well for life i mproving senior victorians’ wellbeing jane herington director ageing and aged care...
TRANSCRIPT
WELL FOR LIFEImproving senior Victorians’ wellbeing
Jane Herington
Director Ageing and Aged Care
Victorian Department of Heath
Australia
Australialarge island, small population focused on east coast
Victoriapopulation 5.6 million
Victorians:
5.6 million people
1.0 million aged 60+
Come from 230 countries
Speak 200+ languages
0.5 million 1-person households
Australiapopulation ~22.8million
Health Roles & Responsibilities 3 levels of Government
Commonwealth
National health policy • public health• research
Funds to state, local governments & private sector
• health services
• hospitals
• primary health services
Medicare – provides subsidies
• doctors
• public hospitals
(21 million people registered)
Subsidies
• primary care
• pharmaceuticals
• aged care residential services
• quarantine
State
Health policy
Delivery of health services
Public hospital services
Community and public health
• Dental
• Child & maternal health
• Disease control
HACC funding
Local
Environmental health
Health inspections
Home & Community Care
Public health
Home and Community Care (HACC) Victoria
Services•assessment •domestic assistance •personal care •delivered meals •allied health •home nursing •respite and social support
290,000 people getting services500 HACC service providers
Drivers for change
• increasing demand
• longevity
• changing needs
• expecting choices
• expecting improved quality
• benefits of social & physical activity
• limited resources
Well for Lifeservice system change
Policy
• Person centred
• Restorative
• Time limited
• Social inclusion
Implemented through:
• Home based assessment
• Goal oriented plans
• Workforce training & support
• Partnerships & referrals
“If you get stuck in your medical model paradigm, which I think you can when you’re an assessor with the forms we fill in, you can miss what an individual wants.”
Well for Lifeservice system change
“I’d like to cook a meal for myself, and enjoy it!”
Need meals support?
Options include:
•Delivered meals
•Support with shopping
•Support with cooking
•Cooking classes
•Shared meals
Well for LifePerson centred
“I’d really like to be able to walk to the front gate
again and collect my mail and newspaper
every day.”
Assessors work with individuals to identify aspirations, strengths, goals, and services to suit.
Result: flexible services adapted for individual needs
Well for LifeAssessment
Assessor “I met Mary to discuss what
some of her goals and ambitions
are”.
“She mentioned her love of the English language. Maybe there’s more she could do to join in with
community life”.
“You know I like playing Scrabble and I don’t know
anyone to play with. If I could be part of a group that
played Scrabble and also that I can share all this kind of stuff with - that would be
good”.
Mary – exploring new goals and ambitions
Well for LifeWorkforce training
• Funding provided
• Courses available
• On the job training
• Mentoring
• Industry consultants
• Government support
Well for LifeWorkforce training
Benefits
• Greater professionalism
• Broader career paths
• Improved recognition “With these changes, I get many more rewards, and far greater satisfaction in my work. And it’s much more respectful of older people and focuses on what they can do, not what they can’t do.”
Well for Lifewhat have we learnt?
• Find new ways to support people
• Manage change
• Senior management commitment
• Transfer approach into core business
• Identify motivating factors
• Support staff to solve problems
• Continue building partnerships
Next steps
• Monitor & evaluate progress
• Continue strategic workforce development
• Continue partnership development
• Re-define program policy and guidelines
• Reassess service activities and pricing
• Move into electronic environment
Recognise this is a long term project!