Final Report on RREF 2001 - Department of Health

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Abbreviations and Note on Terminology................................................................. i Acknowledgements ............................................................................................. iii Consultancy Team...............................................................................................iv EXECUTIVE SUMMARY ............................................................ V PART A: BACKGROUND AND SCOPE OF THE RREF REVIEW ... 1 Scope of the Review............................................................................................ 1 HACC Program Objectives and the Resource Allocation Process............................... 3 The Review process ............................................................................................ 4 Role of the RREF in the HACC Program ................................................................. 7 The HACC target population in the current RREF ................................................... 9 Profile of current users of HACC services..............................................................12 What revision of the RREF can and cannot achieve ...............................................13 PART B: DEVELOPMENT OF OPTIONS FOR A REVISED RREF 15 STEP 1: OPTIONS FOR DEFINING THE RREF BASE POPULATION.................................................................... 16 1.1 Identifying those in need of HACC services ............................................16 1.2 Prevalence of core activity restriction.....................................................17 1.3 Population living in the community only .................................................18 1.4 Adjusting for the frail aged component of the HACC target population......19 1.5 Other exclusions ..................................................................................22 1.6 Summary of options for defining the RREF base population .....................24 1.7 Further issues and preferred options .....................................................25 1.8 Resolution of options for the RREF base population ................................31 STEP 2: OPTIONS FOR VARIABLES FOR RECOGNISING NEED IN THE RREF........................................................... 32 2.1 Range and nature of need variables ......................................................32 2.2 Criteria for assessing variables for inclusion............................................34 2.3 Assessment of variables .......................................................................35 2.4 Options for consideration for need variables...........................................38 2.5 Further issues and preferred options for need variables...........................39 2.6 Resolution of need variables for inclusion in RREF...................................40 <strong>Final</strong> <strong>Report</strong> July 2001 i
STEP 3: OPTIONS FOR SCALING NEED VARIABLES.......... 41 3.1 Need for a standard ruler for different variables .....................................41 3.2 Options for scaling need variables for inclusion in the RREF.....................42 3.3 Further issues and preferred options .....................................................42 3.4 Resolution of scaling of need variables...................................................42 STEP 4: OPTIONS FOR WEIGHTING NEED VARIABLES.................... 43 4.1 Weighting of need variables in related formulas......................................43 4.2 Principal components analysis ...............................................................44 4.3 Expert advice.......................................................................................44 4.4 Effects of weighting of variables............................................................45 4.5 Options for consideration for weighting of need variables........................45 4.6 Further issues and preferred options .....................................................46 4.7 Resolution of options for weighting of need variables..............................48 PROFILES OF NEED VARIABLES ................................................ 49 Variable 1: Median Household Income - MHHY ....................................................50 Variable 2: Healthy Years of Life Lost to Disability – YLD ......................................52 Variable 3: Cultural diversity: % of population in LGA speaking a language other than English at home .........................................................................................55 Variable 4: Koori Population - % of LGA population identifying as Koori .................58 Variable 5: Accessibility and Remoteness Index for Australia - ARIA ......................61 PART C: OUTCOMES ............................................................ 64 STEP 5: OUTCOMES FOR BASE POPULATION OPTIONS AND PROJECTIONS ...................................................................... 66 5.1 Factors affecting outcomes ...................................................................66 5.2 Options for consideration for Base Populations and Projections ................66 5.3 Further issues and views on outcomes...................................................67 5.4 Modeling revised options for Base Populations........................................67 5.5 Revised outcomes for Base Populations .................................................67 STEP 6: OUTCOMES OF WEIGHTING FOR NEED VARIABLES ............. 69 6.1 Method and outcomes reported.............................................................69 6.2 Options for consideration for weighting of need variables........................69 6.3 Further issues and views on outcomes...................................................70 6.4 Revised regional outcomes of weighting for need variables......................70 6.5 Comparison with current RREF..............................................................71 <strong>Final</strong> <strong>Report</strong> July 2001 ii
Page 1: FINAL REPORT REVIEW OF THE RELATIVE
Page 5 and 6: ABBREVIATIONS AND NOTE ON TERMINOLO
Page 7 and 8: ACKNOWLEDGEMENTS An exercise as ext
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Part D: Achieving Equity in the HAC
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Unit cost structure The unit cost s
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Part D: Achieving Equity in the HAC
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APPENDIX 1.1 continued Commonwealth
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APPENDIX 1.4: SUBMISSIONS RECEIVED
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Frequently Asked Questions A number
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DACS • 2.5% of children in the 0-
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LGA Median H’hold Inc. YLD Lang o
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Department of Human Services 1999b.
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Final Report on RREF 2001 - Department of Health

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