Peter held the position of Director of Nursing with ECH in Victor Harbor from July 1994 to March 2001. He was appointed as the first private sector CEO for a 'For Profit’ group in SA in 2002 until 2005. In 2006, Peter formed Aged Care Management Australia, an independent national aged care consultancy that now employs 9 staff.
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Aged Care Management Australia was proud to sponsor the recent Aged Care Industry Association Nursing Forum

40+ DON’s CNC’s CN’s, RN’s and EN’sspent a day listening to various presenters. ACMA talked about the practicalities of maintaining compliance and the challenges of the new standards.  It was a great day for all concerned

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Aged Care Forum on Staffing

Last night ACMA was pleased to sponsor and host an open forum on Aged Care Staffing.  I would like to thank Rebekha Sharkie MP Federal member for Mayo, Moira Noonan Chair of the SA Sector Australian College of Nursing, Dr Rodney JileK Principal Advisor Aged Care Advisory Services and Rob Bonner Director Operations and Strategy AMNF for their participation in the forum.   It was a positive discussion with a great deal of common agreement on future of aged care labour force management and training.

I also thank my friend and colleague Ian Henschke Chief Advocate for National Seniors for moderating the session.  While we had a small audience attend in person,  we had over 100 watching on line with very positive feedback being received  .

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Aged Care Staffing Ratio’s Can the Industry Afford mandated staffing levels ?

40113_ACMA_Aged Care Staffing_Header_Graphic_D2

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Aged Care Staffing Ratio’s what does it realy mean

The question of having mandated fixed staffing ratios for aged care facilities was first muted by Senator Derryn Hinch back in late 2016 following the outcomes and horrific stories coming from the Oakden facility in South Australia. Since then there has been significant debate, high level analysis by the productivity commission, political parties and of course industry and consumers. The Royal Commission into Aged Care will also no doubt cast a value statement across the issue. With the federal election just 3 weeks away, Aged Care Management Australia is hosting an open forum to discuss the issue openly, rationally, and constructively. Key industry players have been invited to have their input into the debate and the community is invited to have your say as well. For me, this is an issue of governance that is forged in a business model controlled by the commonwealth government. Aged Care providers have very limited control over their income streams, even more limited opportunity to be competitive in an open market. Without exception aged care providers and their representative peak bodies will tell you that there is insufficient funding to have mandated fixed staffing ratios, and still generate sufficient income to make a profit.
Personally I am not sure that is entirely true. The reason I say this is that there are many providers who will have already met what could be established as a minimum staffing level per head of residents, and are still generating a healthy operational surplus. My question is where does the subsidy funding get spent by other providers. Notwithstanding that, aged care is a commercial business and no provider operates to make a loss. So it is reasonable that any changes in staffing requirements must be affordable and it is inevitable that the $60 Million per day currently spent by Government is set to increase.
The question as to what is a suitable staffing ratio is an extremely complex one, and arm chair strategists and aged care experts are hugely divided on the answer. For mine, it is not a matter of having raw numbers per head of resident population. Though numbers will be part of the solution. Skill mix is the critical factor and having flexibility within a funding framework that can respond to changes in resident acquity is critical. Access to trained and untrained staff will become critical as the current workforce is about to experience a planned mass exodus as those RN’s and Carer’s who are reaching their 60’s are set to retire, leaving a significant void in numbers, skills, knowledge and experience.
The coming debate on the 13th of May will address the issues of mandated levels, plus meeting future training needs and the role of the Nurse Practitioner in aged care. Lets have the discussion

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Most Frequently failed outcomes – 2000- 2019

Failed Outcomes

A review of the history of compliance notices provides some interesting but not unexpected data.

Of all the outcomes failed these are the most frequently found non-compliant.  The most important to note is outcome 1.6  Human resource management.  We do not focus enough resources and training, planning and understanding into the skill sets required to provide appropriate care.  This is identified in the failure of the other critical clinical outcomes of 2.4 Clinical care, 2.7 Medication management, 2.13 Behaviour management and lastly and by default, 1.8 information systems.

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National Trends in Sanctions from 2000 through to today

National Sanctions

Follow the link to see the trends in compliance and sanctions across the life of compliance monitoring. The blue line represents the national trends, while the orange line shows SA’s history.

No prizes for guessing what caused the huge ( catastrophic ) shift in 2016…… Oakden  So has the industry suddenly changed or is the monitoring of compliance moire aggressive or a bit of both

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Open Forum- Aged Care Staffing- Ratios V Skill Mix

 

 

Aged Care Management Australia will be hosting the second of three forums to discuss;

  • the issue of having fixed staff ratios or a model based on skill mix.
  • future model for training certificate 3 staff ( bring back the apprenticeship )
  • The role of the Nurse Practitioner in Aged Care

Moderated by Ian Henschke   Chief Advocate National Seniors

Confirmed Speakers 

  • Rebekah Sharkie MP  Centre Alliance Member for Mayo
  • Professor Christine Duffield RN PhD FACN FAAN FAICD ( Professor of Nursing & Health Services Management UTS and Edith Cowan University )

Conformation is pending from The Hon Ken Wyatt Minister for Ageing and Associate Professor Elizabeth Dabars CEO ANMF

Details

UniSA City West Campus North Terrace Adelaide

Allan Scott Auditorium

13th May 1800 to 2000

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CCTV in Residents Rooms

 

 

 

On Thursday the 11th of April ACMA sponsored and hosted an open forum on the use of CCTV in resident rooms in the residential care setting. The purpose of the evening was to debate the benefits and risks to privacy and the availability of new technology to protect the privacy and dignity of residents and staff.  Invited panel guests included the state Minister for Health and Wellbeing Hon Stephen Wade, the Shadow Minister Chris Picton, Luke Westenberg CEO of ACIA (SA) Wayne Belcher OAM CEO Braemar  Presbyterian Care in WA, the Hon Mark Parnell MLC, and the Hon Frank Pangallo MLC.  The audience consisted of several aged care providers, legal advisors, technology experts and advocates.  Special guest panelist was Scott Sterling General, Stewart Johnston and Noleen Hausler.

During the course of the day prior to the forum, the Premier Stephen Marshall and Minister Wade announced a trial of CCTV in state run aged care places with $500 Thousand dollars being committed by the Federal Government.

The introduction of CCTV to monitor resident and staff safety and behaviours in a trial environment must be controlled with strict parameters to measure success or failure.  While ACMA strongly support the trial, it must be controlled with clear performance indicators based on the known events history of each individual facility.  The key indicators must reflect reductions in resident incidents, poor staff behaviours ( and poor resident behaviour ), staff performance for training purposes, staff engagement with residents and families, meal service outcomes and more. I also call on the Minister for Health and Wellbeing to extend the trial beyond the SA Health aged care network, and into regional and remote services where significant staffing issues are currently impacting on resident outcomes.  This is a one off opportunity, so lets not blow it.

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CCTV in Residents Rooms Yes or No Come and Join the Conversation

CCTV In Resident Rooms.  What are the issues,

Tomorrow Night

Privacy / Safety / Cost / Monitoring / Reporting

Thursday 11th April  6 to 8 pm Uni SA :Allan Scott Auditorium North Terrace Adelaide

The session will be streamed live via this link Link: live.unisa.edu.au