Goulburn Valley and Lower Hume Primary Care Partnerships Aged Care Planning and Service Development Project Interim Report: Year 3 December 2014 Aged Care Planning and Service Development Project, Interim Report: Year 3, West Hume, Dec 2014 AUTHORS Kim Turner, Executive Officer, GVPCP Sandra Saxton, Executive Officer, LHPCP ACKNOWLEDGMENTS This project is funded by the Department of Health, Hume Region. Primary Care Partnership members acknowledge and respect the Aboriginal and Torres Straits Islander peoples and their culture, and values the cultural, religious, racial and linguistic diversity of local communities. TABLE OF CONTENTS INTRODUCTION ..........................................................................................................................3 1.1 Interim Progress Report: Year 3.......................................................................................... 3 1.2 Context…………..................................................................................................................... 3 METHODOLOGY ..........................................................................................................................3 2.1 Project Methodology ………...................................................................................................3 STRATEGIES.................................................................................................................................3 3.1 Strategies 2013-14………. ......................................................................................................3 PROGRESS TO DATE ....................................................................................................................4 4.1 Aged Care Planning Structures .............................................................................................4 4.1.1 Goulburn Valley Aged Care Planning Group......................................................................4 Figure 1: GV Aged Care Planning Group Strategic Priorities ......................................................4 4.1.2 Lower Hume Planning Structures ......................................................................................4 Table 1: Progress to date: remaining key themes ......................................................................5 4.2 Provider Access to Information ............................................................................................5 4.3 Consumer Access to Information ........................................................................................5 4.4 Service Coordination ............................................................................................................5 4.5 Workforce Capacity ..............................................................................................................6 PROJECT FOCUS 2014-15 ............................................................................................................7 5.1 Influencing Factors ...............................................................................................................7 5.2 Outline of Strategies, 2014-5 (Table 2) ................................................................................7 5.3 Project Work Plan 2014-15...................................................................................................8 5.4 Reports .................................................................................................................................8 CONCLUSION ..............................................................................................................................8 ACRONYMS .................................................................................................................................8 Page 2 of 8 Aged Care Planning and Service Development Project, Interim Report: Year 3, West Hume, Dec 2014 INTRODUCTION 1.1 Interim Progress Report: Year 3 This third interim report provides an update to the progress of the Hume Region Aged Care Planning and Service Development Project in West Hume, and outlines the focus of the project for the remaining 6 months. The report is designed to be read subsequent to the Preliminary Gap Analysis and Situation Report, Feb 20121 the Interim Report, Sept 20122, and the Interim Report, June 20133. 1.2 Context The Aged Care Planning and Service Development Project commenced in April 2011, as a 12 month project. Due to the active engagement demonstrated by service providers, the Department of Health, Hume Region, have twice committed additional resources to extend the project. In West Hume, the project coordinator position was vacant for the majority of the financial year 2013/14 and the funding was carried over into 2014/15 financial year. Two part-time coordinators were appointed in November 2014; 1 coordinator within each Primary Care Partnership (PCP). The aim of the project is to facilitate and manage the desired outcomes of Recommendations 1 and 2 of the Hume Integrated Aged Care Plan (HIACP), 2010-154, through a partnership management approach. The objective of the project is to establish a sustainable platform of communication and engagement with relevant stakeholders, at a sub-regional (Primary Care Partnership catchment) level, to achieve outcomes in line with Recommendations 1 and 2 of the HIACP5. METHODOLOGY 2.1 Project Methodology The project is in Stage 6 of the methodology; implementation. A report on progress to date is outlined in Section 4, and an outline of the strategies to be implemented in the next 6 months is given in Section 5.2. In addition, the project is preparing to move to Stage 7 of the methodology; evaluation. STRATEGIES 3.1 Strategies 2013-14 Proposed strategies were developed in early 20126, then reviewed and refined in Sept 20127. A further strategic direction review was undertaken in Goulburn Valley PCP in February 2014. The strategies incorporated the following key themes8; Aged care planning structures Provider access to information Consumer access to information Service coordination Workforce capacity 1 Preliminary Gap Analysis and Situation Report, February 2012 - REPORT 2012 Interim Report, Sept 2012 - Int. Report 2012 3 Interim report, June 2013 – Int. Report 2013 4 Hume Integrated Aged Care Plan (HIACP), 2010-15 - HIACP 5 HIACP 5 Key Recommendations - Recommendations 6 Preliminary Gap Analysis and Situation Report, February 2012 - REPORT 2012 7 Interim Report, Sept 2012 - Int. Report 2012 8 Interim Report, Sept 2012: Pages 9,10 - Int. Report 2012 2 Page 3 of 8 Aged Care Planning and Service Development Project, Interim Report: Year 3, West Hume, Dec 2014 PROGRESS TO DATE IN WEST HUME (June 2013 – Dec 2014) 4.1 Aged care planning structures – The development of collaborative planning structures at a sub-regional level, tailored to the needs of agencies within each PCP catchment area is a key deliverable of the project. The planning structures are the foundation to the achievement of all 5 key recommendations of the HIACP9 and were established within both PCPs in 2012/13. The relationship of the West Hume planning structures to the overall Hume region structures is consistent with the intent of the HIACP. 4.1.1 Goulburn Valley Aged Care Planning Group The Goulburn Valley Aged Care Planning Group was set up in October 2012 and has now met 7 times. The aim of the group is to provide a forum for all aged care agencies within the GVPCP catchment area, to facilitate collaborative planning and working. 25 local agencies are members of the group. In February 2014, the group undertook a strategic planning review and identified 4 strategic priority areas of work and potential projects for the group to consider (Figure 1). Figure 1: GV Aged Care Planning Group Strategic Priorities 2014-17 4.1.2 Lower Hume Planning Structure In Lower Hume, their unique situation of small rural agencies providing a wide range of health and community services, where the same personnel undertake multiple roles, means that a single group (the Service Development Collaborative (SDC)), works to progress the key deliverables of the Lower Hume PCP Strategic Plan10, including deliverables related to the HIACP. 9 Hume Integrated Aged Care Plan (HIACP), 2010-15 - HIACP LHPCP Strategic Plan 2013-17 – available direct from LHPCP Office 10 Page 4 of 8 Aged Care Planning and Service Development Project, Interim Report: Year 3, West Hume, Dec 2014 Table 1: Progress to date in West Hume - remaining key themes Key Themes 4.2 Provider access to information Strategy Maintain communication links with agencies to keep them up to date with project progress, local initiatives and national reforms Progress to date GVPCP – issues related to aged care are communicated via GVPCP website (dedicated aged care page), GVPCP members’ newsletter (twice yearly), GV Multi-Agency Network meetings and e-newsletter (4 per year) and GV Aged Care Planning Group LHPCP – issues related to aged care are communicated via monthly Leadership Team and SDC meetings, Murrindindi Planning Group and education forums. Good communication links with LHPCP agencies resulted in a successful bid for regional funding for a localised project – ‘Breaking Down the Barriers’, a social connections project involving community choirs On 29 May 2014, due to successful lobbying by West Hume PCPs, a Commonwealth Roadshow re aged care reforms was held in Shepparton (104 attendees) Agency feedback to Commonwealth re discussion paper on Home Support Program – both PCPs supported agencies to provide feedback via HACC Industry Consultant / PCP response paper GVPCP - In July 2014, the GV Aged Care Planning Group identified consumer education (re: changes to aged care) as a key local project arising from identified strategic priorities and requested project coordinator to collaborate with local services to deliver a number of consumer information forums across the catchment. These forums are currently in the planning stage and are due to be delivered in early 2015. LHPCP – discussions in progress re delivering consumer information forums in their catchment ACP&SD Coordinators working in collaboration with Hume Integrated Aged Care Team and other PCP staff to achieve common deliverables and support agencies GVPCP - bid submitted under the Commonwealth Department of Social Services Aged Care Service Improvements and Healthy Ageing Grants Program for a shared care plan project. The outcome of the bid is due to be announced in December 2014. NHSD/HSD actively promoted to agencies and discussed at relevant meetings Online service coordination learning module promoted to agencies in both PCPs Service coordination, secure messaging, SCTT and HSD incorporated into PCP strategic plans 4.3 Consumer access to information 4.4 Service coordination Consult with service providers to deliver a program of consumer information forums re changes to aged care Promote the sharing of relevant client health and care information via secure electronic systems Promote NHSD/HSD and support agencies to use and update as a primary information resource tool Promote the use of SCTT 2012 Continued overleaf Page 5 of 8 Aged Care Planning and Service Development Project, Interim Report: Year 3, West Hume, Dec 2014 4.5 Workforce capacity Work collaboratively with agencies to implement HACC Interagency Protocols Each PCP to hold/participate in at least one sub regional aged care forum per annum ACP&SD Coordinators working in collaboration with HACC agencies to adapt & adopt protocols (completion date April 2015) GVPCP – o Aged Care Showcase 12 Nov 2013 in partnership with University of Melbourne. 35 attendees. o Bid submitted under the Commonwealth Department of Social Services Aged Care Service Improvements and Healthy Ageing Grants Program to deliver a ‘customer service’ program to aged care workers (1000 staff) across the catchment. The outcome of the bid is due to be announced in December 2014. LHPCP – o Aged Care Showcase Oct 2013 - Service providers involved in planning and delivery. o Community Aged Care forum 29 July 2014. Service providers involved in planning and delivery. 44 attendees from 12 agencies. Page 6 of 8 Aged Care Planning and Service Development Project, Interim Report: Year 3, West Hume, Dec 2014 PROJECT FOCUS 2014-15 (West Hume) 5.1 Influencing Factors Whilst the project continues to focus primarily on recommendations 1 and 2 of the HIACP, two key factors influence the focus and direction of this project; On-going implementation of the Federal Government’s aged care and HACC reforms Capacity of PCPs to maintain the aged care priority as part of the PCP program logic in West Hume after June 2015 5.2 Outline of Strategies 2014-15 (Table 2) Key Themes Aged care planning structures Provider access to information Consumer access to information Service coordination Workforce capacity Strategy Maintain planning structures Maintain communication links with agencies to keep them up to date with project progress, local initiatives and national reforms In partnership with service providers, deliver a program of consumer information forums re changes to aged care Continue to promote and support best practice and key State/Regional/PCP deliverables Support implementation of Balanced Scorecard in Hume region Each PCP to hold/participate in at least one sub regional aged care forum per annum Rationale Support collaborative work in achieving the agreed local action plans and addressing National, State, Regional and local priorities Access to information enables meaningful communication and facilitates planning Better informed consumers will have a greater awareness of their needs and services available to them Supports an integrated approach to the roll out of current and new policies and guidelines Deliver and evaluate consumer forums Develop proposal for continued progress of action plans post project Implement strategies and reporting mechanisms within each PCP in line with agreed action plans, in collaboration with other PCP staff and HACC team Develop proposal for continued progress of action plans post project GVPCP – 3rd forum planned for March 2015, in partnership with University of Melbourne LHPCP – 4th forum to be confirmed Promote sharing of information and/or good practice. Page 7 of 8 Actions Implement strategies and reporting mechanisms within each PCP in line with agreed action plans Develop proposal for sustainability of planning structures post project Implement communications plan as agreed Aged Care Planning and Service Development Project, Interim Report: Year 3, West Hume, Dec 2014 5.3 Project Work Plan 2014-15 The Aged Care Planning and Service Development Project is in the implementation stage and preparing for the evaluation stage. Despite the fact that the Project Coordinator position was vacant for a substantial amount of time during the past 18 months, the proposed strategies from the Interim Report, June 2013, were initiated and a number of the localised strategies were maintained in conjunction with the work plans of other PCP staff. The coordinator role has now been filled in each PCP and each project work plan is under review, taking into account the issues of capacity and sustainability post project. The newly appointed project coordinators will collaborate to ensure consistency of approach and strategies, whilst implementing actions responding to local agency direction and need. 5.4 Reports Project reports have been scheduled in line with each PCP communications plan as follows; PCP executive/leadership groups – monthly Hume Integrated Aged Care Collaborative – quarterly Project Information Sheets (for service providers – GVPCP) – quarterly Project updates to Service Development Collaborative (LHPCP) monthy All reports are available directly from LHPCP (website from Jan 2015) and from GVPCP website CONCLUSION The Aged Care Planning and Service Development Project has been maintained through the implementation stage, in spite of significant workforce challenges within the PCPs. Sub-regional planning structures are embedded in each PCP. Action plans for the next 6 months, and subsequent 2 years, are under review within each PCP and will form the basis of discussions and planning of local initiatives. The strategies and actions already implemented are consistent with the PCP regional strategic priority area of aged care, and the domains of; Quality, Health Literacy, Workforce Capacity and Client Journey. The extended vacancy of the project coordinator position during year 3, has highlighted the need for a ‘driver’ to link agencies and initiatives, maintaining momentum with objectives and action plans. The focus for the remaining 6 months of the project will be on inter-agency protocols/service coordination, consumer education and sustainability post project. ACRONYMS Full Name Aged Care Collaborative Aged Care Planning and Service Development Department of Health Goulburn Valley Primary Care Partnership Home and Community Care Hume Integrated Aged Care Plan Human Services Directory Lower Hume Primary Care Partnership Primary Care Partnership Service Coordination Tool Template Service Development Collaborative (LHPCP) Acronym ACC ACP&SD DoH GVPCP HACC HIACP HSD LHPCP PCP SCTT SDC Page 8 of 8
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