ADHC is working towards a better balance between quality assurance and compliance with the NSW Disability Services Standards and the common Community Care Standards.
The shift to organisational performance and quality is complemented by the move to a risk based approach to monitoring which allows for provider and ADHC resources to focus on addressing identified issues with service delivery that impact most on people and communities. This is a major shift from a one size fits all approach to monitoring with monitoring responses tailored to the assessed risk to service delivery outcomes.
Monitoring and review of service delivery occurs throughout the term of the Funding Agreement and is a requirement of funding. Monitoring and review activities can take the form of:
- specified reporting requirements against the outputs, funding or overall compliance which occur against a fixed reporting schedule throughout the funding term;
- event driven activities which occur at various stages during the funding term, usually as a result of a change in the funding arrangements, or an external trigger.
Aside from the provider based assurance that these monitoring events give ADHC they also enable reporting obligations at the state and national level.
ADHC takes a risk approach to monitoring which allows contract management resources to be targeted to areas of greatest risk, and reinforces the responsibilities of boards of management.
This approach requires an annual review of every funded NGO taking into account quality, client risk, financial and risk management, standards compliance, and external third party reporting.
Annual Compliance Return
The Annual Compliance Return (ACR) is the principal self reporting vehicle for funded NGOs. The requirement for compliance reporting is specified in the Funding Agreement.
The ACR requires Boards of Management and their CEOs to make an assessment as to whether or not they comply with their obligations to ADHC under the Funding Agreement, including the NSW Standards for Disability Services. The ACR is a self-assessment of compliance which is linked with other reporting tools such as MDS reports and financial acquittals.
The Board must develop an action plan in each area where non-compliance is identified on the ACR. Progress against the action plan will be reviewed by ADHC staff. It is the responsibility of the service provider to develop and implement processes to ensure the services they deliver are high quality, meet the needs of people with a disability, and improve and measure outcomes for people with a disability.
MDS quarterly reporting
Funded NGOs are required to report outputs delivered with their funding each quarter, as well as participating in adhoc data collections. Minimum Data Set reporting is an established model under Commonwealth/State Agreements. The requirement for MDS reporting is specified in the Funding Agreement.
The data sets consists of an electronic quarterly collection of service delivery and client data from services funded and operated by ADHC. The collection of MDS data allows NSW information to be compared nationally and assists in the preparation of funding submissions and negotiations. There are two MDS data collections; HACC (Home and Community Care) MDS and Disability Services MDS.
In addition to straight output data the Disability MDS gathers data centred on the service user and their experiences including the amounts and types of services received.
Data collected from providers also informs regional and individual service provider performance when compared with the agreed outputs under the Funding Agreement. The data also contributes to a view of service availability and usage.
- For clients and their families, it means better information about service accessibility, appropriateness, efficiency and effectiveness.
- For service providers, it means better data for review and service delivery planning and for improving internal management.
- For program managers, it provides a tool for policy development, strategic planning and performance monitoring against output/outcome criteria.