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CDC Models: Breaking up or breaking down?

CDC Models: Breaking up or breaking down?. Presented to: LASA Tri-State Conference Presented by: Mollie Sullivan, Verso Consulting Monday 24 February 2014. Pilots I have known…. Aged Care Assessment Teams 1980s Community Options/Linkages 1990s Hostel Options and CACPs1990

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CDC Models: Breaking up or breaking down?

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  1. CDC Models:Breaking up or breaking down? Presented to: LASA Tri-State Conference Presented by: Mollie Sullivan, Verso ConsultingMonday 24 February 2014

  2. Pilots I have known… • Aged Care Assessment Teams 1980s • Community Options/Linkages 1990s • Hostel Options and CACPs1990 • EACH and EACHD 2000s • CDC Packages 2010 .....

  3. Common care package models • Case management + in-house care (integrated teams or business unit silos) • Case management + brokerage • Case Management + mixed care model • Intake team and delivery team • Outreach from residential care team

  4. Case management (Challis) • Case finding (delegated to ACATs) • Assessment • Care planning • Care coordination • Monitoring • Case closure

  5. Major change elements of CDC • Greater consumer choice • Consumers in the drivers’ seat • Goal base cared planning • Transparent overheads and coordination costs

  6. CDC pilot models • Progressive or tiered model • Fixed admin fee with graded coordination fees, higher initially and lowered as consumer takes more responsibility • Capacity building/mentoring model • DIY optional model • Enhanced choice model

  7. What has stayed the same? “The relationship with the coordinator was particularly important and valued by participants.” (Evaluation of CDC initiative – Final Report, January 2012)

  8. “Core advice and management” • Case finding – suitability for CDC ☺ • Assessment – goal driven ☺ • Agreement & care plan/budget ☺ • Care implementation/coordination ? • Ongoing Monitoring and Reviews☺ • Transition support and ACAT referral☺ • Single point of contact ? HCP Program Guidelines, 2013 Part D – 3.1.5 p 31-32

  9. ISP facilitation model (Victoria) • Case finding and eligibility (DHS) • Goal setting ☺ • Support plan ☺ • Implement plan ☺ • Reviews – scheduled annually and responding to changes as needed

  10. ISP facilitation funding • Two Levels of facilitation complexity • Up to 5 hours • Up to10 hours • Completed in 3 months • Hourly rate $52.60/hour* * Victorian Dept Human Services, North Division ISP FAC/ND/2013

  11. 2012 ACAR CDC models • Status quo with consumer goals and increased choice (new brokerage) • National head office – customer service model with “road warrior” coordinators • Tiered model with increased focus on consumer/carer education • Others ?

  12. Future CDC models • Facilitation model as per ISPs • Customer service model • Case management “products” model • Billable hours model • Partnership model with MOU framework • Others ?

  13. Impacts for case managers.. • Practice and scope of role changes • New teamwork models • Competitive cost cutting • New training needs

  14. Verso’s response • Update of CM Survey conducted by Verso in 2004 to ascertain changes • “Positive CDC Practice” – Workshops targeted to Co-ordinators and Case Managers in HCPs Email: info@verso.com.au or call Mollie on 0407 093 355

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