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REPORT

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

Ms. Debbie Ware

Unit Co-ordinator, HCGEN 1111, Health Care in Australia

Dear Ms. Debbie Ware

I hereby submit the final version of the REPORT ON IMPROVING THE

HEALTH AND WELL BEING OF ELDERLY IN THE RESIDENTIAL AGED CARE

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

regards to Elderly in Residential Aged Care Facility and to make appropriate

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.
30
Fiona O’ Toole who has given me an opportunity to work on this report.

Thanking You

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

Yours sincerely

Libin Palluppettayil Jose

Re Entry student, January 2010 Intake.

TITLE PAGE

PURPOSE OF THE REOPRT

 Analysing the above mentioned initiatives

 Outline the key strengths

 Describe the key weaknesses

 Identify the key opportunities

 Figuring out the key threats

 Formulate the possible recommendations for future action.

SUBMITTED TO

Ms. Debbie Ware,


30

Unit co-ordinator

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

HCGEN 1111, Health care in Australia

PREPARED BY

Libin Palluppettayil Jose

ID No. 30084198

Re Entry Student, January Intake.

PRESENTED ON

February 15, 2010

TABLE OF CONTENTS
Serial Page

Number Content number


i. Abbreviations used in this report 6
ii. Glossary of terms 7 – 11
iii. Acknowledgement 12
iv. Executive summary 13 – 14
1. Introduction 15 – 16
30
1.1 Need for the imitative.

1.2 Purposes
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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

1.3 Initiatives analysed

1.4 Source of information


2. Overview/impact of initiations 17 – 21

2.1 SWOT analysis

2.2 Analysis of the findings

2.2.1 Key Strengths

2.2.2 Key Weaknesses

2.2.3 Key Opportunities

2.2.4 Key Threats


3. Conclusion 22
4. Recommendations 23
5. References 24 – 26
6. Appendices 27 – 31

6.1 Pyramid to Coffin

6.2 Life expectancy of Australians

6.3 Summary of places 2009 -2011:


30

National Summary

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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

6.4 Poster 1

6.5 Poster 2

ABBREVATIONS USED IN THIS REPORT


A

ACAI - Aged Care Access Initiative

ACAR - Aged Care Approvals Round

ACFI - Aged Care Funding Instrument

AHP - Allied Health Professionals

BOHRC - Better Oral Health in Residential Care

CVS - Community Visitor Scheme

CV - Community Visitor

CFRACF - Commonwealth Funded Residential Aged Care Facility

GP - General Practitioner

PIP - Practice Incentive Program

30 QSL - Qualifying Service Level

RACF - Residential Aged Care Facility

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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

RN - Registered Nurse, Registered Nurse Division 1 in Victoria

SBO - State Based Organisation

GLOSSARY OF TERMS USED

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.

Aged Care Access Initiative

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

residents through a GP incentive payment to encourage GPs to provide increased and

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

30 are not covered by Medicare or other government funding arrangements

Aged Care Approvals Round

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REPORT ON IMPROVING THE HEALTH AND WELL BEING
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HCGEN 1111 : HEALTH CARE IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE
ID NUMBER: 30084198

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

Australian Government funded aged care places and grants.

Aged Care Funding Instrument

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
30
domains: Activities of daily living (ADLs), Behaviour, Complex Health Care.

Allied Health Professionals

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ID NUMBER: 30084198

For the purpose of the ACAI, an allied health service may include services provided by:

Aboriginal Health Workers, Aboriginal Mental Health Workers, Audiologists, Chiropodists,

Chiropractors, Counsellors, Diabetes Educators Dieticians/nutritionists, Dental/Oral

Hygienists, Diversional Therapists, Exercise Physiologists, Occupational Therapists,

Orthoptists, Orthotists/Prosthetists, Osteopaths, Physiotherapists, Podiatrists,

Psychologists, Radiographers, Registered Nurses, with specialist roles, Social Workers,

Speech Pathologists

Better Oral Health in Residential Care

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

training is not a replacement for professional dentistry services.

Community Visitor Scheme

The Community Visitors Scheme (CVS) is a national program that provides


30
companionship to socially isolated people living in Australian Government-funded aged care

homes. The Community Visitors Scheme arranges community volunteers to visit selected

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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

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

of life could be improved by the companionship of a regular community visitor can be

referred to the Community Visitors Scheme. The CVS also helps to establish links between

people living in aged care homes and their local community

Community Visitor

A community visitor is a volunteer who is matched with a resident of an aged care home, and

visits them regularly.

Commonwealth Funded Residential Aged Care Facility

A Residential Aged Care Facility which is funded by commonwealth

government of Australia.

General Practitioner

A physician whose practice consists of providing ongoing care covering a variety of

medical problems in patients of all ages, often including referral to appropriate specialists.

Also called family doctor.


30
P

Practice Incentive Program

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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

Practice Incentives Program (PIP) was developed to provide incentives that encourage

general practices to improve the quality of care provided to patients. Administered by

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),

Teaching, Rural loading, Cervical Screening Incentive, Asthma Incentive, Diabetes

Incentive, Procedural GP Payment, Domestic Violence Incentive, Aged Care Access

Incentive, eHealth Incentive

Qualifying Service Level

According to Aged Care Access Initiatives, there are two payment levels under the

GP component. Payments will be calculated by Medicare Australia based on the number of

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

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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

Residential Aged Care Facility

A special-purpose facility which provides accommodation and other types of support,

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

through residential aged care subsidies.

Registered Nurse, Registered Nurse Division 1 in Victoria

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

state/territory registration board. This is a comprehensive category and includes community

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

finish my assignment under the given circumstances without any trouble.

It is a great pleasure for me to express my sincere thanks to Dr.(Prof.) Lynette

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.

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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

I would like to thank Ms. Fiona O’Toole, Course Co-ordinator, for the continuous

support given to me in till the final touch up of this assignment.

I utilize this opportunity to thank Ms. Debbie Ware, unit co-ordinator, for the

guidance provided for the completion of this assignment.

I thank Mr. Marcus Hovey and Fiona Strauss, clinical teachers, who had given full

support for me throughout this assignment.

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

the provision of materials in the internet.

I thank my mother, who supported me throughout in this course.

Last but not the least; I thank all my colleagues and friends, who helped me in

completing this report.

EXECUTIVE SUMMARY

30

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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

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.

Purposes of the Report

 Analysing the above mentioned initiatives

 Outline the key strengths

 Describe the key weaknesses

 Identify the key opportunities

 Figuring out the key threats

 Formulate the possible recommendations for future action.

Findings of the report

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

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REPORT ON IMPROVING THE HEALTH AND WELL BEING
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HCGEN 1111 : HEALTH CARE IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE
ID NUMBER: 30084198

of information regarding evaluation methodology and duration of ACFI and lack of

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

for all initiatives. There should be no bias in provision of care.

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.

30

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

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

globally. Australian Productivity commission found that demographic destiny is moving

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).

1.1 NEED FOR THE INITIATIVES

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

30  Analysing the above mentioned initiatives

 Outline the key strengths

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ID NUMBER: 30084198

 Describe the key weaknesses

 Identify the key opportunities

 Figuring out the key threats

 Formulate the possible recommendations for future action.

1.3 INITIATIVES ANALYSED

 Aged Care Access Initiative (ACAI) (7).

 Better Oral Health in Residential Aged Care (BOHRC) training (10).

 Community Visitors Scheme (CVS) (9), and

 Aged Care Funding Instrument (ACFI) (11).

1.4 SOURCE OF INFORMATINON

The source of this information is website of Department of Health and Ageing for the

initiatives ie. www.health.gov.au . So the source is a relevant one.

30

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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

2. OUTCOME / IMPACT OF INITIATIVES

2.1 SWOT ANALYSIS

Key Strengths Key Weaknesses

 Continuity of the care  Restriction of the services

 Training for the trainers  Less number of training centres

 Posters – a brief overview for BOHRC

 Enhanced social support  Ensuring residents likes may not

 Maximum time for caring the be practical always

elderly  ACFI assessor ??????????


Key Opportunities Key Threats

 More AHP services  Restricted PIP payment


30
 Clarity in the duration of  Evaluation methodology not

initiatives mentioned

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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

 More employment  Lack of multidisciplinary

opportunities cooperation

 Tool for research and  Lack of duration information

education on ACFI

2.2 ANALYSIS OF FINDINGS

2.1.1Key Strengths

(7)
 Continuity of the care

ACAI, with its two components ensures that the maximum

continuity of the care for the residents of RACF.

(9)
 Training for the trainers

The BOHRC training started in December 2009 and is

continuing throughout 2010 to train the trainers of RACF.

(13)
 Posters – a brief overview

The posters are explaining all about BOHRC.(Appendix 4&5)

 Enhanced social support (14)


30

Under CVS, residents of RACF are linked to the wider

community by CV.

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 Maximum time for caring the elderly (12)

ACFI ensures that no time is spent on funding justification and

thus maximum utilization of time in provision of care to the

elderly.

2.1.2 Key Weakness

 Restriction of the services (7)

All the services are only for the residents of CFRACF. Others

actually have to pay for the services.

 Less number of training centres for BOHRC (10)

Less training centre means less trained trainers, ultimately

resulting in fewer outcomes.

 Ensuring residents likes may not be practical always (4)

Residents may change their like frequently or if the co-

ordinator failed to monitor the like properly, residents won’t


30
get the CV with same likes and hobbies.

 ACFI assessor (12) ??????????

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No clear cut information on the ACFI assessor.

2.1.3 Key Opportunities

 More AHP services (7)

The AHP services are purchased by SBO, so that the maximum

clinical services are ensured for the elderly. ACAI clearly

mentioned about the AHP to provide care. This makes more

opportunities for AHP.

 Clarity in the duration of initiatives (7),(10),(11)


30

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REPORT ON IMPROVING THE HEALTH AND WELL BEING
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ACAI will work for 4 years, BOHRC training will be

throughout 2010 and ACFI will be reviewed after 12th March

2010.

 More employment opportunities (7),(10),(11)

With all these initiatives the employment opportunities for

AHP will increase.

 Tool for research and education

These are a good tool for education and research in health care

system and related studies.

2.1.4 Key Threats

 Restricted PIP payment(7)


30
The restricted 2 tier payment of $2500 will result in lessened

services by individual GP to 200 elderly only.

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REPORT ON IMPROVING THE HEALTH AND WELL BEING
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ID NUMBER: 30084198

 Evaluation methodology not mentioned (7),(10),(11)

Other than ACFI, no programmes are having a good evaluation

or review methodology, so that the weaknesses will never be

rectified.

 Lack of multidisciplinary cooperation (7),(10),(11)

These initiatives failed in ensuring a multidisciplinary approach

which is a part of success of the program.

 Lack of duration information on ACFI (11)

The duration of ACFI is not mentioned, so that the next

government can change or avoid it.

3. CONCLUSION
30

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

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REPORT ON IMPROVING THE HEALTH AND WELL BEING
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ID NUMBER: 30084198

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

will be ranking first in life expectancy rates globally.

30

4. RECOMMENDATINOS

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REPORT ON IMPROVING THE HEALTH AND WELL BEING
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ID NUMBER: 30084198

 More RNs have to be trained on BOHRC.

 RNs have to be encouraged to work as CV.

 RN can be trained in assessing the ACFI.

 PIP payments should be according to the services GPs offered. It shouldn’t be

restricted to the maximum number of QSL.

 RNs have to be given the role of evaluator of the programs.

 Multidisciplinary team approach must have to be developed for all the programs.

 No services should be restricted to the residents of CFRACF. It should be open to all.

30

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REPORT ON IMPROVING THE HEALTH AND WELL BEING
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ID NUMBER: 30084198

5. REFERENCES

1. Australian Bureau of Statistics. (2009). Life Expectancy at Birth. Retrieved on

February 12, 2010, from

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

over by 2056:ABS, Retrieved on February 12, 2010, from

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=

3. Australian Institute of Health and Welfare. (2007). How Australia compares.

Retrieved on February 12, 2010, from

http://www.aihw.gov.au/mortality/life_expectancy/compares.cfm

4. Commonwealth of Australia.(2007). Community Visitors Scheme: Visitors Hand

Book. Retrieved on February 12, 2010, from


30
http://www.health.gov.au/internet/main/publishing.nsf/Content/E41451E68D352CFA

CA25748A00151576/$File/Visitors%20Handbook.pdf

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

5. Department of Health and Ageing.(2001). Accreditation of residential aged care

moves to new phase, Retrieved on February 12, 2010, from

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

Guidelines. Retrieved on February 01, 2010, from

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)

Assessment Pack. Retrieved on February 12, 2010, from

http://www.health.gov.au/internet/main/publishing.nsf/Content/13EC7996CBF4DE64

CA257380000A76F7/$File/Assessment%20pack.pdf

9. Department of Health and Ageing. (2008). Community Visitors Scheme. Retrieved on

February 12, 2010, from

http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-rescare-cvs-

cvs.htm-copy2
30

10. Department of Health and Ageing. (2010). Dental Health: Better Oral Health in

Residential Care training. Retrieved on February 12, 2010, from

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

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

Care. Retrieved on February 12, 2010, from

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

Residential Care. Retrieved on February 12, 2010, from

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
30

15. Department of Health and Ageing. (2009). Summary of places 2009-2011:National

summary, Retrieved on February 12, 2010, from

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

http://www.health.gov.au/internet/main/publishing.nsf/Content/876680D85445CB1F

CA2574F9007DD438/$File/Nat_Summary_rdacp_0910.pdf

16. Gary Banks.(2005). Policy Implications of an ageing Australia: an illustrated guide.

Productivity commission. Retrieved on February 12, 2010, from

http://www.pc.gov.au/speeches/?a=7659

17. Johnstone. M. J, Kaintsaki. O (2009). Population ageing and the politics of

demographic alarmism: implications for the nursing profession. Australian Journal of

Advanced Nursing, 26(3), 86 – 92.

6. APPENDICES

6.1 Pyramid to Coffin

30

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

6.2 Life expectancy of Australians

6.3 Summary of Places 2009 – 2011: National Summary

30

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

30

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

6.4 Poster 1

30

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

30

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

6.5 Poster 2

30

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

30

SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

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