Development of a cost model for face to face aged care assessments in the Aged Care Gateway, Department of Health and Ageing

Project Info

Client

  • Australian Government Department of Health

Client Type

  • Commonwealth department

Financial Year

  • 2013-14

Health Area

  • Aged care

Service Provided

  • Health economics

Jurisdiction

  • National

The Australian Government Department of Health and Ageing engaged HMA to develop an evidence based cost model for face to face aged care assessments for the Aged Care Gateway. The project sought to develop a set of time based relativities, which were grouped into sub categories reflecting statistically relevant cost drivers. Consideration of indirect and overhead expenses were also explored and a method of overhead allocation by time developed.

The project included the following activities:

  • a situation analysis (including preliminary consultation) to inform the development of the survey tools (for Level 1, Level 2 and Level 3 face to face assessments)
  • development of Microsoft excel based survey tools, a small population cohort focus group framework, and associated infrastructure
  • conduct of a national survey targeting over 1,000 completed assessments to inform the evidence base for time worked in ACAT and HACC assessments
  • focus groups in each jurisdiction of small population cohorts, such as the special needs groups (such as CALD and care leavers) to provide qualitative data to support any further adjustments to the time based relativities due to the underlying characteristics of the small populations
  • management of data, including survey data cleansing, and coding of focus group responses
  • analysis of data to inform the development of the cost model in a Microsoft excel platform, along with the development of associated guidelines
  • workshop with Department personnel to explain the workings of the cost model formula
  • development of a final report

The project commenced in June 2013 and was completed in March 2014.