Anna Millicer is the project manager for COTA Australia’s Self-management in Home Care project. She has worked in a range of community-based roles including program management, case management, research and evaluation, professional training and workshop facilitation. Anna was the Project Manager of the CHOICES in Aged Care research project, which developed and trialled a model of Consumer Directed Care applicable to the needs of CALD, Regional & Rural and Aboriginal home care package recipients. More recently Anna worked at Home Care Today as National Project Coordinator for Consumer Education in CDC, creating resources and delivering workshops for consumers, carers and service providers.
Day 2, 11:00am – 11:30am – Self-management in home care: the data is in!
COTA Australia has completed the Increasing Self-management in Home Care project trial. The findings are highly relevant to providers in this current climate of reform and offer an evidence-based, objective evaluation of a complete self-management model. The project built upon existing models of self-management, and it responded to changing consumer expectations and direct feedback from older people that most consumer directed care does not go far enough in giving consumers meaningful choice and control.
Funded under a DACS Innovation Grant, COTA Australia tested a new model of self-managed home care using a national co-design methodology with consumers, carers and seven approved providers. RMIT University evaluated the trial using surveys and telephone interviews.
Internationally, self-management and increased consumer control models have revolutionised the delivery of social care programs. COTA Australia’s self-management model was designed and tested by consumers, carers and providers to reflect the unique context of the Australian home care packages program.
Findings show that participants rated self-management highly across a range of metrics, including personal wellbeing, satisfaction, confidence, knowledge, relationships, autonomy and decision making. The model trialed as part of COTA self-management project involved these key characteristics;
• the use of a debit card to allow consumers more direct control of their funding;
• online and mobile phone access to home care budget and spending statements;
• option to select, employ, roster and pay their choice of support worker;
• transparent access and input into care planning;
• increased autonomy over decisions and control over approved purchases
• transparent access to up-to-date statement of funds available
• mutual and collaborative partnership including joint responsibilities
• access to helpful people and resources.
The presentation will deliver research outcomes, participant and provider case studies, and highlight the practical tools and resources developed in trial. The project’s risk management approach focusing on compliance and alignment to Aged Care Quality Standards will be explored.
All resources will be freely available. The information shared will add to the body of evidence supporting best practice in Australia and help providers lead and drive the transformation of age services.