|Title:||Aged Care Assessment in Multi-Purpose Services|
|Document ID:||Operational Circular OP 1742/04|
|Date of issue:||Thursday, 22 January 2004|
|Status:||NO LONGER APPLICABLE|
|Description:||All frail older people in WA, including those living in Multi-Purpose Services (MPS) sites, must be assessed by an Aged Care Assessment Team (ACAT) prior to admission into residential aged care services (or when moving form low care to high care). This includes those becoming Nursing Home Type Patients (NHTPs).|
|Applicable to:||Rural and remote health services|
|Period of effect:||from 1 April 2004|
|Authorised by:||Ms Christine O'Farrell, Executive Director, WA Country Health Services, 19-Jan-2004|
|Print version:||View print version|
Aged Care Assessment in Multi-Purpose Services
All frail older people, including those living within an Multi-Purpose Services (MPS) site, must be assessed by an Aged Care Assessment Team (ACAT) prior to admission into residential aged care services (or when moving from low care to high care). The ACAT assessment aims to determine the most appropriate care option to meet the needs of the person and to prevent premature and inappropriate admission to residential care. Using the ACATs will facilitate a standardised approach to assessing frail older people for residential care across Western Australia.
Currently throughout Australia, before a person can enter Commonwealth residential care, either permanent or respite, they must be assessed by an ACAT and approved as requiring a low or high level of care. ACAT approval is also required before a person in low care can move to a high care level.
ACATs are independent assessors employed through Public Health Services that operate under Commonwealth policy, procedure and guidelines. They undertake a comprehensive, multi-dimensional and holistic evaluation of an older person's needs in determining the most appropriate care options. They are funded by the Commonwealth with a primary aim of preventing premature and inappropriate admission to residential care. The outcomes of their assessments indicate that approximately 60% of all their assessments result in the older person returning home with or without support. (ACAP MDS 2002)
ACAT approval for entry into residential care has historically not been required for people within MPS. As a result frail older people are often admitted to permanent accommodation, including becoming Nursing Home Type Patients prematurely and inappropriately. These people remain in residential care for extended periods of time, limiting resources for those who more appropriately require the care services. Often other care options or preventative interventions including rehabilitation may assist the person in improving their quality of life and returning to independent community living.
This instruction has been developed to facilitate a standardised approach to assessing frail older people for residential care within Multi-Purpose Services (MPS) in Western Australia.
Referrals to ACAT can be received from any source and are prioritised based on a level of risk to the person's safety, eg high risk of falls or abuse. Clients are notified of the outcome of an assessment, usually in writing.
The ACAT will provide information about the most suitable and available options to assist the person. At times the ACAT will initiate a referral to other care services. The individual has the right and responsibility to select a residential care option including an MPS.
Local procedures need to be established between ACAT and MPS to address site specific process and communication needs.
Further information about ACAT can be obtained from DoH Technical Bulletin 71/1 Aged Care Assessment Program.
Ms Christine O'Farrell
This circular last updated: Thursday, 22 January 2004 at 12:00am