5.1 Introduction This chapter considers issues relating to the implementation of the initiative by the Department and by providers, and the operationalisation of the initiative by providers that is, how providers put the – initiative into practice. In particular, it discusses the following evaluation questions: How effective were the CDC/CDRC initiation processes? This encompasses program implementation by the Department, implementation of the initiative by providers, and recruitment and selection of CDC and CDRC participants. How effective were the CDC/CDRC planning processes? This encompasses the different approaches to planning and budgeting used by providers, key elements of planning, and the degree to which planning was different for CDC and CDRC compared with standard packaged care and NRCP services. How effective was the delivery of CDC? This encompasses approaches the coordination of packages and the extent to which participants self-managed their package. The information presented in this chapter draws on the interviews with CDC and CDRC providers conducted as part of the evaluation, as well as interviews with Departmental representatives. 5.2 Provider motivations for participating in the initiative The motivations of CDC providers and CDRC providers for participating in the initiative differed. For CDC providers, there were a number of reasons which influenced their decision to participate, including their commitment to person-centred approaches, their desire to respond to anticipated future consumer demand for increased choice and control, or their desire to access additional community aged care packages. Motivations were sometimes a combination of these factors. For CDRC providers, the motivation to participate in the initiative was strongly linked to their identification of limitations in the traditional respite approach for some carers. CDRC providers saw the initiative as an opportunity to offer a more planned approach and secure additional funding for carers with ongoing, unmet respite needs. CDRC providers universally saw the initiative as an entirely new approach from traditional responses. Consumer-directed care providers There were a number of reasons why providers chose to participate in the initiative. Providers already had a strong commitment to person-centred approaches and saw CDC as consistent with their and culture organisation’s values These providers spoke about consumer empowerment, choice and control being part of their organisational values and underlying approach to service delivery, and spoke of goals-focussed, strengths-based or enabling approaches to care planning and service delivery. Several had prior experience with consumer-directed approaches in the disability field, and were already considering options for more consumer-directed approaches in their delivery of community aged care prior to the current initiative. They saw CDC as being significantly different from the
5.1 Introduction This chapter considers issues relating to the implementation of the initiative by the Department and by providers, and the operationalisation of the initiative by providers – that is, how providers put the initiative into practice. In particular, it discusses the following evaluation questions: How effective were the CDC/CDRC initiation processes? This encompasses program implementation by the Department, implementation of the initiative by providers, and recruitment and selection of CDC and CDRC participants. How effective were the CDC/CDRC planning processes? This encompasses the different approaches to planning and budgeting used by providers, key elements of planning, and the degree to which planning was different for CDC and CDRC compared with standard packaged care and NRCP services. How effective was the delivery of CDC? This encompasses approaches the coordination of packages and the extent to which participants self-managed their package. The information presented in this chapter draws on the interviews with CDC and CDRC providers conducted as part of the evaluation, as well as interviews with Departmental representatives. 5.2 Provider motivations for participating in the initiative The motivations of CDC providers and CDRC providers for participating in the initiative differed. For CDC providers, there were a number of reasons which influenced their decision to participate, including their commitment to person-centred approaches, their desire to respond to anticipated future consumer demand for increased choice and control, or their desire to access additional community aged care packages. Motivations were sometimes a combination of these factors. For CDRC providers, the motivation to participate in the initiative was strongly linked to their identification of limitations in the traditional respite approach for some carers. CDRC providers saw the initiative as an opportunity to offer a more planned approach and secure additional funding for carers with ongoing, unmet respite needs. CDRC providers universally saw the initiative as an entirely new approach from traditional responses. Consumer-directed care providers There were a number of reasons why providers chose to participate in the initiative. Providers already had a strong commitment to person-centred approaches and saw CDC as consistent with their organisation’s values and culture These providers spoke about consumer empowerment, choice and control being part of their organisational values and underlying approach to service delivery, and spoke of goals-focussed, strengths-based or enabling approaches to care planning and service delivery. Several had prior experience with consumer-directed approaches in the disability field, and were already considering options for more consumer-directed approaches in their delivery of community aged care prior to the current initiative. They saw CDC as being significantly different from the
evaluation-of-the-consumer-directed-care-initiative-final-report.docx