Constructing a “superhighway” for our
future – CDC in community aged care
A Good Life for All
By Wina Kung
Executive Manager (Positive Ageing)
UnitingCare lifeAssist
ACSA IAHSA Joint International Conference 2015
Global Communities Coming Together
About UnitingCare lifeAssist
Key areas for today’s presentation
• Our history of CDC practice
• Our understanding of CDC
• Our clients
• Our journey of implementing CDC
• Our challenges
Constructing a super highway
Our CDC Model: People at Centre Stage 2009-2012
Aim:
To develop a flexible and responsive, yet safe, community aged care
model that empowers and enables older people and their carers to
shape and direct the services they receive with the aim to improve
overall care outcomes.
People at Centre Stage (PACS) Research
Principles:
Choice, Control and Flexibility
Independently evaluated outcomes
PACS CDC intervention group participants were:
5 x more satisfied with their overall care;
5 x more satisfied with their treatment;
3½ x more satisfied with their care options;
5 x more satisfied that they had a say in their care;
3 x more satisfied with the information they received and
3½ x more likely to state that the service changed their view
on what they can achieve in their lives.
What is Consumer Directed Care Approach?
Resources identified and pathways discovered to help
support the person in the fulfilment of their dreams.
Once the objective is clear Case Manager and Client/their families
work together to identify the people, activities and community links
needed.
Before care planning, Case Manager works WITH Client and
their families to find what will help them to move towards their
goals /dreams so that the supports they get help them get where
they want
CDC Model starts with the person, identifies who they
are, their interests, capabilities and priorities
Case Study - Mary
How about we bring the world to Her!
Case Study – Mr. Smith
Case Study – Mr. Smith• Socially isolated
• Personal hygiene issues, lost weight
• Lacks incentive
• Lack of exercise/ mental stimulation
Mr. Smith’s Dream Gardening
CDC Support Plan:
• Hire a community garden bed
• Volunteer assistance
Case Study – Mr. Smith
Case Study – Mr. Smith
Mr. smith’s Dream Gardening Achievements by using Consumer Directed Care approach:
Reduced social isolation – has friends from the community
garden with similar interests
Undertook daily exercise – walking and gardening
Maintained his own personal hygiene without assistance
Maintained his home in a reasonably clean condition
Increased self esteem
Improved his health - physically and mentally
Case Study – Ms L
Background:
• Migrant from China; used to be a very active member within the
Chinese community; one of founders of a Chinese Dancing Group for
older women
Health Conditions:
• Diagnosed as legally blind
• Suffer from osteoarthritis
• Had a serious fall
• Suffer lots of pain of her back and legs
• Totally dependent on husband re housework and going out
Case Study – Ms L
Ms L’s dream – perform again with her
friends from the Chinese Dancing Group
Sub-goals:
1. Strengthen her ability and confidence via
• Fall prevention Program
• Hydrotherapy sessions
• Occupational Therapy
2. Identify and learn to play Er-hu (A Chinese music
instrument)
3. Perform in front of a group
4. Perform with the Chinese Dancing Group
Case Study – Ms L
Celebrating achievements:
Regained her mobility and balance
Increased her confidence
Learned Er-hu and can play a couple of songs
Performed at a Chinese Senior Citizen Club
Anniversary day
Invited by her friends to join the Chinese
Dancing Group to perform in the future
Preparing her next performance with the
Chinese Dancing Group
Key Features
• Co-production model
• Partnership approach
• Person centred co-assessment and planning
• Aspirational and restorative health goal setting
• Enable informed decision making
• Self direction and capacity building
• Shift from “case management’ to coaching-mentoring
lifeAssist’s Journey
lifeAssist’s Journey (Cont.)
Support from CEO/Executive level based on the PACS
Research as the blueprint for lifeAssist’s CDC model.
Engage whole organisation to develop a CDC implementation
plan.
Communicate/Educate staff about CDC, plan and timelines.
Organise working groups to work on “systems” and “workforce”.
Self assessment - CDC readiness.
CDC Trial and Evaluation.
Implementation of a CDC transition plan.
Maintain high quality services, regular monitoring & quality
control.
Embed and consolidate CDC model into “business as usual”
within lifeAssist.
Challenges
• CDC as a catalyst for efficiencies and reducing red tape.
• Expect to re-visit, renew and refresh organisational systems such as
our back of house systems.
• Live records of spending & budget and transparent monthly
statements.
• Workforce development and capacity building for staff re CDC,
challenging their traditional practices.
• Improve outcomes for our clients and enhance their capacities to make
informed decisions.
• Reinforce the links between clients and their local communities.
• Strengthen marketing strategies to promote our services.
• Enhance customer’s experience.
Questions
Contact us:
UnitingCare lifeAssist
G/F Building 5, Brandon Office Park,
530-540 Springvale Road, Glen Waverley,
Victoria 3150, Australia
Website: www.lifeassist.org.au
Tel: (03) 9239 2500
Wina Kung, Executive Manager (Positive Ageing)
Email: [email protected]