Training for Independence Services Operational Guidelines

1 Training for Independence Services Operational Guidelines To be read in conjunction with ACC s Standard Terms and Conditions and the following service specifications: TI - Adults with Other Injuries TI - Children and Young People TI - Adults with Sensitive Claims TI - Adults with a Traumatic Brain Injury Advisory Service Short Term & Long Term 1 July 2022 Version 5 This is a living document and will be updated as required the latest version is available on If there is a conflict between the Operational Guidelines and your contract, the provisions of the contract take precedence.

2 If substantial changes to this document are proposed, ACC will consult with Suppliers for Independence Services Operational Guidelines Contents 1. Definitions .. 5 2. Training for Independence Services .. 6 3. Purpose .. 6 4. Service objectives .. 7 ACC will measure the success of this Service based on the following objectives: .. 7 TI Services are flexible and use an interdisciplinary approach to achieve outcomes which increase Clients Independence .. 7 5. Relationships and Responsibilities .. 7 Supplier responsibilities .. 8 Client responsibilities .. 9 ACC responsibilities .. 10 Communication and relationship expectations .. 10 Communicating as well as reporting.

3 11 6. Key worker .. 11 The key worker is most effective in their relationship with the Client when they: .. 12 7. Client eligibility .. 12 All Clients .. 12 Additional eligibility criteria .. 13 8. Special circumstances .. 14 Example of special circumstances .. 14 In these complex situations ACC expects the Supplier to provide: .. 14 9. Supporting transitions from DHB or other Services into TI Services .. 14 10. Service phases .. 15 Process map showing the four phases .. 15 11. Referral .. 16 Training for Independence Referral form ACC2134 .. 16 Referral steps .. 17 12. Planning .. 18 ACC Purchase order .. 18 Planning Phase.

4 18 Goal and objective setting .. 19 Developing SMART goals .. 20 Examples of a SMART goal .. 20 Training for Independence Services Operational Guidelines Reviewing Goals .. 21 Costing the plan .. 21 Allocation of hours and service limits .. 21 Unspecified time .. 22 Advisory Services Short Term .. 23 Advisory Services Long Term .. 23 Approving the rehabilitation plan .. 23 13. Delivery .. 24 Service location .. 24 Home-based rehabilitation .. 24 Provider 24 Clinic-based rehabilitation .. 24 Remote or distance rehabilitation - TeleRehab .. 24 Services delivered to all Clients .. 25 Services delivered to specific Clients.

5 26 Advisory Service Specialisation .. 27 Integrated Home and Community Support Service Relationship Protocol .. 27 Liaison / Case conferences .. 27 Taking a break from rehabilitation (Consolidation breaks) .. 28 Equipment .. 28 Advisory Service equipment needs .. 28 Client reporting .. 29 ACC2126 Training for Independence Report .. 29 TI Rehabilitation Plan .. 29 Variance report .. 29 Completion report .. 29 Invoicing for Report Writing .. 29 Client non-attendance .. 30 Example of invoicing for non-attendance .. 30 Service exit due to non-attendance .. 30 Completion of Programme .. 31 14 Quality management .. 31 Interdisciplinary team.

6 31 Qualifications, Membership and Experience .. 31 Culturally competent Services .. 32 Timeframes for delivery of Services and reporting .. 33 Measurement of Client progress .. 35 Supplier Performance .. 35 Supplier Performance Measures .. 35 Table setting out Performance Measure Targets .. 36 14. Exclusions .. 36 Training for Independence Services Operational Guidelines Service specific exclusions .. 38 15 Termination or suspension .. 38 16 Working with Clients who may pose a health and safety risk .. 39 Communication regarding care indicated 39 Stopping an assessment or Services due to H&S concerns .. 39 Reporting health and safety risks and incidents.

7 39 17 Appendices .. 40 Appendix A - Guide to the ACC2134 Training for Independence Referral form .. 40 Appendix B Guide to completing the ACC2126 Training for Independence Report .. 42 Appendix C Code 44 Appendix D Guiding Principles for Pressure Injury Prevention and Management in New Zealand (the guide) .. 44 Appendix E Provider Qualifications, Experience, Training and Supervision Requirements .. 45 Advisory Services .. 45 TI - TBI .. 47 TI AOI .. 48 TI CYP .. 49 TI ASC .. 51 Rehabilitation Coach across all TI Services .. 51 Appendix F Training for Independence Forms .. 53 Version Control - Log of Changes to this document .. 54 Training for Independence Services Operational Guidelines 1.

8 Definitions The following definitions apply for this Operational guideline. ACC Recovery Team member The term refers to the person responsible for the Client s case at ACC and represents a number of roles depending on where the claim is being managed. Client The injured person receiving one of the individual TI Services . Family / Wh nau People related to the injured person such as a wife, husband, daughter, son, grandchild, etc. This can be whoever the Client defines as family with the appropriate responsibilities that may entitle. Interdisciplinary team (IDT) The term means a group of health care professionals from diverse fields who work in a coordinated fashion toward a common goal for the Client.

9 As the name implies, teamwork in health care employs the practices of collaboration and enhanced communication to expand the traditional roles of health workers and to make decisions as a unit that works toward a common goal. Key worker The key worker is a provider with specific responsibilities for an individual Client as outlined in this Operational guideline. The key worker assumes the Operational responsibility for the delivery of Services to the assigned Client on behalf of the Supplier. Provider Service Provider The provider delivers the service and is face to face with the Client. They may also be a Supplier. Their professional qualifications are outlined in the service specification and this Operational guideline.

10 Supplier The Supplier is the legal holder of the contract and has the full and final responsibility for the delivery of the service. The Supplier can also be a service provider and the employer of service providers. TI Plan The term means: TI Rehabilitation Plan for Training for Independence Services TI Monitoring Plan for Advisory Service Long Term An agreed plan is not required for Advisory Short Term Service. Recovery Plan This plan is developed by ACC with the Client. This is separate from the TI Plans referred to above. Training for Independence Services Operational Guidelines July 2022 2. Training for Independence Services The Training for Independence (TI) Services support ACC s community rehabilitation Services .