A solution to providing Allied Health in the AN-ACC for Nursing Homes

How to keep Physio and Allied Health in Nursing Homes in an AN-ACC world after 1st Oct

LATEST NEWS on BEC – AAC Health Group have FIVE remaining BEC (Better Elder Care) nursing home facility packages left, and six community ones (skip to the end if you’re a decision maker for an organisation wanting to access these)! Get in fast if you would like these for your facility/organisation we are prioritising regional areas at the moment. Contact privatepractice@aachealthgroup.com.au call 1300 574 462 or text 0426 307 480 to make a time with one of our team to discuss how BEC can work for you and your residents prior to October 1st and beyond.

Better Elder Care in Media/Political Updates – Allied Health in Aged Care expert Alwyn Blayse (CEO AAC Health Group including AAC Allied Aged Care) gave evidence at the  Senate 25/8/2022 on BEC Better Elder Care model soluition to keep allied health for residential aged care (nursing homes) and community (care at home) post Aged Care Reform Bills. Specifically he discussed AACs solution option for realistically and transparently providing physio and allied health after October 1st when the AN-ACC funding system starts. This was well received and no objections were raised about its workability or appropriateness as part of an model for different provision of allied health particularly that things like massage from physios might be wasteful and could be provided by others (as long as trained) but certain things such as assessments should be performed with those with appropriate qualifications. The same hearing heard clinical and safety concerns from allied health and others if unqualified non university qualified allied health provided services outside scope of practice. The DOH and Quality and safety commission would target providers if allied health levels esp physiotherapy were cut.

See related article https://www.alliedagedcare.com.au/what-is-the-risk-for-nursing-home-residents-clinical-and-care-staff-executive-and-board-members-if-your-organisation-makes-cuts-to-allied-health-funding/

A warm welcome from BEC (Better Elder Care) and AAC  Health Group!

 

 

 

 

Bettereldercarelogo(notext)

AAC Health group’s unique Better Elder Care (BEC) is an innovative, evidence based solution to keep or find new quality affordable physio and allied health in regional nursing homes and communities.

Why is this model called Bec as if its a real person, not just an allied health package? Because Bec (Bekky) IS a real person. Her name was changed but she’s a real client of AAC Health Group we saw for years in a regional nursing home. Bec has now passed on, but she and her smile live on in our memories and we thought was a fitting tribute to her, and all the other Becs we’ve looked after and will in the future, to name and dedicate the program to her.

Firstly, before we get to know each other and you get to know BEC more, what brings you here?

Are you 1/ A nursing home decision maker, executive, board member concerned about what will happen to you, your organisation, staff and residents without physio and allied health? Worried you won’t be able to afford allied health AND worried what the cost will be if you dont? Then read all the way through to the Nursing Home decision maker FAQ

2/ Are you more interested in services outside of nursing homes in the community? ie you are part of a community organisation, a medical centre or someone else looking after older clients or those with disabilities in their homes or retirement villages (ie funded via HCP, CHSP, NDIS etc) or a family member, or resident wanting their own physio/allied health in your home (nursing home, retirement village, home) especially in a regional area hard to find allied health? BEC is available for you too! BEC aims to keep clients in their homes and doing the things they love, avoiding or delaying as much as possible the need for more services and nursing home care. We’ve put all the info at the start for you, and more detail for community organisation decision makers at the end too.

Do you, your residents, clients, staff, families want to keep, or find quality allied health professionals such as physios, OTs below ? Don’t want to have this NOW and not wait for separate funding that may never come? BEC and AAC have the answer!

 

Otiskneebracefisiocrem Balancewitheileensk

 

There IS a solution to keep allied health in nursing homes in the ACFI to AN-ACC transition? Or in community where we can’t find them esp in a regional area? YES!  You can have an onsite physio/OT visit you or your clients at home (nursing home or your client/your home) RIGHT NOW!

AAC’s unique BEC (Better Elder Care) is a result of 7 years of research, and is the only way we are aware of for nursing homes wanting to keep their allied health professionals and  meet the 8 minutes per a resident per a day expectations of DOH in an affordable and practical way for them and their residents. This comes at on average 1/3 of previous allied health spend for nursing homes. We also offer package options for clients to access physio and allied health in their homes outside of nursing homes as well.

Aac 114

So what exactly IS AAC’s trademarked Better Elder Care (BEC) program? We are so glad you asked!

  • AAC’s Better Elder Care (BEC) is a practical solution to keep allied health in nursing homes the difficult transition from ACFI to AN-ACC October 1 and beyond.
  • Its ALSO for community! Bec works there too as a simple option for clients wanting to access quality onsite physio and OT in their homes as well outside of a nursing home.

Is there funding or a legislated requirement currently specifically for Nursing Home providers to pay for a certain amount of physio and allied health for residents, at either their cost, or in part to their residents after October 1st 2022? No. Once the old funding model (ACFI) that provided incentives to providers to have physios and OTs particularly onsite at no cost to residents and families ends on September 30th 2022 there is no incentive or specific funding for a nursing home to provide physiotherapy or other allied health. There is also no legislated requirement of providing a certain level, frequency in the Quality Standards and Aged Care Act that govern the conduct of homes and is enforce by the Aged Care Quality and Safety Commission. This is depsite what government adn DOH have been saying is why allied health levels have been falling from 8 minutes a resident a day in 2020 to 1.73 minutes a resident a day in June 2022 (Mirus Australia)

But...(and its a BIG but and we cannot lie (sorry Alwyn’s son asked for that joke to be in here)

Is there an EXPECTATION from Department of Health, the Quality and Safety Commission, the government, Doctors, Nurses, family members, residents and others that a nursing home DOES pay for and provide some physio and allied health out of their government funding even though it is not specifically provided for a certain number of allied health minutes? YES!!!! And a BIG yes. Both the previous and current government and Department of Health for over 12 months, and viewable on their website (google AN-ACC and allied health and you’ll find, link currently we have as working is hereIn this document department of health say they are expecting facilities to spend 4% of funding or around $700 million a year providing allied health. Department of Health have also said publicly that they expect this to be at LEAST 8 mibutes a resident per a day  (17th June via spokesperson Professor Nick Hartland Sydney Future Aged Care Summit)

Alliedhealthinanacc

Allied health IS expected to be provided by nursing homes by DOH and legislation

BEC makes allied health affordable and realistic in nursing homes right now AND helps meets compliance requirements and expectations of Department of Health, residents and others.

Is there funding currently specifically for physio and allied health in Nursing homes for residents and facilities after October 1st? Yes. Community allied health is quite different. There is funding through a number of sources, starting with My aged care (www.myagedcare.gov.au to learn more) including CHSP (commonwealth home support program), Home Care Package Level 1-4, DVA, Medicare care plans. So in a lot of cases there will be no or minimal out of pocket costs to clients seen in their home from our allied health services.

BEC can find and keep physios/OTs seeing clients in regional areas in their homes in clear and simple to understand pricing per a resident per an hour that may be covered almost entirely or in full in their funding package.

I heard there may be more funding for allied health though in the future? Maybe but nothing yet or on the horizon in resi care, and home care/community is still uncertain as well. And we would know we read all the briefs/attend the hearings etc etc. There may well be further funding coming for physio and allied health in the AN-ACC or community in the future as has been called for by many professional nursing home and allied health organisations. We’ll be the first to update this here if/when this does happen.

Our advice if you want physio and Allied Health now? Better to go with what you know now, not hold off until a future that may or may not happen (funding)

Yes yes! But how much does it cost? No problem! We can rabbit on a bit sorry! AAC value being honest and transparent and will now tell you EXACTLY below how much you will pay for BEC to have physio and OT onsite at your home (nursing or otherwise) . See the graphic below!

This nursing home cost is accurate and what we send in our quotes right now, and this will be the same prices for community care as well that graphic is coming soon its just being updated with the current funding options in there as well. So it makes more sense though lets go through a case study after you see this graphic to help explain it and how much you’ll pay exactly.

Health

 

Nursing home model The above is is exactly what we are charging to any nursing home organisation who will then decide with their management and residents how much and what cost (if any) that their residents to pass on transparently and as per legislative requirements. There are further discounts for multiple homes (more than 1) that will lower the price again in a platinum package please contact privatepractice@aachealthgroup.com.au if you would like to see this.

Case study 1 Nursing home menu below On average below for example a 50 bed home that spent $300,000 on allied health previously would only be paying $100,000 for the same assessments, services and reviews but at a simpler cost of $9 a resident per a day. And the nursing home decides based on the clinical care what they most want the allied health to be working on (want sensory testing all your residents? Want to swap that to manual handling? Need more massages and pain management? Falls prevention? Chest physio? No problem! You can swap easily each week based on your clients needs without extra cost). 

Case Study 2 – The nursing home and its board/decision makers/clinical staff may choose then to ALSO have its clients choose what allied health they would like to choose themselves. They may choose to pass on some or all of this cost in an extras package,  or make available to all residents or families to pay what they are able to at a much lower cost than if they had to organise and pay for their own private physio and allied health! 

A resident may also be able to offset the cost to them further with private health, NDIS, DVA, and medicare care plans. This depending what is selected may cost $5 a resident per a day after rebates in this example at the 50 bed home for a resident to be able to access significant time with the physio and allied health team each week, swapping what they want. This would enable a resident/family to choose and swap the allied health they would like each week (want a massage? rehab? just to talk and go through your goals? No problem! You can swap even in a session for what you prefer!)

  • You or your clients can get back to doing what you love/want to do instead of worrying about how/where can you find your physio and allied health! Like this lady who had physio intensively for 4 weeks at 91 to get back to working and lived on for 9 years.

Physiogotmumbackonherfeet1

 

Want to find out more or just scam (cough we mean earn) a free coffee and treat?

We can also send you a detailed quote and service agreement as well that will outline much more about BEC and what you can get, how you can swap options around etc and not pay any more. To learn more and without any high pressure/obligation stuff (we ALSO choose where we go and want to be a good fit for you and you for us so its win/win) please contact privatepractice@aachealthgroup.com.au or SMS 0426 307 480 (just say your name and region and way your way you’d like us to contact you ie call you landline, mobile or just want info via email, text) or call and speak to a real human in Australia (they work from the Sunshine Coast!) by calling 1300 574 462 between 8am-4pm and you can leave a voicemail outside of these hours. Due to the volume of calls we get, the person answering won’t be able to answer your questions, they will take your details though and ensure that someone contacts you same day if you contact us before 2pm, or the next day if its after 2pm.

If for any reason this DOESN’T happen or you start Bec and aren’t 100% satisfied, we would really like to know! We are proud of Bec but we know that everyones needs and expectations are different, and we want to learn and improve as we go. So PLEASE contact us if you’re happy or if you’re not (don’t have to even be unhappy, we count not happy as anything where you’re not raving about BEC to others)!

If you’re not happyalong with a genuine apology from our Operations Manager and working with you to show you that we took on your feedback and improved for others, we will also thank you for your trouble with a coffee/tea/beverage and treat of your choice to the value of $10. (You could have the beverage in the one like this below that our CEO Alwyn got made and he brings everywhere because he goes around calling himself the luckiest CEO on the planet! Really!) To do this as long as its polite and constructive simply contact feedback@aachealthgroup.com.au   

 Happy? You can get the coffee/treat if as we hope you get a good interaction with us too! Up to value $10 as above (you won’t get the apology but may get a yay!) Same way feedback@aachealthgroup.com.au

** note subject completely to AAC discretion. We genuinely want to do this but it must be constructive and useful feedback to help us improve. AAC not held liable for misuse of $10 or calories consumed or coffee/treat spillage!

What are you waiting for? BEC wants to meet you and get you the physio and allied health you need right now!

To get started just contact privatepractice@aachealthgroup.com.au  SMS 0426 307 480 or call 1300 574 462 and one of our private practice team will get back to you ASAP

Thanks for reading ! Hope to chat and meet you soon!

BEC And the AAC Health Group and Better Elder Care team

“We find quality allied health professionals in regional areas where others cannot!”

Phone 1300 574 462

privatepractice@aachealthgroup.com.au

www.aachealthgroup.com.au

 

 

PART BELOW NOT NEEDED TO BE READ UNLESS you’re one of the following , you’re welcome to if you’re not its just very technical but IS useful if you have trouble going to sleep at night 🙂

More detailed info and FAQ for decision makers – Don’t need to read this unless you’re an executive, decision maker, board member, someone who wants to make sure they in their role or someone they know has seen the informationas part of their duty of care, due diligence, risk management  

 

See also our 10 key questions on allied health for board and executives to consider and be able to answer in terms of clinical safety in particular

You might be thinking WHY SHOULD I (or my organisation) spend on Allied Health I don’t have to!- Physio and Allied Health like you mentioned are REALLY expensive. I’ve got enough costs already! Why should I spend on something I don’t have to? I’m happy to take my chances on compliance risk! Especially as I’ve heard, or am considering we could just use in part or full cheaper existing staff such as lifestyle, wellness, Activity Officers, Diversional Therapists, Allied Health assistants etc? Or just employ our own? Use a cheaper provider? Pinch a therapist from a contractor used to work for you or another in the area? Just get in an occasional private physio/Ot

  • Well you’re not the first to think that! And why wouldn’t you, it would definitely be cheaper! However theres this allied health workforce shortage. Even before COVID the Australian Physio Council said there were 6000 physios short of what was required, and its worse now trying to find physios, OTs and other allied health professionals.
  • Stewart Brown Deep Dive into Allied Health in 2020 found 100% of all non physio allied health professionals worked externally ie as subcontractors, rather than employees. Physios were 75% externally contracted, and those numbers for physios are worse now. Its very very hard for facilities/organisations to find and keep their own employed allied health professionals for a number of reasons like
  • Private practice physios and OTs often lack experience or ability to understand complex aged care funding requirements, rules. They also lack experience often with managing older clients with complex presentations like dementia, swelling, pressure injuries, manual handling needs of staff, working in a different health setting.
  • A lot of allied health professionals don’t want to work in aged care either. Sadly due to the Royal Commission, the massaged focused previous ACFI model in nursing homes, COVID and bad stories allied health professionals tell each other around campfires to scare each other, a lof of us DONT want to work in aged care even if we like older people and are experienced in it.
  • Allied health professionals can also make a LOT more money for a lot less effort in private practice in particular. NDIS pays $193.90 an hour, and private practice on average $220 an hour. Aged Care work is much harder to find residents, see them, and a lot more paperwork and time not paid for. Much easier/lucrative to stay in clinics and have clients come to us.
  • There are a lot of costs you may not have considered like employing staff vs contractors, super, workcover, HR, management time etc
  • And also compliance risk and cost insurance claims, cost of dealing with complaints, DOH and ACQS commission penalties of not providing allied health sufficiently as to their expectations 8 minutes a resident per a day.
  • Not having AHP like physios and OTs places more strain/time on your RNs and takes away from direct care time
  • More falls/pressure injuries/wounds/pain/pain side effects/hospitalisations occur without physio, allied health and exercise esp. Group exercises from a carer don’t replace specialised rehab. The AN-ACC touts that rehab is worth the cost of allied health getting people back on their feet like this lady above who would be a 2-3 assist but then regained ability to mobilise. Have you worked out this cost return on allied health? We have!
  • What would your insurance premiums be if you had more claims against unqualified allied health acting outside scope of practice?
  • Have you factored reputational risk?
  • Have you considered Allied Health as a way to add value and increase occupancy levels? People like physio and allied health and expect to be included. Decision makers (children) are especially looking to see if a home provides regular consistent allied health. Some are willing to pay for this themselves for extras as well. Have you considered packages, menu services like ours as a way of offsetting part or all of your allied health professional spend?
  • It is an open secret that carers and less or unqualified staff are being given tasks such as exercise, massage and hot packs/TENS outside their scope of practice in their position description. Some homes have openly said that they plan to count care provided by non-AHPs in “allied health minutes” expectations of DOH which is NOT what the Quality Standards, ACFR and DOH requirements say is needed. The standards and ACFR clearly refer to that the 8 minutes a resident per a day DOH say they expect from Allied health professionals, is university educated, centrally registered (AHPRA) and insured health professionals such as physiotherapists, occupational therapists. It would be very easy to prove that a non-AHP if acting or allowing others to consider them allied health professionals. This area is already being targeted by validators if replacing clinical care needs for physiotherapy and other allied health. Politicians and DOH are as we had confirmed in writing “keeping a close eye on allied health levels”. That is likely to involve forensic auditing of reported vs actual care minutes of allied health provided and paid for.
  • This compliance risk of an adverse event for a frail older person attending a “wellness session” instead of the clinical care they really need for complex inter-relating issues such as persistent pain, dementia, falls is HUGE. Before you consider options other than allied health professionals, have you checked with your board, your risk committee, your insurer and lawyers the risk is worth the short term cost savings? We HIGHLY recommend if you have not addressed at board level yet, add this to your next board agenda ASAP even to cover yourself that you have mentioned this potential issue that could affect them down the track also.
  • Even if nothing was done wrong, it could be an easy win for a lawyer, and a compliance headache for you, your board and others simply because non-AHPRA registered therapists are not insured and registered to provide interventions. This means that there could simply be a case that a non-AHPRA registered therapist was not acting in scope of practice if seen to be doing interventions at all that only an AHPRA registered therapist ie physio/OT was doing. Our legal and insurance advice, confirmed with discussions with AICD lecturers is that a near miss where a person providing allied health who was not an AHPRA registered, university educated professional could lead to claims particularly negligence, based on the landmark “Snail in a soda” case https://en.wikipedia.org/wiki/Donoghue_v_Stevenson.
  • Can you imagine if a hotpack was left on a resident by a non AHP resulting in a burn? Does your insurance cover if acting outside scope of practice and direct supervision of a Physiotherapist/Occupational Therapist?
  • What about a resident who falls doing exercise during a wellness session? There is no central regulating body for a lot of allied health professions not listed with AHPRA, and insurance may not cover, or legal costs protecting claims from family or resident.
  • A real case occurred in AAC where a physio assistant (not qualified as one, was a carer with some industry experience but no Cert III or IV in allied health) wrote in the clinical notes “physio directed sensor mat to be removed”. The physio had not directed this and could prove that. They also wrote in a 4 page submission why they would have had to assess balance, using a specific evidence based assessment to show why and how the sensor mat would need or not need to be in place prior to making this decision, and would need to consult with nurses, family and doctor over dignity of risk and potential falls. None of this occurred, which is why the 4 page submission was needed, to show for a coroner why the physio did not act improperly (which they found they did not but that the AHA did). The AHA was directly employed by the home. The Physio was of course a contractor. But the nursing home was responsible for both’s conduct.
  • Providers using AAC’s Better Elder Care don’t need to worry about compliance, coroners letters and “tough cop on the beat” rhetoric of enforcement. Do you really want to be the person worrying about coroners reports, or risk of penalties/fines personally and as an organisation tarring your career because you made reactive short term decisions on allied health? This nursing home manager who sent us this meme did not think its worth it!

Managerinjail2

You could also add BOARD MEMBER to this meme!

  • Our Better Elder Care model does not need more government funding and money, or further legislative changes. It works within the current system and the new one.
  • You won’t be left short of staff. When others are leaving in droves, AAC’s allied health recruitment retention model works. Our staff become part of your team and the regions they work.
  •  YOU choose what you and your residents need with your allied health. And if it changes you can swap it! Its based on being able to change your services depending on you and your residents needs. You can swap at any time one service for another and not pay more.
  • Only a 12 month contract. 3 month cancellation, and no waiting time to go up a service level, 3 months to go down a service level.  You can also cancel any time with 3 months notice and no penalties or auto-renewal clauses.
  • You’ll be able to have ONSITE allied health visiting every day if you wish and have ONE less thing to worry about in the AN-ACC.
  • Are you a board member, CEO/CFO/ nursing home decision maker and worried about your own personal liability if you are found to be part of an inadequate clinical care, even if you do get out of aged care, years later? This model will let you sleep easy at night not worrying about penalties from being found liable even if you weren’t involved in the decision, modern board and management rules imply a duty of care that you SHOULD know whats going on with your allied health. Do you? REALLY?

Because no matter what internal and external advice nursing homes receive, deep down they and we all know that physio and allied health is CRITICAL for older people whether in community or residential aged care. Senator Rice spoke of this on the 28th of July about her own mum.

Janetricespeech28thjuly2022

HighlightedspeechJanetRice28thJuly2022

 

Because we’ve all got mums, dads and partners, who worked hard all their life and paid taxes, and deserve good care as they get older. Like this lovely lady 91 when she had a fall and physio helped her get back on her feet. She lived another 9 years and walked the whole time. Look at that smile once she got moving again! (photo given courtesy of daughter Amina Schipp from Aged Care Reform Now www.agedcarereformnow.com.au who provide advocacy and advice for those in RAC in regards to allied health as well as a key question for families and residents and nursing staff to ask)

Physiogotmumbackonherfeet2 Physiogotmumbackonherfeet3

Want to have one of the remaining FIVE available nursing home spaces and SIX community organisations we have for Better Elder Care (BEC) before 1st October? We are not saying this as a marketing method. We really do only have these many spaces free. Most of our allied health team already have work lined up post 1st October in community that pays much more. We WANT to work in aged care in nursing homes though, and thats as much as we can afford to provide and stay viable in the long term until government funding and policies catch up with allied health realities.

For organisations and decision makers to have a free confidential and no obligation discussion of your needs and how the model works, contact privatepractice@aachealthgroup.com.au  SMS 0426 307 480 or call 1300 574 462 and ask for a demo from our Operations manager, Clinical liaison and Senior Finance Officer. They can answer any and all questions you have, but time is limited there too. We only have space for 2 of these meetings each week, and we are booking up fast, so please book in as soon as you can to avoid disappointment.

“For 12 months I tried to stop the death of allied health with a call for separate funding of allied health just like our professional associations did. Now its too late, so we decided to be flexible, and roll out our own solution at AAC. Better Elder Care can meet your needs now in the ACFI and in the AN-ACC October 1st. This is a realistic and practical solution to the rock and the hard place providers and government are in at the moment with allied health. And the poor resident (and nurses and care staff) are the ones who miss out without allied health! So contact us and one of our team will run through with you how it works and will work individually and uniquely for your home as well!” Alwyn Blayse CEO and Clinical Lead Physiotherapist AAC Health Group

For more information Phone 1300 574 462 and ask to speak with Marie-Louise Willis Operations Manager AAC Health Group, or email privatepractice@aachealthgroup.com.au

 

Uico Heading Element@2x

Sign up to our Newsletter!

Share This

Select your desired option below to share a direct link to this page