NSW HealthHome and Community Care (HACC)Minimum Data Set (MDS) V2Train the Trainer Workshop John Hallett Demand & Performance Evaluation Branch Stefanie Williams Primary Health & Community Partnerships Branch
HACC MDS v2 – Overview of the day For the Workshop today you have been provided with: • Orientation Work Book • Workshop CD
Learning Outcomes for Trainers On completion of the NSW Health HACC MDS v2 Train the Trainer Workshop participants will: • understand the reporting categories and elements of the NSW Health HACC MDS v2; and • be able to lead a training workshop for AHS staff on the NSW Health HACC MDS v2.
Learning Outcomes On completion of the NSW Health HACC MDS v2 training workshops participants will: • understand the reporting categories and elements of the NSW Health HACC MDS v2; and • be able to work through examples of typical situations encountered in providing HACC services.
What is the HACC Program? • The HACC Program is a joint Commonwealth/State initiative providing community care services for: • frail older people; • young people with disability; and • their carers. • HACC services support clients whose capacity for independent living is at risk or who are at risk of premature or inappropriate admission to long term residential care.
What is the HACC Program? • State/Territory governments are responsible for the day-to-day administration of the HACC Program. • The lead agency within NSW is the Department of Ageing, Disability and Home Care. • The NSW Department of Health is a joint administrator responsible for AHS and AHS-brokered (NGO) HACC-funded services.
What is the HACC Program? • Services provided by HACC include domestic assistance, social support, community nursing, community allied health, personal care, centre-based day care, meals, other food services, respite care, case management, home maintenance and modification, formal linen service, community transport and counselling/support, information and advocacy (for clients and carers). • The main HACC services provided by NSW Health are community nursing, community allied health and centre based day care.
What is the NSW Health HACC MDS v2? The NSW Health HACC MDS v2: • is a standardised and nationally-consistent data collection about the characteristics of and the HACC-funded services provided to HACC-eligible clients and/or their carers; and • facilitates consistency and comparability between HACC and other aged, community care and health data collections.
What is the NSW Health HACC MDS v2? The NSW Health HACC MDSv2: • includes HACC National MDS v2 data elements; • includes NSW (DADHC) HACC MDS v2 data elements; and • is integrated with other relevant NSW Health data collections.
Why collect the NSW Health HACC MDS v2? • HACC funding is provided for the provision ofservice outputsby specific service types within specific geographic regions or for specific projects. • Collection and reporting of NSW Health HACC MDS v2 is a condition of Commonwealth funding (approximately 60% of all HACC funding). • Financial penalties may be imposed for reporting non-compliance and/or for poor data quality.
Why collect the NSW Health HACC MDS v2? HACC MDS data is also essential for: • DoH, AHS and Service Managers: • strategic planning, allocation of funding and service enhancements • performance monitoring against agreed outputs • facilitation of improvements in HACC-funded service delivery and community health services • HACC service providers: • provision of high quality service to their clients • performance monitoring against agreed outputs • providing feedback on HACC regional planning
Summary of Changes – NSW Health HACC MDS v2 Please refer to your NSW Health HACC MDS v2 Orientation Workbook - pages 10 to 16 - for more detailed information
Summary of Changes – NSW Health HACC MDS v2 Reporting frequency Agencies Monthly NSW DoH AHS Monthly Quarterly DADHC Quarterly DoHA
Summary of Changes – NSW Health HACC MDS v2 Benefits of monthly reporting • Provides increased opportunities for the identification of issues in relation to: • reporting compliance • data completeness • data quality • Provides greater opportunities and improved timeliness in the rectification of any issues identified. • Is consistent with other NSW Health data collections (eg. DoHRS and CHOCIP).
Who needs to collect the NSW Health HACC MDS v2? • HACC Program funding is provided forservice outputsby specific service types within specific geographical regions or by specific projects. • Funding isnotprovided for individual service provider positions.
Who needs to collect the NSW Health HACC MDS v2? • All persons(staff and volunteers) who provide HACC services are required to collect the NSW Health HACC MDS.
Concepts and Data elements HACC MDS reporting categories: • Agency • Client • Carer • Service Episode • Service Event • Goods and equipment • Functional assessment
HACC Establishment (Agency) • A HACC Establishment Identifier (Agency Code) will be issued to eachunique teamproviding one or more HACC-funded service types within the specified geographical regions (or projects).
HACC Establishment (Agency) • A unique teamis a team of one or more persons operating as a single unit. • Aunique teammay be uni-disciplinary or multi-disciplinary. • Aunique teamwill generally be based at a single facility (eg. a CHC, MPS or CDC) and provide services within the local region, although some may provide cluster/sector or AHS-wide services.
HACC Establishment (Agency) • All HACC MDS data will be reported by the Agency against this HACC Agency Code. • Examples of a HACC Agency Code: • 11G5338 • 11L5168 • 12B8515 • 13B5239 • 13D5317
HACC Establishment (Agency) • On occasion a HACC-funded agency may contract out or broker the assistance required by their clients to other agencies (HACC or non-HACC funded). • The HACC agencypayingfor the assistance to clients is responsible for that assistance and is required to report NSW Health HACC MDS data for those clients.
HACC Client Only those persons aged 65 years of age and over are HACC-eligible. WRONG!
HACC Client Any person who: • lives in the Australian community; and • has difficulty in performing every-day tasks (eg. dressing, preparing meals, house cleaning); and • without basic maintenance and support services, would be at risk of premature or inappropriate long term residential care.
HACC Client These include: • older and frail persons • frail persons aged 65 years and over • frail Aboriginal and Torres Strait Islanders aged 45 years and over • persons of any age with moderate, severe or profound disabilities.
HACC Client Please complete Activity 1 in your NSW Health HACC MDS v2 Orientation Workbook - page 25
HACC Client data elements • Client data elements only need to be collected ONCE as part of client registration (refer Client Registration Standard PD2007_094 and Client Registration Guidelines GL2007_024). • In most cases this information will only need to be checked at initial Client presentation to ensure that the information is current.
HACC Client data elements Client privacy and confidentiality issues: • It is important that clients (and their carer/s) understand the nature of the data collection and are comfortable with their data being used for statistical analysis. • Your Agency is required to provide an information leaflet to clients to inform them about what information is collected, by whom, how it will be used, and their rights in relation to it. This should be provided irrespective of whether the information was collected from a third party or directly from the client. • Use this as an opportunity to remind clients how their data is handled to safeguard their privacy as well as ensure that their recorded information is up to date.