Post Acute Care Service Models Evaluation

In April 2007, consultants were engaged to undertake a review of PAC Service models.  The key areas identified for review were:

• The off-site model versus the on-site model for delivery of post acute care
• Referral systems and relationships
• Current governance arrangements
• Consortia arrangements

Over 130 PAC employees and other key stakeholders took part in in-depth interviews to explore these issues.  Over 540 stakeholders responded to a survey to further explore the issues identified during the indepth interview phase of the review.

Some of the key findings from this review were:

• The PAC program is generally well regarded.
• Whilst referral systems and relationships were generally good, InterPAC referral          arrangements need to be improved.
• The evaluation found no evidence to indicate that either service model (off-site/on-site)       was preferable with each model having advantages and disadvantages.  The report      suggested that face to face contact was advantageous for complex cases whilst     simpler cases could be handled remotely.
• Current governance arrangements need improvement
• The current consortia arrangements are redundant.

The full report complied by Dench McClean Carlson can be downloaded below:

Post Acute Care Services Models Evaluation - Dench McClean Carlson - Final Version - December 2007 (PDF File 414KB)

The department has agreed with the majority of the reports recommendations particularly in the area of improving governance arrangements. 

A copy of the department’s response to the recommendations can be downloaded below.

Post Acute Care Service Model Review - Response to recommendations - February 2008 (PDF File 130KB)

Ambulatory and continuing care
Review of the Post Acute Care program Final report - September 2008 (PDF file 807KB)

Many of the report’s recommendations have been incorporated into the draft Health Independence Programs Guidelines.

Other documents relating to the review of the Post Acute Care Program can be downloaded below:

Review of the Post Acute Care Program (PAC) – Regional Consultation Forums Consulation Report - June 2006 (PDF File 404KB)

Post Acute Care Program Review Report on survey of current issues and directions for Post Acute Care - February 2006 (PDF File 214KB)

Advisory Group Membership and Terms of Reference (PDF File 45KB)

Post Acute Care Program Discussion Paper - November 2005 (PDF File 408KB)

Post Acute Care Program Survey - December 2005 (PDF File 76KB)

Post Acute Care Program Survey - December 2005 (MS Word File 88KB)

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