Better health and ageing for all Australians

Evaluation of the consumer - directed care initiative - Final Report

C.2 Consumer-directed care - participants, services and expenditure

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Table of contents

The following tables relate to the characteristics of CDRC participants and the services they use, as reported by CDRC providers as part of the April-June and July-September provider data collections undertaken as part of this evaluation.

Table C2: Participants by care level

April-June
April-June
July-Sept
July-Sept
Allocated
Allocated
Packaged Care (2010-11)
CDCL
186
56%
186
51%
300
60%
81%
CDCH
101
30%
126
34%
128
26%
14%
CDCHD
48
14%
54
15%
72
14%
6%
Total
335
100%
366
100%
500
100%
100%

Table C3: CDC participants by age group, by care level

April-June
CDCL
April-June
CDCH
April-June
CDCHD
April-June
Total
July-September
CDCL
July-September
CDCH
July-September
CDCHD
July-September
Total
Under 50
0
1
0
1
2
2
0
4
50 - 54
0
0
0
0
0
0
0
0
55 - 59
0
2
1
3
0
4
1
5
60 - 64
2
1
4
7
0
5
3
8
65 - 69
13
7
0
20
12
9
0
21
70 - 74
13
10
4
27
12
16
3
31
75 - 79
38
19
12
69
39
25
11
75
80 - 84
54
23
11
88
56
28
11
95
85 - 89
41
14
11
66
42
18
14
74
90+
16
14
4
34
22
18
11
51
Unknown
9
10
1
20
1
1
0
2
Total
186
101
48
335
186
126
54
366

Table C4: CDC participants by age group, by care level – percentage

CDCL

Apr-June
CDCL

Jul-Sept
CACP

(2010-11)
CDCH

Apr-June
CDCH

Jul-Sept
EACH

(2010-11)
CDCHD

Apr-June
CDCHD

Jul-Sept
EACHD

(2010-11)
CDC Total

Apr-June
CDC Total

Jul-Sept
Packaged care

(2010-11)
Under 50
0%
1%
1%
1%
2%
0%
0%
0%
0%
0%
1%
1%
50 - 54
0%
0%
1%
0%
0%
1%
0%
0%
0%
0%
0%
1%
55 - 59
0%
0%
1%
2%
3%
1%
2%
2%
1%
1%
1%
1%
60 - 64
1%
0%
2%
1%
4%
4%
8%
6%
3%
2%
2%
2%
65 - 69
7%
6%
5%
7%
7%
8%
0%
0%
5%
6%
6%
6%
70 - 74
7%
6%
9%
10%
13%
12%
8%
6%
11%
8%
8%
10%
75 - 79
20%
21%
15%
19%
20%
16%
25%
20%
16%
21%
20%
15%
80 - 84
29%
30%
24%
23%
22%
21%
23%
20%
26%
26%
26%
24%
85 - 89
22%
23%
26%
14%
14%
20%
23%
26%
24%
20%
20%
25%
90+
9%
12%
17%
14%
14%
17%
8%
20%
13%
10%
14%
17%
Unknown
5%
1%
...
10%
1%
...
2%
0%
...
6%
1%
...
Total
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

Table C5: CDC participants by special needs group status, by care level

April-June
CDCL
April-June
CDCH
April-June
CDCHD
April-June
Total
July-September
CDCL
July-September
CDCH
July-September
CDCHD
July-September
Total
ATSI
5
2
0
7
3
2
0
5
Financially/socially disadvantaged
40
20
8
68
37
23
9
69
Homeless (or at risk of homelessness)
9
2
0
11
9
1
0
10
Live in a rural/remote area
33
15
7
55
35
15
4
54
NESB
34
20
13
67
28
23
13
64
Veteran
2
3
0
5
4
4
1
9
Careleaver
0
0
0
0
0
0
0
0

Table C6: CDC participants by special needs group status, by care level - percentages

Top of page
April-June
CDCL
April-June
CDCH
April-June
CDCHD
April-June
Total
July-Sept
CDCL
July-Sept
CDCH
July-Sept
CDCHD
July-Sept
Total
Packaged care (2010-11)
ATSI
3%
2%
0%
2%
2%
2%
0%
1%
3%
Financially/socially disadvantaged
22%
20%
17%
20%
20%
18%
17%
19%
...
Homeless (or at risk of homelessness)
5%
2%
0%
3%
5%
1%
0%
3%
...
Live in a rural/remote area
18%
15%
15%
16%
19%
12%
7%
15%
...
NESB
18%
20%
27%
20%
15%
18%
24%
17%
23%
Veteran
1%
3%
0%
1%
2%
3%
2%
2%
...
Careleaver
0%
0%
0%
0%
0%
0%
0%
0%
...

Table C7: CDC participants by prior service status

April-June
CDCL
April-June
CDCH
April-June
CDCHD
April-June
Total
July-September
CDCL
July-September
CDCH
July-September
CDCHD
July-September
Total
Did not receive services
56
18
8
82
45
34
8
87
Received CACP
68
24
6
98
62
28
11
101
Received EACH
1
13
5
19
2
21
1
24
Received EACHD
1
12
13
1
12
13
Received HACC or other community care
44
30
10
84
62
32
16
110
Other
5
6
3
14
5
9
1
15
Unknown
12
9
4
25
10
1
5
16
Total
186
101
48
335
186
126
54
366

Table C8: CDC participants by prior service status - percentages

April-June
CDCL
April-June
CDCH
April-June
CDCHD
April-June
Total
July-September
CDCL
July-September
CDCH
July-September
CDCHD
July-September
Total
Did not receive services
30%
18%
17%
24%
24%
27%
15%
24%
Received CACP
37%
24%
13%
29%
33%
22%
20%
28%
Received EACH
1%
13%
10%
6%
1%
17%
2%
7%
Received EACHD
0%
1%
25%
4%
0%
1%
22%
4%
Received HACC or other community care
24%
30%
21%
25%
33%
25%
30%
30%
Other
3%
6%
6%
4%
3%
7%
2%
4%
Unknown
6%
9%
8%
7%
5%
1%
9%
4%
Total
100%
100%
100%
100%
100%
100%
100%
100%

Table C9: CDC participants who exited, by reason for exit

April-June
CDCL
April-June
CDCH
April-June
CDCHD
April-June
Total
July-Sept
CDCL
July-Sept
CDCH
July-Sept
CDCHD
July-Sept
Total
Died
1
6
1
8
1
6
1
8
Moved to another town/city/state
1
1
Moved to residential aged care
6
6
5
17
13
6
4
23
Moved to standard (non-CDC) package
4
2
6
5
2
1
8
No longer needed package
2
2
Other
1
3
4
2
2
4
Grand Total
15
15
8
38
22
14
5
41

Table C10: CDC participants who exited, by reason for exit – percentages

April-June
CDCL
April-June
CDCH
April-June
CDCHD
April-June
Total
July-Sept
CDCL
July-Sept
CDCH
July-Sept
CDCHD
July-Sept
Total
Died
7%
40%
13%
21%
5%
43%
20%
20%
Moved to another town/city/state
7%
0%
0%
3%
0%
0%
0%
0%
Moved to residential aged care
40%
40%
63%
45%
59%
43%
80%
56%
Moved to standard (non-CDC) package
27%
0%
25%
16%
23%
14%
20%
20%
No longer needed package
13%
0%
0%
5%
0%
0%
0%
0%
Other
7%
20%
0%
11%
9%
14%
0%
10%
Total
100%
100%
100%
100%
100%
100%
100%
100%

Table C11: Expenditure on in-house and brokered supports

April-June
In-house
April-June
Brokered
April-June
Total
July-September
In-house
July-September
Brokered
July-September
Total
CDCL
$172,033
$70,643
$242,676
$157,703
$87,891
$245,594
CDCH
$266,732
$12,8890
$395,622
$235,956
$223,811
$459,767
CDCHD
$94,010
$119,776
$213,786
$115,142
$118,763
$233,905
Total
$532,775
$319,309
$852,084
$508,801
$430,465
$939,266

note excludes expenditure on case management and administration

Table C12: Expenditure on in-house and brokered supports – percentage splits

April-June
In-house
April-June
Brokered
July-September
In-house
July-September
Brokered
CDCL
71%
29%
64%
36%
CDCH
67%
33%
51%
49%
CDCHD
44%
56%
53%
47%
Total
63%
37%
55%
45%

note excludes expenditure on case management and administration

Top of page

Table C13: Top 10 service types accessed, by hours – CDCL

April-June
Hours
% of total hours
July-September
Hours
% of total hours
1
Domestic assistance
2679
32%
1
Domestic assistance
2088
17%
2
Activities of daily living
1633
20%
2
Activities of daily living
1998
16%
3
Social support
1159
14%
3
Centre based day care
1232
10%
4
Centre based day care
625
8%
4
Social support
973
8%
5
Informal services
625
8%
5
Emotional support
536
4%
6
Nutrition, hydration and meal preparation
416
5%
6
Nutrition, hydration and meal preparation
483
4%
7
Leisure, interests and activities
275
3%
7
Informal services
251
2%
8
Home maintenance
230
3%
8
Home maintenance
242
2%
9
Emotional support
122
1%
9
Leisure, interests and activities
202
2%
10
Nursing care
96
1%
10
Support for care recipients with cognitive impairment
165
1%
Total hours*
8326
Total hours*
12547

*Excludes supports that were not measured in hours, and on-call access

Table C14: Top 10 service types accessed – by number of participants accessing each service type, CDCL

April-June
No. of participants
% of total participants
July-September
No. of participants
% of total participants
1
Domestic assistance
147
79%
1
Domestic assistance
119
64%
2
Activities of daily living
88
47%
2
Activities of daily living
84
45%
3
Social support
69
37%
3
Social support
56
30%
4
On-call access
41
22%
4
Nutrition, hydration and meal preparation
42
23%
5
Nutrition, hydration and meal preparation
36
19%
5
Emotional support
33
18%
6
Leisure, interests and activities
32
17%
6
Home maintenance
33
18%
7
Home maintenance
32
17%
7
Leisure, interests and activities
22
12%
8
Emotional support
32
17%
8
Home safety
16
9%
9
Home safety
28
15%
9
Mobility and dexterity
16
9%
10
Allied health
18
10%
10
Informal services
14
8%
Total participants
186
Total participants
186

Table C15: Top 10 services types accessed – by expenditure, CDCL

April-June
Expenditure
% of total expenditure
July-September
Expenditure
% of total expenditure
1
Domestic assistance
$82,902
34%
1
Domestic assistance
$70,822
29%
2
Activities of daily living
$52,960
22%
2
Activities of daily living
$61,709
25%
3
Social support
$39,067
16%
3
Social support
$28,245
12%
4
Nutrition, hydration and meal preparation
$15,694
6%
4
Nutrition, hydration and meal preparation
$17,435
7%
5
Home maintenance
$9,525
4%
5
Home maintenance
$12,071
5%
6
Leisure, interests and activities
$8,961
4%
6
Transport
$11,257
5%
7
Mobility and dexterity
$4,404
2%
7
Support for care recipients with cognitive impairment
$7,830
3%
8
Centre based day care
$4,212
2%
8
Leisure, interests and activities
$7,371
3%
9
Equipment
$4,099
2%
9
Equipment
$4,726
2%
10
Emotional support
$3,914
2%
10
Emotional support
$3,806
2%
Total expenditure*
$242,676
Total expenditure*
$245,594

Table C16: Top 10 services types accessed, by hours – CDCH

April-June
Hours
% of total hours
July-September
Hours
% of total hours
1
Activities of daily living
4095
34%
1
Activities of daily living
4818
32%
2
Domestic assistance
1632
14%
2
Domestic assistance
1792
12%
3
Leisure, interests and activities
1574
13%
3
Social support
1601
11%
4
Social support
902
8%
4
Nutrition, hydration and meal preparation
975
6%
5
Nutrition, hydration and meal preparation
809
7%
5
Support for care recipients with cognitive impairment
784
5%
6
Continence management
435
4%
6
Centre based day care
453
3%
7
Mobility and dexterity
397
3%
7
Continence management
430
3%
8
Nursing care
334
3%
8
Nursing care
365
2%
9
Informal services
269
2%
9
Leisure, interests and activities
337
2%
10
Centre based day care
254
2%
10
Emotional support
335
2%
Total hours*
11930
Total hours*
15075

*Excludes supports that were not measured in hours, and on-call access

Table C17: Top 10 service types accessed – by number of participants accessing each service type, CDCH

April-June
No of participants
% of total participants
July-September
No of participants
% of total participants
1
Activities of daily living
75
74%
1
Activities of daily living
94
75%
2
Domestic assistance
69
68%
2
Domestic assistance
66
52%
3
Nursing care
44
44%
3
Social support
49
39%
4
Social support
37
37%
4
Nursing care
39
31%
5
On-call access
36
36%
5
Nutrition, hydration and meal preparation
36
29%
6
Nutrition, hydration and meal preparation
36
36%
6
Clinical care
32
25%
7
Continence management
31
31%
7
Allied health
30
24%
8
Clinical care
30
30%
8
Emotional support
22
17%
9
Leisure, interests and activities
27
27%
9
Continence management
22
17%
10
Allied health
25
25%
10
Management of skin integrity
21
17%
Total participants
101
Total participants
126

Table C18: Top 10 service types accessed – by expenditure, CDCH

Top of page
April-June
Expenditure
% of total expenditure
July-September
Expenditure
% of total expenditure
1
Activities of daily living
$125,528
32%
1
Activities of daily living
$163,499
36%
2
Leisure, interests and activities
$62,352
16%
2
Social support
$60,931
13%
3
Domestic assistance
$45,540
12%
3
Domestic assistance
$52,296
11%
4
Social support
$23,614
6%
4
Nutrition, hydration and meal preparation
$31,760
7%
5
Equipment
$19,468
5%
5
Nursing care
$20,081
4%
6
Nutrition, hydration and meal preparation
$16,370
4%
6
Continence management
$17,630
4%
7
Informal services
$13,093
3%
7
Leisure, interests and activities
$15,713
3%
8
Home modification
$13,046
3%
8
Equipment
$14,921
3%
9
Continence management
$12,274
3%
9
Support for care recipients with cognitive impairment
$14,547
3%
10
Mobility and dexterity
$12,175
3%
10
Clinical care
$14,479
3%
Total expenditure*
$395,622
Total expenditure*
$459,767

*excludes expenditure on case planning and management, and includes expenditure on service types that do not feature on the top 10

Table C19: Top 10 services types accessed – by hours, CDCHD

April-June
Hours
% of total hours
July-September
Hours
% of total hours
1
Activities of daily living
1657
29%
1
Activities of daily living
2222
29%
2
Leisure, interests and activities
1034
18%
2
Centre based day care
1096
14%
3
Domestic assistance
639
11%
3
Social support
845
11%
4
Centre based day care
536
9%
4
Domestic assistance
670
9%
5
Social support
305
5%
5
Informal services
661
9%
6
Nutrition, hydration and meal preparation
287
5%
6
Leisure, interests and activities
575
8%
7
Support for care recipients with cognitive impairment
276
5%
7
Support for care recipients with cognitive impairment
371
5%
8
Nursing care
168
3%
8
Nutrition, hydration and meal preparation
367
5%
9
Home safety
125
2%
9
Emotional support
335
4%
10
Home modification
121
2%
10
Continence management
112
1%
Total hours*
5645
Total hours*
7627

*Excludes supports that were not measured in hours, and on-call access

Table C20: Top 10 service types accessed – by number of participants accessing each service type, CDCHD

April-June
No of participants
% of total participants
July-September
No of participants
% of total participants
1
Activities of daily living
32
67%
1
Activities of daily living
28
52%
2
Domestic assistance
31
65%
2
Domestic assistance
12
22%
3
Leisure, interests and activities
18
38%
3
Nursing care
12
22%
4
Nutrition, hydration and meal preparation
17
35%
4
Social support
11
20%
5
Clinical care
15
31%
5
Clinical care
11
20%
6
Social support
14
29%
6
Allied health
10
19%
7
Nursing care
13
27%
7
Support for care recipients with cognitive impairment
10
19%
8
Support for care recipients with cognitive impairment
13
27%
8
Continence management
9
17%
9
Emotional support
11
23%
9
Emotional support
8
15%
10
Allied health
10
21%
10
Leisure, interests and activities
8
15%
Total participants
48
Total participants
54

Table C21: Top 10 service types accessed – by expenditure, CDCHD

April-June
Expenditure
% of total expenditure
July-September
Expenditure
% of total expenditure
1
Activities of daily living
$50,474
24%
1
Activities of daily living
$80,948
32%
2
Leisure, interests and activities
$41,605
19%
2
Support for care recipients with cognitive impairment
$42,451
17%
3
Domestic assistance
$21,568
10%
3
Social support
$32,786
13%
4
Social support
$14,501
7%
4
Leisure, interests and activities
$27,305
11%
5
Equipment
$13,343
6%
5
Domestic assistance
$18,876
7%
6
Support for care recipients with cognitive impairment
$12,340
6%
6
Continence management
$8,860
3%
7
Nutrition, hydration and meal preparation
$11,116
5%
7
Nutrition, hydration and meal preparation
$7,515
3%
8
Centre based day care
$10,824
5%
8
Centre based day care
$5,141
2%
9
Home modification
$10,245
5%
9
Informal services
$5,006
2%
10
Continence management
$5,896
3%
10
Allied health
$4,872
2%
Total expenditure*
$213,786
Total expenditure*
$253,515

Table C22: Average hourly rates charged - CDC

Service type
April-June
July-Sept
Activities of daily living
$31.00
$33.87
Allied health
$53.87
$77.87
Centre based day care
$12.57
$4.92
Clinical care
$42.96
$56.28
Continence management
$36.98
$53.86
Domestic assistance
$30.31
$31.87
Emotional support
$34.64
$15.42
Home maintenance
$40.03
$46.66
Informal services
$17.87
$11.55
Leisure, interests and activities
$39.17
$41.99
Management of skin integrity
$19.33
$32.24
Mobility and dexterity
$35.75
$35.06
Nursing care
$20.74
$48.00
Nutrition, hydration and meal preparation
$28.56
$26.65
Social support
$32.62
$35.67
Support for care recipients with cognitive impairment
$45.38
$50.49
Therapy services
$42.01
$44.85
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Table C23: Administration and case planning and coordination – CDC

Number of participants where administration and/or case planning and management was charged

April-June
CDCL
April-June
CDCH
April-June CDCHD
April-June Total
July-Sept CDCL
July-Sept CDCH
July-Sept CDCHD
July-Sept Total
Administration
154
79
33
266
157
107
47
311
Care planning and management
174
82
35
291
157
105
44
306

Proportion of participants where administration and/or case planning and management was charged

April-June
CDCL
April-June
CDCH
April-June CDCHD
April-June Total
July-Sept CDCL
July-Sept CDCH
July-Sept CDCHD
July-Sept Total
Administration
83%
78%
69%
79%
84%
85%
87%
85%
Care planning and management
94%
81%
73%
87%
84%
83%
81%
84%

Total number of hours reported

April-June
CDCL
April-June
CDCH
April-June CDCHD
April-June Total
July-Sept CDCL
July-Sept CDCH
July-Sept CDCHD
July-Sept Total
Administration
3526
1515
423
5463
1479
1304
793
3576
Care planning and management
1855
1349
499
3703
1672
1463
693
3828

Average number of hours per participant (where admin and/or care planning and management is recorded)

April-June
CDCL
April-June
CDCH
April-June CDCHD
April-June Total
July-Sept CDCL
July-Sept CDCH
July-Sept CDCHD
July-Sept Total
Administration
22.9
19.2
12.8
20.5
9.4
12.2
16.9
11.5
Care planning and management
10.7
16.5
14.3
12.7
10.6
13.9
15.8
12.5
Combined
33.6
35.6
27.1
33.3
20.1
26.1
32.6
24.0

Total expenditure

April-June
CDCL
April-June
CDCH
April-June CDCHD
April-June Total
July-Sept CDCL
July-Sept CDCH
July-Sept CDCHD
July-Sept Total
Administration
$50,098
$45,326
$37,283
$132,707
$63,180
$74,236
$41,985
$179,401
Care planning and management
$58,840
$63,031
$27,518
$149,389
$51,938
$59,133
$24,658
$135,729

Average expenditure per participant (per quarter)

April-June
CDCL
April-June
CDCH
April-June CDCHD
April-June Total
July-Sept CDCL
July-Sept CDCH
July-Sept CDCHD
July-Sept Total
Administration
$355
$687
$1,097
$551
$402
$694
$893
$577
Care planning and management
$403
$1,033
$809
$620
$331
$563
$560
$444
Combined
$758
$1,720
$1,906
$1,171
$733
$1,257
$1,454
$1,020

Average expenditure per participant (annualised)

April-June
CDCL
April-June
CDCH
April-June CDCHD
April-June Total
July-Sept CDCL
July-Sept CDCH
July-Sept CDCHD
July-Sept Total
Administration
$1,421
$2,747
$4,386
$2,203
$1,610
$2,775
$3,573
$2,307
Care planning and management
$1,612
$4,133
$3,237
$2,479
$1,323
$2,253
$2,242
$1,774
Combined
$3,033
$6,880
$7,624
$4,682
$2,933
$5,028
$5,815
$4,082

Proportion of reported package expenditure

April-June
CDCL
April-June
CDCH
April-June CDCHD
April-June Total
July-Sept CDCL
July-Sept CDCH
July-Sept CDCHD
July-Sept Total
Administration
14%
9%
13%
12%
17%
12%
13%
14%
Care planning and management
17%
13%
10%
13%
14%
10%
8%
11%
Combined
31%
21%
23%
25%
32%
22%
21%
25%
Supports
69%
79%
77%
75%
68%
78%
79%
75%
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Table C24: Set-up costs reported by CDC providers – 2010-11

Total costs reported
Staffing
Total costs reported
Non-staffing
Total costs reported
Total
Average cost per package allocated*
Staffing
Average cost per package allocated*
Non-staffing
Average cost per package allocated*
Total
Planning
$244,995
$12,321
$257,316
$556
$28
$583
Development or modification of systems (eg IT systems) and processes
$164,234
$19,860
$184,094
$372
$45
$417
Development of information and other resources
$106,810
$11,638
$118,448
$242
$26
$269
Participant recruitment
$73,603
$4,622
$78,225
$167
$10
$177
Training and skills development
$120,067
$9,007
$129,074
$272
$20
$293
Other
$161,581
$74,669
$236,249
$366
$169
$536
Total
$871,289
$132,116
$1,003,406
$1,976
$300
$2,275

*Average cost per package is based on 441 packages, which is the number of packages allocated to those providers who submitted data as part of the April-June provider data collection. Note not all of these packages had been allocated to participants.

Table C25: Ongoing costs reported by CDC providers

Total costs reported
Staffing
Total costs reported
Non-staffing
Total costs reported
Total
Average cost per package allocated
Staffing
Average cost per package allocated
Non-staffing
Average cost per package allocated
Total
    Management and administration Management
$88,486
$17,361
$105,847
$1,011
$198
$1,210
    Management and administration Administration
$51,195
$10,017
$61,212
$585
$114
$700
    Management and administration Finance and IT support
$56,230
$12,048
$68,278
$643
$138
$780
    Management and administration Other
$21,669
$17,080
$38,749
$248
$195
$443
    Management and administration Unspecified
$47,767
$690
$48,457
$546
$8
$554
Participant selection
$27,695
$1,794
$29,489
$317
$21
$337
Case planning and coordination
$224,412
$11,149
$235,561
$2,565
$127
$2,692
Total
$517,455
$70,139
$587,593
$5,914
$802
$6,715
Total (excl case planning and coordination)
$293,043
$58,990
$352,032
$3,349
$674
$4,023

Based on data provided by 35 organisations, encompassing 350 packages allocated to participants
Source: 2nd CDC provider data collection

Table C26: Time (hours) spent on participant selection, planning and coordination - CDC

CDCL
CACP
CDCH
EACH
CDCHD
EACHD
Time spent providing information to a potential CDC participant – per potential participant (hours)
2.4
2.5
2.8
Time spent undertaking care planning – per participant (hours)
2.9
2.1
3.9
2.5
4.2
2.7
Time spent managing and coordinating package– per participant per week (hours)
1.4
1.0
2.4
1.8
2.6
2.1
Time spent conducting formal review – per participant per review undertaken (every 3-6 months) (hours)
1.3
1.1
1.9
1.6
2.0
1.6
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