more than hospital at home
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More Than Hospital At Home
David Meldrum, CEO Advanced Community Care Association
ACCA Package Delivery Jul 2004 - Sep 2006
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Referral Conditions
Cardiovascular
Gastrointestinal
Gynaecological
Musculo-skeletal
Natal
Neuro / Psych
Other
Renal
Respiratory
Substance dependancy
Systemic
GPs 7.2%
Other 9.1%
Aged Care Facilities 21.3%
Metropolitan Public Hospitals 62.4%
Referrers
Aged care referral growth 2003 -2006
0
100
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600
4th
Qtr 03-
04
1st Q
tr 04
-05
2nd Q
tr 04
-05
3rd Q
tr 04
-05
4th
Qtr 04-
05
1st Q
tr 05
-06
2nd Q
tr 05
-06
3rd Q
tr 05
-06
4th
Qtr 05-
06
0
20
40
60
80
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180
episodes
ACF's
SA Service Providers “Infinite Workforce”
Service TypeService Type No. of Providers No. of Providers July 2006July 2006
Nursing 8
Personal Care 20
Equipment 8
Home Support 20
Respite 27
Transition and other exit points
4
Accommodation 19
Allied Health 50
Mental health specific 6
Aged care specific 12
Ethno- specific 5
Meals and meal preparation 10
Other service types – incl transport, support groups,local government
100
DateTotal
ReferralsTotal Calls
Average No. of Calls Per Referral
Average Talk Time Per Referral
Jan 2004 77 1242 16.13 0:47:16
July 2004 177 3335 18.14 0:49:51
July 2005 725 6147 8.48 0:14:56
July 2006 1073 6862 6.39 0:15:58
ACCA Contact Centre Growth in Activity
* July 2006 time taken to accept referral 3.09 mins
Single Entry Point (SEP) and Infinite Workforce Model
SEP
Assessment(complex cases
only)
Service delivery
Accountability to all usersReferrers
Funders -reportingProviders -feedback (+ payment)Referrers - service feedback
Development PromotionProjects
Feed
back
100’s of quality providers“Infinite Workforce”Web based access to data base
Access - phone, fax or web-based 1st call Assessment & Resolution Services arrangedReal time data entry
To make a serious impact on hospital activity
Referrers know how to use your system
IT connects all the key players
Minimum eligibility criteria – get underway
Minimal additional assessment -get underway
An infinite workforce
Linkages to on-going care – CDM, long term community care
Topping up existing services and systems
Member
Referrer
Phone Calls
ReferralForms
Faxes
Assessment
PrioritisingArrange Services
Deliver Services
X XXX
X
ACCA Package Delivery Jul 2004 - Sep 2006
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200
400
600
800
1000
1200
1400
1600
1800
David MeldrumDavid Meldrum
0400 443 0110400 443 011
david.meldrum@nexusonline.com.audavid.meldrum@nexusonline.com.au
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