Changes to the current complex health care scoring matrix will be in effect for ACFI submissions between 1st of July and 31st December 2016.
This will reduce funding by a category shift for residents with a:
* D-Claim in Q11 (Medication) and a C-Claim in Q12 (Complex health care)
* A-Claim in Q11 and a C-Claim in Q12 from a Medium to Low
These represent a decrease in funding of $7,500 p.a. and $11,000 p.a. respectively
Residents with a D-Claim in Medication
Consider residents where there is a D-Claim in Medication and common combinations of complex health care procedures in place for them:
That is, for a resident to move from a Medium to a High rating, a resident must now have sufficient interventions in place to attract 10 category cut points.
Residents with an A-Claim in Medication
Where there are residents with an A-Claim in Medication and common combinations of complex health care procedures in place for them, a similar situation occurs:
That is, for a resident to move to the highest available Medium rating, a resident must now also have sufficient interventions in place to attract 10 category cut points.
Minimising the Impact of these Changes
These changes only apply to new appraisals or reappraisals – appraisals that are submitted before July 1st will not be affected.
Click here for more information about an ACFI Complex Health Care Audit (Gap Analysis)
This will identify which residents in your facility you’re eligible to receive funding for now… But you’ll miss out on after July 1st