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

Objective

Programme 2.6 delivers 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. These services include payment for medical treatment, rehabilitation services, attendant care and household services.

Overview

DVA’s rehabilitation approach is holistic and focuses on all elements of a person’s life which could improve their functioning, wellbeing and quality of life. It aims to assist people to adapt to, and recover from, an injury or illness that is related to their Australian Defence Force service.

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 – Programme outcomes against Budget
  2013–14 PBS ($m) Estimated actual 2013–14 ($m) Outcome 2013–14 ($m)
Administered 64.0 71.2 70.1
Departmental 21.5 22.0 20.7
Total resources 85.5 93.2 90.8

PBS = Portfolio Budget Statements

Deliverables

Under the SRCA and MRCA, the Department will administer a range of benefits for defence-related claims, including payments for rehabilitation services, medical treatment, attendant care and household services.

Deliverables – Programme outcomes against Budget projections
  2013–14 PBS Estimated actual 2013–14 Outcome 2013–14
Quantity      
Number of SRCA rehabilitation assessments 764 764 830
Number of SRCA medical and treatment accounts paid 100,928 100,928 74,137
Number of MRCA rehabilitation assessments 773 773 1,132
Number of MRCA medical and treatment accounts paid 25,317 25,317 11,7681

PBS = Portfolio Budget Statements.

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 – Programme outcomes against Budget target
  2013–14 PBS Estimated actual 2013–14 Outcome 2013–14
Quality      
Error rates SRCA rehabilitation assessments <5% <5% 3.4
Error rates SRCA accounts <5% <5% 0.4
Error rates MRCA rehabilitation assessments <5% <5% 3.5
Error rate of MRCA accounts paid incorrectly <5% <5% 0.9

PBS = Portfolio Budget Statements

Report on performance

SRCA

Rehabilitation

In 2013–14, 830 rehabilitation assessments were conducted, compared with 1,113 in 2012–13. Of those assessments, 54 per cent were placed on non-return to work programmes, compared with 59 per cent in 2012–13; and 21 per cent were placed on return to work programmes, compared with 13 per cent in 2012–13.

Attendant care and household services

In 2013–14, 137 clients received a total of $1.9 million compensation for attendant care, compared with 115 clients and $1.7 million in 2012–13. A further 1,607 clients received a total of $5.3 million for household services assistance, compared with 1,553 clients and $4.8 million in 2012–13.

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 74,137 medical and treatment accounts paid in 2013–14, compared with 99,648 in 2012–13; and 83 per cent of all medical and treatment accounts were paid on time, compared with 89 per cent in 2012–13.

Quality

The critical error rate for SRCA accounts in 2013–14 was 0.4 per cent, compared with 1.8 per cent in 2012–13.

The critical error rate for SRCA rehabilitation cases in 2013–14 was 3.4 per cent, compared with 7.1 per cent in 2012–13. 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

Changes were introduced to the SRCA on 10 December 2013. Since then, clients who receive medical treatment under the SRCA have been issued with a DVA Health Card and their treatment is provided in accordance with the Treatment Principles.

The change in legislation allowed for exemption from these arrangements in exceptional circumstances. Clients who have severe injuries with multiple ongoing health needs have been exempted from these arrangements.

MRCA

Rehabilitation

In 2013–14, 1,132 rehabilitation assessments were conducted, compared with 1,025 in 2012–13. Of those assessed, 30 per cent were placed on non-return to work programmes, compared with 32 per cent in 2012–13; and 45 per cent were placed on return to work programs compared with 38 per cent in 2012–13.

Attendant care and household services

In 2013–14, 73 clients received a total of $475,783 compensation for attendant care, compared with 34 clients and $374,567 in 2012–13. A further 635 clients received a total of $1.4 million for household services assistance, compared with 530 clients and $1.05 million in 2012–13.

Medical and treatment accounts paid

Medical and treatment accounts cover general and specialist medical services, household services and attendant care services. They do not include medico–legal services. Most medical treatment for MRCA clients is paid for with treatment cards, but the number of medical and treatment accounts paid for clients whose expenses needed to be reimbursed totalled 11,768 in 2013–14 compared with 11,573 in 2012–13, an increase of 1.7 per cent.

Quality

The critical error rate for MRCA accounts in 2013–14 was 0.9 per cent, compared with 4.3 per cent in 2012–13.

The critical error rate for MRCA rehabilitation cases in 2013–14 was 3.5 per cent, compared with 9.6 per cent in 2012–13. 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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