Resource Utilisation and Classification Study – RUCS Overview and Reports

Page last updated: 04 September 2019

This page provides information on the Resource Utilisation and Classification Study (RUCS) which was conducted for the Australian residential aged care system.

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Resource Utilisation and Classification Study (RUCS) Overview and Reports

The department engaged the University of Wollongong to undertake a Resource Utilisation and Classification Study (RUCS). The purpose of this study was to determine the characteristics of residents that drive residential care costs, and use this information to inform the government’s consideration of future reform options.

The RUCS was completed in December 2018. The Australian Health Services Research Institute (AHSRI) at the University of Wollongong have produced a suite of seven reports on the key elements of the RUCS. Report Six synthesises the findings of the study and consolidates the recommendations.

Report One: The Australian National Aged Care Classification (AN‐ACC)

Report One covers the design and conduct of the study undertaken to develop the Australian National Aged Care Classification (AN‐ACC). It covers the design and use of the AN‐ACC assessment tool and the resource utilisation study undertaken to develop AN‐ACC Version 1, including the preparation and analysis of the data collection. It discusses the results, the classification development process and key outcomes including the statistical analysis and clinical validation.

Report One: The Australian National Aged Care Classification (AN‐ACC) - PDF 700 KB 

Report One: The Australian National Aged Care Classification (AN‐ACC) - Word 484 KB    

Report Two: The AN‐ACC assessment model

Report Two presents detailed findings relating to the external assessment tool and assessment process. This includes the development of the assessment tool using expert clinical panels and a summary of feedback from assessors regarding the use of the tool and the suitability of individual instruments. The skills and competencies required for the assessment workforce and other implications for implementation of the external assessment model are considered as well as triggers and protocols for reassessment.

Report Two: The AN‐ACC assessment model - PDF 976 KB  

Report Two: The AN-ACC assessment model - Word 382 KB     

Report Three: Structural and individual costs of residential aged care services in Australia

Report Three presents the analysis and findings of Study Two which identified the proportions of total care costs that are fixed (including shared care) and variable (relating to individualised resident care). The analysis focuses on the differences in fixed costs between different types of facilities, characterised by ownership, size, remoteness and service specialisation. It includes an analysis of the drivers of fixed care costs.

Report Three: Structural and individual costs of residential aged care services in Australia - PDF 664 KB  

Report Three: Structural and individual costs of residential aged care services in Australia - Word 511 KB       

Report Four: Modelling the impact of the AN‐ACC in Australia

Report Four presents an analysis of modelling the introduction of the AN‐ACC across Australia. This is based on the findings of Study Three. The sampling and assessment data collection process and the casemix of residents in aged care across Australia are described. The focus of this report is on modelling the introduction of the AN‐ACC to replace the ACFI.

Please note, an addendum has been published to slightly amend values in Report Four, Table 8. The addendum is available at the bottom of this webpage.

Report Four: Modelling the impact of the AN‐ACC in Australia - PDF 404 KB  

Report Four: Modelling the impact of the AN‐ACC in Australia - Word 236 KB   

Report Five: AN‐ACC: A funding model for the residential aged care sector

Report Five presents the design of a new funding model based on the AN‐ACC. It includes a consideration of other payment issues such as existing payment supplements, a discussion of incentives in funding model design and key issues in implementing the new model.

Please note, an addendum has been published to slightly amend values in Report Five, Table 2 and Appendix 2. The addendum is available at the bottom of this webpage.

Report Five: AN‐ACC: A funding model for the residential aged care sector - PDF 332 KB   

Report Five: AN‐ACC: A funding model for the residential aged care sector - Word 186 KB  

Report Six: AN‐ACC: A national classification and funding model for residential aged care: synthesis and consolidated recommendations

Report Six syntheses and consolidates the findings presented in other reports and provides a consolidated set of recommendations.

Please note, an addendum has been published to slightly amend values in Report Six, Table 1. The addendum is available at the bottom of this webpage.

Report Six: AN‐ACC: A national classification and funding model for residential aged care: synthesis and consolidated recommendations - PDF 324 KB

Report Six: AN‐ACC: A national classification and funding model for residential aged care: synthesis and consolidated recommendations - Word 156 KB

Report Seven: AN‐ACC Technical appendices

Report Seven contains detailed data for reference purposes.             

Report Seven: AN‐ACC Technical appendices - PDF 1.6 MB  

Report Seven: AN-ACC Technical appendices - Word 772 KB

Addendum to Reports: Updated National Weighted Activity Unit (NWAU) values

AN-ACC NWAU values have been updated slightly from those presented in Reports 4, 5 and 6, due to technical aspects of the conversion between Australian dollars, Relative Value Units (RVUs) and NWAUs. The Addendum to Reports provides updated tables to replace those presented in Report 4, 5 and 6, and are consistent with the figures presented by Professor Eagar to the sector on 14 March 2019. 

Addendum to Reports: Updated National Weighted Activity Unit (NWAU) values - PDF 479 KB

Addendum to Reports: Updated National Weighted Activity Unit (NWAU) values - Word 100 KB