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Transition Care Into The Future. Lesley Podesta First Assistant Secretary Ageing and Aged Care Division. History of the Transition Care Program. Established in 2004-05 Aims to improve the interface between the health and aged care systems. Initial commitment was 2,000 places by 2007-08.

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transition care into the future

Transition Care Into The Future

Lesley Podesta

First Assistant Secretary

Ageing and Aged Care Division

history of the transition care program
History of the Transition Care Program
  • Established in 2004-05
  • Aims to improve the interface between the health and aged care systems.
  • Initial commitment was 2,000 places by 2007-08
transition care the present
Transition Care – the present

As at September 2009 there were:

  • 79 transition care services
  • 66% delivered in community
  • 34% delivered in residential setting
transition care total places
Transition Care – total places

As at September 2009 there were:

  • 2,499 operational places
  • Average length of stay – 7 weeks
  • This means 18,500+ people can access transition care services each year
the future of transition care
The Future of Transition Care
  • The Transition Care Program will double from 2,000 to 4,000 places by 2011-12
  • The recurrent costs of these additional places are fully funded by Australian Government
  • Improved access for Aboriginal and Torres Strait Islander peoples and people with dementia
how are these places being rolled out
How are these places being rolled out?
  • 1st tranche - 228 places allocated in 2007-08, all operational in 2008-09
  • 2nd tranche – 470 places allocated in 2008-09, of these 271 operational at 14 Sept 2009
  • 3rd tranche – around 600 places to be allocated by 31 March 2010, to become operational in 2010-11
  • 4th tranche – around 700 places to be allocated by 31 March 2011, to become operational by 2011-12
where are transition care services located
Where are transition care services located?

In 2008-09

  • 53% in major cities
  • 29% in inner regional
  • 15% in outer regional
  • 0.02% in remote areas
how much is the australian government spending on transition care
How much is the Australian Government spending on transition care?
  • 2005-06 – $3.3 million
  • 2006-07 – $33 million
  • 2007-08 – $53 million
  • 2008-09 – $76 million
  • 2009-10 – $103 million
  • 2010-11 – $150 million
  • 2011-12 – $220 million
  • 2012-13 – $224 million
models of transition care
Models of Transition Care
  • Three Transition Care models
  • Predominantly Community
    • High average MBI, allied health hours
    • Low nursing, medical hours
  • Residential
    • High allied health, nursing, medical hours
    • Low average MBI
  • Mixed
    • Low average MBI, mainly located in Victoria
results from transition care
Results from transition care

Key findings from the 2008 evaluation were:

  • It provided additional treatment and care options that were valued by patients and their families
  • Functional improvements occurred.
  • There was variation in access to the program across Australia.
  • Older people who received transition care had fewer readmissions to hospital and were less likely to move into permanent residential aged care.
transition care and sub acute care
Transition care and sub-acute care
  • Transition care was found, in the evaluation, to work best when not used as a substitute for conventional sub-acute care or appropriate geriatric evaluation and management
continuous improvement transition care working group
Continuous Improvement - Transition Care Working Group
  • Oversees implementation of new 2,000 places and operations of TCP
  • Has representation from all state and territory health departments
  • Includes two clinicians, Professor Leon Flicker (WA) and Dr Paul Varghese (QLD)
  • Chaired by the Department
transition care working group
Transition Care Working Group
  • Review of Transition Care Program Guidelines, including
    • Improved access for Indigenous people
    • Improved access for people with dementia
    • Leave from transition care
    • Development of long-term quality framework
reform and transition care
Reform and transition care
  • National Health and Hospitals Reform Commission
  • Ongoing role of transition care
  • Increased focus on primary care
transition care into the future1
Transition care into the future
  • The need for improving the interface between the health and aged care systems is clear
  • Significant expansion and quality improvement of the transition care is in the pipeline