ASM implementation: Priority areas for 2015-16 August 2015 The HACC Program is jointly funded by the Commonwealth and Victorian governments Introduction The Bulletin provides information on Department of Health and Human Services’ (DHHS) ASM priority areas for 2015-16. It provides information about current and planned activities and projects that will occur in 2015-16 to further embed ASM practice. This Bulletin highlights Findings from the ASM Prepare 3 year review which identify opportunities for improvement Current or planned projects that will address many of the practice areas identified as less progressed Training and workforce Diversity planning and practice. Other departmental priority areas are described in this bulletin including the implementation of recently published ASM resources and two projects arising from the transition of the HACC Program. The department has funded a number of projects to progress ASM practice in these areas. These are described below. Interagency care planning E- care planning: Phase 2: This project involved four regions, five PCPs and 12 agency clusters to promote the use of interagency/shared support plans for older people with complex needs. The project funded technical enhancements to the S2S e-care planning module to improve its useability. The enhanced S2S ecare planning module is now available for all agencies to use. Project timeframes: The final report will be available in September 2015. Contact: Heather Russell Heather.m.russell@dhhs.vic.gov.au Client reviews ASM Prepare: 3 year review findings N&W region is leading a project which will develop a feedback and monitoring framework for community care workers (CCW) to document their observations of client progress towards their goals. Recording this information will make a significant contribution to the client review process. This work builds on an earlier project carried out in Whitehorse City Council which highlighted the critical role CCW play in implementing the ASM approach. The ASM PREPARE review report identified agencies’ progress towards implementing ASM across all the service coordination elements and opportunities for further improvement. This is an important area of work as the Community Care Common Standards reviews also identified review and reassessment (Expected outcome 2.4) as an outcome with one of the lowest levels of compliance. Service coordination practices identified as comparatively less progressed were: Project timelines: The project will be completed by December 2015 This information will inform and guide regions and individual agencies in identifying their own ASM priorities in their 2015-16 ASM implementation plans. Review Contact: N&W region Carolyn Bolton Interagency care planning carolynb@hwpcp.org.au Service exit/transition Gathering information on client outcomes Diversity planning and practice Service closure/transition BSW region has commenced planning for a project which will document good practice around service closure and transition. The project will be supported by the South West HACC Alliance. Project completion: June 2016 Contact: BSW region Sandra Love SLove@warrnambool.vic.gov.au Gathering information on client outcomes DHHS is in the second stage of a state-wide project to develop and trial a suite of ASM outcome measures for client and carers. Approximately 30 HACC funded agencies will pilot the measures between July and November in 2015. The consultant, La Trobe University will provide a final report which will contain the outcome measurement tools and guides for use. Project Completion: March 2016 Contact details: Heather Russell Heather.m.russell@dhhs.vic.gov.au Diversity planning and Practice ASM PREPARE review results showed a slightly lower self-rating of diversity planning and practice in all service coordination practices and in some HACC activity types. Agencies would be advised to consider their practice in these areas and prioritise their responsiveness to people with diverse needs in their 2015-16 ASM plans. Sharing Innovative practice ASM PREPARE review findings reported that agencies were keen to share innovative ASM practices across regions. Sharing innovative practice is a priority for ASM implementation and occurs in many ways. The ASM industry consultants (ICs) meet monthly in order to share information between regions and work collaboratively on various regional and state-wide projects. They are an important conduit for disseminating information about innovative ASM practices/projects occurring outside your region. All regions have worked locally on projects and initiatives to progress targeted areas of ASM practice. Much of this work has benefited HACC agencies statewide. A couple of examples are: The recent Planned Activity Group forum held in Barwon South-West showcased the work of a particular sector within HACC. The forum attracted huge interest state-wide and will be repeated in metropolitan Melbourne 28 August 2015. Toolkits developed in the EMR – the Goal directed care planning toolkit and the more recent Consumer Feedback Toolkit have been distributed statewide and provided the impetus for training in these areas. For more information ask your ASM Industry Consultant Training and workforce development Workforce training is a key enabler of the ASM approach. The ASM Prepare report identified that training including on-the-job capacity building is critical to ASM implementation. Providing opportunities for peer review, peer reflection, and mentoring are some of the processes used in workplaces to build staff confidence and translate their learning into everyday practice. DHHS and ASM ICs will work with local Alliances and networks to promote on-the-job capacity building, identifying where there is good practice in the sector and sharing the learnings within their regions and statewide. State-wide Education and Training provider Chisholm provides training that embeds an ASM focus for all courses available through the training calendar: hacc:chisholm.edu.au. Currently on offer is training that builds on recently published ASM resources such as the Easy Living Equipment Guide and the PAG assessment and care planning guide. This training should be promoted to the workforce. Other training specifically focussed on the ASM approach such as goal directed care planning is still being offered on the training calendar. Contact: Christine Robinson Christine.robinson@dhhs.vic.gov.au Implementing ASM resources Over the past year DHHS has funded a number of resources to support ASM implementation. To ensure these resources are taken up, ASM ICs will assist agencies to implement these resources on the ground. This might be through forums, workshops or one-on-one discussions. Active Service model (ASM) implementation: Priority areas 2015-16 2 The key resources are: Assessment and care planning in Planned Activity Groups: Make it meaningful 2015 Easy Living Equipment: 2014 Consumer Feedback Toolkit EMR 2015 Volunteer Resource EMR 2013 Beyond Ramps and Rails: Celebrating innovative occupational therapy in HACC (project still in progress) Aligning ASM to wellness, reablement and restorative care Building pathways between Access and Support and HACC assessment services The Diversity Planning and Practice review identified the need for closer working relationships between HACC assessment services (HAS) and Access and support services (A&S). The department will commence a project in consultation with ECCV and the MAV which will develop strategies to build closer working partnerships between A&S and HAS. Contact: Ruth Reading Ruth.reading@dhhs.vic.gov.au Living well at home: CHSP Good Practice Guide is now available on the DSS My Aged Care website. This guide describes the concepts of wellness, reablement and restorative care, how these approaches can be implemented by Commonwealth Home Support Program (CHSP) service providers including the role of with My Aged Care Regional assessment services in the client pathway. For more information contact your regional ASM IC Region ASM Industry Consultant contacts EMR Lisa Dean 98341738 lisa.dean@dhhs.vic.gov.au SMR Paula Clancy 95994714 pclancy@bayside.vic.gov.au DHHS will begin to scope how the ASM approach maps to the CHSP concepts of wellness, reablement and restorative care. Contact: Kath Paine Kath.paine@dhhs.vic.gov.au Linkages Reablement Project DHHS has commenced a project with Linkages providers and other key stakeholder in the SMR to explore the scope for transforming Linkages packages for people aged over 65 to a short term reablement service. The state-wide Linkages Network will be involved and consulted. Project timeframes: The project will proceed in two stages. Stage 1 will develop a reablement service model by October 2015. Stage 2 will trial the model prior to HACC transition. This will occur following a decision by DHHS in consultation with the Department of Social Services whether to proceed or not with the trial. Alison Clarke 95994714 aclarke@bayside.vic.gov.au NWMR Carolyn Bolton 0499 784 465 carolynb@hwpcp.org.au BSW Karen Cameron 5251 4656 karen.cameron@bch.org.au Sandra Love 55594459 SLove@warrnambool.vic.gov.au Gippsland Richard Adams 0427097308 Richard.adams@dhhs.vic.gov.au Grampians Wendy Altmann 53336402 wendy.altmann@dhhs.vic.gov.au Hume Beth Dawson 0260557861 beth.dawson@dhhs.vic.gov.au Loddon Mallee Liz Foster 0427406673 liz.foster@dhhs.vic.gov.au Contact: Heather Russell Heather.m.russell@dhhs.vic.gov.au Active Service model (ASM) implementation: Priority areas 2015-16 Rosemary Duffield 0448271176 Rduffield@schs.com.au 3