ACAT CHAT Newsletter Welcome to the ACAT CHAT – Vol. 42, March 2015 ACAT CHAT – Volume 42, March 2015 In this Issue Article Page Number Aged Care Assessment Program Update Page 3-5 Aged Care Reform Roadshow – coming soon Page 6-7 Stage 2 My Aged Care – Early Implementation Page 8-9 Informing consumers about Home Care Package fees Page 10-12 Update of Assessment forms SA456 and SA457 Page 13 Dementia Care Training and Education Page 14 - 15 Government response to the Dementia Forum Report Page 16 Update on the Commonwealth Home Support Programme Page 17 Homecaretoday Newsletter Page 17 Messages sent to the sector in December 2014 Page 18 Seeking ACAT CHAT Articles and Feedback Page 19 2 ACAT CHAT – Volume 42, March 2015 Aged Care Assessment Programme (ACAP) Update My Aged Care Training Update To prepare for the release of My Aged Care Stage 2, the Department continues to work with CIT Solutions Pty Ltd on developing and delivering nationally recognised training for the national assessment workforce. On 20 January 2015, CIT Solutions started delivering pilot introduction training to existing staff in the My Aged Care contact centre. The training has been designed to provide a sound knowledge base of the changes in the aged care industry and a clear understanding of the contact centre staffs’ roles and responsibilities associated with the My Aged Care system. The training program provides contact centre staff and assessors with a detailed grounding in the screening process and how the My Aged Care systems can capture this information to ensure effective management of the client’s needs. Training will also be delivered to assessment staff involved in the Victorian Early Implementation site before the site ‘goes live’ in early April 2015. The review of the pilot training will allow the Department and CIT Solutions to evaluate and modify the training, where necessary, before it is delivered to other segments of the My Aged Care assessment workforce. Lessons learnt from these two pilot training deliveries will be incorporated in the national rollout of the training due to commence in mid April 2015. CIT Solutions will be the lead Registered Training Organisation (RTO) to deliver this facilitator led training and will be working in close association with their partner RTOs across the country. Aged Care Assessment Teams (ACATs) will also receive relevant training in the My Aged Care systems and the use of the National Screening and Assessment Form (NSAF) as each State and Territory is transitioned onto using the My Aged Care system by December 2015. These training resources have been developed to support future online training delivery options for all participants post 1 July 2015. We will keep you updated on assessment workforce training as more information becomes available. ACAP Guidelines The Aged Care Assessment Programme Guidelines are scheduled to be released in March 2015. The guidelines are located for validated users in the Resource Library of the ACAT Learning Management System (www.acattraining.net.au). They are also available for public viewing on the Department of Social Services website (www.dss.gov.au). 3 ACAT CHAT – Volume 42, March 2015 ACAT Learning Management System We are pleased to announce the newly designed ACAT Learning Management System will soon be available. Thank you to those who have provided feedback including those who have offered valuable insights by testing the new Learning Management System. We have worked hard to take the existing Learning Management System and improve its content, functionality, and look and feel to provide a better experience for users. More information on the timeframe for the live implementation will be provided shortly. A brief presentation on the Learning Management System will also be provided at the ACAT Education Officer Workshop (AEO). Aged Care Client Record Access for Approved Providers Aged Care Online Claiming (ACOC) enables approved providers to view a client’s Aged Care Client Record (ACCR) that was transmitted electronically to DHS-Medicare (eACCR process). ACOC is the preferred method of obtaining and confirming the validity of a client’s ACCR. In the event that approved providers are unable to access ACOC they should contact DHS-Medicare Aged Care Enquiry Line on 1800 195 206. Only as a last resort should a provider contact the ACAT to obtain a copy of an ACCR. Alternatively, a copy of the Aged Care Client Record (ACCR) can be requested from the client. If it becomes necessary for an approved provider to contact an ACAT directly, they should be able to identify themselves as an approved provider and have the client’s first name, surname, gender, date of birth and Medicare card number available. 4 ACAT CHAT – Volume 42, March 2015 Update – What is the process to update information for My Aged Care Service Finders To update ACAT details on the Assessment Finder on the My Aged Care website, please send the requested changes to the ACAP representative of your state or territory government. Possible changes include: Name of ACAT Contact phone number Hours of business Fax number Email address Street address Other details Once your state or territory ACAP representative verifies the requested change, they will forward your request to the Department of Social Services at ACAP.Policy.Operations@dss.gov.au for processing by My Aged Care. 5 ACAT CHAT – Volume 42, March 2015 Aged Care Reform Roadshow – coming soon In March 2015, the Department of Social Services will provide briefings to aged care stakeholders on the changes to aged care from 1 July 2015. The Roadshow will visit all capital cities, and some regional centres, to present participants with up to date information on the 2015 changes to aged care, with a focus on key change areas such as Home Care Packages, the Commonwealth Home Support Programme, and My Aged Care. If you are unable to attend a face-to-face briefing, webinars on each 2015 reform topic will also be held – with dates and times to be confirmed shortly. The video recordings of the webinars will be available afterwards and will be able to be accessed on demand via the DSS website. An invitation to attend the roadshow briefings and webinar sessions was issued to the aged care sector on February 14, 2015. More information, including how to register, is available on the Department’s 2015 Sector Briefings page (https://www.dss.gov.au/ourresponsibilities/ageing-and-aged-care/aged-care-reform/sector-briefings-for-the-2015-agedcare-changes). Confirmed dates and locations are as follows: State Location Date New South Wales Sydney (2 dates available) Tuesday 3 March New South Wales Sydney Wednesday 4 March New South Wales Port Macquarie Thursday 5 March Northern Territory Darwin Wednesday 11 March Northern Territory Alice Springs Wednesday 8 April Victoria Melbourne (2 dates available) Thursday 12 March Victoria Melbourne Friday 13 March Victoria Shepparton Monday 16 March Tasmania Hobart Wednesday 18 March Tasmania Launceston Thursday 19 March Western Australia Perth Tuesday 24 March Western Australia Bunbury Wednesday 25 March 6 ACAT CHAT – Volume 42, March 2015 State Location Date South Australia Adelaide Thursday 26 March South Australia Port Augusta Friday 27 March Queensland Brisbane (2 dates available) Tuesday 31 March Queensland Brisbane Wednesday 1 April Queensland Townsville Thursday 2 April ACT Canberra Friday 10 April Webinars Online - A series of webinars covering the same topic areas will be available on the DSS website for those who cannot attend a face-to-face session. To register your interest in attending a webinar or for more information, please email AgedCareReformEnquiries@dss.gov.au (link sends e-mail). 7 ACAT CHAT – Volume 42, March 2015 Stage Two My Aged Care – Early Implementation An early implementation of Stage Two of My Aged Care commences in Victoria in April 2015 within the Kingston ACAS catchment and includes comprehensive assessors, Victorian home support assessors and all service providers operating in the catchment. This early implementation will provide a demonstration of My Aged Care capability for assessors and providers operating within these local government areas. The Department of Social Services and Victorian Department of Health and Human Services collaborated on the development of this early implementation of My Aged Care over the last 12 months. During this time the Department of Health and Human Services worked closely with the Kingston Aged Care Assessment Service (ACAS) and aged care services of the Kingston, Bayside and Greater Dandenong City Councils’ to understand the changes needed to ensure the successful implementation of My Aged Care in the region. You may recall that Stage One of My Aged Care was introduced on 1 July 2013 and consists of: My Aged Care website (www.myagedcare.gov.au); and My Aged Care contact centre (1800 200 422) that operates from 8am - 8pm Monday to Friday and from 10am - 2pm Saturday, local time across Australia. The early implementation of Stage Two of My Aged Care will include: registration and screening of clients for referral to appropriate assessment and services by the My Aged Care contact centre; a nationally consistent screening and assessment process; the establishment of a central client record that will capture personal details, screening and assessment information, support plans and the services provided to clients; a match and refer capability that enables the My Aged Care contact centre and assessors to find appropriate services that meet the clients identified needs and goals to make electronic referrals to those services; online portals for assessors and service providers to manage electronic referrals and self-manage their service information. The national roll out in July 2015, will introduce additional functionality including a client portal. The early implementation and demonstration of functionality will see the My Aged Care contact centre screening and referring people for assessment to the Kingston ACAS and the HACC assessment services in Bayside, Kingston and Greater Dandenong Councils. Comprehensive and home support assessment services will then use My Aged Care systems to support face to face assessment of clients and referrals to service providers servicing these local government areas. Service providers in the Kingston ACAS catchment will then be able access to electronic referrals and client records (including assessment information and support plans created by assessors). It will also provide information on other services being received by the client. 8 ACAT CHAT – Volume 42, March 2015 Before the commencement of the early implementation, all participants will receive support materials and assistance to become familiar with the system and business processes. The system will be demonstrated at the forthcoming My Aged Care Roadshows. 9 ACAT CHAT – Volume 42, March 2015 Informing consumers about Home Care Package fees It is important that consumers understand the potential fees early in their interaction with the aged care system. To ensure consumers are well informed, ACATs should mention that there have been some changes to aged care fees. The consumer can be referred to the My Aged Care website and contact centre for detailed information. This gives the consumer time to consider the potential fees involved with aged care services prior to the assessment. My Aged Care was established in 2013 to be a key contact point for consumers seeking information about aged care. However, we recognise that some consumers may not have interacted with My Aged Care prior to being referred to an Aged Care Assessment Team (ACAT). ACATs are encouraged to support consumers to make informed decisions about the aged care options. We have drafted an information sheet summarising Home Care Package fees and the income testing process which may be useful for ACATs to refer to when talking to consumers. Information Sheet - Home Care Packages Advantages of Home Care Packages Home Care Packages are intended to offer a level of care and service which is not available through other aged care services. These enable older people to remain in their own home for longer. 10 • Home Care Package clients have security of tenure, meaning that their package will remain available to them while they have a home care agreement with their home care provider. • The Home Care Packages have four levels of funding that increase as a client’s care needs increase. • Unlike Commonwealth Home and Community Care (HACC) services, Home Care Package services are coordinated and tailored to meet the client’s specific needs. • From 1 July 2015, all Home Care Packages will be delivered on a Consumer Directed Care (CDC) basis. CDC gives consumers greater control by allowing them to make choices about the types of care and services they access, including who will deliver the services and when. • The CDC model will provide greater transparency about what funding is available under a client’s package of care. Individualised budgets are part of the CDC model which allows clients to keep track of the funds they spend on the services they receive. ACAT CHAT – Volume 42, March 2015 • Under a CDC approach, clients will be encouraged to look at ways to increase their independence and wellness. • Consumers and their carers can choose the level of involvement they want in managing their packages under the CDC model. This could range from involvement in all aspects of the package, including co-ordination of care and services, to a less active role in decision-making and management of the package. • If the client is eligible to pay an income-tested care fee, there are annual and lifetime caps in place that limit how much they can be asked to pay. • Any income-tested care fees paid for a Home Care Package prior to moving into residential care will contribute to the annual and lifetime caps for residential care. • The caps are indexed and the current figures are available on the My Aged Care website. • As was the case before 1 July 2014, a full pensioner can only be asked to pay the basic daily fee. They cannot be asked to pay an income-tested care fee. • The Commonwealth HACC program will be replaced by the new Commonwealth Home Support Programme (CHSP) commencing on 1 July 2015. New client fees will be introduced as part of the CHSP. Clarification on income testing for Home Care Packages There has been some confusion around who has to fill out the Department of Human Services (DHS) income tested forms, particularly in regards to part pensioners. • Full pensioners and part pensioners (and recipients of other means tested income support payments) are not required to complete the income assessment form. • Self-funded retirees (and recipients of non-means tested income support payments) are required to complete the form. If a client has any specific concerns on the forms or the assessment process, they should contact DHS on 1800 227 475. For general information on fees they can contact My Aged Care on 1800 200 422. DHS has released an updated version of the Aged Care Fees Income Assessment (SA456) form, which is now available on the DHS website (http://www.humanservices.gov.au/customer/forms/sa456). Clients can request a copy by calling DHS on 1800 227 475. The updated SA456 form amends incorrect information on the front page advising that all means tested income support payment recipients are required to complete the contact details section and sign the form in order to receive an income assessment. Means tested income support payment recipients are only required to complete their relevant details and sign the form if they wish to request an early assessment before they commence care. Otherwise, their income details will automatically be obtained via a data matching process once the provider has advised DHS that they have commenced care. Requests for income assessments that have been submitted using the previous version of the SA456 will still be processed. 11 ACAT CHAT – Volume 42, March 2015 Information available through My Aged Care The My Aged Care website (www.myagedcare.gov.au) provides information about the Australian aged care system, including fees. The Home Care Package fee estimator allows consumers to estimate their possible fees. The My Aged Care contact centre (1800 200 422) can also provide fee estimates over the phone. The My Aged Care contact centre is available between 8.00am and 8.00pm on weekdays and between 10.00am and 2.00pm on Saturdays. The My Aged Care contact centre is closed on Sundays and national public holidays. 12 ACAT CHAT – Volume 42, March 2015 Update of Assessment forms SA456 and SA457 The Aged Care Fees Income Assessment (SA456) form has been updated The Department of Human Services (DHS) has released an updated version of the Aged Care Fees Income Assessment (SA456) form, which is now available on its website. The updated SA456 form includes a correction to an instruction on the front page that incorrectly advised that all means tested income support payment recipients were required to complete the form in order to receive a fee advice from DHS. Please note that means tested income support payment recipients, including people receiving a full or part Age Pension, are only required to complete their relevant details and sign the form if they wish to request an early assessment before they commence care. Otherwise, their income details will automatically be obtained via a data matching process once the provider has advised DHS that they have commenced care. Other improvements to increase the user-friendliness of the form have also been made. Requests for income assessments that have been submitted using the previous version of the SA456 will still be processed. The Combined Assets and Income Assessment (SA457) form has been updated The Department of Human Services (DHS) has also released an updated version of the Combined Assets and Income Assessment (SA457) form, which is now available on its website (http://www.humanservices.gov.au/customer/forms/sa457). The updated SA457 form includes improvements to increase the user-friendliness of the form. Please note that all individuals who wish to receive government assistance with their residential aged care costs, including those who receive a means tested income support payment, are required to complete the SA457. The Department encourages potential care recipients to complete the request for an income and assets assessment as soon as they start considering a move into residential aged care and not to wait until a crisis arises before requesting the assessment. Requests for combined income and assets assessments that have been submitted using the previous version of the SA457 will still be processed. 13 ACAT CHAT – Volume 42, March 2015 Dementia Care Training and Education E-Learning Resources The following e-learning courses are available from the DTSC website. Advancing Practice in Dementia Care This course was developed by a team of experts and designed to provide health professionals from all disciplines with an understanding of dementia and the needs of people with dementia and their family or carers. Evidence Based Tools for Behavioural and Psychological Symptoms of Dementia (BPSD) Assessment This course was developed to increase the knowledge of health professionals in the use and interpretation of selected evidence-based tools for the symptoms of agitation, anxiety, apathy and wandering. Sexualities and Dementia This educational resource was developed with the aim to increase understanding of the concepts of intimacy, sexuality, sexual behaviours and expression of various types of sexuality (including the benefits of and barriers to expression of sexuality). These resources are designed to provide students and staff studying or working in multidisciplinary areas of health with a flexible opportunity to improve their knowledge and skills in working with people who have dementia, their family and their carers. Supporting Overseas Qualified Nurses A comprehensive training package that is intended to support overseas, qualified nurses as they adapt to working in the Australian dementia care setting. Timely Diagnosis of Dementia These dementia education modules discuss the assessment and investigation of the patient who presents with cognitive impairment. The modules can be accessed at the Think GP website (http://thinkgp.com.au/education/timely-diagnosis-dementia). 14 ACAT CHAT – Volume 42, March 2015 Training and Education Events Medicines – can less be more? Presenter: Chris Etherton-Beer, School of Medicine and Pharmacology, Royal Perth Hospital Unit, The University of Western Australia Tuesday, 21 April 2015, 6-7pm, Technology Park Function Centre, 2 Brodie Hall Drive, corner of Hayman Road, Bentley, Western Australia. To register email l.durack@curtin.edu.au Younger Onset Dementia Presenter: Aedan Siebert, Occupational Therapist, Younger Onset Dementia Keyworker, Alzheimer’s Australia WA Wednesday, 20 May 2015, 6-7pm, Technology Park Function Centre, 2 Brodie Hall Drive, corner of Hayman Road, Bentley, Western Australia. To register email l.durack@curtin.edu.au Visit the DTSC website (www.dtsc.com.au) for more information on events, training and resources. 15 ACAT CHAT – Volume 42, March 2015 Government response to the Dementia Forum Report The first Ministerial Dementia Forum, Dementia Care - Core Business for Aged Care was held on 11 September 2014. A Forum Options Report was provided by the Forum Working Group to the Government on 31 October 2014, and publicly released on 16 December 2014 following consultation with the Aged Care Sector Committee. On 4 February 2015, the Government responded to the Forum Options report and announced it will invest $54.5 million over four years to establish Severe Behaviour Response Teams (SBRT). SBRTs will be a mobile workforce of clinical experts who will provide timely and expert advice to residential aged care providers that request assistance with addressing the needs of people with the most severe behavioural and psychological symptoms of dementia. The first phase of the SBRTs is expected to commence nationally later this year, following a competitive tender process. The SBRTs will work closely with the existing Dementia Behaviour Management Advisory Services in each state and territory. A second phase will see these two programmes integrated from 2016-17. Complementing this initiative, the Government will also conduct an analysis of existing dementia programmes during the first half of 2015. For further information go to the Department of Social Services website. 16 ACAT CHAT – Volume 42, March 2015 Update on the Commonwealth Home Support Programme On 18 December 2014, Assistant Minister Fifield announced further detail of the new Commonwealth Home Support Programme (CHSP), which will begin from 1 July 2015. The CHSP consolidates the Commonwealth Home and Community Care Program, the National Respite for Carers Program, the Day Therapy Centres Program and the Assistance with Care and Housing for the Aged Program. CHSP funding will be around $1.7 billion in 2015-16, which will continue to grow over the coming years, resulting in more services for more people. It will continue to provide services such as planned respite, delivered meals and domestic assistance. The Minister announced that the overwhelming majority of current providers will continue to deliver services under the new CHSP, and will receive two years of continued funding until 30 June 2017, including an initial period of transition. People receiving services under existing programs will continue to receive the same level of support now and when the CHSP begins. Providers received a letter from the Department outlining the implementation of the CHSP and funding arrangements from 1 July 2015. For more information about CHSP, visit the Department of Social Services website (https://www.dss.gov.au/our-responsibilities/ageingand-aged-care/aged-care-reform/reforms-by-topic/commonwealth-home-supportprogramme). Homecaretoday Newsletter One of the ways to keep up to date with what is happening in home care, including information on Consumer Directed Care (CDC) is to sign up to receive homecaretoday’s newsletter. To join, please visit the Knowledge Centre on the homecaretoday website (http://homecaretoday.org.au/provider/knowledge-centre/about-the-knowledge-centre). 17 ACAT CHAT – Volume 42, March 2015 Messages sent to the sector A series of messages were sent to the sector in December 2014, which are highlighted below for your information. Also below are links to Department of Social Services web pages and newsletters. Medication management in residential facilities (https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/overview/advice-to-theaged-care-industry/medication-management-in-residential-aged-care-facilities) Message from Minister Fifield, 19 December 2014, with details of the new Commonwealth Home Support Programme https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/overview/advice-to-theaged-care-industry/the-new-commonwealth-home-support-programme-starts-1-july-2015 Checking your staff qualifications and registration https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/overview/advice-to-theaged-care-industry/checking-your-staffs-qualifications-and-registration What’s next for My Aged Care https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/overview/advice-to-theaged-care-industry/whats-next-for-my-aged-care Department of Human Services Provider Communiqué - Quarterly Review https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/overview/advice-to-theaged-care-industry/provider-communique-quarterly-review Important reminder about caring for older people in warmer weather https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/latest-news/caring-forolder-people-in-warmer-climates Advice to the Aged Care Industry https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/overview/advice-to-theaged-care-industry Information for Aged Care Providers Newsletter https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/overview/advice-to-theaged-care-industry/information-for-aged-care-providers 18 ACAT CHAT – Volume 42, March 2015 Seeking ACAT CHAT Articles and Feedback The ACAT CHAT newsletter provides updates on the Aged Care Assessment Program from a national perspective and other information that may be of interest to ACATs. We encourage readers to share information of interest from their local area. A variety of articles gives ACATs opportunities to learn more about initiatives across the country. We welcome feedback, contributions and suggestions for articles and improvements. Please forward any contributions to acats@dss.gov.au Contact us General enquiries about aged care: Phone: 1800 200 422 Medicare Aged Care Online Claiming: Helpdesk: 1800 195 206 Useful Websites About My Aged Care: My Aged Care website ACAT specific information: ACAT page on the Department of Social Services website (https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/programs-services/acatchat-newsletters-0) About the Department of Human Services: Department of Human Services website (http://www.humanservices.gov.au/). 19