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Aged Care Access Initiative (ACAI)


The Aged Care Access Initiative aims to improve access to primary care, both GP and Allied Health services, for residents of approved Aged Care facilities.

ACAI is made up of two components:

1. Aged Care Access Initiative GP incentive component (PIP)

Eligible Providers and Key Points

  • All GPs in practices participating in the Practice Incentives Program (PIP) will be eligible for an incentive payment once they have provided a predetermined number of Medicare-claimable services;
  • Funding will be available on a two tiered model and payments will be made automatically by Medicare Australia once the predetermined Qualifying Service levels (QSLs) have been reached;
  • Payment will be made available to the GP who provided the service rather than to the practice; and
  • The Program only applies to services provided to aged care residents in Commonwealth-funded RACFs.

Please refer to the Medicare Australia website for more information on the GP practice incentive payment.

2. Aged Care Access Initiative allied health services component

This funding is for allied health clinical care services for residents in aged care that are not currently funded under Medicare or by other government funding. South East Alliance of General Practice provides a range of allied health services including dental, psychological, speech pathology and physiotherapy to low care residents in aged care facilities.
For further information please contact Kate White at SEA-GP.

 

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Residential Aged Care Facility Clinical Resource Manual (Large File - 22MB)
This Clinical Resource Manual provides guidelines for the clinical management of residents of aged care facilities with specific nursing diagnoses. The Clinical Resource Manual provides best practice guidelines on selected management flowcharts to assist RACF staff deliver quality care to their residents. This resource manual was compiled by Brisbane South Community Health Service, South East Alliance of General Practice (Brisbane) Ltd and Bayside Health District.

  • Introduction - including Acknowledgements, Content List and Communication Tools (Local contact list, Emergency Department function and role, Problem solving assessment flowchart, Overview of communication tools, Aged care facility resident transfer form, Cognitive impairment information form and Aged care facility transfer form from ED). (Pg.1)

  • Urology Clinical Management Flowcharts  – including Indwelling (Urethral) Catheter, Indwelling (Suprapubic) Catheter, Troubleshooting, Urinary Tract Infection, Suspected UTI (where MSU not obtainable), Bladder Washout and Bladder Irrigation (Pg.20)

  • Percutaneous Endoscopic Gastrostomy (PEG) Clinical Management Flowcharts  – including General Guidelines, Replacement and PEG Troubleshooting (Pg.31)

  • Tracheostomy Clinical Management Flowcharts – including General Guidelines, Tracheostomy Suctioning and Tracheostomy Troubleshooting (Pg.38)

  • General Clinical Management  Flowcharts – including Constipation in the Elderly, Pain Management, Deep Vein Thrombosis, Cellulitis, Pneumonia, Behavioural Emergencies and Falls Prevention (Pg.44)

  • Shortness of Breath Clinical Management Flowcharts  – including General Guidelines and Shortness of Breath (New Onset, Palliative Care setting, Recurrence with a history of Chronic Pulmonary Disease and Recurrence with history of Asthma) (Pg.56)

  • Chest Pain Clinical Management Flowcharts – including General Guidelines, Chest Pain (New Onset and Recurrence with a history of Ischaemic Heart Disease) (Pg.61)

  • Fluid Management  – including Subcutaneous Fluid Administration, Troubleshooting and Complications (Pg.65)

  • Wound Care – including Guide to Wound Types and Dressings, Clinical Management Guidelines covering Basic Dressing Technique, Wound Swab, Stoma Management, Wound Documentation, Skin Graft and Donor Site Management, Pressure Ulcers and Wound Closure (Pg.69)

  • Diabetes Clinical Management Flowcharts  – including General Guidelines, Blood Glucose Monitoring, Insulin Administration, Management of Hypoglycaemia, Types of available Insulins and Diabetic Medications (Pg.78)

  • Palliative Care – including Palliative Care Abbreviations, Palliative Care Flowchart, Palliative Care and the Elderly, Responsibilities of Health Care Professionals, Pain Management, Nausea and Vomiting, Breathlessness, Chest Pain, Dehydration, Constipation, End of Life Care and Palliative Care References (Pg.87)

  • Standing Orders and Advanced Practice Protocols – including Overview, General Guidelines, Standing Order Form, Aspirin, Glucagon, Glyceryl Trinitrate Spray (GTN), Hyoscine, Oral Antibiotic Therapy, Oxygen Therapy, Dry eyes, Heartburn, Ranitidine, Mylanta, Constipation, Movicol, Coloxyl with senna, Diarrhoea, Oral rehydration therapy, Gastro-stop, (Mild to Moderate) Pain, Paracetamol, Perineal dermatitis, Antifungal/antiyeast cream and Wound or Ulcer- when to take a wound swab? (Pg.114)

  • Additional Resources  – including Drugs & Poisons Regulation Circular (Standing Orders) Circular no. 17/98, Useful Best Practice Resource Details, Evidence Based Practice Flowchart, Protocol for the Management of Hypoglycaemia and Amendments Register (Pg.145)