In 2017 the Australian Government funded COTA Australia to complete a 2-year project ‘Increasing Self-management in Home Care’. The Dementia and Aged Care Service (DACS) fund is an Australian Government initiative designed to strengthen the capacity of the aged care sector to better respond to the existing and emerging challenges of the aged care reforms.
The project addressed three primary challenges in the sector and sought to further equip the industry to manage these challenges. The identified challenges; the rising demand from consumers to extend the breadth of their choice and control, the changing demographics of aged care consumers, as well as the changing policy environment around aged care.
COTA Australia worked together with RMIT University and partnered with seven Home Care Providers across Australia to design and test a unique “self-management” model for the Australian context. 100 existing home care clients from these partner providers participated in the project as co-designers and as trial participants. The trial of the self-management model began in June 2018 and concluded in March 2019. RMIT University have provided an independent evaluation of the self-management model as part of the project. The project promotes a consistent understanding of self-management in consideration of the business and policy environment.
For approved providers of home care, they have the benefit of accessing our project findings, reports and evaluation. This means they can access best practice knowledge, helpful resources and processes for implementing self-management as a service offering within their organisation. Consumers are equally informed about their potential to self-manage their home care and equipped with resources to assist them on their journey.
Project Approach and Process Overview
- We consulted with consumers, carers and providers nationally to build a best-practice picture of the various models of self-management currently on offer to Home Care Package consumers.
- We developed a catalogue of competencies and characteristics for consumers/carers to successfully self-manage their package.
- We trialled the self-management model across our seven different organisational environments and all over Australia.
- We developed a consumer toolkit to help prepare for self-management.
- We developed a provider toolkit to prepare an organisation to implement or self-management model, including processes around governance and risk management.
- We developed a process for implementing a direct debit stored value card or other financial self-management models.
- We evaluated and reported on outcomes for the benefit of the industry at large.
- Coming soon in mid-2019.