Table 6.8: Summary of CHC Recommendations Change Detail Assessments, Checklists, Ratings Audit system Mandate/ Validated Standardised Contemporary Outcomes Fit to External Fit to RAC Fit to Clarifies Improves Changes Details noted Recommend assessment information Assessment workforce Gateway reviews noted below below Assessm’t Comprehensive Recommend YES NR NR Currency (3/12) No RN/AHP sign NR Professional Claim (Ax) Health 3-monthly CHA For all CHC assessment off Accountability requires a Assessment tool claims new Ax Assessm’t Depression Recommend YES NR YES CSD YES CSD GDS & Information is Shared Assessments for CSD, GDS & GDS K-10 in for care evidence Depression item K-10 K-10 NSAF planning, score not used Assessm’t Palliative Care Palliative toolkit in NR YES YES Description of YES No change- in NR NR Definition needs Ax Residential Aged end stage current ACFI clarity Care User Guide Assessm’t Pain Ax for Pain Management YES NR YES R-ACFI 8. 15 YES No change- in NR NR NR Palliative item Guidelines (PMG) Scores 15 current ACFI kit User Guide Items BP; NR NR NR NR Not complex No NR NR Complexity NR removed Vital signs assessment Items BGL ; NR NR NR NR R-ACFI 8 Q2 YES No change NR Low complexity NR re-scored Oxygen Therapy R-ACFI 8 Q3 (scores reduced from 3 to 1) Item Pain mgmt. Pain Mgmt NR NR YES- broader Moved into Broad need No ax NR NR As set out in relocated items; Guidelines (PMG) therapy choice Therapy changes Therapy kit Program Program Item Management of NR NR NR NR Covered in No No practice NR Standard care Reduces relocated arthritic R-ACFI 3 assessment change requirements joints/oedema Item Suppositories & NR NR NR Following best Included in YES No change NR NR NR relocated enemas practice Medication R-ACFI 8. Q9a Item clarified Mgmt. of Assessment NR NR Following best R-ACFI Q8.7 YES YES NR NR Objective oedema practice Directive Items added Medication NR NR NR NR R-ACFI 8 Q9a YES No change NR NR NR - 2 levels (scores 3) R-ACFI 8 Q9b (scores 6) Items added Depression NR YES Major Broader ax R-ACFI 8 Q8 YES Broader ax NR NR Stronger Depression choice (scores 3) choice Diagnosis
Table 6.8: Summary of CHC Recommendations Change Detail Assessments, Checklists, Ratings Audit system Changes noted below Details noted below Mandate/ Recommend Validated assessment Standardised information Contemporary Outcomes Fit to External Assessment Fit to RAC workforce Fit to Gateway Clarifies Improves reviews Assessm’t (Ax) Comprehensive Health Assessment Recommend 3-monthly CHA tool YES NR NR Currency (3/12) For all CHC claims No assessment RN/AHP sign off NR Professional Accountability Claim requires a new Ax Assessm’t Depression Assessments for Depression item Recommend CSD, GDS & K-10 YES NR YES CSD GDS K-10 YES CSD GDS & K-10 in NSAF Information is for care planning, score not used Shared evidence Assessm’t Palliative Care needs Ax Palliative toolkit in Residential Aged Care NR YES YES Description of end stage YES No change- in current ACFI User Guide NR NR Definition clarity Assessm’t Pain Ax for Palliative item Pain Management Guidelines (PMG) kit YES NR YES R-ACFI 8. 15 Scores 15 YES No change- in current ACFI User Guide NR NR NR Items removed BP; Vital signs NR NR NR NR Not complex No assessment NR NR Complexity NR Items re-scored BGL ; Oxygen Therapy NR NR NR NR R-ACFI 8 Q2 R-ACFI 8 Q3 (scores reduced from 3 to 1) YES No change NR Low complexity NR Item relocated Pain mgmt. items; Pain Mgmt Guidelines (PMG) kit NR NR YES- broader therapy choice Moved into Therapy Program Broad need No ax changes NR NR As set out in Therapy Program Item relocated Management of arthritic joints/oedema NR NR NR NR Covered in R-ACFI 3 No assessment No practice change NR Standard care Reduces requirements Item relocated Suppositories & enemas NR NR NR Following best practice Included in Medication R-ACFI 8. Q9a YES No change NR NR NR Item clarified Mgmt. of oedema Assessment NR NR Following best practice R-ACFI Q8.7 YES YES NR NR Objective Directive Items added Medication - 2 levels NR NR NR NR R-ACFI 8 Q9a (scores 3) R-ACFI 8 Q9b (scores 6) YES No change NR NR NR Items added Depression NR YES Major Depression Broader ax choice R-ACFI 8 Q8 (scores 3) YES Broader ax choice NR NR Stronger Diagnosis
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