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Assessment in the HACC Program

Page contents: Introduction | Framework for Assessment in the HACC Program in Victoria | Active Service Model in HACC | Partnering in HACC Assessment | HACC Assessment Framework implementation 2009 - 2010| Recording via MDS | Download documents

Introduction

Assessment is the gateway to HACC Services. It establishes the expectations and understandings of the person, and their carer and sets up the initial pathway through the service system that best meet their needs.

People seeking HACC services can approach any HACC funded organisation and receive a service specific assessment for the HACC services they provide. This approach – no wrong door – is a key feature of the Victorian health and community care system and is embedded in the philosophy of HACC service delivery. Initial screening will determine if the person is in the HACC target group, and identify the person’s need and priority for the services that the HACC organisation provides. If other needs are identified, the organisation will refer the client on to other service providers that can meet that identified need.

In addition to this, HACC Assessment Services are funded to provide assessments that are broader and more comprehensive. These are called Living at Home Assessments. A Living at Home Assessment takes place, wherever possible in the client’s home and assists people to explore a range of ways to live independently and remain active members of their community. Clients can refer themselves to a HACC Assessment Service or be referred by a GP, health service or community organisation.

Framework for Assessment in the HACC Program in Victoria

The Framework for Assessment in the Home and Community Care Program June 2007 (the Framework) sets out the revised program policy for Assessment as a HACC funded activity. It details the requirements for the delivery of Living at Home Assessments which include home-based holistic assessment of need, care planning and care coordination as key components. The Framework also describes approaches to assessment for specific client groups, such as Supported Access.

The Framework for Assessment in the HACC Program in Victoria replaces Section 7.3 Assessment and Care Management in the Victorian HACC Program Manual.

The first step in implementation of the HACC Assessment Framework was to designate 100 HACC funded organisations as HACC Assessment Services.  A mix of local councils, health and community health services, nursing services, Aboriginal community controlled organisations and community service organisations were designated in early 2008.  HACC Assessment Services are funded to carry out Living at Home Assessments for HACC eligible clients. A list of designated HACC Assessment Services in each region is available below.

Active Service Model in HACC

The Active Service Model (ASM) is a quality improvement initiative based on the premise that HACC services should, wherever possible, assist clients to improve their capacity and enable them to live independently at home for as long as possible.  Assessment approaches that build on client and carer strengths and abilities with a focus on improving their quality of life, social participation and functional capacity are fundamental to the implementation of the ASM approach. 

HACC Assessment Services will be key agents in the implementation of the ASM initiative.  Further information can be found in the Active Service Model section of this website.

Partnering in HACC Assessment

The purpose of partnering in HACC assessment is to build effective links between HACC Assessment Services and other key organisations such as community health services to achieve a coordinated and person centred approach to assessment and care planning. 

In 2008 funding was made available to six HACC organisations for partnering development pilot projects. The evaluation of these projects was carried out by Effective Change. The evaluation focussed on the effectiveness of the different partnering models; the sustainability and transferability of each project; and benefits and outcomes resulting from the partnerships.

The report Evaluation of the Partnering Development Pilot Projects for HACC Assessment was finalised in February 2010.

HACC Assessment Framework implementation 2010-2011

The following resources were developed in 2010-2011 to support the implementation of Living at Home Assessments:

HACC Assessment: Recording assessment and care coordination hours via the HACC MDS

HACC assessment services are expected to use the HACC MDS to record hours of assessment and care coordination and to include this information in the normal quarterly extracts of the MDS.

The HACC MDS Counting Rules for HACC assessment services bulletin provides advice on countable hours for assessment and care coordination. It also provides advice on completing Date of Last Update and Functional Status MDS data items.

Department of Health contacts for further information:
Regional HACC program officer in your region
or
Central office:
Heather Russell (heather.m.russell@health.vic.gov.au)
Manager, HACC Assessment
Telephone: (61 3) 9096 7095

Download documents

Adobe Acrobat icon Strengthening assessment and care planning: A guide for HACC assessment services in Victoria 2010 (1050kb, pdf)

Adobe Acrobat icon Strengthening assessment and care planning: Workbook 2010 (741kb, pdf)

Adobe Acrobat icon Evaluation of the Partnering Development Pilot Projects for HACC Assessment 2010 (162kb, pdf)

Adobe Acrobat icon Framework for Assessment in the Home and Community Care Program in Victoria 2007 (159kb, pdf)

Adobe Acrobat icon HACC Assessment Services list 2010 (10kb, pdf)

Adobe Acrobat icon Strategic Directions in Assessment: Victorian Home and Community Care Program Final Report December 2005 (444kb, pdf)

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Last updated: 28 February, 2012
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