Aged Care Workforce Reform Request For Proposal Information Session Thursday 19 January 2012, 12.30-1.30pm Building Workforce Capacity for Safe Medication Management in the Community (HWA-RFP/2011/002)

Information session outline Session 1: Thurs 19th January 12.30 – 1.30pm Rules and conduct of the Webinar Information session (1 hour) Webinar scheduled for 1 hour 0  -  25min   Webinar conduct & HWA presentation 25 - 45min   Q&A session questions submitted prior 45 - 60min    Open Q&A items posted during Webinar. All participants on mute for first part Posting questions – via the control panel. Recorded & lodged on HWA website afterwards If you log out by mistake: revisit registration confirmation email

Agenda: RFP 002 General issues for health and aged care reform across all four Request for Proposals (RFPs) Issues specific to this RFP Access to video-recording of the session

Request for Proposal (RFP) You have expressed interest in HWA -ACR -RFP 002 General: all proposals required by 17 February - submit completed template (Section 3 of RFP) Information provision will continue via FAQ section on website Workforce focus; aged care irrespective of setting; not a service design project Themes: represent major pressures on system + evidence for workforce change

General Health & Aged Care workforce issues Strategy: use our current workforce more productively for more accessible and responsive services; drive large scale adoption Overcome Poor uptake of evidence ; not built on lessons of the past Trying to put service evidence in place with rigid old workforce structures Think differently about way we design and use workforce: paradigm shift Single role workforce projects with limited scope to affect large scale change Silos of action across boundaries Disconnected / duplicated work across client journey Not reorienting successfully to wellness, early intervention, primary health care Implement evidence of what works – CfOP project + jurisdictional initiatives + international evidence; - mostly known what we should be changing; - barriers to how we mainstream change (policy: industrial, funding)

RFP: Implementation projects Broad requirements: Work backwards from client needs Comprehensive package of change (all workforce in theme) reflecting systems change Must be competency-based redesign of roles v. traditionally allocated work changes to workforce skill mix, configuration and deployment Focus on capacity of assistants & generalist staff to drive full scope of practice in other groups Internal - Partnering arrangement reflecting continuum of care External - Capacity building: leadership for change + knowledge management in your RFP group

Project management Funding agreements: three-stage approach to implementing evidence of redesigned workforce models Stage 1 – Setup: three to six months to set up the evidence based and agreed model for implementation and evaluation framework against set criteria in the RFP. Stage 2 – Implementation: implement and monitor the model for at least ten months. Stage 3 – Evaluation structured evaluation process that HWA will develop in partnership with the organisations for common and specific outputs and outcomes (will include use of Impact Assessment Framework, Investment Logic Standard ).

How do we expect you to work together? Work closely with HWA via a variety of mechanisms to achieve optimal redesign and diffusion of knowledge Lead organisation for RFPs 1-3: drive leadership for change, knowledge management, challenge and innovation to push the boundaries, performance/ process/ data & sustainability Internal partnering with your own stakeholders Attendance at up to three funded workshops for knowledge management and to drive shared redesign / reform approaches in your RFP group Capacity building - leadership for change and management development with HWA and partners Demonstration of sustainability beyond funding ; determination of what is required for large scale adoption

Anticipated outcomes & evaluation Decreased pressure on system: avoidable Emergency Department presentations or GP visits Population health : less episodes of deterioration or preventable age related conditions Workforce productivity: whole net gains for greater number of services for same or less cost Models of flexible workforce configuration (balance of professional/ support staff); Workforce responsiveness: increased and continuous access to supply of right services, first time; Workforce flexibility: models of workforce practice adaptable and flexible to future change; Workforce supply: sustainability factors (measured for net cost and cost effectiveness).

Location of Evidence Throughout the RFP references to sources of evidence used in Workforce Innovation: Caring for Older People program (CfOP) 2010-11 CfOP: de-identified draft reports pre - RFP. Full availability post contract negotiation Your RFP group knowledge management CfOP Wrap Up Event 23/24 Feb 2012 : www.hwa.gov.au/cfop-event

Suitable RFP Organisations Lead Organisation Project $ HWA RFP – ACR – RFP 002 Sub-Project Project Focus Suitable RFP Organisations Individual Project $ Lead Organisation Project $ Building Workforce Capacity for Safe Medications Management in the Community Improve consistency and efficiency of workforce focusing on support staff and full scope of practice via a competencies - based approach to role determination & scopes of practice; training, job readiness continuous improvement; and good governance Health services and aged care organisations from government, non-government or private sectors in the community with multiple sites Max $250,000 (excl GST) per proposal Up to six organisations $150,000 facilitation of leadership for change, knowledge management, coherence and rigour

Specific workforce redesign (RFP 002) Systems reform & reorientation to Healthy Ageing Functions, evidence based practice & competencies mapped across client journey/ key services to drive fit for purpose redesign Redesigned skill mix, configuration of roles and deployment of staffing :- At four levels - core support, advanced or technical support, clinical, advanced clinical Increase breadth of core service provision - common core competencies at transition points Use support/assistant workers to introduce or reinforce risk alerts, early intervention and referrals Ensuring clinical staff (particularly nursing) are released to work to full scope of practice High performing, inter-disciplinary team management & guidelines for a systems approach to safe medication management : aligns GP teams, accredited pharmacist roles and practices, community health and aged care services Self-efficacy and health literacy : clients, carers & workforce Harnessing and supporting the role of volunteers and carers

RFP 002 – Enablers Enablers - local: skillsets enhanced by delegation, protocol-driven care, review, monitoring and supervision practices; e-health technologies to connect / supervise; agreed care pathways/ roles across transition points; ‘fit for purpose’ training to support delivery of safe medications management, consistency of that training, and ongoing education to support continuous improvement (relates particularly to the Cert III and IV level training – RTO partnerships); competencies in application of wellness model; mental health/ behaviour management application of evidence based practice and research to drive better medication management outcomes (reduction in errors); and determination and management of barriers such as health records, ordering, and recordings systems for medications Enablers - systems: foreshadow industrial & funding policy changes

Using competency-based redesign Framework designed for ‘whole of workforce’ approach Common core competencies at transition points Capture productivity benefits flowing on from any workforce change Four levels of competence across all service elements to increase access & responsiveness Core support Advanced / technical support Clinical Advanced / expert clinical

Future Client Care- Core competencies AND Risk Consumer Directed Choice Self Efficacy Range of Ax Social Inclusion Providing Care on an evidence base (EB) (technical/ professional / support) Care Co- ordination Applying Research for Evidence Based Practice Levels of action   Expert 6 4 5 Clinical Advanced support/ tech 3-4 2/3/4 Core 2 3 1 Example only Levels : 1 awareness; 2 identify ; 3 interpret and analyse; 4 strategise; 5 leadership; 6 policy and planning

HWA RFP Information Session Posted questions pre-webinar Your questions posted during the information session Q&A on webpage - per specific RFP HWA_ACR_RFP1@hwa.gov.au, or - general acwr@hwa.gov.au