by clicking the arrows at the side of the page, or by using the toolbar.
by clicking anywhere on the page.
by dragging the page around when zoomed in.
by clicking anywhere on the page when zoomed in.
web sites or send emails by clicking on hyperlinks.
Email this page to a friend
Search this issue
Index - jump to page or section
Archive - view past issues
Australian Ageing Agenda OLD : Australian Ageing Agenda
THE RUDD GOVERNMENT could take the "first steps" towards fundamental reform by aligning the Aged Care Funding Instrument (ACFI) with the cost of care, according to Catholic Health Australia (CHA). The association wants the federal government to commission independent reviews every three to five years to determine the true cost of care. In its submission to the government's ACFI review, CHA said there was no process at the moment for measuring the effectiveness of care funding. But CHA's CEO, Martin Laverty, said that if the ACFI was modified to match benchmarked care costs, it could form the basis of a streamlined funding model for all aged care consumers. "The ACFI is a model that, with improvement, could be extended into community care," Mr Laverty said. "In theory, 'ACFI Mark II', when enhanced and directly linked to the cost of providing care, would provide a suitable platform for a comprehensive, consolidated aged care funding model." It could be used to assess all people requiring aged care, whether that be in a residential setting or in their own home. "This would then give the consumer the ability to choose where and how they receive the care they require." Mr Laverty said elements of the Conditional Adjustment Payment (CAP), the packaged care programs and Home and Community Care (HACC) services could be "rolled into" one funding scheme. The group's ACFI submission also recommended changes to the Aged Care Assessment Team (ACAT) process to remove the disparity between initial assessments and ACFI appraisals. It said clashes between the gate-keeping and funding tools were leading to "frustration and friction" among its members. CHA has previously suggested that the Commonwealth should take over the ACAT process and administer assessments through a series of aged care access centres in the community. "When you think about the aged care system, you need to think about it from a consumers' perspective." "People first encounter the system when they themselves or a family member is looking for services, often in urgent circumstances. "If you provide a single shopfront for entry into aged care, that is a good start but it's not enough. You also have to consolidate access to the services that sit behind it -- it's all part of the one process." n "ACFI Mark II": revamped funding model could reshape aged care CHA'S KEY RECOMMENDATIONS TO THE ACFI REVIEW ✔ A udited comparative financial data should be collected from aged care facilities to monitor financial performance. ✔ A CFI subsidies should be based on regular reviews of the cost of care. ✔ T he report on the government's review of the conditional adjustment payment (CAP) should be released immediately. ✔ A n additional ACFI supplement should be introduced to deal specifically with palliative and end of life care. ✔ T he ACAT assessment process should be aligned to make it a better predictor of ACFI dependency levels. Martin Laverty AAA|MAY--JUNE2010|7