Towards a Measure of Function for Home and Community Care Services in Australia: Part 2 - Evaluation of the Screening Tool and Assessment Instruments

2006 ◽  
Vol 12 (1) ◽  
pp. 82 ◽  
Author(s):  
Janette Green ◽  
Kathy Eagar ◽  
Alan Owen ◽  
Rob Gordon ◽  
Karen Quinsey
Keyword(s):  
Screening Tool ◽  
Community Care ◽  
Target Population ◽  
Assessment Instruments ◽  
Care Services ◽  
Home And Community Care ◽  
Stage 1

The National Home and Community Care (HACC) Dependency Data Items Project was established to recommend, for national use, validated and reliable instruments for measuring the dependency of people eligible for HACC services. In Stage 2 of the project - reported here - a screening tool and assessment instruments selected in Stage 1 of the project were field-tested in a range of HACC agencies. The performance of the screen and the associated assessments was evaluated, as was their acceptability to HACC staff and clients. The results suggest that all of the five instruments are suitable for the target population of HACC services and they can be used effectively across a broad range of service types and by providers of diverse professional backgrounds.

Towards a Measure of Function for Home and Community Care Services in Australia: Part 1 - Development of a Standard National Approach

2006 ◽  
Vol 12 (1) ◽  
pp. 73 ◽  
Author(s):  
Kathy Eagar ◽  
Alan Owen ◽  
Nicholas Marosszeky ◽  
Roslyn Poulos
Keyword(s):  
Community Care ◽  
Self Care ◽  
Functional Independence Measure ◽  
Field Testing ◽  
Functional Independence ◽  
Assessment System ◽  
Assessment Instruments ◽  
Care Services ◽  
Home And Community Care ◽  
Second Tier

The aim of the project was to recommend, for national use, validated and reliable instruments for measuring the dependency of people eligible for Australian Home and Community Care (HACC) services. The project was split into two stages. Stage 1- reported here - reviewed the suitability of existing instruments and scales to measure levels of dependency within the target group and made recommendations on a set of measures for national field testing in Stage 2. The review covered four domains of function (domestic or instrumental, self-care, challenging behaviour, and cognitive) and recommended an instrument for each domain. A two-tier assessment system was developed. The first tier consists of a simple nine-item functional screen. It consists of seven items from the OARS instrument (Fillenbaum & Smyer, 1981) and two additional items to cover cognitive and behavioural functioning. The second tier consists of five functional assessment instruments, used only with those triggered for an assessment from the first tier assessment. The five instruments are the Barthel Index (Collin, Wade, Davies, & Horne, 1988) or the Functional Independence Measure (FIM, Granger et al., 1993) to assess self-care; the Lawton's Instrumental Activities of Daily Living (IADL) Scale, with modifications to make it suitable for the HACC program, to assess domestic functioning; the Australian Resident Classification Scale (RCS), with modifications to make it suitable for the HACC program, to assess behaviour; and the Folstein Mini-Mental State Examination (MMSE [30-point]) to assess cognition. The selected instruments were, on the weight of the available evidence, those that best met our criteria in terms of validity, reliability and acceptability. The performance of the instruments with a representative sample of HACC clients and services forms Stage 2 of the research; this empirical evidence is reported elsewhere in this Journal.

Improving primary level home and community care services for older people: The case of Hong Kong

2017 ◽  
Vol 27 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Yuan Yuan Fu ◽  
Ernest Wing Tak Chui ◽  
Wing Shan Kan ◽  
Lisanne Ko
Keyword(s):  
Hong Kong ◽  
Older People ◽  
Community Care ◽  
Primary Level ◽  
Care Services ◽  
Home And Community Care

Characteristics of older adults living with HIV accessing home and community care services in British Columbia, Canada

AIDS Care ◽  
2020 ◽  
Vol 33 (1) ◽  
pp. 121-130
Author(s):  
Katrina Koehn ◽  
Heather Burgess ◽  
Sharyle Lyndon ◽  
Michelle Lu ◽  
Monica Ye ◽  
...  
Keyword(s):  
Older Adults ◽  
British Columbia ◽  
Community Care ◽  
Care Services ◽  
Home And Community Care ◽  
Living With Hiv

scholarly journals Assessment, Allocation, And Management Of Home And Community Care Services For Medically Complex Children : A Case Study

2021 ◽  
Author(s):  
David Salib
Keyword(s):  
Community Care ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Local Health ◽  
Health Human Resource ◽  
Care Needs ◽  
Care Services ◽  
Home And Community Care ◽  
Care Coordinators

This study examines the experiences of CCAC Care Coordinators when assessing, allocating, and managing medically complex children who require home and community care services. A case-study design was implemented, employing a focus group with seven Care Coordinators and an analysis of the 14 Local Health Integration Networks (LHINs) Integrated Health Service Plans (IHSPs) across Ontario. Three major findings arose from the study. First, families are experiencing increased levels of burden related to the child's care responsibilities. Second, there remains a health human resource shortage of individuals with a specialization in paediatrics in the home and community sector. Third, Care Coordinators function as street-level bureaucrats when allocating publicly funded services without the use of a standardized assessment tool. Ultimately, a model of care needs to be implemented supporting a balanced approach to assessment, utilizing standard assessment tools while providing a means for Care Coordinators to utilize their expertise in allocating services.

Gatekeepers to home and community care services: the link between client characteristics and source of referral

2013 ◽  
Vol 37 (3) ◽  
pp. 356 ◽  
Author(s):  
Nerina Vecchio
Keyword(s):  
Home Care ◽  
Community Care ◽  
Health Workers ◽  
Multinomial Logistic Regression ◽  
Care Program ◽  
Ageing Population ◽  
Community Factors ◽  
Care Services ◽  
Healthcare Needs ◽  
Home And Community Care

Objectives. To identify characteristics associated with the likelihood of a client receiving a referral to the Home and Community Care (HACC) program from various sources. Methods. Data were collected from 73 809 home care clients during 2007–08. Binary logistic and multinomial logistic regression were used to investigate the likelihood of a client being referred by health workers v. non-health workers. Results. Females and clients cared for by their parents were less likely to receive referrals from health workers than non-health workers after confounding variables were controlled for. While poorer functional ability of clients increased the probability of receiving a referral from a health worker, the opposite was true for those with behavioural problems. Over 43% of the sample either self-referred or was referred by family or friends. Conclusions. Eligible individuals may miss out on services unless they or their family take the initiative to refer. There is a need for improved methods and incentives to support and encourage health workers to refer eligible individuals to the program. What is known about the topic? The absence or inappropriate referral to a suitable home care program can place pressure on formalised institutions and increase burdens on family members and the community. Factors largely unrelated to healthcare needs carry significant weight in determining hospital discharge decisions and home care referrals by practitioners. What does this paper add? The effectiveness of the HACC program is dependent on the referrer who acts to inform and facilitate individuals to the program. The purpose of this study is to identify the characteristics associated with the likelihood of individuals receiving a referral to the HACC program from various sources. What are the implications for practitioners? This study will assist policy makers and practitioners in developing effective strategies that transition individuals to suitable home care services in a timely manner. An effective referral process would provide opportunities for implementing preventative strategies that reduce disability rates among individuals and the burden of care for the community. For instance, individuals with unmet needs may be at higher risk from injury at home through inadequate monitoring of nutrient and medication intake and inappropriate home surroundings. Improving knowledge about care options and providing appropriate incentives that encourage health workers to refer individuals would be an effective start in improving the health outcomes of an ageing population.

scholarly journals Home and community care services: a major opportunity for preventive health care

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Louisa R Jorm ◽  
Scott R Walter ◽  
Sanja Lujic ◽  
Julie E Byles ◽  
Hal L Kendig
Keyword(s):  
Health Care ◽  
Community Care ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Care Services ◽  
Home And Community Care

scholarly journals Assessment, Allocation, And Management Of Home And Community Care Services For Medically Complex Children : A Case Study

2021 ◽  
Author(s):  
David Salib
Keyword(s):  
Community Care ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Local Health ◽  
Health Human Resource ◽  
Care Needs ◽  
Care Services ◽  
Home And Community Care ◽  
Care Coordinators

This study examines the experiences of CCAC Care Coordinators when assessing, allocating, and managing medically complex children who require home and community care services. A case-study design was implemented, employing a focus group with seven Care Coordinators and an analysis of the 14 Local Health Integration Networks (LHINs) Integrated Health Service Plans (IHSPs) across Ontario. Three major findings arose from the study. First, families are experiencing increased levels of burden related to the child's care responsibilities. Second, there remains a health human resource shortage of individuals with a specialization in paediatrics in the home and community sector. Third, Care Coordinators function as street-level bureaucrats when allocating publicly funded services without the use of a standardized assessment tool. Ultimately, a model of care needs to be implemented supporting a balanced approach to assessment, utilizing standard assessment tools while providing a means for Care Coordinators to utilize their expertise in allocating services.

Improving Access to Home and Community Care: An Analysis of the 2017 Health Accord

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Rhiannon Robertd ◽  
◽  
Mary Bartram ◽  
Katerina Kalenteridis ◽  
Amélie Quesnel-Vallée ◽  
...  
Keyword(s):  
Home Care ◽  
Community Care ◽  
Burden Of Care ◽  
Bilateral Agreements ◽  
Care Services ◽  
Home And Community Care ◽  
Canadian Health ◽  
Liberal Government ◽  
Federal Initiatives ◽  
Improve Access

In 2017, the federal Liberal government confirmed the new Canadian Health Accord, which included a targeted transfer of $6B over ten years to the provinces and territories to improve access to home and community care services. Although there were previous federal initiatives aimed at enhancing home and community care services, challenges remain. Many Canadians cannot access home care, and a high burden of care is placed on formal and informal caregivers. These challenges partly stem from an unregulated home care sector and a societal undervaluing of the caregiving role. In 2016, federal, provincial, and territorial governments met and established home and community care as a Canadian health priority. Funding was agreed to in principle from 2016 to 2017 and finalized from 2017 to 2019 through a series of bilateral agreements. The targeted transfer appears to be boosting investments in the home care sector and fostering collaboration across jurisdictions. However, it is unclear whether there have been improvements in access to home and community care.

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