NDIS Transition Pilot Briefing - PowerPoint Presentation

Slide1

NDIS Transition Pilot Briefing

National Respite

September, 2015Slide2

The Community Sector

Challenge

NDIS Transition Pilot – what is it?

NDIS Challenges and Questions

Trial Site Learnings

The NDIS Readiness Checklist

NDIS Resources

Wrap-UpSlide3

1. Community Sector & Markets

..the

idea that our sector can continue to meet society’s

…needs

by

contracting to government,

expanding and aggregating organisations,

driving for greater efficiency, and

further professionalising, regulating and circumscribing care…

is

a paradigm that is fundamentally flawed.

I

sense it is sapping the very ethos and moral drive of the

sector

and, with it, the wider

community

Tony Nicholson

Brotherhood of St LaurenceSlide4

1. Community sector in Australia

The market takeover of the community sector

The end of the peak body

Preserving who and what we are:

Social justice – for purpose

Volunteers

Community based

In a market mechanism

Independence from government Slide5

2

. NDIS Transition Readiness Pilot

Tailored program for small and micro providers

Ten week group program with consultants

Marketing/Strategy/Quality

Financial Sustainability/CMS

Emphasis not just on knowledge and understanding

Meaningful and practical changeSlide6

3. NDIS Discussion

State Perspectives

What you said:

What will happen in emergencies under NDIS?

What is ILC? How can we be involved?

How does funding for accommodation work?

Will

small/micros be sustainable?

How will we be able to pay for our indirect costs?

How will we provide transport?

Back

of house – IT/CMS systems

How do we compete with bigger providers and get new clients

?Slide7

3. NDIS Discussion

Regional Q&ASlide8

3. NDIS Discussion

MAD/Glad/Sad Exercise

Slide9

4 NDIS trial site progress

NDIS Access Requests

Eligible 85%

8%

6%

Ineligible

Excluded –

(age residency)

Average $34,900 (excluding large residences)

Range $5,000 - >$250,000

IFP amounts

Funding administration

NDIA 63%

32%

5

%

NDIA/Self

Self Managed

Top 3 supports by expenditure

Daily tasks/shared living 32%

Community participation 24%

Assistance in personal activities 14% Slide10

4 Case Studies

Service A: ~$5m

Community participation, personal care, life and living skills, therapy services, plan co-ordination

Strategic plan and mission ok – adapted quickly

Effective reduction in

funding

Gained 10-20% new clients, lost 5

%

Key insights

CMS/Business process has been a very strong focus

Key challenge is impact of price/margin squeeze on quality and person centeredness

Culture of accountability to clients not easy for all

2 years on strategy being reviewed

Strategic plan foreshadowed NDIS – but still not prepared

Large drop in per hour funding

Clients steady growth 10%

Key insights

Huge effort to get business process and costs under control

Focused on systems, and now on flatter structure and work redesign

Advice: earlier attention to

systems,

business process and

seek partnerships

Strategic plan relevant -

Now change Plan to drive for efficiency and growth

Gained more clients, lost some looking for faster

flexibility

Key

insights

Scale helped manage transition,

Still huge challenge on systems and core business process

Now flattening structure

Quality – language & intent OK

Operationalising within $$$ is the challenge

Service B: ~$5m

Day programs, very high support needs, life and living skills, community participation

Service C: ~$20m

Social & rec, living skills, personal & home care, accommodationSlide11

Service D: ~$3m

Short Breaks, social & recreation, day programs, supported living, case management

Very, very early

transition no

time to revisit

strategic plan.

Almost

overwhelmed by the admin, cash flow and business operation

challenges

Lost some clients, but bigger share of wallet for others (e.g. ageing parents with new supports)

Now revising scope of services (personal care, household, older people)

Key insights

Quality – big challenge to see client as support workers’ boss

Staff – NDIS price doesn’t cover cost of experienced staff, or short term accommodation

2 years on strategy being reviewed

Moving to look at support

coordination

4 Case Studies

ctd

Service E: ~$2m

All types respite, social & recreation, after school and vacation, parent support

Early transition

Strategic plan didn’t connect mission/values to a business model

20-25% more clients, lost 5

% who wanted faster flexibility

Almost went under managing

cash flow,

business process and

system

Only got unit costs 18 months in

Now revising strategic plan, and have a strong partnership for

scale

Key insights

CMS/Business process

must be an early, strong focus

Quality: huge change to shift accountability from program to client focus

Had to seek a partner to get systems and scale economies

Moving to look at support

coordinationSlide12

Strategy, market, clients summary

Strategic plans

and clear purpose help but

Must express in an operating model

Review after two years (changes in scope, structure and operating model)

Clients

–new clients up to 25%

Growth imposes operational strains

Loss of clients who want faster flexibility

Quality

– move from rhetoric to practice

Big culture change for some staff to see consumer as boss

Margin and price pressure – difficult choices to maintain quality

Marketing

most rely on strong word of mouth

Reinforce with online/social media testimonials

Now turning to above the line marketing

Strategy should define

an approach to service and quality,

and the approach and tools to deliver it profitablySlide13

Financial Sustainability & Systems

CMS

& business process is the single biggest transition challenge:

Can easily send you broke

Price

NDIS prices too low especially for

1:1 supports or complex needs,

short term accommodation

t

ransport

Structure

and job re-design essential to deliver a sustainable person centred service

Collaboration

or mergers can be considered to reduce costs

Manage

cash flow

and

costs

to survive with

Affordable plan to deliver desired level of service

Tools to understand (systems, unit costs)

Redesigned structure to eliminate costSlide14

5. NDIS Readiness Checklist

Make a plan e.g. strategic, transition, operations, communications

Talk to your clients

Focus on Quality – outcomes not outputs!

Know what you cost

Know your risks – including culture change, CMS, viabilitySlide15

6. Further Resources

CMS/NDIS Business Canvas Model Report

Thinking about organisation strategy:

https

://

www.youtube.com/watch?v=7aRJ7ovL-RU

Thinking about organisation purpose:

https

://www.youtube.com/watch?v=SKawTRAFOYY

National Respite’s NDIS round-up PDF

Services Preparing Families Resource

ADHC unit costing tools

IDF websiteSlide16

6. Further Resources

Consultant Details:

CMS/Financial Sustainability

Steve Beard

stephen.beard@accpro.com.au

Marketing/Strategy

Melissa

Bertolini

melissa@purposeagency.com.au

Strategy/Quality

Michelle Dodd

michelle-dodd@bigpond.comSlide17

7

. Wrap- Up

It is hard for small providers to make it alone in NDIS

BUT

If the sector works together it doesn’t have to be the death of choice or community values

AND

The time for action is NOW!