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Program 2.6: Military Rehabilitation and Compensation Acts –Health and Other Care Services

Objective

Program 2.6 arranges for the provision of rehabilitation, medical and other related services under the Safety, Rehabilitation and Compensation Act 1988 (SRCA) and the Military Rehabilitation and Compensation Act 2004 (MRCA) and related legislation. This includes payment for medical treatment, rehabilitation services, attendant care and household services.

Overview

This program enhances the interaction of rehabilitation policies and services between the Australian Defence Force (ADF) and the Military Rehabilitation and Compensation Commission. The Commission becomes the rehabilitation authority for ADF members once they are about to be discharged, and our practices have been, and continue to be, refined to ensure that rehabilitation services are provided in an integrated and coordinated way for discharging members.

For current serving ADF members rehabilitation is provided by the ADF Rehabilitation Program.

Expenses

Future budget results are anticipated to reflect a shift from SRCA–related payments to MRCA–related payments, in line with the extent of claims made against each Act.

Administered and Departmental expenses
  PBS 2012–131($ million) Estimated actual2 2012–13 ($ million) Outcome 2012–13 ($ million)
Administered 53.9 60.9 61.7
Departmental 18.3 21.3 20.1
Total resources 72.2 82.2 81.8

1 PBS in performance reporting tables means Portfolio Budget Statements.

2 Estimated actual means the estimated expense or total for 2012–13 provided in the 2013–14 Portfolio Budget Statements. As the Budget is released in May each year but the financial year does not close off until 30 June, the current year numbers in the Budget can only be estimates.

Deliverables

Under the SRCA and MRCA, the Department administers a range of benefits for Defence–related claims, including payment for rehabilitation services, medical treatment, attendant care and household services.

Deliverables
  PBS 2012–13 Estimated actual 2012–13 Outcome 2012–13
Quantity: Number of SRCA rehabilitation assessments 805 805 1113
Quantity: Number of SRCA medical and treatment accounts paid 105 133 105 133 99 648
Quantity: Number of MRCA rehabilitation assessments 684 684 1025
Quantity: Number of MRCA medical and treatment accounts paid 21 164 21 164 11 5731

1 Outcome includes MRCA medical and treatment accounts paid only, while PBS estimate incorrectly included other account types as well.

Key performance indicators

Key Performance Indicators
  PBS 2012-13 (targets) Estimated actual 2012-13 (targets) Outcome 2012-13
Quality: Error rates SRCA rehabilitation assessments <5% <5% 7.1%
Quality: Error rates SRCA accounts <5% <5% 1.8%
Quality: Error rates MRCA rehabilitation assessments <5% <5% 9.6%
Quality: Error rate of MRCA accounts <5% <5% 4.3%

Report on performance

SRCA

Rehabilitation

In 2012-13, 1113 rehabilitation assessments were conducted compared with 1124 in 2011-12. Following those assessments, 59 per cent of people were placed on non-return-to-work programs compared to 55 per cent in 2011-12; and 13 per cent were placed on return-to-work programs compared with 11 per cent in 2011-12.

Attendant care and household services

In 2012-13, 115 clients received a total of $1.7 million compensation for attendant care compared with 115 clients and $1.8 million in 2011-12. A further 1553 clients received a total of $4.8 million for household services assistance compared with 1484 clients and $4.7 million in 2011-12.

Medical and treatment accounts paid

Medical and treatment accounts cover general and specialist medical services, household services and attendant care services. Accounts for medico-legal services are not included. There were 99 648 medical and treatment accounts paid in 2012-13 compared with 105 051 in 2011-12, and 89 per cent of all medical and treatment accounts were paid on time, the same as in 2011-12.

Quality

The critical error rate for SRCA accounts in 2012-13 was 1.8 per cent, compared with 2.2 per cent in 2011-12.

The critical error rate for SRCA rehabilitation cases in 2012-13 was 7.1 per cent, compared with 16.3 per cent in 2011-12. While this was a significant improvement, efforts will continue to reinforce the policy and procedures with staff and refine and improve staff training.

Treatment card for SRCA clients

SRCA clients with an ongoing treatment entitlement will be provided with a DVA treatment card (White Card) to access all their health care needs from 10 December 2013. Work commenced in 2012-13 to ensure a smooth changeover from the existing reimbursement system to the card system. Engagement with the veteran community and providers will continue throughout the first half of 2013-14.

MRCA

Rehabilitation

In 2012-13, 1025 rehabilitation assessments were conducted compared with 765 in 2011-12. Of those assessed 32 per cent were placed on non-return-to-work programs compared with 29 per cent in 2011-12, and 38 per cent were placed on return-to-work programs compared with 35 per cent in 2011-12.

Attendant care and household services

In 2012-13, 34 clients received a total of $374 567 compensation for attendant care compared with 22 clients and $244 680 in 2011-12. A further 530 clients received a total of $1.05 million for household services assistance compared with 390 clients and $711 087 in 2011-12.

Medical and treatment accounts paid

Medical and treatment accounts cover general and specialist medical services, household services and attendant care services. This does not include medico-legal services. Most medical treatment for MRCA clients is paid using treatment cards, but the number of medical and treatment accounts paid for those on the reimbursement path totalled 11 573 in 2012-13 compared with 10 177 in 2011-12, an increase of 13.7 per cent.

Quality

The critical error rate for MRCA accounts in 2012-13 was 4.3 per cent compared with 3.1 per cent in 2011-12.

The critical error rate for MRCA rehabilitation cases in 2012-13 was 9.6 per cent compared with 19.5 per cent in 2011-12. While this was a significant improvement, efforts will continue to reinforce the policy and procedures with staff and refine and improve staff training.

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