Aged Care Can Technology Help?
Terms of Reference
RELEASED IN 2017 The Roadmap recognises the need for technology to underpin the delivery of aged care services and ensure independence, choice and control for Technology consumers. Roadmap for Aged Care in Australia
About the Aged Care IT Council Formed in 2007 under the banner of ACSA and the then ACAA (LASA), Specific intent to raise technology issues with policy and decision makers and to improve technology uptake and innovation in sector, Emphasis on harnessing Technology to create sustainable aged care services.
Population ageing that has never been experienced at the same level; The rapid development of new technologies; and ACKNOWLEDGES THREE ISSUES Reform of the aged care sector that fundamentally changes the way in which older Australians will be supported.
Recognised the need to outline a vision of an innovative, technology-enabled sector for the next five to ten years Intent of the Technology Help policy makers evaluate the benefits of embracing Roadmap technology as well as provide guidance and information
DESTINATION 1 Technology-enabled operational, business & communication Roadmap systems Structure DESTINATION 2 Overview Technology-enhanced care & support for older people DESTINATION 3 Technology-enhanced information & access to care
DESTINATION 4 Roadmap Technology-enhanced assessment of eligibility & Structure changing need Overview DESTINATION 5 Technology-literate and enabled workforce
• Aged Care Open Standards and Protocols that facilitate interoperability and sharing of information. • Technology Maturity Assessment and review use of technology across the spectrum • Collaboration with Australian Digital Health Agency and Department of Health Recommendations DESTINATION 1 – TECHNOLOGY-ENABLED SYSTEMS
• Establish a national network linking end users with developers of technology to support co-design; • Explore with the disability sector scope to provide a specific component focused on older people; • Develop a series of Demonstration Pilots to demonstrate how to extend existing telehealth and telemedicine programs. Recommendations DESTINATION 2 – TECHNOLOGY-ENABLED SERVICES
• Develop a national Digital Literacy Strategy for consumers, supporters and providers to ensure they have the skills, • Develop a national Technology Awareness Raising Strategy and Equity Strategy, • Develop a tool for aged care providers to profile their consumers’ technological readiness/digital literacy. Recommendations DESTINATION 3 – TECHNOLOGY-ENABLED INFORMATION AND ACCESS
• Develop a Pilot to trial the embedding of technology expertise in assessment and care planning, and analyse outcomes achieved for providers and consumers. • Review existing validated assessment tools, identifying those that have been automated. • National Workforce Technology Development Strategy Recommendations DESTINATION 4 – TECHNOLOGY-ENABLED ASSESSMENT DESTINATION 5 – TECHNOLOGY-LITERATE AND ENABLED WORKFORCE
SUBMITTED AUGUST 2019 Submission to the • Outlines the opportunities innovation and greater use of technology can have on enhancing quality & Royal Commission safety in aged care; • into Aged Care Underpin the policy direction of greater consumer choice; Quality & Safety • Develop an agreed Agenda for funding and investment in Information Communication Technology and care-specific technologies; and • Engagement and collaboration with industry
ITAC 2020 BRISBANE CONVENTION CENTER 3 & 4 MARCH 2020
Contact Us PHONE 0499 006 729 EMAIL secretariat@aciitc.com.au chair@aciitc.com.au
Consumer-centric quality and safe care Len Gray Centre for Health Services Research The University of Queensland CRICOS code 00025B
Centre for Health Services Research Two propositions ▪ An information strategy to support quality monitoring improvement and continuity of care and… ▪ Reform medical care provision arrangements …for Aged Care in Australia CRICOS code 00025B
Centre for Health Services Research The Aged Care Data Ecosystem SETTINGS FUNCTIONS Phone assessment & triaging Community care Eligibility assessment Transition care Hospital care Clinical assessment & Packaged care care planning Primary care Quality monitoring & Residential care improvement CRICOS code 00025B
Centre for Health Services Research Information stakeholders ▪ Clinicians ▪ Clinical administrators ▪ Service administrators ▪ Regulators and payers ▪ Consumers CRICOS code 00025B
Centre for Health Services Research Requirements of an information strategy ▪ Standardisation of information recording and acquisition ▪ Standardisation across care settings and processes ▪ Where data acquisition is dependent on clinical recording, ensure that there are immediate benefits to clinicians (not only burden) ▪ Use of a common data repository for a variety of functions: • Clinical care, quality assessment, casemix ▪ Strategies to hear the voice of consumers CRICOS code 00025B
Centre for Health Services Research The interRAI Suite of Assessment Systems SETTINGS FUNCTIONS Phone assessment & triaging interRAI Checkup Eligibility assessment interRAI Acute interRAI Home Care Care Clinical assessment & care planning interRAI Long interRAI Checkup Term Care Quality monitoring & Facility improvement CRICOS code 00025B
[Entity Name] The current models of care * Primary Care Specialist Care ▪ GP continuity model ▪ Specialist visitation ▪ GP panel model ▪ Transfer to hospital ▪ GPs with a special interest ▪ Telehealth ▪ RACF employed GP [Presentation Title] | [Date] CRICOS code 00025B Adapted from Richard Reed, Models of General Practitioner Services 2 in RACFs Australian Family Physician 44, 4, April 2015 6
Centre for Health Services Research A problem scenario: Twilight village RACF ▪ 100 residents, 23 doctors, 1-10 residents allocated, no specialist access ▪ Medication audit • 83% >9 drugs • 45% major tranquillizers • 36% anti-depressants • 67% hypnotics & anxiolytics • 43% regular narcotics Is this a problem for RACF management or individual doctors? CRICOS code 00025B
Centre for Health Services Research Health Care in Residential Care Facilities ▪ Medical care provided by GPs • No consistent contribution beyond individual consultation ▪ Access to specialists • Visitation is rare • Medicare telehealth option is available • Health records are disparate, and fragmented CRICOS code 00025B
Centre for Health Services Research Some suggestions ▪ Articulated role for medical personnel within RACFs • Structural arrangements for involvement of medical staff • Contribution to program design, quality monitoring and improvement ▪ Strategies to ensure access to specialists • Appropriate technical facilities for RACFs • Integrated medical records • Training and resource allocation for host nurses / hosting fee CRICOS code 00025B
Thank you Professor Len Gray T +61 7 31765530 E len.gray@uq.edu.au.gray@uq.edu.au W www.uq.edu.au/chsr www.uq.edu.au/chsr W https://researchers.uq.edu.au/researcher/1121/1121 Tw @LenCG CRICOS code 00025B
Overcoming the blockers to the uptake of technology in aged care Chris Gray Agnes Do good. Grow better.
Innovation and the Royal Commission “H ow best to deliver aged care services in a sustainable way, including through innovative models of care, increased use of technology, and investment in the aged care workforce and capital infrastructure” Terms of Reference for the Aged Care Royal Commission
Learnings from a technology provider Aged care is a naturally collaborative and caring culture Innovation starts with people & culture, not technology 90% of the answers are already with your team An innovative culture begins with the leaders There is no size restriction to an innovative culture Government incentives have proven to work
System map of home care
Purpose driven innovators for aged care
Lively – an innovation mindset Lively was founded in 2015 with a mission to address social isolation and loneliness among older community members To start, Lively connected older people looking for help with technology, to young job seekers who can give them a hand • 50 young people employed (from 2,000 expressions of interest) to support 500 older community members Lively is now an accredited home care provider • They have co-designed a model, based on connection & care, with young people, older people and their families • Lively are currently testing their care model in Darebin / Yarra council areas
Recommendations 1. Innovation is an organisation wide mind set 2. Reframe the question of innovation in aged care vs innovation in a corner 3. Technology is a tool, innovation is people & culture 4. Invest in the 10% help needed to get the 90% of innovation answers already with your teams 5. Government incentives to help facilitate innovation in aged care will work
Thank you. Chris Gray Director - Agnes Do good. Grow better. chris@49agnes.com.au www.49agnes.com.au
Technology lens on assessment & care planning Dr Isobel Frean PhD Information Services, Bupa A&NZ 14082019 Public
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