dsp_impairment_tbls_final_rpt.doc

dsp_impairment_tbls_final_rpt.doc - Review of the Tables...

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Review of the Tables for the Assessment of Work-Related Impairment for Disability Support Pension Advisory Committee Final Report Submitted to the Australian Government Department of Families, Housing, Community Services and Indigenous Affairs 30 June 2011
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Contents Executive Summary i Terms of Reference ............................................................................................................................. i Advisory Committee and consultations ............................................................................................. ii Key Findings and Conclusions ............................................................................................................ ii Revised Impairment Tables ............................................................................................................... iii Testing the Tables .............................................................................................................................. iii Recommendations ............................................................................................................................ iv Structure of this Report ..................................................................................................................... v 1.0 Introduction 1 1.1 Background to the Review ..................................................................................................... 1 1.2 History of the Impairment Tables ........................................................................................... 1 1.3 Changes to the assessment context ....................................................................................... 2 1.4 How the Impairment Tables currently work ........................................................................... 2 1.5 Terms of Reference for the Review ........................................................................................ 4 1.6 Advisory Committee role and membership ........................................................................... 4 2.0 Review methodology 5 2.1 Advisory Committee meetings ............................................................................................... 5 2.2 Govdex consultations ............................................................................................................. 5 2.3 Drafting the revised Impairment Tables ................................................................................. 5 2.4 Workshop with Job Capacity Assessors .................................................................................. 5 2.5 Testing the draft revised Impairment Tables .......................................................................... 6 2.5.1 Training the assessors .................................................................................................... 6 2.5.2 Reliability and validity testing ........................................................................................ 6 2.5.3 Analysis of data from testing .......................................................................................... 7 2.6 Next Steps .............................................................................................................................. 7 2.6.1 Consultation on the draft revised Impairment Tables .................................................... 7 2.6.2 Legislative drafting ......................................................................................................... 7 2.6.3 Implementation planning ............................................................................................... 7 3.0 Key issues arising from Govdex consultations 8 3.1 Limitations of current Impairment Tables .............................................................................. 8 3.2 Issues for specific needs groups ............................................................................................. 9 3.3 Need for a functional approach ........................................................................................... 11 4.0 Outcomes of consultations with assessors 12 4.1 Preliminary feedback from assessors .................................................................................. 12 4.2 Outcomes of the Assessor Workshop .................................................................................. 13
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5.0 Key principles considered by the Advisory Committee 16 5.1 Focus on functional ability ................................................................................................... 16 5.2 Linkage with the International Classification of Functioning, Disability and Health ............. 16 5.3 Consistent scoring scale and functional equivalence across tables ...................................... 17 5.4 Tables consistent with contemporary practice and terminology .......................................... 18 5.5 Alignment of 20-point ratings with inability to work ........................................................... 18 5.6 Consistent consideration of the use of aids and equipment (assistive technology) ............. 18 5.7 Use of the tables by a range of medical and allied health professionals .............................. 18 5.8 Improved introductory information and instructions for assessors ..................................... 19 5.9 Health benefits of work ....................................................................................................... 19 6.0 Context of the Impairment Tables in the DSP determination process 20 7.0 Rationale for changes to individual tables 22 7.1 Combining Tables 1 and 2 (Cardiac and Respiratory Function) ............................................ 22 7.2 Combining Tables 13, 14 and 15 (all related to Vision) ........................................................ 22 7.3 Replacing Table 16 (Lower Urinary Tract) with a Continence Table ...................................... 22 7.4 Incorporating Tables 17, 19, 20, 21 and 22 into other Tables ............................................... 23 7.5 Current usage of all Impairment Tables ............................................................................... 25 8.0 Results of Testing draft revised Impairment Tables 27 8.1 Profile of the field test population ....................................................................................... 27 8.2 Analysis of current and revised impairment ratings ............................................................. 27 8.3 Inter-rater reliability results ................................................................................................. 27 8.4 Utilisation of the revised tables ........................................................................................... 27 8.5 Assessor feedback ................................................................................................................ 28 8.6 Issues arising from testing ................................................................................................... 29 8.7 Conclusions from testing ...................................................................................................... 31 9.0 Conclusions and recommendations 32 9.1 Conclusions .......................................................................................................................... 32 9.2 Recommendations ............................................................................................................... 33 Appendix A Advisory Committee Membership Appendix B Participants in Govdex Consultations Appendix C
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