Project SPLICE - Taranaki District Health Board

Project SPLICE FINAL - February 2010
Appendix I: Disability Support Service Utilisation
A1.1 Context:
This analysis has been undertaken to inform Project Splice. Three years of utilisation data
from 2006 to 2009 are examined to identify underlying trends that may need to be
addressed as part of the Project Splice work.
A1.2 Approach
Data were provided based on claims information for home support claims by month from
Jan 06 to June 09. This data was cut to Jul 06 to June 09 as the first 6 months of data were
incomplete.
Carer Support and residential care data were provided for Jul 06 to June 09. 2006/7
residential care utilisation data were also available to allow an age standardised comparison
of utilisation based on region of domicile. These data are based on claiming information and
includes all partly or completely subsidised residents but does not include full private payers.
Patterns of utilisation were examined as follows:
1. Change in total home support hours for household management (HM) and personal care
(PC) over the three years;
2. Change in home support client numbers for HM and PC;
3. Change in average hours per client per week for HM and PC;
4. Steps 1-3 repeated for Māori only;
5. Comparison with other DHB home support utilisation;
6. Change in carer support utilisation for Māori and other;
7. Change in residential care utilisation by service level (awaiting data issues to be sorted);
and
8. Age standardised comparative residential care utilisation.
A1.3 Home Based Support Services
The home support data sourced were based on claim end date and therefore is subject to
the number of fortnights that fall within a month. This produces a pattern of peaks and
troughs within the graphed data but does not affect the overall trend analysis.
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