This module will help you Understand what the Aged Care Funding Instrument ACFI is Know how ACFI works Identify ACFIs 3 domains amp 12 questions Understand the required evidence Especially for ACFI questions ID: 1044400
Download Presentation The PPT/PDF document "Module 10 ACFI & Incontinence" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1. Module 10ACFI & Incontinence
2. This module will help you:Understand what the Aged Care Funding Instrument (ACFI) isKnow how ACFI worksIdentify ACFI’s 3 domains & 12 questionsUnderstand the required evidenceEspecially for ACFI questions 4 Toileting & 5 ContinenceModule Profile
3. Aged Care Funding Instrument (ACFI) replaced the Resident Classification Scale (RCS) in March 2008Determines how much government funding an aged care facility is givenBased on facilities’ appraisal of residents’ care needsOverviewDesigned to:Better match funding to residents’ care needsReduce paperwork to justify fundingAchieve more agreement between aged care staff & departmental review officers
4. How ACFI worksDiagnostic information about mental & behavioural disorders & other medical conditions is collectedACFI has 12 care need questions, rated as A, B, C or DScores are given & used to categorise resident’s care needs as eitherlow, medium or highacross 3 domains:Activities of Daily LivingBehaviourComplex Health Care
5. Diagnostic QuestionsACFI diagnoses based on:Mental & behavioural questionsACFI appraisal evidence required might include disorders/diagnosis checklists, source materials checklists, copies of source materials eg, ACCR, GP comprehensive medical assessment, other medical practitioner assessmentsMedical questions, requiring a list of medical conditionsThis provides a minimum data set & supports usual care needs ratings
6. Activities of daily living questionsFirst domain of questions: Activities of Daily LivingMeasure independence & requirements for supervision, physical assistance & equipmentQuestions:Nutrition – readiness to eat, eatingMobility – transfers, locomotionPersonal hygiene – dressing & undressing,washing & drying, groomingToileting – use of toilet, toilet completionContinenceurinary & faecal continence ACFI specified assessment: Continencerecord urinary 3 day, bowel 7 day
7. Behaviour questionsThe second domain is behaviourQuestions:Cognitive skillsmeasures level of impairmentACFI specified assessment: Psychogeriatric Assessment Scale – Cognitive Impairment Scale (PAS–CIS)checklist: PAS–CIS score or no/minimal, mild, moderate, severe impairment rating
8. Behaviour questions Depressionmeasures degree of interference with regular activities & measures diagnosisACFI specified assessment: Cornell Scale for Depression (CSD)checklist: CSD score 7,8,9. Wandering, Verbal behaviour, Physical behaviourmeasures frequency of behaviours over a week requiring staff interventionACFI specified assessment: behaviour recordschecklist: type & frequency of behaviours
9. Complex healthThe third domain is complex healthQuestions:(no ACFI specified assessment – current medication chart) MedicationLooks at the time taken to administer medications each day Complex health careScores for 18 specified procedures
10. ACFI & INCONTINENCE 031211Subsidy ratesLevelActivities of Daily LivingBehaviourComplex Health CareNil---Low$30.90$7.06$13.90Medium$67.28$14.63$39.60High$93.21$30.82$57.18Significant differences in funding depending on care needsImportant ALL residents’ care needs identified to maximise fundingDaily ACFI subsidy rates to June 2013
11. ACFI Process4 documents required:ACFI answer appraisal packACFI assessment packACFI user guideACFI application for classification
12. ACFI 4 toiletingRelates to assessed toileting needs & degreeof toileting assistance requiredIncludes emptying drainage bags,personal hygiene & adjustingclothingIncludes toileting aspectsassociated with person whohas catheter or stoma bagExcludes location change inorder to use the toilet (coveredin ACFI 2 mobility)Excludes care of catheters & colostomies, administrationof suppositories & enemas (covered in ACFI 12 complex health care)
13. ACFI & INCONTINENCE 031214ACFI 4 toiletingCare need 1: Use of a toiletSetting upPositioning for use of toiletVerbal / physical assistanceCare need 2: Toilet completionVerbal / physical assistance with adjusting clothingPeri-anal hygiene eg, wipingWashing handsEmptying drainage bagassociated with catheter or stoma RatingA0 in both care needsB1 in one or two care needsC2 in one care needD2 in both care needs
14. ACFI 5 ContinenceUnder Activities of Daily LivingAssessed needs regarding continence of urine & faecesDesigned to reflect degree of incontinence & resulting complexity needed to meet person’s individually-assessed continence needsExcludes administration of stool softeners or other aperients (covered in ACFI 11 medications)Excludes administration of suppositories & enemas (covered in ACFI 12 complex health care)
15. ACFI 5 ContinenceRequires 3 day urinary record &7 day bowel recordUse codes provided & record hourly:Incontinent of urinePad change for incontinenceof urinePad has increased wetnessPassed urine during scheduledtoiletingIncontinent of faecesPad change for incontinence of faecesBowel open during scheduled toileting
16. summaryACFI Aged Care Funding Instrument determines government fundingMental, behavioural, medical diagnoses3 domains: ADL, Behaviour, Complex healthHigher the care in each domain, higher the fundingACFI 4 Toileting, ACFI 5 Continence
17. This certifies thathas attended the continence management sessionDate of Completion_______________________________ Name:Module 10: ACFI & Incontinence