COMMUNITY HEALTH TRANSITIONAL AND SUPPORT SERVICES- ASSESSMENT AND SERVICE CO-ORDINATION SERVICES FOR PEOPLE WITH CHRONIC HEALTH CONDITIONS SERVICE SPECIFICATION CHC007, CHC008 The overarching Tier One Community Health, Transitional and Support Services specification contains generic principles and content common to all the tiers of specifications below it. This Tier Two service specification for Needs Assessment and Service coordination Services for People with Chronic Health Conditions (the Service) is used in conjunction with the Tier One Community Health, Transitional and Support Services service specification. Background A suite of service specifications was prepared for DHBs to assume funding responsibility on 1 July 2011 for the long term support services for people under the age of 65 years who have chronic health conditions. As part of the ongoing service specifications review programme it is intended to integrate these service specifications with other similar service specifications to simplify purchasing arrangements, but retain the purchase unit codes to preserve the capacity to track expenditure. 1. Service Definition Person with Chronic Health Condition should ensure services are provided only to those people who are eligible to receive them, as required by the Guide to Eligibility for Publicly Funded Health and Disability Services in New Zealand. For the purposes of this service specification an eligible person is someone who has been identified as having a chronic health which is likely to continue for a minimum of six months and result in a reduction of independent function to the extent that ongoing support is required. Note: Subsequent references in this document to “the person” or “people” should be understood as referring to a person with a chronic health need. Throughout this document the term “person” is taken to include, where appropriate, family/ whānau/ aiga and/or full-time carer. When the NASC is working with a child, that child is always considered within the context of the family/whānau/ aiga. Carer For the purposes of this specification, a full-time carer is someone who has principle, active responsibility for the ongoing and frequent care of a person, usually on an unpaid basis and according to the above definitions. For the purposes of this specification needs assessment or service coordination is a process provided by a Needs Assessment Service Coordination (NASC) on behalf of the DHB. Needs assessment and service coordination provides the means for a person to identify their prioritised disability support needs within the context of their own natural resources and existing supports, receive information on support options, including those which are government funded, and receive assistance with coordination of support services. The three key functions of NASC are:
The service will be purchased for the eligible population of the region of coverage for a contract price. PU Code PU Description PU Definition PU Unit of Measure PU Unit of Measure Definition National Collections and/or Payment Systems CHC007 Chronic Health Conditions Needs Assessment A Needs Assessment is a process of determining the current abilities, resources, goals, and needs of a person with a disability. Service users are people with chronic health conditions and long-term support needs mainly aged under 65 Assessment Number of assessments. Initial assessments and reassessments should be counted separately. NNPAC and CMS (as per contract) CHC008 Chronic Health Conditions Service Coordination Service Coordination is the process of identifying and planning the package of services required to meet a person’s assessed needs. Service users are people with chronic health conditions and long-term support needs mainly aged under 65 Assessment Number of assessments. Initial assessments and reassessments should be counted separately. NNPAC and CMS (as per contract) 10. Reporting Requirements Note: Rather than include other reports on a monthly basis, the Ministry may, from time to time, seek exception reporting of the NASC. Monthly Reports PU Code PU Description Reporting Requirements Frequency Reporting CHC007 Needs Assessment Quarterly Quantitative Reporting Number of Assessments by: New clients* Client transfer Receiving service but no prior assessment Re-entry after break Total of above Number of reassessments* Number of people waiting for first assessment Number of people waiting for a reassessment CHC008 Service Quarterly Number of people waiting for service co-ordination