ACFI Monitoring Report – July2017

Summary

The reduction in average ACFI claims since the 1 January 2017 changes have ceased and since April 2017 average ACFI claiming has been increasing.

Average daily ACFI subsidy for the period 1 July 2017 to 31 July 2017 was $171.79.

Figure 1.Average daily ACFI claim per month[1]

Table 1: Cumulative Daily Average ACFI Subsidies and Growth Rates by ACFI Category

Average ACFI Category Subsidy / July 2016 / July 2017 / Growth Over Same Period in Previous Year
ADL / $90.77 / $91.41 / 0.7%
BEH / $27.72 / $27.75 / 0.1%
CHC / $54.02 / $52.62 / -2.6%

Figure 2. Daily Average $/Day Trend by Month – 2017/18 Dollars

Table 2: Cumulative Daily Average ACFI Subsidies and Growth Rates by State

State / July 2016 / July 2017 / Growth Over Same Period in Previous Year
Projected National / $172.51 / $172.45 / -0.0%
Actual National / $172.51 / $171.79 / -0.4%
NSW / $169.67 / $168.51 / -0.7%
VIC / $177.02 / $177.75 / 0.4%
QLD / $169.94 / $168.88 / -0.6%
WA / $177.46 / $176.62 / -0.5%
SA / $172.70 / $170.76 / -1.1%
TAS / $167.44 / $166.71 / -0.4%
ACT / $167.59 / $163.33 / -2.5%
NT / $173.62 / $170.88 / -1.6%

Table 3: Cumulative Daily Average ACFI Subsidies and Growth Rates by Remoteness

Remoteness / July 2016 / July 2017 / Growth Over Same Period in Previous Year
Major Cities of Australia / $176.21 / $175.16 / -0.6%
Inner Regional Australia / $165.11 / $165.29 / 0.1%
Outer Regional Australia / $162.93 / $162.23 / -0.4%
Remote Australia / $142.58 / $143.02 / 0.3%
Very Remote Australia / $150.26 / $150.25 / 0.0%

Table 4: Cumulative Daily Average ACFI Subsidies and Growth Rates by Organization Type

Organization Type / July 2016 / July 2017 / Growth Over Same Period in Previous Year
Not-For-Profit / $165.71 / $165.67 / 0.0%
For-Profit / $185.00 / $183.05 / -1.1%
Government / $152.38 / $151.79 / -0.4%

Table 5: Cumulative Daily Average ACFI Subsidies and Growth Rates by Provider Size

Provider Size* / July 2016 / July 2017 / Growth Over Same Period in Previous Year
0-41 / $143.34 / $145.28 / 1.4%
41-74 / $160.86 / $158.56 / -1.4%
74-131 / $167.93 / $169.35 / 0.8%
131-499 / $171.15 / $170.17 / -0.6%
500-999 / $176.03 / $175.33 / -0.4%
1000+ / $178.61 / $177.00 / -0.9%

*Based on full time equivalent residents per year for 2015-16. Only includes providers active during July 2015.

Table 6: Cumulative proportion of total days by ACFI Level and ACFI Category

ADL / BEH / CHC
ACFI Level / July 2016 / July 2017 / Change ADL / July 2016 / July 2017 / Change BEH / July 2016 / July 2017 / Change CHC
H / 56.3% / 57.0% / 0.6% / 64.3% / 64.2% / -0.1% / 60.9% / 54.9% / -6.0%
M / 29.5% / 29.9% / 0.3% / 20.4% / 20.8% / 0.4% / 23.4% / 28.3% / 4.9%
L / 13.5% / 12.6% / -0.9% / 11.0% / 10.8% / -0.2% / 12.8% / 15.1% / 2.2%
N / 0.6% / 0.6% / 0.0% / 4.3% / 4.2% / -0.1% / 2.8% / 1.7% / -1.1%

Table 7: Cumulative proportion of total days by ADL Scores and ADL Question

July 2016 / July 2017
ADL Question / A / B / C / D / A / B / C / D
Nutrition / 3.8% / 16.5% / 62.1% / 17.6% / 3.5% / 15.7% / 64.5% / 16.2%
Mobility / 2.1% / 3.9% / 35.5% / 58.5% / 2.0% / 3.4% / 35.4% / 59.2%
Personal Hygiene / 0.4% / 6.1% / 10.0% / 83.5% / 0.4% / 6.0% / 9.8% / 83.8%
Toileting / 4.1% / 11.9% / 13.6% / 70.4% / 3.5% / 11.6% / 14.1% / 70.9%
Continence / 14.3% / 2.7% / 4.7% / 78.3% / 13.5% / 2.6% / 4.5% / 79.4%

Table 8: Cumulative proportion of total days by BEH Scores and BEH Question

July 2016 / July 2017
BEH Question / A / B / C / D / A / B / C / D
Cognitive Skills / 9.3% / 27.8% / 34.1% / 28.8% / 8.8% / 28.4% / 35.1% / 27.6%
Wandering / 79.3% / 6.1% / 4.1% / 10.5% / 80.8% / 5.7% / 3.9% / 9.6%
Verbal / 12.0% / 11.7% / 18.2% / 58.2% / 11.8% / 11.5% / 18.5% / 58.3%
Physical / 25.2% / 14.6% / 17.4% / 42.9% / 26.0% / 14.8% / 17.9% / 41.4%
Depression / 36.8% / 30.3% / 16.8% / 16.1% / 35.9% / 30.2% / 17.2% / 16.7%

Table 9: Distribution of claim days for the CHC

July 2016
Appraised before 1 July 2016

Q12
Q11 / A / B / C / D
A / 0.5% / 0.2% / 0.9% / 0.2%
B / 2.1% / 4.3% / 6.9% / 10.1%
C / 3.8% / 3.4% / 7.4% / 13.3%
D / 1.3% / 6.4% / 26.3% / 9.3%
Rating / Proportion
Nil / 2.9%
Low / 13.2%
Med / 22.7%
High / 61.3%

Appraised between 1 July 2016 and 31 December 2016

Q12
Q11 / A / B / C / D
A / 0.0% / 0.0% / 0.0% / 0.0%
B / 0.1% / 0.2% / 0.3% / 0.5%
C / 0.1% / 0.1% / 0.3% / 0.6%
D / 0.0% / 0.2% / 0.4% / 0.7%
Rating / Proportion
Nil / 2.5%
Low / 12.7%
Med / 34.1%
High / 50.8%

July 20171Appraised before 1 July 2016

Q12
Q11 / A / B / C / D
A / 0.2% / 0.1% / 0.5% / 0.1%
B / 0.7% / 1.8% / 3.4% / 5.5%
C / 1.6% / 1.3% / 3.5% / 7.1%
D / 0.6% / 3.2% / 14.8% / 4.9%
Rating / Proportion
Nil / 2.0%
Low / 10.8%
Med / 21.7%
High / 65.4%

Appraised between 1 July 2016 and 31 December 2016

Q12
Q11 / A / B / C / D
A / 0.1% / 0.0% / 0.1% / 0.1%
B / 0.4% / 1.0% / 1.9% / 3.2%
C / 0.6% / 0.7% / 1.9% / 3.7%
D / 0.2% / 1.3% / 1.4% / 3.5%
Rating / Proportion
Nil / 2.5%
Low / 13.0%
Med / 32.9%
High / 51.6%

Appraised on or after 1 January 2017

Q12
Q11 / A / B / C / D
A - No Assistance / 0.2% / 0.1% / 0.2% / 0.1%
B - Assistance / 3.3% / 3.8% / 9.9% / 10.7%
C - Injections / 0.0% / 0.3% / 0.4% / 1.4%
Rating / Proportion
Nil / 0.7%
Low / 24.1%
Med / 35.2%
High / 40.0%
  1. Since 1 July 2016, there have been three ACFI regimes that a resident may have been appraised under; this depends on the date the resident was last appraised. Given this, data for 2016-17 is split into two groups and data for 2017-18 is inthree groups.

Table 10: Actual Average ACFI per day – Monthly and Cumulative

ACFI / Jul 17 / Aug 17 / Sep 17 / Oct 17 / Nov 17 / Dec 17
Monthly ACFI / $171.79
Cumulative ACFI / $171.79
ACFI / Jan 18 / Feb 18 / Mar 18 / Apr 18 / May 18 / Jun 18
Monthly ACFI
Cumulative ACFI

Figure 3.ACFI Category - Change in Proportion of Total Care Days Year to Date – Year on Year*

*Compares change in proportion of care days for 1 July to31Julybetween 2016/17 and 2017/18

*All $ values are based on ACFI Question Responses