Despite the sector’s many recent advances, the clinical governance systems in residential aged care “are lacking”, an Australian aged care CEO will tell an international conference.
I am about to board a plane for Singapore where this week I will be speaking at the GCIC 2018 conference on integrated care.
My topic will look at where the industry may go next in its clinical governance responsibilities. I thought this was interesting to look at twenty years on from the introduction of the Aged Care Act in 1997.
I will share my full paper next week and explore some further ideas following the conference. In the Essay, I have strived to briefly describe the history of residential aged care in Australia and show how economic drivers that largely determine the funding of care may also be diminishing the clinical appropriateness of care. This can place care recipients, providers, and program funders alike potentially at risk of failure of service in financially constrained times.
Wayne Belcher, CEO of Aged care operator Braemar, says the proposed changes will place a burden on already stretched Aged Care providers.
“The proposal suggests that providers pay for both the existing accreditation process, as well as pay AAQCA to do one of their mandated Unannounced Visits. This is a cost of between $2,700 to $5,880 – per facility, per annum.”
This piece was published as ‘The Bones are Bare’ on Australian Ageing Agenda.
I have been back working in the aged care sector for almost twelve months now – first on an interim basis with Baptistcare here in Perth, and for the past four months or so as Chief Executive with Braemar Presbyterian Care in WA.
One of the most common questions on my return to the sector is about the amount of change there has been in “aged care” since I left the sector back at the end of 2010.
One could say that the change has been enormous, with refundable accommodation deposits now part of residential aged care, and significant changes having been made to funding around client centred care in the community aged care sector.
On the other hand, one could quite calmly suggest that no great change has happened. After all, since I first entered the aged care sector back in 1982, we have had at least some fifteen (perhaps closer to twenty) Australian Government Ministers with responsibility for aged care services over the past thirty years. In that same period, we have had at least three major changes to the funding regimes that providers live with daily.
Jason Chatfield is a cartoonist and illustrator based in New York. Raised in Perth, he is Australia’s most widely syndicated cartoonist, producing the iconic comic strip Ginger Meggs which appears daily in 34 countries through Andrews McMeel Syndication.
Jason is also a professional stand-up comedian. You can find his Comedy Website here.