Aged Care Workforce Reform Request For Proposal Information SessionThursday 19 January 2012, 12.30-1.30pm

Building Workforce Capacity for Safe Medication Management in the Community

(HWA-RFP/2011/002)

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Information session outlineSession 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

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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

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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

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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)

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RFP: Implementation projectsBroad 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

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Project managementFunding 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 ).

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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

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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).

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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

•

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Sub-Project Project FocusSuitable 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

HWA RFP – ACR – RFP 002

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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

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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

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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

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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 6 5 6 5 6

Clinical 5 

5 5 5 5 5 5 5

Advanced support/ tech

3-4 

4 4 3-4 4 2/3/4 3-4 2/3/4

Core 2 

3 3 2 3 1 2 1

Example only Levels : 1 awareness; 2 identify ; 3 interpret and analyse; 4 strategise; 5 leadership; 6 policy and planning

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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