Methods Introduction The ACFI Review Project comprised a number of components. The review methods were focused around the two major project aspects: A review of the ACFI system covering suggestions for change and analysis of the changes using existing data. The rationale for and possible options if an external assessment model was to be considered for the resident funding determination. provides an overview of the ACFI Review Project tasks and methods. Subsequent sections provide more detailed information on the project activities. Table 2.1: ACFI Review Framework & Methods Practical Develop External Tasks Identify ACFI Issues modification modified ACFI Assessment Review assessment tools used in Identify alternative Stakeholder Consider use of Consider how to Australian health and aged care validated assessment interviews Australian aged fit external sector, including validated tools care tools and assessment with contemporary care practices contemporary care Australian aged (e.g. restorative care, practices care sector reablement, dementia care, CDC) Targeted review of international Dept. document review. Stakeholder Consider Consider (USA, Canada, UK and NZ interviews international international Targeted literature residential care environments) approaches & tools approaches to search and personal approaches to needs assessment when modifying external communication on and external assessment ACFI assessment external assessments A review of the current ACFI Stakeholder interviews Stakeholder AACS analysis Stakeholder funding model and guidelines to interviews interviews better discriminate care needs and support contemporary care practices A review of the ACFI User Guide ACFI User Guide; Data Stakeholder Improve supporting No assessments and other operational analysis, industry interviews documentation noted documents to clarify areas of stakeholder feedback inconsistency written and verbal, department officials & reports Analyses of the benefits, No issues identified Stakeholder No modifications Options for disadvantages, system interviews. noted External adjustments, and viable options Assessment (fully Data analysis for initial and re-appraisal external, partially assessments in the context of external model external assessment etc.) Statistical analysis of the ACFI No issues identified No Modified ACFI to No assessments questions, domains, weightings modifications better discriminate noted and re-calibrations noted care needs
Methods Introduction The ACFI Review Project comprised a number of components. The review methods were focused around the two major project aspects: A review of the ACFI system covering suggestions for change and analysis of the changes using existing data. The rationale for and possible options if an external assessment model was to be considered for the resident funding determination. provides an overview of the ACFI Review Project tasks and methods. Subsequent sections provide more detailed information on the project activities. Table 2.1: ACFI Review Framework & Methods Tasks Identify ACFI Issues Practical modification Develop modified ACFI External Assessment Review assessment tools used in Australian health and aged care sector, including validated contemporary care practices (e.g. restorative care, reablement, dementia care, CDC) Identify alternative validated assessment tools Stakeholder interviews Consider use of Australian aged care tools and contemporary care practices Consider how to fit external assessment with Australian aged care sector Targeted review of international (USA, Canada, UK and NZ residential care environments) approaches to needs assessment and external assessment Dept. document review. Targeted literature search and personal communication on external assessments Stakeholder interviews Consider international approaches & tools when modifying ACFI Consider international approaches to external assessment A review of the current ACFI funding model and guidelines to better discriminate care needs and support contemporary care practices Stakeholder interviews Stakeholder interviews AACS analysis Stakeholder interviews A review of the ACFI User Guide and other operational documents to clarify areas of inconsistency ACFI User Guide; Data analysis, industry stakeholder feedback written and verbal, department officials & reports Stakeholder interviews Improve supporting documentation No assessments noted Analyses of the benefits, disadvantages, system adjustments, and viable options for initial and re-appraisal assessments in the context of external assessment No issues identified Stakeholder interviews. Data analysis No modifications noted Options for External Assessment (fully external, partially external model etc.) Statistical analysis of the ACFI questions, domains, weightings and re-calibrations No issues identified No modifications noted Modified ACFI to better discriminate care needs No assessments noted
acfi_review_report_part_2_main_report.docx