Documente Academic
Documente Profesional
Documente Cultură
SCHOOL ON
OF NURSING, UNIVERSITY OF
BALLARAT
IMPROVING THE
HEALTH AND WELL
BEING OF ELDERLY
IN THE
RESIDENTIAL AGED
CARE FACILITY
HCGEN 1111 : HEALTH CARE IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE
ID
NUMBER: 30084198
10
REPORT ON IMPROVING THE HEALTH AND WELL BEING
OF ELDERLY IN THE RESIDENTIAL AGED CARE FACILITY
HCGEN 1111 : HEALTH CARE IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE
ID NUMBER: 30084198
LETTER OF TRANSMITTAL
To
FACILTIY which is a part of the assessment for HCGEN 1111, Health Care in Australia
according to the course descriptor of University of Ballarat. The major aim of this report is to
analyse and interpret some of the programs and initiatives of Australian government with
recommendations on them. Analyse revealed that, all programs need multidisciplinary co-
operation and a good evaluator team work for the future success.
I would like to extend my gratitude to Ms. Debby and to other clinical teachers who
were very helpful in all my needs related to the work of this report. I am also grateful to Ms.
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Fiona O’ Toole who has given me an opportunity to work on this report.
Thanking You
Yours sincerely
TITLE PAGE
SUBMITTED TO
Unit co-ordinator
PREPARED BY
ID No. 30084198
PRESENTED ON
TABLE OF CONTENTS
Serial Page
1.2 Purposes
SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES
REPORT ON IMPROVING THE HEALTH AND WELL BEING
OF ELDERLY IN THE RESIDENTIAL AGED CARE FACILITY
HCGEN 1111 : HEALTH CARE IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE
ID NUMBER: 30084198
National Summary
6.4 Poster 1
6.5 Poster 2
CV - Community Visitor
GP - General Practitioner
Accreditation
The evaluation process which residential aged care services must undergo to continue
to receive Commonwealth government funding (residential care subsidy) under the Aged
Care Act 1997 after 1 January 2001. The process involves a self-assessment by the service,
which is then validated by an assessment team by desk and site audits. Following this an
accreditation decision is made by the Aged Care Standards and Accreditation Agency.
The Aged Care Access Initiative aims to improve access to primary care services for
residents of Commonwealth-funded aged care facilities. The Aged Care Access Initiative,
announced in the 2008-09 Federal Budget, will support primary care provision for aged care
continuing services in residential aged care facilities; and a payment for Allied Health
Professionals for clinical care services in residential aged care facilities, where these services
The Aged Care Approvals Round is an annual application process that enables
prospective and existing approved providers of aged care to apply for a range of new
The ACFI has been developed in response to the Review of Pricing Arrangements in
Residential Aged Care (Hogan 2004) and the RCS Review (2003). It has been designed to
better match funding to the complex care needs of residents; reduce the documentation
created by aged care providers to justify funding; and achieve higher levels of agreement
between aged care staff and departmental review officers in review audits (known as
validation). The ACFI is based primarily on the resident’s dependency (need for care) rather
than on care planning or care provided by an aged care home. Unlike the RCS, ACFI does
not use ongoing care documentation as evidence to support funding claims. The ACFI
consists of twelve care need questions. Diagnostic information about mental and behavioural
disorders and other medical conditions is also collected. This information is used to
categorise residents as having low, medium or high care needs in each of the following care
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domains: Activities of daily living (ADLs), Behaviour, Complex Health Care.
For the purpose of the ACAI, an allied health service may include services provided by:
Speech Pathologists
The Better Oral Health in Residential Care training project will be rolled out
nationally to all residential aged care facilities in 2010. The project aims to provide an
increased awareness of oral hygiene issues for the staff in daily contact with residents. Better
Oral Health in Residential Care Training project which commenced in December 2009 and
will continue throughout 2010. The training aims to provide an increased awareness of oral
hygiene issues for the staff in daily contact with residents. It is important to note that the
homes. The Community Visitors Scheme arranges community volunteers to visit selected
residents on a regular, one-to-one basis. The Community Visitors Scheme is funded by the
Australian Government and operates in every State and Territory. Any resident whose quality
referred to the Community Visitors Scheme. The CVS also helps to establish links between
Community Visitor
A community visitor is a volunteer who is matched with a resident of an aged care home, and
government of Australia.
General Practitioner
medical problems in patients of all ages, often including referral to appropriate specialists.
Practice Incentives Program (PIP) was developed to provide incentives that encourage
Medicare Australia on behalf of the Department of Health and Ageing (DoHA), PIP is a part
of a blended payment approach for general practice. Payments made through the program are
in addition to other income earned by general practitioners (GPs) and the practice, such as
patient payments and Medicare rebates. There are 12 broad elements to the payments: After
Hours Incentive, Practice Nurse Incentive (PNI), Quality Prescribing Incentive (QPI),
According to Aged Care Access Initiatives, there are two payment levels under the
relevant MBS items claimed in one financial year. Tier one provides a payment of $1,000
when the first qualifying service level (QSL1) of 60 services is claimed in 2008-09. Tier two
provides a payment of $1,500 when the second qualifying service level (QSL2) of 140
services is claimed in 2008-09. The maximum payment any one GP can receive in one
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financial year is $2,500
including assistance with day-to-day living, intensive forms of care, and assistance towards
independent living, to frail and aged residents. Facilities are accredited by the Aged Care
Standards and Accreditation Agency Ltd to receive funding from the Australian Government
Registered nurses include persons with at least a three year training certificate and
nurses holding post graduate qualifications. Registered nurses must be registered with the
mental health, general nurse, intellectual disability nurse, midwife and psychiatric nurse.
ACKNOWLEDGEMENT
First and foremost, I would like to thank GOD Almighty; with his grease I could
Stockhausen, Head of School and Ms. Theresa Dawson, Administrative Officer of School of
30 Nursing, University of Ballarat for enrolling me into the program for the January 2010 batch.
I would like to thank Ms. Fiona O’Toole, Course Co-ordinator, for the continuous
I utilize this opportunity to thank Ms. Debbie Ware, unit co-ordinator, for the
I thank Mr. Marcus Hovey and Fiona Strauss, clinical teachers, who had given full
I would like to thank Department of Health and Ageing, Australian institute of health
and ageing, Australian Bureau of statistics and Australian Journal of Advanced Nursing, for
Last but not the least; I thank all my colleagues and friends, who helped me in
EXECUTIVE SUMMARY
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Australia is one of the leading countries with regards to life expectancy globally. Currently
(as on June 2009), Australia has 175225 RACF and 46,709 community packages are
functioning. This report is based on ACAI, BOHRC training, CVS and ACFI.
Key strengths are continuity of care, training for the trainers, posters, which are
excellent source of sound information, enhanced social support, and maximum utilizations of
time for caring elderly. Key weaknesses include restriction of care to residents of CFRACF,
less number of training centres for BOHRC, ensuring residents’ likes may not be possible in
all situations and who is assessing the ACFI. Key opportunities constituters, more AHP
30 services, clarify the duration of initiatives, more employment opportunities and use of these
as a tool for research and education. Key threats identified were restricted PIP payment, lack
multidisciplinary co-operation.
Major recommendations
These include more training for RNs in BOHRC and ACFI assessment. Encouraging
RN to be as an evaluator for programs and work as CV. PIP payments should be done
according to the services given by GP. Multidisciplinary team approach should be developed
If these recommendations are implemented, then Australia can expect the maximum
life expectancy of Australia and Australia will be ranking first in life expectancy rates
globally.
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1. INTRODUCTION
Australia is one of the longest life expectant countries in the world. The life
expectancy for male is 79 years, ranking second and in female it is 84 years, ranking third
from pyramid to coffin (Appendix 1) (15).Australia is increasing the life expectancy (Appendix
2) (1) by various initiatives. It is noted that 1 in 4 Australians will be over 65 years by 2056 (2).
In 2001 Australia had 2959 RACF in which 2938 were accredited (5). As on June 2009, there
are 175,225 RACF and 46,709 Community Places were functioning. For 2009 – 10 ACAR,
there are 8140 RACF and 4078 Community Places were available. The indicative places in
2010 – 2011 ACAR are 9076 RACF and 1298 Community Places (Appendix 3) (15).
Australian government is concerned about the care that elderly receives in the RACF
and made many initiatives and programs for them. This report is incorporating some of the
main initiatives and schemes that are available to elderly in RACF by Australian government.
1.2 PURPOSE
The source of this information is website of Department of Health and Ageing for the
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initiatives mentioned
opportunities cooperation
education on ACFI
2.1.1Key Strengths
(7)
Continuity of the care
(9)
Training for the trainers
(13)
Posters – a brief overview
community by CV.
elderly.
All the services are only for the residents of CFRACF. Others
2010.
These are a good tool for education and research in health care
rectified.
3. CONCLUSION
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To put everything into a nutshell, Australia had come up with lot of initiatives for
elderly residing in RACF. The continuity of care is maintained by ACAI (7). BOHRC training
started because government identifies that oral hygiene plays a vital role in overall health (14).
(9)
Loneliness was one of the social problems to be resolved. So the CVS was introduced.
Government found that maximum time was spent unnecessarily in justification of the funding
and to avoid that ACFI (11) was introduced. These all ensures a better continued care to elderly
in RACF. These are good tools for education also. Upon all these, the services were offered
only for residents of CFRACF (7). Lack of proper evaluation won’t rectify the weaknesses of
(7), (10), (11)
these initiatives . The restricted PIP payments will result in reduced number of
services to the elderly (7). If all the given recommendations are implemented, then Australia
can expect a better outcome from these initiatives and the ageing population will be healthy
and active. These all will ultimately increase the life expectancy of Australia and Australia
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4. RECOMMENDATINOS
Multidisciplinary team approach must have to be developed for all the programs.
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5. REFERENCES
http://www.abs.gov.au/ausstats/abs@.nsf/Products/8E024E559282AE30CA25767800
25ACAC?opendocument
2. Australian Bureau of Statistics. (2008). One in four Australians aged 65 years and
http://www.abs.gov.au/AUSSTATS/abs@.nsf/Latestproducts/3222.0Media
%20Release12006%20to%202101?
opendocument&tabname=Summary&prodno=3222.0&issue=2006%20to
%202101&num=&view=
http://www.aihw.gov.au/mortality/life_expectancy/compares.cfm
CA25748A00151576/$File/Visitors%20Handbook.pdf
http://www.health.gov.au/internet/main/publishing.nsf/Content/health-mediarel-
yr2001-dept-mr01001.htm
6. Department of Health and Ageing. (2010). Ageing. Retrieved on February 12, 2010,
from http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-
whatnew.htm
7. Department of Health and Ageing. (2009). Aged Care Access Initiative: Program
http://www.health.gov.au/internet/main/publishing.nsf/Content/723E83D6692EB806
CA2574720016170D/$File/2009-10ACAIGuidelines.pdf
8. Department of Health and Ageing. (2007). Aged Care funding Instrument (ACFI)
http://www.health.gov.au/internet/main/publishing.nsf/Content/13EC7996CBF4DE64
CA257380000A76F7/$File/Assessment%20pack.pdf
http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-rescare-cvs-
cvs.htm-copy2
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10. Department of Health and Ageing. (2010). Dental Health: Better Oral Health in
http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-betterpractice-
nursing-home-oral-dental-training.htm
11. Department of Health and Ageing .(2007). New Funding Model for Residential Aged
http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-acfi-
aboutacfi.htm
12. Department of Health and Ageing. (2010). New Funding Model for Residential Aged
Care: welcome to the Aged Care Funding Instrument. Retrieved on February 12,
2010, from
http://www.health.gov.au/internet/main/publishing.nsf/Content/New+Funding+Model
+for+Residential+Aged+Care-1
13. Department of Health and Ageing. (2008). Publications: Better Oral health in
http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-
better-oral-health.htm
14. Department of Health and Ageing. (2008). Publications: community visitors – Friends
for older people: information for visitors. Retrieved on February 12, 2010, from
http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-publicat-cvs-
cvsvisit-info-visitors.htm
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http://www.health.gov.au/internet/main/publishing.nsf/Content/876680D85445CB1F
CA2574F9007DD438/$File/Nat_Summary_rdacp_0910.pdf
http://www.pc.gov.au/speeches/?a=7659
6. APPENDICES
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6.4 Poster 1
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6.5 Poster 2
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