NDIS Care Coordinators

Specific positions are created to support the patient and their care team (multidisciplinary team) to become the point of contact between the health service and the NDIS.  These NDIS coordinators would be able to help support the team to provide the information required by the NDIS and make key contacts within the NDIA and the community, with support coordintators and service providers - with eventual efficiency and effectiveness to be gained.  This type of care coordination model is currrently in place in some but not all facilities of MSH - they need to be deployed in the hospitals/services that are most impacted by the NDIS, those that are experiencing the greatest amount of patient flow reduction.  Having one point of contact and liaison for patients requiring NDIS support would help to relieve the burden on teams and indviduals who are care coordinating ad hoc as well as servicing their usual clinical caseload demands.  There are numerous cases where delays caused by misunderstanding between the NDIS and the MDT have created increased length of stay.  It is likely that the reduction in length of stay and asociated savings in bed days created by improving the interface between health and the NDIS would offset the staffing cost of the NDIS care coordinator positions - this could be piloted and trialed to determine cost efficiency.

Why the contribution is important

The process of applying for the NDIS, being access met, then progressing through to the planning meeting, receiving the plan and enacting the plan (including identifying a support coordinator - if required, and care suppport services) is long and complicated, and requires a large amount of negotiotiation with the patient, their support persons and the multidisciplinary team.  The introduction of the NDIS and associated changes to the way rehabilitation is delivered and the amount of reporting and evidence required has been overwhelming for multidisciplinary teams to process, in addition to their clinical caseload.  It also appears that information from the NDIA is often changing, and dependent on the individual at times within the agency.  By having a key contact person within the organisation relationships can be developed to allow for easier flow of information and for local NDIS staff to understand the needs of the population and hospitals.  Patients are in need of support to negotiate this complex system, and the interface between health - health professionals themselves are at times finding this difficult to understand.  Establishing clear lines of communication between the NDIS, the health service and the patient may help to alleviate some of the back and forth that is currently occuring and creating discharge delays.

by kajewskh on May 29, 2019 at 01:25PM

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