Post on 20-Dec-2015
Transition Care Into The Future
Lesley Podesta
First Assistant Secretary
Ageing and Aged Care Division
2
History of the Transition Care Program
Established in 2004-05 Aims to improve the interface between
the health and aged care systems. Initial commitment was 2,000 places
by 2007-08
3
Transition Care – the present
As at September 2009 there were: 79 transition care services 66% delivered in community 34% delivered in residential setting
4
Transition Care – total places
As at September 2009 there were: 2,499 operational places Average length of stay – 7 weeks This means 18,500+ people can
access transition care services each year
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The Future of Transition Care
The Transition Care Program will double from 2,000 to 4,000 places by 2011-12 The recurrent costs of these additional places are fully funded by Australian
Government Improved access for Aboriginal and Torres Strait Islander peoples and people
with dementia
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How are these places being rolled out?
1st tranche - 228 places allocated in 2007-08, all operational in 2008-09
2nd tranche – 470 places allocated in 2008-09, of these 271 operational at 14 Sept 2009
3rd tranche – around 600 places to be allocated by 31 March 2010, to become operational in 2010-11
4th tranche – around 700 places to be allocated by 31 March 2011, to become operational by 2011-12
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Where are transition care services located?
In 2008-09 53% in major cities 29% in inner regional 15% in outer regional 0.02% in remote areas
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How much is the Australian Government spending on transition care?
2005-06 – $3.3 million 2006-07 – $33 million 2007-08 – $53 million 2008-09 – $76 million 2009-10 – $103 million 2010-11 – $150 million 2011-12 – $220 million 2012-13 – $224 million
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Models of Transition Care
Three Transition Care models Predominantly Community
High average MBI, allied health hours Low nursing, medical hours
Residential High allied health, nursing, medical hours Low average MBI
Mixed Low average MBI, mainly located in Victoria
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Results from transition care
Key findings from the 2008 evaluation were: It provided additional treatment and care options
that were valued by patients and their families Functional improvements occurred. There was variation in access to the program
across Australia. Older people who received transition care had
fewer readmissions to hospital and were less likely to move into permanent residential aged care.
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Transition care and sub-acute care
Transition care was found, in the evaluation, to work best when not used as a substitute for conventional sub-acute care or appropriate geriatric evaluation and management
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Increase in Activity - discharges from 2006-2009
Transition Care Program - Discharges
621
5,990
9,776
12,230
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
FY2006 FY2007 FY2008 FY2009
Series1
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Discharge Destinations 2006-2009
TCP Discharge DestinationsFY2006-FY2009
1.8%
22% 21%
49%
1.6%5%
0
2000
4000
6000
8000
10000
12000
14000
16000
Death To Hospital To residentialcare
Comm with orwithout support
To other tcservice
Other
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Functioning – Improved & Maintained 2006-2009
TCP Improved / Improved & MaintainedFY2006 - FY2009
63.959.0 60.5 60.3
73.376.1 78.5 79.5
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
FY2006 FY2007 FY2008 FY2009
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Continuous Improvement - Transition Care Working Group
Oversees implementation of new 2,000 places and operations of TCP Has representation from all state and territory health departments Includes two clinicians, Professor Leon Flicker (WA) and Dr Paul Varghese
(QLD) Chaired by the Department
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Transition Care Working Group
• Review of Transition Care Program Guidelines, including • Improved access for Indigenous people• Improved access for people with dementia• Leave from transition care• Development of long-term quality framework
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Reform and transition care
National Health and Hospitals Reform Commission
Ongoing role of transition care Increased focus on primary care