ACFI for care model

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Complexity associated with the application of the new Aged Care Funding Instrument (ACFI) has resulted in significant funding risk to Residential Aged Care Operators and as a result reduced quality of care outcomes for residents requiring complex health procedures for complex pain management intervention and palliative care. Optimisation of Care in line with the intent of the new ACFI has been far from realised by operators today as they struggle to apply sufficient process to optimise claiming and strengthen care provision particularly complex health care complex pain management intervention and palliative care. Although, complexity of the tool itself is a key reason why its application has been difficult, internal capacity of the organisation to coordinate the delivery of pain management and palliative care intervention can lack the sophistication needed to optimise results, as much in terms of quality care as in financial return. The One Care Network ACFI For Care Model has been developed as an innovative service delivery model that brings together unique Information Technology creations within a communication and organizational structure to improve the internal capacity of a residential aged care facility to support the delivery of such important aspects of service delivery today. Supported by innovative technology, a comprehensive project management structure, contemporary clinical management policies, communication and reporting systems, and a resource bank that supports Iocalised needs, the One Care Network ACFI For Care Model ensures quality service provision for older people in the residential aged care home in line with the needs of consumers today whilst maximising funding capability in the areas of Palliative Care and Complex Pain Management. Data cullecUun ca capability Cam plia ce Dftlte ACFI pllistkTa t ion f E fi 1 cke ncy oFA F] uftbe e service t optimal Eyrie mc files wh ACFI information sy m s to appraisal prn e to htitial a nd ong ning n u inmss Rules pra ide meaningful re Lr ce rror and appraisal fra ntline ar l business maximum array h level re pnrHn claim acclaim val tm Key Considerations Key Considerations Key Consideration5 Key Considerations Diligence of fruntline 4 Congrue nee claim ing data collection to against ACFI Evidence inform ACFXa appraisal check-list Leve I Fen age merit of? Capacity further stt wh data admir ist rave a nd co Ilection dev ices filing -y Lem to optimism va lidaflnn Leve 1 of staff OL corn knowledge ufACF I domain criteria &ccura L-y wrap pra i I dL alert -y --tem Accura cy further 1Ritia I ACF 1Appraisa I to Actual Reside nt N e eds ? Ca pacity oftl e? Ca pac-￠y fthe inform atinn rga nmatin to ma nage ment system a utmmat proton ss (1HS} tD provide r alLime ap, , a sie; fACFI? Ca pacify nfthe pe rf rma nce rga nisaLio n E ) a ut m abe varnlaUon . apacit ftl e IMSto compliance e nti J( nr j nin appraisal im provemen[? support ACF 1 epl)O rLuniLi iruEIml ing npt imitation n maim { c re pa nL-y Major Cha nge a r l Exceptional Ma CI r Je optimi mp and NilClaim repurling. ? Ca pa c J(ofthe TMS Lo inform process e tacit ncy, accuracy n3 timeliness FIGURE i