responses are likely to include: Ensure documentary evidence is correct before claims are made Prepare documentary evidence ahead of time, checking that all relevant information is recorded so it is prepared for verification Regular reporting of what fees and outcomes are coming up for claiming so nothing is missed Track KPIs to ensure performance is being met Continuous improvement - record & action appropriately NOTE: Advise learners that quality documentation practices will be looked at in detail in the next topic. 38 Topic 3: Quality Documentation Practices Time allotted to this session: 1.15pm – 4.00pm (150 minutes – with 15 min. break @ 3.15pm) Slide Type of Activity Facilitator Notes / Instructions Slide 37: Topic 3 – quality documentation practices Show title slide and advise that this topic examines the principles and practices of quality documentation that underpin the delivery of DES programs – from program entry through to providing ongoing support. Slide 38: DES program structure & compliance obligations – documentary evidence Provide an overview of the general obligations that DES providers and the associated documentary evidence obligations that DES providers and their staff are required to comply – refer to PW 55-56. Emphasise the importance of keeping good case notes to meet these documentary evidence requirements. Use the media items/quotes provided on PW 57 to highlight the importance of keeping comprehensive, evidence based, orderly records. Slide 39: Keeping good case notes Outline what constitutes good case note record keeping. Provide tips to help learners keep good case notes – refer to PW 58. Note: Slides 40-41: Case notes – best practice Unofficially, employer written evidence, such as a pay slip, attracts less scrutiny than say verbal evidence from a job seeker, however, each form is acceptable under the Deed and guidelines. Changes to policy now only occur on a quarterly basis and bulletins are posted in a weekly digest, with the exception of news that needs to be conveyed immediately. It would be good practice for a manager to ensure they read the weekly digests & all/any policy updates for each quarter. Provide guidance on what constitutes best practice on case note keeping to help ensure appropriate evidence is gathered and recorded and that the organisation’s case notes are compliant – refer to PW 59. 39 Slide Type of Activity Facilitator Notes / Instructions Activity: Case notes – journey and progression (PW 60) Refer learners to the activity in their workbook. Question 1: ASK: How do you ensure that case notes ‘tell the story’ and record the progression of the employment services program participant? Learner responses may include: Record reasons JSCI updates and explain each change Document employment related information in the case notes Reflect on file notes from previous appointments and ensure consistency of information – where activities were arranged record the outcome of the activity from previous appointment Ensure file notes reflect the EPP, e.g. client is looking for retail work and EPP goals and activities need to support this Record any attempts of contact with the client; this will assist with compliance reporting Detail any assessment of the client that is related to employment Identify any barriers to employment, strategies to minimise the barriers and any outcomes from these strategies Question 2: ASK: What case note recording tips can you share with other workshop participants? Write up on whiteboard, or if time permits, ask each table to write additional tips on butchers paper & then pin up on walls & groups do a walk around to look at tips. Learner responses may include: Write objectively and record facts only, e.g. use words such as “the client stated...” and “the client appeared...” Do not record any personal opinions of the client Keep case notes that are limited to employment related assistance; do not record irrelevant information (e.g. what the client ate for breakfast) unless it will impact their 40 Slide Type of Activity Facilitator Notes / Instructions employment Avoid jargon and slang Write clearly and concisely Activity: What’s missing? (PW 61-62) Provided are examples of file notes completed by a DES practitioner. Spilt learners into three groups, assign a file note to each group and ask them to analyse the file note to determine: What information is missing and what could be included / improved What the benefits are of producing comprehensive file notes Ask each group to report back with their responses. Some suggested responses for each file note item are provided below. Item 1 – Outcome file note: Missing information / what could be included: Start and end dates for Outcome period Total & average hours worked during the outcome period Wage earned over the period Name of the DES staff member who confirmed the participant’s employment Location of employer and their contact details Benefits of comprehensive file notes: Determine that the participant worked the required hours for the outcome period for a valid claim Meet documentary evidence requirements for a valid outcome Withstand scrutiny of audit Meets Standard 3 of the National Standards – Individual Outcomes Determine that the correct wages are being paid to the participant for the work for which they are engaged Item 2 – Review appointment 41 Slide Type of Activity Facilitator Notes / Instructions Missing information / what could be included: Her appearance to the appointment was not addressed nor was the smell of alcohol Review of her progress in job search activities was not addressed Barriers to employment not identified and addressed A discussion of the type of employment that Samantha applied for to determine suitability Employment goals not identified Next steps - what to expect at the next meeting Discussion of suitable employment options File notes need to be objective - better way of wording the client’s appearance would be “Samantha appeared with a distinct smell of alcohol and her appearance appeared dishevelled. Spoke to Samantha about this and she stated that she is on a new medication that is giving her side effects and is causing restless sleep.” A broader discussion about employment goals needs to be case noted to determine whether Samantha requires other non-vocational interventions to address any barriers to employment Assessment of referral services is needed to address any issues with alcohol or appearance which may be a barrier to employment Benefits of comprehensive file notes: Documenting file notes objectively is important so that other practitioners do not form prior judgement of client Under Freedom of Information, clients can access their records - reading statements in their case notes that appear to be derogatory may have a negative impact on the client Case notes provide information on the progress of a participant from the last appointment, to current situation, and the next steps that will be taken. It sets out clear expectations of the services that need to be delivered and ensures continuity of service provision should another practitioner take over the client. 42 Slide Type of Activity Facilitator Notes / Instructions Evidence for auditors regarding services delivered. Shows progress of the participant over time towards meeting their employment goals - can celebrate successes Item 3 – Initial appointment Missing information / what could be included: Confirmation that ID had been sighted Relevant paperwork discussed, i.e. privacy forms Confirmation that DES services have been discussed Employment goals Assessment of the participant employment aspirations, skills and abilities Evidence of any changes of the JSCI Assurance that the client understood the information Strategies towards achieving employment Any identified barriers to employment and strategies to overcome these Any identified barriers that have been updated in the JSCI Benefits of comprehensive file notes: Documenting initial appointment helps set out the service provisions and expectations about the services the client will receive Identifies what employment types the client is striving for which will assist in directing the client to the services that they require from the DES provider Ensures that the strategies set out in the EPP are reflective of the client’s goals and that any limitations to employment are recorded and addressed Advise learners of some of the resources that they can access to help them produce better case notes – refer to information on PW 62. Slide 42: Quality documentation for each stage of the employment Advise learners that the next section of this topic will focus on the quality documentation that underpins each phase of the DES process – from program entry to providing ongoing support. 43 Slide Type of Activity Facilitator Notes / Instructions services process Slide 43: 1. Program entry Slide 44: Direct registration eligibility requirements Program entry focuses on determining eligibility for DES programs – i.e. understanding, confirming and documenting eligibility. In most cases participants are referred to the DES provider by an ESAt or JCA assessor – referrals can also be made by Centrelink, DSS, Job Services Australia providers or by another DES provider. Outline the minimum information that must be set up on the ES IT System for the participant (as per slide). Go through the program entry requirements for Direct Registrations, as per flowchart (see PW 64). The eligibility criteria that a participant must meet and that must be documented so as to meet the claim payment requirements for the first 13 week period service fee include, the participant is: aged between 14 and 65 years of age is an Australian resident is not studying full time (unless the participant is an Eligible School Leaver) is not working at or above their employment benchmark hours participant has a CRN (where they do not, one needs to be arranged through DHS). Must record on the Direct Registration Form that proof of identify documents have been sighted. Activity: Direct registration requirements (PW 65-66) Have learners complete the short answer questions. Seek responses from learners. Model answers are provided below: Question 1: Determine person’s eligibility for Direct Registration & complete the Direct Registration Form with the person at the initial interview. Question 2: 44 Slide Type of Activity Facilitator Notes / Instructions The person must (a) be an Australian resident, (b) not be currently serviced by another DES provider, (c) have a disability, injury of health condition, (d) be aged between 14 – 65, (e) have a permanent address in the Employment Services Areas specified in the DES provider’s schedule is contracted to deliver program services, as specified in schedule, (f) not have a current and valid ESAt/JCA referral recommendation to another service, (g) meet any other relevant eligibility criteria which are prescribed in the Deed. Question 3: Name & date of birth, or Centrelink Customer Reference Number. Question 4: A participant with a current and valid ESAt/JCA with a referral, a JiJ participant, a Special Class Client Participant, or an Eligible School Leaver. Question 5: Current passport, current driver’s licence or other form of photo identification from a government department of agency. Activity: Eligible or not? (PW 66) Break learners into 3 groups and assign a scenario to each group. Each group should: Determine whether the person is eligible to be commenced in DES Explain why this is the case Outline what evidence you’re required to gather and document to demonstrate that the person has met the eligibility criteria Each group should be prepared to share their responses with the whole workshop. Model answers for each scenario are provided below. Scenario 1 A person with cerebral palsy wishes to access to DES to help them into employment once they have finished university. Eligibility: Not eligible; full-time students are not eligible. 45 Slide Type of Activity Facilitator Notes / Instructions Evidence required: None; ineligible to commence DES. Scenario 2 A young person in year twelve with Down Syndrome who is currently studying in Year 12 wishes to seek after school work. Eligibility: Eligible School Leaver, eligible for direct registration if evidence requirements can be met. Evidence required: Attracts additional education funding due to disability, in final year of school, after. After school work clearly relates to their employment goals. Scenario 3 A person with mental illness employed full-time approaches you for assistance to keep their job. Eligibility: Job in Jeopardy, eligible for direct registration if evidence requirements are met. Evidence required: Employment must actually be in jeopardy. All other direct registration requirements should be met; must have been employed for at least 3 months (or if less, the job must be ongoing at least for three months in principle); must have evidence of disability; must be likely to require ongoing support (must otherwise be eligible for DES). Slide 45: 2. Assessment and planning Outline the focus of the assessment, planning and employment assistance phase of DES (as per slide & PW 67). Slide 46: Contact requirements Advise of mandatory contact requirements - DES providers must conduct contacts with participants face-to-face and they deliver the mandatory minimum number of contacts as required in the DES Deed (refer to slide). Each contact appointment must be tailored to meet participants’ individual needs. Services to be delivered at each contact may include: Identification of and referral to appropriate activities and services Discussion of job search activities and appropriate job vacancies Reviewing and updating the EPP Reviewing progress and outcomes and recording 46 Slide Type of Activity Facilitator Notes / Instructions information in file notes Reviewing the appropriateness of activities the participant has engaged in and the skills that they have developed as a result of these activities Recording referrals to jobs and job interviews and the outcomes of these referrals Organising assessments to determine a participant’s limitations or abilities, such as functional capacity evaluations or physical assessments. Contact results must be recorded in the ES IT System and must confirm that the contact was conducted face-to-face. Activity: Additional evidence (PW 69) ASK: In addition to the evidence outlined in the PW / our discussions, what other evidence should be retained (either in electronic form or hard copy) where there has been a failure by a participant to attend a scheduled contact appointment? Obtain verbal responses from learners. Additional evidence may include: (i) evidence relating to the event that has resulted in the failure to attend; (ii) relevant information on the participant’s individual circumstances; (iii) any relevant reasons given by the participant for the nonattendance / non-compliance. Slide 47: Employment Pathway Plan Explain that the EPP should clearly outline the steps to be taken by both the DES provider and the participant to work towards a suitable employment goal. Address how EPP is maintained and updated at each scheduled contact appointment. (Refer to PW 70) Slide 48: Identification of and referral to services Explain the compliance requirements associated with documentation of identification of and referral to appropriate activities and services. (PW 71) Activity: Initial service fee eligibility and evidence (PW 71-72) Break participants into 6 small groups and assign a scenario to each group. Ask the groups to consider: (i) Is the DES provider eligible for service fee?; and (ii) What evidence is required to 47 Slide Type of Activity Facilitator Notes / Instructions be gathered and documented? Each group should report back to the whole workshop group. Model responses for each scenario are provided below. Scenario 1 Participant was referred to DES-ESS program by an ESAt with a 0 Benchmark. Eligibility: Participant is not eligible to be commenced in DES as all participants must have an assessed capacity to work a minimum of 8 hours per week. Evidence required: A referral from the ESAt confirming that the participant has the capacity to work a minimum of 8 hours per week. Scenario 2 Participant attended initial appointment. The participant has a mental health condition and is required to participate in job search. The ESAt has a recommended referral to Stream 4 with a JSA provider. Eligibility: Participant must have an ESAt recommended referral to a DES program to be eligible to commence in DES program services. Evidence required: ESAt recommended referral to the DES program is required to determine eligibility to participant in DES services. Scenario 3 Participant referred to DES with Benchmark 15 hours but is currently working at a bowling alley and has been working there for three months. Eligibility: Should the participant not be working on average of their benchmark hours at the time of Initial Appointment they may be eligible to participate in DES. Should the participant be working their average hours of employment they cannot proceed with the initial interview and the client must be exited from DES. Evidence required: Average hours worked in last 13 weeks. 48 Slide Type of Activity Facilitator Notes / Instructions Where the client averages below their benchmark, DES provider can continue with providing services and the employment will be considered as Pre-existing Employment. The job placement activity must be recorded in the ES IT System and the average hours of employment in the last 13 weeks. Scenario 4 Participant referred to DES by an ESAt with Benchmark 8 hours. Participant has cerebral palsy and is currently not working and looking for employment. Participant is currently receiving DSP. Eligibility: The client may be eligible to participate – the DES provider needs to determine that the participant is not in full-time study, that they are a permanent Australian resident, and that the participant is not linked to another DES provider. Evidence required: ESAt assessment confirming referral EPP completed and approved, including the contact regime; AI09 activity code must be included Privacy information signed and dated Confirmation of the participant’s ID Explanation of DES services, including Service Guarantee and Code of Practice Information about local labour market, employment opportunities and skill shortage areas Scenario 5 Participant has been referred to DES by an ESAt but is also working with an ADE 7 hours per week. Benchmark has been assessed at 8 hours and the referral was made by an ESAt after a Direct Registration was conducted. Eligibility: Concurrency is allowed from ADE to DES and the participant must be working below their benchmark ESAt referral confirming eligibility for DES As the participant is working with the ADE that is below 49 Slide Type of Activity Facilitator Notes / Instructions their benchmark hours, they may be eligible for DES provided all other requirements are met Evidence required: Direct Registration form and privacy form completed in full ESAt assessment confirming referral EPP completed and approved, including the contact regime; AI09 activity code must be included Confirm the participant’s ID Explanation of DES services, including Service Guarantee and Code of Practice Information about local labour market, employment opportunities and skill shortage areas Job Placement at the ADE to be recorded as pre-existing employment confirming the average hours of employment with the ADE over the last 13 weeks Scenario 6 Direct Registration was conducted for a worker with a disability after the employer requested that the worker required assistance to keep their job. Eligibility: Employer must confirm that the participant’s employment is at risk due to their disability, injury or health condition Participant must be assessed as requiring assistance from DES to maintain their employment and require ongoing support May be eligible to register as JiJ participant – JiJ participant must be working minimum 8 hours per week Evidence required: Direct Registration form Evidence of the worker’s disability, injury or health condition Employer Form completed and signed by the employer where the worker has given permission for disclosure of their disability, injury or health condition Signed and dated file note by the DES provider that the 50 Slide Type of Activity Facilitator Notes / Instructions worker will likely require ongoing support Slide 49: 3. Job placement Employment Pathway Plan completed and approved with the AI09 activity code Describe the compliance requirements related to job placement activities (refer to slide and PW 73-75). ASK: So what exactly do the ‘details’ mentioned in the slide include in terms of providing supporting documentary evidence up which claims for service fees can be made? Following brief discussion, go through information in ‘Figure 15: Record keeping requirements associated with the Job Placement process’ (PW 75). Activity: Job placement fee eligibility and evidence (PW 76) Break learners into small groups and ask them to consider the scenario and provide responses to each of the questions. Ask each group to share their response to one of the questions until responses to all questions have been provided / discussed. Question 1 – model answer: 8th May ASK: If the employer was not happy with Annette taking time off and suggested that her continued employment would be at risk, would you still enter 8th May as the Job Placement Start Date? The idea here is to generate a discussion on how to ensure that the employment will continue beyond 13 weeks, perhaps the practitioner may need to delay the start date until they are sure the employment will be stable enough and meet the expectation that it will continue beyond 13 consecutive weeks to satisfy Job Placement Fee Question 2 – Model answer: 10 Consecutive Days over a 14 day calendar period from the Job Placement Start Date entered into the ES IT System Question 3 – Model answer: Yes Question 4 – Model answer: 51 Slide Type of Activity Facilitator Notes / Instructions 10 May as this is the day that the participant achieved their benchmark hours within the 10 consecutive working day Question 5 – Model answer: Slide 50: Post placement support Job Placement Start Date Dates and hours worked excluding meal breaks within the 10 days Name of the person who confirmed the hours either the participant or employer Name of the employer and their contact details Date the confirmation of Job Placement received Name of the DES staff member who confirmed the Job Placement Wages and the Award of the participant The frequency and level of support provided to the participant must be documented during the PPS phase as it is this information that will help determine whether the participant will require Ongoing Support after the 26 Week Outcome. For those participants receiving PPs, regular contact is provided as deemed appropriate by the DES provider. Outline the full outcome and pathway outcome documentary evidence requirements (as per slide and PW 77). Slide 51: Claiming the outcome fee In order to claim the outcome fee, evidence must include a file note or a signed and dated written statement or email from the employer or participant – outline what information must be included in the file note (as per slide / PW 77). Slide 52: Anchoring the PPS phase Describe the documentary evidence requirements associated with anchoring the PPS phase. Activity: 13/26 week full outcome eligibility and evidence (PW 78-80) Refer learners to the activity in their workbook. Break learners into two large groups or an even number of small groups and assign one of the scenarios to each group. 52 Slide Type of Activity Facilitator Notes / Instructions Each group to report back on their responses to the scenarios. Use the following model answers to assist with activity debrief. Scenario 1 - Victor Q1: Weeks 1 to 4 – 25 hours per week (i.e. 100 hours); Weeks 5 & 6 – 15 hours per week (i.e. 30 hours); Weeks 7 to 13 – 12 hours per week (i.e. 72 hours). Q2: Average hours – 15 .5 hours per week; total hours – 202 hours Q3: Yes, you can you claim a Full 13 Week Outcome. Q4: What documentary evidence would you need to gather and keep to claim an outcome? Hours of employment each week Name of the award wages Dates of the outcome period Signed or verbal confirmation from either the employer or participant verifying employment The date the verification was received The name of the DES staff member who received the verification and the date Scenario 2 – Samantha Employment Anchored a week after the Job Placement Start Date. Provider had been documenting hour for employment for 13/26 week outcome claim based on Job Placement Start Date rather than Anchor date Anchor date is 13/1/2014 and week ending date is 12/1/2014. There has not been a whole week of work in week 1. It appears that the anchor date commenced before the working week ended. This has put all the outcome period dates out of order Annual Leave is not considered as a Permissible Break Incorrect dates for 13 week outcome period Signed prior to 26 week outcome period Activity: Outcomes quiz (PW 81) Refer learners to activity in workbook. Have learners complete the quiz individually & then seek response from learners. Model answers are provided below to assist in activity debrief. Q1: 8 hour benchmarks aren’t eligible for a pathway outcome, 53 Slide Type of Activity Facilitator Notes / Instructions see outcome determination table. Q2: Refer to outcomes determination table (Appendix 4 in PW) for answers Q3: Working each week means being at work each week. Remaining in employment each week means being employed, but not necessarily working, e.g. being on annual leave or sick leave (intending to go back to the same employer) is being employed but not working. Q4: Not necessarily, a person must work their benchmark hours in the 13 week period but if they have worked additional hours in that period those hours can count towards the 26 week period. The claim is based on one period of 13 weeks and one period of 26 weeks, not two separate periods of 13 weeks. For example, if a person with an 8 hour benchmark worked 154 hours in the 13 week period, they would need (at a minimum) to work at least 54 hours in the second thirteen weeks to get to 208 hours in a twenty-six week period. Remember all other conditions must be met – such as remaining in employment for a twenty six week period (i.e. still employed at the end of the 26 weeks) Q5: Youth under 21 without year 12, principle carer parents, refer to claims determination table for more information. Slide 53: 5. Ongoing support Provide an overview of documentary evidence related to providing ongoing support to participants – refer to PW 82-83. Slide 54: Documenting ongoing support Discuss the documentation requirements and circumstances associated with documenting ongoing support. Activity: Flexible ongoing support fee eligibility and evidence (PW 84-89) Refer learners to the case study activity in their workbooks. Read through the case study with the learners. Break learners into small groups and ask them to discuss the case study and provide responses to the questions. Each group is to report back to the whole group with their responses / findings. Discuss similarities and differences between the responses 54 Slide Type of Activity Facilitator Notes / Instructions during the debrief. Model responses are provided below. Q1: Anxiety, depression, chronic back pain, long term unemployment Q2: Flexible Ongoing Support is to be delivered for Alice. There was a total of 4 hours of support that was provided during the 26 week outcome period. Although the DES provider had frequent contacts with Alice and her employer, not all contacts required support or interventions to be delivered. Q3 – Goals: Alice’s short term goal is to learn her new job and pass her probation period. Long term goal is to continue working for Franklin Community Centre and potentially gain full time employment. Alice wants to learn as much as she can in her job to the best of her ability over the next six months. Alice wants to develop her skills, confidence and capabilities to competently work as an Administration Assistant on a part time basis. Alice will work with her employer and DES provider and engage in activities that will assist her to work independently. Q4 – Support requirements: DES provider to assist Alice to complete all the relevant paperwork regarding her tax file number and bank account details, explain her meal breaks, meet the staff and go over her job description. Workplace modifications and adjustments which include readjustment of Alice’s desk, ergonomic chair, foot stool, new keyboard. Counselling for her anxiety with the DES employment practitioner. Alice made a clerical error in her job and this left her feeling anxious and in need of support to approach her manager. Assistance with non-vocational intervention for Alice’s anxiety. Q5 – Method of support (phone, face to face, workplace visit): Main methods of contacts were face-to-face contact, both at the place of work & appointments with DES provider. There were also a number of telephone contacts with 55 Slide Type of Activity Facilitator Notes / Instructions Alice, however the telephone contacts were just to touch base with Alice to ensure that she didn’t require any further assistance. Phone contact also with the employer to provide Alice’s manager with support. Q6 – Support required to other parties (e.g. employer, family): John, the manager, required support from the DES provider to assist with workplace modifications and also required assistance regarding how to approach Alice’s behaviour in a sensitive manner. Q7 – Other relevant information / considerations can include: Follow up with Alice regarding identifying the triggers at work or at home that have had an impact on her raised anxiety. Outcome of the counselling sessions. Was it appropriate for the DES Provider to make impromptu visits to the workplace? What could have been the impacts of this? Q8 – The decision and the reasons for making the decision where the DES provider: assesses a Participant for entry into Ongoing Support performs a Provider Exit from Ongoing Support changes the level of Ongoing Support for Employment Support Service Participants For each Instance of Flexible Ongoing Support: The date(s) that support was provided and the details of the support that was delivered. For moderate or high ongoing support: The contact schedule specified in the participant’s EPP. Details of circumstances which prevent a face-to-face contact for each contact not delivered face-to-face. Results of each contact to be recorded in the electronic diary (on the same day as the participant had the contact or as soon as practicable if not possible on the same day). 56 Slide Type of Activity Facilitator Notes / Instructions Activity: Contractual quiz To complete Topic 3 learning, refer learners to activity / quiz in workbook. Have learners complete the quiz individually & then seek response from learners. Model answers are provided below to assist in activity debrief. Q1: More than 3 hours but less than 25 hours in the last 6 months. Q2: A DES provider cannot increase the level of a participant’s ongoing support. Where a participant has been identified as requiring high ongoing support, a DES provider will need to refer the participant to the OSA, with the additional evidence determining that a high level of Ongoing Support is required. Q3: A participant would require a referral to an Ongoing Support Assessor after the 26 week employment outcome has been claimed in the following circumstances: 48 weeks from the Anchor Date of the 26 Week Employment Outcome, or It has been 48 weeks or 74 weeks since the participant’s last Ongoing Support Assessment. Q4: Evidence provided could include, but is not limited to: Details of instances of Flexible Ongoing Support Details of contacts, including date, time & method of contact Details of hours and type of support provided Reports and assessments from doctors or other professionals Invoices and receipts File assessments completed by the DES provider Observation records Information from interviews with the participant and/or other stakeholders, including parents, advocates, employers and supervisors File notes that detail the date and time of each interview or phone conversation, including reason for the contact. Q5: A DES provider can provide a maximum of 6 instances of Flexible Ongoing Support (FOS) to a participant in any 26 57 Slide Type of Activity Facilitator Notes / Instructions calendar week period. An instance can cover an accumulated number of smaller contacts (e.g. several face-to-face contacts), or a single instance of more intensive support (e.g. visiting the workplace to adjust equipment). An instance is contact/s that equate to a minimum of 4 hours of service. Q6: Between 25 and 42 hours of support in the last 6 months. Q7: Examples of support that can be delivered during a participant’s ongoing support phase: On the job assistance and guidance Co-worker training Advising or counselling family members Workplace adjustments and modifications Vocational training Referrals to counselling or other non-vocational interventions Financial assistance and counselling Re-adjustment of job tasks Disability awareness training in the workplace Training on using equipment that supports the participant’s employment Assisting employers to create mental health plans in the workplace WHS training and checks Q8: Manually suspend the participant for the period they do not require ongoing support. Q9: An instance can cover an accumulated number of smaller contacts (e.g. several face-to-face contacts), or a single instance of more intensive support (e.g. visiting the workplace to adjust equipment). An instance is contact/s that equate to a minimum of 4 hours of service. Q10: A participant can be exited at any time if they do not require support and they are now an Independent Worker. The participant should be notified and the decision discussed before actioning the exit. 58 Topic 4: Monitoring and Continuous Improvement of Program Delivery Time allotted to this session: 4.00pm – 5.00pm (60 minutes) Slide Type of Activity Facilitator Notes / Instructions Slide 55: Topic 4 – Monitoring & continuous improvement of program delivery Show title slide and advise that this topic focuses on the practical aspects of monitoring and evaluating compliance and facilitating continuous improvement of program delivery. Slide 56: Monitoring and evaluating compliance Provide an overview of the five basic elements for compliance monitoring: The topic looks at the compliance monitoring & improvement process and provides strategies that can be used to assist in monitoring, evaluation and continuous improvement. 1. Ensuring a compliance process is in place 2. Determining the frequency of monitoring required 3. Adopting a methodical approach to monitoring 4. Appropriate documenting of compliance monitoring and improvements 5. Taking action as a result of compliance monitoring Advise that this next section of the topic will look at each of these elements in more detail. Slide 57: 1. The compliance process Outline the requirements associated with establishing and maintaining a compliance monitoring process. Provide examples of strategies that can be used to monitor and evaluate compliance by DES operational staff – refer to PW 94. ASK learners if they have any other suggestions regarding strategies to monitor compliance. Slide 58: 2. Frequency of monitoring ASK: How often do you think compliance should be monitored? Seek responses ad advise that as a guide, high risk areas should be monitored and reviewed regularly, say on a monthly basis, medium risk areas should be monitored and reviewed quarterly, and low risk areas, at least once a year. ASK: So how do you know what’s a high risk, a medium risk or 59 Slide Type of Activity Facilitator Notes / Instructions low risk? The key is to conduct a risk assessment to help you determine what level / priority of risk the compliance activity presents. Discuss the reasoning behind conducting a risk assessment – refer to PW 95. The information provided here is a guideline only and it’s highly likely that there will be other factors that need to be taken into account before you make a decision about how regularly to monitor and review specific compliance related DES activities, policies, procedures and business practices. Activity: High, medium or low risk? (PW 95-96) Refer learners to the activity in their workbook. Ask learners to consider each of the DES program delivery activities presented in the table and rate the risk – i.e. the likelihood and impact if non-compliance occurs and the overall risk to the organisation. Based on the risk, they should indicate the frequency of monitoring that they think is required. Instructions: 1. Rate the likelihood out of 10 using the scoring method provided below. 2. Rate the impact out of 10 using the scoring method provided below. 3. Calculate the resultant risk: Likelihood + Impact ÷ 2 = Overall Risk (e.g. 7 + 8 = 15 ÷ 2 = 7.5, therefore risk can be rated as a ‘Medium’ risk). 4. Determine required monitoring frequency. Following completion of risk assessment, compare similarities and differences between ratings by learners. Discuss the reasons where there are differences. Note: Risk ratings will vary from provider to provider depending on policies and procedures in place and other relevant factors. Slide 59: 3. Approach Discuss the reasons why it’s important to adopt a methodical, thorough and well documented approach to monitoring compliance. (See PW 96-97) Key reasons: Ensures compliance, helps identify where 60 Slide Type of Activity Facilitator Notes / Instructions improvements are needed, builds a compliance profile for auditors. Slide 60: 4. Documentation Slide 61: 5. Taking action Documenting the results of compliance monitoring and improvement, and keeping a record of this documentation, is critical to effective compliance with the DES Deed and guidelines. Without an audit history, there is little evidence to show the DSS auditors that your organisation is consistently ensuring that it meets the Deed and guidelines, i.e. there is no ability to demonstrate to the DSS that you have been complying and continuously improving your services. As a result of the monitoring of compliance it is quite likely that there will be areas identified where improvements to policies, procedures and business practices can be made. There may be follow up points and further queries arising as a result of the compliance monitoring. That’s why it’s good practice to... (refer to slide). Activity: Aligning monitoring activities to DSS identified areas of risk (PW 98) Refer learners to activity in their workbook. Each year, the DSS identifies and publishes the key areas of risk to DES program integrity. These are the risks that will be subject to contract monitoring and/or program assurance projects during the year. (Refer to 2014 DSS program assurance activities if required – see PW 18) Remind learners / write on whiteboard that DSS has identified the following areas of risk which may be the focus of targeted assurance activities in 2014: Direct Registration Employment Pathway Plans Ongoing Support Outcome Fees Wage subsidies Exits. 61 Slide Type of Activity Facilitator Notes / Instructions ASK: What does your organisation do to ensure that its governance and procedures in relation to these areas of risk is in place and working effectively? Note: Providers are encouraged to ensure that they have good governance and procedures in place relating to these risks. In addition to the published risks, the DSS also undertakes further targeted reviews to assess areas of emerging or identified risk that may arise. Activity instructions: Conduct as whole group or break learners into groups and assign one of the program assurance areas to each group to identify what the organisation currently does to ensure that it has appropriate governance and procedures in place to ensure program compliance. Model responses for debrief: Slide 62: Continuous improvement Participate in DEA delivered webinars on Program Assurance areas to develop skills and capabilities in this area. (note webinars are only available to DEA members) Develop and deliver training on the relevant procedures to ensure compliance with the program assurance activity Monthly desktop audits Quarterly site audits Also complete ECSN learning centre modules and participate in DSS facilitated webinars and information sessions As well as meeting mandatory compliance requirements, DES providers need to think beyond minimum requirements and benchmarks to continuously improve the services that they deliver. This requires taking steps to continuously improve compliance related systems, processes, communications by: Developing action plans to improve delivery of program services (refer to the Performance Improvement Plan Template provided on slide as an example of an action plan) Implementing actions plans to ensure progressive improvement of compliance, and 62 Slide Type of Activity Facilitator Notes / Instructions Monitoring and evaluating improvements to ensure they achieve the desired objectives. Address the Performance Improvement Plan (PIP) example on slide and provide examples (as per PW 100) of: PIP goals that may apply Improvement strategies that may be relevant Activity: Continuous improvement strategies (PW 100-101) Ask learners to reflect on what they’ve discussed and learnt today and to identify an improvement that they would like to implement in the workplace to improve contractual compliance. Develop an action plan (using the Performance Improvement Plan template provided) for this improvement goal. Following individual reflection and completion of PIPs, ask learners if they would like to share their intended improvement / action plan. Note: Action plans will vary from learner to learner and organisation to organisation. The basis of this activity is for workshop participants to have identified during the course of the day those areas of DES program delivery that can be improved to ensure better contractual compliance. Slide 63: Workshop close Conduct a brief workshop recap – revisit the desired workshop outcomes that workshop participants established at the start of the day. Ask learners if they have any further questions Ask learners to complete the workshop evaluation forms before they leave the training room Thank learners for their participation 63