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Aged Care Funding Instrument

Conducting an Aged Care Funding Instrument (ACFI) Appraisal

Information about ACFI appraisals and ACFI structure. Available for download: ACFI Appraisal Pack, ACFI Assessments and ACFI User Guide.

The ACFI consists of twelve care need questions. Diagnostic information about mental and behavioural disorders and other medical conditions is also collected. This information is used to categorise residents as having low, medium or high care needs in each of the following care domains:

• Activities of daily living (ADLs)
• Behaviour
• Complex Health Care.

An ACFI Appraisal Pack is compiled and completed in accordance with the ACFI User Guide. The ACFI appraisal documents can be downloaded from these links.

PDF printable version of the ACFI Assessments (PDF 430 KB)
PDF printable version of the ACFI User Guide (PDF 2487 KB)
PDF printable version of the Answer Appraisal Pack (PDF 2250 KB)
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Submissions

The ACFI appraiser must ensure that the ACFI Appraisal Pack has been completed in accordance with guidelines set out in the ACFI User Guide. The person authorised by the approved provider to complete and submit the ACFI Application for Classification must certify as part of the application that it is true and correct. Please follow the links for submission options: Submitting an ACFI.

Record Keeping

The approved provider will ensure that the specified materials for audit and accountability purposes are retained and stored for future audit. The Aged Care Act 1997 requires that the Appraisal Pack must be kept for the period ending three years after 30 June of the year in which the record was made. However, other legislative record keeping requirements could also apply.

Structure of the ACFI Funding Instrument

Domain/ Funding	Questions	Specified Assessments	Checklist Items	What Does the Rating Measure?
Diagnoses	Mental & Behavioural	n/a	List of disorders	Primarily for Minimum Data Set
	Medical		List of medical conditions
Activities of Daily Living	1. Nutrition	n/a	Readiness to Eat Eating	Independent Supervision required Physical Assistance required
	2. Mobility		Transfers Locomotion
	3. Personal Hygiene		Dressing & Undressing Washing & Drying Grooming
	4. Toileting		Use of Toilet Toilet Completion
	5. Continence	Continence Record	Urinary Continence Faecal Continence Scheduled Toileting	Self managed Frequency of incontinence Managed by scheduling
Behaviour Supplement	6. Cognitive Skills	Psychogeriatric Assessment Scale (PAS)	PAS Score OR Minimal, Mild, Moderate, Severe Impairment Rating	Level of Impairment
	7. Wandering	Behaviour Records	Type and frequency of behaviour	Frequency of problem behaviour
	8. Verbal Behaviour
	9. Physical Behaviour
	10. Depression	Cornell Scale for Depression (CSD)	CSD Score OR Level of interference caused by symptoms	Degree of interference with regular activities Diagnosis
Complex Health Supplement	11. Medication	n/a	Time Specified procedures	Time Procedures
	12. Complex Health Care		Specified procedures	Scores for procedures

If you are unable to download any of the PDF files please send an email to: acc@health.gov.au for a copy to be sent to you.
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