Our business

Care Consultancy specialises in assessment and coordination of aged care. We have been operating in Tasmania as an independent assessment, brokerage and care coordination business since 1999. During this period we have gained significant experience in managing the delivery of innovative home care services and now employ a multi-disciplinary team of highly skilled professionals across Tasmania including over 30 staff, over 15 registered clinical professionals and additionally contracting to over 15 nurses state-wide.

Business profile

Care Consultancy has a broad client base including older Tasmanians living in the community and over 60 years of age, those needing assistance at home after a time in hospital, or whose health prevents them undertaking normal activities around the home, and veterans who require home care.  Care Consultancy also provide services to Health Professionals including GPs and surgeries, hospital discharge planners and aged care residential and community service providers.

Care Consultancy now manage a significant size operation, with both private and government funded arms to the business, providing several different client services all of which have a large client volume.  These are detailed below.  In summary, Care Consultancy have approximately 2500 currently active HACC clients, provide annual phone assessments for 1100 VHC clients in Southern Tasmania, complete over 1000 health assessments annually on behalf of the GP community and provide three community aged care packages.

Success factors

The growth of Care Consultancy is due to the following business management decisions:

  • The maintenance of key personnel equipped with specialist skills in assessment and coordination of home and community health aged care.
  • The development of a model of independence from direct service provision, separating our role of assessment and coordination of services from service providers contracted to deliver those services directly.
  • Specialisation in well-developed knowledge, relationships and agreements across Tasmania’s primary health, acute, community and aged care sector, with both State and Federal government providers, Non-for-profit and Private community health providers, both sole traders and medium operators, and large organisations.
  • The building of a scalable model of brokerage and service contracting that penetrates beyond regional centres into rural and remote areas.
  • Provision of state-wide best-practice health care programs and services that affect improvements for the sector to increase access, quality, safety, effectiveness, efficiency and responsiveness of home and community health care.
  • Leading the way in contract management to ensure quality and safety, responsiveness and efficiency in home and community health aged care.

History and experience

Provided below is a description of the programs managed by Care Consultancy over the last 13 years:

  1. Enhanced Primary Care / Chronic Disease Management
  2. Veterans’ Home Care Assessment Agency
  3. Home Care program
  4. Post Acute Program (PAP)
  5. Home-based Independence Program (HIP)
  6. Community Aged Care Packages (CACPs)
  7. Avoidance of Hospital Admission Program (AHAP)

 

1. Enhanced Primary Care / Chronic Disease Management

1999 – Ongoing (13 years’ experience); Comprehensive Health Assessments and Care planning including Mental Health Care plans – working with General  Practitioners

Region: State-wide

Experience:

  • Commencing in 1998 – 99 as Care Co-ordinators with the Co-ordinated Care-works Trial, Care Consultancy began working with GP’s to perform specialised assessment and co-ordination.
  • Currently Care Consultancy undertake Health Assessments, Care Planning, residential health assessments (CHAs), together with chronic disease management programs on behalf of the General Practitioner community (working with approx. 40 GPs from 12 surgeries)
  • Care Consultancy has completed over 10,000 Comprehensive Health Assessments and approximately 5000 Care Plans over the last five years.
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2. Veterans’ Home Care Assessment Agency

2000 – Current Date (12 years’ experience); Veterans Home Care Program Assessment Agency (DVA)

Region: Currently Southern Tasmania Only.  Have Tendered for State-wide Service

Experience

  • Commencing in 2000 Care Consultancy are contracted as the VHC Assessment Agency for Southern Tasmania.
  • Care Consultancy currently operate this program in the South VHC Region (Tasmania), performing needs assessments and coordinating/contract services to 12 VHC Service Providers to deliver care in both metro and rural areas. Currently Care Consultancy manages approximately 1100 Entitled Persons in the Veterans Home Care Program.
  • Care Consultancy participated in an audit within the framework of the “VHC risk management cycle” which was conducted on 9 November 2011 by the Department of Veterans Affairs, in which Care Consultancy achieved a “Low Risk” overall rating, and were highly-commended within the auditor’s comments.
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3. Home Care program

2002 – Ongoing (10 years’ experience) HACC Home Care Program (Assessment Brokerage and Coordination model)

Region: State-wide

Experience:

  • Since 2002 Care Consultancy has successfully managed the HACC Home Care Program using an assessment, brokerage and co-ordination model.
  • HACC eligible clients are re-assessed on a six monthly basis and provided with a range of services including home help and home and garden maintenance. Care Consultancy currently provide services for over 1500 clients across Tasmania.  An initial home assessment is conducted and services are reviewed six monthly by phone or by home visit as appropriate.
  • In both 2003 and 2007 Care Consultancy participated in HACC National Standards Appraisals. Care Consultancy was appraised as being of a high standard with maximum scores achieved for each of the seven objectives, including access to services, information and consultation, efficient and effective management, coordinated planned and reliable service delivery, privacy, confidentiality and access to personal information, complaints and disputes and advocacy.
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4. Post Acute Program (PAP)

2004 – Ongoing (8 years’ experience); HACC Aged Care Post-Acute Program (PAP) (Tasmania)

Region: State-wide

Experience:

  • Since 2004 Care Consultancy have coordinated the Tasmania’s HACC Aged Care Post-Acute Program (PAP) for clients 60 years and over after an acute episode in hospital.
  • These packages provide short-term, low-medium level care in the home, though greater than basic HACC services to enable eligible clients to be discharged from hospital with assistance to recover to their best level of independence.  Information on this program is attached here.  The HACC Post-Acute Program offers up to six weeks of post hospital home care in accordance with the client’s assessed needs.
  • Excluding assessment and coordination time, Care Consultancy broker up to 11.5 hours of direct services for each client, and currently provide an average of 1140 packages of post-acute care per year state-wide with two co-ordinators in each region.
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5. Home-based Independence Program (HIP)

2007 – Ongoing (5 years’ experience); HACC Home-Based Independence Program (HIP)

Region: State-wide.

Experience:

  • Since 2007 Care Consultancy have coordinated Tasmania’s HACC Aged Care Home-Based Independence Program (HIP), a 12-week intensive re-ablement program for clients 60 years and over who have a functional disability and are motivated to work with health professionals to increase their independence at home.
  • The program aims to preserve client’s independence by providing a short-term, home-based early intervention service involving a multi-disciplinary team approach. The program aims to provide individual clients with skills and equipment that will enable them to continue living in their own homes as independently as possible. Information on this program is attached here)
  • Excluding assessment and coordination time, Care Consultancy broker up to 22.5 hours of direct services for each client, and currently provide an average of 336 HHIP programs per year.
  • During 2010-11 nearly 80 per cent of clients who completed the program received decreased or maintained service levels after exiting the program, though the vast majority of clients are referred to HHIP as a result of a request for increased services.
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6. Community Aged Care Packages (CACPs)

2011 – Ongoing (12 months experience) Department of Health and Ageing Community Aged Care Packages (CACPs)

Region: Derwent Valley (Southern Tasmania)

Experience:

  • Care Consultancy are Approved Providers of Aged Care under the Aged Care Act 1997, and in 2011 began managing DoHA Community Aged Care Packages (CACPs), with 3 packages for the Derwent Valley.
  • Since June 2011, Care Consultancy has planned and implemented this service to ensure best practice assessment and case management. Care Consultancy’s CACPs are case managed by Enrolled Nurses (EN’s) under the direct supervision and mentoring of Registered Nurses (RN’s).
  • To ensure the most detailed assessment, a RN attends the initial assessment visit to the client’s home, and uses a custom designed assessment tool. This tool was developed the experience and existing tools used in other Care Consultancy programs and supports referral between Care Consultancy programs.  In this way Care Consultancy provides improved value for clients, including via the capacity to refer internally to our exercise physiologist.
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7. Avoidance of Hospital Admission Program (AHAP)

2012 – Ongoing (New Funding); HACC Avoidance of Hospital Admission Program

Region: Southern Tasmania

Experience:

  • In May 2012 Care Consultancy was supported by new funding from the Australian Government under the Commonwealth Home Support Programme (Cwlth or State) and by the Tasmanian State Government to collaborate with and coordinate a Avoidance of Hospital Admission Program (AHAP).
  • The program will initially be piloted with Eastern Shore Community Nursing aims to prevent unnecessary admissions at the Royal Hobart Hospital into the Emergency Department for HACC eligible clients who can be adequately cared for in the comfort of their own homes, but who require a rapid response of support services, provided by community health nurses with the extra support of in-home care (for example, domestic assistance, personal care, meal preparation).
  • Care Consultancy will set up a rapid response team (centred on our Intake Coordinator, EN) to coordinate temporary and intensive support of nursing in the home, domestic assistance, personal care, allied health in the home, and meal preparation (depending on client-needs assessment) for a maximum period of 4 weeks for suitable clients.
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