DISTSS Inc

1
DISTSS Inc

• OHS a Community Care Perspective

Denis Treacy
SEQUEL Home Based Care
2
Profile
Regulation/S
Client
Worker
BEST PRACTICE
SEQUEL Home Based Care
3
Quality

• Definition of quality care
• Client at centre of care model with service
  providers partnering with family, carers and Case
  Managers to provide (quality) care
• How
• Client centred approach
• Collaborative model of care
• Communication with respect
• Improved professionalism of Support Workers

SEQUEL Home Based Care
4
Work Force

• Making community care attractive
• Lifestyle
• Salary
• Petrol
• Broken shifts
• Isolation
• Value workers
• Bottom of hierarchy

SEQUEL Home Based Care
5
Regulation/S

• Regulation
• Very prescriptive
• Singularly unambiguous
• 15 listed in Policy Procedures
• Aged Care Act 1997 (Commonwealth) amended 2007
• Corporations Act 2001 (Commonwealth)
• Privacy Act 1998 (Commonwealth) amended 2000
• including Information Privacy Principles
• Human Rights and Equal Opportunity Act 1986
  (Commonwealth)
• Health Services Act 1988 (Vic) amended 2005
• Health Records Act 2001 (Vic) amended 2005
• including Health Privacy Principles
• Occupational Health and Safety Act 2004
  (Vic) amended 2005
• Workplace Relations Act 1996 (Commonwealth) amen
  ded 2004
• Superannuation Act 1976 (Commonwealth) amended
  2006
• Equal Opportunity Act 1995 (Vic) amended 2005
• Disability Act 2006 (Vic)
• Racial and Religious Intolerance Act 2000
  (Vic) amended 2005
• Information Privacy Act 2000 (Vic)

SEQUEL Home Based Care
6
Standards Guidelines

• Currently
• Many sets
• Depending on funding source
• HACC
• DHS
• DoHA

SEQUEL Home Based Care
7
Legislative Grey Areas

• A single act of parliament is prescriptive
• Two acts allows scope for interpretation
  introduces risk

Commonwealth DoHA
State WorkSafe
Service Provider
Client
Worker
SEQUEL Home Based Care
8
Legislative Grey Areas
State Privacy
State WorkSafe
Service Provider
Client
Worker
SEQUEL Home Based Care
9
Communication Model
Funding Agency
Case Manager
Consultation
Family
Care Plan
Client
Feedback
SEQUEL
Service Provision
Care Manager
Feedback
Support Worker
SEQUEL Home Based Care
10
Case Studies Worker Stress

• Issues raised slow to change
• Accusation of theft
• Security risk
• Sexual harassment
• Intimidation
• Racism

11
Risk Management in Community

• Making decisions and acting to reduce risk, while
  accepting peoples right to live with the
  possibility that risks may result in adverse
  effects

12
Risk Management in Community

• Making decisions and acting to reduce risk, while
  accepting peoples right to live with the
  possibility that risks may result in adverse
  effects
• How
• Need to know enough to provide quality care
• BUT ALSO
• enough to protect worker
• In community where worker is isolated, need to
  know all facts pertaining to potential risks
• Lack of knowledge impacts ability to profile
  match stress

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Conclusion

• Critical to success
• Team effort with open communication
• Develop Maintain Best Practice
• Training
• Consultation
• Supervision
• Support
• Profile matching
• Legislative grey areas
• Not in direct control zone