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NSW Health Home and Community Care (HACC) Minimum Data Set (MDS) V2 Train the Trainer Workshop. John Hallett Demand & Performance Evaluation Branch Stefanie Williams Primary Health & Community Partnerships Branch. Welcome and Introduction. HACC MDS v2 – Overview of the day.

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NSW Health Home and Community Care (HACC) Minimum Data Set (MDS) V2 Train the Trainer Workshop

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Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

NSW HealthHome and Community Care (HACC)Minimum Data Set (MDS) V2Train the Trainer Workshop

John Hallett

Demand & Performance Evaluation Branch

Stefanie Williams

Primary Health & Community Partnerships Branch


Welcome and introduction

WelcomeandIntroduction


Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

HACC MDS v2 – Overview of the day


Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

HACC MDS v2 – Overview of the day

For the Workshop today

you have been provided with:

  • Orientation Work Book

  • Workshop CD


Learning outcomes

Learning Outcomes


Learning outcomes for trainers

Learning Outcomes for Trainers

On completion of the NSW Health HACC MDS v2 Train the Trainer Workshop participants will:

  • understand the reporting categories and elements of the NSW Health HACC MDS v2; and

  • be able to lead a training workshop for AHS staff on the NSW Health HACC MDS v2.


Learning outcomes1

Learning Outcomes

On completion of the NSW Health HACC MDS v2 training workshops participants will:

  • understand the reporting categories and elements of the NSW Health HACC MDS v2; and

  • be able to work through examples of typical situations encountered in providing HACC services.


Hacc program

HACC Program


What is the hacc program

What is theHACC Program?


What is the hacc program1

What is the HACC Program?

  • The HACC Program is a joint Commonwealth/State initiative providing community care services for:

    • frail older people;

    • young people with disability; and

    • their carers.

  • HACC services support clients whose capacity for independent living is at risk or who are at risk of premature or inappropriate admission to long term residential care.


  • What is the hacc program2

    What is the HACC Program?

    • State/Territory governments are responsible for the day-to-day administration of the HACC Program.

    • The lead agency within NSW is the Department of Ageing, Disability and Home Care.

    • The NSW Department of Health is a joint administrator responsible for AHS and AHS-brokered (NGO) HACC-funded services.


    What is the hacc program3

    What is the HACC Program?

    • Services provided by HACC include domestic assistance, social support, community nursing, community allied health, personal care, centre-based day care, meals, other food services, respite care, case management, home maintenance and modification, formal linen service, community transport and counselling/support, information and advocacy (for clients and carers).

    • The main HACC services provided by NSW Health are community nursing, community allied health and centre based day care.


    Nsw health hacc mds v2 introduction

    NSW HealthHACC MDS v2Introduction


    What is the nsw health hacc mds v2

    What is theNSW HealthHACC MDS v2?


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    What is the NSW Health HACC MDS v2?

    The NSW Health HACC MDS v2:

    • is a standardised and nationally-consistent data collection about the characteristics of and the HACC-funded services provided to HACC-eligible clients and/or their carers; and

    • facilitates consistency and comparability between HACC and other aged, community care and health data collections.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    What is the NSW Health HACC MDS v2?

    The NSW Health HACC MDSv2:

    • includes HACC National MDS v2 data elements;

    • includes NSW (DADHC) HACC MDS v2 data elements; and

    • is integrated with other relevant NSW Health data collections.


    Why collect the nsw health hacc mds v2

    Why collect theNSW HealthHACC MDS v2?


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Why collect the NSW Health HACC MDS v2?

    • HACC funding is provided for the provision ofservice outputsby specific service types within specific geographic regions or for specific projects.

    • Collection and reporting of NSW Health HACC MDS v2 is a condition of Commonwealth funding (approximately 60% of all HACC funding).

    • Financial penalties may be imposed for reporting non-compliance and/or for poor data quality.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Why collect the NSW Health HACC MDS v2?

    HACC MDS data is also essential for:

    • DoH, AHS and Service Managers:

      • strategic planning, allocation of funding and service enhancements

      • performance monitoring against agreed outputs

      • facilitation of improvements in HACC-funded service delivery and community health services

    • HACC service providers:

      • provision of high quality service to their clients

      • performance monitoring against agreed outputs

      • providing feedback on HACC regional planning


    Summary of changes nsw health hacc mds v2

    Summary of Changes -NSW HealthHACC MDS v2


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2

    Please refer to your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - pages 10 to 16 -

    for more detailed information


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2

    Reporting frequency

    Agencies

    Monthly

    NSW DoH

    AHS

    Monthly

    Quarterly

    DADHC

    Quarterly

    DoHA


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Summary of Changes – NSW Health HACC MDS v2

    Benefits of monthly reporting

    • Provides increased opportunities for the identification of issues in relation to:

      • reporting compliance

      • data completeness

      • data quality

  • Provides greater opportunities and improved timeliness in the rectification of any issues identified.

  • Is consistent with other NSW Health data collections (eg. DoHRS and CHOCIP).


  • Who needs to collect the nsw health hacc mds v2

    Who needs to collect theNSW HealthHACC MDS v2?


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Who needs to collect the NSW Health HACC MDS v2?

    • HACC Program funding is provided forservice outputsby specific service types within specific geographical regions or by specific projects.

    • Funding isnotprovided for individual service provider positions.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Who needs to collect the NSW Health HACC MDS v2?

    • All persons(staff and volunteers) who provide HACC services are required to collect the NSW Health HACC MDS.


    Nsw health hacc mds v2 concepts and data elements

    NSW HealthHACC MDS v2Concepts andData Elements


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    Concepts and Data elements

    HACC MDS reporting categories:

    • Agency

    • Client

    • Carer

    • Service Episode

    • Service Event

    • Goods and equipment

    • Functional assessment


    Hacc establishment agency

    HACCEstablishment (Agency)


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Establishment (Agency)

    • A HACC Establishment Identifier (Agency Code) will be issued to eachunique teamproviding one or more HACC-funded service types within the specified geographical regions (or projects).


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Establishment (Agency)

    • A unique teamis a team of one or more persons operating as a single unit.

    • Aunique teammay be uni-disciplinary or multi-disciplinary.

    • Aunique teamwill generally be based at a single facility (eg. a CHC, MPS or CDC) and provide services within the local region, although some may provide cluster/sector or AHS-wide services.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Establishment (Agency)

    • All HACC MDS data will be reported by the Agency against this HACC Agency Code.

    • Examples of a HACC Agency Code:

      • 11G5338

      • 11L5168

      • 12B8515

      • 13B5239

      • 13D5317


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Establishment (Agency)

    • On occasion a HACC-funded agency may contract out or broker the assistance required by their clients to other agencies (HACC or non-HACC funded).

    • The HACC agencypayingfor the assistance to clients is responsible for that assistance and is required to report NSW Health HACC MDS data for those clients.


    Hacc client

    HACCClient


    Hacc client1

    HACC Client

    Only those persons aged 65 years of age and over are HACC-eligible.

    WRONG!


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client

    Any person who:

    • lives in the Australian community; and

    • has difficulty in performing every-day tasks (eg. dressing, preparing meals, house cleaning); and

    • without basic maintenance and support services, would be at risk of premature or inappropriate long term residential care.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client

    These include:

    • older and frail persons

      • frail persons aged 65 years and over

      • frail Aboriginal and Torres Strait Islanders aged 45 years and over

    • persons of any age with moderate, severe or profound disabilities.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client

    Please complete

    Activity 1

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - page 25


    Hacc client data elements

    HACCClientData Elements


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    • Client data elements only need to be collected ONCE as part of client registration

      (refer Client Registration Standard PD2007_094 and Client Registration Guidelines GL2007_024).

    • In most cases this information will only need to be checked at initial Client presentation to ensure that the information is current.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Client privacy and confidentiality issues:

    • It is important that clients (and their carer/s) understand the nature of the data collection and are comfortable with their data being used for statistical analysis.

    • Your Agency is required to provide an information leaflet to clients to inform them about what information is collected, by whom, how it will be used, and their rights in relation to it. This should be provided irrespective of whether the information was collected from a third party or directly from the client.

    • Use this as an opportunity to remind clients how their data is handled to safeguard their privacy as well as ensure that their recorded information is up to date.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Clients who raise privacy concerns:

    For those clients who are concerned about their personal data being recorded and/or being reported to DADHC and the Commonwealth, there are three options available to them:

    • The client may choose to provide their personal information to NSW Health only, but not be reported to DADHC or the Commonwealth;

    • The client may choose to be registered using an alias;

    • The client may choose to be registered anonymously.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    For clients who do not consent to potentially identifiable information being reported to DADHC or the Commonwealth:

    • Register the Client and set the Statistical Linkage Key Flag at the Service Episode level (to be covered later).


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Alias Clients

    • In some instances, a client’s identity may require protection or suppression, or they may have a preference to be registered under an alias.

    • If a client chooses to be registered under an alias:

      • The Surname and First Given Name will be recorded as that provided by the person as their Alias; and

      • The Name Type Flag will be set to “Alias”.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Anonymous Clients

    • Clients should be informed of the implications of being registered anonymously (eg, reduced availability of information for continuity of treatment).

    • Where a Client chooses to register anonymously:

      • The surname will be recorded as “UNKNOWN”;

      • The first given name will be recorded as “UNKNOWN”; and

      • The Name Type Flag will be set to “Alias”.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Sample confidentiality statement:

    • Please note that <Agency name> may release information about HACC clients (without identifying you by full name or address) to DADHC, and to the National Data Repository.

    • This will enable the collection of information about HACC services and their consumers.

    • The information will be kept confidential. We follow strict rules and policies regarding the secure storage of personal information in all formats in order to protect your information from unauthorised access, loss or other misuse.

    • This information is to be used for statistical purposes only and will not be used to affect your entitlements to, or your access to services.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Confidentiality statement:

    Consider the consent form your agency

    currently uses.

    Does this form adequately address the

    confidentiality issues we have discussed?

    If not, what amendments are required?

    Refer to your

    NSW Health HACC MDS v2

    Orientation Workbook

    - pages 27 to 32


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Client Name and Identifier data elements

    • Client code

    • Family name/Surname

    • First given name

    • Name type

    • Client Statistical Linkage Key flag


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Client code

    • System-derived in most cases.

    • A unique identifier for the Client (at an Agency or AHS level).

    • Will be the Client MRN or AHS UPI (in most cases).


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Client family name/surname

    Client first given name

    • The Client’s legal name (where it has been recorded) will be extracted to the NSW Health HACC MDS v2.

    • Record the Client’s name as it would appear on legal or formal documents, such as Aged Pension card, Medicare card or other official documents.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Client family name/surname

    Client first given name

    • Be careful with the spelling.

    • Be mindful of the cultural form of the Client’s name. For example, a Client may traditionally place their family name before their given name when writing their full name.

    • The Client may have more than one name (eg, nickname, maiden name, tribal or cultural name).

    • All currently used names (and previous names) should be recorded.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Client name type

    • A flag is recorded against each Client name to indicate whether the name is a legal name, alias name or preferred name.

    • The Client’s legal name (where it has been recorded) will be extracted to the NSW Health HACC MDS v2.

    • If the Client chooses to be identified by a name other than their legal name, this should be recorded as their preferred name. Only one name can be registered as the Client’s preferred name.

    • Multiple alias names may be recorded for the Client, where they exist.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Client Statistical Linkage Key flag

    • The object of the Statistical Linkage Key (SLK) is to allow the linkage of different records to the same client for statistical purposes, whilst retaining the client’s anonymity.

    • Although the Client’s name is not reported to DADHC, selected letters of the name (2nd, 3rd and 5th letters of the Family name/Surname and 2nd and 3rd letters of the first given name) are reported to DADHC by NSW Health in combination with the Client’s date of birth and sex (if consent is provided by the Client).

    • A flag is recorded (for each Service Episode) to indicate whether the Client has consented to this information being forwarded to DADHC for statistical record linkage at a State and/or National level.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Client Statistical Linkage Key flag

    • Consent need not be provided in writing.

    • Consent may be:

      • implied by the Client;

      • expressly provided by either the Client or their Carer; or

      • refused.

    • Where consent is not provided, the following default values are populated:

      • Letters of Name SLK:22222

      • Date of birth01/01/1800

      • Sex:9 (Not stated)


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Client characteristics data elements

    • Date of birth

    • Date of birth status

    • Sex

    • Aboriginal and Torres Strait Islander origin

    • Country of birth

    • Preferred language spoken at home

    • Interpreter services required


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Date of birth

    • Record in the format DDMMYYYY

      – eg, 5th January 1912 is recorded as 05011912

    • Where the exact date of birth is not known, record as much of the date of birth as possible.

    • Record 01 for each instance where the day or month is not known.

    • Where no part of the date of birth is known, and the year of birth cannot be derived from the Client’s age, record the date of birth as 01011800.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Date of birth status

    • A flag to indicate whether the Client’s date of birth is known (Not estimated) or has been estimated in whole or in part.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Sex

    • The biological sex of the Client.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Aboriginal and Torres Strait Islander origin

    • The Client’s self-assessment of Australian Aboriginal and/or Torres Strait Islander origin or descent.

    • Aboriginal and/or Torres Strait Islander origin should not be assumed, either by appearance or name.

    • Whilst sensitivities exist with the asking of this question, the question is asked because it is known that people of Aboriginal and/or Torres Strait Islander origin have in general, poorer health and greater health service needs, and the need to rectify the situation is urgent.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Country of birth

    • The country in which the Client was born.

      Preferred language spoken at home

    • The language (including sign language) most preferred by the Client for communication in his/her home with other residents and regular visitors. This may be a language other than English, even where the person can speak fluent English.

      Interpreter services required

    • An indicator of whether an approved interpreter service is required by or for the Client.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    HACC Client registration

    within SNACC


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Client data elements

    Please complete

    Activity 2

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - page 43


    Hacc inward referral

    HACCInward referral


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Inward referral

    Any inward referral is defined as any referral for HACC services received by your Agency on behalf of a Client and/or their Carer.

    A Client/Carer may have multiple inward referrals – each inward referral should be registered.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Inward referral data elements

    • Source of referral

    • Date of referral in

    • Date referral received


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Inward referral data elements

    Source of referral

    • The individual or organisation that referred (in) the Client and/or their Carer to the Agency.

    • The referral may be formal, that is a written or telephone referral from an individual service provider or organisation, or

    • The referral may be informal, that is not a written or phone referral from an individual service provider or organisation but either a self referral or a referral from a family member/friend/significant other.

    • For clarification, ask the Client and/or Carer: ‘Where, or from whom, did you hear about this service?’


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Inward referral data elements

    Date of referral in

    Date referral received


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Inward referral

    In your small group, discuss your Agency’s most common sources of referral.

    Refer to yourNSW Health HACC MDS v2 Orientation Workbook - pages 46 to 48.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Inward referral

    Please complete

    Activity 3

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - page 50


    Hacc service episode

    HACCService Episode


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode

    A period of time:

    • with a defined commencement date;

    • with a defined cessation date;

    • during which a Client and/or their Carer receives assistance (as per list of primary assistance types – to be covered later) from a HACC Agency; and

    • where there has been no unplanned interval of no contact greater than 6 weeks.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode

    HACC Service Episode

    within SNACC


    Hacc service episode data elements

    HACCService Episodedata elements


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episodedata elements

    • HACC Service Episode data elements only need to be collected ONCE at commencement or cessation of the Service Episode.

    • In most cases, this information will only need to be checked at regular intervals (eg. 6 weekly) to ensure that the information is current.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    HACC Service Episode -

    Client identification/benefit data elements

    • Service Episode identifier

    • Date of Commencement of Service Episode

    • DVA card type of Client

    • DVA file number of Client

    • Medicare number of Client

    • Government pension/benefit status of Client

    • Date of Cessation of Service Episode

    • Main reason for Cessation of Service Episode


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Service Episode identifier

    • A unique identifier for the Service Episode (at an Agency or AHS level).

    • System-derived.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Date of Commencement of Service Episode

    • System-derived in most cases.

    • A Client and/or Carer is identified as commencing a Service Episode if one or more of the following conditions apply:

      • The Client/Carer is new to the HACC Agency; or

      • The Client/Carer is re-commencing assistance after having had no contact with the service provider for 6 weeks or more.

    • The date of the first Service Event when the Client is identified as HACC-eligible, assessment (including intake) occurs and/or assistance is provided.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    DVA card type of Client

    • Whether or not the Client is in receipt of a Department of Veterans’ Affairs entitlement, and the level of entitlement held by the Client defined by the colour of the DVA card.

    • DVA card holders are usually eligible for HACC-like services funded by DVA.

    • DVA card holders however are also eligible for HACC-funded services and may elect to be provided with a HACC-funded service, rather than a DVA service.

      DVA file number of Client

    • The DVA file number of the Client, as an eligible veteran, veteran’s spouse or dependent child.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Medicare number of Client

    • The Client’s Medicare number as noted on their Medicare card.

    • Collection of the Medicare number is required under the Client Registration Standard and therefore has been included in the NSW Health MDS v2 for consistency.

    • Clients not in possession of a Medicare card may still be eligible for HACC services and importantly the rules relating to Client contribution still apply.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Government pension/benefit status of Client

    • Whether or not the Client is in receipt of an income support payment from the Commonwealth government in the form of a government pension or benefit.

    • Where the Client receives a government pension or benefit as a supplement to other income (eg. wages, superannuation, etc), they should still be regarded as receiving a pension/benefit.

    • Where the Client receives no government pension or benefit, record their primary source of income.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Government pension/benefit status of Client


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Date of Cessation of Service Episode

    • System-derived in most cases.

    • A Client and/or Carer is identified as ceasing a Service Episode if one or more of the following conditions apply:

      • The treatment plan/HACC service provision is completed;

      • The need for HACC assistance has ended;

      • There has been no contact with the service provider for 6 weeks or more, and there is no plan for further contact; or

      • HACC assistance has ceased for other reasons (eg. left against advice, transferred to another service provider, imprisoned, died).

    • The date of the last Service Event between the service provider and the Client and/or Carer, whichever is the latter.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Main reason for Cessation of Service Episode

    • The main reason that the Service Episode ceased.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Please complete

    Activity 4

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - pages 62 to 63


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    HACC Service Episode -

    Client usual living arrangements data elements

    • Usual living arrangements of Client

    • Usual accommodation of Client

    • Address of usual Client residence

    • Client – existence of Carer


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Usual living arrangements of Client

    • Whether the Client usually resides alone or with other related or unrelated persons.

    • Where the Client lives in a retirement village/aged care facility, record ‘Other’ unless the Client is sharing their own private space/room with a significant other (eg. spouse/partner).

    • Where the Client lives only with two or more children – at least one of which is dependent and at least one of which is non-dependent, record ‘With child(ren) (dependent)’.

      Usual accommodation of Client

    • The setting in which the Client usually resides.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Address of usual Client residence

    • The address of the residence in which the Client usually resides.

    • Retrieved from the AHS/Agency PAS in the majority of cases.

    • Do not record post office box addresses.

    • RMB addresses may be recorded.

    • Where the address is unknown and no further information is available, record the values for ‘Unknown/NFIA’, as appropriate.

    • Where the Client has no fixed address or is homeless, record the values for ‘No fixed address/NFA’, as appropriate.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Please complete

    Activity 5

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - page 68


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Episode data elements

    Client – existence of Carer

    • Identifies whether the Client receives regular and sustained informal assistance from another person (eg. family, friends, neighbour).

    • Derived through the existence of Carer information recorded, or used as a flag to record Carer information (depending on your information system).

    • A Client may have multiple informal carers – this data element does not record the number, only whether a Carer exists.


    Hacc carer

    HACCCarer


    Hacc carer1

    HACC Carer

    Any person providing care to a person, including paid carers.

    WRONG!


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer

    A Carer is defined as any person who:

    • provides regular and sustained care and assistance to a HACC-eligible person; and

    • receives no payment for the provision of care, other than a pension or benefit.

      A Client may have multiple informal carers – each person should be registered.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer

    • Carers are a national priority

    • Carers are a NSW Health priority:

      • NSW Carers Action Plan 2007-2012

      • Carers - a vital source of support for those they care for

      • Carers are also vital partners in care for AHSs

      • Carer data is useful for AHS service planning and provision of support to clients and their carers.

      • Collecting carer information provides an opportunity to assess carer needs and make appropriate referrals.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer

    Please complete

    Activity 6

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - page 73


    Hacc carer data elements

    HACCCarerdata elements


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    Carer registration within SNACC


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    Carer privacy and confidentiality issues:

    • It is important that clients (and their carer/s) understand the nature of the data collection and are comfortable with their data being used for statistical analysis.

    • Clients can provide information about their Carer to the Agency as long as the Client has no reason to expect that their Carer would object to this.

    • If you are aware that a Client’s Carer would object to their information being provided by the Client to Agency, you should collect this information directly from the Carer.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    Carer privacy and confidentiality issues:

    • Is advisable that a Carer Privacy Leaflet, similar to the Patient Privacy Leaflet, be provided to carers. NSW Health is currently developing a proforma leaflet for AHSs to use in developing their own Carer Privacy Leaflet.

    • Where some or all elements of Carer information are not available for any reason, the value for ‘Not stated/not known/inadequately described’ should be selected for the respective data elements. The ‘Client – existence of Carer’ data element should not be set to ‘2’ – ‘Has no Carer’.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    • Carer Name and Identifier data elements

      • Carer code

      • Family name/surname

      • First given name

      • Letters of Name Carer Statistical Linkage Key flag

    • The rules for collection of these data elements are the same as for the Client.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    • Carer characteristics data elements

      • Date of birth

      • Date of birth status

      • Sex

      • Aboriginal and Torres Strait Islander origin

      • Country of birth

      • Preferred language spoken at home

      • Interpreter services required

    • The rules for collection of these data elements are the same as for the Client.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    • Carer usual living arrangements, residency, relationship and assistance data elements

      • Carer residency status

      • Address of usual Carer residence

      • Relationship of Carer to Client

      • Carer for more than one person


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    Carer residency status

    • Whether or not the Carer lives with the Client.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    Address of usual Carer residence

    • The address of the residence in which the Carer usually resides.

    • Derived where the Carer is a co-resident of the Client.

    • Do not record post office box addresses.

    • RMB addresses may be recorded.

    • Where the address is unknown and no further information is available, record the values for ‘Unknown/NFIA’, as appropriate.

    • Where the Carer has no fixed address or is homeless, record the values for ‘No fixed address/NFA’, as appropriate.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    Relationship of Carer to Client

    • The relationship of the Carer to the Client.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    Carer for more than one person

    • Whether or not the Carer is providing assistance on a regular and sustained basis to one or more persons in addition to the Client.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    Please complete

    Activity 7

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - page 80


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Carer data elements

    In your small group, discuss your

    business processes for identifying

    the existence of a Carer and in

    obtaining and recording Carer information.

    What opportunities does this provide in

    developing/enhancing referral processes to

    support carers?


    Hacc service event

    HACCService Event


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event

    An occasion of assistance by a HACC Agency that:

    • results in a dated entry being made in the clinical record; and

    • was received by a Client and/or their Carer; or

    • was booked for a Client and/or their Carer, but did not occur due to prior cancellation or by the Client and/or Carer failing to attend.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event

    • A Service Event is recorded against each person associated with the occasion of assistance – the Client and/or Carer and each service provider.

    • A single Service Event cannot be longer than 24 hours, but may span midnight.

    • When the assistance is funded and reported against a MDS specific to another Health Program (eg. ACAP), then it should not alsobe reported against the NSW Health HACC MDS.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event

    HACC Service Event

    within SNACC


    Hacc service event data elements

    HACCService Eventdata elements


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    • Service Event identifier

    • Date of Service Event

    • HACC Program funding flag

    • Primary type of assistance received

    • Family name/surname of attending service provider

    • First given name of attending service provider

    • Discipline of attending service provider

    • Service delivery setting

    • Location of Service Event

    • Service Event indicator

    • Service Event mode

    • Attendance status


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    • Service Event start time

    • Service Event end time

    • Amount of assistance received (time)

    • Amount of assistance received (quantity)

    • Transport mode

    • Transport purpose

    • Amount of assistance received (cost)


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Service Event identifier

    • System-derived.

    • A unique identifier for the Service Event (at an Agency or AHS level).


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Date of Service Event

    • The date of an occasion of assistance by a service provider of a HACC Agency that:

      • results in a dated entry being made in the clinical record, and

      • was received by a Client and/or their Carer, or

      • was booked for a Client and/or their Carer, but did not occur due to prior cancellation or by the Client and/or Carer failing to attend.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    HACC Program funding flag

    • An indication of whether HACC Program funds or other funds were used for the delivery of assistance.

    • Derived in some instances (depending on your information system).


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Primary type of assistance received

    • The primary type of assistance that the Client/Carer received.

    • There may be many activities and types of assistance provided during a Service Event, however only the primary purpose or focus of the Service Event is recorded.

    • To some extent, the type of Agency, and/or the specified purposes for which an Agency is funded, will determine the primary type of assistance received by a person attending that Agency – eg. in taking a client to a medical appointment, both transport and social support may be provided:

      • for a Community Transport service, this would appropriately be recorded as ‘95’ – ‘Transport-Client’;

      • for a Neighbour Aid service, this may be more appropriately recorded as part of ‘42’ – ‘Social support/dementia monitoring’.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Primary type of assistance received


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Primary type of assistance received

    In your small group, discuss your Agency’s most common primary assistance types.

    Are there any problems that you may encounter in attempting to establish the primary assistance type?

    Refer to yourNSW Health HACC MDS v2 Orientation Workbook - pages 87 to 106.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Primary type of assistance received

    In your small group, discuss the similarities and differences of the definitions between each primary assistance type.

    Refer to yourNSW Health HACC MDS v2 Orientation Workbook - pages 87 to 106.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Family name/surname of attending service provider

    First given name of attending service provider

    • Derived from the User Login ID of the attending service provider (depending on your information system).

    • Not required where the primary type of assistance has been recorded as one of the following:

      '81' - 'Meals‘'85' - 'Formal linen service'

      '88' - 'Home maintenance''89' - 'Home modifications'

      '90' - 'Provision of goods and equipment'

      '95' - 'Transport-Client' and where Transport Mode has not been recorded as

      '11' - 'Ambulance-owned by Agency/service provider', '21' - 'Bus-owned by Agency/service provider', '31 - 'Car-owned by Agency/service provider', '32' - 'Car-owned by the Client/Carer' or ‘51’ - ‘Aircraft-owned by Agency/service provider'

      '96' - 'Transport-Carer' and where Transport Mode has not been recorded as

      '11' - 'Ambulance-owned by Agency/service provider', '21' - 'Bus-owned by Agency/service provider', '31' - 'Car-owned by Agency/service provider', '32' - 'Car-owned by the Client/Carer' or ‘51’ - ‘Aircraft-owned by Agency/service provider'


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Discipline of attending service provider

    • Derived from the User Login ID of the attending service provider (depending on your information system).

    • The discipline of attending service provider should be recorded as that within the job description of the position, irrespective of what specific qualifications the person in the position has – eg. a nurse who is providing a counselling service would be recorded as ‘counsellor’ not ‘nurse’.

    • Trainee staff working under the supervision of a qualified practitioner are to be coded to the discipline of the individual service provider supervising them.

    • Where a volunteer has provided the primary type of assistance, record that most applicable to the discipline of a paid employee providing the same primary type of assistance.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Service delivery setting

    • The setting in which the service provider performed the primary type of assistance that the Client/Carer received.

    • Where the primary type of assistance was ‘95’ – ‘Transport-Client’ or ’96’ – ‘Transport-Carer’, the setting of the point of origin is to be recorded.

    • Where the primary type of assistance was provided by telephone or Telehealth (including Telemedicine and video-conferencing), the setting most applicable to the physical location of the Client/Carer should be recorded.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Service delivery setting

    In your small group, discuss the settings in which your Agency most commonly provides assistance.

    Refer to yourNSW Health HACC MDS v2 Orientation Workbook - pages 109 to 111.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Location of Service Event

    • The location (Suburb, State, Postcode) at which the service provider performed the primary type of assistance that the Client/Carer received.

    • Derived in some instances (depending on your information system).

    • Where the primary type of assistance was ‘95’ – ‘Transport-Client’ or ’96’ – ‘Transport-Carer’, the location of the destination is to be recorded.

    • Where the primary type of assistance was provided by telephone or Telehealth (including Telemedicine and video-conferencing), the setting most applicable to the physical location of the Client/Carer should be recorded.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Please complete

    Activity 8

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - pages 113 to 117


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Service Event indicator

    • An indicator of whether the delivery of assistance to the Client and/or Carer was on an individual basis or in conjunction with other persons as part of a group.

      • ‘1’ - Individual (one-to-one) service – to be used where assistance is provided to a Client and/or their Carer by a service provider.

      • ‘2’ - Group service – to be used where assistance is provided to a Client and/or their Carer by a service provider as part of a group with other clients and/or their carers.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Service Event mode

    • The mode of delivery of assistance to the Client and/or Carer.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Attendance status

    • An indication of whether:

      • the Client and/or Carer attended; and

      • the service provider attended; and

      • the service was provided; OR

      • the Service Event was cancelled/postponed.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Eventdata elements

    HACC Service Event –

    Recording primary assistance types

    within SNACC


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Service Event start time

    Service Event end time

    Amount of assistance received (time)

    • Recorded for a Service Event where the primary type of assistance requires its collection.

    • Time is recorded in 24-hour time format from 00:00 through to 23:59. Seconds are not included.

    • A single Service Event may not span more than a 24 hour period, but may span midnight.

    • The intended start time and end time are recorded for ‘unplanned’ cancelled/deferred Service Events.

    • ‘00:00’ is recorded for ‘planned’ cancelled/deferred Service Events.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Primary assistance types

    measured in time

    Assessment (including screening)-Client or CarerCase management

    Client care co-ordination-Client or CarerCounselling/support, information, referral and advocacy-Client or Carer

    Domestic assistanceSocial support/dementia monitoring

    Personal careCentre-based day care

    Respite careContinence care

    Dementia nursingPalliative care generalist nursing

    Wound managementFoot care

    PodiatryHearing assessment

    Occupational therapyPhysiotherapy

    Diversional therapySpeech pathology

    Dietetics/nutritionSocial work

    General and other nursing supportOther support by Allied Health professional

    Other food servicesHome maintenance


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Amount of assistance received (quantity)

    • Recorded for a Service Event where the primary type of assistance requires its collection.

      Primary assistance types

      measured in quantity

      Meals

      Formal linen service.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Transport mode

    • Recorded for a Service Event where the primary type of assistance has been recorded as ‘95’ – ‘Transport-Client’ or ’96’ – ‘Transport-Carer’.

    • The means of a one-way transport service provided to the Client and/or their Carer.

      Transport purpose

    • Recorded for a Service Event where the primary type of assistance has been recorded as ‘95’ – ‘Transport-Client’ or ’96’ – ‘Transport-Carer’.

    • The purpose (destination setting) of a one-way transport service provided to the Client and/or their Carer.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Eventdata elements

    HACC Service Event –

    Recording transport assistance

    within SNACC


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Amount of assistance received (cost)

    • Recorded in whole Australian dollars for a Service Event where the primary type of assistance requires its collection.

      Primary assistance type

      measured in cost

      Home modification.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Service Event data elements

    Please complete

    Activity 9

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - pages 130 to 132


    Hacc goods and equipment

    HACCGoods and equipment


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Goods and equipment

    Any goods and equipment provided

    (by purchase or loan) to the Client

    during a Service Event.

    A Client may be provided with multiple types of goods and equipment – each type and quantity should be recorded.

    When the assistance is funded and reported against a MDS specific to another Health Program (eg. PADP), then it need not alsobe reported against the NSW Health HACC MDS.


    Hacc goods and equipment data elements

    HACCGoods and equipmentdata elements


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Goods and equipmentdata elements

    • Type of assistance with goods and equipment received

    • Amount of assistance with goods and equipment received


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Goods and equipmentdata elements

    Type of assistance with goods and equipment

    received

    • Recorded for a Service Event where the primary type of assistance has been recorded as ‘90’ – ‘Provision of goods and equipment’.

    • The type of goods and equipment received by the Client during a Service Event.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Goods and equipmentdata elements

    Amount of assistance with goods and equipment

    received

    • Recorded for a Service Event where the primary type of assistance has been recorded as ‘90’ – ‘Provision of goods and equipment’.

    • The amount of each type of goods and equipment received by the Client during a Service Event.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Goods and equipmentdata elements

    Please complete

    Activity 10

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - page 138


    Hacc functional assessment

    HACCFunctional Assessment


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Functional Assessment

    Records the extent to which the Client:

    • is able to perform selected activities of

      daily living;

    • has memory or behavioural problems;

    • requires transport assistance.

      The HACC Functional assessment aims to identify areas in which the Client requires assistance with daily living and quantify their level of need.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Functional Assessment

    • Rate what the Client is capable of doing rather than what they do.

    • Rate the person’s functional status with current aids and appliances in place.

    • The Client’s functional status should be rated at the start of a Service Episode (either at intake, as part of or immediately following initial assessment) and re-assessed either when the Client’s circumstances change or when there is an indication that the Client’s need for assistance has changed.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACCFunctional Assessment

    HACC Functional Assessment

    within SNACC


    Hacc functional assessment data elements

    HACCFunctional Assessmentdata elements


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Functional Assessmentdata elements

    • Date of Client functional assessment

    • Client functional status – housework

    • Client functional status – transport

    • Client functional status – shopping

    • Client functional status – medication

    • Client functional status – money

    • Client functional status – communication

    • Client functional status – dressing

    • Client functional status – eating

    • Client functional status – toileting

    • Client functional status – getting out of bed/moving around

    • Client functional status – walking

    • Client functional status – bathing/showering

    • Client functional status – memory problems/confusion

    • Client functional status – behavioural problems

    • Client functional status – transport classification


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Functional Assessment data elements

    Date of Client functional assessment

    • The date on which the functional assessment/re-assessment was performed.

    • A corresponding Service Event record must exist for the same date as the functional assessment/re-assessment. The primary type of assistance for the Service Event will be recorded as ’01’ – ‘Assessment (including screening)-Client’.

    • A functional assessment/re-assessment of the Client may be performed face-to-face, by telephone or by Telehealth service delivery mode.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Functional Assessment data elements

    Client functional status – housework

    Client functional status – transport

    Client functional status – shopping

    Client functional status – medication

    Client functional status – money

    • Not relevant for children or adolescents (persons aged <18 years) and should have the response defaulted to ‘0’ – ‘Not collected’.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Functional Assessment data elements

    Client functional status – communication

    Client functional status – dressing

    Client functional status – eating

    Client functional status – toileting

    Client functional status – getting out of bed/moving around

    Client functional status – walking

    Client functional status – bathing/showering


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Functional Assessment data elements

    Client functional status – memory problems/confusion

    Client functional status – behavioural problems

    • Not to be asked directly of the Client.

    • Ratings should be based on other information, including interview/observation of the Client, clinical notes, referral letter and information from a Carer, friends, relatives and referring services.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Functional Assessment data elements

    Client functional status – transport classification

    • The transport assistance requirements of the Client.

    • Not to be asked directly of the Client.

    • Ratings should be based on other information, including interview/observation of the Client, clinical notes, referral letter and information from a Carer, friends, relatives and referring services.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Functional Assessment data elements

    Please complete

    Activity 11

    in your

    NSW Health

    HACC MDS v2

    Orientation Workbook

    - pages 146 to 147


    Hacc outward referral

    HACCOutward referral


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Outward referral

    Any outward referral of the Client and/or their Carer from your Agency during or at cessation of the Service Episode.

    A Client/Carer may have multiple outward referrals – each outward referral should be registered.


    Hacc outward referral data elements

    HACCOutward referraldata elements


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Outward referral data elements

    • Target of referral

    • Date of referral out


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Outward referral data elements

    Target of referral

    • The individual or organisation to which the Client and/or their Carer was referred (out) by the Agency.

    • The referral may be interpreted informally (ie. not requiring a written or phone referral).

    • If the Client and/or their Carer was not referred (out) by the Agency during or at cessation of the Service Episode, record that there was no referral made – ’99’ – ‘No referral’.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Outward referral data elements

    Date of referral out

    • The date on which the Client and/or their Carer was referred (out) by the Agency.

    • For written referrals, the date on the referral letter should be recorded.

    • For informal and verbal referrals, the date on which information was provided to the Client and/or their Carer about the Agency to which they were referred should be recorded.

    • If the Client and/or their Carer was not referred (out) by the Agency during or at cessation of the Service Episode, the date on which the Client/Carer last presented for service should be recorded.


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Outward referral

    In your small group, discuss your Agency’s most common targets of referral.

    What business processes does your Agency have for referrals?

    Refer to yourNSW Health HACC MDS v2 Orientation Workbook - pages 148 to 152.


    Hacc are there any questions about the nsw health hacc mds v2

    HACCAre there any questions about the NSW HealthHACC MDS v2?


    Hacc conclusion

    HACCConclusion


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Conclusion

    Review of the NSW Health HACC MDSv2 workshop learning outcomes:

    • How has the workshop enhanced your understanding of the reporting categories and data elements of the NSW Health HACC MDS v2?

    • How can this knowledge be used to improve the timeliness and accuracy of NSW Health HACC MDS v2 reporting?


    Hacc useful information

    HACCUseful information


    Nsw health home and community care hacc minimum data set mds v2 train the trainer workshop

    HACC Useful information

    NSW Health HACC Data Collection Co-ordinator

    John Hallett

    • Phone: 9391 9308

    • E-mail: [email protected]

      NSW Health HACC web site

    • Intranet: http://internal.health.nsw.gov.au/im/ims/hacc

    • Internet: http://www.health.nsw.gov.au/data/hacc


    Hacc thank you for your participation

    HACCThank youfor your participation


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