Benefits and Implications of

Consumer Directed Care for

both Residential and Home Care

BlueCross Community & Residential Services

Penny Hobson, General Manager Care at Home

This presentation:

Provides some information about BlueCross,

including “The BlueCross advantage”

Outlines the principles of Consumer Directed Care

(CDC)

Describes the Model of Care at BlueCross

Presents some of the challenges and benefits that

have arisen from changing our model of care

Describe the culture of BlueCross and how this

helps us achieve the principles of CDC

BlueCross Community and Residential

Services

Established in 1993

23 Residences comprising approximately 1700 beds

Care at Home Division that includes

115 Home Care Packages

Programs

Veterans Home Care

DVA Home Nursing

Private Services

Brokerage

Consumer Directed Care

a model that places the individual at the centre of care decisions,

engaging them in the process to determine what their care needs

are and how they are provided. Judge Rauf Soulio (May 2013)

Principles

• Consumers are empowered to continue to manage their own

lives; retaining control

• Individualised care based on assessed need and identified goals

• Respectful and balanced partnerships between consumers and

home care providers

• A focus on wellness and re-ablement

• Transparency

Home Care Guidelines (2014)

Achieving CDC at BlueCross

Defining the CDC Model

Staff education

Client Education and Support

Changing the intake and assessment

process

Changing the Case Management Model

BlueCross Model of Care: Person Centred

Care “…a standing or status that is bestowed

upon every human-being, by others, in the

context of a relationship and social-

being. It implies recognition, respect, and

trust.” Tim Kitwood

“…treatment and care provided by

health services [that] places the

person at the centre of their own care

and considers the needs of the older

person’s carers.”

Vic Dept of Human Services (2003)

BlueCross Model of Care: VIP

approach

V = valuing people

I = individualised care

P = personal perspectives

S = social environment

Brooker (2003)

Partnership

1. Getting to know the resident or client as a person

2. Sharing of power and responsibility between the

service user and service provider

3. Accessibility and flexibility of both the service

provider as a person and of the services provided

4. Coordination and integration of care for the

service user

5. Having an environment that is conducive to person-

centred care both for service providers and service

users.

Dept. of Human Services (2003)

STARFish - the BlueCross culture

Staff engagement survey - BlueCross

Summation CDC

Client choice

Client empowerment

Seamless transition

Home Care

Residential Care

Staff Culture – STARFish

Staff and Client empowerment

Partnerships/relationships

Summation

The principles of CDC need to be incorporated

into the acute sector and the discharge planning

process to ensure consumer empowerment and

choice is achieved