Better health and ageing for all Australians

Aged Care Assessment Program Data Dictionary

Access and Equity Measures

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Percentage of older ACAT clients living in rural/remote areas

Definition

The percentage of people assessed by Aged Care Assessment Teams (ACATs) aged 70 years and over plus people of Aboriginal and/or Torres Strait Islander origin aged 50 to 69 years who live in rural and remote areas of Australia.

Desired outcome:

That older people living in rural and remote areas are represented as clients of the Aged Care Assessment Program (ACAP) in proportions consistent with their representation in the general population.

Context:

The ACAP is a joint Commonwealth and State/Territory government-funded program designed to provide comprehensive assessments of the care needs of frail older people and to facilitate access to the range of services appropriate to those needs.

The Commonwealth Guidelines for the ACAP state that in the ACAP ensuring equitable access to services is particularly relevant to four groups: Aboriginal and Torres Strait Islander peoples; people from culturally and linguistically diverse backgrounds; people living in rural and remote areas and people with dementia.

If data shows that older people living in rural and remote areas are under-represented within the client base of the ACAP, specific strategies may need to be developed to make the program more accessible and/or responsive to the needs and circumstances of this particular group. The accessibility of ACATs to people living in rural and remote areas reflects on the whole aged and community care system, not only ACATs themselves. Developing appropriate services is a goal of all aged and community care services, however, the choice of whether to use a service ultimately rests with the client.

Numerator:

Number of ACAT clients aged 70 and over plus clients of Aboriginal and/or Torres Strait Islander origin aged 50–69 who live in rural and remote areas comprehensively assessed by ACATs.

Denominator:

Total number of ACAT clients aged 70 and over plus clients of Aboriginal and/or Torres Strait Islander origin aged 50–69 comprehensively assessed by ACATs.

Data collection:

Numerator:Ageing and Aged Care Date Warehouse ACAP MDS
Denominator:Ageing and Aged Care Date Warehouse ACAP MDS

Interpretation:

The percentage of older ACAT clients who live in rural and remote areas should be compared with the percentage of people age 70 and over (plus people of Aboriginal and/or Torres Strait Islander origin aged 50–69) who live in rural and remote areas in the general population.

To be analysed by geographic area (national, State/Territory) by financial year.

Source document:

Developed for the Aged Care Assessment Program Data Dictionary V 1.0.

Source organisation:

Aged Care Assessment Program Officials
Australian Institute of Health and Welfare

Comments:

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Percentage of older ACAT clients who are of Aboriginal and/or Torres Strait Islander origin

Definition:

The percentage of people assessed by Aged Care Assessment Teams (ACATs) aged 70 years and over plus people of Aboriginal and/or Torres Strait Islander origin aged 50 to 69 years who are of Aboriginal and/or Torres Strait Islander origin.

Related objective:

To ensure that older persons who are of Aboriginal and/or Torres Strait Islander origin have equitable access to ACATs.

Desired outcome:

That older Aboriginal and Torres Strait Islander peoples are represented as clients of the Aged Care Assessment Program (ACAP) in proportions consistent with their representation in the general population.

Context:

The ACAP is a joint Commonwealth and State/Territory government-funded program designed to provide comprehensive assessments of the care needs of frail older people and to facilitate access to the range of services appropriate to those needs.

The Commonwealth Guidelines for the ACAP state that in the ACAP ensuring equitable access to services is particularly relevant to four groups: Aboriginal and Torres Strait Islander peoples; people from culturally and linguistically diverse backgrounds; people living in rural and remote areas and people with dementia.

Significant health disadvantage is experienced by Aboriginal and Torres Strait Islander Australians across all age groups and for almost all diseases and conditions for which information is available. Given the notably poorer health profile of Aboriginal and Torres Strait Islander communities, older persons of Aboriginal and/or Torres Strait Islander origin can be expected to require ACAP services and assistance in numbers which equal or exceed their representation in the older community.

The lower life expectancy of Aboriginal and Torres Strait Islander Australians means that persons of Aboriginal and/or Torres Strait Islander origin can also be expected to require assessment services at an earlier age than is the case for the wider community. In accordance with this, the age benchmark used for service provision and planning within the ACAP is lower for Aboriginal and Torres Strait Islander Australians than for the population as a whole (i.e. 50 and over for Aboriginal and/or Torres Strait Islander persons compared to 70 and over for the general population).

If data shows that older Aboriginal and Torres Strait Islander Australians are under-represented within the client base of the ACAP, specific strategies may need to be developed to make the program more accessible and/or responsive to the needs and circumstances of Aboriginal and Torres Strait Islander peoples. The accessibility of ACATs to Aboriginal and Torres Strait Islander peoples reflects on the whole aged and community care system, not only ACATs themselves. Developing culturally appropriate services is a goal of all aged and community care services, however, the choice of whether to use a service ultimately rests with the client.

Numerator:

Number of ACAT clients aged 50 and over of Aboriginal and/or Torres Strait Islander origin comprehensively assessed by ACATs.

Denominator:

Total number of ACAT clients aged 70 and over plus Aboriginal and/or Torres Strait Islander clients aged 50–69 comprehensively assessed by ACATs.

Data collection:

Numerator:Ageing and Aged Care Date Warehouse ACAP MDS
Denominator:Ageing and Aged Care Date Warehouse ACAP MDS

Interpretation:

The percentage of older ACAT clients who are of Aboriginal and/or Torres Strait Islander origin should be compared with the percentage of people age 70 and over (plus Aboriginal and/or Torres Strait Islander people aged
50–69) who are of Aboriginal and/or Torres Strait Islander origin in the general population.

To be analysed by geographic area (national, State/Territory) by financial year.

Source document:

Developed for the Aged Care Assessment Program Data Dictionary
Version 1.0.

Source organisation:

Aged Care Assessment Program Officials
Australian Institute of Health and Welfare

Comments:

Top of page

Percentage of older ACAT clients with dementia

Definition:

The percentage of people assessed by Aged Care Assessment Teams (ACATs) (aged 70 years and over plus people of Aboriginal and/or Torres Strait Islander origin aged 50 to 69 years) with dementia.

Desired outcome:

To maintain or increase the proportion of older clients with dementia.

Context:

The Aged Care Assessment Program (ACAP) is a joint Commonwealth and State/Territory government-funded program designed to provide comprehensive assessments of the care needs of frail older people and to facilitate access to the range of services appropriate to those needs.

People with dementia have been identified within the ACAP, and other aged and community care programs generally, as a particular target group for assistance. This is in recognition of the often complex and special needs usually associated with the presence of this condition.

Over recent years there have been many government initiatives designed to assist with the both the identification of dementia and the provision of care and assistance to people with dementia, and their carers. The needs of these people are of particular importance to the ACAP, as they are frequently characterised by cognitive impairments and/or behaviours that are difficult to manage either at home or in institutional settings.

Numerator:

Number of ACAT clients aged 70 years and over and clients of Aboriginal and/or Torres Strait Islander origin aged 50–69 years with dementia comprehensively assessed by ACATs.

Denominator:

Total number of ACAT clients aged 70 years and over or clients of Aboriginal and/or Torres Strait Islander origin aged 50–69 years comprehensively assessed by ACATs.

Data collection:

Numerator:Ageing and Aged Care Date Warehouse ACAP MDS
Denominator:Ageing and Aged Care Date Warehouse ACAP MDS

Interpretation:

Health condition codes 0500–0530 (or 0500–0532 if using ‘long’ code list) to be used for analysis of this measure.

To be analysed by geographic area (national, State/Territory) by financial year..

Source document:

Developed for the Aged Care Assessment Program Data Dictionary
Version 1.0.

Source organisation:

Aged Care Assessment Program Officials
Australian Institute of Health and Welfare

Comments:

Top of page

Percentage of older people assessed by ACATs

Definition:

The percentage of people aged 70 years and over plus people of Aboriginal and/or Torres Strait Islander origin aged 50 to 69 years assessed by Aged Care Assessment Teams (ACATs).

Desired outcome:

To maintain or increase the proportion of the older population comprehensively assessed.

Context:

The Aged Care Assessment Program (ACAP) is a joint Commonwealth and State/Territory government-funded program designed to provide comprehensive assessments of the care needs of frail older people and to facilitate access to the range of services appropriate to those needs.

In the ACAP, age is used as one measure of need for assistance. Planning and resource allocation for the program uses the number of people aged 70 years and over plus the number of people of Aboriginal and/or Torres Strait Islander origin aged 50 to 69 years as an indication of the target population across geographic areas in Australia.

Numerator:

Number of ACAT clients aged 70 and over plus the number of clients of Aboriginal and/or Torres Strait Islander origin aged 50–69 comprehensively assessed by ACATs..

Denominator:

Total number of people aged 70 and over plus people of Aboriginal and/or Torres Strait Islander origin aged 50–69.

Data collection:

Numerator:Ageing and Aged Care Date Warehouse ACAP MDS
Denominator:Ageing and Aged Care Date Warehouse ACAP MDS

Interpretation:

Only client assessments with code 1 under Reason for ending assessment (i.e. Assessment complete) should be used in analysis for this measure.

To be analysed by geographic area (national, State/Territory) by financial

Source document:

Developed for the Aged Care Assessment Program Data Dictionary
Version 1.0.

Source organisation:

Aged Care Assessment Program Officials
Australian Institute of Health and Welfare

Comments:

Top of page

Percentage of older ACAT clients from culturally and linguistically diverse backgrounds

Definition:

The percentage of people assessed by Aged Care Assessment Teams (ACATs) aged 70 years and over who are from culturally and linguistically diverse backgrounds.

Desired outcome:

That older people from culturally and linguistically diverse backgrounds are represented as clients of the Aged Care Assessment Program (ACAP) in proportions consistent with their representation in the general population.

Context:

The ACAP is a joint Commonwealth and State/Territory government-funded program designed to provide comprehensive assessments of the care needs of frail older people and to facilitate access to the range of services appropriate to those needs.

The Commonwealth Guidelines for the ACAP state that in the ACAP ensuring equitable access to services is particularly relevant to four groups: Aboriginal and Torres Strait Islander peoples; people from culturally and linguistically diverse backgrounds; people living in rural and remote areas and people with dementia.

If data shows that older people from culturally and linguistically diverse backgrounds are under-represented within the client base of the ACAP, specific strategies may need to be developed to make the program more accessible and/or responsive to the needs and circumstances of this particular group. The accessibility of ACATs to people from culturally and linguistically diverse backgrounds reflects on the whole aged and community care system, not only ACATs themselves. Developing culturally appropriate services is a goal of all aged and community care services, however, the choice of whether to use a service ultimately rests with the client.

Numerator:

Number of ACAT clients aged 70 and over who are from culturally and linguistically diverse backgrounds comprehensively assessed by ACATs.

Denominator:

Total number of ACAT clients aged 70 and over comprehensively assessed by ACATs.

Data collection:

Numerator:Ageing and Aged Care Date Warehouse ACAP MDS
Denominator:Ageing and Aged Care Date Warehouse ACAP MDS

Interpretation:

The percentage of older ACAT clients who are from culturally and linguistically diverse backgrounds should be compared with the percentage of people aged 70 and over (plus people of Aboriginal and/or Torres Strait Islander origin aged 50–69) who are from culturally and linguistically diverse backgrounds in the general population.

To be analysed by geographic area (national, State/Territory,) by financial year.

Source document:

Developed for the Aged Care Assessment Program Data Dictionary
Version 1.0.

Source organisation:

Aged Care Assessment Program Officials
Australian Institute of Health and Welfare

Comments:

Top of page

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