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The Morrison Government has released a new report detailing options for a Serious Incident Response Scheme for aged care, including findings that a broader range of incidents should be reported.
The report, Strengthening protections for older Australians – Development of models and options for a Serious Incident Response Scheme for Commonwealth-funded aged care service providers is available at the Department of Health’s website. The report was prepared by KPMG.
Options canvassed of what should be considered a reportable incident include: physical, sexual or financial abuse; seriously inappropriate, improper, inhumane or cruel treatment, and neglect.
Stronger Aged Care Protections for Senior Australians (.pdf)
The Minister for Senior Australians and Aged Care, the Hon Ken Wyatt AM, MP announced a new Charter of Aged Care Rights (the Charter).
This single charter of rights across aged care is part of the Single Aged Care Quality Framework and will take effect from 1 July 2019. It replaces the four current charters that relate to care recipients’ rights and responsibilities.
New Charter of Aged Care Rights
Single Charter of Aged Care Rights
Australia signs up for new era of Aged Care Rights (.pdf)
New laws will compel all aged care providers to sign and conform to a single, strengthened Charter of Rights, under the Morrison Government’s latest aged care quality and safety reforms.
For the first time, providers will have to provide a personally signed copy of the Charter to every one of their residents and care recipients, at the same time giving them – or their authorised representative – the opportunity to co-sign the document.
“Together, we’re standing up for our most vulnerable senior Australians and we won’t tolerate anything less,” said Minister for Senior Australians and Aged Care Ken Wyatt AM.
“The co-signing makes providers’ commitments and obligations under the charter clear to clients, and ensures that clients are aware of their rights.
“The comprehensive new Charter covers 14 fundamental protections – from safe, quality care, to independence, information, personal privacy, control, fairness and choice.”
The Charter replaces and strengthens four previous charters that covered various forms of aged care, building on the Morrison Government’s new Aged Care Quality Standards which also come into effect from 1 July 2019.
I have the right to:
1. safe and high quality care and services;
2. be treated with dignity and respect;
3. have my identity, culture and diversity valued and supported;
4. live without abuse and neglect;
5. be informed about my care and services in a way I understand;
6. access all information about myself, including information about my rights, care and services;
7. have control over and make choices about my care, and personal and social life, including where the choices involve personal risk;
8. have control over, and make decisions about, the personal aspects of my daily life, financial affairs and possessions;
9. my independence;
10. be listened to and understood;
11. have a person of my choice, including an aged care advocate, support me or speak on my behalf;
12. complain free from reprisal, and to have my complaints dealt with fairly and promptly;
13. personal privacy and to have my personal information protected;
14. exercise my rights without it adversely affecting the way I am treated.
Australia signs up for new era of Aged Care Rights (.pdf)
Charter of Aged Care Rights (.pdf)
Work is underway on an impact analysis to understand potential implications of moving to an alternative model for allocating residential aged care places that encourages greater consumer choice. There will be upcoming consultation opportunities for you to have your say about possible alternative models.
Update: Impact analysis of alternative allocation arrangements in residential care
Better Access to Care – impact analysis of allocating residential aged care places to consumers instead of providers (.pdf)
Impact analysis of alternative arrangements for allocating residential aged care places
The Antipsychotic Tracking Tool (APTT) has been developed for use in aged care settings to monitor antipsychotic usage.
The APTT can be used to generate regular audit reports and graphs and to determine the prevalence of use of antipsychotic medications.
State-based benchmark percentages from a national study (the RedUSe study) are included within the APTT graphs which may be a useful comparator when interpreting results.
Facilities can follow changes in the use of antipsychotic usage over time for all residents within an aged care setting, regardless of whether the person is living with dementia or not.
Antipsychotic Tracking Tool – monitor usage within your facility
An update of the schedules for residential and home care fees and charges, as well as subsidies and supplements will take effect from 20 March 2019. This is in line with changes to the basic age pension and indexation rates.
The updated schedules also give effect to the measures announced on 17 December 2018 by the Prime Minister, the Hon Scott Morrison, of a 30 per cent increase to the Viability Supplement for eligible residential aged care providers and a 30 per cent increase to the Homeless Supplement.
The updated schedules also give effect to the measures announced on 10 February 2019 by the Prime Minister, the Hon Scott Morrison, of a $320 million temporary general subsidy boost for residential aged care services and a permanent $35.7 million increase in home care supplements for dementia and cognition and veterans.
Indexation rates for Residential Aged Care and Home Care Packages and changes to the Maximum Permissible Interest Rate (MPIR)
Schedule of Fees and Charges for Residential and Home Care from 20 March 2019 (.pdf)
Schedule of Fees and Charges for Pre 1 July 2014 Residents from 20 March 2019 (.pdf)
Schedule of Subsidies and Supplements from 20 March 2019 (.pdf)
Reports of the University of Wollongong’s Resource Utilisation and Classification Study (RUCS), proposing a new residential aged care funding model, are available on the department’s website.
Consultation on the proposed funding model closes 31 May 2019. Visit the Consultation Hub to view the discussion paper and make a submission.
A presentation discussing the reports’ findings will be available shortly.
Proposed new residential aged care funding model
Resource Utilisation and Classification Study
Proposal for a new residential aged care funding model
Alternative Aged Care Assessment, Classification System and Funding Models – Final Report (.pdf)
The Commission has just released a new report on its website detailing and analysing what consumers are saying about the quality of care in residential aged care services.
La Trobe University’s Australian Institute for Primary Care & Ageing conducted the analysis, using data from the Commission’s Consumer Experience Reports (CERs), compiled from structured consumer interviews during visits to aged care services from 9 May 2017 to 4 July 2018.
The data was collected from 17,195 consumers living in 1,159 residential aged care services across Australia – covering about 43 per cent of all residential aged care services.
Analysis of Consumer Experience Report (CER) data
La Trobe University Analysis of CER data (.pdf)
To protect your security, Windows operating system updates are dual-signed using both the SHA-1 and SHA-2 hash algorithms to authenticate that updates come directly from Microsoft and were not tampered with during delivery. Due to weaknesses in the SHA-1 algorithm and to align to industry standards Microsoft will only sign Windows updates using the more secure SHA-2 algorithm exclusively.
Customers running legacy OS versions (Windows 7 SP1, Windows Server 2008 R2 SP1 and Windows Server 2008 SP2) will be required to have SHA-2 code signing support installed on their devices by July 2019.
Any devices without SHA-2 support will not be offered Windows updates after July 2019.
Windows 7’s support deadline may expire in July, if you don’t apply this patch
2019 SHA-2 Code Signing Support requirement for Windows and WSUS
All good things must come to an end, even Windows 7.
After January 14, 2020, Microsoft will no longer provide security updates or support for PCs running Windows 7.
Support for Windows 7 is ending
In Case You Missed It – Below are links to recent articles on Aged Care and Healthcare that may be of interest:
Govt considering aged care database
Physical Restraint Doesn’t Protect Patients – There Are Better Alternatives
Sweden’s Community-Based Aged Care Philosophies Take Hold World-Wide
Aged care provider peaks give evidence at royal commission
ROYAL COMMISSION: Dementia training falls short, more staff not the answer
Mandatory repositioning a turn for the worse
Millions opt-out of My Health Record
Crime syndicate hacks 15,000 medical files at Cabrini Hospital, demands ransom
To fax or not to fax?
Witnesses share experiences with Royal Commission into Aged Care Quality and Safety
Aged care royal commission: Issues will get worse as demand grow, union warns
Diversity plans target marginalised groups
Spotlight On Aged Care
New Accreditation Scheme To Assure Retirement Village Quality For Residents
Royal Commission Hearing, Flagged Concerns About The Lack Of Transparency
Concerns royal commission sees industry as complacent
The Royal Commission Into Aged Care – Now’s The Time To Concentrate On High-Value Action
Why more chefs, trained by the Maggie Beer Foundation, could end up working in your local aged care facility
There are more people older than 65 than younger than 5 for the first time — here’s how that’s changing the world
Teaching facilities can address royal commission quality concerns
Welcome to the first issue of 2019. This will be a busy year for all our readers with the Royal Commission and the introduction of the new standards for accreditation.
This edition focuses on one case with so many issues it is almost too difficult to comprehend. Each gap in care probably would not have led to the resident’s death, but together, the combination was fatal.
The case exemplifies the complexity of issues confronting the Royal Commission and highlights that improving aged care requires an approach that involves the whole community as evident by the recommendations made by the coroner to multiple organisations.
Residential Aged Care Communiqué – Volume 14 Issue 1 February 2019 (.pdf)
The Royal Commission into Aged Care Quality and Safety announces two upcoming Community Forum events occurring at the start of March.
• Bankstown – Friday 1 March 2019 – 1:30 pm to 4:00 pm at the Bankstown Sports Club, 8 Greenfield Parade, Bankstown NSW 2200.
• Bendigo – Tuesday 5 March 2019 – 1:30 pm to 4:00 pm at the Bendigo Town Hall, 189-193 Hargreaves St, Bendigo VIC 3550.
Open to the public, these forums will be an opportunity for members of the local community to hear about the work of the Commission and to offer their ideas on the challenges, strengths and opportunities to improve aged care. We will announce more forums in other locations as our work in the Royal Commission continues.
• Reminder – call for submissions: Managing Prudential Risk in Residential Aged Care
• Update – publishing home care pricing information on My Aged Care
• Recent changes to home care
Information for Aged Care Providers – Issue 2019/3 (.pdf)
A good news story for a change, all the way from Arkansas.
At 11-years-old, Ruby Chitsey likes to go to work with her mum.
Amanda is a nurse who travels to several nursing homes in the area. And it was on one of those visits, that Ruby started going up to residents with her notepad, asking them if they could have any three things, what would they be.
“I don’t think she had an intention, really,” Amanda said.
Ruby said she was mostly just curious what they’d say.
“I was very surprised. I thought people would say money, houses, a Lamborghini,” Ruby said.
📺 11-year-old girl granting wishes to nursing home residents
The Morrison Government is committed to ensuring equal access to high-quality, culturally appropriate aged care for all Lesbian, Gay, Bisexual, Trans and Gender Diverse and Intersex (LGBTI) people.
More than one in ten senior Australians have diverse sexual orientation, gender identity or intersex characteristics.
The Morrison Government has released the Aged Care Diversity Action Plan for senior LGBTI Australians to help address the specific barriers and challenges they face in accessing aged care services.
The plan will help guide providers to ensure their services are inclusive and culturally safe for all consumers in their care.
The plan is also intended to help senior LGBTI people express their needs when speaking with aged care providers.
In addition, people working in aged care—doctors, nurses, support staff and allied health workers—will find it a valuable resource to understand the perspectives of LGBTI people.
Action on Aged Care for LGBTI Senior Australians (.pdf)
The Royal Commission into Aged Care Quality and Safety has released its first background paper on Australia’s current aged care system.
As foreshadowed at the preliminary hearing on 18 January 2019, the Royal Commission intends to publish background papers from time to time on issues relevant to the work of the Royal Commission.
Background Paper 1 is called Navigating the maze: an overview of Australia’s current aged care system. It outlines different aspects of the aged care system, the services currently being delivered in Australia and the areas in need of substantial reform.
The paper touches on the findings of previous reports, studies and surveys into the sector and addresses a number of issues including:
• cultural perceptions of ageing and older Australians
• expectations for care
• the current modes of care available
• funding and accreditation
• quality monitoring.
Background Paper 1 – Navigating the maze: an overview of Australia’s current aged care system (.pdf)
A new network of aged care navigator centres, information hubs and specialist advisers aims to streamline aged care access, with a $7.4 million national trial being rolled out from today by the Morrison Government.
Launched under the Aged Care System Navigator initiative, the three new trial programs will offer face-to-face assistance to senior Australians and their families in every state and territory, including selected rural and remote areas.
The trials will also offer some services over the phone or online to maximise the reach of the trials and test the way in which these services can offer meaningful support to people navigating the aged care.
“Navigators will target senior people in need, especially those facing language or other difficulties, to help ensure they receive support and information,” said Minister for Senior Australians and Aged Care Ken Wyatt AM.
“They will make a big difference, in keeping with our Government’s commitment to person-centred care.”
Navigating a New Era in Aged Care Access (.pdf)
The Minister for Senior Australians and Aged Care, the Hon Ken Wyatt AM, MP recently sent all home care providers a letter with information on upcoming improvements to home care pricing transparency and comparability.
The letter and fact sheet outlined the changes to be introduced in April 2019. These include the implementation of a standardised Home Care Pricing Schedule (the Schedule) and changes to administration costs. All home care providers must complete the Schedule by 1 July 2019.
Home Care Pricing Transparency and Comparability
Improving the publication of home care pricing information
Improving the publication of home care pricing information – factsheet (.pdf)
Minister for Senior Australians and Aged Care Ken Wyatt (.pdf)
Did you miss the 2nd week of Hearings at the Royal Commission?
A copy of each day’s transcripts and the witness list can be found below.
Adelaide Hearing 1 – Monday 18 February 2019 (.pdf)
Witness list for Adelaide Hearing 1 – Monday 18 February 2019 (.pdf)
Adelaide Hearing 1 – Tuesday 19 February 2019 (.pdf)
Witness list for Adelaide Hearing 1 – Tuesday 19 February 2019 (.pdf)
Adelaide Hearing 1 – Wednesday 20 February 2019 (.pdf)
Witness list for Adelaide Hearing 1 – Wednesday 20 February 2019 (.pdf)
Adelaide Hearing 1 – Thursday 21 February 2019 (.pdf)
Witness list for Adelaide Hearing 1 – Thursday 21 February 2019 (.pdf)
Adelaide Hearing 1 – Friday 22 February 2019 (.pdf)