PAH NDIS Response Team

The introduction of the National Disability Insurance Scheme (NDIS) has been described as the largest social reform since the introduction of Medicare and all at Princess Alexandra Hospital (PAH) involved acknowledge and support the underlying principles and benefits for people with disability. However, in the present roll-out and transition phase, it has acted as a massive “disruptor” of existing systems and processes for people with disability and for the health system and Hospital and Health Services (HHS) including Metro South Health (MSH) and PAH. As with all major disruptive change it requires, in response a substantial, planned and ongoing change management process.

The PAH NDIS Response Team will work to mitigate the  impact on PAH of the introduction of the NDIS and is proposed based on the experience and expertise gained through both the MSH and Division of Rehabilitation NDIS projects.

These projects identified that the strategies which were successful in mitigating the effects of NDIS implementation on MSH and PAH services included: i) having a single point of NDIS contact in the HHS / clinical service, ii) dedicated NDIS resources within the HHS, iii) the ability to advocate to and negotiate directly with senior NDIS officers in a timely way to achieve a decision and outcome, iv) education of MSH patients, families and MSH staff regarding the NDIS, v) support of clinical staff with NDIS negotiations and bureaucratic processes, vi) the capacity to implement long term change management practices and vii) the capacity to collect and maintain essential data related to the NDIS.

 

Why the contribution is important

Across the PAH there have been large numbers of patients who are identified as NDIS eligible.  Since the introduction of the NDIS PAH has provided services to almost 1000 NDIS eligible individuals. The DoR has the largest interface with the NDIS and is estimated to have seen more than 850 NDIS participants with 70% of inpatients likely to be NDIS participants at any one time.

The impacts of the implementation of the NDIS on the health system and at PAH will continue for some significant time into the future. 

The NDIS Response Team will be important as it will assist in: 

 i.          reducing LOS and improving patient flow

ii.          increasing support for clinical staff enabling them to focus on core clinical and rehabilitation activities and improving staff morale and well-being

iii.         improving rehabilitation and clinical outcomes for patients

iv.         improve health and wellbeing of patients in hospital by reducing discharge delays

 

by TimG on May 29, 2019 at 06:07PM

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Comments

  • Posted by kathygrud May 30, 2019 at 09:59

    I totally support this idea- the additional workload to support patients to navigate the NDIS system is huge.
    It will mean that we enhance patient flow and give patients access to general medical and rehabilitation beds.
  • Posted by Kiley May 30, 2019 at 12:49

    Having a single point of contact, working collaboratively with the NDIA absolutely improves the outcomes for the person and for the HHS.
  • Posted by cathy May 30, 2019 at 14:12

    Agreed, however this needs to be extended beyond PAH - this issue is not specific to only PAH site
  • Posted by houstonv May 30, 2019 at 16:39

    Yes one millions times to this idea and agree that this should extend beyond PAH. Frontline staff and patients need this type of support in managing the interface with the NDIS.
  • Posted by rossjul May 31, 2019 at 07:22

    This is a great idea. This would facilitate discharge for the large number for patients navigating the NDIS who are currently spending a huge number of extra days in hospital due to delays and workload for staff.
  • Posted by TimG May 31, 2019 at 07:41

    Yes, certainly agree that this is not a problem confined to PAH and that it is affecting all MSH facilities.
  • Posted by abidor May 31, 2019 at 08:05

    A critical issue for both inpatients and community, it would have wide ranging benefits.
  • Posted by Emilya May 31, 2019 at 08:10

    Great idea
  • Posted by AKennedy May 31, 2019 at 08:53

    I fully agree with the above comments- the additional workload to support patients to access and then navigate the NDIS system is huge,
    As above, having a single point of contact to monitor and progress matters with the NDIA absolutely improves the outcomes for the person and for the HHS.
  • Posted by Jan May 31, 2019 at 09:04

    I totally support this idea as a way to improve patient flow- particularly from specialist rehabilitation areas.
  • Posted by KateW May 31, 2019 at 09:10

    NDIS process is a complex machine , a single point of contact is essential to providing person centred care and improving patient and family navigation through this new process
  • Posted by veghl May 31, 2019 at 10:31

    We have seen many times, that navigating the NDIS and also NIISQ have lead to long delays which have kept patients in hospital, when they don't want to be there. The suggestion of a coordination/support team to facilitate improved patient flow will support getting patients home sooner, with the appropriate support.
  • Posted by bcargill May 31, 2019 at 11:30

    Metro South Addiction and Mental Health have the Service Integration Coordinators (SIC) who who are doing what you have suggested. They are invaluable when in supporting workers through the NDIS process and facilitating, negotiating. advocating and navigating through the NDIS.

    However, there are a number of patients where getting an NDIS package is not the biggest/last barrier to discharge. The barrier is having suitable living arrangements and activating the package i.e. getting a suitable Support Co-ordinator, getting a suitable support provider and finding appropriate accommodation/modifying of accommodation. An NDIS Response would certainly help with this side of it as well. I think we would need to combine this idea with some of the other ideas about partnering with care facilities, DOH, NGOs etc to really do something about this problem. The team would need to be adequately resourced. There was a designated role in PAH when NDIS began which I believe was doing some of this which isn't currently funded .
  • Posted by AnnetteBroome May 31, 2019 at 11:38

    This is a crucial focus - the current Hospital-NDIS interface is a significant National disrupter and will not be resolved in the near future. I view NDIS delays currently as a cause of preventable patient harm - specifically psychological deterioration and lost community rehabilitation opportunity for the patient stranded in hospital, as well as delays to admission and treatment for new patients.
  • Posted by harrem May 31, 2019 at 15:16

    It is vital we continue to support our staff and patients to navigate the complex pathways of the NDIS. The NDIS is a rapidly changing program which continues to evolve in response to the need of people with disabilities. A massive change management process has been undertaken and must continue to support staff and patients and reduce LOS within rehabilitation and acute wards.
  • Posted by HarrietB June 02, 2019 at 11:44

    This is an imperative initiative to help patients move through hospital quicker and get home with the supports they need.
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