National Advocacy

Update

Facts, Figures and Fatigue• 28 papers or submissions• 24 press releases• 9 meetings with Ministers• 5 meetings with opposition• 32 senators and members of parliament• 2 Aged care sector committee meetings• 48 flights, 11,000 km and 6 bad hotels• 240 stakeholder meetings• This is just my diary….

1 July – 11 days away

• 19 pieces of legislation have been reviewed

and commented on• Packages of final version to flow in about 7

days (1 week before it starts!)• Issues still abound for consultation• Fees and payments principles had 5 days

including a weekend to respond!

1. Subsidy Principles 20142. Use Rights Principles 1997 (amended)3. Aged Care (transitional Provisions) Principles 20144. Fees and Payments Principles 20145. Grant Principles 20146. Quality Agency Principles 20147. Quality Agency Reporting Principles 20148. Accountability Principles 1998 (amended)9. Allocation Principles 1997 (amended)10. Approval of Care Recipients Principles 1997 (amended)11. Approved Provider Principles 1997 (amended)12. Certification Principles 1997 (amended)13. Classification Principles 1997 (amended)14. Complaints Principles 2011 (amended)15. Extra Services Principles 1997 (amended)16. Information Principles 1997 (amended)17. Quality of Care Principles 1997 (amended)18. Records Principles 1997 (amended)19. Sanctions Principles 1997 (amended)

Summary of changes

• Gateway and call centre• Service information• Calculator for fees and charges• Pricing published – still some issues• General information

Summary of changes

• Financial changes – Home care• Income testing for home care• Performed by DHS within 14 days• Fee collecting is ‘voluntary’ (!)• Funding reduced in line with means• Debt collection issues to follow

Summary of changes

• Financial changes – residential care• Means testing includes income and

assets• Performed by DHS within 14 days• Funding reduced in line with means• Debt collection issues to follow

Summary of changes

• Accommodation payments – residential• Change to RADs and DAPs• Prices published application >$550K• Significant refurbishment • Removal of high and low distinction

Summary of changes

• Quality agency will take over responsibility

for quality reporting in home care and

community

1 July

• Diligence on the details• Context for your organisation• Get to the roadshow armed with questions• Webinar for those not near a roadshow• When in doubt ask• Beth and team can assist• Watch out for alerts and bulletins

Home Care Payments

• New payment system – major issues• Non payment firstly• Paid, but un-reconciled transactions• Resubmissions on ‘lost’ claims (1 in 3)• Overpayment and underpayment• Cash flow impossible to predict• 8 months of uncertainty

WORKFORCE

• Workforce supplement returned • CAP removed, rolled in base subsidy

• $653 million removed through payroll

supplemento Strong federal advocacyo Strong state advocacy

• Approach and advocacy

WORKFORCE

• Workforce development audit• Report delivered end of year• LASA on the review committee• Practical solutions to staff demand• Meet needs of growing market

Dementia Supplement

• Originally estimated 2000 client with

severe behaviours• ‘Expert panel’ set up tool and forecast• March 25,451 people had received it• Budget blown out 12 fold• 8,896 claims first month – problem?• Intimated providers ‘gaming’ system

Dementia Supplement

• Clear Govt will act to constrain• 5 year forward budget already blown!• What are the options?• Block funding of specialist facilities• Increase assessment barriers to entry• Stop the supplement (!)

Input opportunities

• Key Directions for the Commonwealth

Home Support Discussion Paper• Red Tape reduction paper to follow • LASA Policies development • Workforce development audit• Decision assist – Palliative Care• RedUse Project – antipsychotic use• CDC project with COTA

Input opportunities

• LASA Advisory Groups• Housing and retirement• Rural, remote & additional needs• Home Care• Residential Care• Workplace relations

Start planning your business-holiday to Adelaide today!

Questions?

• Only a simple CEO not the brains go easy• Nigel Murray here later, go hard then!• Plenary at 3:10pm