Will your Aged Care business be ready?
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Get ready for a new era of Aged Care! When it comes to the Royal Commission, readiness isn’t optional. The Aged Care sector faces a challenging year. Companies will be required to prove their commitment to high quality care with material evidence, or risk shutting their doors for good. The Royal Commission is set to put serious pressure on aged care businesses to produce a wealth of critical information – information that many of them don’t currently have, or don’t have accessible. The good news? Early movers who prepare for this intensive regulatory scrutiny stand to gain everything in the new world. Hear from the experts to understand what you can expect from the industry-wide audit and how we can help you prepare for it. Speakers: - Scarlet Reid | Partner at McCullough Robertson - Jason Munstermann | Partner at McCullough Robertson Hosted by: - Natasha Davidson | Group General Counsel and Company Secretary at Ansarada
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Will your Aged Care business be ready?
- 3. Whyare wehere? McCullough Robertson Partners Scarlet Reid & Jason Munstermann Partners 31 January 2019
- 4. Overview oftheRoyal Commission ▪Established on 8th October 2018 ▪Justice Richard Tracey and Ms Lynelle Briggs are the Royal Commissioners ▪Interim Report due 31 October 2019 ▪Final report due 30 April 2020 ▪Anticipate Hearings and Round Table Discussions
- 5. Termsof reference ▪Quality of services ▪Extent of substandard care being provided including mistreatment / abuse ▪Causes of systemic failures ▪How best to deliver care ▪Future challenges and opportunities ▪What can be done?
- 6. Preliminary steps ▪Investigation & Information Gathering ▪Round Tables ▪Letters to the Top 100 providers requesting that they voluntarily provide information by 7 January 2019 – many did ▪Other recipients to voluntarily provide information by 8 February 2019 ▪Preliminary Hearing – 18 January 2019 ▪Review of Information and Hearing Preparation
- 7. Requeststo providers Nature of request: ▪ Not compulsory but an opportunity to assist the Royal Commission particularly to identify and scope commission and focus on systemic failures which may need a broader response Is there a benefit in responding when there is no compulsion? ▪ May be discovered in any event through other agencies ▪ Is of assistance to commission ▪ Better to be prepared with response and remediation ▪ Better understanding of risk
- 8. Requeststo providers occasions… of substandard care including mistreatment and all forms of abuse Describe: ▪ Nature of substandard care ▪ Response investigating substandard care ▪ Whether result of systemic failure And: ▪ Was systemic failure reported? ▪ Was it an issue during accreditation/quality process ▪ Did it result in non-compliance or imposition of sanctions? investigating substandard care investigating regulatory resp.
- 9. Requeststo providers receive complaints of substandard care including mistreatment and all forms of abuse Describe: ▪ Nature of substandard care ▪ Response investigating substandard care ▪ Whether result of systemic failure And: ▪ Was systemic failure reported? ▪ Was it an issue during accreditation/quality process ▪ Did it result in non-compliance or imposition of sanctions? investigating substandard care investigating regulatory resp.
- 10. Used by the Federal Parliamentary Committee in its interim report into investigations into Oakden where a wide range of deficiencies were identified. “Substandard care”
- 11. Substandard care ▪ Care provided which fails to meet statutory standards ▪ Breaches of the Aged Care Act 1997 and breaches of the standards prescribed in the Quality of Care Principles 2014 ▪ Breaches of Charter of Care Recipients Rights and Responsibilities ▪ Community expectations ▪ Care which fails to meet “the high standards of quality and safety that the Australian community expects”
- 12. Disclosing information: key issues ▪ What is a systemic failure? ▪ Royal Commission provides FAQ’s published in November: “…it is recognised that some occasions of substandard care may be an isolated incident in a service which otherwise provides safe and high quality care. Others reflect a breakdown or failure on a broad or systemic basis…” ▪ Used to identify local systemic failures as well as broader sector failures ▪ Consistent with terms of reference which requires the Royal Commission to investigate the ‘…causes of systemic failures…’
- 13. ▪ Consider whether information will be available in any event – statutory authorities and regulatory agencies, available documentation: - Mandatory record keeping (Progress notes, medication charts, weight charts, ACFI material and Aged Care Act compulsory reporting incident reporting requirements) - Incident registers - Complaints by families, - Miscellaneous documents: staff records, worker’s compensation reports ▪ Consider ramifications of not disclosing and being subsequently questioned Disclosing information: key issues
- 15. Disclosure examples ▪ Clinical outcomes: - Medication mismanagement - Physical abuse - Failures to provide care in accordance with care plan ▪ Complaints of bullying culture/fear of reporting by staff ▪ Complaints of inadequate/inappropriate staff training ▪ Complaints of understaffing ▪ Complaints mismanagement ▪ Governance failures - Failures of Board to understand culture - Failure of board to have direct influence on care outcomes
- 16. ▪ Complaints investigated as having no care outcomes - May need to reflect - Courier Mail / Sun Herald Test ▪ Complaints about staff/between staff with no adverse care outcomes ▪ Single acts of limited or no care consequences ▪ Allegations that care could have been better ▪ Allegations of insufficient non clinical contact Disclosure examples
- 17. Disclosures: remaining questions ▪ Opportunity to discuss issues including: 1. Steps taken to ensure person centred care quality care, 2. Improve engagement with families/carers concerning care 3. Delivery of sustainable care through innovation technology and labour and capital investment 4. To accommodate diversity and address barriers to access 5. Adequacy of services to younger residents 6. Difficulties at interface with other health systems (acute and allied) 7. Other services could provide and barriers to providers implementing them 8. Any other changes ▪ Not compulsory and will be given other opportunities ▪
- 18. Where dowego fromhere? ▪ Get started easily today ▪ Benchmark your readiness with Ansarada ▪ Surface the documents you need ▪ Prepare for your legal counsel ▪ Get on the front foot now ▪ Be confident and ready
- 22. TheessentialAgedCareRoyalCommissionplan tohelpyourbusinessgetreadyandstayready. Data Unlimited Royal Commission scorecard One Platform licenses Up to 15 Letushelp yourbusiness getreadyand stayready. Key plan features 1 custom scorecard for the Aged Care Royal Commission Business improvement guides Team collaboration Knowledge base & live chat support 24/7 customer success experts (phone & email) Dedicated customer success manager Option 1 $6,518.40 Paid upfront Pricing 12 months access Option 2 $679 Paid monthly12 months access (Includes one off 20% discount) EXCLUSIVE OFFER valid until 28 February 2019