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The core paper is Cognitive Disability Standards Refresh (ID/ABI), v1.0, 25 September 2025, by ZELEN, G. It proposes standards and safeguards; it is not an enacted law, approved clinical protocol or an operating care service. Repository release v3, 23 October 2026 adds a targeted audit, corrections and implementation addendum. It does not fully revalidate the 2025 core or historical crosswalks.
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Historical proposal · 25 September 2025
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- Foreword — p. 13
- Salute to the Disability Royal Commission - and how this paper operationalises it — p. 17
- Design constraints - and how the standards meet them — p. 17
- Where awareness breaks down today - and how this paper closes it — p. 18
- What this paper is (status and how to use it) — p. 20
- From “Direct Care” to a Profession - what changes, what carries through — p. 21
- Coordination, Adjacent, and Operational Licence Classes - meet or bridge to the standard — p. 22
- Closing the reality gap - judiciary & oversight with DSC as the live bridge — p. 25
- Future-proofing with a simple failsafe: Two-Key Guardianship (no one decides alone). — p. 27
- Executive Summary — p. 34
- Purpose, Scope and Audience — p. 36
- Scope (what’s in) — p. 36
- Boundaries (what’s out) — p. 37
- Non-negotiables — p. 38
- Open reasons & appeal-ready records hub — p. 43
- How Ministers can message this — p. 44
- Dependencies & risks snapshot (for executive readers) — p. 45
- Definitions and Principles — p. 46
- Language conventions (style and usage) — p. 48
- Principles (non-negotiables that govern design and delivery) — p. 48
- Evidence and Drivers — p. 50
- What the data and lived experience show — p. 50
- Problem statement (concise) — p. 54
- System drivers for change — p. 54
- NDIS - Interface & Reform Alignment (2025) — p. 57
- Why this matters (and why it hasn’t worked) — p. 57
- Fast take (read this first) — p. 57
- What’s changing (status 2025) — p. 57
- Pros (if implemented well) — p. 58
- Cons / risks (to watch and design around) — p. 58
- Risks & mitigations (NDIS-specific) — p. 59
- Measures & public tiles — p. 59
- Switching & safeguards (NDIS events) — p. 60
- Consistent with government directions — p. 60
- Standards Overview (how all pieces fit) — p. 61
- The standards map — p. 61
- Safety & Restrictive Practices Standard — p. 61
- Truth-by-Design Standard — p. 62
- Equity, First Nations Partnership and Access — p. 64
- Data, Dashboards and Privacy — p. 64
- Finance & ROI Case — p. 65
- Governance, Assurance and Risk — p. 66
- Evaluation & Continuous Learning — p. 66
- Workforce Standard - Integrated Disability Clinician (IDC) — p. 68
- Purpose & scope — p. 68
- Role definition (what an IDC is and is not) — p. 68
- Protected title, statutory levers & anti‑gaming controls — p. 68
- Competency framework (domains) — p. 68
- Education & pathways (TAFE, University, RN‑integrated, Bridging) — p. 69
- Curriculum map, supervised practise & CPD (higher‑of applied) — p. 69
- Supervised Practice and Observation — p. 70
- EPAs (Entrustable Professional Activities) — p. 70
- Portfolio and renewal cycle — p. 70
- Equivalency & bridging (legacy roles → IDC / licence‑aligned roles) — p. 71
- Role-clean mapping - specific (titles → licence) — p. 71
- Safety gates that RPL cannot waive. — p. 71
- Supervised practice bands by legacy stream. — p. 71
- RN on-ramp and incumbent bridging. — p. 71
- Rural & regional enablement — p. 72
- Pricing, wage ladders & incentives (alignment) — p. 72
- Documentation & artefacts (publishable or auditable) — p. 72
- Metrics & indicators (for dashboards) — p. 72
- Governance & licensure — p. 73
- Implementation (pilot → scale) — p. 73
- Interfaces with other standards — p. 73
- Risks & mitigations — p. 73
- Rural/remote execution rules — p. 74
- Safety & Restrictive Practices Standard — p. 75
- Purpose and scope — p. 75
- Definitions (used consistently) — p. 75
- Principles and legal baseline — p. 75
- Restraint hierarchy (summary) — p. 75
- Authorisation and notifications — p. 76
- Timekeeping standard — p. 76
- The 72-hour learning review (mandatory) — p. 76
- Fade plan (required elements) — p. 77
- Hospital/ED handover and medication reconciliation — p. 77
- Primary Care & Health Stewardship — p. 77
- Primary Care & Health Stewardship (explicit) — p. 79
- Roles and responsibilities — p. 79
- Artefacts and data (where templates live) — p. 79
- Metrics and indicators (dashboards) — p. 80
- Training and competence (IDC alignment) — p. 80
- Equity, cultural safety and access — p. 80
- Technology and environment safeguards — p. 80
- Risk management, escalation and sanctions — p. 81
- Interfaces with other standards — p. 81
- Implementation (switch-on order) — p. 81
- Truth-by-Design Standard — p. 82
- Purpose and scope — p. 82
- Principles (what “truth by design” means here) — p. 82
- Two-party e-receipt (minimum standard) — p. 82
- Roster-to-claim cross-checks (before payment) — p. 83
- Sanctions ladder (proportionate, publishable) — p. 83
- Financial Safety & Fiduciary Checks — p. 83
- Publication & dashboards (signals people can use) — p. 84
- Privacy, security and DPIA requirements — p. 84
- Roles and responsibilities — p. 85
- Metrics and indicators (for dashboards) — p. 85
- Implementation (switch-on order) — p. 85
- Interfaces with other standards — p. 86
- Risks and mitigations — p. 86
- Independent Verification Standard - Decision Support Consultant (DSC) — p. 87
- Purpose & scope — p. 87
- What independent verification is (and is not) — p. 87
- Triggers (when a DSC must be engaged) — p. 87
- Independence & ethics — p. 87
- Role boundaries & interfaces — p. 88
- Two‑Key interface (decision support) — p. 88
- Workflow (intake → enquiry → decision support → publication) — p. 88
- Artefacts (minimum content & templates) — p. 88
- Methods & integrity controls — p. 89
- Publication, privacy & dashboards — p. 89
- Metrics & indicators — p. 89
- Governance, registers & sanctions — p. 90
- Rural & remote enablement — p. 90
- Implementation (pilot → scale) — p. 90
- Interfaces with other standards & roles — p. 90
- Appeals & fairness — p. 91
- DSC Education & Pathways (entry, bridging, renewal) — p. 91
- Tribunal/OPG/OPA Practice - Candour by Template (worked guidance) — p. 93
- Publication and privacy — p. 95
- Roles and responsibilities — p. 95
- Metrics and indicators (dashboards) — p. 96
- Calibration and quality assurance — p. 96
- Interfaces with other standards — p. 96
- Implementation (switch-on order) — p. 96
- Risks and mitigations — p. 97
- Example; Template Baseline Formats — p. 97
- Shared Decision Standard - Two-Key Guardianship (No One Decides Alone) — p. 104
- Purpose & scope — p. 104
- Decision classes (in scope) — p. 104
- Core rule — p. 104
- Independence & conflict rules — p. 104
- Emergency pathway (Tier‑0) — p. 105
- Quorum models — p. 105
- Roles & interfaces — p. 105
- Artefacts (minimum, one‑page forms wherever possible) — p. 105
- Publication & dashboards — p. 105
- Rural & thin‑market parity — p. 106
- Anti‑collusion & capture guards — p. 106
- Implementation (switch‑on order) — p. 106
- Compliance & sanctions — p. 106
- Service Model Standards (life in community) — p. 107
- Purpose and scope — p. 107
- Principles — p. 107
- Minimum requirements (what every plan and week must show) — p. 107
- Accessible plans (content and format) — p. 107
- Community Access Kits (making ordinary places ready) — p. 108
- Community presence and participation (how we practise) — p. 109
- Coordination independent from provision — p. 109
- Switching protocol (low-friction change) — p. 109
- Provider Transition Pack (switching & onboarding) — p. 110
- Skill acquisition in real contexts — p. 112
- Technology and environment — p. 112
- Justice Interfaces (police, courts, corrections) — p. 112
- Roles and responsibilities — p. 113
- Documentation and artefacts — p. 114
- Metrics and indicators (dashboards) — p. 114
- Interfaces with other standards — p. 114
- Risks and mitigations — p. 115
- What Can Go Wrong (Even With Love) - Risks to Avoid — p. 115
- (For parents, guardians and volunteers - a safe baseline) — p. 115
- Equity, First Nations Partnership and Access — p. 117
- Purpose and scope — p. 117
- Principles — p. 117
- First Nations partnership standard — p. 117
- Language and communication access standard (CALD/Auslan/AAC) — p. 118
- Rural and remote delivery standard — p. 118
- Minimum equity checks embedded in other standards — p. 119
- Roles and responsibilities — p. 119
- Documentation and artefacts (publishable/auditable) — p. 119
- Metrics and indicators (dashboards) — p. 119
- Implementation (switch-on order) — p. 120
- Risks and mitigations — p. 120
- Data, Dashboards and Privacy — p. 120
- Purpose and scope — p. 120
- Principles — p. 121
- Data domains (minimum sets) — p. 121
- Minimum schema rules (applies to every domain) — p. 121
- DPIA (Data Protection Impact Assessment) — p. 122
- Access control and security — p. 122
- Publication model (family view vs public tiles) — p. 122
- Performance, KPIs & Public Dashboards (full specification) — p. 122
- Data lifecycle — p. 125
- Analytics and AI (allowed uses and limits) — p. 125
- Operational guardrails (policy text) — p. 125
- Interoperability and APIs — p. 126
- Assistive Technology (AT) & AAC Procurement Spec — p. 126
- Incident response & red-team tests — p. 128
- Where to get help / Artefacts & Templates (appendices index) — p. 128
- Metrics and indicators (for dashboards) — p. 128
- Implementation (switch-on order) — p. 128
- Risks and mitigations — p. 128
- Implementation Roadmap (Switch-On Order) — p. 129
- How to use this roadmap — p. 129
- Pilot design (where we start and why) — p. 129
- Phase 1 - 0 to 3 months (Switch-on foundations) — p. 129
- Phase 2 - 3 to 6 months (Operate, measure, adjust) — p. 130
- Phase 3 - 6 to 12 months (Scale and calibrate) — p. 131
- Phase 4 - 12 to 24 months (Statewide adoption and external evaluation) — p. 132
- Cross-cutting QA & governance (always on) — p. 132
- Critical path & dependencies — p. 133
- Roles and RACI (summary) — p. 133
- Communications plan (minimum) — p. 133
- Finance & ROI alignment (spend to save) — p. 133
- Red-team & rehearsal calendar — p. 134
- Exit criteria (when a pilot becomes business-as-usual) — p. 134
- Finance & ROI Case — p. 134
- Purpose and frame — p. 134
- What value we count (benefit classes) — p. 134
- What it costs (investment bundles) — p. 135
- Cost-benefit method (how the workbook calculates) — p. 135
- Core formulas (transparent and auditable) — p. 135
- Inputs and sources (traceability) — p. 136
- Assumptions register (editable ranges) — p. 137
- Worked example (illustrative flow; populate with local values) — p. 137
- Sensitivity and scenario testing — p. 137
- Governance, assurance and publication — p. 138
- Distributional impacts (who benefits, who pays) — p. 138
- Interfaces with other sections — p. 138
- Metrics (dashboard alignment) — p. 138
- Risks and mitigations — p. 139
- Governance, Assurance and Risk — p. 139
- Purpose and scope — p. 139
- Governance model (who decides, who delivers, who checks) — p. 139
- Lines of assurance (how we know it’s working) — p. 140
- Decision rights and escalation — p. 140
- Privacy/AI conformance - gate criteria — p. 140
- Sanctions ladder (governance integration) — p. 141
- Risk management (register, thresholds, actions) — p. 141
- Red-team and rehearsal program — p. 141
- Stress-Tests & Counter-Capture — p. 142
- Whistleblowing and protections — p. 142
- Issue management (from detection to verified closure) — p. 142
- Audit and evaluation interfaces — p. 143
- Procurement levers and market shaping — p. 143
- Industrial Relations & Insurance Brief — p. 143
- Metrics and indicators (governance dashboard) — p. 143
- Interfaces with other standards — p. 144
- Risks and mitigations (summary) — p. 144
- Evaluation & Continuous Learning — p. 144
- Purpose and scope — p. 144
- Principles — p. 144
- Peer calibration (how we align judgement) — p. 145
- Quality summaries (what we publish each quarter) — p. 145
- Standard refresh and sunset rules — p. 145
- Independent evaluation (external review) — p. 145
- Research & Evaluation Partnerships — p. 146
- Continuous curriculum and tool updates — p. 146
- Operational Aids - Consistency Prompts — p. 146
- Red-team and rehearsal integration — p. 147
- Roles and responsibilities — p. 147
- Where to get help / Artefacts & Templates (appendices index) — p. 147
- Metrics and indicators (learning dashboard) — p. 148
- Implementation (switch-on order) — p. 148
- Risks and mitigations — p. 148
- Appendices (indexed) — p. 149
- Appendix A - Restraint Hierarchy & Timekeeping Standard — p. 149
- Appendix B - 72-Hour Learning Review Template — p. 152
- Appendix C - Fade Plan Template (Restraint-Reduction & Positive Supports) — p. 155
- Appendix D - Handover & Medication Reconciliation Pack — p. 158
- Appendix E - Minimum Two-Party E-Receipt JSON Schema (v1.x) — p. 162
- Appendix F - Roster-to-Claim Cross-Check Rules — p. 166
- Appendix G - Sanctions, Reasons & Weighing (R&W), Contradiction Matrix, and Independent-Reasoning Certificate (IRC) — p. 169
- Appendix H - Reasons & Weighting (R&W) — p. 173
- Appendix I - Contradiction Matrix — p. 178
- Appendix J - Independent-Reasoning Certificate (IRC) — p. 181
- Appendix K - Accessible Plan Pack (Plain English + Easy Read) — p. 185
- Appendix L - Weekly Community Schedule & Presence/Participation Tracker — p. 188
- Appendix N - Interpreter/Auslan/AAC Toolkit — p. 195
- Appendix O - First Nations Partnership MOU Template & Cultural Plan — p. 198
- Appendix P - Rural Micro-Hub Operating Pack & Tele-OSCE Protocol — p. 203
- Appendix Q - IDC Curriculum Map, EPA Logbook & OSCE Rubrics — p. 207
- Appendix R - Privacy, DPIA & Feed Registry — p. 214
- Appendix S - Dashboard Tiles, Suppression & Publication — p. 218
- Appendix T - Audit Log Specification — p. 222
- Appendix U - Red-Team Scenarios & Reports — p. 227
- Appendix V - Peer Calibration Rubrics & Quality Summary Template — p. 231
- Appendix W - Evaluation Access Protocol — p. 235
- Appendix X - ROI Workbook Notes & Assumptions Register — p. 239
- Appendix Y - Owner Matrix & Escalation Playbook — p. 243
- Appendix Z - Practice-Note Crosswalks (including “Thriving Kids”) — p. 246
- Appendix AA - Service Template & Crosswalks Library (download pack index) — p. 254
- Crosswalks - the double A baseline standards — p. 254
- Templates - grouped by Appendix — p. 255
- Appendix AB - Pharmacy Psychotropic Stewardship Protocol — p. 264
- Appendix AC - Dental Desensitisation Protocol — p. 269
- Appendix AD - “Quiet Hours” Community MOU Template — p. 273
- Appendix AE - Transport Staff Pocket Card — p. 276
- Appendix AF - Assistive Technology (AT) & AAC Procurement Spec — p. 279
- Appendix AG - Tribunal/OPA/DSC “Candour by Template” Exemplars — p. 284
- Appendix AH - Fiduciary Safeguards & Financial Safety Pack — p. 288
- Appendix AI - Industrial Relations & Insurance Brief Templates — p. 292
- Appendix AJ - Research & Evaluation Partnership MoU — p. 297
- Appendix AK - Operational Prompt Pack — p. 300
- Appendix AL - Publication & Dashboard Schema (Public, Family, Provider) — p. 306
- Appendix AM - Public Narrative & Media Plan — p. 311
- Appendix AN - Police Academy Integration Plan (Cognitive Disability Capability) — p. 315
- Appendix AO - IDC Equivalency & Bridging Matrix — p. 319
- Appendix AO.1 - DSC Equivalency & Bridging Matrix — p. 330
- Appendix AO.2 - Tribunal Practice Note (Brief): Two-Key Guardianship — p. 334
- Appendix AP - Two-Key Guardianship (specific) — p. 341
- Appendix AQ - OPA/OPG Investigations Code Addendum: Two-Key Guardianship — p. 347
- Appendix AR - Procurement Direction & Independent Pairing Pool (IPP) Service-Level Agreement — p. 351
- Appendix AS - Dashboard Tile Specifications: Two-Key Guardianship — p. 353
- Appendix AT - Talking Points & Q&A: Two-Key Guardianship — p. 355
- Appendix AU - Bibliography — p. 357
- Glossary & Acronyms — p. 359
- Acknowledgements & References — p. 370
- Stewardship, Data Publication & Author Exit (governance declaration) — p. 377
- Afterword - Language, visibility, and what comes next — p. 379
- Appendix AZ - Legal, Risk & Publication Basis — p. 388
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Core paper · PDF page 1
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 1 Cognitive Disability Standards Refresh (People with Cognitive-Embodied & Environmental Needs) - White Paper Preamble Cognitive Disability Standards Refresh (ID/ABI) - White Paper A national, world-best-practice program to professionalise frontline disability practice, modernise tribunals and oversight, and hard-wire integrity - explicitly covering Intellectual Disability (ID) and Acquired Brain Injury (ABI) across the lifespan. Date: 25-09-2025 Prepared by: ZELEN. G (public-interest submission) Lodgement recipients: Council of Attorneys-General and relevant Ministers (information only) Distribution: Public One-line summary (Executive Summary lead): This white paper unifies ID and ABI into a single, person-first standards upgrade: the Integrated Disability Clinician (IDC) workforce; tribunal candour (backed by a Decision Support Consultant (DSC) file-vs-field calibration and a short Calibration Memo); Two-Key Guardianship (no one decides alone); payment integrity; emergency/justice interface standards; restrictive-practice and restraint-reduction governance (least-restrictive by default); education uplift; rural parity; and minister-ready ROI - with ID/ABI-specific modules for cognition, communication, behaviour, swallowing, fatigue, mental/physical health, and rehabilitation/transition-to-community. Language note (person-first umbrella) “People with cognitive disability” is used throughout as an inclusive, person-first term that expressly covers people with intellectual disability (ID), acquired brain injury (ABI) and closely related cognitive-communication conditions. Where a distinction matters, the paper names it; otherwise one plain term avoids siloed care. “People with Cognitive-Embodied & Environmental Needs” is a plain-English framing used on the cover to signal that support needs arise at the intersection of cognition, the body and the built/social environment; it is not a diagnostic label and does not replace “people with cognitive disability” in this paper. Conflicts & independence - summary Prepared pro bono in the public interest. No external funding. No current or recent paid relationships with providers, agencies, tribunals, or vendors mentioned in this paper. Templates and schemas are released for scrutiny and reuse (see Licence).
Core paper · PDF page 2
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 2 Publication notes - release v1.0 (25 Sep 2025) Canonical release • Title: Cognitive Disability Standards Refresh (ID/ABI) • PDF (canonical): export as tagged PDF/A-2. (PDF is authoritative; DOCX is non-authoritative) • Version/date: v1.0 - 25 Sep 2025 • DOI/URL: https://sites.google.com/view/cognitivedisabilitystandards/home Licence & reuse • Text © 2025 ZELEN. G - CC BY 4.0 • Schemas/templates - CC BY 4.0; examples/sample data - CC0 1.0; code snippets - MIT Non-reliance / no duty (summary) This publication is not legal advice, clinical guidance, or case instruction. Do not rely on it for a specific matter. Confirm in-force law/practice notes. Do not delay urgent care awaiting paperwork. Privacy: de-identify, suppress <5, no re-ID. Full terms: see Appendix AZ - Legal, Risk & Publication Basis. Lodgement & advocacy This publication is lodged with Attorneys-General and relevant Ministers for information only and without endorsement. The author does not provide a public inbox and ministerial offices are not the contact point for this document. Please use the standard parliamentary or departmental contact forms and include your electorate/region. Refer to this paper by title and version (e.g., “Cognitive Disability Standards Refresh (ID/ABI), v1.0, 25-09-2025”). Custodianship (post-publication) From v1.0, stewardship transfers to the Custodian of Record (appointed by convening partners). The author withdraws from custodial/editorial control. Errata & updates: Any future changes will be issued as new versions in the public record (see https://sites.google.com/view/cognitivedisabilitystandards/home). Individual enquiries will not be answered; corrections, if adopted, will appear in release notes. No back-channel exists for correspondence. Public correspondence: None provided. Policy feedback, if any, should be directed through normal government consultations or statutory submissions channels; this document itself does not accept submissions. Accessibility • Tagged PDF and Easy-Read one-pager published with each release. Data & artefacts (where to find them) • Schemas (e-receipt minimum; dashboard template), examples, tiles dictionary. • Templates (R&W table, Contradiction Matrix, IRC, registry checklist). • Policy tracker (with “last checked” dates). Disclaimer - non-reliance, scope & custody (v1.0 - 25 Sep 2025) This publication recommends standards and tools (Two-Key, DSC, IDC). It is not legal advice, clinical guidance, or case instructions. Do not rely on it for a specific matter; confirm in-force law, practice notes, and local policy. No duty of care is assumed to any person for decisions made using this material. Do not delay urgent care awaiting paperwork. De-identify examples; do not attempt re-identification; apply suppression (<5). From v1.0, stewardship transfers to an independent Custodian of Record; the author withdraws from custodial/editorial control. See Appendix AZ - Legal, Risk & Publication Basis - for full terms (non-reliance/no- duty wording, privacy, defamation/sub judice hygiene, open-justice cadence, change control, notice-and-takedown, and contacts).
Core paper · PDF page 3
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 3 Table of Contents Foreword ................................................................................................................................. 13 Salute to the Disability Royal Commission - and how this paper operationalises it .......... 17 Design constraints - and how the standards meet them............................................................. 17 Where awareness breaks down today - and how this paper closes it ....................................... 18 What this paper is (status and how to use it) ......................................................................... 20 From “Direct Care” to a Profession - what changes, what carries through ............................ 21 Coordination, Adjacent, and Operational Licence Classes - meet or bridge to the standard22 Closing the reality gap - judiciary & oversight with DSC as the live bridge ........................... 25 Future-proofing with a simple failsafe: Two-Key Guardianship (no one decides alone). ........ 27 Executive Summary ................................................................................................................ 34 White paper basics .......................................................................................................................... 35 Purpose, Scope and Audience ................................................................................................ 36 Scope (what’s in) .............................................................................................................................. 36 Boundaries (what’s out) .................................................................................................................. 37 Non-negotiables ............................................................................................................................... 38 Method ..................................................................................................................................... 40 Open reasons & appeal-ready records hub .................................................................................. 43 How Ministers can message this..................................................................................................... 44 Dependencies & risks snapshot (for executive readers)............................................................... 45 Definitions and Principles ...................................................................................................... 46 Language conventions (style and usage) ....................................................................................... 48 Principles (non-negotiables that govern design and delivery)..................................................... 48 Evidence and Drivers .............................................................................................................. 50 What the data and lived experience show ..................................................................................... 50 Root causes ....................................................................................................................................... 50 Problem Definition .......................................................................................................................... 51 Problem statement (concise) ........................................................................................................... 54 System drivers for change .............................................................................................................. 54 What We Lost and Must Restore ................................................................................................... 54 Social value lens ............................................................................................................................... 55 NDIS - Interface & Reform Alignment (2025) .................................................................... 57 Why this matters (and why it hasn’t worked) .............................................................................. 57 Fast take (read this first)................................................................................................................. 57 What’s changing (status 2025) ....................................................................................................... 57
Core paper · PDF page 4
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 4 Pros (if implemented well) .............................................................................................................. 58 Cons / risks (to watch and design around) .................................................................................... 58 Risks & mitigations (NDIS-specific) .............................................................................................. 59 Measures & public tiles ................................................................................................................... 59 Switching & safeguards (NDIS events) ......................................................................................... 60 Consistent with government directions ......................................................................................... 60 Standards Overview (how all pieces fit) ................................................................................. 61 The standards map .......................................................................................................................... 61 Workforce Standard ....................................................................................................................... 61 Safety & Restrictive Practices Standard ....................................................................................... 61 Truth-by-Design Standard ............................................................................................................. 62 Independent Verification Standard ............................................................................................... 62 Two-Key Guardianship .................................................................................................................. 62 Service Model Standards ................................................................................................................ 63 Equity, First Nations Partnership and Access .............................................................................. 64 Data, Dashboards and Privacy ....................................................................................................... 64 Implementation Roadmap .............................................................................................................. 64 Finance & ROI Case ....................................................................................................................... 65 Governance, Assurance and Risk .................................................................................................. 66 Evaluation & Continuous Learning .............................................................................................. 66 Workforce Standard - Integrated Disability Clinician (IDC).............................................. 68 Purpose & scope .............................................................................................................................. 68 Role definition (what an IDC is and is not) ................................................................................... 68 Protected title, statutory levers & anti‑gaming controls .............................................................. 68 Competency framework (domains) ............................................................................................... 68 Education & pathways (TAFE, University, RN‑integrated, Bridging) ...................................... 69 Curriculum map, supervised practise & CPD (higher‑of applied)............................................. 69 Supervised Practice and Observation............................................................................................ 70 EPAs (Entrustable Professional Activities) ................................................................................... 70 Portfolio and renewal cycle ............................................................................................................ 70 Equivalency & bridging (legacy roles → IDC / licence‑aligned roles) ....................................... 71 Role-clean mapping - specific (titles → licence) ........................................................................... 71 Safety gates that RPL cannot waive. ............................................................................................. 71 Supervised practice bands by legacy stream. ............................................................................... 71 RN on-ramp and incumbent bridging. .......................................................................................... 71 Rural & regional enablement ......................................................................................................... 72 Pricing, wage ladders & incentives (alignment) ........................................................................... 72
Core paper · PDF page 5
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 5 Documentation & artefacts (publishable or auditable) ............................................................... 72 Metrics & indicators (for dashboards) .......................................................................................... 72 Governance & licensure .................................................................................................................. 73 Implementation (pilot → scale) ...................................................................................................... 73 Interfaces with other standards ..................................................................................................... 73 Risks & mitigations ......................................................................................................................... 73 Rural/remote execution rules ......................................................................................................... 74 Safety & Restrictive Practices Standard ................................................................................. 75 Purpose and scope ........................................................................................................................... 75 Definitions (used consistently) ........................................................................................................ 75 Principles and legal baseline ........................................................................................................... 75 Restraint hierarchy (summary) ..................................................................................................... 75 Authorisation and notifications ...................................................................................................... 76 Timekeeping standard .................................................................................................................... 76 The 72-hour learning review (mandatory) .................................................................................... 76 Fade plan (required elements)........................................................................................................ 77 Hospital/ED handover and medication reconciliation ................................................................. 77 Primary Care & Health Stewardship ............................................................................................ 77 Primary Care & Health Stewardship (explicit) ............................................................................ 79 Roles and responsibilities ................................................................................................................ 79 Artefacts and data (where templates live) ..................................................................................... 79 Metrics and indicators (dashboards) ............................................................................................. 80 Training and competence (IDC alignment) .................................................................................. 80 Equity, cultural safety and access .................................................................................................. 80 Technology and environment safeguards...................................................................................... 80 Risk management, escalation and sanctions ................................................................................. 81 Interfaces with other standards ..................................................................................................... 81 Implementation (switch-on order) ................................................................................................. 81 Truth-by-Design Standard ...................................................................................................... 82 Purpose and scope ........................................................................................................................... 82 Principles (what “truth by design” means here) .......................................................................... 82 Two-party e-receipt (minimum standard) .................................................................................... 82 Roster-to-claim cross-checks (before payment)............................................................................ 83 Sanctions ladder (proportionate, publishable) ............................................................................. 83 Financial Safety & Fiduciary Checks ............................................................................................ 83 Publication & dashboards (signals people can use) ..................................................................... 84 Privacy, security and DPIA requirements .................................................................................... 84
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 6 Roles and responsibilities ................................................................................................................ 85 Metrics and indicators (for dashboards) ....................................................................................... 85 Implementation (switch-on order) ................................................................................................. 85 Interfaces with other standards ..................................................................................................... 86 Risks and mitigations ...................................................................................................................... 86 Independent Verification Standard - Decision Support Consultant (DSC) ......................... 87 Purpose & scope .............................................................................................................................. 87 What independent verification is (and is not) ............................................................................... 87 Triggers (when a DSC must be engaged) ...................................................................................... 87 Independence & ethics .................................................................................................................... 87 Role boundaries & interfaces ......................................................................................................... 88 Two‑Key interface (decision support) ........................................................................................... 88 Workflow (intake → enquiry → decision support → publication)............................................. 88 Artefacts (minimum content & templates) ................................................................................... 88 Methods & integrity controls ......................................................................................................... 89 Publication, privacy & dashboards ............................................................................................... 89 Metrics & indicators ....................................................................................................................... 89 Governance, registers & sanctions................................................................................................. 90 Rural & remote enablement ........................................................................................................... 90 Implementation (pilot → scale) ...................................................................................................... 90 Interfaces with other standards & roles ........................................................................................ 90 Appeals & fairness........................................................................................................................... 91 DSC Education & Pathways (entry, bridging, renewal) .............................................................. 91 Tribunal/OPG/OPA Practice - Candour by Template (worked guidance) ............................. 93 Publication and privacy .................................................................................................................. 95 Roles and responsibilities ................................................................................................................ 95 Metrics and indicators (dashboards) ............................................................................................. 96 Calibration and quality assurance ................................................................................................. 96 Interfaces with other standards ..................................................................................................... 96 Implementation (switch-on order) ................................................................................................. 96 Risks and mitigations ...................................................................................................................... 97 Example; Template Baseline Formats ........................................................................................... 97 Shared Decision Standard - Two-Key Guardianship (No One Decides Alone) ......... 104 Purpose & scope ............................................................................................................................ 104 Decision classes (in scope) ............................................................................................................. 104 Core rule ......................................................................................................................................... 104 Independence & conflict rules ...................................................................................................... 104
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 7 Emergency pathway (Tier‑0) ........................................................................................................ 105 Quorum models ............................................................................................................................. 105 Roles & interfaces .......................................................................................................................... 105 Artefacts (minimum, one‑page forms wherever possible) ......................................................... 105 Publication & dashboards ............................................................................................................ 105 Rural & thin‑market parity.......................................................................................................... 106 Anti‑collusion & capture guards .................................................................................................. 106 Implementation (switch‑on order) ............................................................................................... 106 Compliance & sanctions ............................................................................................................... 106 Service Model Standards (life in community) ...................................................................... 107 Purpose and scope ......................................................................................................................... 107 Principles ........................................................................................................................................ 107 Minimum requirements (what every plan and week must show) ............................................. 107 Accessible plans (content and format) ......................................................................................... 107 Community Access Kits (making ordinary places ready) ......................................................... 108 Community presence and participation (how we practise) ....................................................... 109 Coordination independent from provision.................................................................................. 109 Switching protocol (low-friction change) .................................................................................... 109 Provider Transition Pack (switching & onboarding) ................................................................ 110 Skill acquisition in real contexts................................................................................................... 112 Technology and environment ....................................................................................................... 112 Justice Interfaces (police, courts, corrections) ............................................................................ 112 Roles and responsibilities .............................................................................................................. 113 Documentation and artefacts ....................................................................................................... 114 Metrics and indicators (dashboards) ........................................................................................... 114 Interfaces with other standards ................................................................................................... 114 Risks and mitigations .................................................................................................................... 115 What Can Go Wrong (Even With Love) - Risks to Avoid....................................................... 115 (For parents, guardians and volunteers - a safe baseline) ......................................................... 115 Equity, First Nations Partnership and Access ..................................................................... 117 Purpose and scope ......................................................................................................................... 117 Principles ........................................................................................................................................ 117 First Nations partnership standard ............................................................................................. 117 Language and communication access standard (CALD/Auslan/AAC).................................... 118 Rural and remote delivery standard ........................................................................................... 118 Minimum equity checks embedded in other standards ............................................................. 119 Roles and responsibilities .............................................................................................................. 119
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 8 Documentation and artefacts (publishable/auditable) ............................................................... 119 Metrics and indicators (dashboards) ........................................................................................... 119 Implementation (switch-on order) ............................................................................................... 120 Risks and mitigations .................................................................................................................... 120 Data, Dashboards and Privacy ............................................................................................. 120 Purpose and scope ......................................................................................................................... 120 Principles ........................................................................................................................................ 121 Data domains (minimum sets) ...................................................................................................... 121 Minimum schema rules (applies to every domain)..................................................................... 121 DPIA (Data Protection Impact Assessment) ............................................................................... 122 Access control and security .......................................................................................................... 122 Publication model (family view vs public tiles)........................................................................... 122 Performance, KPIs & Public Dashboards (full specification) ................................................... 122 Data lifecycle .................................................................................................................................. 125 Analytics and AI (allowed uses and limits) ................................................................................. 125 Operational guardrails (policy text) ............................................................................................ 125 Interoperability and APIs ............................................................................................................. 126 Assistive Technology (AT) & AAC Procurement Spec .............................................................. 126 Incident response & red-team tests ............................................................................................. 128 Where to get help / Artefacts & Templates (appendices index) ................................................ 128 Metrics and indicators (for dashboards) ..................................................................................... 128 Implementation (switch-on order) ............................................................................................... 128 Risks and mitigations .................................................................................................................... 128 Implementation Roadmap (Switch-On Order)..................................................................... 129 How to use this roadmap .............................................................................................................. 129 Pilot design (where we start and why) ......................................................................................... 129 Phase 1 - 0 to 3 months (Switch-on foundations) ...................................................................... 129 Phase 2 - 3 to 6 months (Operate, measure, adjust) ................................................................. 130 Phase 3 - 6 to 12 months (Scale and calibrate).......................................................................... 131 Phase 4 - 12 to 24 months (Statewide adoption and external evaluation) .............................. 132 Cross-cutting QA & governance (always on).............................................................................. 132 Critical path & dependencies ....................................................................................................... 133 Roles and RACI (summary) ......................................................................................................... 133 Communications plan (minimum) ............................................................................................... 133 Finance & ROI alignment (spend to save) .................................................................................. 133 Red-team & rehearsal calendar ................................................................................................... 134 Exit criteria (when a pilot becomes business-as-usual) .............................................................. 134
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 9 Finance & ROI Case............................................................................................................. 134 Purpose and frame ........................................................................................................................ 134 What value we count (benefit classes) ......................................................................................... 134 What it costs (investment bundles) .............................................................................................. 135 Cost-benefit method (how the workbook calculates) ................................................................. 135 Core formulas (transparent and auditable) ................................................................................ 135 Inputs and sources (traceability).................................................................................................. 136 Assumptions register (editable ranges) ....................................................................................... 137 Worked example (illustrative flow; populate with local values) ............................................... 137 Sensitivity and scenario testing .................................................................................................... 137 Governance, assurance and publication ...................................................................................... 138 Distributional impacts (who benefits, who pays) ........................................................................ 138 Interfaces with other sections ....................................................................................................... 138 Metrics (dashboard alignment) .................................................................................................... 138 Risks and mitigations .................................................................................................................... 139 Governance, Assurance and Risk ......................................................................................... 139 Purpose and scope ......................................................................................................................... 139 Governance model (who decides, who delivers, who checks) .................................................... 139 Lines of assurance (how we know it’s working) ......................................................................... 140 Decision rights and escalation ...................................................................................................... 140 Privacy/AI conformance - gate criteria ..................................................................................... 140 Sanctions ladder (governance integration) ................................................................................. 141 Risk management (register, thresholds, actions) ........................................................................ 141 Red-team and rehearsal program ................................................................................................ 141 Stress-Tests & Counter-Capture ................................................................................................. 142 Whistleblowing and protections ................................................................................................... 142 Issue management (from detection to verified closure) ............................................................. 142 Audit and evaluation interfaces ................................................................................................... 143 Procurement levers and market shaping .................................................................................... 143 Industrial Relations & Insurance Brief ....................................................................................... 143 Metrics and indicators (governance dashboard) ........................................................................ 143 Interfaces with other standards ................................................................................................... 144 Risks and mitigations (summary) ................................................................................................ 144 Evaluation & Continuous Learning..................................................................................... 144 Purpose and scope ......................................................................................................................... 144 Principles ........................................................................................................................................ 144 Peer calibration (how we align judgement) ................................................................................ 145
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 10 Quality summaries (what we publish each quarter) .................................................................. 145 Standard refresh and sunset rules ............................................................................................... 145 Independent evaluation (external review) ................................................................................... 145 Research & Evaluation Partnerships .......................................................................................... 146 Continuous curriculum and tool updates .................................................................................... 146 Operational Aids - Consistency Prompts .................................................................................. 146 Red-team and rehearsal integration ............................................................................................ 147 Roles and responsibilities .............................................................................................................. 147 Where to get help / Artefacts & Templates (appendices index) ................................................ 147 Metrics and indicators (learning dashboard) ............................................................................. 148 Implementation (switch-on order) ............................................................................................... 148 Risks and mitigations .................................................................................................................... 148 Appendices (indexed) ............................................................................................................ 149 Appendix A - Restraint Hierarchy & Timekeeping Standard ................................................ 149 Appendix B - 72-Hour Learning Review Template ................................................................. 152 Appendix C - Fade Plan Template (Restraint-Reduction & Positive Supports) ................... 155 Appendix D - Handover & Medication Reconciliation Pack .................................................. 158 Appendix E - Minimum Two-Party E-Receipt JSON Schema (v1.x) ..................................... 162 Appendix F - Roster-to-Claim Cross-Check Rules .................................................................. 166 Appendix G - Sanctions, Reasons & Weighing (R&W), Contradiction Matrix, and Independent-Reasoning Certificate (IRC) .................................................................................. 169 Appendix H - Reasons & Weighting (R&W) ............................................................................ 173 Appendix I - Contradiction Matrix ........................................................................................... 178 Appendix J - Independent-Reasoning Certificate (IRC) ......................................................... 181 Appendix K - Accessible Plan Pack (Plain English + Easy Read) .......................................... 185 Appendix L - Weekly Community Schedule & Presence/Participation Tracker .................. 188 Appendix N - Interpreter/Auslan/AAC Toolkit ....................................................................... 195 Appendix O - First Nations Partnership MOU Template & Cultural Plan .......................... 198 Appendix P - Rural Micro-Hub Operating Pack & Tele-OSCE Protocol ............................. 203 Appendix Q - IDC Curriculum Map, EPA Logbook & OSCE Rubrics ................................ 207 Appendix R - Privacy, DPIA & Feed Registry ......................................................................... 214 Appendix S - Dashboard Tiles, Suppression & Publication .................................................... 218 Appendix T - Audit Log Specification ....................................................................................... 222 Appendix U - Red-Team Scenarios & Reports ......................................................................... 227 Appendix V - Peer Calibration Rubrics & Quality Summary Template ............................... 231 Appendix W - Evaluation Access Protocol................................................................................ 235 Appendix X - ROI Workbook Notes & Assumptions Register ............................................... 239
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 11 Appendix Y - Owner Matrix & Escalation Playbook .............................................................. 243 Appendix Z - Practice-Note Crosswalks (including “Thriving Kids”) ................................... 246 Appendix AA - Service Template & Crosswalks Library (download pack index) ............... 254 Crosswalks - the double A baseline standards............................................................................ 254 Templates - grouped by Appendix ................................................................................................ 255 Appendix AB - Pharmacy Psychotropic Stewardship Protocol .............................................. 264 Appendix AC - Dental Desensitisation Protocol ....................................................................... 269 Appendix AD - “Quiet Hours” Community MOU Template.................................................. 273 Appendix AE - Transport Staff Pocket Card ........................................................................... 276 Appendix AF - Assistive Technology (AT) & AAC Procurement Spec ................................. 279 Appendix AG - Tribunal/OPA/DSC “Candour by Template” Exemplars ............................ 284 Appendix AH - Fiduciary Safeguards & Financial Safety Pack ............................................. 288 Appendix AI - Industrial Relations & Insurance Brief Templates......................................... 292 Appendix AJ - Research & Evaluation Partnership MoU ...................................................... 297 Appendix AK - Operational Prompt Pack ................................................................................ 300 Appendix AL - Publication & Dashboard Schema (Public, Family, Provider) ..................... 306 Appendix AM - Public Narrative & Media Plan ...................................................................... 311 Appendix AN - Police Academy Integration Plan (Cognitive Disability Capability) ........... 315 Appendix AO - IDC Equivalency & Bridging Matrix ............................................................. 319 Appendix AO.1 - DSC Equivalency & Bridging Matrix ......................................................... 330 Appendix AO.2 - Tribunal Practice Note (Brief): Two-Key Guardianship .......................... 334 Appendix AO.3 - RPL Evidence Checklist (Recognition of Prior Learning) ........................ 338 Appendix AP - Two-Key Guardianship (specific) .................................................................... 341 Appendix AQ - OPA/OPG Investigations Code Addendum: Two-Key Guardianship ........ 347 Appendix AR - Procurement Direction & Independent Pairing Pool (IPP) Service-Level Agreement ...................................................................................................................................... 351 Appendix AS - Dashboard Tile Specifications: Two-Key Guardianship ............................... 353 Appendix AT - Talking Points & Q&A: Two-Key Guardianship .......................................... 355 Appendix AU - Bibliography ...................................................................................................... 357 Glossary & Acronyms ................................................................................................................... 359 Acknowledgements & References ................................................................................................ 370 Stewardship, Data Publication & Author Exit (governance declaration) ............................... 377 Afterword - Language, visibility, and what comes next .......................................................... 379 Appendix AZ - Legal, Risk & Publication Basis ...................................................................... 388
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 12
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 13 Foreword Seeing the Unseen: Framing for Professionals, Families, Frontline and the Person at the Centre For some people with a cognitive disability, daily life is lived in landscapes few of us can see. What may look like coping, routine, or “getting by” can mask a very different interior: confusion, dislocation, or a sense that what others experience is continuously/completely foreign. For some, there is no clear grasp of what is happening to them or to those around them - only fragments of awareness and shifting signals that are hard to interpret. For some people with a cognitive disability, the challenge isn’t only what is happening but when. Life can arrive a half-second late and out of order - like subtitles that don’t match the film. Words are heard, but the meaning lands after the moment has already moved on. By the time a reply is shaped, the topic has shifted and the social penalty has begun. What looks like silence or indifference is often a race against latency. The world also assumes a shared map. For some, the map redraws itself mid-journey: signals swap places, rules change without warning, background noise becomes foreground threat. Ordinary tasks carry a translation tax - decoding tone, filtering glare, sorting competing instructions - before the task itself even starts. Energy is spent on keeping up, not on moving forward. The person you see in the afternoon may be running on the last, thinnest thread because the morning’s “simple” interactions have already charged full fare. Much of the work is invisible. Many people learn to mask and cope in ways only they can - copying cues, laughing a beat late, rehearsing stock phrases - so others feel comfortable. The cost of that masking is misread as “behaviour” when it fails, rather than as a debt finally called in. Memory can be like chalk on wet pavement: present, then gone; effortful to hold; easy to smudge. Precision is possible, but it sometimes needs time, stable cues and one thread at a time. This is the difference most people never see: not a lack of care or capacity, but a constant mismatch between the world’s speed and the person’s processing. When we slow the clock, make meaning visible, and keep the ground rules still for long enough, the person’s world lines up with ours - and the distance many mistake for disinterest reveals itself as exceptional endurance. This level of aloneness does not stop with the individual. Those closest - parents, guardians, siblings, volunteers, support workers - often stand at the edge of that same terrain. They too can feel outside the circle, watching someone they love or support navigate realities that do not fully align with their own. The disconnect is shared, though differently: the ache of wanting to understand more, to translate more, to make belonging possible, and meeting the limits of language, systems, or patience. Most of society does not see this deeper level. They see services delivered, programs completed, or behaviours managed, without recognising the constant work of those who are
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 14 both present and yet placed on the outer. They do not see the quiet exhaustion of mothers and fathers, guardians who become accidental experts, learning the language of medical reports, behavioural plans, and tribunal hearings while holding together the daily rhythms of family life. They do not see the frontline worker who holds calm through a storm, steadying their own emotions while absorbing the weight of another’s distress, often without the resources or recognition the role deserves. They do not see the sibling who both loves and worries - who helps with care, adapts their own childhood or adulthood around another’s needs, and quietly carries the question of future responsibility. They do not see the sleepless nights where parents/ guardians replay the day’s events, wondering if they made the right decision; the hours waiting in clinics or on hold; the repeated telling of the same story to yet another professional who may or may not listen. They do not see careers, friendships, and personal ambitions traded away for constancy in care. They do not see the volunteers who show up again and again, binding their purpose to the fragile threads of another’s progress, often unnoticed by the broader community. This work - intimate, unrelenting, and rarely celebrated - sustains lives that might otherwise fall through the cracks. It is the unseen backbone of the cognitive-disability sector, carried not by systems alone but by the daily presence of those who refuse to step away, even when their own sense of belonging is strained and their own needs are pushed to the margins. Most of society also does not experience the gaps in legislation, the obstacles policymakers must negotiate, or the frustrations of those in hierarchical roles who are trying to make change. They do not see long hours spent drafting reforms only to have them delayed; compromises forced by budgets and competing priorities; quiet battles with outdated rules; the lobbying and pressure that bend decisions away from lived reality. They do not see the tension of responsibility for systems that are under-resourced, fragmented, and politicised; the weight carried by tribunal members making decisions with imperfect information; or the fatigue of senior managers who know the gap between policy intent and frontline practice but lack the levers to close it. Just as families and frontline workers stand on the outer in their own way, legislators, advocates, and administrators can feel on the outer within their own systems - caught between aspiration and reality. Their efforts, too, often go unseen, dismissed as bureaucracy rather than understood as attempts to inch forward a system never designed for such complexity. Beneath these disconnections lives something rarely named but always there: invisible hope. It does not rise from easy victories but from the strength it takes to keep moving - to try again, to show up again, to love again in ways that may never be fully understood or repaid. Those who live this daily aloneness model a kind of courage most of us will never have to find in ourselves. If we learn to see that courage clearly - not as deficit but as deep resilience - we can draw upon it. It can teach us how to shape better systems and better living, where no one’s interior world is written off as unreachable and where those who carry the weight of care are welcomed into the centre. You, reader, are the gift. You are the treasure. This paper is a call to courage and to responsibility: a reminder that what you have lived - the pain and the joy, the confusion and the clarity - can be turned outward as service that makes a difference. In doing so, you remind others they are not alone, and you help shape a more human world for all of us. Take a moment to recognise that - not in an egotistical way, but in truth. Many of us were raised to downplay our strengths. Yet to support, advocate, and care,
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 15 we must see clearly what we bring. Compassion, resilience, patience, determination, knowledge, skill: these are not small things. They shape lives. They let us stand between two worlds - the inner life of the person we love or support and the wider society that does not always know how to listen. Across Australia, too many people with cognitive disability still live behind closed doors, their days shaped by thin training, weak supervision and paperwork that stands in for life. In the worst cases, avoidable hospitalisations and preventable deaths have occurred. A small number exploit gaps in the system; far more are simply under-prepared and under-supported. Either way, quality of life is reduced, trust eroded, risk amplified. This white paper is written to change that now, not someday. It stands on the foundation of the Disability Royal Commission. The Commission set the direction for an inclusive Australia and produced a comprehensive reform blueprint. Our task is narrower and more immediate: to translate that direction into minimum operational standards that services, systems and professions can adopt now. This is additive, not adversarial: the Commission set the compass; this paper lays the track and signals, so people experience promised change in ordinary places, at ordinary times, with ordinary rights intact. We include Acquired Brain Injury because the realities of ABI - fluctuating capacity, cognitive-communication barriers, executive-function and sensory changes, fatigue, mood and behavioural impacts, mealtime and swallow risks, seizure vulnerability, and episodic health and justice contact - intersect heavily with intellectual-disability services, tribunals, and emergency systems. Integrating ABI avoids duplicate systems, honours person-first practice, and delivers one coherent standard across ID and ABI with role clarity, observed competence, and transparent results. This is a design-and-implementation tool, not a brochure. It weaves policy, economics, clinical governance, market design, behavioural science, data and AI, law, anthropology and ethics into a practical playbook. Every claim is paired with a method or measure readers can verify, adapt and improve. Where an ask for higher standards exists, examples also supply the means. A few core shifts signal the way forward. First, safety and dignity are the floor, not the ceiling: least-restrictive practice by default, with structured learning reviews after any restraint or sedation. Second, scope is earned by observed competence, not by title: preparation, supervised practice and renewal become the norm. Third, truth is restored by design: simple integrity tools make the truthful thing the easy thing and the dishonest thing hard to get away with. Fourth, presence in public becomes standard again: roles, routines and access that place people in ordinary places where life is lived - workplaces, clubs, libraries, faith gatherings, parks, markets - because communities get better at being communities when everyone is visible within them. A word to parents, families, guardians and volunteers. It can be confronting to accept that a loved one has a cognitive disability. Familiar responses - over-protection, constant worry, taking over because it’s quicker - are human, but they can lead to dependency and a reduced life. There is no handbook, and many are left to their own devices, guided by handed-down advice that was “satisfactory” - but was it? Our role is to love, embrace difference, nurture growth, set routines for healthy diet, movement and connection, and - most importantly - to recognise we will one day not be there. Our duty is to foster healthy independence that
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 16 outlives us. Nothing is “wrong” with who this person is. What is wrong is when we limit who they are to our fear or convenience. Offer real choices, ordinary places, and time to practise, and people grow. Take over, and lives shrink. Choose dignity of risk today: one choice offered, one ordinary place visited, one task done by them - not for them. They can adapt. We must meet them there. Starting now. “I will see the person first. I will not make them my shadow because it’s faster. I will offer real choices and time to practise in ordinary places. I will trade fear for best practice, rescue for coaching, control for dignity of risk. They can adapt. I can adapt. We will do this together.” This Standards Refresh is not a return to institutions, nor a continuing of the silent ebb into micro-institutions. It lifts the floor where life is lived - homes, streets, schools, clinics and courts. It hard-wires honesty into money and data, publishes what matters, and pauses scale when reality diverges from plan. Many people of position have climbed ladders without ever being taught this domain; the remedy is learning plus proof, not blame - and proof for everyone, including those who set policy, audit practice or decide rights. The work is difficult. It should be. Lives, dignity and futures depend on it. If we walk together - people and families, workers and providers, tribunals and advocates, funders and governments - we can build a protopia: better each year. A society where people with cognitive disability are present, known and thriving, and where those who stand with them are recognised as the professionals they become - because they proved it. The responsibility can be heavy; it can isolate; it can exhaust. It also carries the possibility of something extraordinary: to make meaning where none was offered, to ensure dignity where it was overlooked, and to create connection where silence might otherwise prevail. Invisible hope lives here. It is not loud or easy. It does not erase daily challenges. It persists in each small act of showing up again; in choosing to believe that a life on the margins deserves centre ground; in building bridges where words fall short. This paper is offered in that spirit - toward a society where no one is left unseen or unheard. This Foreword is a commitment in plain language; the pages that follow set out the changes, guardrails and timelines to make it real. Reader’s note (on difficulty & good faith) If parts of this paper feel on-point or off-base, either way it signals work to do - improve our systems or improve this paper. When the material feels heavy or dense, pause and return to the Foreword (or the Afterword). They’re built to reset bearings: why this exists, who it’s for, and how to use it next. Please test the ideas, correct them where needed, and carry the work forward.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 17 Salute to the Disability Royal Commission - and how this paper operationalises it This paper stands in respect of the Commission’s truth-telling and reform intent. Its contribution is operational: enforceable standards, time-bound reviews, field-tested tooling and publication rules that translate principle into daily practice. Two-Key Guardianship (no one decides alone) is the keystone that lets the rest work at pace and with safety. Concretely, it: • Stops unilateral, high-impact decisions by requiring two independent keys (or MPG quorum) for life-shaping calls, with a Tier-0 emergency pathway that acts fast and then reviews within 72 hours with a fade plan. • Makes least-restrictive measurable via a restraint hierarchy, time-keeping, and 72- hour learning reviews tied to the Two-Key rule. • Professionalises the frontline (IDC) with mapped curriculum, observed practice (OSCEs) and renewal - so the quality of each “key” is visible and improvable. • Embeds truth-by-design (two-party e-receipts; roster-to-claim cross-checks; proportionate sanctions ladder) so integrity is built-in, not bolted on. • Adds independent verification (DSC) and structured reasoning tools (Reasons & Weighings; Contradiction Matrix) that, together with Two-Key, yield appeal-ready records by default. • Separates coordination from provision and normalises switching, reducing conflicts and strengthening the independence of keys. • Publishes progress through privacy-safe dashboards, including Two-Key tiles (coverage, emergency use, reviews completed in 72h, time to second key). • Secures rural parity with micro-hubs, tele-co-sign/tele-OSCEs and scholarships so Two-Key is practical outside metros. [Cross-refs: Shared Decision Standard - Two-Key; Safety & Restrictive Practices Standard; Workforce Standard - IDC; Truth-by-Design Standard; Independent Verification Standard; Service Model Standards (life in community); Data, Dashboards and Privacy.] Design constraints - and how the standards meet them • Decision speed and safeguards. Two-Key uses an Independent Pairing Pool (IPP) with clear SLAs (urgent 2h/24h; standard 2bd/10bd) and a Tier-0 emergency path with mandatory 72-hour review - so speed never trades off safety. [See Appx AR (IPP SLA); Appx AS (Two-Key tiles).] • Equity and rural parity. Micro-hubs, tele-co-sign, tele-OSCEs, scholarships and practical travel supports keep regions viable. • Linguistic and cultural access. First Nations partnership, CALD/Auslan access, Plain English and Easy Read artefacts; cultural-fit pairing for the second key. • Privacy and safety. DPIAs for all flows; role-based access; suppression rules; immutable audit logs. • Interoperability and cost. Minimum open schemas; leverage existing systems; phased “switch-on” to avoid big-bang risk.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 18 • Time-to-value. Pilot → verify → publish → scale, with go/no-go gates tied to QA and privacy conformance. Where awareness breaks down today - and how this paper closes it The Royal Commission revealed critical gaps in awareness and practice across the disability ecosystem - gaps that leave people with cognitive disability vulnerable to systemic failings. These gaps appear at multiple layers, including but not limited to: • External review and oversight: Administrative Review Tribunal (ART); Federal Court (judicial review of ART/NDIA decisions); NDIS Quality & Safeguards Commission (Commissioner / Compliance & Enforcement); Public Guardian / Administrator (State Trustees). • NDIA decision and planning chain: NDIA CEO/Delegates (legal plan/funding decisions); NDIA Planners; Participant Support Officers (PSO); LAC / Early Childhood Partners (PITC); Regional/State/Executive Directors. • Provider management and clinical governance: Service/Operations Managers; Practice/Clinical Leads; Team Leaders; Behaviour Support Practitioners (Provisional/Core/Advanced); Senior Allied Health; Allied Health clinicians; Clinical Directors/Principal Clinicians. • Coordination and adjacent roles: Specialist Support Coordinators (Level 3), Senior/Lead Support Coordinators, Support Coordinators (Level 2), Support Connection (Level 1), Psychosocial Recovery Coaches, Plan Managers, ILO Designers/Facilitators, Justice/Hospital/Housing Liaisons, Community Connectors/Cultural Liaisons/Auslan Interpreters, Disability/Appeals Advocates. • Operational and entry roles: Senior Case Managers/Care Coordinators (legacy), Case Managers/Care Coordinators, Intake Coordinators/Service Navigators/Care Finders, Roster Coordinators/Schedulers, Support Coordinator Assistants/Team Admin. • Frontline workforce and natural supports: Direct Care/Disability Support Workers/Residential Support Workers/Mentors; Trainee/Entry-level workers; parents, guardians and volunteers. What this paper does in response: • Traceability by design. Each design choice in these standards directly answers a documented DRC risk or failure mode. o Two-Key Guardianship + IPP → ends single-actor decision risk; preserves urgency with Tier-0 + 72-hour review; creates a verifiable trail (independence screen; pairing timestamps). o IDC pathway → lifts capability and candour through observed practice, OSCEs and renewal - raising the calibre of each key across roles and settings. o Restraint hierarchy + 72-hour reviews → converts incidents into learning with fade plans and measured reduction. o Two-party e-receipts + roster-to-claim cross-checks → shifts integrity from after-the-fact to built-in. o DSC + Reasons & Weighings + Contradiction Matrix → improves transparency in contested matters and supports appeal-ready publication. o Independent coordination + easy switching → reduces conflicts and empowers families.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 19 o Dashboards + open schemas + DPIAs → enable public accountability without exposing personal data; Two-Key metrics include coverage, emergency rate, 72h review compliance, and median time to second key. o Phased implementation with micro-hubs → matches capacity to demand and protects rural access. o ROI workbook + publication cadence → aligns finance with outcomes and signals market quality. Invitation to the field. This white paper is a well-reasoned, well-researched proposal - and a catalyst. The paper invites ART, courts, the NDIS Commission, public guardians/administrators, NDIA roles (CEO to PSO), partners (LAC/EC), provider executives and clinical leaders, coordinators, plan managers, advocates, frontline workers, families and volunteers to use it as the basis for green-paper processes or collaborative refinement. The aim is shared: fewer blind spots, faster learning, and visible safety.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 20 What this paper is (status and how to use it) The Standards Refresh outlined here is already before decision-makers. The core source set - A_DSC_IDC_Reform_Blueprint.pdf, B_DSC_IDC_Policy_and_Legislative_Pack.pdf, C_Audit_Information_Pack_Guardianship_OPA_Investigations.pdf, D_IMPLEMENTATION_ORDER.pdf, and E_DSC_IDC_Two-Key_Guardianship_Pack.pdf - has been provided to Attorneys-General of Australia and Ministers in every jurisdiction, and to the responsible Commonwealth offices. These documents contain the legal, policy and operational blueprint instruments needed to begin. This paper explains, in plain terms, why those instruments sit with those who can change failing systems, and how to switch them on without waiting for slow, omnibus legislation. This design-and-implementation tool ensures every claim is paired with a template, method or measure so readers can verify, adapt and improve. URLs and graphs are presented in plain text so the document stays copy-and-paste clean while remaining interactive. Where the paper asks for higher standards, it also supplies the means: checklists, forms, calculators, dashboards and a cost-benefit workbook. Where it misses the mark, you - the reader - contribute to make it better. A walk-with Standards Refresh (not a push) “Push” invites resistance. This is a walk-with change: participants and families as narrators of evolving times; providers as co-design partners; tribunals and public advocates as guarantors of candour; funders and auditors as stewards of truth-by-design; governments as conveners who remove blockers and align incentives. Same standard, different pathways. Australia’s geography demands a design that still works when roads flood, planes are grounded and signals drop. We hold one national standard for safety and competence, delivered through IDC/DSC/Two-Key micro-hubs, mobile clinics, tele-OSCEs, quarterly satellite assessment hubs and offline-first integrity tools - so rural and remote communities receive the same quality without compromise. The progression succeeds only as collaboration, shoulder to shoulder. Four new primary standards, refresh and clear the pathway ahead: • From “Direct Care” to a Profession - what changes, what carries through • Coordination, Adjacent, and Operational Licence Classes - meet or bridge to the standard • Closing the reality gap - judiciary & oversight with DSC as the live bridge • Future-proofing with a simple failsafe: Two-Key Guardianship (no one decides alone).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 21 From “Direct Care” to a Profession - what changes, what carries through First, name what “Direct Care” has been When this paper states “Direct Care”, it is explicitly referring to the roles currently housed under that umbrella: • Direct Care Worker (DC) / Disability Support Worker (DSW) / Support Worker / Residential Support Worker / Mentor - Frontline • Trainee / Support Worker (Entry-Level) - Frontline These titles have carried the day-to-day weight of the system. The issue is not the people; it’s the label and lax scaffolding around the work. The central change: retire the label, professionalise the coalface Today, those titles can be the doorway to life-shaping acts without proof of observed competence in ID/ABI and associated cognitive disability fields of practice. Over time, a “fill-the-shift” economy emerged: thin training, inconsistent supervision, and scope-creep into safety-critical tasks. That operating model ends here. We retire the “Direct Care” label and replace the stream with an Integrated Disability Clinician (IDC) pathway that makes competence, supervision and re-validation visible. Integrated Disability Clinician (IDC) - the new baseline (runnable rules) • Title protection & pathway. The roles listed above transition into IDC Bands 1-3 with protected titles and mapped scope. No one works unsupervised on safety-critical tasks without the corresponding observed sign-off (OSCE/ EPA). • Minimum entry standard. No entry point sits below two years of mapped study (or a formally assessed equivalency/RPL). That is the basement, not the ceiling. • Observed competence (not paper promises). Mandatory OSCEs cover: mealtime safety/dysphagia; seizure response (incl. rescue-med delegation where lawful); medication safety; communication & AAC in conversation; Positive Behaviour Support fidelity; least-restrictive practice; documentation integrity. • Supervision you can see. Named supervisor with ratio caps; scheduled field observation; 72-hour learning reviews after Tier-0 events; and an outcome-weighted re-validation cycle. • Clear scope boundaries. Safety-critical acts (restraint, PRN psychotropics, guardianship-sensitive decisions) require Two-Key and documented Reasons & Weighings - never a single actor. • Public accountability. Publication tiles (Appendix S) expose competence coverage, supervision adherence, OSCE pass rates, restraint minutes and time-to-decision. Transition map (so people aren’t lost in the upgrade) Appendix AO-1…AO-3: Equivalency, Bridging Plans, RPL evidence.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 22 • AO-1 Equivalency Matrix. Maps each current “Direct Care” title (DC/DSW/Support Worker/Residential Support Worker/Mentor/Trainee) to the appropriate IDC Band with provisional scope. • AO-2 Individual Bridging Plan. Sets the shortest, safe path to full IDC sign-off (modules, supervised hours, OSCEs, cultural safety/AAC). • AO-3 RPL Evidence Checklist. Credits prior learning and competence fairly (work logs, supervision notes, incident reflections, family feedback). • Time-boxed uplift. Typical bridging window 6-18 months depending on evidence; paid study time and micro-credential blocks to avoid income shock. • Grandparenting with guardrails. Incumbents keep working within clearly bounded scope while they bridge; safety-critical tasks require paired sign-off until OSCEs are passed. • Title sunset. “Direct Care/DSW/Support Worker/Residential Support Worker/Mentor/Trainee” sunset as public-facing titles at the end of the transition window; internal HR may retain legacy codes for payroll only. • Appendix S: dashboard tiles & suppression rules. What ends vs what stays (plain) • Ends: shift-filling as a competency proxy; solo decisions on consequential matters; informal medication/PRN practices; undocumented use of restraint; opaque supervision. • Stays (and strengthens): the human core of the work - relationship, daily living support, dignity of risk, cultural humility - now backed by demonstrated proficiency, routine coaching, and publication-grade records. Coordination, Adjacent, and Operational Licence Classes - meet or bridge to the standard Scope of this clause. The following titles are in scope for uplift and licensing under this paper. Titles are grouped to make responsibilities, supervision, and independence-from- provision explicit. 1) Coordination & Adjacent Roles (licence class: COORD) Navigator stream (ranked, highest → lowest) • Navigator - Tier 3 (Specialist) (legacy: Specialist Support Coordinator L3) • Navigator - Senior / Lead (legacy: Senior / Lead Support Coordinator) • Navigator - Tier 2 (Coordination) (legacy: Support Coordinator L2) • Navigator - Tier 1 (Setup & Linkage) (legacy: Support Connection L1) Adjacent functions (parallel to Navigator - not rank-ordered) • Psychosocial Recovery Coach (parallel, MH-focused) • Behaviour Support Practitioner (clinical PBS; distinct clinical stream) • Plan Manager (financial intermediary) • ILO Designer / Facilitator (Individualised Living Options) • Justice / Hospital / Housing Liaison (incl. Discharge Planner) • Community Connector / Cultural Liaison / Auslan Interpreter
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 23 • Disability Advocate / Appeals Advocate Core guardrails (COORD): • Separation of coordination from provision (no direct financial interest in funded supports being coordinated). • Two-Key interface for consequential decisions they influence (moves to/from SDA/SIL; psychotropic initiation/continuation; restrictive-practice authorisations): must log Reasons & Weighings (R&W) and second-key details. • Navigator compatibility. Where Navigators are stood up, COORD licence maps to the Navigator ⇄ IDC handshake with warm handover obligations. • Observed practice. OSCE/EPA for: conflict-of-interest screening; R&W drafting; plain-English explanations; cultural safety and interpreter/AAC use; escalation to DSC; evidence-based referral. 2) Operational & Entry Roles (licence class: OPS) Multi-site / organisational ops (ranked, highest → lowest) • Regional / State Manager (portfolio leadership) • Operations Manager / Service Manager (multi-site) • Practice Manager / Clinical Lead (quality & safeguards across sites) • Quality & Safeguards / Compliance Manager (incidents, audits, standards) • Workforce / Rostering Manager (coverage, fatigue, continuity) • After-hours Duty Manager / On-Call (escalations) Site & small-cluster ops - SIL / group homes (ranked) • Service Manager (site or small cluster) / SIL Service Manager • House Manager / Site Manager / House Supervisor (often “SIL House Manager”) • Senior Support Worker / Team Leader • Disability Support Worker (DSW) / Direct Care Worker (DC) / Support Worker Front-door & admin (ranked) • Senior Case Manager / Care Coordinator (legacy → map to Navigator - Senior/Lead where appropriate) • Case Manager / Care Coordinator (legacy → map to Navigator - Tier 2 where appropriate) • Intake Coordinator / Service Navigator / Care Finder (legacy title set → remains OPS; interfaces to Navigator - Intake) • Roster Coordinator / Scheduler • Support Coordinator Assistant / Team Admin Core guardrails (OPS): • No scope creep into safety-critical decisions. OPS roles cannot authorise or co-sign restrictive practices, PRN psychotropics, or accommodation moves. • Gateway integrity. Intake/Navigation functions require OSCE for eligibility triage, warm handover, and e-receipt issuance.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 24 • Records you can publish. OPS must produce publication-ready artefacts (plain- English notes; time-stamped handovers; role-based visibility). Licence requirements - show equivalency or bridge All roles above (COORD, OPS), and the previously listed Behaviour Support Practitioner, SIL/Service Manager, House/Site Manager, Practice Manager, Quality & Safeguards Manager are required to either: 1. Demonstrate rigorous equivalency to the new standard o Mapped knowledge checks (legislation, least-restrictive, Two-Key, R&W, privacy/DPIA, cultural safety, interpreter/AAC). o Observed practice (OSCE/EPA) for role-specific tasks (see lists above). o Portfolio evidence (de-identified artefacts: plans, handovers, R&W notes, escalation records, calibration memos). or 2. Complete gap training + supervised practice o Individual AO-2 Bridging Plan with modules, supervised hours, and OSCE dates. o Time-boxed (typical 6-12 months COORD; 3-9 months OPS), with protected study time. o Provisional scope during bridging; safety-critical gates are non-negotiable (no co-signing until OSCE pass). Titles alone do not preserve scope. Transitional, time-limited RPL is offered to avoid disruption; public-facing titles are retained only where licence & OSCE are current. Independence, supervision, and conflicts • Independence from provision (COORD). Financial or managerial links to the provider being coordinated require declared conflict, DSC note, and alternate second key. Persistent conflict → switching is normalised. • Supervision ratios. Named supervisor with case-complexity caps; 72-hour learning reviews after Tier-0 events; quarterly DSC calibration (file-vs-field). • Cultural safety. First Nations partnership, CALD/Auslan access; cultural-fit pairing for the second key; interpreter/AAC triggers are mandatory. Sanctions & sunset • Non-compliance ladder: improvement plan → conditions on licence → suspension → de-registration (published). • Title sunset: legacy public titles that mask scope or independence (e.g., generic “Case Manager” used for coordination + provision) must migrate to COORD or OPS with explicit scope lines by the end of the bridging window.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 25 Closing the reality gap - judiciary & oversight with DSC as the live bridge Title housekeeping (who’s in scope). This clause covers two groupings whose decisions shape daily practice: A. External review & oversight (EO): • Administrative Review Tribunal (ART) - external merits review (members/registrars) • Federal Court - judicial review of ART/NDIA decisions • NDIS Quality & Safeguards Commission - Commissioner; Compliance & Enforcement • Public Guardian / Administrator (incl. State Trustees; OPA/OPG/NSWTG variants) • Ombudsman (jurisdictional) B. NDIA decision & planning chain (NDIA): • NDIA CEO / Delegates - legal plan/funding decisions • NDIA Planners - plan preparation/variation (for delegate approval) • Participant Support Officers (PSO) - case administration • Partners in the Community (PITC) - LAC / Early Childhood Partners • Regional / State / Executive Directors - operational leadership Problem statement - why top-down must cut through Oversight often lags the coalface. Evidence from audits, coronial findings, lived-experience testimony, incident reviews and frontline exit interviews shows a widening gap between what happens in homes, day programs and emergency settings, and what reaches tribunal members, OPA/OPG investigators, the Ombudsman, and NDIA delegates. Paper files are retrospective and curated; live practice is dynamic and uneven. Critically, those in higher positions are fed - and too often must rely on - information produced by those beneath them. When that information is inaccurate or selectively framed - and is then inadvertently condoned via desk reviews and cycling templates - nothing changes. Decisions anchored to titles, averages and assurances (rather than observed competence and live field signals) allow restraint to drift from “last resort” to routine, assume documentation integrity, and misread risk. A direct refresh of knowledge at the top - bypassing the usual information chain when needed - is not a slight on the workforce; it is a safety function. The DSC bridge, Two-Key verification, and file-vs-field calibration are the mechanisms that make that cut-through routine, auditable and fair. The Decision Support Consultant (DSC) - neutral, time-bound, field-verified Who appoints. The tribunal/ART, Public Guardian/OPA/OPG, Ombudsman or NDIA delegate appoints the DSC from a conflict-screened panel; never by the provider. What they do. The DSC tests file ⇄ field and returns verifiable signals EO/NDIA can rely on - usable in reasons, orders and sanctions. Verification domains (minimum): • Equivalency & scope verification. OSCE/EPA pass logs; re-validation dates; supervision notes; shadowed observations for Support Coordination (all levels),
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 26 Psychosocial Recovery Coaching, Plan Management, ILO design/facilitation, Justice/Hospital/Housing liaison, and for clinical/ops leads (e.g., BSPs, House/SIL Coordinators, Practice Managers). Scope is earned by competence, not conferred by title. • Integrity signals. Two-party e-receipts; documentation-integrity scores; roster↔claim reconciliations; Reasons & Weighings and the Contradiction Matrix to surface and resolve conflicts of evidence. • Restraint & crisis review. Automatic 72-hour learning reviews after any restraint/sedation; verification of mealtime/IDDSI, seizure protocols and medication reconciliation so EDs/wards never “start from zero”. • Calibration protocol. Quarterly double-blind file-vs-field reviews and scheduled shadowing days, so tribunals/guardians/ombudsmen see practice in situ, not only on paper. Access & powers (process-safe): • Role-based access (least-privilege); DPIA logged; person/family consent sought where required; cultural safety triggers (First Nations/CALD/Auslan). • Right to request contemporaneous materials (shift notes, rosters, MARs, BSP plans, CCTV where lawful), conduct interviews, and observe practice. • Ability to recommend Two-Key invocation or escalation to sanctions ladder where risk is immediate. Safeguards. DSCs are panel-appointed, conflict-screened, subject-led in method, and report with published methodology (not opinion). Findings feed licensing/scope decisions and public dashboards, lifting the market toward observed competence, transparent integrity and least-restrictive practice. Outputs the decision-makers can use (lay technical twin) Every DSC report ships with a Plain-English summary (for the person/family) and a technical annex (for EO/NDIA): 1. Scope & Competence Table - who is licensed to do what, next renewal due, gaps outstanding. 2. Integrity Pack - e-receipt coverage, roster↔claim anomalies, documentation- integrity score, unresolved contradictions. 3. Safety Pack - restraint minutes by type, 72-hour review completion, mealtime/IDDSI and seizure protocol conformance, medication reconciliation status. 4. Reasons Twin - a ready-to-attach Right-to-Reasons draft for EO/NDIA decisions/orders. 5. Fade & Switching Plan - least-restrictive trajectory, provider/key switching where conflicts persist. Order & decision templates (how EO/NDIA act on the signals) • Tribunal/ART order add-ons. “Two-Key required for [decision domain]; DSC re- check in 90 days; publish tiles S-## with suppression.” • Public Guardian directions. “Appoint alternate second key due to conflict; restrict scope until OSCE passed; schedule calibration visit.”
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 27 • NDIA delegate directions. “Navigator/COORD warm handover required; plan condition: e-receipt roster↔claim cross-checks; review in 60 days.” • Ombudsman resolution. “Undertaking: implement publication tiles; independent DSC audit; apology lay reasons to person/family.” Future-proofing with a simple failsafe: Two-Key Guardianship (no one decides alone). Too many consequential decisions about a person’s life, liberty, health, home, money or relationships are still made by one tired mind, often behind a closed door and under time pressure. Two-Key Guardianship is a humility rule as much as a safeguard. It asks us to pause long enough to bring in a second, independent mind - and to place the person’s will and preferences at the centre - before we change something that cannot easily be undone. In practice it is human and light-touch: two independent co-signers (or a small quorum where that is ordered) confirm the decision, write a short plain-English reason, and record the person’s wishes in their own words (with supported decision-making where needed). In an emergency we act to make the person safe first, then we explain and review within 72 hours so temporary measures do not become a quiet default. When facts are contested, an independent verifier checks file-versus-field so decisions stand up to daylight. Rural and regional families are not left behind: pairing can happen quickly and remotely when distance or conflict would otherwise stall a good choice. In plain terms, any consequential decision about a person’s life, liberty, health, home, finances or close relationships must be authorised by two independent keys (co-sign) or an MPG quorum. Each decision carries a short Reasons & Weighting note and a will-and- preferences record. Tier-0 emergencies allow immediate action to make safe, but must be logged within 24 hours and reviewed within 72 hours; contested or liberty-reducing matters trigger DSC file-vs-field calibration. Two-Key is not bureaucracy. It is an act of respect - for the person, for families, and for those who carry legal responsibility. It trades solitary certainty for shared judgement. It widens the circle just enough that power is less likely to miss the truth sitting in front of it. If we mean what we say about safety, dignity and ordinary lives in public, then we owe our best thinking - and we owe it together. How to use it now (no omnibus legislation required). Two-Key is switched on through existing levers: a Tribunal Practice Note, an OPA/OPG Investigations Code addendum, a Procurement Direction that stands up an Independent Pairing Pool (IPP) with a 72-hour pairing SLA (tele-co-sign allowed), and dashboard tiles that publish privacy-safe coverage and timeliness. Copy-ready templates (R&W short form, Will-and-Preferences, Tier-0 Log, DSC memo) are provided in the appendices so services and tribunals can adopt the same pattern on day one. Where it lives in this paper. Definitions and design principles name the safeguard; a standalone Shared Decision Standard - Two-Key Guardianship sets the rules; cross-links appear in Independent Verification, Governance/Assurance, Service Model, Data & Dashboards, and the Implementation Roadmap; appendices contain the practice note, code addendum, procurement/IPP SLA, dashboard specifications, and ministerial talking points.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 28 Why firmness - because this is the coalface, and every decision lands on a person’s life. The day-to-day micro-hierarchy around a person with cognitive disability - who plans, who decides, who documents, who shows up - sets the ceiling on their life. If that hierarchy tolerates thin knowledge, weak supervision, loose ethics, or paper competence, the most regular, trusted contact will fail by design. Care is a given; evolution is the right: visible presence in community, real roles, relationships, health, learning, contribution. We already demand rigour where the stakes are obvious; we must do no less here. Ask yourself: would we accept an air-traffic controller with weekend courses guiding crowded skies; an electrician wiring a hospital after a handful of online modules; a childcare educator without observed practice and renewal; a paramedic cleared for ketamine without live simulations and sign-offs; a bridge engineer stamped competent on the strength of a title, not a test; a chef handling severe allergens without drills and consequence; or a pilot, firefighter, nuclear-medicine tech, or power-grid operator whose licence never expires? Of course not - because lives and futures depend on mastery being proven, re-proven, and supervised. Cognitive disability practice carries the same stakes - and the risks are concrete: aspiration and choking at mealtimes; unmanaged seizure thresholds and status epilepticus; medication interactions and cumulative sedation; chemical and mechanical restraint drifting into unlawful practice; positional asphyxia; missed dental infections tipping to sepsis; untreated pain presenting as “behaviour”; domestic-violence escalation during “welfare checks”; homelessness or criminalisation when supports break; financial abuse through poor safeguards; guardianship orders or restrictive placements that were avoidable; lost schooling, lost work, lost relationships. Titles cannot substitute for required competence; loyalty cannot substitute for learning. The IDC, DSC and Two-Key standard aligns this field with every other high-stakes vocation: deep preparation, specialised knowledge, observed competence, real supervision, periodic renewal - and reasons you can publish. For too long, safety has been treated as a checkbox: meet the minimums, hit the KPI, file the protocol. That is not safety; it is paperwork. When high-stakes professions harm someone’s future, there are consequences. This standards refresh resets the standard to match the stakes: Personhood first, not paperwork: safety is the beginning, not the ceiling; the aim is the ongoing of life - health, relationships, roles, learning, presence in public. Outcomes over optics: KPIs describe real life (mealtime safety passed, seizure plan used, community presence achieved, communication access working, foundational health standards met), not just completed forms. Duty of care with teeth: temporary de-rostering on serious failure; loss of licence for repeated or egregious breaches; 72-hour learning reviews after restraint/sedation; morbidity and mortality reviews for serious harm; civil liability and, where warranted, criminal referral; documented remediation plans monitored by an external supervisor; restitution and supports for the person.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 29 Transparency by default: public, de-identified dashboards; published sanctions; phoenix controls to stop re-branding around failures. Everyday health foundations: (so restraint is not the only lever) A regulated healthy diet, regular exercise, movement or physio, sleep hygiene and social connection are not extras; they are the floor for wellbeing and for reducing behaviours of concern. Overuse of hand-held devices and certain social-media patterns is now associated with measurable cognitive, mood and sleep impacts across populations. We are not returning to the past; we are evolving practice: scheduled breaks, supported alternatives and digital habits that protect attention, sleep and motivation - so healthy minds match healthy bodies. These standards must live in supervision, rosters, handovers and reviews, or they do not exist. People with cognitive disability deserve the same respect society gives to passengers on a plane, patients in an operating theatre, children in early learning and families driving across a bridge: deep preparation, observed competence, real supervision and consequences when standards are broken. Minimums are not enough. The IDC, DSC and Two-Key standard makes sure our systems act like lives and futures are on the line - because they are. Presence in public - from restoration to upgrade Decades ago following the deinstitutionalisation era people were visible in public life: tailored jobs and micro-enterprises; clubs and teams; libraries and galleries; faith gatherings, markets and parks. Plans were living documents across work and learning, recreation and fitness, food and sleep, communication and relationships, travel and way-finding. In too many places, that visibility has faded. Minimal qualifications, risk-averse routines and a fill- the-shift economy have pulled people back indoors. We are not “going back”. We complete the original turn outward and upgrade it - from sporadic outings to a measurable, everyday presence in ordinary places; from program notes to roles that change local economies and local culture for the better. Why presence pays - the inclusion dividend (for everyone)… When people with cognitive disability are out and about - as neighbours, customers, co- workers, volunteers, artists, athletes, committee members - whole communities get better at being communities. Person-led choices reflect interests and pace (fandoms, faiths, subcultures, hobbies), not staff convenience. Supported risk: “ordinary risks” are managed, not avoided; learning plans trump “no” plans. The benefits are real, local and compounding: • Micro-economies grow. • Community capability scales up. • Culture and trust deepen. • Public systems get smarter (and cheaper). • Fewer crises: skilled, everyday presence reduces police/ED call-outs, emergency sedations and preventable admissions.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 30 Better handshakes: regular contact with GPs, dentists, pharmacists, libraries, sports clubs and transport catches small issues early. Stronger democracy: councils, boards and juries that include people with disability make better rules for everyone - plain language, practical signage, uncluttered processes. We operationalise presence (and prove it) • Make presence part of the job. • Make access part of the place. • Make the economics visible. • Keep dignity central. Upgrade as a baseline We finish the original project and future-proof it: person-first practice that is public, patterned and measurable; roles that create value; access that benefits everyone; and a feedback loop that keeps improving because it is seen. Presence is not a nice-to-have. It is the operating system of an inclusive society and a growing local economy - and people with cognitive disability are co-designers, not passengers. Where micro-institutional settings have pulled people back behind closed doors, this paper makes community presence a standard, not a luxury. It introduces a Community Presence Index (CPI) and a minimum out-of-home participation floor (with clinical exceptions documented), and rewires workforce, funding and accountability so participation is measured, learned from and improved - in public, not only at home. Integrity by design (the “white elephant” problem, plainly) Across the system, dishonesties and routine corner-cutting have crept in. Habits shift compasses; requests and claims are inflated “just in case”; capacity is “held”; budgets lean on stretched or stale assumptions; rosters and claims do not match; incident notes protect the service first. Good people get used to bad habits because “that’s how it works”. When everyone quietly moves the goalposts, public trust collapses and the person with disability pays the price. Why it happens (no scapegoats) Uncertainty: funding rules change, people fear being left short, so they over-ask. Perverse incentives: paying per hour without strong checks invites hour inflation. Complexity: many systems and logins, manual data entry, staff churn - mistakes become drift. Fear: workers worry that honest reporting will trigger blame, so problems are hidden. The fix: treat honesty like engineering, not preaching We redesign the system so the truthful thing is easy and the dishonest thing is hard. Five tools do the heavy lifting: 1. Two-party e-receipts (participant/nominee and worker) with time/date/location, accessible attestation for AAC users, and 48-hour sync.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 31 2. Roster-to-claim cross-checks for impossible hours, duplicate providers, travel anomalies, price gaps and frequency drift. 3. Documentation integrity via a gold-standard note exemplar, a scoring rubric and randomised audits that feed supervision. 4. A visible sanctions ladder with phoenix controls and published debarments for repeat or egregious conduct. 5. Protected whistle-blower channels and targeted incentives for substantiated cases. Truth is restored by design, and it stays restored because people can see the system telling the truth. A one-minute example (before and after) Before. A worker finishes a shift at 3:30 pm but claims 4:00 pm. The roster shows 3:30; the invoice shows 4:00; the participant never sees either. The claim is paid. Over time this “half- hour” becomes normal. The person’s plan runs short. Family wonders why. After. At 3:32 pm the worker opens the app. It shows start 1:01 pm, end 3:32 pm, location “Park and Library”, and two bullet points: “bus travel training” and “library membership created”. The participant presses “Yes” on the AAC screen. Both receive a copy. When the provider submits the claim, the system cross-checks: roster 1:00-3:30 vs e-receipt 1:01-3:32; difference under five minutes - auto-OK. If it had been 30 minutes over, it would flag for quick correction. No guesswork. No padding. What this is not • Not “gotcha”. The aim is accuracy, not punishment. • Not surveillance of private life. GPS confirms work, not personal movements. • Not extra paperwork. E-receipts replace paper timesheets and cut disputes. • What gets published (so trust can grow) Quarterly, de-identified dashboards will show: percentage of claims backed by two-party e- receipts; error rate by category (time, location, price, duplicate); correction and recovery amounts; documentation integrity pass rates by provider; sanctions taken (counts by level) and phoenix blocks applied; whistle-blower reports received and actions taken; and positive indicators (fewer repeat hearings, fewer ED presentations) linked to integrity. Emergency and justice interfaces - least-restrictive by default Defaulting to chemical or physical restraint - or to sedate first and ask questions later - is not a future we should accept. The standards refresh embeds a crisis standard that prioritises de-escalation, communication and low-arousal approaches; requires standard handover templates for mealtime/IDDSI, seizure protocols and medication reconciliation so EDs and wards, emergency services and first responders never “start from zero”; and mandates automatic 72-hour learning reviews for any restraint or sedation across police, ambulance and health. Custody health mirrors these checks and ensures continuity on release. Financial, human and future dividends The fiscal case is strong on conservative settings. Year-one savings flow from fewer repeats and appeals, avoided crises and hospital presentations, and integrity uplift; compounding
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 32 benefits accrue as dashboards, enforcement bulletins and transparent licensing shift demand toward competent providers. Safety improves when mealtime, seizure and medication competencies are assessed, not assumed. Dignity rises with communication access and least- restrictive practice. Participation grows when presence is required, planned and supported by people with real scope and supervision. Family and worker trust returns when contradictions are resolved in view and services tell the truth in real time. Future-proofing with guardrails The refresh anticipates the increasing role of AI and analytics. Guardrails are explicit: model documentation, decision logs, human-in-the-loop for consequential calls, bias and drift checks with quarantine thresholds, privacy-by-design and an explicit kill-switch. Automation supports human judgement; it never replaces it where rights are at stake. Systems, not scapegoats This paper is about systems, not blame. Rapid, quota-driven hiring, variable induction and weak supervision have touched many providers across all demographics. The answer is not to single out groups; it is to lift the standard for everyone, require observed competence before scope, and pay properly for hard, high-skill work. Volunteers remain welcome as Accredited Community Allies - trained for inclusion with zero clinical scope, operating under IDC supervision. Good intention is honoured; safety is protected. The minimum bar for entry and renewal • No coalface role sits below two years of mapped study or an assessed equivalent. • Observed practice is mandatory: OSCEs for safety-critical skills and field observations each cycle. • Re-validation every three years; high-risk modules refreshed on 24-36-month cycles. • Transitional RPL is time-limited and conditional; safety OSCEs are never waived. • Independence and conflict rules are enforced: coordination is not bundled with provision; behaviour-plan authorship/implementation are separated from authorisation by time-limited panels. Dignity, difficulty and proper pay This vocation is among the hardest: intimate personal care; communication across diverse modalities; behaviour understood and supported; vigilance in bowel, skin, sleep and nutrition; risk management in ordinary places; crisis de-escalation; and the patience to build roles and relationships over months and years. We do not ask average people to carry this load without proficiency and qualification, supervision and fair wages. Higher pay tied to observed competence and renewal is overdue - and funded by savings already leaking from weak practice and weak integrity. Person-first, in public - again Deinstitutionalisation in Australia wasn’t a switch we flipped; it was a long unravelling that actually began in the 1950s and 60s, when people were discharged from psychiatric hospitals into communities that mostly weren’t ready for them. Through the 70s and early 80s a coalition of psychiatrists, psychologists, families and advocates pressed for a different future, and the idea of care-in-community began to take shape. The Richmond Report in New South
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 33 Wales (1983) put words to that shift, urging the staged closure of large institutions and investment in community supports. A decade later the Burdekin Report (1993) named the human rights failings of the old system and cemented the national direction. By the late 1990s and into the 2000s most of the big hospitals were gone - Victoria, for example, closed all fourteen of its standalone psychiatric hospitals between 1994 and 2000 - and group homes, clinics and community teams became the norm. But the bricks came down faster than the bridges went up. Too often the new supports were thin, patchy or late, and many people and families were left to navigate gaps that policy hadn’t yet closed. That mixed legacy matters. We did the right thing by stepping away from life behind locked doors; now we finish the job by making life in public real - funded, staffed, and proven in ordinary places. We recommit to a society where people with cognitive disability are seen, known and expected in community, because that is how barriers of culture, class, fear and ignorance finally fall; how “different” becomes familiar; and how we move from arguments about “fitness” to an ethic of care that lifts us all. This demands the compassion Andrew Boyd names - “strong enough to love the world, yet empty enough to sit with its worst horrors” - but redirected: no more sitting with horrors. Design them out, prevent them, and repair what they’ve broken. In plain Australian terms: if we all “put in”, every boat can rise.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 34 Executive Summary What changes now • Dissolve “Direct Care” titles. Every coalface role moves to the Integrated Disability Clinician (IDC) pathway with mapped curriculum, observed practice, and periodic renewal (OSCEs field observation). [See Workforce Standard - Integrated Disability Clinician (IDC).] • Make “least-restrictive by default” real. Adopt a restraint hierarchy with timekeeping and mandatory 72-hour learning reviews. [See Safety & Restrictive Practices Standard.] • Build truth-by-design. Two-party e-receipts, roster-to-claim cross-checks, and a proportionate sanctions ladder - less paperwork, more integrity. [See Truth-by-Design Standard.] • Add independent verification. A Decision Support Consultant (DSC) function provides file-vs-field calibration in contested/high-risk matters and supports published plain-English reasons. [See Independent Verification Standard.] • No one decides alone (Two-Key Guardianship). Consequential decisions about a person’s life, liberty, health, home, finances or relationships require two independent keys (co-sign) or an MPG quorum (multi-person guardianship: 2/3 for most decisions; 3/3 where liberty is reduced). A short Reasons & Weighting note and will-and-preferences record accompany each decision; DSC calibration is engaged for contested/high-risk calls. Emergencies run on a Tier-0 exception (make safe), logged within 24 hours, with a 72-hour learning review. • Separate coordination from provision; make switching easy. Plans and dashboards in Plain English and Easy Read. [See Service Model Standards (life in community).] • Deliver in phases using existing powers (practice notes, procurement, program rules) with transparent dashboards - no omnibus legislation required to pilot. [See Implementation Roadmap (Switch-On Order).] Why this matters The coalface worker is often the most regular adult in a person’s week. Proficiency, judgement, and ethics at the frontline predict safety, presence in ordinary places, and long- term outcomes. Current infrastructure lacks adequate solution. A person-first standard with real practice (not screens-as-care, not restraint as default) improves health, belonging and contribution - in public, not hidden at home. [See Service Model Standards (life in community) and Evaluation & Continuous Learning.] Year-one effects (base case) • Fewer repeats/appeals; avoided sentinel events; fewer preventable hospitalisations and ED presentations; reduced medication misadventures. • Measurable uplift in community presence (minutes/hours in ordinary places), goal attainment, and carer confidence.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 35 • Market shift toward competent providers through visible quality signals and calibrated verification. [See Finance & ROI Case and Appendix: Finance & ROI workbook notes.] Guardrails • Supported decision-making; least-restrictive tests embedded in hearings/program rules; published reasons with an auditable “Reasons & Weighting” template. • Independent DSC calibration (file-vs-field, not title-vs-title); plain-language appeal pathways. [See Independent Verification Standard; Truth-by-Design Standard; Governance, Assurance and Risk.] • Two‑Key Guardianship failsafe: co‑sign coverage ≥ 98%; median co‑sign ≤ 48h; Tier‑0 exceptions documented ≤24h and reviewed ≤72h; rural parity via a state-wide Independent Pairing Pool (IPP) with 72‑hour pairing SLA (tele‑co‑sign permitted); privacy‑safe publication with n<5 suppression. White paper basics: • If you need the “what changes now” view: Start with the Executive Summary. • If you deliver services: Read Workforce (IDC), Safety & Restrictive Practices, and Truth-by- Design, then check Implementation Roadmap for sequencing. • If you oversee decisions: Read Independent Verification Standard and Governance, Assurance and Risk. • If you measure outcomes or fund programs: Read Data, Dashboards and Privacy; then Finance & ROI Case and Evaluation & Continuous Learning. • If you are a family or supporter: Start with the Foreword and Service Model Standards (life in community), then the Easy Read, Crosswalks elements and family-view dashboard notes. This white paper is layered on purpose: • Main body - what to do and why. • Appendices - detail, tests and standards when the body isn’t enough. • Crosswalks & Templates - ready-to-use tools when the appendix still isn’t enough. Together they provide a baseline, not a ceiling. Use them as a starting point you can extend, localise and improve - provided changes remain auditable and consistent with the standards in this paper.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 36 Purpose, Scope and Audience Purpose This white paper translates principles into enforceable, auditable, day-to-day standards for people with intellectual disability (ID) and acquired brain injury (ABI) and closely related cognitive-communication conditions. It does this by: • Professionalising the frontline via the Integrated Disability Clinician (IDC) pathway (mapped curriculum, observed practice, renewal). [See Workforce Standard - Integrated Disability Clinician (IDC).] • Making least-restrictive the default through a restraint hierarchy, timekeeping, and mandatory 72-hour learning reviews with fade plans. [See Safety & Restrictive Practices Standard.] • Embedding truth-by-design (two-party e-receipts, roster-to-claim cross-checks, sanctions ladder) so integrity improves without extra paperwork. [See Truth-by- Design Standard.] • Adding independent verification through a Decision Support Consultant (DSC) function that calibrates file-vs-field and supports published plain-English reasons. [See Independent Verification Standard.] • Publishing progress on open dashboards so families, services and ministers can see change in real time. [See Data, Dashboards and Privacy.] What success looks like • Safety and rights: Avoided sentinel events; fewer restrictive minutes per 1,000 support hours; timely 72-hour reviews; documented alternatives; fewer medication misadventures. • Presence in ordinary places: More minutes in community settings; improved goal attainment; stronger carer confidence. • Market quality: Higher IDC competence signals; visible verification; reduced fraud/error through e-receipt coverage. • System learning: Quarterly publication, peer calibration, red-team stress tests; fewer repeats/appeals. [See Evaluation & Continuous Learning and Finance & ROI Case.] Scope (what’s in) • People: Children (incl. developmental delay), adolescents and adults with ID/ABI and related cognitive profiles; their families and supporters. Priority cohorts: First Nations; CALD/Auslan; AAC users; paediatrics; justice-involved; people at risk in mealtime/IDDSI and psychotropic contexts; rural/remote.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 37 • Settings: Home and community; education; primary and acute health; ED and planned care; transport; justice interfaces (police, courts, custody/corrections, release); out-of-home care/child protection; housing/homelessness; mobile clinic/telehealth; rural and remote. • Standards and tools: IDC workforce standard; restraint hierarchy and 72-hour learning reviews; DSC file-vs-field verification; Two-Key Guardianship; Right-to- Reasons, IRC and Contradiction Matrix; AA Crosswalks; R-series DPIA & AI safety; S-8 publication/change-log; T-series provenance/audit; e-receipts (E-series) & roster↔claim cross-checks (F-series); psychotropic stewardship (AB-series); dental (AC-series); transport (AE-series); police integration (AN-series); accessible plans (K-series); interpreter/Auslan/AAC (N-series); First Nations partnership (O-series). • Participation & consent: Supported decision-making; navigator coverage; least- restrictive fade; plain/Easy Read reasons. • Measurement & release: Tiles with quarterly cadence; small-cell suppression for public outputs; visible change notes (S-8). • Time horizon: Immediate pilots; 12-24-month scale-up; 36-60-month consolidation and refresh. • Policy alignment: Integrates with mainstream early-supports (e.g. early childhood streams) without waiting for omnibus legislation. [See Implementation Roadmap (Switch-On Order).] Boundaries (what’s out) • Funding instrument design and eligibility architecture (NDIS/Medicare settings). We’re not redesigning how money flows or who qualifies. That’s a government job. Instead: we define the practice standards and interfaces that work with whatever funding rules exist. • Clinical prescribing/treatment guidelines beyond safety, stewardship and hand- over requirements. We don’t tell clinicians what drug or therapy to choose. Instead: we set safety rails (e.g., psychotropic stewardship, mealtime/IDDSI) and clean hand-over expectations. • New jurisdictions or statutory powers. We’re not creating new courts/regulators or changing legal powers. Instead: we specify standards, verification, and publication that fit within today’s powers. • Procurement/vendor selection or bespoke IT builds. We don’t pick products or build custom platforms. Instead: we provide minimum data specs, APIs, and templates any compliant tool can implement.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 38 • Individual case decisions or legal advice; industrial relations policy; building/compliance codes. We won’t judge single cases, give legal advice, set pay/award policy, or rewrite building codes. Instead: we supply decision-quality tools (Right-to-Reasons, IRC, Contradiction Matrix) and point to the correct external rules. • Collection of identifiable data beyond DPIA-cleared minimum; all public releases apply small-cell suppression. We don’t collect or publish more personal data than necessary. Instead: we follow DPIA, hash/provenance patterns, and suppress small cells in public releases. • Where relevant, this paper specifies interface requirements and hand-over standards rather than rewriting adjacent systems. We connect to health, justice, education, housing as they are, with clear “who hands what to whom, when, and how”. We publish crosswalks and templates that make those joins safe and auditable - no system rewrites required. Audience • People and families: Plain-language orientation, Easy Read cues, and family-view dashboards to support choices and dignity of risk. [See Service Model Standards (life in community).] • Frontline workforce: IDC candidates and supervisors - how to meet the standard, pass OSCEs, and maintain renewal. [See Workforce Standard - Integrated Disability Clinician (IDC).] • Providers and commissioners: Procurement, onboarding, audit/assurance, sanctions ladder, and publication rules. [See Governance, Assurance and Risk.] • Tribunals, public advocates /trustees and ombudsman services: Reasons & Weighting template, Contradiction Matrix, DSC calibration, and publication of plain- English reasons. [See Independent Verification Standard.] • Ministers and central agencies: Delivery milestones, dashboards, ROI workbook, and risk controls. [See Finance & ROI Case; Implementation Roadmap (Switch-On Order).] Non-negotiables • Person-first and least-restrictive by default. Start with what the person wants and can do; choose the smallest, safest support that works; fade controls quickly.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 39 • Truth-by-design controls, not after-the-fact fixes. Build verifiable steps into the work (timers, double-checks, hashes, logged reasons) so errors surface early and visibly. • Independent verification with published reasons. A second, independent reader checks the file and field match; a short Right-to- Reasons note is published (plain technical). • Separation of coordination from provision; easy switching. The coordinator isn’t the provider. If care isn’t working, the person can switch with a warm hand-over and no penalty. • Equity and rural parity. First Nations partnership is built in; CALD/Auslan and AAC are offered up-front; rural services get micro-hubs, tele-OSCEs, and scholarships so quality matches metro. • Privacy-by-design and open, auditable data. Collect the minimum data, run a DPIA, hash and log changes, and apply small-cell suppression; publish de-identified tiles and visible change notes. Terminology and conventions • IDC (Integrated Disability Clinician) knowledge requirement The practitioner trained to the IDC standard (assessment, communication access, least-restrictive practice, 72-hour learning). • DSC (Decision Support Consultant) A neutral verifier who tests “file vs field”, runs the contradiction matrix, and attests reasons (does not provide the service they verify). • Two-Key Guardianship High-impact decisions require two independent “keys” (roles) to agree, with abstention and a reversible warrant; emergencies are time-boxed and reviewed within 72 hours. • Review Unless stated otherwise, means a 72-hour learning review using the B-series templates (facts → why → what changes). • E-receipt A two-party attested receipt (provider family/authorised person) with role-based visibility, tied to the audit log and small-cell publication rules.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 40 Method (for readers who want the blueprint behind the blueprint) Upgrade the 12-24-month ROI plan into a systems-grade program that integrates policy, economics, clinical governance, market design, behavioural science, data/AI, law and ethics - so choices are coherent, trade-offs transparent, and results verifiable in public. Method Open methods, named controls, publishable signals (OSCE curriculum map; restraint timekeeping and 72-hour reviews; e-receipts coverage; CPI movement; MIS/IRC use; DSC calibration variance). [See Implementation Roadmap (Switch-On Order); Data, Dashboards and Privacy; Evaluation & Continuous Learning.] Scope & Boundaries • Who. Children, young people and adults with cognitive disability (ID, ABI and related profiles), their families, and the frontline workforce. • Where. Mainstream and specialist settings - home, community, education, health, justice, rural/remote. • In-scope. Workforce standards (IDC), least-restrictive practice, truth-by-design controls, independent verification, dashboards, finance/ROI, and governance. • Out-of-scope. Benefit design; long-form legislation changes (pilots rely on existing powers); clinical prescribing protocols (except restraint hierarchy, handover and monitoring). • Sequencing. Pilot > verify > publish > expand; avoid “big-bang.” [See Implementation • Roadmap (Switch-On Order).] Design principles • Person-first, least-restrictive by default. Reduce and eliminate restrictive practices; time-bound learning reviews; fade plans. [See Safety & Restrictive Practices Standard.] • Truth by design, not after-the-fact. Two-party e-receipts, roster-to-claim cross- checks, sanctions ladder; publish quality signals by default. [See Truth-by-Design Standard.] • Independent verification. DSC calibration attached to tribunal/public advocate Reasons & Weighting and a Contradiction Matrix. [See Independent Verification Standard.] • No one decides alone. Where a decision would materially affect life, liberty, health, home, finances or close relationships, it is authorised by two independent keys or an MPG quorum, with a plain‑English reasons note, a will‑and‑preferences record, and contestability through DSC calibration. • Equity and rural parity. Micro-hubs, tele-OSCEs, scholarships; CALD/Auslan access; First Nations partnership. [See Equity, First Nations Partnership and Access.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 41 • Separation of powers in services. Coordination independent from provision; easy switching; dashboards for families. [See Service Model Standards (life in community).] • Open, privacy-safe data. Minimum schemas, suppression rules, DPIAs, immutable audit logs. [See Data, Dashboards and Privacy.] • Calibration and renewal. OSCEs; licensure register; de-rostering rules; quarterly peer-review; red-team stress tests. [See Governance, Assurance and Risk; Evaluation & Continuous Learning.] Policy alignment signal (why this is timely) The Commonwealth’s Thriving Kids initiative (0-8, mainstream early supports) and related reforms provide a natural entry point for pilots and funding alignment commencing 1 July 2026. The program is designed to plug into these cycles rather than wait for omnibus legislation. [See Implementation Roadmap (Switch-On Order).] [See “Independent Reasoning Certificate”] Spotlight: reasons & appeal-ready records Why this matters now People cannot appeal what they cannot see. An order is only “appeal-ready” once the record is served. This paper provides transplant-ready templates and a short model clause that pauses (“tolls”) the appeal clock until the full record is in hand. Minimum “appeal-ready record” 1) Written reasons (plain-English and Easy-Read if requested); 2) Reasons & Weighings (R&W) table that shows how evidence was balanced; 3) Contradiction Matrix entry where file vs field realities diverge; 4) Independent Reasoning Certificate (IRC) signed by the decision-maker or reviewing officer; 5) Schedule of exhibits / relied material (with any sensitive redactions itemised). Model rule (short) The time for any review/appeal does not begin to run until service of the complete appeal- ready record listed above. Publication cadence De-identified reasons + R&W tables are published quarterly, with tile counts (reasons issued; time-to-reasons; % with IRC) on the public dashboard. See also • Open reasons & appeal-ready records • Templates: R&W table; Contradiction Matrix; IRC • Dashboard tiles: reasons publication, time-to-reasons, restraint minutes
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 42 Small policy-tracker tab Item / Review Status (short) Link Last check QLD QCAT Act review 2025-26 Open; papers Sep-Nov 2025; final report due 30 Apr 2026 https://www.justice.qld.gov.au/initi atives/qcat-act-review-2025-26 11 Sep 2025 WA LRCWA Project 114 - Guardianship & Administration Discussion Paper Vol 1 released; review in progress https://www.wa.gov.au/government /publications/project-114- guardianship-and-administration 11 Sep 2025 VIC VCAT Practice Notes (reasons, common procedures) Practice notes in force; reasons guidance via PNVCAT1 https://www.vcat.vic.gov.au/practic e-notes 11 Sep 2025 Those outside the early-years stream - how we close the gaps • Age 9-17 (school-age). Avoid “ageing out” cliffs; embed school-community practice with coordinated IDC support. • 18+ and older adults. Smooth transitions, employment-readiness, community presence targets, and health/medication reconciliation. • Justice and acute interfaces. Standard handovers; hospital/ED reconciliation; custody/corrections continuity. [See Service Model Standards (life in community); Safety & Restrictive Practices Standard; Data, Dashboards and Privacy.] Ethics, rights, privacy and AI • Rights & least-restrictive tests. Mandatory review triggers, documented alternatives, family/guardian visibility. • Privacy & DPIA. DPIAs for all data flows; open schemas with role-based access; immutable logs; family-view dashboards (with suppression rules). • Human-in-the-loop analytics. No black-box decisioning; published model cards where analytics are used. [See Truth-by-Design Standard; Data, Dashboards and Privacy.] Measurement, milestones & go/no-go gates Dashboards (quarterly). Licensing and OSCE pass rates; CPI change; restraint minutes/1,000 support hours; review compliance; e-receipt coverage; visibility in ordinary places. (Family view and public tiles with suppression rules.) Milestones. • 0-3 months: Practice notes issued; DSC service stood up; e-receipt pilot; restraint timekeeping live; dashboard v1. • 3-6 months: First OSCEs; early rural micro-hubs; tele-OSCEs; sanctions ladder in force; tribunal Reasons & Weighting templates mandated. • 6-12 months: Scale pilots; publish de-identified dashboards; ROI workbook live; peer-review & red-team cycle 1. Go/No-Go gates. Progress only when QA checks = ALL_OK and privacy/AI conformance passes. [See Implementation Roadmap (Switch-On Order); Evaluation & Continuous Learning; Data, Dashboards and Privacy.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 43 Open reasons & appeal-ready records hub Purpose This hub makes it easy to adopt “candour by design”: clear reasons, a complete appeal-ready record, and a predictable publication cadence - without creating extra paperwork or guesswork. What is an appeal-ready record 1) Written reasons (plain English; Easy-Read if requested). 2) Reasons & Weighings (R&W) table showing how evidence was balanced. 3) Contradiction Matrix entry where file and field realities diverge. 4) Independent Reasoning Certificate (IRC) signed by the decision-maker or reviewing officer. 5) Schedule of exhibits relied upon (with any redactions itemised). Service rule (short) The appeal clock starts on service of the complete appeal-ready record (above) in an accessible form. Publication cadence (open justice) • Quarterly de-identified releases of reasons and R&W tables. • Tile metrics published with each release: time-to-reasons (median), % decisions with R&W, % with IRC, % with contradiction analysis (where applicable). • Registry checklist ensures service date, accessibility format, and publication schedule are met. Templates & checklists (use these, not free-text) • Reasons & Weighings (R&W) table - [cross-reference to template heading] • Contradiction Matrix - [cross-reference to template heading] • Independent Reasoning Certificate (IRC) - [cross-reference to template heading] • Registry Checklist (service, accessibility, publication) - [cross-reference to checklist heading] • Practice-note transplant - [cross-reference to “Practice Note: Reasons & Appeal- Ready Records”] Data & dashboards (what tiles to publish) Minimum tiles (public): • Time-to-reasons (median days) • % decisions with R&W table • % decisions with IRC • # reasons published this quarter Minimum tiles (internal QA):
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 44 • % decisions with contradiction analysis when file/field diverged • % appeal-ready records served within statutory timeframe Privacy & de-identification Publish de-identified reasons and tables; maintain an internal register linking source matters to published artefacts. Redactions follow the registry’s standard, recorded in the exhibits schedule. 30/60/90-day switch-on (practical) • 30 days: adopt templates; train registry on the checklist; set up tile extracts. • 60 days: first de-identified quarterly batch; publish tiles; run spot-checks. • 90 days: audit sampling; publish improvement notes and next-quarter targets. How Ministers can message this Open justice: reasons in plain English, appeal-ready records by default, and quarterly public tiles. 30-second grab Australia can do two things at once: keep people safe and lift their daily dignity. We’re ending “set-and-forget” care. Every frontline worker will be trained and observed to an IDC standard; families will see what’s billed; and independent checks will verify the facts. It’s practical, auditable reform that puts people first and gives tax-payers proof. 90-second stand-up • Safety and dignity first. Least-restrictive by default; serious incidents trigger a 72- hour learning review with the family looped in. • A workforce you can trust. We replace generic “direct care” titles with the Integrated Disability Clinician (IDC) path: mapped study or equivalency + observed practice + 3-year renewal; rural micro-hubs ensure parity. • Truth by design. Two-party e-receipts, roster-to-claim cross-checks and a clear sanctions ladder reduce waste without extra paperwork. • Independent verification. A neutral Decision Support Consultant (DSC) checks file- vs-field facts so tribunals and agencies can publish plain-English reasons. • Appeal clock runs from record, not rumour: reasons + R&W + IRC served to start time. “Numbers to remember” • 2 years mapped study (or assessed equivalent) to work safely at the coal-face. • 3-year licence renewal; high-risk refreshers every 24-36 months. • 8-12 hours/week minimum community presence (with clinical exceptions documented). • 72 hours for a learning review after any restraint or sedation. 90 days for the pilot plan; 120/60/30-day renewal reminders for licences.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 45 • No one decides alone. Authorised by two independent keys or an MPG quorum, with a plain‑English reasons note, a will‑and‑preferences record, and contestability through DSC calibration. • Choice, equity and access. Coordination is independent from provision; plans are in Easy Read; CALD/Auslan and First Nations partnerships are built-in. Thirteen plain-language points 1. Least-restrictive by default; restraint fades are time-bound and reviewed. 2. Families see what’s claimed via two-party e-receipts. 3. Every worker follows the IDC path (or mapped equivalency). 4. Observed practice matters as much as theory (OSCE/EPAs). 5. Independent DSC checks resolve contested facts early. 6. Coordination separated from provision to protect choice. 7. Two-Key Guardianship secures transparency and contestability. 8. Sanctions ladder is transparent; good actors advance faster. 9. Dashboards show outcomes with privacy-safe suppression. 10. Rural parity through micro-hubs, tele-OSCEs and scholarships. 11. First Nations partnership and cultural safety are non-negotiable. 12. AI/analytics support humans; no automated adverse decisions. 13. We publish methods and reasons in plain English. Common questions (one-liners) • Q: Will this add paperwork? A: No. We replace after-the-fact fixes with built-in checks like e-receipts and roster-to-claim cross-checks. • Q: How do I know the workforce is qualified? A: Every worker follows the IDC path (or mapped equivalency) and is observed in practice. • Q: What if I live regionally? A: Micro-hubs, tele-OSCEs and scholarships keep services viable and skilled in rural communities. • Q: How will I see progress? A: Public dashboards, quarterly quality summaries and plain-English reasons. • Q: Will AI make decisions about my services? A: No. AI can only flag; a named human makes every decision that affects access, eligibility, pricing or safeguards. Dependencies & risks snapshot (for executive readers) • OSCE capacity & supervision throughput must meet ramp. [See Governance, Assurance and Risk.] • Rural/remote parity via tele-OSCEs, mobile clinics, scholarships. [See Workforce Standard - IDC; Implementation Roadmap (Switch-On Order).] • Data quality & privacy. Open schemas, immutable logs, DPIAs; staged publication to prevent narrative capture. [See Truth-by-Design Standard; Data, Dashboards and Privacy.] • Communications risk. Proactive Plain English packs; lived-experience stories; Easy Read assets; public dashboards to anchor trust. [See Service Model Standards (life in community).]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 46 Definitions and Principles How to read this standards refresh This section locks the shared language used throughout the paper and sets the non-negotiable principles that guide every standard and tool. Capitalised terms below are used consistently. Cross-references point to section names (not legacy numbering) to avoid drift. Definitions (terms used throughout) Cognitive disability (umbrella) An umbrella term in this paper covering conditions that affect thinking, learning, memory, communication, decision-making and self-management. It includes Intellectual Disability (ID), Acquired Brain Injury (ABI) and related profiles (e.g., developmental delay, some neurodevelopmental conditions) where cognitive functions are materially affected. Intellectual Disability (ID) Significant limitations in intellectual functioning and adaptive behaviour originating before age 18, affecting conceptual, social and practical skills. Support needs vary and may change over time. Acquired Brain Injury (ABI) Any brain injury occurring after birth (e.g., trauma, hypoxia, infection, stroke) resulting in cognitive, behavioural, emotional or physical changes that may fluctuate and require tailored supports. Least-restrictive by default A governing standard that the person’s rights, autonomy and inclusion take precedence. Where risk is present, supports must use the least-restrictive option likely to be effective, escalated only where necessary, and faded as soon as possible. [See Safety & Restrictive Practices Standard.] Restrictive practice / restraint Any practice that limits a person’s movement, liberty, decision-making or access to their environment (e.g., chemical, physical, mechanical, environmental, seclusion). In this paper: • Restraint hierarchy sets what is prohibited, what requires authorisation, and what requires timekeeping and review. • Timekeeping logs minutes under restraint. • 72-hour learning review is a mandated review within 72 hours to test alternatives, agree next steps and update the fade plan. • Fade plan documents how restraint will be reduced and removed. [See Safety & Restrictive Practices Standard.] Dignity of risk A person’s right to make choices and to learn through reasonable risk with supports in place, rather than being over-protected in ways that shrink life and opportunity. This paper treats dignity of risk as core to person-first practice.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 47 Community presence and participation Presence: time spent in ordinary places (e.g., shops, parks, clubs, employment, education). Participation: active roles, relationships and contributions in those places. Both are tracked as outcome indicators. [See Service Model Standards (life in community).] Integrated Disability Clinician (IDC) The professionalised frontline role replacing generic “Direct Care” labels. The IDC pathway includes: mapped curriculum, observed practice, on-the-job Entrustable Professional Activities (EPAs) or equivalent, Objective Structured Clinical Examinations (OSCEs), supervised practice, and periodic renewal. [See Workforce Standard - Integrated Disability Clinician (IDC).] Decision Support Consultant (DSC) A neutral verifier who calibrates file-vs-field facts in contested or high-risk matters and supports publication of plain-English reasons. DSCs use standard artefacts including a Reasons & Weighting template (evidence table; probative value; applied tests; human rights analysis) and a Contradiction Matrix (sources, conflicts, resolution). [See Independent Verification Standard.] Two‑Key Guardianship A shared‑decision safeguard: consequential decisions require confirmation by two independent decision‑makers (keys) or an MPG quorum (2/3 standard; 3/3 where liberty is reduced). Each decision carries a short Reasons & Weighting (R&W) note and a will‑and‑preferences record. A Tier‑0 emergency permits immediate action to make safe; it must be logged within 24 hours and reviewed within 72 hours with a fade/next‑steps plan. Multi‑Person Guardianship (MPG) A guardianship order that appoints two or more guardians who decide by quorum (2/3 majority; 3/3 for liberty‑reducing decisions), with anti‑collusion rules and rotation of principal signers. Independent Pairing Pool (IPP) A state-wide roster of vetted, conflict‑screened co‑signers available within 72 hours (tele‑co‑sign allowed) to meet Two‑Key requirements when a second guardian is unavailable/recused; governed by a published SLA and rotation rules. Tier‑0 Emergency A time‑critical situation where immediate action is necessary to keep a person safe or to prevent serious harm. Actions must be the least‑restrictive, be time‑bound, and be logged ≤24h with a 72‑hour learning review. Two-party e-receipt A digital, attestable receipt confirmed by both the person/authorised representative and the provider for supports delivered. It includes role-based family visibility, supports AAC/accessible modes, and records declined items (e.g., E7). [See Truth-by-Design Standard; Data, Dashboards and Privacy.] Roster-to-claim cross-check
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 48 An automated control that matches rosters, timesheets, location signals (where appropriate and lawful) and claims to detect anomalies before payment. Exceptions follow proportionate review. [See Truth-by-Design Standard.] Sanctions ladder A transparent, proportionate set of consequences (advice → corrective plan → probation → suspension → contract exit/referral) tied to verified findings, with publication rules to signal market quality. [See Governance, Assurance and Risk.] Easy Read and Plain English Plain English: clear, active, jargon-free language. Easy Read: highly accessible summaries using large type, icons and short sentences for people who prefer simplified materials. Both are used across plans, dashboards and public communications. DPIA (Data Protection Impact Assessment) A structured assessment of privacy risks and mitigations for data flows, required for dashboards, e- receipts and analytics. [See Data, Dashboards and Privacy.] Coordination independent from provision Support coordination (or equivalent) is structurally separated from service delivery to reduce conflicts and make switching providers straightforward. [See Service Model Standards (life in community).] Language conventions (style and usage) • Person-first (or identity-first if explicitly preferred); avoid ableist framing. • Noun “practice”, verb “practise”; Australian spelling throughout. • Review means a 72-hour learning review when used in sections dealing with restrictive practices. • Capitalise defined terms (IDC, DSC, Two-Key, Reasons & Weighting, Contradiction Matrix, Sanctions Ladder) for consistency. • Replace “Direct Care” with IDC in all contexts; avoid “babysitting”, “carer’s burden” or similar phrases that diminish professional skill or personhood. • Avoid “screens-as-care”: technology supplements but does not replace presence in community. • All cross-references use section names, not numbers, to avoid breakage during edits. Principles (non-negotiables that govern design and delivery) Person-first, least-restrictive by default Plan and deliver supports around the person’s goals and preferences; use the least-restrictive option likely to succeed; log minutes; conduct the 72-hour learning review; maintain a fade plan. [See Safety & Restrictive Practices Standard.] Truth by design Build integrity into the flow of work - two-party e-receipts, roster-to-claim cross-checks, immutable audit logs, clear publication rules - so trust improves without extra paperwork. [See Truth-by-Design Standard.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 49 Independent verification DSC calibration and tribunal/public-advocate/trustee tools (Reasons & Weighting; Contradiction Matrix) ensure contested decisions are transparent, replicable and explainable. [See Independent Verification Standard.] Separation of roles and easy switching Keep coordination independent from provision; remove switching friction; publish quality signals so families can act on them. [See Service Model Standards (life in community).] Equity and rural parity Design for First Nations partnership, CALD/Auslan access, and rural delivery using micro-hubs, tele- OSCEs and scholarships so small/regional services can meet the same standard. [See Equity, First Nations Partnership and Access; Workforce Standard - IDC.] Privacy by design, open where safe Use DPIAs, role-based access, suppression rules and open schemas. Publish de-identified dashboards that are useful for families and accountable for providers without exposing personal data. [See Data, Dashboards and Privacy.] Continuous learning and renewal Quarterly peer calibration, red-team stress tests, OSCE renewals and sunset/refresh rules for standards. Decisions and results feed improvement loops, not blame cycles. [See Evaluation & Continuous Learning.] Proportionality and accountability Use a sanctions ladder tied to verified findings. Publish outcomes proportionately to signal quality and deter poor practice without chilling innovation. [See Governance, Assurance and Risk.] Ordinary places first Prioritise presence and participation in ordinary places over building parallel lives. Technology assists but does not substitute for real-world roles and relationships. [See Service Model Standards (life in community).]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 50 Evidence and Drivers What the data and lived experience show • Safety risks persist. Sentinel events, hospitalisations and ED presentations continue; restraint/seclusion minutes are patchy or late; medication errors spike at transitions when reconciliation is thin. • Hidden isolation. Long stretches at home and on screens are misread as “settled”. Minutes in ordinary places are low; skills stall without real-world practice. • Documentation over life. Paper is heavy while supervision and field observation are light; plans are written, not practised; technology is used as a proxy for presence (“screens-as-care”). • Training-to-practice gap. Too much “learning” is online-only and unobserved; micro-modules/webinars replace coached practice; bridging courses and some RPL are tick-and-flick, producing paper competence without OSCE-level proof. • Low syllabus depth. Core safety domains (IDDSI/mealtime safety, seizure response incl. rescue-meds, medication safety, AAC in conversation, PBS fidelity, least- restrictive practice, documentation integrity) are missing or treated as electives; assessment is recall-based, not observed. • Service delivery decline. Families report thin supervision, fill-the-shift rostering and churn; “support time” is diverted to housekeeping, transport, screens or paperwork; police/ED are used in place of skilled de-escalation. • Weak market signals. Families cannot see competence; capable providers gain little visible advantage; a minority exploit gaps while most are under-supported. • Tribunal, Public Advocate, Ombudsman and Public Trustee/Guardian load. Files and field facts diverge; complaints ping-pong between agencies; Ombudsman offices surface repeat systemic issues but lack routine powers to verify practice live; Public Trustees/Guardians (names vary by state) manage finances and, when appointed by a court/tribunal, personal decision-making (e.g., accommodation, health, services). High caseloads and risk-averse settings delay essential purchases or authorisations (equipment, housing adjustments) and stall participation. • Rural and remote inequity. Sparse workforce; limited interpreters and specialist input; travel/time penalties go unaddressed. • Financial leakage. Errors and fraud rise without pre-payment controls; incentives reward hours over outcomes; integrity checks are retro, not built in. Root causes (10 recurring failure models) 1. Safety without learning. Restraint is used but minutes aren’t kept, 72-hour learning reviews don’t run, and fade plans don’t govern the next shift. 2. Presence without participation. Token outings occur without roles, relationships or contribution - no CPI timetable, no skill progression. 3. Candour without proof. Assertions in files aren’t tied to observed practice or verifiable artefacts (two-party e-receipts, OSCE logs, calibration notes). 4. Capability without supervision and renewal. Induction is classroom-heavy; coaching and field observation are thin; competence isn’t re-tested on a cycle. 5. Paper training. Online-only modules, rubber-stamped bridging/RPL, and low- rigour quizzes substitute for observed competence (no OSCEs, no EPAs, no supervised drills).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 51 6. Thin syllabus and drift. Core safety and communication skills are absent or optional; providers back-fill with local habits; service delivery slides to “housekeeper role”, “screens-as-care” and call-the-ambulance/ police practice. 7. Oversight without live verification. Ombudsman investigations and Public Trustee/Guardian decisions rely heavily on paperwork; mandates are fragmented; remedies are slow or non-binding; there is little routine “file-vs-field” testing to reconcile claims with practice. 8. Guardianship over support. Broad or long-running substitute-decision orders are used where supported decision-making could work; thresholds and reviews vary; “best interests” can override will and preferences without structured reasoning (Reasons & Weighting). 9. Role concentration and incentive mis-match. When one agency / individual holds both financial administration and guardianship, conflicts and delays can arise; fee- funded administration and defensive risk settings prioritise asset protection over timely life improvements (transport, equipment, housing), dampening participation and prolonging dependency. 10. Fragmented accountability. Multiple bodies (Tribunal, OPA/Guardian, Ombudsman, Public Trustee/Guardian, NDIS Commission) have overlapping but incomplete remits, creating gaps where responsibility dilutes and problems recycle. Problem Definition (Today) Person at the centre (lived reality and impacts) • Preventable crises go unnoticed. When the person isn’t consistently engaged - no regular check-ins, body cues read, or AAC used - early signs are missed (tooth pain/dental decay, constipation, dehydration, skin breakdown, medication side- effects). Sentinel risks (choking/aspiration, seizure escalation, infection) aren’t anticipated, so avoidable ED presentations and hospitalisations follow. • Unheard in decisions. Plans are written about them, not with them; will and preferences aren’t recorded; consent/assent is assumed; AAC/interpretation is professed, but missing. • Latency misread as disinterest. Processing delay and cognitive fatigue look like “non-compliance”; conversations move on before meaning lands; penalties follow. • Environments that don’t fit. Noise, glare, smells, crowds and rushed routines trigger distress; “behaviours of concern” are untreated communication/sensory signals. • Safety assumed, not proved. Mealtime/IDDSI, seizure thresholds and medication changes are guessed at or reset in ED; they carry the risk of those guesses. • Role poverty. Few roles in ordinary places; CPI minutes are low; skills aren’t practised, so dependence grows. • Housekeeper drift. Support shifts prioritise cleaning/errands over community roles; CPI minutes flatline; the person becomes “a shift,” not a neighbour. • “Screens-as-care.” Devices substitute for presence and coaching; sleep, mood and motivation slide. • Paper without access. Reviews happen around them; no Plain English/Easy Read; they can’t see their own data or progress. • Safety by paperwork. Thick files, thin drills; the gap between what’s written and what shows up in the lounge room or at the bus stop.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 52 • Isolation mistaken for stability. High time at home/on screens reads as “settled,” while skills stall and life shrinks. • Cultural identity sidelined. First Nations/CALD/Auslan needs aren’t planned for; no cultural plan or community anchors. • Dignity at risk. Intimate care without privacy, predictability or choice of carer/gender; revolving staff erodes trust. • Continuity broken. Many strangers, thin supervision, churn; “I am a shift, not a person.” • Health overshadowed. Pain, trauma, sleep and constipation are labelled “behaviour”; psychotropics become the default. • Sleep debt and health decline. Night vigilance, seizure anxiety, bowel/sleep disruption; both person at centre health quietly worsens. • Gate-kept supports. Delays in approvals (e.g., Public Trustee/Guardian and sole guardian decisions, plan changes) stall essentials - equipment, transport, housing tweaks - that enable everyday life. • Emergency default. Without low-arousal/AAC skills on roster, distress that could be de-escalated in place instead escalates to police/ED, compounding trauma and stigma. Families (lived reality and impacts) • Isolation mistaken for stability. High time at home/on screens reads as “settled,” while skills stall and life shrinks. • Over-protection → burnout. Rescue/control cycles arise without tools, switching support or respite; guilt follows when restraint/sedation occurs. • Low trust in the system. Retelling stories, fragmented services, slow/opaque decisions; complaints ping-pong between agencies. • Hidden cost of care. Lost work, reduced hours, superannuation hits; out-of-pocket spend on transport, consumables, repairs and short-notice cancellations. • Admin burden. Time on forms, portals and appeals displaces time in community; families become accidental case managers. • Gatekept essentials. Delays with Public Trustee/Guardian, insurers and equipment suppliers stall housing tweaks, transport and aids - blocking participation now. • Churn and thin supervision. New faces each week; little coaching from seniors; families re-teach basics (mealtime safety, communication) on every shift. • Sibling load and role reversal. Young people take on care tasks (“parentification”); sport/study/social lives compress; resentment and future-worry grow. • Sleep debt and health decline. Night vigilance, seizure anxiety, bowel/sleep disruption; carer health quietly worsens. • Relationship strain. Partners split roles (one earns, one cares) or split households; extended family withdraws under discomfort or fear. • Cultural/language mismatch. First Nations/CALD families face misread cues; interpreters and cultural plans are absent; mistrust deepens. • Fear of reprisal. Concerns that speaking up will reduce hours or trigger “hard to serve” labels; complaints feel risky. • Transport fatigue. Thin local options mean long travel for basics (GP, dental, therapy); missed work and school become normal. • Future dread. “Who when we’re gone?” - guardianship, housing, finances; no clear pathway to supported decision-making and ordinary roles. • Preventable crises go unnoticed. When the person isn’t consistently engaged - no regular check-ins, body cues read, or AAC used - early signs are missed (tooth
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 53 pain/dental decay, constipation, dehydration, skin breakdown, medication side- effects). Sentinel risks (choking/aspiration, seizure escalation, infection) aren’t anticipated, so avoidable ED presentations and hospitalisations follow. • Emergency default. Without low-arousal/AAC skills on roster, distress that could be de-escalated in place instead escalates to police/ED, compounding trauma and stigma. • Moral injury. Asked to sign off on practices that don’t feel right (screens-as-care, routine restraint), eroding a sense of goodness and partnership. Frontline practice • Titles without competence. Generic “Direct Care” labels do not signal skill; supervision and observation are thin; renewal is rare. • Paper over practise. Long plans, little field coaching; documentation diverges from what happens in ordinary places. • Escalation without learning. Restraint minutes are not consistently time-kept; 72- hour learning reviews and fade plans are inconsistent. Services and market • Weak quality signals. Families cannot see competence; good providers lack visible advantage; a minority game the gaps. • Switching friction. Exit/entry data are ad hoc; people feel “locked in”; coordination is not independent from provision. • Rural disadvantage. Thin workforce, limited interpreters/Auslan/AAC, long travel: parity is not real. Decision-making and oversight • File vs field contradictions. Tribunals/OPAs face partial, inconsistent evidence; reasons are hard to publish clearly. • Late verification. Issues surface after harm or payment; independent calibration (DSC) technique is scarce or not standardised. Data, privacy and integrity • After-the-fact checks. Claims paid before verification; anomalies reviewed late. • Incompatible systems. No minimum, open schemas; privacy reviews (DPIAs) are inconsistent; audit trails are fragile. • Public invisibility. No clear, trusted dashboards families can read; method notes are absent. Equity • First Nations partnership patchy. Cultural safety is often advisory, not embedded with decision rights. • Language access not guaranteed. Interpreter/Auslan/AAC support is inconsistent at critical moments (planning, reviews, hearings).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 54 Problem statement (concise) Today’s system cannot reliably turn principle into daily practice. Proficiency is not signalled or renewed; safety does not always lead to learning; integrity is retroactive; decisions lack explainable reasons; equity depends on postcode; and families cannot see enough to choose or switch. The standards in this paper exist to close these gaps in the flow of work - not as extra paperwork. System drivers for change • Human rights and dignity. Least-restrictive by default; supported decision-making; visible reasons for decisions; family/guardian visibility where appropriate. • Quality of life and health. Presence and participation correlate with better wellbeing; iatrogenic harms (including medication and restraint) must be reduced. • Workforce reality. Turnover, variable skill and limited supervision require a recognised pathway with observed practice and renewal. • Economics and stewardship. Preventable harms are costly; pre-claim controls and visible quality signals reduce waste and rework. • Public trust. Dashboards and auditable artefacts make progress legible to families, providers and ministers. • Implementation window. Early-supports reforms and procurement cycles allow pilot-first delivery using existing powers. What We Lost and Must Restore - Human Outcomes, Dignity and Social Value Outcomes that matter (what changes in real life) • Belonging & roles: more time in ordinary places; more roles (volunteer/trainee/paid); stronger relationships. • Autonomy & safety: supported decisions; least-restrictive responses; restraint minutes trend down; learning reviews trend up. • Health continuity: GP/ED hand-backs completed; meds reconciled; fewer avoidable re-presentations. • Family confidence: clear weekly plans; lower invisible labour; switching friction resolved. • Equity realised: interpreter/Auslan/AAC used at key moments; First Nations partnership active; rural parity via micro-hubs. How we will measure it (linked to dashboards) • Presence/participation minutes; role counts; independence step-ups. • Restrictive minutes/1,000 hours; 72-hour review compliance; fade-plan success. • Health: reconciliation ≤72h; avoidable ED ≤7/30 days. • Confidence: family index; time-to-switch; week-1 completion. • Equity: interpreter timeliness; micro-hub coverage; rural vs metro parity. [See Data, Dashboards and Privacy - Performance, KPIs & Public Dashboards.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 55 Social value lens (why this is worth doing) - lost / restore / test Lives grow when ordinary places, roles and relationships grow. These outcomes are not “soft” - they are the point of the system and the best predictors of long-run stability, safety and value. Presence in ordinary places Lost: everyday roles were replaced by programs and screens. Restore: measurable minutes in real settings and roles (volunteer/trainee/paid), with natural supports and prompt-fading. Test: sustained ↑ in presence/participation minutes and independence steps. Supported decision-making and dignity of risk Lost: risk was avoided by shrinking life. Restore: least-restrictive by default, with proportionate safeguards and real choices. Test: 72-hour review compliance and fade-plan success trending up; seclusion/chemical restraint trending down. Candour by design (truth in the flow) Lost: truth was reconstructed later, with poor memory and poor signals. Restore: two-party e-receipts, roster-to-claim cross-checks, immutable logs - so integrity is built in, not inspected in. Test: e-receipt coverage/timeliness ≥ thresholds; exception ageing ↓; sanctions recurrence ↓. Independent verification and published reasons Lost: contested matters recycled; reasons were hard to follow. Restore: DSC file-vs-field calibration, Reasons & Weighting + Contradiction Matrix, and plain-English publication. Test: median DSC turnaround ≤ 21 days; publication timeliness ↑; appeal/overturn rate stable or ↓. Proficient, supervised frontline (IDC) Lost: competence signalled by position title, not observed practice. Restore: IDC pathway with supervised practise, EPAs, OSCEs and renewal; tele-OSCEs and micro-hubs for rural parity. Test: OSCE pass and renewal on time; supervision throughput; turnover ↓. Equity and local partnership Lost: cultural safety and language access were optional add-ons. Restore: paid First Nations MOUs, interpreter/Auslan/AAC as defaults, rural micro-hubs and scholarships. Test: interpreter timeliness; micro-hub coverage; equity gaps in outcomes closing. Public accountability that helps, not harms
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 56 Lost: either opacity or naming-and-shaming without method. Restore: de-identified public tiles with suppression rules + family view for person-level truth; method notes every quarter. Test: on-time releases; suppression accuracy; family sign-ins/usefulness.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 57 NDIS - Interface & Reform Alignment (2025) Why this matters (and why it hasn’t worked) The NDIS is the primary public funder touching the lives of many people with cognitive disability. Its original promise - individual budgets, choice and control - has been blunted by variable market quality, thin navigation, uneven access to mainstream services, and weak truth-by-design controls. The Disability Royal Commission documented violence, abuse, neglect and exploitation across systems, underscoring that safeguards must be designed-in, not inspected-in later. Fast take (read this first) • The 2023 Independent NDIS Review recommended a five-year blueprint including: a Navigator function (replacing Support Coordination/LAC), Foundational Supports (outside individual NDIS plans), tighter provider regulation, and better interfaces with mainstream services. • National Cabinet (Dec 2023) agreed in principle to jointly design and fund Foundational Supports with states and territories (50:50), with detailed design work continuing through 2024-25. • The NDIS Amendment (Getting the NDIS Back on Track No. 1) Act 2024 commenced 3 Oct 2024, enabling new rules to tighten scheme operation and quality/safeguards. • The NDIS Commission has moved toward mandatory registration for Support Coordination, SIL, and Platform providers (consultation concluded; implementation approach in development). • In 2025, the Commonwealth announced a “Thriving Kids” foundational-supports program intended to better serve children with mild to moderate developmental needs outside the NDIS (timelines and scope still maturing). Bottom line for this paper: plan for Navigators + Foundational Supports to reshape the front door, tighten provider regulation, and expect rules to keep shifting through 2026-27. Align the paper’s IDC/DSC/Two-Key architecture so it’s compatible regardless of where support is funded. What’s changing (status 2025) 1. Navigators (replace Support Coordinators/LACs). The Review’s blueprint reframes navigation as a universal function (not limited to NDIS participants), with specialist streams for complex cohorts. Government communications and sector guidance point to phased trials/pilots before wider rollout; current Support Coordination persists during transition. 2. Foundational Supports (outside NDIS plans). Governments are designing a nationally coherent layer (general + targeted) to reduce the “NDIS or nothing” cliff, with joint funding and governance to be settled and phased. This will shift some demand away from individual NDIS packages and requires local interfaces to health, education and community services. 3. Legislative/rules platform (from Oct 2024). The Getting the NDIS Back on Track No. 1 Act 2024 provides head-powers for new
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 58 rules covering access, plan settings, market conduct and safeguards. Expect subordinate instruments and operational guidance to iterate. 4. Mandatory registration (selected provider classes). NDIS Commission policy direction is to mandate registration (beginning with SIL, Support Coordination and platforms) with risk-proportionate regulation; detailed transition design has been consulted on and is pending implementation phases. 5. Royal Commission follow-through. The DRC’s 222 recommendations reinforce inclusive education, stronger safeguards, and real accountability - principles this paper operationalises via Two-Key decisions, DSC calibration and publication tiles. Pros (if implemented well) • Less fragmentation, more fairness. Navigators + Foundational Supports reduce the “find-it-yourself” burden and connect people to mainstream/community services earlier. • Higher baseline safety. Mandatory registration narrows grey markets and enables proportionate oversight (complaints, investigations, sanctions) for classes that have been variable to date. • Clearer legislative footing. The 2024 Act supports tighter rules on access, plan design and provider conduct, allowing faster correction of rorts and poor practice. • Better fit for children. Dedicated foundational programs (e.g., Thriving Kids) may reduce inappropriate reliance on NDIS for developmental needs, if quality and coverage are real. Cons / risks (to watch and design around) • Transition turbulence. If Navigator pilots, rules and funding arrive out-of-sequence, participants may see reduced Support Coordination before Navigator coverage exists. (Mitigation below.) • Coverage gaps in Foundational Supports. National agreements don’t automatically translate to local service availability; states need time, workforce and commissioning competence. • Registration ≠ quality by itself. Mandating registration can drive paperwork without lifting practice unless supervision, calibration and publication tiles make quality visible. • Cost-containment pressure. Fiscal targets may create hidden rationing (fewer plan reviews; slower approvals) unless Right-to-Reasons and dashboards expose drift What this paper adds (runnable interfaces) A. Navigator ⇄ IDC handshake (no wrong door). • Any Navigator touchpoint triggers the IDC Offer of Communication Access (OP-01), Plain-English Plan Summary, and - where risk or complexity is flagged - DSC triage for file-vs-field checks. • Navigators adopt our Two-Key convention for consequential decisions they influence (e.g., SIL/SDA moves, psychotropic initiation), logging Reasons & Weighting and a short Will & Preferences note.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 59 B. Foundational Supports bridge. • Local agencies map Foundational Supports to our Service Model Standards: weekly community schedule (L-tiles), participation measures (CPI), and interpreter/AAC triggers (N-pack). • When a need falls outside NDIS plans, we still require e-receipt + Owner Matrix; the funder changes, the integrity rules do not. C. Mandatory registration alignment. • Providers in scope (SIL, Support Coordination/platforms → Navigators when stood- up) must show: 1. Roster↔Claim cross-checks, 2. Contradiction Matrix resolution on disputes, 3. 72-hour review after Tier-0 events, and 4. publication-ready tiles with suppression rules. D. Royal Commission follow-through. • Embed DRC principles through Least-Restrictive by default, Two-Key for liberty- reducing actions, and DSC calibration quarterly with public quality summaries. Risks & mitigations (NDIS-specific) Risk What it looks like Mitigation (this paper) SC funding reduced before Navigator coverage Participants lose coordination; families carry admin Stop-rule: no removal of SC unless Navigator availability is confirmed & warm handover completed; Tile: navigator_coverage_rate. Foundational Supports thin on the ground “Referred out” with nowhere to go Owner Matrix: assign commissioning owner + timeframe; Tile: foundational_access_time. Registration adds paperwork, not practice Box-ticking without field change DSC calibration (file-vs-field), OSCE spot checks, Sanctions ladder tied to publishable evidence. Cost-pressure suppresses reviews Long gaps between plan changes Right-to-Reasons twin for deferred decisions; Tile: time_to_decision & reviews_within_service_guarantee. Measures & public tiles Minimum payload keys for each published point: source, period, last_updated, definition, suppression_applied.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 60 1. Navigator Coverage (navigator_coverage_rate) Numerator: participants with an assigned Navigator (or confirmed warm handover). Denominator: participants meeting risk/complexity criteria. 2. Foundational Access Time (foundational_access_time) Median days from referral to first attended foundational support. 3. Registration Progress (mandatory_registration_uptake_sc_sil_platform) % of in-scope providers transitioned to the new registration class. 4. Right-to-Reasons On-Time (r2r_on_time_rate) % of NDIS-linked decisions issued with a Plain-English reasons note within service guarantees. 5. Integrity Pairing (two_key_coverage_ndis_decisions) % of consequential NDIS-linked decisions with Two-Key + Reasons & Weighting logged. (Apply Appendix S suppression/privacy rules to all tiles.) Switching & safeguards (NDIS events) • SDA/SIL changes, restrictive-practice authorisations, high-value AT, interstate moves → require Two-Key and R&W; log Tier-0/Tier-1 triggers; run a 72-hour learning review after any crisis admission or PRN psychotropic escalation. • Children (Thriving Kids interface). Use the same guardrails (Plain-English reasons, interpreter/AAC, publication tiles) whether the support is inside NDIS or via a foundational program. Consistent with government directions • This white paper’s model is NDIS-compatible. As Navigators and Foundational Supports roll out, we will not let coverage gaps emerge. Where a support moves outside the NDIS, integrity, safety and reasons move with it. • This white paper strongly supports National Cabinet’s direction on Foundational Supports and the Commission’s move to mandatory registration for higher-risk provider classes, paired with publishable dashboards. • Appendix S (tiles & suppression), • Appendix G/H/I/J (Sanctions, R&W, Contradiction Matrix, IRC), • Appendix AO (IDC equivalency/bridges for Navigators), • Appendix AG (Candour by Template for tribunals/OPA).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 61 Standards Overview (how all pieces fit) The standards map This paper specifies an end-to-end system: each standard has a purpose, minimum requirements, measurable indicators, and publishable artefacts. Use this map as the quick index; details live in the named sections. Workforce Standard - Integrated Disability Clinician (IDC) Objective. Professionalise the frontline so skill, judgement and ethics are observable and renewable. What changes in practice. “Direct Care” roles transition to the IDC pathway with mapped curriculum, supervised practise, OSCEs and 3-year renewal. Minimum requirements. Curriculum → supervised hours → EPAs/portfolio → OSCE pass → renewal; quarterly peer calibration; de-rostering rules. Key metrics. IDC licence/renewal rates; OSCE pass rates; supervision throughput; peer- review variance. Primary tools/artefacts. Curriculum map; OSCE stations & rubrics; EPA logbook; licensure register; peer-review protocol. Appendix links. Equivalency Matrix (legacy roles → IDC); Pilot supervision templates. Safety & Restrictive Practices Standard Objective. Make least-restrictive the default and convert every restraint incident into learning. What changes in practice. Restraint hierarchy with timekeeping; 72-hour learning review; mandatory fade plans; hospital/ED handover & medication reconciliation. Minimum requirements. Log minutes; conduct 72-hour reviews; record alternatives tried; maintain and monitor fade plan. Key metrics. Restrictive minutes/1,000 support hours; 72-hour review compliance; fade-plan success rate; med reconciliation completion. Primary tools/artefacts. Restraint hierarchy; timekeeping template; 72-hour review form; fade-plan template; handover checklist. Appendix links. Restraint Hierarchy & Timekeeping Standard; Handover & Reconciliation pack.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 62 Truth-by-Design Standard Objective. Move integrity from after-the-fact audits to built-in controls. What changes in practice. Two-party e-receipts; roster-to-claim cross-checks before payment; proportionate sanctions ladder with publication rules. Minimum requirements. E-receipt coverage; exceptions triage; corrective actions with time- bounds; publication cadence. Key metrics. E-receipt match rate; exceptions rate & time-to-resolution; sanctions ladder utilisation. Primary tools/artefacts. E-receipt schema; cross-check rules; exception queue; sanctions ladder. Appendix links. Minimum Two-Party E-Receipt JSON Schema; Publication & Suppression Rules. Independent Verification Standard - Decision Support Consultant (DSC) Objective. Ensure contested/high-risk matters have neutral file-vs-field calibration and publishable reasons. What changes in practice. Decision Support Consultant (DSC) engaged with structured artefacts; tribunals/OPAs adopt Reasons & Weighting and Contradiction Matrix. Minimum requirements. DSC assignment triggers; field observation; artefacts lodged; plain- English reasons published (with privacy safeguards). Key metrics. DSC turnaround; calibration variance (file vs field); publication timeliness; re- work/appeal rate. Primary tools/artefacts. Reasons & Weighting template; Contradiction Matrix; DSC field note; Independent-Reasoning Certificate. Appendix links. Tribunal/OPA tool pack; DSC operating procedure. Two-Key Guardianship (No one decides alone) Objective. End sole-guardian decision-making for consequential matters; require two independent keys (co-sign) or MPG quorum, with a short Reasons & Weighting and a will- and-preferences record for every in-scope decision. What changes in practice. Co-sign (or MPG quorum) before acting on high-stakes decisions; Tier-0 emergency path (make safe) logged ≤24h with a 72-hour learning review; use the Independent Pairing Pool (IPP) if a second guardian is unavailable/recused (tele-co-sign
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 63 allowed); independence/rotation checks recorded; engage DSC where disputed, delayed or liberty-reducing. Minimum requirements. Decision falls within defined classes (life, liberty, health, home, finances, close relationships) → Two-Key/MPG applied; R&W short form + will-and- preferences (with SDM/BIWP methods noted); identity and independence check for both keys; IPP pairing within 72h where needed; Tier-0 log and 72-hour review if emergency used; privacy-safe publication (n<5 suppression); records filed to case pack and visible in family view. Key metrics. Two-key coverage (% of in-scope decisions with valid co-sign/quorum); median/p95 time-to-co-sign (hours); Tier-0 exception rate (per 100 decisions); 72-hour review coverage (% of Tier-0); rotation compliance (% non-repeating pairs within window); DSC escalation rate; equity lens gaps (First Nations, CALD, rural/remote, gender, age bands). Primary tools/artefacts. Two-Key Decision Record (R&W short form + will-and- preferences); Independence & Conflict Check (pairing/rotation ledger); Tier-0 Log & 72- Hour Review; DSC Calibration Memo (Two-Key); IPP pairing request/response; Publication Note (de-identified). Appendix links. Tribunal Practice Note - Two-Key; OPA/OPG Investigations Code Addendum; Procurement Direction & IPP SLA; Dashboard Tile Specifications - Two-Key; Talking Points & Q&A. (Cross-refs: Appendix B - 72-Hour Review; Appendix H - Reasons & Weighting; Appendix I - Contradiction Matrix; Appendix J - Independent- Reasoning Certificate.) Service Model Standards (life in community) Objective. Replace “screens-as-care” with presence and participation in ordinary places. What changes in practice. Weekly goals emphasise real-world roles; coordination independent from provision; switching is easy and supported. Minimum requirements. Community schedule; role/relationship targets; switching protocol & time-limits; accessible plans (Plain English/Easy Read). Key metrics. Minutes in ordinary places; goal attainment; switching friction (time/cost); family confidence index. Primary tools/artefacts. Community presence tracker; accessible plan templates; switching checklist. Appendix links. Family Toolkit & Easy Read samples; Switching Protocol.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 64 Equity, First Nations Partnership and Access Objective. Ensure standards hold everywhere and for everyone. What changes in practice. First Nations partnership; CALD/Auslan access; rural micro-hubs, tele-OSCEs and scholarships. Minimum requirements. Partnership MOUs; interpreter availability; rural enablement plans. Key metrics. Interpreter utilisation; micro-hub coverage; rural OSCE completion; equity gap closure. Primary tools/artefacts. Partnership framework; interpreter booking SOP; micro-hub pack; scholarship terms. Appendix links. Equity Delivery Notes; Rural Enablement Kit. Data, Dashboards and Privacy Objective. Make progress legible while protecting people. What changes in practice. Open minimum schemas; role-based access; suppression rules; immutable logs; public dashboard tiles + family view. Minimum requirements. DPIAs for all flows; schema conformance; publication cadence. Key metrics. Data completeness; suppression accuracy; dashboard uptime; privacy incidents (zero tolerance). Primary tools/artefacts. DPIA template; schema specs; dashboard tiles; audit log spec. Appendix links. DPIA Template; Dashboard Tiles & Suppression Rules; E-receipt schema. Implementation Roadmap (Switch-On Order) Objective. Deliver quickly, safely, and at manageable scale. What changes in practice. Pilot → verify → publish → scale with go/no-go gates; leverage existing powers (practice notes, procurement, program rules). Minimum requirements. Pilot criteria; QA gates; privacy/AI conformance; rural inclusion. Key metrics. Milestone hit-rate; QA pass-rate; time-to-publish; pilot→scale throughput. Primary tools/artefacts. Switch-on checklist; QA gate pack; pilot evaluation plan. Appendix links. Pilot Evaluation Plan; Switch-On Checklist.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 65 Finance & ROI Case Purpose. Upgrade the “12-24 Month ROI Plan” into a systems-grade program that integrates policy, economics, clinical governance, market design, behavioural science, data/AI, law, anthropology and ethics - so choices are coherent and trade-offs transparent. Method. We apply ten steps that support a walk-with cadence (draft → test → measure → adjust): 1 Problem framing 2 First principles 3 Human nature and behaviour 4 Allocation and incentives 5 Power and conflicts 6 Innovation and learning 7 Crisis and adaptation 8 Implementation 9 Stress tests 10 Final integration Objective. Align money with outcomes and avoided harm. What changes in practice. Track avoided hospital/ED events, reduced re-work, market quality signals; publish ROI workbook outputs. Minimum requirements. Baselines; counterfactual assumptions; quarterly ROI updates. Key metrics. Avoided harm value; unit-cost shifts; sanctions vs corrective actions; provider quality mix. Primary tools/artefacts. ROI workbook; finance brief; publication schedule. Appendix links. Finance Brief; ROI Workbook Notes.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 66 Governance, Assurance and Risk Objective. Clarify ownership, escalation and proportionate accountability. What changes in practice. Named owners per standard; sanctions ladder; red-team stress tests; risk register with triggers. Minimum requirements. Owner matrix; escalation time-limits; quarterly stress tests. Key metrics. Issue time-to-close; stress-test findings closed; sanctions ladder consistency. Primary tools/artefacts. Owner matrix; escalation playbook; stress-test protocol; risk register. Appendix links. Assurance Pack; Stress-Test Protocol. Evaluation & Continuous Learning Objective. Turn evidence into improvement, not blame. What changes in practice. Quarterly peer reviews; double-loop learning; sunset/refresh rules for standards. Minimum requirements. Peer-review sample & rubric; publish quality summaries; improvement actions tracked. • Key metrics. Calibration variance; improvement closure rate; standard refresh cadence. • Primary tools/artefacts. Peer-review rubric; improvement log; refresh calendar. • Appendix links. Calibration Protocol; Publication Templates. Assurance spine (from indicator → dashboard → publication) • Indicators. A compact set of measures power all dashboards: IDC licence & OSCE pass; restrictive minutes/1,000 hours; 72-hour review compliance; fade-plan success; e-receipt coverage; exceptions rate; DSC turnaround & publication timeliness; minutes in ordinary places; switching friction; equity coverage; privacy incidents (target: zero). • Data sources. IDC register; timekeeping logs; e-receipt store; roster/claim system; DSC artefacts; community presence tracker; interpreter bookings; audit logs. • Publication. Quarterly public tiles (de-identified, suppression rules applied) plus family-view details; immutable audit logs; versioned release notes. • Quality loop. Every publication triggers: (1) peer calibration, (2) improvement actions, (3) refresh decisions. [See Data, Dashboards and Privacy; Evaluation & Continuous Learning.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 67 Switching costs and risk controls • Separation of roles. Coordination independent from provision to reduce conflicts. • Easy switching. Standardised exit/entry data set; time-limits; fee transparency; switching support. • Sanctions ladder. Proportionate, transparent consequences with published signals to shift the market toward competence. • Rural parity. Tele-OSCEs, micro-hubs, scholarships maintain regional access during transitions. • Stress tests. Red-team scenarios (e.g., provider failure, data incident, restraint spike) with rehearsed playbooks. [See Service Model Standards (life in community); Governance, Assurance and Risk; Equity, First Nations Partnership and Access.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 68 Workforce Standard - Integrated Disability Clinician (IDC) National IDC‑Prep Standard (TAFE, University, RN‑integrated, Bridging) Purpose & scope Professionalise the frontline so proficiency, judgement and ethics are visible, renewable and portable across settings. Replaces generic “Direct Care” with a structured pathway that includes mapped curriculum, supervised practise, observed competence (OSCEs/EPAs) and periodic renewal. Applies to all paid frontline roles delivering day‑to‑day supports in home, community, education, health and justice interfaces. Role definition (what an IDC is and is not) • IDC is a person‑first practitioner who plans, delivers and adapts supports in ordinary places, integrates allied inputs, and works least‑restrictive by default with dignity of risk. • IDC is not a proxy nurse/clinician unless separately credentialled; IDC defers to clinical prescribers for scope‑limited tasks and focuses on safe everyday practice, skill‑building and participation. • Levels: Foundation → Proficient → Advanced (supervisor/educator); level sets supervision ratios, OSCE complexity and portfolio expectations. Protected title, statutory levers & anti‑gaming controls • Protected title: “Integrated Disability Clinician”. Provider registration and price eligibility link to IDC‑accredited staff. • RTO (ASQA) gate: IDC‑Prep Diploma uses the national curriculum and assessment bank (OSCEs, EPAs, supervised practice). No coalface scope taught/assessed below this standard. • University (TEQSA) gate: Programs claiming IDC outcomes map to the same assessment gates (OSCE bank, EPAs, supervision, documentation integrity). • Funding levers: VET Student Loans / FEE‑HELP and public subsidies flow only to programs implementing this Standard; procurement mandates IDC ratios by role. • Assessment integrity: National OSCE bank; external examiners; randomised variants; identity checks; item analytics; cohort outcomes published. • RPL boundary: Safety‑critical OSCEs/EPAs are never waived; bridging is the route. • Sunset: Cert III/IV not valid for coalface scope from the transition date (retained only for non‑clinical support stacks). • Paediatrics & rural parity: IDC‑Paeds modules across TAFE/University; rural block‑release intensives; tele‑assessments; satellite OSCE hubs recognised as equivalent. • Publication: Campus‑level results (OSCE pass, placement completion, early‑career safety indicators) reported quarterly. Competency framework (domains) • Person‑first practice & rights: supported decision‑making; least‑restrictive tests; fade planning.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 69 • Communication & behaviour support: AAC, de‑escalation, function‑based support, trigger mapping. • Health & safety basics: medication handover/reconciliation; risk assessment; infection control; safe transport. • Community presence & participation: goal‑setting, graded exposure, role development, natural supports. • Documentation & candour: contemporaneous notes, two‑party e‑receipts, incident/learning reviews. • Cultural safety & equity: First Nations partnership, CALD/Auslan access, trauma‑informed practice. • Systems & data: dashboards, privacy‑by‑design, roster‑to‑claim integrity, improvement cycles. • Professionalism: ethics, boundaries, reflective practice, supervision, whistleblowing. Education & pathways (TAFE, University, RN‑integrated, Bridging) A. IDC‑Prep (TAFE/VET Diploma or assessed equivalent). Must use the national curriculum/assessment bank and the ‘higher‑of’ hours and gate rules below. B. University programs. Degrees claiming IDC outcomes must meet the same OSCE/EPAs/supervision gates and documentation‑integrity expectations as IDC‑Prep. C. RN‑integrated pathway (Year‑2 exit option). Structure: RN Y1-Y2 with disability embedded; exit at end‑Y2 awards IDC (workforce‑ready). Year‑3 completes RN. IDC graduates returning within 5 years receive credit for Y1-Y2 nursing components. • Placements (higher‑of): 600-700 hours total blended across acute hospital (250-300h), SIL/SDA (250-300h), community clinic/allied (100h), optional DSC tribunal observation (8-16h). D. Bridging for current workforce (RA‑IDCP) & existing RNs → IDC. • RA‑IDCP (incumbents): part‑time 12-18 months while employed; core modules (A&P for disability, medication safety, PBS & law, documentation, SDM, de‑escalation/emergency, interdisciplinary handover); 240-300h supervised practise; assessments include written exams, OSCEs, observed practice, portfolio. • Existing Registered Nurses → IDC (on‑ramp): credit for RN content; gap‑modules in AAC, PBS, community presence/CPI, documentation integrity, tribunals & candour tools, mealtime/IDDSI, seizure protocols in disability contexts; 160-240h IDC‑context supervised practice; baseline OSCE set + ≥4 EPAs; portfolio artefacts. Curriculum map, supervised practise & CPD (higher‑of applied) Where prior instruments differ (A_DSC_IDC_Reform_Blueprint; B_DSC_IDC_Policy_and_Legislative_Pack; template & crosswalk series), this standard adopts a conservative higher‑of envelope to protect safety and lift practice. • Structured learning across all domains: 240 hours - Scenario‑based; spaced rehearsal; assessment‑ready artefacts.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 70 • Applied micro‑modules (context variants): 120 hours - Rural/remote; education liaison; justice interfaces; mealtime/IDDSI deep‑dive. • Equity & cultural safety modules: 40 hours - First Nations partnership, interpreters/Auslan, AAC and accessibility. • Simulation & drills (safety stations): 40 hours - Mealtime/choking; seizure; de‑escalation; medication handover. • Assessment preparation: 20 hours - OSCE/EPAs rehearsal; documentation integrity exemplar. Supervised Practice and Observation • Supervised hours (minimum 400) under an Advanced IDC or equivalent; ratio caps by risk and setting. • Field observations (minimum 20) across typical and high‑stress interactions; ≥4 by an external supervisor (not line manager). • Documentation integrity checks (minimum 6) linking file notes to observed practice (candour). • CPD & renewal: renewal every 3 years with ≥60h CPD/year (≥12h equity); mini‑OSCE or workplace assessment; candour check; recency ≥900 frontline hours/3y. EPAs (Entrustable Professional Activities) • EPA‑1: Run a person‑first planning conversation with supported decision‑making and accessible materials. • EPA‑2: Deliver a community session that builds presence and participation (graded task + debrief). • EPA‑3: Manage a low‑to‑moderate escalation using least‑restrictive options; record timekeeping if restraint is used; initiate the 72‑hour learning review. • EPA‑4: Complete a safe medication handover/reconciliation with clear responsibility lines. • EPA‑5: Produce a clean documentation pack (notes → plan → dashboard inputs) including a two‑party e‑receipt where applicable. Each EPA is signed off after at least two observed completions without critical error. OSCE (Objective Structured Clinical Examination) • Stations (6-8): person‑first planning; AAC & communication; community role‑building; de‑escalation & rights testing; documentation & e‑receipt; privacy & DPIA scenarios; rural problem‑solving. • Format: 10-12 minutes per station + 3-5 minute examiner debrief; two examiners across the circuit to reduce bias. • Standard setting: borderline regression or equivalent; annual calibration using double‑rated videos; inter‑rater reliability published. • Accessibility: candidates may request reasonable adjustments; competence standard remains unchanged. Portfolio and renewal cycle
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 71 • Initial award: curriculum + supervised practice + EPA sign‑offs + OSCE pass. • Renewal every 3 years: ≥60 hours CPD/year (≥12h equity); two refreshed observations; one mini‑OSCE (3 stations) or equivalent workplace assessment; candour check (file‑vs‑field sample). • Recency of practise: minimum 900 hours frontline practise over the renewal period (or equivalent with supervision). Equivalency & bridging (legacy roles → IDC / licence‑aligned roles) • RPL pathways include: Support Worker, Education Support, Mental Health Support, Allied Health Assistant, Enrolled/Registered Nurse (non‑IDC tasks remain in clinical scope), Behaviour Support Practitioner. • Bridging bundles: map gaps per domain; assign micro‑modules, supervised observations and targeted OSCE stations. • Expiry of legacy titles: generic “Direct Care” titles sunset within 18 months (regionally staged where rural parity requires). • Grandparenting: time‑limited (≤12 months) conditional licence with supervision and mandatory bridging plan. • Outcomes rubric: PASS / BRIDGE / DEFER / FAIL; safety‑critical gates are non‑negotiable. Role-clean mapping - specific (titles → licence) COORD (Navigation & Adjacent) and OPS (Operational/Entry) classes defined so legacy titles move into explicit licence lines with independence-from-provision and no scope creep. • COORD must pass OSCE/EPAs for conflict screen, R&W drafting, plain-English explanations, interpreter/AAC use, escalation to DSC. • OPS must pass intake gateway OSCE (eligibility triage, warm handover, e-receipt issuance) and “records you can publish.” Safety gates that RPL cannot waive. • Dysphagia/IDDSI, seizure response, medication stewardship (psychotropics), restrictive-practice governance, PBS fidelity, and documentation integrity = must- pass OSCEs/EPAs for anyone with coal-face scope. Supervised practice bands by legacy stream. • Support Coordinator → COORD: 160-240h supervised; 5 OSCEs; 4 EPAs; portfolio + audit. • Behaviour Support Practitioner: 240-360h; 6 OSCEs; 5 EPAs; fidelity audits. • House/SIL Coordinator / House Manager (OPS/IDC-lead interface): 200-300h; 6 OSCEs; 5 EPAs; IDDSI + risk register. • Plan Manager (Adjacent): 120-200h; 4 OSCEs; 4 EPAs; audit pack. • Practice/Quality Manager: 240-320h; 5 OSCEs; 5 EPAs; calibration/QI packs. RN on-ramp and incumbent bridging.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 72 • RN → IDC: credit core nursing; 160-240h IDC-context supervised practise; baseline OSCE set + ≥4 EPAs + portfolio. • RA-IDCP (incumbents): part-time 12-18 months, core modules (A&P for disability, meds safety, PBS & law, documentation, SDM, de-escalation/emergency, interdisciplinary handover) + 240-300h supervised practise. Rural & regional enablement • Micro‑hubs: shared supervision pools across small providers; rotating Advanced IDC educators; travel funding rules. • Tele‑OSCEs: secure video OSCEs for defined stations; at least two stations must be in‑person during the renewal period. • Scholarships & backfill: targeted funding to prevent workforce shrinkage during training/assessment windows. • Interpreter pool & outreach tied to micro‑hubs with minimum service levels. Pricing, wage ladders & incentives (alignment) • Provider eligibility to claim IDC items requires ≥70% of designated‑role hours by certified IDCs (rising to 100% by T+24 months). • Outcome‑linked payments (QPIP): 2-3% pool returned as bonuses when safety/participation and integrity metrics improve (risk‑adjusted; anti‑gaming controls specified). • Wage benchmarks (signal only; jurisdictional bargaining applies): IDC $95k-$110k (+ penalties) • Scholarships & bonded placements prioritise rural, paediatrics and shortage roles; funded backfill during training/assessment windows. Documentation & artefacts (publishable or auditable) • Curriculum & assessment blueprint; OSCE station bank & rubrics; EPA logbook templates. • Supervision plan & observation rubrics; documentation‑integrity checklist. • Licensure register (public quality‑signal fields only); renewal‑status tiles for dashboards. • Equity compliance pack (interpreter usage, cultural safety engagements). Metrics & indicators (for dashboards) • Capability: IDC licence rate; OSCE pass rate; EPA completion rate; supervision throughput; peer‑review variance. • Equity: interpreter utilisation; cultural safety engagements; rural micro‑hub coverage; tele‑OSCE completion. • Safety linkages: reduction in restrictive minutes/1,000 hours; 72‑hour review compliance where IDC is lead/participant. • Integrity: documentation candour match (file‑vs‑field); e‑receipt coverage for IDC‑led sessions.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 73 Governance & licensure • Owner: Workforce Standards Authority (or designated commissioner). • Registers: central licence register with public‑facing quality fields; private fields restricted to regulators. • Calibration: quarterly blind peer‑reviews; examiner moderation; variant analysis across regions. • Sanctions ladder: remediation → undertakings → administrative fines → procurement debarment → publication. • De‑rostering: triggered by failed renewal, integrity breaches, or critical incident findings; linked to the Sanctions Ladder. • Named supervisor, complexity caps, 72-hour learning reviews after Tier-0 events, quarterly DSC calibration (file-vs-field); Two-Key for consequential COORD decisions with logged Reasons & Weighings. Implementation (pilot → scale) • 0-3 months: publish curriculum & rubrics; stand up supervision pools; RPL portal; first micro‑hub pilots; conditional licences for legacy roles. • 3-6 months: first OSCE sittings; EPA throughput checks; renewal policy finalised; dashboard tiles live for capability metrics. • 6-12 months: scale to additional regions; publish calibration report; begin mini‑OSCE renewals for early cohort; de‑rostering rules active. • 12-24 months: legacy titles sunset; full rural parity coverage; scholarships round 2; independent evaluation published. Interfaces with other standards • Safety & Restrictive Practices: IDC leads timekeeping, initiates 72‑hour learning reviews, contributes to fade plans. • Truth‑by‑Design: IDC records two‑party e‑receipts; participates in roster‑to‑claim cross‑checks. • Independent Verification (DSC): IDC collaborates with DSCs; provides field artefacts for Reasons & Weighting and Contradiction Matrix. • Service Model Standards: IDC plans and rehearses ordinary‑place roles; facilitates switching where conflicts exist. • Data, Dashboards & Privacy: IDC contributes to minimum datasets and adheres to DPIA controls. Risks & mitigations • Throughput bottlenecks: micro‑hubs, tele‑OSCEs, shared examiners, scholarship‑backfill funding. • Paper credentials without practice: enforce observed EPAs and file‑vs‑field candour checks at renewal. • Rural attrition: staged sunsetting; local educator development; travel supports. • Cost pressure on small providers: pooled supervision; shared assessment calendars; procurement preferences for compliant providers.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 74 • Change fatigue: Plain English/Easy Read packs; predictable renewal windows; recognition of excellence on dashboards. Rural/remote execution rules • Tele‑OSCE with dual‑camera where useful; recordings used for calibration. • Satellite OSCE hubs at least quarterly; travel & standby recognised. • Weather‑miss protocol: reschedule within 10 business days; document adjustments to supervised‑practice minima. • Local Inclusion Multiplier: EPAs should show ties to local civic assets (councils, libraries, sport, arts, faith). Note: This body of the white paper consolidates duplicated clauses and defaults to the most stringent thresholds and integrity settings.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 75 Safety & Restrictive Practices Standard Purpose and scope This standard makes least-restrictive by default operational. It sets a restraint hierarchy, timekeeping, 72-hour learning reviews, and fade plans so that any use of restraint is minimised, audited and converted into learning. It applies to all supports across home, community, education, health and justice interfaces. [See Workforce Standard - Integrated Disability Clinician (IDC); Independent Verification Standard; Service Model Standards (life in community).] Definitions (used consistently) • Restrictive practice / restraint (umbrella). Any practice that limits movement, liberty, decision-making or access (e.g., chemical, physical, mechanical, environmental, seclusion). • Timekeeping. Logging start/stop time and total minutes under restraint. • 72-hour learning review. A mandated review within 72 hours of any restraint use to test alternatives, decide next steps and update the fade plan. • Fade plan. A documented plan to reduce and remove restraint, with clear steps, supports and checkpoints. • Sentinel event. Any restraint event resulting in injury, emergency service involvement, or seclusion >15 minutes. [See Definitions and Principles.] Principles and legal baseline • Person-first and rights-based: supported decision-making; accessible information; respect for culture and language. • Proportionality and necessity: restraint only as a last resort to prevent imminent harm when less-restrictive alternatives are demonstrably ineffective or unavailable. • Shortest time possible: time-bound, continuously observed, with active efforts to de- escalate and cease. • Documented alternatives: what was attempted before restraint; why it failed; what will be tried next. • Duty to fade: every incident must move practice toward less restriction. • Candour: accurate file-vs-field alignment; no euphemisms (e.g., “comfort hold”). [See Governance, Assurance and Risk; Independent Verification Standard.] Restraint hierarchy (summary) [Full detail lives in Appendix: Restraint Hierarchy & Timekeeping Standard.] 1. Prohibited practices (never permitted): prone restraint; pain-compliance techniques; seclusion without observation; mechanical restraint not prescribed by a clinician for therapeutic use; any practice that restricts breathing or circulation; withholding essential care/food/fluids; aversive stimuli. 2. Red-light (exception-only, high authorisation): seclusion in a safe room; chemical restraint outside a clinical prescribing plan; mechanical devices used for restraint
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 76 rather than therapy. Requires pre-authorisation (or post-incident authorisation within 24 hours for emergencies) and automatic DSC flag. 3. Amber (time-limited with line-manager authorisation): brief physical holds for imminent harm; environmental restrictions in clearly defined circumstances (e.g., locked kitchen where ingestion risk is active). Requires timekeeping and 72-hour learning review. 4. Green (least-restrictive alternatives): de-escalation; sensory regulation; graded exposure; change of setting; communication/AAC supports; coaching; call-in of additional support. Must be attempted and documented before any red/amber use unless risk is immediate. Emergency override: Where there is immediate risk of serious harm and no time for alternatives, use the least-restrictive effective option; commence timekeeping immediately; notify supervisor; complete incident pack and 72-hour learning review. Authorisation and notifications • Before use (planned): where foreseeable, obtain authorisation consistent with the hierarchy; write alternatives, monitoring plan, and fade plan. • After use (unplanned/emergency): notify supervisor within 2 hours; log time; inform the authorised representative/guardian as appropriate; initiate review. • Sentinel event: notify safeguarding bodies as required; automatic DSC referral. • Tribunal/public advocate interfaces: where orders or conditions exist, align with those instruments and record compliance. [See Independent Verification Standard.] Timekeeping standard • Record start time, end time, total minutes, type of restraint, location, reason, alternatives attempted, persons present, injury check, debrief offered. • Real-time or within 2 hours of cessation (not end-of-week). • Minutes roll to dashboards as restrictive minutes per 1,000 support hours (de- identified publicly; person-level in family view with role-based access). [See Data, Dashboards and Privacy.] The 72-hour learning review (mandatory) Trigger: any restraint use, including chemical restraint outside a prescribing plan, seclusion, or mechanical restraint; any physical hold >1 minute; any sentinel event. Participants: the person (with supports of choice), IDC lead, supervisor, relevant clinician if involved, authorised representative/guardian as appropriate. Agenda (minimum): 1. Reconstruct events (file vs field; body-cam footage is not required and is out of scope unless lawfully in use for safety; if present, follow privacy rules). 2. Check human rights tests; confirm least-restrictive applied; assess proportionality and necessity. 3. Surface triggers/functions; review alternatives attempted and their timing. 4. Decide concrete next alternatives; update fade plan (tasks, responsible person, timeline).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 77 5. Confirm medication reconciliation (if chemical restraint used or ED/hospital contact occurred). 6. Document what will be measured before the next case review (e.g., minutes, indicators, participation targets). Output: signed review note; updated fade plan; data pushed to dashboards; DSC referral where thresholds met. Fade plan (required elements) • Goal: named least-restrictive alternative(s) to replace the restraint; target conditions where restraint drops to zero. • Steps: graded tasks, environmental adjustments, skill-building sessions, communication/AAC supports. • Supports: who is involved (family, peers, clinicians), resources required, scheduling in ordinary places. • Monitoring: indicators to track (e.g., incidents/week, minutes, participation); review cadence (weekly/fortnightly). • Sunset: explicit date to reassess and retire the plan if restraint is no longer used. [See Service Model Standards (life in community).] Hospital/ED handover and medication reconciliation • Handover: reason for presentation; what was attempted; restraint type/time; injuries; communication needs; consent/guardian details. • Reconciliation (within 72 hours): current meds; changes made; adverse effects; monitoring plan; responsible prescriber; next review date. • Back-transfer: confirm supports, prescriptions, and monitoring tasks before discharge; log in documentation and dashboards. [See Workforce Standard - IDC; Data, Dashboards and Privacy.] Primary Care & Health Stewardship GP Interface & Hand-back Protocol Objective. Translate clinical visits into safer daily life and clear records. Before the visit: accessible reason-for-visit sheet; communication passport; meds list; interpreter/Auslan/AAC booked. During: supported conversation; dignity-of-risk notes if procedures are proposed. After (within 48h): GP hand-back to IDC/family - diagnoses; changes; monitoring; next steps; red-flags; who to call. Metrics: hand-back completeness; follow-up kept; adverse events; interpreter timeliness. [See Data, Dashboards and Privacy; Service Model Standards (life in community).] ED Interface & Safe Discharge
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 78 Objective. Avoid revolving-door ED attendances and post-discharge confusion. At triage: flag cognitive disability; use communication passport; call IDC/representative where appropriate. During care: document alternatives tried; if restraint occurs, timekeep and trigger a 72-hour learning review. Discharge (within 24h): provide an accessible discharge summary; ensure scripts supplied; transport arranged; first GP/IDC appointments booked. Metrics: unplanned re-presentations ≤7/30 days; discharge summary availability in family view; reconciliation completed within 72h. [See Safety & Restrictive Practices Standard.] Pharmacy Psychotropic Stewardship Objective. Prevent drift into chemical restraint; ensure indication, consent and review. Minimum requirements: • Indication & consent: clear diagnosis/target symptoms; supported decision-making; guardian consent if applicable. • Dose/duration guardrails: start-low/go-slow; explicit review dates; stop dates for PRN where appropriate. • Monitoring: vitals/metabolic where relevant; side-effects logged; behaviour/function outcomes tracked. • De-prescribing pathway: taper plan with triggers; pharmacist/GP review; IDC observes effect in ordinary places. • DSC triggers: off-label high dose; multi-psychotropic stacks; absent monitoring; capacity/consent disputes. Metrics: % scripts with active review date; monitoring completion; de-prescribing success; ED visits related to adverse effects. Appendix mapping: Appendix AB - Pharmacy Psychotropic Stewardship Protocol (add to Appendices index). [See Safety & Restrictive Practices Standard; Independent Verification Standard.] Dental Desensitisation & Oral Health Access Objective. Replace crisis dentistry with planned, low-arousal care. Protocol (graded): • Week 1-2: meet team; sit in chair; AAC rehearsal; no instruments. • Week 3-4: mirror only; short contact; reward schedule; Easy Read visuals. • Week 5-6: scaler/polish with pauses; noise-control; sensory aids. • If sedation considered: rights tests; consent; proportionality; recovery plan; post- visit review. Prevention: fluoride varnish schedule; brush/visual routine at home; diet advice in Plain English.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 79 Metrics: completed preventive visits; sedation rate; successful graded sessions; caries incidents. Appendix mapping: Appendix AC - Dental Desensitisation Protocol [Additional: See Equity, First Nations Partnership and Access; Service Model Standards (life in community).] Primary Care & Health Stewardship (explicit) Roles and responsibilities • IDC: prepare passports; attend (or tele-attend) where appropriate; translate GP/ED instructions to the weekly community schedule; capture two-party e-receipts for sessions linked to health tasks. • IDC lead: initiates timekeeping, convenes 72-hour review, drafts/updates fade plan, ensures handover/reconciliation if applicable. • Clinicians (GP/ED/Pharmacy/Dental): apply supported decision-making; set review dates; hand-back within timelines; avoid coercive shortcuts. • Clinician (where prescribing/clinical oversight exists): confirms indications; monitors effects; contributes to fade planning. • Supervisor/Provider: confirms authorisation; checks documentation quality; ensures review completion; escalates sentinel events; allocates resources for fade plan. • Providers: schedule and transport; ensure interpreter/AAC; store artefacts; act on red- flags. • Families/representatives: consent where appropriate; review summaries in family view; raise concerns early. • Family/guardian/advocate: participates in reviews; co-designs fade plan; receives plain-language summaries. [See Independent Verification Standard; Governance, Assurance and Risk.] • DSC (triggered cases): performs file-vs-field calibration; reviews Reasons & Weighting and Contradiction Matrix inputs; supports publishable reasons. • DSC (when triggered): test file-vs-field claims; verify consent/capacity handling; recommend remedies. [See Independent Verification Standard; Service Model Standards (life in community).] Artefacts and data (where templates live) • GP/ED hand-back & discharge forms: Appendix D - Handover & Medication Reconciliation Pack (expand to include GP sheet + ED discharge summary). • Pharmacy stewardship one-pager: Appendix AB. • Dental protocol: Appendix AC. • Event model: add gp.handback.created, ed.discharge.created, pharm.review.due to the API/webhook list. [See Data, Dashboards and Privacy; Appendices (indexed).] Restraint incident log (timekeeping) with alternatives tried. • 72-hour learning review note and attendance.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 80 • Fade plan (current version and history). • Handover/reconciliation sheet (if relevant). • Injury and debrief notes (offered/accepted; follow-up actions). • DSC referral and outcomes (if triggered). Note: Appendices provide templates; the section of record is here. [See Appendices (indexed): Restraint Hierarchy & Timekeeping Standard; Handover & Reconciliation Pack.] Metrics and indicators (dashboards) • Primary: restrictive minutes/1,000 support hours; 72-hour review compliance rate; fade-plan success (restraint-free weeks/months); medication reconciliation completion (within 72 hours). • Quality signals: proportion of incidents with alternatives documented; DSC calibration variance (file vs field); sentinel events (rate and close-out time). • Equity: interpreter use at reviews; rural response times; First Nations partner involvement where relevant. Public tiles are de-identified with suppression rules; family view shows a person’s own data with role-based access. [See Data, Dashboards and Privacy; Evaluation & Continuous Learning.] Training and competence (IDC alignment) • Mandatory modules: least-restrictive practice; de-escalation; communication/AAC; timekeeping; 72-hour review procedure; fade-plan design; handover/reconciliation; cultural safety. • Observed competence: at least two observed de-escalations and one post-incident 72-hour review led by the candidate. • Renewal: refreshers every 3 years (or earlier after sentinel events); mini-OSCE station on least-restrictive practice. [See Workforce Standard - IDC.] Equity, cultural safety and access • First Nations partnership: option to involve community representatives; respect for cultural protocol; consider on-Country supports. • CALD/Auslan access: interpreter at reviews; translated summaries; AAC artefacts where required. • Rural parity: tele-reviews permitted with two visual streams where possible; micro- hub support for on-site coaching; travel supports for in-person de-briefs when needed. [See Equity, First Nations Partnership and Access.] Technology and environment safeguards • Technology is not care: screens and monitoring devices cannot substitute for presence or be used as covert restraint. • Environmental restraint: any locks/alarms used to limit access must be justified, logged, time-bound and included in fade plans.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 81 • Recording devices: if used lawfully for safety, follow DPIA; restrict access; never publish person-identifying footage; log retention in the audit register. [See Data, Dashboards and Privacy.] Risk management, escalation and sanctions • Escalation: sentinel event → immediate senior review; DSC referral; safeguarding notification as required. • Provider risk register: track patterns (e.g., repeated restraint in a location/shift); assign corrective actions with deadlines. • Sanctions ladder (linked): advice → corrective plan → probation → suspension → contract exit/referral; publication rules apply. [See Governance, Assurance and Risk; Truth-by-Design Standard.] Interfaces with other standards • Workforce (IDC): competence, observations and renewal include least-restrictive stations and reviews. • Truth-by-Design: incident data integrity; dashboard publication; immutable audit logs. • Independent Verification: DSC calibration for contested/high-risk cases; feed into Reasons & Weighting and Contradiction Matrix. • Service Model Standards: fade plans embed ordinary-place practice; community roles used as alternatives. • Data, Dashboards and Privacy: DPIA, schema conformance, suppression rules. • Evaluation & Continuous Learning: peer-review of incidents; publish quality summaries; refresh the hierarchy if evidence changes. Implementation (switch-on order) • 0-3 months: publish hierarchy; train IDC/supervisors; enable timekeeping fields; stand up 72-hour review template; begin dashboard tile for restrictive minutes. • 3-6 months: enforce review compliance; launch fade-plan template; start DSC referrals per thresholds; publish first de-identified tiles. • 6-12 months: calibrate across regions; publish learning themes; integrate handover/reconciliation data; red-team stress test (restraint spike scenario). • 12-24 months: demonstrate reduction in restrictive minutes/1,000 hours; increase fade-plan success; independent evaluation released. [See Implementation Roadmap (Switch-On Order).]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 82 Truth-by-Design Standard Purpose and scope This standard shifts integrity from after-the-fact auditing to built-in controls that run as work is done. It covers two-party e-receipts, roster-to-claim cross-checks, proportionate sanctions, publication rules, and privacy-by-design. It applies to all funded supports across home, community, education, health and justice interfaces. [See Data, Dashboards and Privacy; Governance, Assurance and Risk; Service Model Standards (life in community).] Principles (what “truth by design” means here) • In-flow verification: capture the evidence as the task completes, not weeks later. • Two-party attestation: both sides (person/authorised representative and provider) confirm what occurred. • Proportionate effort: controls add minimal load and replace duplicative paperwork. • Privacy-first: role-based access, suppression rules and immutable audit logs. • Explainable signals: publish quality signals that families can act on and providers can improve against. Two-party e-receipt (minimum standard) Definition. A digital receipt confirmed by the person (or authorised representative) and the provider for supports delivered. It supports accessible modes (AAC, Easy Read, translated text) and offline capture with secure sync. Required fields (minimum): • Who/role: pseudonymous person ID (family-view shows name by role), provider ID, worker identifier (hashed for public tiles), attestor role (self/parent/guardian/advocate). • What: support type/category; brief purpose linked to plan goal; duration (start/end/total minutes); location (coarse category such as home, workplace, community). • How confirmed: attestation method (tap/signature/AAC cue/witness), timestamp, device/application ID. • Notes & outcomes: short free text (Plain English/Easy Read), goal progress marker (yes/partial/no), optional attachment (e.g., photo of completed task with consent). • Exceptions/declines: standard codes including E7 (declined) with reason text. Process requirements: • Window: issue within 48 hours of service; family-view available on creation; reminder at 72 hours if not attested. • Accessibility: AAC options (symbols, yes/no selectors, audio prompts); translated strings; large-type Easy Read. • Corrections: both parties can propose corrections; system retains an immutable version history. Outputs: • Family view: complete receipt history with role-based access. • Public tiles: coverage rate and timeliness (de-identified). [See Appendices (indexed): Minimum Two-Party E-Receipt JSON Schema.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 83 Roster-to-claim cross-checks (before payment) Purpose. Detect mismatches and outliers early; route only exceptions to human review. Inputs. Rostered shifts, time-and-attendance, e-receipt events, claim lines, approved location categories. Checks (minimum set): • Existence: claim has a matching roster and e-receipt within time tolerance. • Timing: start/finish within tolerance; overlapping shifts flagged. • Quantity: hours claimed match roster ± agreed tolerance (e.g., 6%). • Location: coarse category consistent with plan and roster. • Role: worker role matches authorised scope (e.g., IDC vs non-IDC). Exception categories (illustrative): E1 No matching roster; E2 No e-receipt; E3 Overlap; E4 Excess variance; E5 Role/scope mismatch; E6 Location mismatch; E7 Declined by person/representative; E8 Other (free-text). Handling: • Auto-approve clean lines; queue exceptions with triage timers; suspend payment only for material risk categories (e.g., E1/E2/E5) while review occurs. • SLA: 5-10 business days to resolve exceptions; ageing items escalate to provider exec and commissioner. • Learning loop: recurring patterns trigger provider improvement plans or DSC referral. [See Independent Verification Standard; Governance, Assurance and Risk.] Sanctions ladder (proportionate, publishable) Purpose. Apply consistent consequences tied to verified findings; deter gaming without chilling innovation. Rungs: 1. Advice/education: low harm; fix within 30 days. 2. Corrective action plan: medium risk; named actions with deadlines; re-audit. 3. Probation/heightened oversight: high risk; monthly verification; restricted intake. 4. Suspension of claims/services: serious non-compliance; safety/integrity at risk. 5. Contract exit/referral: persistent or egregious breaches; notify safeguarding/health regulators as applicable. Publication rules: rungs 3-5 produce public quality signals (de-identified aggregate for small providers; named where thresholds are met and lawful). Right of reply: provider statement shown alongside sanction summary; expiry date on public listing when rectified. [See Governance, Assurance and Risk.] Financial Safety & Fiduciary Checks Purpose Prevent financial abuse or mishandling of funds linked to disability supports; make money flows traceable, two-party attested and auditable without burdening families. Minimum controls
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 84 • Two-signature rule for significant discretionary spends (person/authorised representative + provider). • E-receipt tagging for purchases on behalf of the person (purpose, link to plan goal, receipt image where consented). • Gift/benefit register (provider-level); conflict-of-interest declarations for staff. • Cash handling discouraged; if unavoidable, float logs + same-day reconciliation. • Guardianship orders respected; fiduciary role recorded in family view. Exceptions & escalation • Flags: repeated cash use; missing receipts; personal goods repeatedly billed as program costs. • Action: verify via cross-checks; require corrections/refunds; escalate to DSC if pattern persists; apply sanctions ladder as needed. Publication & dashboards (signals people can use) • Public tiles (quarterly): e-receipt coverage; timeliness; exception rate and age; proportion resolved; sanctions ladder distribution; DSC referral/turnaround stats related to integrity issues. • Family view: full receipt history, exception status, resolutions; clear “what next” actions. • Suppression rules: small-cell suppression (e.g., n<5); k-anonymity thresholds set and documented; no person-identifiable information in public tiles. [See Data, Dashboards and Privacy; Evaluation & Continuous Learning.] Privacy, security and DPIA requirements • DPIA mandatory for e-receipt and cross-check pipelines; updated on material change. • Data minimisation: collect only what’s needed for attestation and cross-check; coarse location categories (no continuous GPS unless explicitly lawful and consented). • No biometrics/emotion inference for attestation. • Role-based access: family vs provider vs commissioner views; least-privilege defaults. • Immutable audit log: append-only event store; time-stamped corrections; external audit readable. • Retention & deletion: person-level retention rules documented; routine purge of transient caches. [See Data, Dashboards and Privacy.] Technology and accessibility guardrails • Offline-first capture: receipts cache and sync when back online; integrity checks re- run on sync. • Standards & APIs: open schema; versioned endpoints; vendor-neutral; conformance tests published. • Accessibility: WCAG-aligned UI patterns; AAC libraries; Easy Read flows; interpreter prompts for CALD/Auslan contexts.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 85 • No “screens-as-care”: technology evidences care - it does not replace presence in ordinary places. [See Service Model Standards (life in community).] Roles and responsibilities • Frontline (IDC): capture receipt, offer accessible attestation modes, explain purpose in Plain English/Easy Read, resolve simple exceptions. • Supervisors/Providers: maintain conformance, resolve exceptions within SLA, run monthly variance reviews, submit improvement plans for patterns. • Commissioner/Program owner: operate cross-check service, manage sanctions ladder, publish tiles and release notes, oversee DPIAs and audits. • Families/Authorised representatives: review/attest receipts; request corrections; view exception status and outcomes. • DSC (triggered cases): calibrate file-vs-field facts where integrity concerns or sanctions rungs ≥3 arise. [See Independent Verification Standard; Governance, Assurance and Risk.] Metrics and indicators (for dashboards) • Spend e-receipt coverage; exception rate/ageing for financial flags; conflict register completeness; refund cycle time. [See Data, Dashboards and Privacy; Governance, Assurance and Risk.] • Coverage & timeliness: % of supports with two-party e-receipts; % attested within 48/72 hours. • Match & variance: roster/claim match rate; average absolute variance; overlap rate. • Exceptions: exception rate by category (E1-E8); median time-to-resolution; ageing over SLA. • Sanctions: distribution across rungs; time on rung; remediation success rate. • Equity: AAC/translator usage in attestations; rural micro-hub conformance; accessibility error rate. • Privacy & safety: DPIA status; audit log completeness; privacy incidents (target: zero). [See Data, Dashboards and Privacy; Evaluation & Continuous Learning.] Implementation (switch-on order) • 0-3 months: publish schema and conformance tests; pilot e-receipt in two sites (one metro, one rural); enable minimal cross-checks (existence & timing); set exception SLAs; draft sanctions policy. • 3-6 months: add variance and role checks; turn on exception queues; begin publication of de-identified tiles; first DPIA complete; training for providers and families. • 6-12 months: expand to full exception set; calibrate thresholds; begin sanctions publication per rules; run first external audit of logs and conformance. • 12-24 months: scale statewide; integrate with DSC triggers; red-team a data/privacy incident scenario; publish independent evaluation and method notes. [See Implementation Roadmap (Switch-On Order).]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 86 Interfaces with other standards • Workforce (IDC): documentation and e-receipt capture are core competencies; observed and renewed at OSCE/mini-OSCE. • Safety & Restrictive Practices: incident/review artefacts flow into dashboards; no covert monitoring used as restraint. • Independent Verification: DSC uses receipts/logs to test file-vs-field and support Reasons & Weighting and Contradiction Matrix. • Data, Dashboards and Privacy: schema, suppression, DPIA, publication cadence. • Governance, Assurance and Risk: sanctions ladder ownership; escalation; stress- testing (e.g., fraud ring, mass exception spike). Risks and mitigations • Admin load creep: design to replace existing paperwork; one-touch capture; autofill from roster; shared APIs. • False positives: tune thresholds; sample reviews; publish method notes; allow provider right-of-reply. • Gaming (tick-and-flick): random DSC spot-checks; compare narrative richness over time; correlate with outcomes (presence/participation). • Digital exclusion: offline-first; paper-assist with scan-to-attest; interpreter/AAC availability; micro-hub support in rural areas. • Privacy breaches: stringent DPIA, role-based access, immutable logs, rapid revoke/rotate keys, regular red-team tests.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 87 Independent Verification Standard - Decision Support Consultant (DSC) Neutral verification for file‑vs‑field calibration, lawful decisions, and publishable reasons. This consolidates: “Independent Verification Standard - Decision Support Consultant (DSC)” and “A_DSC_IDC_Reform_Blueprint”. Where thresholds or safeguards differed, the most rigorous (‘higher-of’) setting has been adopted and repetition removed. Purpose & scope Establish a neutral DSC function to reconcile documentation with lived reality, apply rights tests, and enable timely, plain‑English Reasons & Weighting. Applies to contested or high‑risk matters across home, community, education, health and justice interfaces. What independent verification is (and is not) • Is: a structured, time‑bound enquiry that compares file assertions with field observations and neutral artefacts; applies least‑restrictive, proportionality and necessity tests; produces a Reasons & Weighting (R&W), a Contradiction Matrix, and an Independent‑Reasoning Certificate (IRC). • Is not: case management, clinical prescribing, eligibility setting, or an adversarial ‘gotcha’. The DSC tests evidence quality and reasoning and supports lawful, reviewable decisions. Triggers (when a DSC must be engaged) • Safety high‑risk: sentinel restraint events; any Red‑light restraint; repeated Amber use without fade‑plan progress. • Integrity high‑risk: sanctions ladder ≥ rung 3; systemic exceptions (E1/E2/E5) from roster‑to‑claim cross‑checks; suspected document fabrication or identity misuse. • Decision high‑risk: contested capacity/consent; restrictive living arrangements; orders significantly limiting rights; high‑stakes transitions (hospital discharge; custody release). • Pattern risk: repeated complaints on the same issue; outlier metrics on dashboards; unresolved contradictions across professionals or records. • Discretionary: commissioner/tribunal/public advocate direction; Ombudsman referral. • Two‑Key escalation: engage DSC where co‑sign is disputed, delayed beyond p95 threshold, or a liberty‑reducing decision is proposed. • Bias/capture signal: repeated same‑pair co‑signs beyond rotation rules trigger DSC sampling. Independence & ethics • Structural separation: DSCs report to an independent unit (commissioner/tribunal office), never to providers whose cases they examine. • Cooling‑off & conflicts: declared interests; DSC rotation; no DSC may verify a provider for whom they’ve worked in the last 24 months.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 88 • Code of conduct: person‑first; least‑restrictive by default; cultural safety; candour; privacy‑by‑design; procedural fairness. • Right to be heard: the person and their authorised representative/guardian are offered a chance to contribute and review a plain‑language summary before publication (time‑limited to avoid delay). Role boundaries & interfaces • Tribunal/Commissioner: decision‑maker of record; receives DSC artefacts and issues determinations. • IDC: field practitioner; collaborates in evidence assembly and learning reviews; cannot over‑rule DSC but may append technical responses for the record. • DSC: neutral verifier; does not author service plans or set eligibility; provides R&W, Contradiction Matrix, and IRC; issues a Calibration Memo for Two‑Key cases. Two‑Key interface (decision support) • Calibration Memo (Two‑Key): short file‑vs‑field check of co‑sign independence, R&W quality, and will‑and‑preferences fidelity. • Where Two‑Key pairs repeat above rotation limits, the DSC samples ≥20% of determinations in the next quarter. • Liberty‑reducing proposals (e.g., restrictive living, involuntary medication) require DSC engagement prior to final co‑sign unless an Emergency Quorum is invoked, in which case a 72‑hour post‑hoc review is mandatory. Workflow (intake → enquiry → decision support → publication) 1. Intake & triage (24-48h): confirm trigger; assign DSC; notify parties; collect consent/information‑sharing basis. 2. Evidence pack (days 1-5): assemble file (plans, notes, incidents, medication, rosters/claims, e‑receipts), policies/orders, previous decisions. 3. Field observation (days 3-10): observe typical contexts; speak with the person using preferred communication (AAC etc.); confirm environmental factors; avoid disruption. 4. Reconciliation (days 7-12): compare file assertions to field observations and neutral artefacts (receipts, logs); identify contradictions/gaps. 5. Apply tests (days 10-14): rights tests; safety/clinical handover checks (if relevant); integrity checks. 6. Draft artefacts (days 12-15): complete R&W and Contradiction Matrix; prepare the IRC summarising method and findings. 7. Case conference (days 15-18): DSC, decision‑maker (tribunal/OPA/commissioner), IDC/supervisor and relevant clinicians review the draft; confirm remedies and time‑bound actions. 8. Issue & publish (by day 21): decision‑maker issues determination/notice; publish plain‑English reasons per privacy rules; log actions and due dates on dashboards. Artefacts (minimum content & templates) Reasons & Weighting (R&W)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 89 • Issues & questions being decided. • Evidence table: source, date, relevance, probative weight (scaled descriptors). • Applied tests: least‑restrictive/proportionality/necessity; statutory criteria where applicable. • Findings & reasons in plain English: what evidence was preferred/discounted and why. • Remedies & actions: who does what by when (e.g., fade‑plan steps; handover/reconciliation; supervision; sanctions rung). Contradiction Matrix • Item (fact/claim), File says, Field shows, Other sources (e‑receipts, rosters, clinician notes), Resolution (accept/discard/seek more info), Residual uncertainty. Independent‑Reasoning Certificate (IRC) • Scope, data sources, observation dates/contexts, communication supports used, conflicts declared. • Summary of variance (file vs field), key rights tests applied, DSC signature and supervisor sign‑off. Calibration Memo (Two‑Key) Short, standardised memo that rates co‑sign independence, R&W quality, and will‑and‑preferences fidelity; includes a rotation check and any bias/capture notes. Methods & integrity controls • Sampling & randomisation: variant banks for interviews and checks; random station selection for follow‑up. • Identity & provenance: identity checks on key witnesses; metadata checks on digital artefacts; chain‑of‑custody for critical records. • Calibration & reliability: double‑rated video cases each quarter; inter‑rater reliability target κ ≥ 0.7; annual moderation report published. • Thin‑market rule: offline‑first receipts and delayed sync permitted; safety gates are never waived due to remoteness. • Accessibility: reasonable adjustments for the person and for witnesses (interpreters, AAC, extra time). Competence/standards remain unchanged. Publication, privacy & dashboards • Publication: plain‑English reasons with suppression where n < 5; family‑view dashboards show status and due dates without sensitive content. • Privacy‑by‑design: DPIA for each template; minimum‑necessary data; role‑based visibility; redaction rules for public releases. • Tiles: DSC throughput; trigger mix; time‑to‑decision; actions closed on time; R&W quality score; contradiction‑resolution rate; Two‑Key rotation health. Metrics & indicators
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 90 • Capability: % DSC‑eligible cases engaged; time‑to‑triage; time‑to‑publication. • Safety: restrictive‑minutes/1,000 hours pre/post; 72‑hour review compliance; incident recurrence. • Integrity: documentation candour match (file‑vs‑field); exception clearance; related‑party rate; rotation drift. • Equity: interpreter/AAC utilisation; First Nations engagement; rural micro‑hub coverage; tele‑verification completion. Governance, registers & sanctions • Owner: independent commissioner/tribunal office; DSC unit head accountable for separation and calibration. • Register: DSC assignments, conflicts, artefact completion, reliability stats, publication dates. • Sanctions ladder (proportionate): improvement plan → undertakings → administrative fines → procurement debarment → publication on registry. • Emergency quorum (Two‑Key): 2‑of‑5 with TTL 72h; mandatory post‑hoc DSC review; auto‑reversal if review fails. Rural & remote enablement • Tele‑verification with dual‑camera where useful; recordings retained for calibration under strict access controls. • Satellite verification hubs at least quarterly; travel & standby recognised. • Weather‑miss protocol: reschedule within 10 business days; document any adjusted minima with justification. Implementation (pilot → scale) • 0-3 months: publish artefact templates and rubrics; stand up DSC pool; rotation scheduler; first micro‑hub pilots. • 3-6 months: first publication cycle; reliability report baseline; dashboard tiles live. • 6-12 months: expand regions; publish calibration report; embed rotation drift alerts; begin annual moderation review. • 12-24 months: full rural parity; independent evaluation; integrate with procurement preferences for compliant providers. Interfaces with other standards & roles • Truth‑by‑Design: roster‑to‑claim and e‑receipt reconciliation; exception ladders (E1/E2/E5). • Safety & Restrictive Practices: timekeeping; 72‑hour learning reviews; fade‑plan actions. • IDC Workforce Standard: documentation exemplars; candour checks; Two‑Key handshake; calibration memos. • Governance, Assurance & Risk: sanctions alignment; publication; appeals/merits review hooks. • Data, Dashboards & Privacy: DPIA, suppression rules, tiles schema.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 91 Appeals & fairness • Plain‑English notice of findings and actions with a 10‑business‑day window for factual correction (no re‑litigation). • Independent merits review where provided in law; DSC provides source pack and calibration logs on request. Decision Support Consultant Essentials Note: This aligns with the latest IDC and Two‑Key reforms. It consolidates duplicated clauses and defaults to the most stringent thresholds and integrity settings. DSC Education & Pathways (entry, bridging, renewal) Purpose: ensure a scalable, independent DSC workforce with consistent judgement, methods integrity, and rural parity. The settings below follow the ‘higher-of’ rule aligned to IDC and Two‑Key reform. Entry routes (minimum gates) • Stream A - Law/Policy: degree in law, criminology, public policy, investigation, or equivalent; modules in administrative law, evidence, statutory interpretation. • Stream B - Clinical/Practice: senior IDC/Allied Health/Nursing with supervision experience; modules in verification methods and conflicts/independence. • Stream C - Audit/Integrity: certified auditor/compliance professional; modules in disability rights, SDM, least‑restrictive tests, and communication access (AAC/interpreters). • All streams: pass DSC core curriculum, OSCE/observed stations for interviews, contradiction analysis, R&W drafting, and Two‑Key calibration; supervised verifications completed under rotation. Curriculum map (minimum content & hours - higher‑of applied) • Structured learning: 180-240 hours (administrative law; evidence & probity; least‑restrictive/necessity/proportionality tests; investigation methods; cognitive disability & communication access; bias/heuristics; statistics & sampling; DPIA & privacy‑by‑design; Two‑Key calibration). • Applied micro‑modules: 60-100 hours (justice/hospital/housing interfaces; rural protocols; interpreter scheduling; e‑receipts and roster‑to‑claim analytics; dashboard literacy). • Equity modules: ≥20 hours (First Nations partnership; CALD/Auslan; trauma‑informed enquiry; cultural pairing for second key where feasible). • Simulation & drills: ≥20 hours (contradiction interviews; rights testing under time pressure; publication/redaction exercises). Supervised practise & observation • Supervised verifications: 200-300 hours across ≥6 cases (mix of safety, integrity, and decision‑risk triggers).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 92 • Observed elements: ≥8 observed interviews (≥3 external supervisor), ≥3 case conferences, ≥3 publication/redaction exercises. • Documentation integrity checks: ≥4 file‑vs‑field reconciliations producing Contradiction Matrices and R&Ws. • Calibration: participation in quarterly double‑rating; κ target ≥0.7 with actions logged if below. DSC OSCE/Observed stations (must‑pass) • Interview & communication access with AAC/interpreters (plain‑language summary back‑check). • Contradiction Matrix build from mixed‑quality records under time constraint. • R&W drafting with proportionality/necessity analysis and clear discounting of weak evidence. • Two‑Key Calibration Memo with independence/rotation check and bias/capture notes. • Privacy & DPIA station: redaction and publication pathway with suppression rules (n<5). Equivalency & Bridging (legacy roles → DSC) • Equivalency: mapped knowledge checks (admin law; rights tests; DPIA; Two‑Key; conflicts), OSCE/observed stations, and portfolio (R&Ws, Contradiction Matrices, IRCs, Calibration Memos). • Bridging: AO‑2 plan with gap modules named; supervised hours 150-240 depending on stream; booked OSCEs; provisional verification scope (shadow/assist only) until pass. • Outcomes rubric: PASS / BRIDGE / DEFER / FAIL; safety/integrity gates non‑negotiable. Renewal & CPD • Cycle: every 3 years; mini‑OSCE (2-3 observed stations) or workplace assessment; candour check (file‑vs‑field sample). • CPD: ≥60 hours/year (≥12 hours equity); at least one rural/micro‑hub engagement per cycle where practicable. • Recency: ≥600-900 hours verification activity (mix of lead/shadow) per 3‑year cycle. Wage bands, incentives & rural parity • DSC (Verifier): AUD $120k-$145k base (signal only; jurisdictional bargaining applies). • Senior DSC (Lead): AUD $145k-$170k; Principal DSC (Calibration/Methods): AUD $170k-$200k. • Rural/remote loadings: 10-20% plus travel/standby recognition; bonded scholarships for shortage regions and priority domains (paediatrics; justice transitions). • Outcome‑linked incentives (QPIP‑Integrity): pool of 2-3% tied to publication timeliness, contradiction resolution rate, rotation health, and reduction in re‑work/appeals (risk‑adjusted; anti‑gaming). Caseload & rotation (capture/bias guardrails)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 93 • Caseload: complexity‑weighted caps; automatic alert at 85% threshold; forced rotation at 100%. • Rotation: no single DSC‑provider pairing >X% of cases/quarter (policy to set X, typical 25-33%); automatic sampling if exceeded. • Separation: no verification of a provider within 24 months of employment/consultancy; cooling‑off on conflicted matters; emergency quorum only with 72‑hour post‑hoc review. Procurement & registry hooks • Procurement: contracts require independent DSC engagement for Two‑Key domains and publish rotation health; preference for vendors with ≥90% on‑time actions from DSC findings. • Registry: DSC licence, currency, κ statistic by quarter, conflict declarations, rotation metrics, publication timestamps. Tribunal/OPG/OPA Practice - Candour by Template (worked guidance) Purpose (why a template) Enable clear, publishable reasons that reconcile file-vs-field facts and respect rights, culture and privacy. The template reduces variance, speeds publication and supports appeal-proof decisions. [See Artefacts; Publication and privacy; Governance, Assurance and Risk.] Plain-English Reasons (structure) Use this micro-template when drafting Reasons & Weighting (R&W): 1. Issue(s) to decide - one sentence each in Plain English/Easy Read. 2. What we looked at - list sources (observations, e-receipts, timekeeping, plans, clinical notes, interviews, law/policy). 3. What matched / what didn’t - short contrasts anchored to the Contradiction Matrix. 4. Rights tests applied - least-restrictive, proportionality, necessity (and any statutory criteria). 5. What we decided and why - the finding(s) with the highest-weight evidence named. 6. What happens next - time-bound actions, owners, due dates; how parties can seek review/appeal. 7. How we protected privacy/culture - redactions, interpreter use, cultural brokers engaged. Keep the public reasons to ~600-1,200 words; attach the full R&W and Matrix in the family/decision-maker view. [See Data, Dashboards and Privacy.] Weighting scale (probative value, with descriptors)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 94 • Very high - first-hand observation by DSC; consistent with neutral artefacts (e- receipts, timekeeping); contemporaneous; method sound. • High - first-hand or expert source; minor gaps; still aligns with neutral artefacts. • Moderate - second-hand; partial corroboration; method limits noted. • Low - hearsay; inconsistent with neutral artefacts; material bias/conflict not mitigated. • Nil - unverifiable; contradicted by multiple stronger sources; method unsound. Modifiers: contemporaneity, corroboration breadth, cultural/linguistic fit (interpreter/AAC), conflict of interest, expertise scope. [See Reasons & Weighting; Contradiction Matrix.] Contradiction Matrix - how to use it Populate rows for each contested fact: Item → File says → Field shows → Other sources → Resolution → Residual uncertainty. Rules of thumb: • Prefer neutral artefacts (receipts/logs) over recollection. • Record why lower-weight evidence was discounted (bias, method, mismatch). • If uncertainty remains, state it and design actions to reduce it (e.g., targeted observation, medication review). [See Independent-Reasoning Certificate.] Procedural fairness (right to be heard) • Notice: state the questions and what materials will be considered. • Disclosure: provide the draft Matrix summary in Plain English/Easy Read (and translated/Auslan where relevant). • Response window: reasonable but time-limited to meet the 21-day publication SLA. • Consideration: show how responses changed weightings/findings. • Record: log interpreter/AAC use and any cultural broker involvement. [See Equity, First Nations Partnership and Access.] Redaction & suppression playbook (publication safety) • Remove person-identifiable health details not necessary to understand reasons; pseudonymise; generalise location. • Apply small-cell suppression and k-anonymity in any annexed summaries; never publish raw artefacts. • For cultural content - publish the principle and action, not sensitive specifics; store detail only in the family view. [See Data, Dashboards and Privacy; Appendix S.] Worked example types (see Appendix AG) • Capacity & consent (interpretation + psychotropic change). • Seclusion beyond limits (restraint spike with missing timekeeping). • Environmental restriction vs safety (locked areas and fade plan). • Integrity exception E1/E2 (no roster/receipt) tied to sanctions rung. • Disputed participation claims (presence minutes vs receipts/tracker).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 95 • Interpreter unavailable (procedural fairness and adjournment logic). Each exemplar shows the filled Matrix, R&W with weights, and the published summary (Plain English + Easy Read), with redaction notes. Quality gates (ready to publish) • Completeness: Matrix filled; R&W covers issues, tests, findings, actions. • Clarity: public summary ≤1,200 words; reading grade appropriate; headings match this template. • Equity: interpreter/AAC recorded; cultural broker engaged where relevant. • Privacy: DPIA reference, redactions listed; small-cell and k-anonymity checks pass. • Timeliness: publication within 21 days of intake unless legally extended (reason noted). [See Metrics and indicators; Publication and privacy.] Decision outputs → actions (closing the loop) • Convert remedies into time-bound actions (fade-plan steps, medication review, switching, supervision). • Push actions to provider/coordinator dashboards with owners/dates; show progress in family view; summarise completion in public tiles. • If sanctions are engaged, link to the rung and expiry/recurrence rules. [See Truth-by-Design Standard; Governance, Assurance and Risk.] Publication and privacy • What is published: a plain-English summary of reasons, remedies/actions and dates; anonymised data for public tiles (e.g., publication timeliness, variance rates); provider-level sanctions signals where rules allow. • What is not published: person-identifiable health information, exact addresses, sensitive cultural details, or any data breaching suppression thresholds. • Family/guardian view: full R&W (with redactions only where law requires) and action tracking. • Method notes: release notes describe method changes and calibration results to maintain trust. [See Data, Dashboards and Privacy; Governance, Assurance and Risk.] Roles and responsibilities • DSC: conduct enquiry; complete artefacts; recommend remedies; attest IRC. • Decision-maker (tribunal/OPA/commissioner): issue determination; adopt R&W; ensure actions/timeframes are lawful and proportionate. • Provider: supply documents; enable observation; implement remedies; report completion. • IDC/supervisor: attend review; implement practice changes (e.g., fade-plan steps; documentation fixes). • Clinicians (if involved): clarify prescribing rationale/monitoring; adjust plans as needed. • Families/authorised representatives: contribute lived information; receive plain- language summary; track actions.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 96 • Program owner: maintain DSC SOP, templates, calibration and publication cadence. Metrics and indicators (dashboards) • Turnaround: median days intake→publication; % published within 21 days. • Calibration variance: % of cases where file assertions diverge from field observations on key points; variance trend over time. • Quality of reasons: peer-review score (structure, clarity, test application); re-work rate; appeal/overturn rate. • Action completion: % remedies delivered on time; repeat-issue rate within 90/180 days. • Equity & access: interpreter/AAC use; First Nations partnership engagement; rural on-site vs tele-observation mix. • Privacy: publication errors (target: zero); DPIA status; audit-log completeness. [See Evaluation & Continuous Learning; Data, Dashboards and Privacy.] Calibration and quality assurance • Double-rating: ≥10% of cases second-reviewed by a different DSC; inter-rater reliability published. • Case sampling: targeted re-checks on high-impact decisions and sanctions rungs ≥3. • Examiner development: quarterly moderation using de-identified cases; library of annotated R&W exemplars. • Feedback loop: providers and families can submit factual corrections; versioned publications record amendments. • Red-team tests: simulate adversarial scenarios (e.g., perfect paperwork with weak field practice; data gaps; conflicting clinician opinions). Interfaces with other standards • Safety & Restrictive Practices: sentinel events and Red-light restraint trigger DSC; outputs drive fade-plan revisions and training focus. • Truth-by-Design: DSC uses e-receipts, roster/claim data and exception logs as neutral artefacts; integrity findings feed the sanctions ladder. • Workforce (IDC): DSC observations contribute to file-vs-field candour checks used at renewal; aggregate themes inform curriculum updates. • Service Model Standards: DSC verifies presence/participation claims and switching friction reports in real contexts. • Data, Dashboards and Privacy: publication rules, suppression thresholds and audit logs apply to all DSC outputs. • Governance, Assurance and Risk: ownership, escalation and proportionate sanctions; whistleblower protections. • Evaluation & Continuous Learning: peer-review, improvement cycles, and standard refresh cadence. Implementation (switch-on order) • 0-3 months: stand-up DSC unit; publish SOP; release R&W and Contradiction Matrix templates; train DSCs and decision-makers; start with safety high-risk triggers; DPIA completed.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 97 • 3-6 months: add integrity and pattern-risk triggers; commence double-rating; publish first de-identified DSC tiles (turnaround; variance). • 6-12 months: expand coverage; publish method notes and calibration report; integrate with sanctions ladder publication; red-team a contested decision scenario. • 12-24 months: statewide availability; independent evaluation of DSC impact on appeals, safety outcomes and market quality signals. Risks and mitigations • Role creep (becoming case managers): SOP and KPIs tied to verification outputs, not service delivery. • Perceived bias: structural separation; rotation; declared interests; double-rating; right-of-reply in publications. • Delay risk: 21-day service level; escalation when clinical/safety decisions cannot wait; interim safeguards documented. • Chilling candour: publish method notes that reward truthful documentation; sanctions focus on verified misconduct, not error disclosed and corrected. • Privacy exposure: strict redaction rules; suppression thresholds; immutable audit logs; rapid correction protocol. Example; Template Baseline Formats A1. Disclosure and Candour Certification (for parties/agencies) Case reference: ____ Party/Agency: ____ Date: ____ Contact for follow-up (name/role/email/phone): ______________________ Certification (tick to confirm): 1 ☐ I have taken reasonable steps to locate and disclose all material documents and data in my possession or control that are relevant to this matter (including emails, rosters, care notes, incident logs, medication charts, discharge letters, behaviour/PBS data, mealtime/IDDSI plans, seizure protocols, e-receipts, CCTV/audio per policy, and prior orders). 2 ☐ Any known contradictions, gaps or missing records are identified below. 3 ☐ I understand this certification may be checked against organisational records and exceptions (roster-to-claim sweeps, audit trails). 4 ☐ Where the participant has requested appeal materials, I confirm we will supply our materials within 10 business days and cooperate so that transcripts/recordings can be made available inside the statutory window (see Appendix C, C1.4). List of materials disclosed (title/date/author/location): • _____________________________________________________________
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 98 Known contradictions or gaps (describe and state mitigation): • _____________________________________________________________ Signature: __________________ Name/Role: ________________ Date: ____ Privacy note: Attach only what is necessary. De-identify where lawful; mark health information clearly; do not include third-party names without consent or lawful basis. A2. Minimum Investigation Standard (MIS) Checklist (for investigations) Case reference: ____ Investigator: ____ Tier: ☐ Triage ☐ Standard ☐ Complex Target SLAs: Triage ≤5 bd; Standard ≤20 bd; Complex ≤40 bd (record reasons for any variance). Contacts completed (dates/outcomes): • Person (incl. communication method/AAC): __________________________ • Representative/guardian: ________________________________________ • Family/primary carer: ___________________________________________ • Service provider(s) (frontline + manager): _________________________ • Health/allied health (GP, pharmacy, SLP/OT/psych): ________________ • Others (e.g., school/police/ambulance): ____________________________ Required documents on file (tick/attach source): ☐ Incident summaries ☐ Medication charts/MAR ☐ Discharge letters ☐ Chronology ☐ Behaviour/PBS data ☐ Communication profile/AAC ☐ Mealtime/dysphagia (IDDSI) plan ☐ Duty statements/rosters ☐ Prior orders/authorisations & compliance notes ☐ E-receipts & claims extracts ☐ Seizure plan/rescue-med governance ☐ Documentation integrity sample/audit Credibility rubric applied: ☐ Yes (attach notes) Contradictions logged in Matrix: ☐ Yes Equity lens applied (First Nations/CALD/Auslan/women/LGBTQ+/55+/rural): ☐ Yes
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 99 SLA met: ☐ Yes ☐ No (reasons) ____________________________________ Supervisor review completed: ☐ Yes Date: ____ Closure memo maps findings → evidence and options grid: ☐ Yes Supervisor sign-off: __________________ Date: ____ Rule of evidence: No single source is determinative where contradictions exist. Use the Contradiction Matrix and resolve on the record (see A3). A3. Contradiction Matrix (registry tool) Assertion (material fact) S o u r c e A S o u r c e B S o u r c e C Weight (H/M/L) Status (C=Corroborated / CT=Contradicted / U=Unverified) Action (Oral/Collateral/ Defer) Owner & Due Notes/MIS deviation • Populate for every material assertion. • Flag items for oral testing at hearing; record who resolves and by when. • Link to evidence locations (doc ID/time-stamp). A4. Independent-Reasoning Certificate (IRC) I, [name], certify that: 1 I independently evaluated and weighted each material item of evidence using the Reasons & Weighting table. 2 I used the Contradiction Matrix to reconcile conflicts; any unresolved conflicts are explained in Reasons. 3 I applied rights and least-restrictive tests and considered supported decision-making with communication access. 4 I identified any MIS deviations and explained why. 5 Where an appeal is requested, the appeal-ready bundle (reasons, matrix, schedules, audio/transcript request) has been initiated so materials are available within the statutory time. Signed: __________ Role: Member/Delegate Date: ____
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 100 A5. Reasons and Weighting - Fillable Shell Case reference: ____ Decision-maker(s): ____ Date: ____ Issues: ________________________________________________________ Options considered (with least-restrictive analysis): ________________ Evidence summary (complete for each material source): • Source: __________ Accepted/Rejected/Partial; Weight (H/M/L); Why: __________________ Applied tests: rights; least-restrictive; SDM/capacity; risks & safeguards; why this option best fits the person’s will and preferences. Decision and conditions: ________________________________________ Review trigger(s) (incl. restraint fade/expiry): ______________________ Equity considerations (First Nations/CALD/Auslan/55+/rural): _________ Plain-language summary (for the person/family): ____________________ Publication note: Prepare a de-identified digest entry (per Appendix H) and mark any suppression requirements. A6. Gold-Standard Case Note and Rubric Structure 1 What happened (objective, time-stamped). 2 What mattered to the person (will, preferences, consent). 3 Risks and actions taken (link to plans: IDDSI/seizure/PBS). 4 Next steps (who/what/when; review date). 5 Attachments & consent status (include e-receipt/roster link). Scoring (0-2 each; pass ≥7/10): objectivity; completeness; risk linkage; timeliness; readability. Redaction/Privacy: remove non-party identifiers; mark sensitive content.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 101 A7. Seizure Response Drill Script Scenario: [type, duration, environment] Checks (pass/fail): ☐ Start time recorded; timer running. ☐ Protect head/airway; clear hazards; recovery position when safe. ☐ Follow person’s plan; thresholds observed (e.g., ≥5 min or cluster as per plan → escalate). ☐ Rescue-med steps practised (only if authorised); post-ictal monitoring explained. ☐ Documentation complete; family/ally notified; review booked (≤7 days). Assessor comments / Retraining required: __________________________ A8. Mealtime & IDDSI Audit Sheet Person: ____ IDDSI level(s): Solids [ ] 3 [ ] 4 [ ] 5 [ ] 6 [ ] 7 Liquids [ ] 0 [ ] 1 [ ] 2 [ ] 3 [ ] 4 Set-up: positioning; supervision level; equipment ready; IDDSI flow/fork-drip test performed and recorded. During meal: pacing; prompts; safe swallow strategies; signs of distress recognised; escalation pathway. Post-meal: upright time; oral care; hydration; documentation; issues for review. Result: Pass/Fail items; Action plan with owner & due date. Safety rule: Never change textures without a documented plan. Sentinel aspiration events must trigger a 72-hour review (see Appendix P-3; Appendix E). A9. OSCE Checklists (module pack) Modules • Mealtime/dysphagia (IDDSI) • Seizure response (incl. rescue-med delegation where permitted) • Medication safety & delegation • AAC in conversation • PBS de-escalation & data capture • Documentation integrity For each module include: station set-up; candidate tasks; critical errors (automatic fail); scoring rubric (0-2 items; pass thresholds); identity check; debrief script; moderation notes. Reliability: annual moderation and inter-rater reliability target κ ≥0.7.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 102 A10. Two-Party e-Receipt - Data Fields and Format Minimum fields (aligns with Appendix H & schema): • receipt_id (UUID); case_ref (if applicable) • Participant: participant_id (pseudonymous), participant_name (if consented), consent preference (text/checkbox), attestation modality (signature/initials/AAC yes-no/ PIN/QR) • Worker: worker_id, worker_name, provider_id • Service: service_code, service_description, date, start_time, end_time, duration_minutes, location_type (home/community/tele/custody/ED) • Integrity hooks: roster_ref, claim_ref, incident_flag (Y/N), notes_redacted (Y/N) • Attestations: participant_attest_ts, worker_attest_ts, attestation_status (complete/pending/declined) • Change log: created_at, updated_at, created_by, edited_by, change_hash • Offline metadata: device_id, offline_flag (Y/N), first_seen_server_ts, sync_status, optional coarse geo_area (only with consent) • Accessibility: interpreter_used (Y/N/type), AAC_used (Y/N/type) Formats: PDF and CSV; JSON via API (published by administrator). Timing: capture within 48 hours of delivery; offline capture allowed with sync ≤ 7 days in rural/remote contexts. Retention & access: per statutory schedule; role-based access; full audit trail. Corrections: allow post-issue correction with dual attestation and preserved change log (no hard deletes). A11. Accessibility & Translation Addendum (applies to all A-templates) • Offer Easy-Read, large print, and interpreter/Auslan. • Provide a Yes/No card and picture board for on-site completion. • Confirm preferred language and communication method; record on each form. • Allow phone/in-person completion with a staff scribe where requested (scribe signs).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 103 A12. Data Protection Hooks (cross-reference Appendix I) • Each template includes a Privacy Notice: purpose, lawful basis, who sees the data, retention, and contact for corrections. • Any new fields or linkages require a DPIA update; record version/date on the form footer. • Mark sensitive health or cultural information and apply need-to-know access. A13. Publication Mapping (Appendix H) • A1/A2/A5 feed Tribunal_Decision_Summary (reasons_weighting_applied_pct, MIS deviation). • A10 feeds Integrity_Exceptions (coverage and anomaly resolution). • A7/A8 and OSCE modules inform Provider_Quarterly_Dashboard (safety and competence tiles).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 104 Shared Decision Standard - Two-Key Guardianship (No One Decides Alone) Aligned with IDC Workforce Standard and Independent Verification (DSC). This consolidates the Two‑Key standard with prior Two‑Key elements from the DSC/IDC Reform Blueprint, Policy & Legislative Pack, Audit Information Pack, and Implementation Order. It adopts the most rigorous (‘higher‑of’) integrity settings and removes duplication. Purpose & scope Establish a failsafe for consequential decisions so no one decides alone, aligning tribunals, guardians/OPG/OPA, providers, COORD/OPS licence classes, and families around a single, auditable pattern. Decision classes (in scope) • Life/Home: entry/exit or switch of residence; restrictive living arrangements; SDA/SIL moves. • Liberty & Health: consent to high‑risk procedures/sedation; psychotropic initiation/continuation; restraint authorisations beyond emergencies. • Finance & Relationships: long‑term finance/estate moves; material program switches affecting income, supports, or close relationships. • Other high‑stakes matters named by the tribunal/commissioner. Core rule • Two independent keys (co‑sign) OR Multi‑Person Guardianship (MPG) quorum for all in‑scope decisions. • Every decision carries a short Reasons & Weighting (R&W) note (issues, evidence, probative weight, applied tests) and a Will‑and‑Preferences record in the person’s words (with SDM/BIWP support where capacity fluctuates). • DSC calibration engaged where facts are contested or risk is high; DSC reports file‑vs‑field with method transparency. Independence & conflict rules • Co‑signers must be independent: no direct financial conflicts; not both employed by the same provider team making/benefiting from the decision. • Rotation of principal signers; declarable relationships recorded. Same‑pair limits per quarter; breaches trigger DSC sampling ≥20% next quarter. • If a second guardian/independent key is unavailable or recused, pair via the Independent Pairing Pool (IPP) within 72 hours (tele‑co‑sign acceptable with ID check and recorded reason). • COORD independence: coordination separated from provision; where a COORD influences a consequential decision, R&W + Two‑Key details must be logged.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 105 Emergency pathway (Tier‑0) • Make safe using the least‑restrictive option likely to succeed. • Log within 24 hours; hold a 72‑hour learning review; update the fade plan if restraint/sedation occurred. • The follow‑up decision must meet Two‑Key/MPG rules (no exceptions). Quorum models • Standard: Two‑Key (two independent keys) for most decisions. • MPG: a small quorum (e.g., 3) for complex/contested liberty‑reducing decisions, including an external member. • Emergency Quorum: 2‑of‑5 with TTL 72h for time‑critical safety events; mandatory post‑hoc DSC review within 72h; auto‑reversal if review fails. Roles & interfaces • Tribunal/Commissioner: decision‑maker of record; issues determinations; sets practice notes. • Guardians/OPG/OPA: provide a key or quorum seat; maintain rotation and conflict registers. • IDC (workforce): leads SDM, timekeeping, and the 72‑hour learning review; prepares clean documentation packs. • COORD licence class: logs R&W where they influence decisions; maintains independence from provision. • DSC (independent verification): provides Calibration Memo; reconciles file‑vs‑field; supports lawful, reviewable decisions. Artefacts (minimum, one‑page forms wherever possible) • Two‑Key Decision Record - R&W short form + Will‑and‑Preferences. • Conflict & Independence Check - pairing record + rotation limits + declarations. • Tier‑0 Log & 72‑Hour Review - emergency documentation and learning actions. • DSC Calibration Memo - independence, R&W quality, will‑and‑preferences fidelity (where engaged). • Publication Note - privacy‑safe, de‑identified summary for dashboards, where applicable. Publication & dashboards • Measures: two_key_coverage_pct; co‑sign_median_hours and p95_hours; tier0_exception_rate_per_100_decisions; review_72h_coverage_pct; rotation health; equity lenses (First Nations, CALD, rural/remote, gender, age bands). • Suppression: n < 5; family‑view dashboards show status/due dates without sensitive content. • Tiles feed quarterly public releases; provider‑level publication limited to quality signals (no personal data).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 106 Rural & thin‑market parity • IPP with 72‑hour SLA to source independent keys; tele‑co‑sign with identity check; micro‑hub pairing rosters. • Scholarships/loadings handled elsewhere; here: execution parity with no dilution of standards. Anti‑collusion & capture guards • Rotation rules: enforce same‑pair limits; publish rotation health metrics. • Bias/capture signals: trigger DSC sampling and, where needed, a full verification. • Related‑party checks: automatic prompts during pairing; require written reasons if proceeding with mitigations. Implementation (switch‑on order) 9. 0-3 months: Tribunal Practice Note; OPA/OPG Investigations Code addendum; IPP stood up; templates live; internal dashboards. 10. 3-6 months: pilot (1 metro + 1 rural); ≥90% coverage; median co‑sign ≤72h moving to ≤48h; begin external dashboards (de‑identified). 11. 6-12 months: scale to priority cohorts; publish first calibration & rotation report; embed emergency‑quorum post‑hoc checks. 12. 12-24 months: regional parity; independent evaluation; incorporation into procurement and accreditation conditions. Compliance & sanctions • Non‑compliance ladder: improvement plan → licence/contract conditions → administrative fines → de‑preference/de‑barment → publication on registry. • Provider claims contingent on recorded co‑sign/quorum for in‑scope decisions; exceptions logged, trended, and reviewed. Note: This is a wage‑free information metric by design and aligns with IDC and DSC standards. It defaults to the most stringent thresholds and integrity controls, emphasising simple artefacts and rotation health to prevent capture.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 107 Service Model Standards (life in community) Purpose and scope This standard replaces “screens-as-care” and “restraint as default” with real presence and participation in ordinary places. It makes supports visible in the community, strengthens roles and relationships, and ensures switching is easy when services don’t fit. It applies across home, community, education, health and justice interfaces. [See Workforce Standard - Integrated Disability Clinician (IDC); Truth-by-Design Standard; Safety & Restrictive Practices Standard.] Principles • Person-first, least-restrictive by default. Supports are built around the person’s goals and preferences. • Ordinary places first. Shops, parks, libraries, clubs, education, training, workplaces - where other people are. • Dignity of risk. Practise skills in real contexts with proportionate safeguards. • Coordination independent from provision. Reduced conflicts; decisions made in the person’s interest. • Easy switching. Low friction to change providers, coordinators, or modalities. • Equity. First Nations partnership, CALD/Auslan access, rural enablement baked in. • Privacy-by-design. Role-based access, clear consent, minimal data, open schemas. [See Equity, First Nations Partnership and Access; Data, Dashboards and Privacy.] Minimum requirements (what every plan and week must show) • Accessible plan (Plain English and Easy Read) with 3-5 clear goals, each mapped to roles in ordinary places. • Weekly community schedule that names the place, role/task, people involved and how success will be practised and measured. • Skill-building method (graded steps, prompts, generalisation plan, who coaches, where and how often). • Transport plan (how to get there safely and reliably; contingencies). • Communication supports (AAC, interpreters, visual cues). • Safeguards (reasonable adjustments, early-warning cues, de-escalation steps, fade plans if restraint ever used). • Family/ally involvement (who does what; micro-modules for the home routines that sustain progress). • Switching protocol (how to exit a poor fit; time limits; who helps). • Visibility via two-party e-receipts and presence/participation trackers that feed family and public dashboards. [See Truth-by-Design Standard; Safety & Restrictive Practices Standard.] Accessible plans (content and format)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 108 • Front page: person’s priorities in their words; communication preferences; cultural considerations. • Goal cards (per goal): ordinary place(s); target role(s); practice steps; who supports; dignity-of-risk notes; success indicators. • Supports grid: IDC tasks vs. family/ally tasks; frequency/dose; review dates. • Easy Read insert: icons, photos (with consent), short lines; available in language preference; Auslan video link where applicable. • Version control: date, owner, next review; change log in plain English. [See Data, Dashboards and Privacy.] Community Access Kits (making ordinary places ready) “Quiet Hours” Community MOU (shops, libraries, pools) Purpose. Partner with local venues to create predictable, low-arousal access without special segregation. Minimum clauses (Appendix AD): • Weekly quiet hour slot(s) with adjusted lighting/sound; staff brief; priority queue where practical. • Visible signage; Plain English/Easy Read posters; optional symbol cards. • Contact person; feedback loop; review every 6 months. How used: IDCs schedule graded tasks during quiet hours; e-receipts tag community.quiet_hour. Metrics: attendance; role steps achieved; customer feedback; incidents (target low, learning documented). [See Service Model Standards (life in community); Equity, First Nations Partnership and Access.] Transport Staff Pocket Card (bus, rail, community transport) Purpose. Help drivers/guards support people with cognitive disability calmly and lawfully. Front (Appendix AE): 6 prompts: greet; allow time; use simple choices; confirm destination; offer seat change; call for help (not police) unless safety risk. Back: do/don’t list (no forced handling; avoid loud commands; offer alternatives); QR to a 60-second explainer video; local micro-hub contact. Use: carried by IDC/person; shown to staff if needed; transport operators brief crews quarterly. Metrics: reported issues; on-time arrivals; successful graded trips; complaints resolved. [See Equity, First Nations Partnership and Access.] Where to get help / Artefacts & Templates • Appendix AD - “Quiet Hours” Community MOU Template (venue checklist, posters, comms script).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 109 • Appendix AE - Transport Staff Pocket Card (print-ready PDF + text for in-app wallet). • API events: community.quiet_hour.created, transport.support.requested. [See Data, Dashboards and Privacy.] Roles and responsibilities • Where a service recommendation would trigger an in-scope decision, providers attach the Two-Key Decision Record and confirm co-sign status before acting, unless Tier-0 applied. • IDC: plan graded visits; brief venue/transport staff; capture receipts; debrief in Plain English/Easy Read. • Venues/Transport operators: adopt MOU/pocket card; brief staff; provide a single contact; log incidents/feedback. • Coordinator: line up partners; ensure quiet hours align with the weekly schedule; solve access blockers. • Equity Lead/Micro-hubs: supply training; maintain poster stocks; collect feedback themes for quality summaries. Community presence and participation (how we practise) • Presence = minutes/hours in ordinary places; Participation = roles, relationships, contribution. Both are required. • Graded exposure: start with short, predictable tasks; extend time, complexity and independence. • Natural supports: staff coach toward peers, neighbours, colleagues - not permanent one-to-one shadowing. • Role-building: volunteer → trainee → paid role pathways where suitable; link to education/training. • Health interface: GP/dentist/physio appointments are real-world practice opportunities (navigation, waiting, communicating needs). [See Workforce Standard - IDC; Evaluation & Continuous Learning.] Coordination independent from provision • Structural independence: the person’s coordinator cannot be employed by (or bonus-linked to) their primary service provider. • Conflict declarations: any related-party link is declared, mitigated or replaced. • Choice architecture: present 2-3 viable options with Plain English/Easy Read comparisons; record the person’s reasons. • Review cadence: check fit at 30/90 days; earlier if red flags arise (missed shifts, low presence, repeated incidents). [See Governance, Assurance and Risk.] Switching protocol (low-friction change) • Triggers: poor fit, repeated cancellations, safety concerns, loss of trust, conflict of interest, move of home/school/job.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 110 • Exit & Entry Data Set (minimum): goals and progress, weekly schedule, communication supports, risk/safeguards, meds handover (if relevant), upcoming commitments. • Time limits: o Provider issues Exit Data Set within 10 business days of notice. o New provider confirms start within 5 business days of receiving it. • Continuity: no gap >10 business days unless the person chooses a pause; interim supports arranged where needed. • Costs: publish any break fees up-front; ban “soft lock-in” via opaque rostering rules. • Support to switch: coordinator arranges comparisons, trials, and first-week routines at the new provider. [See Truth-by-Design Standard; Independent Verification Standard.] Provider Transition Pack (switching & onboarding) Purpose and outcomes Make switching simple, fast and safe so people move to a better fit without gaps. Outcomes: (1) continuity in ordinary places; (2) no re-telling of history; (3) risks controlled; (4) first- week wins visible in family view. [See Switching protocol; Data, Dashboards and Privacy.] What the current provider must deliver (Exit) • Within 10 business days: complete the Exit & Entry Data Set (Appendix M) including: goals & current progress; weekly community schedule; communication passport/AAC; cultural plan; risk/safeguards; meds/handover status; upcoming commitments; contact points. • Quality check: Plain English/Easy Read summary; translated where relevant. • Warm handover: one joint call (or meeting) with new provider and coordinator; confirm dates and first-week plan. • Continuity: maintain supports until the agreed start date unless the person chooses a pause. What the new provider must deliver (Entry) • Within 5 business days of receiving the Exit set: confirm start date; assign IDC lead; book interpreters/Auslan; schedule week-1 ordinary-place sessions. • First week (minimum): 2-3 community sessions; at least one role-building step; confirm transport plan; capture two-party e-receipts. • Family view: show first-week plan and receipts; provide a contact for troubleshooting. Coordinator (independent) duties • Present 2-3 viable options (Plain English/Easy Read comparisons). • Manage time limits; escalate delays at day 6/11; record reason codes for friction. • Confirm funding/admin changes; update dashboards.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 111 Risk, safety and health continuity • Move any fade plan and open 72-hour learning review tasks with the Exit set; book the next review date. • Ensure GP/ED hand-backs and prescriptions move with the person; book GP within 7 days if there was a recent incident. [See Safety & Restrictive Practices Standard; Primary Care & Health Stewardship.] Where to get help / Artefacts & Templates • Appendix M - Switching Protocol & Exit/Entry Data Set (expanded to include Transition Pack checklists and week-1 plan). • Family-facing “Welcome & What to Expect (Week 1)” one-pager (Plain English/Easy Read) - included in Appendix M. Metrics (dashboards) • Time to issue Exit set; time to confirm start; days of gap (target ≤10 business days, person-chosen pauses excluded). • Week-1 completion rate; presence minutes in first 14 days; exception rate on receipts; family confidence index change. [See Data, Dashboards and Privacy.] Frequently Asked Questions (Plain English) Q. Do we have to explain everything again? A. No. The Exit & Entry Data Set moves with you so you don’t retell your story. You can add updates in your words. Q. How long should switching take? A. Exit set in 10 business days, new start confirmed in 5. If not, the coordinator escalates and helps you choose alternatives. Q. Can we try the new provider first? A. Yes. A trial week can be scheduled; two-party e-receipts show what happened so you can decide. Q. What if the new provider isn’t ready? A. You can choose another provider. Delays are recorded and published as switching friction metrics. Q. Who sees my information? A. Only people with a role-based need (you/your representative, old and new provider, coordinator). Public tiles are de-identified. Q. We live rural - will we wait longer? A. The standard applies everywhere. Micro-hubs, tele-onboarding and travel supports are in place to keep parity.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 112 Q. Can we change our coordinator too? A. Yes. Coordination is independent from provision; you can switch coordinators under the same time limits. Skill acquisition in real contexts • Task analysis & prompting: break tasks into steps; fade prompts; track independence. • Generalisation: practise in at least two settings with two different people. • Dose & spacing: specify frequency and length; avoid long gaps that reset progress. • Home practice: short micro-modules for families/allies; no specialist jargon; video or photo prompts with consent. • Feedback loop: IDC provides brief, plain-language updates tied to the goal card - visible in family view. [See Workforce Standard - IDC.] Technology and environment • Assistive tech supports communication, planning and navigation; it does not replace real presence. • Remote/tele-supports are supplemental (e.g., brief coaching), not the main event unless expressly chosen for a time-limited purpose. • Environmental adjustments (lighting, noise control, signage) are enablers - not covert restraint. If an adjustment restricts access, treat it under the Safety standard. [See Safety & Restrictive Practices Standard; Data, Dashboards and Privacy.] Justice Interfaces (police, courts, corrections) Police Academy Integration Plan - Cognitive Disability Capability Objective. Ensure first contact with police reduces harm, protects rights and connects people to supports, not cycles of escalation. (See Appendix AN - Police Academy Integration Plan (detailed curriculum & OSCE)) Minimum capabilities (academy & in-service): • Recognise cognitive disability indicators; use supported conversation and Easy Read cautions/warnings; arrange interpreters/Auslan/AAC when needed. • Apply least-restrictive by default and de-escalation; avoid “screens-as-care” body- cam replay loops that retraumatise. • Know local referral pathways (IDC/micro-hub, crisis alternatives) and how to initiate safe handover. • Document using a short Field Contact Note that translates to the person/family view where lawful. Delivery: scenario-based modules with lived-experience co-trainers; refresher every 24 months; rural delivery via micro-hubs and tele-simulation. Metrics: use of accessible cautions; interpreter/AAC usage; diversion to support vs charge; repeat-contact rate. [See Safety & Restrictive Practices Standard; Equity, First Nations Partnership and Access; Data, Dashboards and Privacy.] Corrections & Custody Health Standard
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 113 Objective. Make custody safe, rights-respecting and connected to health, not a clinical dead- end. Minimum requirements: • Screen on entry for cognitive disability; create a communication passport within 72 hours. • Medication reconciliation on entry/transfer/discharge; no psychotropic “standing orders” without indication, consent and monitoring. • Practice in ordinary routines: education, work, visits - use graded tasks and AAC, not isolation. • Restrictive practice controls: timekeeping; 72-hour learning reviews; fade plans that continue post-release. • Health access: GP/dental/mental health pathways with accessible materials; interpreter/Auslan access. • DSC triggers: sentinel events; seclusion beyond limits; contested capacity/consent; recurring complaints. Metrics: restrictive minutes/1,000 custody hours; review compliance; healthcare access timeliness; DSC turnaround; release continuity readiness. [See Safety & Restrictive Practices Standard; Independent Verification Standard; Equity, First Nations Partnership and Access.] Release Continuity (90-day before/after plan) Objective. No one steps from custody into a service void. Plan window: start T-90 days before release; continue to T+90 days after. Minimum elements: • Exit & Entry Data Set prepared and shared; confirm housing; income; ID; phone; transport. • Health hand-back: GP appointment within 7 days; scripts supplied; pharmacy brief; dental follow-up if indicated. • Supports live on day 1: IDC community schedule (ordinary places), interpreter bookings, assistive tech/AAC ready. • Safety learning: active fade plan if restraint occurred in custody; first community review within 14 days. • Legal/conditions: Easy Read summary of obligations; contact points. Metrics: GP seen ≤7 days; IDC session ≤72 hours; presence minutes in first month; missed appointments; re-contact with police. [See Service Model Standards (life in community); Safety & Restrictive Practices Standard; Data, Dashboards and Privacy.] Roles and responsibilities • Person/authorised representative: choose goals; consent; say what good looks like; review progress. • IDC: plan and run ordinary-place practice; capture e-receipts; update trackers; coach natural supports; escalate safeguards. • Coordinator (independent): convene reviews; manage switching; ensure conflicts are declared; align other services (education/health).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 114 • Provider leadership: resource community sessions (time, transport, staffing); ensure accessibility; fix patterns identified by dashboards/DSC. • Clinicians (if involved): advise on safe participation; avoid over-medicalising daily life; align therapy with roles and routines. • Family/allies: practise short tasks between sessions; attend reviews; request help early. Documentation and artefacts • Accessible plan (Plain English + Easy Read). • Weekly community schedule. • Presence/participation tracker (minutes; role/relationship changes). • Two-party e-receipts for delivered supports (with AAC/translation as required). • Switching protocol records (Exit & Entry Data Set; dates and outcomes). • Review notes and improvement actions. Templates live in Appendices (indexed); this section is the authority for content. [See Truth-by-Design Standard; Data, Dashboards and Privacy.] Metrics and indicators (dashboards) • Presence & participation: minutes in ordinary places; number/type of roles; relationship breadth. • Goal progress: goal attainment per quarter; independence step-ups (prompt fading). • Switching: time to issue Exit Data Set; time to onboard; avoidance of gaps; reasons for switch. • Quality & integrity: e-receipt coverage; documentation candour (file-vs-field); missed/cancelled sessions. • Equity & access: interpreter/AAC usage; rural micro-hub support; transport reliability. • Satisfaction & confidence: family confidence index; person-reported experience (accessible survey). Public tiles are de-identified with suppression rules; person-level is available in family view. [See Data, Dashboards and Privacy; Evaluation & Continuous Learning.] Interfaces with other standards • Workforce (IDC): competence in community coaching and documentation is observed, examined and renewed. • Safety: if restraint occurs in the community, log minutes and run the 72-hour review; fade plans embed community alternatives. • Truth-by-Design: e-receipts and trackers feed dashboards; exceptions route to review. • Independent Verification: DSC observes ordinary-place practice in contested/high- risk cases; checks claims against field reality. • Equity: First Nations partnership and interpreters planned rather than ad hoc; rural enablement via micro-hubs. • Data & Privacy: schema conformance; DPIA for trackers and dashboards. Implementation (switch-on order)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 115 • 0-3 months: publish accessible plan and weekly schedule templates; start presence/participation tracker; train IDC/coordinators on dignity-of-risk coaching; activate basic switching protocol and Exit & Entry Data Set. • 3-6 months: require e-receipts for community sessions; publish first public tiles for presence/participation; embed interpreter booking SOP; run first switching audits. • 6-12 months: expand role-building pathways (volunteer/trainee/paid); link health appointments as practice opportunities; calibrate trackers across regions; red-team a provider-failure scenario (rapid switching). • 12-24 months: raise targets for presence/participation minutes; publish improvement themes; independent evaluation on participation and quality-of-life proxies. [See Implementation Roadmap (Switch-On Order); Evaluation & Continuous Learning.] Risks and mitigations • Token outings without roles: require role/relationship indicators; peer-review samples; publish method notes. • Shadowing dependence: prompt-fading rules; independence checks at reviews. • Transport failure: backup options; micro-hub pooling; travel time funding rules. • Cultural/linguistic exclusion: advance interpreter booking; local partnership protocols. • Digital overreach: remote supports capped unless person chooses; justify and time- limit any expansion. • Switching friction: enforce time limits; escalate aged cases; publish switching metrics. What Can Go Wrong (Even With Love) - Risks to Avoid (For parents, guardians and volunteers - a safe baseline) Purpose. To welcome you in, name common traps (even with the best intentions), and show practical swaps that protect the person’s rights, safety and growth. This is a baseline - it does not grant clinical scope. Where the tasks involve clinical risk, an IDC (Integrated Disability Clinician) or relevant clinician leads; you support. Ten common traps - and what to do instead 1. Taking over because it’s faster → Swap: coach one step, then fade prompts; celebrate the person doing the last step. 2. Rushing conversations → Swap: slow the clock; one idea at a time; check back in plain English or Easy Read. 3. Screens-as-care (defaulting to devices) → Swap: set times/alternatives; prioritise real-world roles and routines. 4. Avoiding ordinary risks → Swap: plan “dignity of risk” with safety nets (who’s nearby, how to ask for help). 5. Talking for the person → Swap: wait time; use AAC/yes-no scaffolds; echo their words, don’t replace them. 6. Paper over practise (nice plans, thin follow-through) → Swap: put the plan on the weekly calendar; do the thing in the place.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 116 7. Health guesswork (meals, meds, seizures) → Swap: use the mealtime/IDDSI, medication and seizure notes the IDC gives you; record concerns; never change meds. 8. Calling police/ED early → Swap: try low-arousal strategies first; if risk is immediate, act to make safe, then inform the IDC. 9. Privacy slips (photos, stories) → Swap: ask first; share only what’s needed; store nothing you don’t need. 10. Going it alone → Swap: use the weekly schedule, IDC contacts, interpreter/Auslan when needed, and family/ally groups. Quick checks before I help • Right person? I’m the right helper for this task; if not, I call the IDC. • Right place? Ordinary place if possible; sensory fit checked; safe transport planned. • Right words? Plain English/Easy Read; AAC/interpretation arranged. • Right time? Enough time and energy for the person; not rushed. • Right record? If we met a goal or tried something new, note it in plain words and tell the IDC. Low-arousal & safety cues (carry card) • Soften voice; reduce audience; offer choices of now/later/elsewhere. • One step, then pause. Repeat back what I heard. • If distressed: remove extra noise/light/people; offer water; preferred cue (object/picture). • If risk of harm: move hazards; call for the named backup; then consider emergency. Mealtime, meds, seizures - red-flag rules • Never change food textures, fluids, positioning or meds on your own. • Choking risk: stop; forward-lean; follow the plan; call help if unresolved. • Seizure: time it; keep airway clear; follow the plan; call 000 if per plan or injury. • New symptoms or side-effects: write what/when; tell the IDC within 24 hours. After an incident (even small) • Write what happened in plain words (what we saw/heard/tried, what helped). • Tell the IDC within 24 hours; they’ll organise any review needed (some incidents must be reviewed within 72 hours). • Update the weekly plan so we practise the safer alternative next time. Boundaries that keep everyone safe • No cash handling or PINs unless the plan says so. • No posting photos/stories without permission. • Home is not a workplace: keep tasks purposeful, time-bound, and on the calendar. • Say “I don’t know” early. Ring the IDC. Remember: Your role is powerful. Ordinary places, reliable routines, clear words and patient coaching change lives.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 117 Equity, First Nations Partnership and Access Purpose and scope This section makes equity operational so the standards hold everywhere and for everyone. It sets minimum requirements for First Nations partnership, language/communication access (CALD/Auslan/AAC), and rural/remote delivery (micro-hubs, tele-assessment, scholarships). It applies to all services and decision-making across home, community, education, health and justice interfaces. [See Service Model Standards (life in community); Workforce Standard - Integrated Disability Clinician (IDC); Data, Dashboards and Privacy.] Principles • Self-determination and partnership: First Nations peoples design and lead local approaches; community-controlled organisations are preferred partners where available. • Language justice: interpreters and accessible modes (Auslan, CALD languages, AAC) are built-in, not optional. • Cultural safety: services are delivered in ways that are physically, emotionally and spiritually safe; cultural needs are named and resourced. • Rural parity: people outside metro areas must be able to meet the same standard without higher burden or cost. • No parallel lives: equity is realised in ordinary places - schools, shops, workplaces, Country - not only in specialist settings. [See Definitions and Principles; Service Model Standards (life in community).] First Nations partnership standard Objective. Ensure First Nations people with cognitive disability receive supports that are culturally safe, locally governed and effective. Minimum requirements. • Partnership MOU: with a local First Nations community-controlled organisation (or regional body) that sets roles, decision rights, escalation pathways and payment for participation. • Cultural plan: one-page addendum to the person’s plan covering Country, kinship, language, protocol, decision-making preferences and who should be present at key meetings. • Cultural participation: offer on-Country supports where desired; schedule around cultural obligations; remunerate cultural brokerage. • Workforce: priority recruitment of First Nations IDC candidates; funded mentoring; recognition of cultural work as work. • Verification: DSC considers cultural context explicitly in Reasons & Weighting; use interpreters/cultural brokers at case conferences. [See Independent Verification Standard; Workforce Standard - IDC.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 118 Artefacts (appendices provide templates). Partnership MOU template; Cultural Plan template; cultural brokerage invoice template; participation register. [See Appendices (indexed).] Language and communication access standard (CALD/Auslan/AAC) Objective. Ensure everyone can understand, decide and attest in their preferred mode. Minimum requirements. • Interpreter booking SOP: available for all key interactions (planning, 72-hour learning reviews, DSC conferences, tribunal/OPA interfaces). Same-day urgent pathway documented. • Auslan & relay: access to qualified Auslan interpreters and relay services; video- remote option where in-person is not feasible. • AAC-first practice: communication passports; symbol sets; yes/no and visual choice boards; supported conversation training for IDC. • Translated & Easy Read materials: Plain English + Easy Read versions for plans, summaries, sanctions notices and dashboard explanations; translated where relevant. • Two-party e-receipts: attestation via accessible modes (symbols/tap/audio prompts); role-based family visibility. [See Truth-by-Design Standard; Safety & Restrictive Practices Standard; Service Model Standards (life in community).] Artefacts. Interpreter request form; AAC kit checklist; translated/Easy Read pack index; attestation mode log. [See Appendices (indexed).] Rural and remote delivery standard Objective. Make the standards feasible and affordable outside metro areas. Minimum requirements. • Micro-hubs: pooled supervision/education sites serving small providers; shared examiners and interpreters; monthly outreach schedules published. • Tele-OSCE and tele-reviews: secure, scheduled remote stations/reviews; at least two in-person observations across the renewal cycle to validate field competence. • Scholarships & backfill: funded training time, travel and accommodation; backfill for small workforces. • Travel supports: time and mileage rules that do not penalise rural access; pooled transport options for community participation. • Minimum service levels: published response times for interpreter access, DSC observation and urgent reviews. [See Workforce Standard - IDC; Independent Verification Standard; Service Model Standards (life in community).] Artefacts. Micro-hub operating pack; tele-assessment protocol; scholarship terms; rural travel policy. [See Appendices (indexed).]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 119 Minimum equity checks embedded in other standards • Workforce (IDC): equity modules (cultural safety, interpreters, AAC) are mandatory; observed competence includes one equity-focused station. • Safety: interpreters/cultural brokers are offered at 72-hour learning reviews; logs record whether used. • Truth-by-Design: e-receipt UI offers AAC/translations by default; exception handling does not penalise interpreter delays. • Independent Verification: reasons explicitly state how cultural/linguistic context was considered; publication redacts sensitive cultural detail. [See each named section.] Roles and responsibilities • Person/authorised representative: choose preferred language/communication and cultural supports; consent to sharing cultural information. • IDC: activate interpreter/AAC; use cultural plan; coach participation in ordinary places that matter locally. • Provider leadership: resource MOUs; schedule around cultural obligations; fund brokerage; maintain micro-hub participation. • Coordinator (independent): ensure interpreter bookings; manage switching to culturally safe providers if needed. • First Nations partners/cultural brokers: guide protocol; co-design local approaches; support reviews and conferences. • Commissioner/program owner: set equity targets; fund micro-hubs/scholarships; publish equity tiles; enforce minimum service levels. • DSC/Decision-makers: reflect cultural context in Reasons & Weighting; use interpreters; uphold privacy. [See Governance, Assurance and Risk; Independent Verification Standard.] Documentation and artefacts (publishable/auditable) • Signed Partnership MOU and annual activity log. • Cultural Plan (person-level) with consent record. • Interpreter/AAC utilisation records linked to key events (planning, reviews, hearings). • Micro-hub participation schedules; tele-OSCE/tele-review logs. • Scholarship awards and completion records. • Equity incident register (e.g., interpreter unavailable; cultural breach) with corrective actions. [See Data, Dashboards and Privacy.] Metrics and indicators (dashboards) • Access: interpreter utilisation rate; average time-to-interpreter; AAC use at key events. • First Nations partnership: number of active MOUs; participation hours; co- designed initiatives delivered; satisfaction/feedback indicators. • Rural parity: micro-hub coverage; tele-OSCE completion; scholarship uptake; travel-related cancellations.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 120 • Quality & safety: 72-hour review interpreter coverage; cultural plan presence; DSC cases noting cultural context. • Outcomes: presence/participation minutes in locally valued ordinary places; switching friction resolved within time limits. Public tiles are de-identified with suppression rules; person-level detail appears in family view. [See Data, Dashboards and Privacy; Evaluation & Continuous Learning.] Implementation (switch-on order) • 0-3 months: sign first Partnership MOUs; publish interpreter booking SOP; stand up two rural micro-hubs (one remote, one regional); add equity fields to e-receipts and review templates; fund initial scholarships. • 3-6 months: commence tele-OSCEs; publish first equity tiles (access and timeliness); run provider audits on interpreter usage; embed Cultural Plan template in accessible plan pack. • 6-12 months: expand micro-hubs; increase scholarship rounds; require equity station in OSCE; red-team scenario: interpreter failure during a sentinel event review. • 12-24 months: statewide micro-hub coverage; publish equity evaluation; adjust targets upward; integrate lessons into IDC curriculum refresh. [See Workforce Standard - IDC; Implementation Roadmap (Switch-On Order).] Risks and mitigations • Token partnership: enforce paid MOUs with decision rights; publish activity logs. • Interpreter shortages: pooled bookings via micro-hubs; remote options; priority queuing for reviews/hearings. • Cultural load on few people: rotate and reimburse brokers; build a wider bench through scholarships and mentoring. • Rural fatigue/costs: pooled supervision, shared assessment days, travel supports, and procurement preferences for compliant providers. • Privacy breaches of sensitive cultural information: strict consent flows; role-based access; redaction and suppression rules at publication. [See Data, Dashboards and Privacy; Governance, Assurance and Risk.] Data, Dashboards and Privacy Purpose and scope This section defines how information is captured, protected, and published so progress is visible and privacy-safe. It sets minimum data schemas (e.g., e-receipts, restraint timekeeping, IDC licensure), governance (DPIAs, access controls, audit logs), and publication rules (public tiles vs family view). It applies to all programs, providers and verification bodies. [See Truth-by-Design Standard; Safety & Restrictive Practices Standard; Workforce Standard - Integrated Disability Clinician (IDC); Independent Verification Standard; Evaluation & Continuous Learning.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 121 Principles • Privacy by design. Collect the least data needed; store briefly; share narrowly; log everything. • Explainability. People can see what is held about them (family view) and why; public tiles explain methods and limits. • Interoperability. Open, versioned schemas and vendor-neutral APIs reduce burden and lock-in. • Equity. Accessible artefacts (Plain English, Easy Read, translations, AAC) are built in. • Security. End-to-end encryption in transit, encryption at rest, role-based access, immutable audit logs, key rotation and rapid revoke. • No black boxes. Analytics/AI must have published method notes; no opaque decisioning affecting rights or payments. Data domains (minimum sets) • Two-party e-receipts (who/role, what, when, where-category, outcome, attestation, exceptions). [See Truth-by-Design Standard.] • Safety timekeeping & reviews (type of restraint, start/end, minutes, alternatives, 72- hour review outputs, fade plan pointers). [See Safety & Restrictive Practices Standard.] • Presence & participation tracker (minutes in ordinary places, roles/relationships formed, independence steps). [See Service Model Standards (life in community).] • IDC licensure & assessment (licence status, OSCE pass/renewal dates, supervision throughput; public fields only). [See Workforce Standard - IDC.] • Verification artefacts (DSC intake/turnaround, Reasons & Weighting publication status, Contradiction Matrix indicators). [See Independent Verification Standard.] • Exceptions & sanctions (roster-to-claim mismatches, resolution times, sanctions rung and duration). [See Truth-by-Design Standard.] • Equity and access (interpreter/AAC usage, micro-hub coverage, rural tele-OSCE completion). [See Equity, First Nations Partnership and Access.] Minimum schema rules (applies to every domain) • Open JSON schema with semantic field names and code lists; versioned (e.g., v1.2.0). • Identifiers. Person-level data uses pseudonymous IDs in system-of-record and is re- identified only in the family view by role; public tiles never hold direct identifiers. • Timestamps & provenance. ISO 8601 timestamps with timezone; create/update/deletion events; source and method of capture noted. • Corrections. No destructive edits - immutable history with who/when/what changed. • Accessibility flags. Fields to record interpreter/AAC mode used. Appendices hold schema exemplars for e-receipt and dashboard tiles/suppression; this section is authoritative for rules. • Schema stub (events) event_type="two_key_decision" | event_id | person_psn | decision_class | first_key_role | first_key_id | second_key_role | second_key_id | independence_check (Y/N) | cosign_timestamp | tier0_flag (Y/N) | review_72h_timestamp | rw_note_ref | will_pref_ref | dsc_flag (Y/N)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 122 DPIA (Data Protection Impact Assessment) • When required. For any new/changed data flow, dashboard, analytics model, or integration. • Contents (minimum). Purpose; lawful basis; data elements; recipients; storage/retention; access roles; risks; mitigations; test results; residual risk; sign-off. • Refresh. On material change or annually (whichever comes first). • Transparency. Publish a plain-language DPIA summary alongside public tiles. Access control and security • Role-based access (RBAC): least privilege by default; distinct views for families, providers, DSC/commissioners. • Authentication/authorisation: MFA for staff; short-lived tokens for APIs; session timeouts; conditional access for high-risk actions. • Encryption: TLS 1.2+ in transit; strong encryption at rest with key rotation; hardware security module (or managed KMS) for key custody. • Audit logging: append-only logs for reads, writes, exports and permission changes; tamper-evident; externally auditable. • Data location: declared jurisdictions; cross-border flows assessed in DPIA. • Backups & restoration: encrypted backups; regular restore tests; RTO/RPO documented. Publication model (family view vs public tiles) • Family view (role-based). Person-level receipts, review summaries, plans, switching status and progress. Export on request; redactions applied only where law requires. • Family view shows decision history. R&W short-form and will-and-preferences notes (role-based access); public tiles remain de-identified with suppression. • Public tiles (quarterly). De-identified indicators: e-receipt coverage/timeliness; exceptions & resolution; restrictive minutes/1,000 hours; 72-hour review compliance; fade-plan success; IDC licence/OSCE rates; DSC turnaround/publication; presence/participation minutes; equity measures; sanctions ladder distribution. • Suppression rules. Small-cell suppression (e.g., n<5), percentage masking for unstable rates, and k-anonymity thresholds; method notes published. • Release notes. Every publication includes a change log (what changed, why, expected impacts). Performance, KPIs & Public Dashboards (full specification) Purpose and audience Define exact tiles, fields, suppression rules and release cadence so families, providers and ministers can trust what’s published. Family view shows person-level truth; public tiles show de-identified trends with method notes. [See Publication model (family view vs public tiles).]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 123 Tile catalogue (minimum quarterly set) • Integrity - e-receipt coverage & timeliness o Fields: period; coverage %; attested ≤48h %; ≤72h %; denominator; notes. o Source: receipt store. • Integrity - exceptions & resolution o Fields: E1-E8 rates; median days to resolve; >SLA proportion; ageing distribution. o Source: cross-check service. • Safety - restrictive minutes/1,000 hours o Fields: minutes; hours denominator; sentinel events; trend vs baseline. o Source: timekeeping log. • Safety - 72-hour review & fade-plan o Fields: review compliance %; fade-plan success %; med reconciliation ≤72h %. o Source: review/fade datasets. • Workforce - IDC capability o Fields: licence rate; OSCE pass rate (first sit); renewal on time %; supervision throughput. o Source: licensure register/assessment. • Verification - DSC o Fields: cases received; median days to publish; calibration variance %; action completion %. o Source: DSC register. • Shared Decision (Two-Key) o two_key_coverage_pct - percentage of in-scope decisions with valid co-sign/quorum. o cosign_median_hours; cosign_p95_hours - time from first key to second key. o tier0_exception_rate_per_100_decisions - emergency pathway usage. o review_72h_coverage_pct - proportion of Tier-0 decisions reviewed ≤72h. o equity_lens_gap_pp - gap vs “all” by lens (First Nations, CALD, rural/remote, gender, age bands). o privacy: suppression n<5; rounding to nearest unit; publish change-logs. • Participation - minutes & roles o Fields: minutes in ordinary places; role counts (volunteer/trainee/paid); independence step-ups. o Source: presence/participation tracker. • Equity - access & rural parity o Fields: interpreter/Auslan utilisation; time-to-interpreter; micro-hub coverage; tele-OSCE completion. o Source: equity datasets. • Sanctions ladder o Fields: rungs distribution; time on rung; recurrence ≤12 months. o Source: sanctions register. • Governance - publication & incidents o Fields: on-time release %; corrections/addenda; S1/S2 incident count; suppression accuracy %.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 124 o Source: release notes, incident logs. [See Truth-by-Design Standard; Safety & Restrictive Practices Standard; Workforce Standard - IDC; Independent Verification Standard; Equity.] Field standards & method notes (apply to all tiles) • Date keys: ISO 8601; quarter end date; timezone declared. • Denominators: shown and footnoted; include data completeness %. • Trend windows: show baseline (pre-pilot) and last 4 quarters; highlight method changes. • Confidence/uncertainty: display counts behind percentages; use bands where sampling is involved (e.g., calibration). • Method notes: public PDF/HTML each release describing sources, cleaning, exclusions, changes and impacts. • Right-of-reply: provider statement displayed where named per rules; expiry/rectification dates included. [See Data, Dashboards and Privacy.] Suppression & de-identification rules • Small-cell suppression: hide or pool where n < 5; display “ - ” with note. • k-anonymity: ensure k ≥ 10 per published cell after suppression/aggregation. • Dominance masking: where one provider/region >85% of a cell, pool to next geography band. • Rounding: round percentages to 1 decimal; counts to nearest 5 where needed. • Rare events: publish as pooled rolling 4-quarter totals. • Equity splits: only publish subgroup tiles where k-anonymity holds; otherwise include in method notes. [See Appendix S - Dashboard Tiles & Suppression Rules.] Accessibility & language • Plain English and Easy Read versions per tile set; large-type option; alt text for charts. • Translations for major CALD languages; Auslan explainer video per release. • Click-through from public tile → method note → release notes; family view has “What this means for me” tips. Release cadence & governance • Quarterly publication within 30 days of quarter end; release notes versioned. • Change control: any schema/method change listed with rationale and expected effect. • Freeze window: data freeze 7 days pre-publication; only critical fixes allowed. • Quality gates: suppression accuracy ≥99.5%; audit log completeness 100%; privacy incident S1/S2 = 0 to proceed. • Red-team stress: run at least one publishing drill per year (e.g., restraint spike, re- identification test) and publish learnings. [See Governance, Assurance and Risk; Evaluation & Continuous Learning.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 125 Family view alignment • Drill-through: person can see their own receipts, reviews, plans and role steps; export on request. • Explainers: short per-tile notes on how their data contributes to aggregates; opt-out options where feasible and lawful. • Privacy: role-based access; immutable event history; no public exposure of person data. [See Publication model (family view vs public tiles).] API & event extensions (for tiles) • New events: tile.release.created, tile.release.corrected, tile.method.changed. • Dataset lineage stored per tile with hash of source extracts; audit log references included in release notes. [See Interoperability and APIs; Audit log spec.] Data lifecycle • Capture. In the flow (e-receipt at completion; timekeeping during or within 2 hours; trackers weekly). • Validation. Field-level checks; referential integrity (e.g., receipt↔claim↔roster); exception queues with SLAs. • Retention. Person-level data retained only as long as necessary; tile aggregates retained for trend analysis (e.g., 5 years). • Deletion. Right-to-erasure honoured where lawful; logs retain non-identifying event metadata. • Portability. Machine-readable exports for the person/authorised representative. Analytics and AI (allowed uses and limits) • Allowed. Descriptive and diagnostic analytics for dashboards and quality improvement; simple risk flags to route human review. • Not allowed. Fully automated adverse decisions affecting rights, payments or services; emotion inference; covert surveillance. • Method transparency. Publish model cards (purpose, data, limitations, fairness checks); opt-out where feasible without degrading essential safety. • Bias & drift checks. Quarterly fairness tests (e.g., by region, language, First Nations status where lawfully recorded); retraining governance. Operational guardrails (policy text) • No training on sensitive PII. No model training or fine-tuning on names, free-text case notes, clinical narratives or audio without explicit, documented consent and DPIA sign-off. • Shadow-mode before go-live. All new models run in shadow alongside human decisions for a defined period; performance and fairness must meet thresholds before any operational use. • Kill-switch & rollback. A technical and procedural kill-switch exists for every model; rollback to last known-good version is rehearsed and time-bound.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 126 • Human-in-the-loop. Models may flag but cannot issue or enforce an adverse decision (access, eligibility, pricing, sanctions). A named human decision-maker owns each call. • Audit logs that matter. Inputs (hashed), outputs, overrides, user IDs and timestamps are retained under the Audit Log Spec with retention periods that enable independent review. • Transparency. Publish model cards (purpose, data sources, limits, fairness checks, update cadence) and provide an opt-out where feasible without degrading essential safety. • Quarterly fairness tests. Drift, calibration, and disparity checks by cohort (e.g., age, sex, CALD, rurality, First Nations status where lawfully recorded) with published method notes. Interoperability and APIs • Versioned, open APIs with test sandboxes and conformance suites. • Event model. Standard webhooks (receipt.created, restraint.logged, review.completed, dsc.published, sanction.changed). • Vendor neutrality. No mandatory proprietary SDKs; certification based on schema/API conformance, not brand. • Import adapters. Lightweight mappers for common rostering/claiming systems to cut integration cost. Assistive Technology (AT) & AAC Procurement Spec Purpose and scope Set minimum, vendor-neutral requirements so assistive technology and AAC tools enable person-first practice, capture truth in the flow, and protect privacy. Applies to mobile apps, web apps, devices and integrations used for e-receipts, communication, planning and tracking. [See Service Model Standards (life in community); Truth-by-Design Standard; Equity, First Nations Partnership and Access.] Functional requirements (minimum) • AAC-first: symbol boards, yes/no choice, sentence builders, photo/audio prompts; offline composition with later sync. • Attestation modes: tap, stylus signature, switch access, caregiver witnessed attestations; capture E7 Declined with reason. • Accessibility: meets WCAG 2.2 AA; large-type/Easy Read toggle; high-contrast mode; screen-reader tested; captioned micro-videos. • Multilingual: runtime language switch; UTF-8 throughout; on-device phrasebanks; Auslan/LSF video placeholders. • Offline-first: queue receipts/notes; show unsent badge; reconcile conflicts on sync with immutable history. • Family view linking: per-record share to family view with role-based access (no public endpoints). • Event hooks: must emit standard events (see Interoperability and APIs) for receipt.created, receipt.attested, review.completed.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 127 Data & privacy requirements • DPIA required before deployment and on material change. • Data minimisation: coarse location categories only; no continuous GPS unless explicitly lawful and consented. • No biometrics or emotion inference for identity or consent. • Encryption: TLS 1.2+ in transit; platform encryption at rest; key rotation supported. • RBAC: least-privilege, session timeouts, device pin/biometric local unlock (biometric used only locally - never uploaded). • Audit log: append-only for creates/updates/attestations/exports; externally auditable. [See Data, Dashboards and Privacy.] Interoperability & conformance • Open schemas/APIs: must read/write the Minimum Two-Party E-Receipt JSON and tile schemas; version negotiation required. • Conformance tests: supplier passes public test suites (positive/negative cases, accessibility checks, offline/merge tests) and provides artefact reports. • Import adapters: vendor supplies mappers for common roster/claim systems without extra licence fees. • No lock-in: data export (JSON/CSV + attachments) within 10 business days of notice; perpetual read access to person records for family view. Security & reliability (SLOs) • Uptime: ≥99.5% monthly (excluding planned maintenance with 7-day notice). • Incident response: acknowledge S1/S2 within 4h; fix/contain within 72h; issue post- incident report. • Pen-testing: annual independent test; criticals fixed within 30 days. • Mobile MDM: support standard device management; remote wipe on loss. [See Incident response & red-team tests.] Procurement & licensing • Pricing clarity: per-seat and per-org caps; non-profit/rural discounts; no charge for API access or conformance kits. • IP & exit: configurations/templates produced for the program are open for reuse; exit plan tested before go-live. • Localisation: First Nations language packs and CALD priorities scheduled; community co-design remunerated. • Ethical terms: ban dark-patterns; ban data resale/advertising; declare any sub- processors and data locations. Evaluation & pilot • Sandbox trial: 4-6 weeks; success = conformance pass, DPIA sign-off, accessibility verification, user task success ≥90%. • Red-team drill: simulate offline outage and sync recovery; verify integrity and audit logging. • User panel: families, IDC, interpreters/Auslan, rural sites; defects tracked to closure.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 128 Incident response & red-team tests • Severity tiers. S1 (person-identifiable data exposure), S2 (availability breach), S3 (integrity/reporting issue). • SLA. Acknowledge within 24h, contain within 72h, notify affected parties/regulators per law, publish a post-incident report. • Red-team schedule. Annual privacy drills (lost device, access abuse), fraud ring simulation, and restraint-spike publication stress test. • Lessons learned. Actions tracked on dashboards with due dates. Where to get help / Artefacts & Templates (appendices index) • DPIA template (long form + plain-language summary). • Minimum Two-Party E-Receipt JSON Schema (with accessibility fields). • Dashboard tiles & suppression rules (field list; thresholds; method notes). • Audit log spec (events, fields, retention). • Release notes template (versioning, changes, impacts). Appendices store the templates; this section is the source of truth. Metrics and indicators (for dashboards) • Data quality: completeness, timeliness, validation pass rate, duplicate rate. • Privacy & security: DPIA coverage, access exception rate, audit log completeness, incident count by tier (target S1/S2 = zero). • Publication: on-time release rate, suppression accuracy, number of method-note updates. • Usefulness: family-view sign-ins, provider dashboard downloads, support-plan updates triggered by tiles. • Equity: interpreter/AAC fields recorded; micro-hub coverage in data; rural timeliness parity. [See Evaluation & Continuous Learning.] Implementation (switch-on order) • 0-3 months: publish schemas and DPIA template; stand up audit log; enable family view for e-receipts; pilot two public tiles (coverage, restrictive minutes). • 3-6 months: add exception/resolution tiles; release suppression rules + method notes; run first privacy drill; API sandbox opens. • 6-12 months: expand to full indicator set; independent audit of pipeline integrity; start model-card process for any analytics; publish red-team results. • 12-24 months: statewide tiles; longitudinal trend analysis; integrate DSC publication metrics; external evaluation of dashboard impact. [See Implementation Roadmap (Switch-On Order).] Risks and mitigations • Re-identification risk in small communities: strict suppression; region-pooling where necessary; publish method notes.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 129 • Data burden on small providers: shared adapters, micro-hub technical support, focus on minimal fields. • Metric gaming: triangulate with DSC/file-vs-field checks; rotate indicators; publish anti-gaming notes. • Security drift: quarterly access reviews; key rotation; automated anomaly detection; external audits. • Misinterpretation of tiles: plain-language legends, uncertainty bands, and context notes; provider right-of-reply where named by rule. Implementation Roadmap (Switch-On Order) How to use this roadmap This roadmap delivers the standards quickly, safely, and at manageable scale. It uses existing powers (practice notes, procurement terms, program rules) rather than waiting for omnibus legislation. Each phase has deliverables, QA & privacy gates (go/no-go), owners, and public signals. [See Workforce Standard - Integrated Disability Clinician (IDC); Safety & Restrictive Practices Standard; Truth-by-Design Standard; Independent Verification Standard; Data, Dashboards and Privacy.] Pilot design (where we start and why) • Sites (minimum 4): two metro; two regional/rural (one remote). • Provider mix: at least one small (<40 FTE), one medium (40-200 FTE), one large (>200 FTE). • Populations: include children (incl. developmental delay), adolescents, adults (incl. ABI). • Equity anchors: at least one First Nations partnership MOU in a pilot; interpreters/Auslan capacity tested in all pilots. • Interfaces covered: school/education, primary/acute health, justice interface (one site), community participation. • Instruments used: practice notes; procurement variations; program rule updates (no new Act required). • Success definition: phase gates below all PASS; dashboards publish on schedule; families report increased confidence. Phase 1 - 0 to 3 months (Switch-on foundations) Deliverables • Publish: IDC curriculum map, EPA logbook, OSCE blueprint; Restraint Hierarchy & Timekeeping; 72-hour review template; Fade plan template. • Stand up: DSC unit; Reasons & Weighting and Contradiction Matrix templates; DSC SOP. • Issue Tribunal Practice Note (Two-Key) and OPA/OPG Investigations Code addendum. • Stand up IPP with 72-hour pairing SLA; tele-co-sign ready.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 130 • Publish templates: R&W (short); Will-and-Preferences; Tier-0 Log & 72-Hour Review; DSC Calibration Memo. • Data: release e-receipt schema; enable family view for e-receipts; stand up immutable audit log. • Dashboards: launch two public tiles (e-receipt coverage; restrictive minutes/1,000 hours). • Equity & rural: sign first First Nations MOU; open two micro-hubs (one regional, one remote); interpreter booking SOP. • Policy levers: issue practice notes; add procurement terms (sanctions ladder, switching protocol); update program rules. • Change kit: Plain English/Easy Read packs for families; provider onboarding checklists; ministerial brief. QA & Privacy Gates (Go/No-Go) • DPIA approved for e-receipt + safety pipelines (Data & Privacy owner: PASS). • DSC SOP - tested on two sentinel cases (Independent Verification owner: PASS). • OSCE pilot stations trialled with acceptable inter-rater reliability (Workforce owner: PASS). • Audit log events verifiably append-only (Data & Privacy owner: PASS). Owners • Program Owner/Commissioner (overall), Workforce Standards Authority, DSC Unit, Data & Privacy Office, Pilot Providers, First Nations partner. Public signals • First tiles live with method notes; publication cadence and suppression rules documented. Phase 2 - 3 to 6 months (Operate, measure, adjust) Deliverables • First OSCE sittings; RPL portal live; conditional IDC licences issued where bridging applies. • Roster-to-claim cross-checks live for existence & timing; exception queue (E1-E3) with SLAs. • 72-hour learning reviews mandatory; fade-plan compliance monitored; hospital/ED handover & med reconciliation sheet in use. • Pilot metro + rural; hit coverage ≥90%, median ≤48h by month 6; publish de-identified tiles. • Activate anti-collusion rotation checks and DSC sampling. • DSC coverage expands to integrity and pattern-risk triggers; double-rating on ≥10% cases. • Switching protocol enforced; Exit & Entry Data Set issued within set time limits. • Equity: interpreter/AAC fields recorded in all key events; scholarship round 1 for rural IDC candidates.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 131 QA & Privacy Gates • E-receipt coverage ≥70% of eligible supports in pilots; 48/72-hour attestation ≥80% (Truth-by-Design owner: PASS). • 72-hour review compliance ≥85%; sentinel events escalated within 24h (Safety owner: PASS). • DPIA for cross-check pipeline approved; no S1/S2 incidents (Data & Privacy owner: PASS). Owners • Same as Phase 1, plus Procurement & Contracts for sanctions ladder alignment. Public signals • Add tiles: exception rate & age; 72-hour review compliance; OSCE pass rates. Phase 3 - 6 to 12 months (Scale and calibrate) Deliverables • Full exception set (E1-E8) with triage; role/location variance checks; provider monthly variance reviews. • Sanctions ladder operational with publication rules; provider right-of-reply flow. • Tele-OSCEs (defined stations); at least two in-person observations per candidate in renewal cycle. • DSC method notes published; calibration report on inter-rater reliability. • Presence & participation tracker live; community role-building pathways (volunteer → trainee → paid). • Micro-hubs expand; scholarship round 2; equity station added to OSCE. • Red-team tests: fraud ring simulation; restraint-spike publication stress test; interpreter failure during sentinel event review. • Extend to priority cohorts; quarterly peer calibration; independent evaluation begins. QA & Privacy Gates • E-receipt coverage ≥85%; exception SLA compliance ≥90% (Truth-by-Design owner: PASS). • Restrictive minutes/1,000 hours trending down; fade-plan success trending up (Safety owner: PASS). • DSC turnaround median ≤21 days; publication within 21 days ≥85% (Independent Verification owner: PASS). • Suppression accuracy ≥99.5% across tiles; no S1/S2 privacy incidents (Data & Privacy owner: PASS). Owners • Program Owner, Workforce Standards Authority, DSC Unit, Data & Privacy Office, Equity Lead, Micro-hub Leads.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 132 Public signals • Add tiles: DSC turnaround & variance; presence/participation minutes; sanctions distribution; equity access measures. Phase 4 - 12 to 24 months (Statewide adoption and external evaluation) Deliverables • Legacy “Direct Care” titles sunset; all frontline roles aligned to IDC with renewal policy in force. • Statewide dashboards; longitudinal trends published with method updates. • Independent evaluation (safety outcomes, participation, ROI, appeals); public report and response plan. • Standards refresh (sunset/retain/revise) via Evaluation & Continuous Learning cycle. • Procurement preferences for providers meeting standards; switching friction audits; rural parity review. QA & Privacy Gates • Target attainment (illustrative minimums): o OSCE pass ≥85% first-sit; renewal on time ≥90%. o 72-hour review compliance ≥95%; fade-plan success upward trend sustained. o E-receipt coverage ≥95%; exception ageing >10 business days <5%. o DSC publication within 21 days ≥90%; appeal/overturn rate stable or decreasing. o Presence/participation minutes +20-30% vs baseline; equity gaps closing. • Privacy: zero S1/S2 incidents; annual external audit clean report. Owners • Program Owner; central agencies (finance/treasury) for ROI review; independent evaluator. Public signals • Full indicator set; evaluation summary; next-cycle targets. Cross-cutting QA & governance (always on) • Gate reviews chaired by Program Owner with Data & Privacy, Workforce, Safety, DSC, Equity and Procurement owners; families/First Nations partner invited. • Risk register with trigger thresholds and escalation paths. • Issue management: root-cause, action owner, due date, close-out verification; publish improvement themes each quarter. • Whistleblowing and retaliation sanctions enforced. [See Governance, Assurance and Risk.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 133 Critical path & dependencies • People: examiner pool & supervisors for OSCE; DSC staffing; interpreter and AAC capacity; micro-hub educators. • Tech: e-receipt & cross-check pipeline; dashboards; audit log; API adapters for common roster/claim systems. • Policy: practice notes, procurement clauses, program rules; sanctions ladder policy; publication & suppression rules. • Equity: Partnership MOUs; scholarship funding; tele-OSCE infra. • Change: provider onboarding; family communication; media & ministerial comms. Roles and RACI (summary) • Program Owner/Commissioner (A/R): delivery, gates, publication cadence. • Workforce Standards Authority (R): IDC curriculum, OSCE, renewal, examiner calibration. • DSC Unit (R): verification SOP, artefacts, publication of reasons, calibration. • Data & Privacy Office (R): schemas, DPIAs, audit logs, suppression rules, red-team tests. • Procurement & Contracts (R): sanctions ladder terms, switching, provider obligations. • Pilot Providers (R): implement standards, data capture, local QA. • First Nations Partners & Equity Lead (R): MOUs, cultural safety, interpreter/Auslan/AAC enablement. • Families/Representatives (C/I): co-design artefacts, review family view, feedback loops. (C=Consulted, I=Informed, R=Responsible, A=Accountable) Communications plan (minimum) • Families: Plain English/Easy Read explainer, what to expect this month/quarter, how to view family dashboards, how to switch. • Frontline/Providers: “What changes now” bulletins, OSCE calendar, e-receipt how- to, exception SLAs, sanctions policy. • Decision-makers: DSC method notes, Reasons & Weighting exemplars, publication schedule. • Ministers/Central agencies: milestones, risks, ROI snapshots, media lines for dashboard releases. Finance & ROI alignment (spend to save) • Costed bundles: OSCE/assessment throughput, DSC operations, micro-hubs, interpreter pool, data pipelines. • Returns tracked: avoided hospital/ED events; reduced re-work/appeals; improved market mix; reduced integrity leakage. • Workbook cadence: quarterly updates; sensitivity ranges; release notes. [See Finance & ROI Case; Data, Dashboards and Privacy.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 134 Red-team & rehearsal calendar • Quarterly: fraud ring; data breach; provider failure & mass switching; restraint- spike. • Outputs: public method notes; improvements logged and closed within set timeframes. [See Governance, Assurance and Risk; Safety & Restrictive Practices Standard; Truth-by-Design Standard.] Exit criteria (when a pilot becomes business-as-usual) • All phase gates PASS two quarters in a row. • Indicators stable or improving without extraordinary support. • Independent evaluator confirms attributable gains (safety, participation, integrity, equity). • Procurement terms embedded; training/assessment throughput sustainable. Finance & ROI Case Purpose and frame This section explains how money, risk and value move through the program. It provides a transparent, auditable approach for ministers, central agencies and providers to see where costs land, where benefits accrue, and how the standards convert into fiscal and societal returns. It is designed to plug straight into the ROI workbook and dashboards. [See Implementation Roadmap (Switch-On Order); Data, Dashboards and Privacy; Evaluation & Continuous Learning.] What value we count (benefit classes) • Avoided harm (fiscal): fewer ED presentations, hospital bed-days, ambulance call- outs, medication misadventures, and damage/insurance events attributable to poor practice. • Reduced re-work (fiscal/operational): fewer repeats/appeals; lower tribunal/public advocate processing time; fewer incident re-investigations; lower duplicate assessments. • Integrity uplift (fiscal): prevented error/fraud via two-party e-receipts and roster-to- claim cross-checks; sanctions ladder deters persistent leakage. • Quality & participation (economic/wellbeing): more minutes in ordinary places; increased role/relationship formation; progression to training/employment; carer confidence and hours returned to work/education. • Workforce stabilisation (operational): higher competence, reduced turnover, less agency backfill, fewer critical incidents per 1,000 hours. Each benefit is paired with a data source, unit cost proxy, and an attribution/“cashability” rating (cash-releasing, near-cash, non-cash wellbeing).
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What it costs (investment bundles)
• IDC pathway: curriculum, supervision, OSCE circuits, licensure register, examiner
calibration.
• Safety: restraint timekeeping enablement, 72-hour learning review and fade-planning
capacity, handover/reconciliation tooling.
• Truth-by-Design: e-receipt capture, cross-check service, exception queues, sanctions
administration, release notes.
• Independent Verification (DSC): staffing, field observation travel, artefact
production, publication.
• Equity & rural parity: First Nations partnership MOUs, interpreter/Auslan/AAC
access, micro-hubs, tele-OSCEs, scholarships, travel supports.
• Data & privacy: schemas, APIs, immutable audit log, dashboards, DPIAs, red-team
tests.
• Change & comms: Plain English/Easy Read packs, provider onboarding, family
help-desk.
Cost-benefit method (how the workbook calculates)
• Time horizon: base 24 months (pilot+scale), with 60-month view for persistence of
effects.
• Discount rate: Treasury default (set in the workbook parameter sheet).
• Counterfactual: “business as usual” curves per site/region (pre-pilot trend +
seasonality) with matched controls where available.
• Attribution: difference-in-difference where controls exist; otherwise segmented
before/after with sensitivity ranges and DSC-verified event logs (file-vs-field).
• Cashability ladder:
1. Cash-releasing (e.g., bed-days avoided beyond occupancy thresholds).
2. Near-cash (e.g., reduced agency backfill, fewer re-investigations).
3. Non-cash wellbeing (QOL, participation, carer confidence).
• Publication cadence: quarterly tiles (high-level), annual ROI brief (with method
notes and ranges), and a technical annex for evaluators.
Core formulas (transparent and auditable)
Let ttt index months, iii index pilot sites, and δ\deltaδ denote measured change vs
counterfactual.
1) Avoided ED presentations
EDavoided(t,i)=(EDratecf(t,i)-
EDrateobs(t,i))×exposed_population(t,i)\text{ED}_\text{avoided}(t,i)=\left(\text{ED}_\text{
rate}^{\text{cf}}(t,i)-\text{ED}_\text{rate}^{\text{obs}}(t,i)\right)\times
\text{exposed\_population}(t,i)EDavoided(t,i)=(EDratecf(t,i)-EDrateobs
(t,i))×exposed_population(t,i)
BenefitED(t,i)=EDavoided(t,i)×unit_costED\text{Benefit}_\text{ED}(t,i)=\text{ED}_\text{a
voided}(t,i)\times \text{unit\_cost}_\text{ED}BenefitED(t,i)=EDavoided(t,i)×unit_costED
2) Avoided bed-days from restraint/med errors Core paper · PDF page 136
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Daysavoided(t,i)=δRestrictiveMinutes(t,i)×βdays/minute\text{Days}_\text{avoided}(t,i)=\del
ta\text{RestrictiveMinutes}(t,i)\times \beta_\text{days/minute}Daysavoided
(t,i)=δRestrictiveMinutes(t,i)×βdays/minute
Benefitbed(t,i)=Daysavoided(t,i)×unit_costbedday\text{Benefit}_\text{bed}(t,i)=\text{Days}
_\text{avoided}(t,i)\times \text{unit\_cost}_\text{bedday}Benefitbed(t,i)=Daysavoided
(t,i)×unit_costbedday
3) Integrity uplift
Benefitintegrity(t,i)=(Leakagecf-
Leakageobs)×claim_value\text{Benefit}_\text{integrity}(t,i)=\left(\text{Leakage}^{\text{cf}
}-\text{Leakage}^{\text{obs}}\right)\times \text{claim\_value}Benefitintegrity
(t,i)=(Leakagecf-Leakageobs)×claim_value
4) Reduced re-work/appeals
Benefitrework(t,i)=δCases(t,i)×time_per_case×unit_costFTE\text{Benefit}_\text{rework}(t,i
)=\delta\text{Cases}(t,i)\times \text{time\_per\_case}\times
\text{unit\_cost}_\text{FTE}Benefitrework(t,i)=δCases(t,i)×time_per_case×unit_costFTE
5) Workforce stabilisation
Benefitturnover(t,i)=δTurnover(t,i)×replacement_cost_per_FTE\text{Benefit}_\text{turnover
}(t,i)=\delta\text{Turnover}(t,i)\times \text{replacement\_cost\_per\_FTE}Benefitturnover
(t,i)=δTurnover(t,i)×replacement_cost_per_FTE
6) Participation uplift (economic proxy)
Benefitparticipation(t,i)=δMinutesInCommunity(t,i)×value_per_min\text{Benefit}_\text{part
icipation}(t,i)=\delta\text{MinutesInCommunity}(t,i)\times
\text{value\_per\_min}Benefitparticipation(t,i)=δMinutesInCommunity(t,i)×value_per_min
Parameters live in the workbook’s Assumptions sheet with low/base/high ranges; dashboards
feed the δ\deltaδ metrics directly.
7) Program NPV and BCR
NPVBenefits=∑t=0T∑iBenefits(t,i)(1+r)t;NPVCosts=∑t=0T∑iCosts(t,i)(1+r)t\text{NPV}_\t
ext{Benefits}=\sum_{t=0}^{T}\frac{\sum_i \text{Benefits}(t,i)}{(1+r)^t}\quad;\quad
\text{NPV}_\text{Costs}=\sum_{t=0}^{T}\frac{\sum_i
\text{Costs}(t,i)}{(1+r)^t}NPVBenefits=t=0∑T(1+r)t∑iBenefits(t,i);NPVCosts=t=0∑T
(1+r)t∑iCosts(t,i) BCR=NPVBenefitsNPVCosts;NetBenefit=NPVBenefits-
NPVCosts\text{BCR}=\frac{\text{NPV}_\text{Benefits}}{\text{NPV}_\text{Costs}}\quad;\
quad \text{NetBenefit}=\text{NPV}_\text{Benefits}-
\text{NPV}_\text{Costs}BCR=NPVCostsNPVBenefits;NetBenefit=NPVBenefits-NPVCosts
Inputs and sources (traceability)
• Safety: restrictive minutes/1,000 hours; 72-hour review compliance; fade-plan
success; med reconciliation completion. Core paper · PDF page 137
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 137 • Integrity: e-receipt coverage; exception rates (E1-E8); sanctions ladder rungs/duration; resolution times. • Workforce: IDC licence/renewal; OSCE pass; supervision throughput; turnover; agency backfill hours. • Verification: DSC turnaround; publication timeliness; calibration variance; action close-out. • Participation: minutes in ordinary places; role/relationship counts; switching friction metrics. • Equity & rural: interpreter/AAC utilisation; micro-hub coverage; tele-OSCE completion. Each input cites its system-of-record (receipt store, timekeeping log, DSC register, licensure register, tracker, audit log). Family view provides micro-level evidence; public tiles publish aggregate indicators with suppression rules. Assumptions register (editable ranges) • Unit costs: ED triage/presentation, bed-day, ambulance call-out, tribunal hour, supervisory hour, replacement cost per FTE, exception handling hour. • Effect sizes: expected % reduction in ED/bed-days tied to restraint reduction; % leakage reduction from cross-checks; % re-work drop from DSC; % turnover change from IDC pathway; minutes-in-community uplift from Service Model Standards. • Lag structure: months from training to OSCE pass; from DSC referral to action; from switching to presence uplift. • Cashability: fraction of each benefit that converts to cash-releasing vs near-cash vs wellbeing. • Discount rate & inflation: set globally; workbook calculates real and nominal series. Worked example (illustrative flow; populate with local values) • Input: Restrictive minutes fall by Δ = 25% over 6-12 months in pilots; med reconciliations within 72h rise to ≥90%. • Link: Historical correlation and clinical review suggest βdays/minute = x.xxE-3 bed- days per restricted minute (set locally; validated by DSC clinical method notes). • Result: Avoided bed-days = Δminutes × β × unit_cost_bedday → fiscal benefit; expected ED reduction compounds this result. • Integrity: E1/E2 exceptions drop by Δ = 60% post-pilot; leakage proxy = exception value × unresolved proportion; sanctions ladder reduces recurrence by Δ = 40%. • Net effect: Benefits rise while costs front-load (IDC training, DSC stand-up, data pipelines). BCR crosses >1 once coverage thresholds are hit (see Implementation Roadmap gates). Sensitivity and scenario testing • Three-box ranges: LOW/BASE/HIGH for unit costs and effect sizes; tornado chart in the workbook highlights the top five drivers (typically bed-day unit cost, leakage reduction %, OSCE throughput, sanction recurrence, turnover delta). • Time-to-value scenarios: Conservative (slow uptake), Base (roadmap on time), Stretch (fast rural parity + early sanctions signal). • Equity lens: stratify results by rural/metro and interpreter/AAC use to ensure gains are not concentrated in easier contexts.
Core paper · PDF page 138
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 138 • Publication: quarterly tiles show base case; annual annex publishes sensitivity ranges and driver attribution. Governance, assurance and publication • Owner: Program Owner/Commissioner with Finance/Treasury liaison. • Method notes: published with each quarterly/annual release (changes, parameter shifts, rationale). • Audit: annual external review of data lineage (capture→tile→ROI) and parameter reasonableness; DSC method notes validate causal links used in benefits. • Right-of-reply: providers can submit factual corrections; versioned ROI releases show amendments; family view remains authoritative at person level. • Ethics & privacy: DPIAs for all new flows; suppression rules applied to ROI tiles; no person-identifiable data in public outputs. Distributional impacts (who benefits, who pays) • Families/people: more presence in ordinary places; fewer crises; easier switching; clearer signals of provider quality. • Providers: up-front costs for competence and integrity, offset by market advantage for meeting the standard. • System: reduced acute spend and re-work; better information for procurement and program design. • Regions: micro-hubs and scholarships rebalance access; tele-OSCEs reduce travel waste; measure rural parity in tiles. Interfaces with other sections • Workforce (IDC): costs (curriculum, OSCE) and benefits (capability, turnover) feed ROI; licensure fields populate tiles. • Safety: restrictive minutes and learning-review compliance drive avoided harm estimates. • Truth-by-Design: integrity benefits and sanctions ladders shift provider mix and leakage. • Independent Verification: re-work/appeal reductions and publication costs are measured; DSC outcomes are a quality lever. • Service Model Standards: participation minutes and role formation deliver wellbeing/economic proxies. • Data & Privacy: schemas, audit logs, suppression and DPIAs underpin all ROI calculations. Metrics (dashboard alignment) • Finance tiles (quarterly): avoided harm proxy ($), integrity uplift ($), re-work reduction ($), IDC throughput/costs ($), DSC cost/benefit ratio, net program cost ($), net benefit ($), BCR. • Operational glue: coverage thresholds (e-receipt, 72-hour reviews, OSCE), exception SLA performance, sanctions recurrence, turnover. • Equity: rural parity cost per outcome; interpreter/AAC cost per outcome; distribution of benefits by region.
Core paper · PDF page 139
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 139 Risks and mitigations • Over-claiming benefits: DSC verifies causal chains; external audit of assumptions; conservative ranges published. • Under-counting near-cash benefits: track re-deployable capacity explicitly (e.g., staff time released). • Data gaps/quality drift: validation rules, exception queues, immutable logs; red- team tests. • Perverse incentives: publish method notes; triangulate with quality/outcome indicators; sanctions for gaming. • Equity blind spots: require stratified reporting; adjust targets where rural/First Nations contexts face structural barriers. Governance, Assurance and Risk Purpose and scope This section names who owns what, how assurance happens, and how risks are surfaced and acted on without delay. It aligns decision rights with accountability, integrates the sanctions ladder, defines escalation, and embeds whistleblowing, audit and red-team practices across all standards. [See Truth-by-Design Standard; Independent Verification Standard; Implementation Roadmap (Switch-On Order); Data, Dashboards and Privacy.] Governance model (who decides, who delivers, who checks) • Program Owner/Commissioner (Accountable): sets targets, approves phase gates, issues practice notes/program rules, owns publication cadence for dashboards and releases the quarterly “state of the standards” brief. • Workforce Standards Authority (Responsible): owns the IDC standard, curriculum, OSCEs, licensure/renewal policy, examiner calibration and de-rostering rules. [See Workforce Standard - IDC.] • Safety Owner (Responsible): owns the Restraint Hierarchy & Timekeeping, 72-hour learning review, fade plans, hospital/ED handover & medication reconciliation. [See Safety & Restrictive Practices Standard.] • Truth-by-Design Owner (Responsible): operates the e-receipt and roster-to-claim cross-checks, manages exception SLAs and the sanctions ladder, and publishes integrity method notes. [See Truth-by-Design Standard.] • DSC Unit (Independent): provides neutral verification, maintains Reasons & Weighting and Contradiction Matrix templates, and publishes plain-English reasons. [See Independent Verification Standard.] • Roles for Two-Key Guardianship: o Guardians/MPG: co-sign/quorum; maintain independence record; use R&W short form. o IPP Operator: conflict screening, pairing within 72h, rotation ledger, QA sampling. o Tribunal/OPA/OPG: practice note/code; Interim Pause powers; quarterly publication; 90-day sweep of legacy sole-guardian orders.
Core paper · PDF page 140
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 140 o DSC Panel: calibration on triggers; publish method; quarterly peer-review. • Data & Privacy Office (Independent): owns schemas, DPIAs, suppression rules, immutable audit logs, API standards and privacy/security incident response. [See Data, Dashboards and Privacy.] • Equity Lead (Responsible): owns First Nations MOUs, interpreter/Auslan/AAC access standards, micro-hubs, tele-OSCE protocols and scholarships. [See Equity, First Nations Partnership and Access.] • Procurement & Contracts (Responsible): embeds standards into contracts, runs compliance checks, applies consequences, and aligns provider incentives with quality signals. • Providers (Responsible): implement standards, supervise IDC practice, close corrective actions, and ensure switching protocol and data capture are met. • Families/Authorised representatives (Consulted/Informed): participate in decisions, receive family-view dashboards, and have clear right-of-reply channels. Lines of assurance (how we know it’s working) • Line 1 - Delivery controls: built-in checks (e-receipts, timekeeping, exception queues, supervision and observation, OSCEs, switching SLAs). • Line 2 - Independent oversight: DSC file-vs-field verification, Data & Privacy audits of logs/DPIAs, Procurement compliance reviews, Equity access audits (interpreters, micro-hubs, scholarships). • Line 3 - External assurance: periodic external audits (privacy/security, data lineage, ROI methods), and independent evaluation of outcomes. Assurance evidence is published through dashboards, method notes and release notes with suppression rules where required. Decision rights and escalation • Go/No-Go gates: the Program Owner chairs gate reviews; each standard owner presents QA results (PASS/FAIL) for their domain. [See Implementation Roadmap (Switch-On Order).] • Material risk decisions: safety sentinel events, sanctions at rungs 3-5, and publication pauses require joint sign-off by the relevant owner and Program Owner; DSC advice is tabled where applicable. • Escalation clocks: unresolved exceptions ageing beyond SLA (integrity), overdue 72-hour reviews (safety), and non-publication beyond cadence (data) auto-escalate to owners at 5/10 business days, then to the Program Owner at 15 business days. Privacy/AI conformance - gate criteria • DPIA completed and signed for any AI/analytics use that touches access, eligibility, pricing or safeguards. • Shadow-mode results meet preset accuracy/fairness thresholds; external red-team issues closed. • Kill-switch and rollback demonstrated; on-call ownership rostered. • Audit-log fields validated against the spec; retention and access controls tested. • Plain-English model card published (or appended), with contact for queries.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 141 Sanctions ladder (governance integration) • Ownership: Truth-by-Design Owner proposes rung; Procurement applies contract terms; Program Owner confirms publication where rules allow; provider right-of- reply is recorded. • Linkages: repeat patterns trigger DSC verification; outputs feed Reasons & Weighting; corrective actions are tracked on dashboards until closed. • Expiry: public listing sunsets on rectification dates; recurrence within 12 months re- opens the listing and triggers a higher rung. • Breach: missing/invalid co-sign → corrective plan; temporary pause; repeat breaches → panelisation or guardian swap; serious/knowing breach → referral. • Anti-collusion breach → freeze pairing; external moderation; publication where lawful. [See Truth-by-Design Standard; Independent Verification Standard.] Risk management (register, thresholds, actions) Risk classes and examples: • Safety & rights: restraint spikes; missed 72-hour reviews; medication reconciliation gaps. • Integrity: e-receipt coverage dips; exception ageing; suspected fabrication. • Privacy & security: S1/S2 incidents; audit-log gaps; suppression failures. • Workforce throughput: OSCE capacity shortfalls; supervision shortages; renewal delays. • Equity & access: interpreter shortages; micro-hub outages; rural switching delays. • Data quality: schema drift; late or incomplete feeds; interoperability failures. • Public trust & comms: misinterpretation of tiles; media narratives outrun method notes. Register fields (minimum): risk description; class; likelihood/impact; trigger threshold; owner; actions; due date; status; residual risk. Trigger thresholds (illustrative): • Safety: restrictive minutes/1,000 hours ↑ 20% quarter-on-quarter or review compliance <85% → sentinel escalation + DSC referral. • Integrity: e-receipt coverage <70% (pilot) or <85% (scale); exceptions ageing >10 business days >10% of queue → rung escalation. • Privacy: any S1/S2 incident → immediate incident protocol; publication paused for affected tiles until method notes updated. • Workforce: OSCE pass <75% first-sit or renewal on-time <80% → examiner calibration + micro-hub support + scholarship release. Owners table risk status at each gate review; high risks appear in quarterly public release notes in de-identified form. Red-team and rehearsal program • Quarterly drills: fraud ring; data privacy breach; provider failure & mass switching; restraint-spike with media interest; interpreter failure during sentinel review. • Method: plan → simulate → observe → publish method notes and corrective actions; close within 90 days.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 142 • Accountability: Program Owner tracks close-out; unresolved actions escalate to ministers/central agencies in the “state of the standards” brief. [See Implementation Roadmap (Switch-On Order); Data, Dashboards and Privacy; Safety & Restrictive Practices Standard.] Stress-Tests & Counter-Capture Counter-capture safeguards • Separation of duties: DSC and Data/Privacy independent from service delivery owners. • Cooling-off periods: no assessor of a provider they worked for in the last 24 months. • Publication pressure: pause rules + method notes protect against premature naming; reasons published, not spin. Stress-tests (beyond red-team drills) • Media surge: simulate high-profile incident; test comms + suppression; maintain publication cadence. • Political pressure: test gate integrity when expedited decisions are requested; log rationale. • Market concentration: test sanctions scenarios involving dominant providers; ensure continuity with rapid switching. Metrics • Tests completed; actions closed ≤90 days; independence breaches (target: zero). Whistleblowing and protections • Channels: confidential reporting to DSC Unit and Data & Privacy Office (separate to provider line management), plus external hotline. • Protections: anti-retaliation clause in contracts; sanctions for interference; right to an independent advocate. • Feedback: reporters receive acknowledgement within 5 business days and outcome notices when safe to do so. Issue management (from detection to verified closure) • Intake: issue logged with evidence (receipt IDs, timekeeping entries, observation notes). • Triage: classify (safety/integrity/privacy/etc.), assign owner, set SLA. • Root-cause: use standard templates (e.g., 5-Whys, timelines, contributory factors). • Actions: corrective (immediate) and preventive (systemic) with owners and due dates. • Verification: DSC/file-vs-field checks for contested or high-risk issues; Data & Privacy verifies data fixes. • Closure: owner sign-off; Program Owner confirms for material issues; dashboards updated; learning published.
Core paper · PDF page 143
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 143 Audit and evaluation interfaces • Internal audits: quarterly checks on sanctions consistency, switching timeliness, and data lineage (capture→tile). • External audits: annual privacy/security and method audits; findings and management responses published. • Independent evaluation: linked to Implementation Roadmap; evaluator has read- only access to de-identified datasets and method notes. [See Evaluation & Continuous Learning.] Procurement levers and market shaping • Contract terms: embed standards, data duties, sanctions ladder, switching protocol, interpreter/AAC access, rural parity obligations. • Quality signals: publication feeds procurement scoring; compliant providers gain preference/renewal credit. • Remedies: corrective plans, probation, suspension and exit align with sanctions ladder; claw-backs apply only on verified integrity breaches (not good-faith error fixed promptly). Industrial Relations & Insurance Brief Workforce settings (IDC) • Classification & pay: align IDC grades (Foundation/Proficient/Advanced) with award/Bargaining bands; recognise supervision and community travel as paid time. • Safe workloads: maximum caseload guidance; predictable supervision ratios; time for 72-hour reviews and fade-planning. • Training time: protected hours for OSCE prep and renewal; rural scholarships/backfill acknowledged as work. Insurance & liability • Coverage: confirm professional indemnity for IDC practice; public liability for community sessions; vicarious liability covered in contracts. • Incidents: notify insurer when sentinel events occur; maintain artefacts (timekeeping, reviews) as part of the defence file. • Motor/transport: provider fleet or mileage policies; lone-worker check-ins for rural travel. Interfaces & compliance • Contracts must reflect IDC role scope; sanctions ladder and switching rules must not violate industrial instruments; dispute pathways documented. Metrics and indicators (governance dashboard) • Assurance cadence: % of planned audits/drills completed; gate reviews on time. • Risk posture: open high risks; days open; trend; actions overdue. • Sanctions: distribution by rung; time on rung; recurrence within 12 months.
Core paper · PDF page 144
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 144 • Whistleblowing: reports received; time-to-first response; substantiation rate; retaliation cases (target: zero). • Publication: on-time release rate; correction/addendum count; suppression accuracy. • Equity governance: MOUs active; interpreter/Auslan availability vs demand; micro- hub uptime. Public tiles show de-identified governance indicators with method notes; family view is not used for governance metrics. Interfaces with other standards • Safety: escalation on restraint spikes; DSC involvement; learning folded into fade plans. • Truth-by-Design: exception SLAs; sanctions ladder; publication rules. • Independent Verification: case triggers; publication of reasons; calibration and double-rating results. • Data & Privacy: DPIAs, incident response, suppression rules, red-team drills. • Workforce (IDC): de-rostering rules; renewal compliance; examiner calibration. • Equity: MOUs, interpreter access, rural parity maintained during sanctions or provider exit. Risks and mitigations (summary) • Fragmented ownership: publish owner matrix; RACI is visible and current; gate reviews enforce clarity. • Perverse incentives: triangulate metrics; DSC verification; publish method notes; protect candour. • Over-centralisation: micro-hubs and local MOUs protect regional autonomy; clear delegation limits. • Publication backlash: proactive comms with Plain English/Easy Read summaries; contextual notes on tiles; right-of-reply included. • Capacity shortfalls: scholarships/backfill; shared examiner pools; pooled interpreters; tele-OSCEs; phased targets. Evaluation & Continuous Learning Purpose and scope This section makes improvement routine and public. It defines peer calibration, quality summaries, standard refresh rules, and independent evaluation - so results are used for learning, not blame. It applies across all program areas and providers. [See Governance, Assurance and Risk; Data, Dashboards and Privacy; Implementation Roadmap (Switch-On Order).] Principles • Evidence into action. Every indicator and review feeds a visible improvement step. • Double-loop learning. We improve both frontline practice and the standards/tools themselves.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 145 • Transparency. Publish plain-language quality summaries with method notes and change logs. • Proportionality. Focus effort where risk and impact are highest. • Equity. Calibration and evaluation include rural/remote, First Nations, CALD/Auslan and AAC contexts. Peer calibration (how we align judgement) • Cadence: quarterly, per region. • Sample: stratified by risk (e.g., sentinel events, sanctions ≥ rung 3, contested decisions), plus a random sample of clean cases. • Method: o Blind double-rating of a minimum 10% sample (two raters score the same case independently). o Use standard rubrics (IDC observation, 72-hour review quality, e-receipt candour, Reasons & Weighting structure). o Reconcile variance; publish calibration statistics (agreement %, inter-rater reliability). o Use the EPAs mapped in Appendix AO when double-rating IDC observations. • Outputs: thematic findings, exemplar artefacts (de-identified), targeted micro- modules, and OSCE/mini-OSCE station updates. [See Workforce Standard - IDC; Safety & Restrictive Practices Standard; Truth-by- Design Standard; Independent Verification Standard.] Quality summaries (what we publish each quarter) • What’s inside: indicator movements, calibration results, improvement actions with owners/dates, red-team outcomes, privacy/ethics notes, and “what families can expect next quarter” in Plain English/Easy Read. • Format: 4-6 pages; charts with short legends; large-type Easy Read insert; translations where relevant. • Access: public site + provider intranet; family view links to person-level context when appropriate (e.g., how a change affects displays). • Change log: version number, what changed and why, any known limitations. Standard refresh and sunset rules • Annual refresh window: once per year per standard (Workforce, Safety, Truth-by- Design, Independent Verification, Service Model, Equity, Data/Privacy). • Trigger outside window: urgent safety/privacy defect or legal change (with method notes). • Sunset test: any appendix template not used or superseded for 12 months is retired; keep link to its replacement. • Rationale note: every change has a one-paragraph “why” tied to evidence (dashboard trends, DSC findings, evaluation). Independent evaluation (external review) • Design: quasi-experimental (difference-in-differences) where matched controls exist; otherwise interrupted time series with sensitivity ranges.
Core paper · PDF page 146
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 146 • Pre-analysis plan: registered before data lock; publishes outcomes, subgroups (rural/metro, First Nations, interpreter use), and robustness checks. • Access: evaluator receives de-identified datasets, method notes, and read-only tile lineage (capture→transform→publish). • Timeline: interim at 12 months; full report at 24 months with public response plan. • Protection: evaluation independence is contractually protected; right-to-publish clauses with privacy safeguards. [See Finance & ROI Case; Data, Dashboards and Privacy.] Research & Evaluation Partnerships Partnership model • MoU with universities/independent institutes; pre-analysis plans; independence and right-to-publish clauses. • Data access: de-identified extracts; lineage and method notes; no raw person identifiers in research workspaces. Ethics & consent • Ethics approvals required; culturally safe consent processes; interpreter/Auslan/AAC support. • Do-no-harm: participants can withdraw; family view never used as a research workspace. Co-production • Lived-experience contributors paid; First Nations partners hold decision rights on topics involving their communities. Outputs • Annual research summary; repository of instruments; translation of findings into OSCE stations/templates and method notes. Continuous curriculum and tool updates • IDC curriculum/OSCE: updated from peer calibration themes, DSC variance, and red-team findings; publish a “what changed” list for candidates and examiners. • Safety artefacts: revise 72-hour review prompts and fade-plan templates when evidence shows missed steps. • Truth-by-Design: tune exception thresholds; add or retire codes; update UI text for accessibility based on family feedback. • Verification tools: update Reasons & Weighting exemplars and Contradiction Matrix hints where common logic gaps appear. Operational Aids - Consistency Prompts Purpose
Core paper · PDF page 147
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 147 Provide short, repeatable prompts that make documentation clear and consistent without adding paperwork. Prompt sets (where used) • IDC session notes: “Where were we? What role did we practise? What step changed? What’s next?” • 72-hour review: “Alternatives tried? Why they failed? What new alternative next? Who owns it? By when?” • E-receipt talk-through: “What was done? Did it help the goal? Do you agree to the receipt? Anything to add?” • DSC drafting: “What matched? What didn’t? Which evidence has highest weight? What action now?” (Full prompt text and Easy Read variants in Appendix AK.) Red-team and rehearsal integration • Quarterly drills (fraud ring, data breach, provider failure & mass switching, restraint spike, interpreter failure) feed a short “lessons learned” annex. • Close-out rule: all red-team actions have an owner and due date; closure is verified and shown on governance tiles. [See Governance, Assurance and Risk; Implementation Roadmap (Switch-On Order).] Roles and responsibilities • Program Owner (Accountable): signs off quality summaries, refresh decisions and evaluation scope. • Standard Owners (Responsible): run calibration in their domain; maintain rubrics; drive improvements. • DSC Unit (Independent): supplies variance themes; validates logic in quality summaries; contributes exemplar reasoning. • Data & Privacy Office (Independent): verifies data lineage, suppression, and method notes; co-authors the change log. • Equity Lead (Responsible): ensures calibration/evaluation include First Nations partnership, interpreters/Auslan/AAC, and rural parity tests. • Providers & Micro-hubs (Responsible): participate in calibration; implement improvements; evidence closure. • Families/Authorised representatives (Consulted): contribute to lessons learned; co- design Easy Read elements. Where to get help / Artefacts & Templates (appendices index) • Peer calibration rubric (IDC observation; review quality; receipt candour; R&W structure). • Quality summary template (Plain English + Easy Read insert). • Standard refresh form (problem → evidence → change → impact). • Red-team scenario scripts and report template. • Evaluation access protocol (dataset inventory, privacy conditions). Templates live in Appendices (indexed); this section is the authority for content.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 148 Metrics and indicators (learning dashboard) • Calibration: % double-rated; inter-rater reliability; variance closed within 60 days. • Improvements: actions raised/closed; days to close; repeat-issue rate within 90/180 days. • Refresh cadence: changes delivered on schedule; number of urgent out-of-cycle patches (target: low). • Red-team: drills completed; actions open/closed; time to close. • Evaluation: data deliveries on time; pre-analysis plan published; report publication on schedule. • Equity: proportion of calibrated cases including interpreters/Auslan/AAC or First Nations partnership; rural vs metro balance. Implementation (switch-on order) • 0-3 months: publish calibration rubrics; run first quarter sample; release quality summary v1; register evaluation pre-analysis plan; load learning tiles. • 3-6 months: introduce double-rating; publish first exemplar packs; update one OSCE station and one review template based on findings; run at least one red-team drill. • 6-12 months: full quarterly cadence; independent audit of data lineage; publish first evaluation interim with response plan. • 12-24 months: annual refresh across all standards; external evaluation final; integrate recommendations; retire unused templates per sunset rule. Risks and mitigations • Blame culture blocking candour: protect peer review from sanctions; celebrate truthful correction; separate improvement logs from punitive processes. • Sampling bias (only “easy” cases): enforce risk-weighted sampling; publish sampling frame. • Method drift: Data & Privacy co-signs quality summaries; maintain a public method register with versioning. • Token publication: require action owners/dates in every summary; governance tiles track overdue items. • Equity blind spots: stratify all findings; set minimum rural/First Nations/interpreter sample shares.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 149 Appendices (indexed) The appendices provide ready-to-use templates, schemas, checklists and concise practice packs that turn the standards into day-to-day actions. They are companions, not substitutes: definitions, thresholds and authorisations remain in the standards. Where time limits or tests appear here, they are developed from the standards. Use them for training, supervision, audit, and to file completed artefacts in the person’s record. Appendix A - Restraint Hierarchy & Timekeeping Standard Owner: Safety Interfaces: Safety & Restrictive Practices Standard; 72-Hour Learning Review; Fade Plan; Incident Reporting; Handover & Medication Reconciliation; Workforce (IDC OSCEs). Why this matters (and why it hasn’t worked) Too often restraint or rushed sedation is used because prevention skills are thin, authorisations are unclear, and timekeeping is patchy or done after the fact. This standard makes restraint emergency-only, requires start/stop timing, and forces a 72-hour learning review so teams replace restraint with better supports and track real change. Fast take (read this first) • Least-restrictive by default. Restraint is a last resort to prevent imminent harm only. • Start the clock the instant restraint begins; stop the moment it ends. • Record who, why, where, what type, alternatives tried, injury check, and authoriser. • If used, you must schedule a 72-hour learning review and update the fade plan. • Emergency override allowed only when prior authorisation isn’t possible and harm is imminent; log and notify. • Chemical restraint ≠ routine PRN. Any medicine primarily to control behaviour triggers this standard. • Environmental restrictions (locks, seclusion) follow the same timing and review rules. • Family/representative is informed unless it creates risk; note rationale either way. • Skills are observed (OSCEs), not assumed. Unskilled staff do not apply restraint. • Data feeds supervision and public reporting tiles (minutes, reviews done, injuries). Scope Applies to all services and settings covered by this White Paper (home, community, transport, day programs, short-stay, health interfaces incl. ED). Covers physical, mechanical, chemical, environmental restraints and any seclusion-like practice. Prohibitions (never permitted) • Pain-based holds; prone or prolonged supine restraint; obstructing breathing or communication; restraint as punishment, convenience, or routine. • Blanket, standing or indefinite authorisations.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 150 • Restraint without continuous observation and active fade planning. Authorisation levels • Green (Prevent): proactive supports only (de-escalation, AAC, sensory/space changes). No restraint. • Amber (Planned): time-limited restraint with prior, named authorisation; competent staff only; person-specific plan; real-time timing and logging. • Red (Emergency override): imminent harm, no time for prior authorisation. Shortest possible duration; call for qualified lead; log immediately; notify and book review. Timekeeping fields (must capture) Person ID; date/time start-stop and total minutes; location; precipitating risk; type of restraint; alternatives attempted; authoriser (name/role, time of decision); staff involved (IDs); injuries/first aid; medication given (dose/route/indication); family/rep informed (time/method/rationale if not); incident category; 72-hour review booked (date/time, attendees); fade-plan status/updates; handover/med-recon if ED or pharmacy involved. How it works (step-by-step) 1. Prevent & prepare: use green alternatives; ensure AAC and space changes are ready; know the person’s triggers and supports. 2. If imminent harm: apply the least-restrictive option; start timing immediately; call the competent lead. 3. During: monitor airway, circulation, distress, and communication; keep duration as short as possible. 4. End & check: stop timing on release; check for injury; offer reassurance and space. 5. Log & notify (within 2 hours): complete the timekeeping fields; notify manager/clinician and family/rep (or record why not). 6. Within 24 hours: confirm authorisation trail, update the incident record, and perform medication reconciliation if any sedatives were given. 7. Within 72 hours: hold the learning review; update the fade plan; schedule skill coaching if prevention failed; file the debrief notes. What good looks like / Red flags Good: short duration; clear “why now”; alternatives tried; competent lead present; clean logs; family informed; review booked and completed; fade plan tightened; injuries rare. Red flags: repeated long events; missing start/stop times; chemical restraint labelled “PRN” without indication; copy-paste notes; no family contact; no change after reviews. Who does what • Person/Representative: says what works; consents to planned elements where applicable; attends review. • IDC Lead (on shift): decides least-restrictive action, ensures timing/observation, completes log, triggers notifications.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 151 • Manager/Clinician: checks authorisation trail, chairs 72-hour review, signs off on fade-plan changes, assigns coaching. • Provider Director/Safety: runs audits, trend analysis, and publishes tiles; escalates sentinel patterns. • External (DSC/OPA/Tribunal/Health): verifies logs vs field, resolves disputes, ensures lawful thresholds. Emergency override (exact steps) 1. Confirm imminent harm and no safer alternative. 2. Apply least-restrictive option; start timer. 3. Call competent lead; maintain observation and airway. 4. End ASAP; stop timer; first-aid check. 5. Complete log and notifications; book 72-hour review. Debrief prompts (use at review) • What happened before “the moment”? (triggers, environment, communication) • What helped/hurt? (supports used, words, people present) • What changes now? (routine, environment, skills, community plan) • What will we try first next time? (named alternatives, role assignment) • How do we measure drift or improvement? (minutes, frequency, injury rate) Micro-scenarios • Community escalation: Loud venue + sensory overload → staff use AAC yes/no and step-out plan; risk escalates; 40-second hold to prevent running into traffic; timer started/stopped; log done; family informed; review in 72 hours refines “early exit” cue and transport plan. • ED presentation: Agitation, pain unknown → interpreter/AAC used; single-dose short-acting sedative given for procedure safety (logged as chemical restraint); med- recon completed; review sets a “pain-first” protocol and flags allergy assessment. Quick scripts • Explaining least-restrictive: “We only use restraint if someone is in immediate danger. We try other options first and, if we must use it, we time it and stop as soon as it’s safe.” • Informing family/rep: “There was a brief restraint today to prevent harm. It lasted [minutes]. We’ve booked a review within 72 hours to improve the plan.” Where to get help / Artefacts & Templates • Templates: Restrictive Practice Log; 72-Hour Learning Review; Fade Plan; Incident Report; Medication Reconciliation. • See also: 72-Hour Learning Review; Fade Plan; Handover & Medication Reconciliation; Reasons & Weighting / Contradiction Matrix. Summary companion. Decisions rely on the governing sections in “Safety & Restrictive Practices Standard”.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 152 Appendix B - 72-Hour Learning Review Template Owner: Safety & Quality Interfaces: Restraint Hierarchy & Timekeeping; Fade Plan; Incident Reporting; Handover & Medication Reconciliation; Workforce (IDC OSCEs); Data & Dashboards; Governance & Complaints. Why this matters (and why it hasn’t worked) After serious incidents, teams often “move on” without extracting the lessons that prevent repeats. Reviews are delayed, defensive, or focused on paperwork rather than change. This template makes learning timely (within 72 hours), person-centred, and action-oriented, so supports improve and restraint becomes rarer, shorter, and safer. Fast take (read this first) • Hold the review within 72 hours of any restraint/seclusion-like event, serious medication error, or sentinel risk. • Attendance: IDC lead on shift, line manager/clinician, the person and/or representative (with supports), any relevant specialist; independent chair when contested. • Inputs ready: timekeeping log, incident notes, medication reconciliation, relevant e- receipt/roster records, CCTV or witness statements (if available). • Meeting flow: facts → why now → what helped/hurt → what changes → who does what by when. • Outputs: updated Fade Plan, specific actions with owners and due dates, coaching assignments, and dashboard flags. • Tone: learning not blame. Improvement logs are separate from sanctions processes. • Accessibility: interpreters/AAC provided; plain-language summary offered to the person/family. • Measurement: track minutes, frequency, injuries, and action close-outs at 30/60/90 days. Triggers (when a 72-hour review is mandatory) • Any use of physical, mechanical, chemical, or environmental restraint (including seclusion-like practices). • Serious medication error or emergency sedation related to behavioural distress. • Injury to the person or staff during an escalation. • Repeated near-misses showing drift in prevention supports. Who attends (and roles) • Chair (manager or independent lead): keeps time, ensures psychological safety, decides action owners. • IDC lead on shift: presents facts and alternatives attempted; confirms timekeeping accuracy. • Person/Representative: describes experience, preferences, early warning signs, and what “good help” looks like.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 153 • Clinician/Specialist (as relevant): contributes to differential causes (pain, infection, communication barriers). • Recorder: completes the one-page summary and action register live. • Observer/Coach (optional): notes practice gaps and schedules coaching. Inputs to bring (minimum pack) • Restrictive Practice Log (start/stop times; alternatives; authorisation). • Incident report; injury check; photos (if relevant). • Medication reconciliation (if sedatives given). • E-receipt exceptions and any roster↔claim mismatches for the period in question. • Any environmental or staffing notes (staffing levels, room layout, noise triggers). • Person’s profile/communication plan and current Fade Plan. How the review runs (step-by-step) 1. Schedule & invite (within 24 hours): set the meeting for Day 1-3; confirm interpreter/AAC; send pre-read pack. 2. Open (5 minutes): purpose, rules (learning focus, respect, timebox), introduction of attendees; confirm the person’s preferences for participation. 3. Facts on the table (10 minutes): what happened, when, where; the exact start/stop times; alternatives tried; authorisation steps. 4. Why now? (15 minutes): immediate triggers, unmet communication needs, pain/health checks, environment, staffing, routines, known patterns. 5. What helped/hurt? (10 minutes): strategies that reduced or escalated distress; words, people, places. 6. Decisions (15 minutes): update Fade Plan; add early-exit cues; adjust routines/environment; order health checks; assign coaching; confirm measures. 7. Record & close (5 minutes): action owners/dates; follow-up meeting if high-risk; share plain-language summary. Outputs (file and act on these) • One-page summary (plain English) capturing facts, causes, decisions, and due dates. • Action register with owners, deadlines, and check-backs (30/60/90 days). • Updated Fade Plan and communication supports (yes/no boards, scripts, sensory plan). • Coaching plan (who, what skill, by when) and OSCE booking if competence needs re-assessment. • Data updates to dashboards: total minutes, number of events, injuries, reviews on time, actions closed. What good looks like / Red flags Good: review held on time; person voice present; specific changes to supports and environment; actions closed by due date; subsequent events are shorter/rarer; notes are clear and non-defensive. Red flags: meeting delayed or cancelled; vague “staff to be more vigilant” actions; no update to Fade Plan; repeated long events with identical notes; missing start/stop times.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 154 Debrief prompts (use in the room) • What were the first signs things were going off-track? • What words or supports worked best in the moment? • What system factor (roster, environment, access, training) made it harder? • What one change will we trial first - and how will we know if it works in 14 days? • What could have prevented this earlier in the day/week? Micro-scenarios • Community setting: Escalation at a noisy venue; brief physical hold to prevent running onto a road; review adds a “quiet exit” cue, pre-visit sensory check, and transport backup. • ED interface: Agitation with undiagnosed pain; single-dose short-acting sedative used; review adds “pain-first” protocol, GP follow-up, and an alert on allergies/side- effects. Quick scripts • Invite to family/rep: “We’re holding a learning review within 72 hours to reduce the chance of this happening again. We’ll use plain language, and you can bring supports or ask for an interpreter.” • Open the meeting: “This is about learning, not blame. We’ll look at what happened, why now, and what we change today.” Storage, privacy & follow-through • File the one-page summary, action register, and updated Fade Plan in the person’s record. • Keep improvement records separate from any sanctions investigation. • Share the plain-language summary with the person/representative (unless doing so creates risk - record the rationale). • Add the “review on time” and “actions closed” ticks to dashboards. Where to get help / Artefacts & Templates • 72-Hour Learning Review - One-Page Summary • Action Register (with 30/60/90-day check-backs) • Debrief Prompts sheet (room copy) • Chair’s Checklist (before/during/after) • Plain-Language Summary handout Summary companion. Decisions rely on the governing sections named in the Safety & Restrictive Practices Standard and related policies.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 155 Appendix C - Fade Plan Template (Restraint-Reduction & Positive Supports) Owner: Safety & Practice Interfaces: Restraint Hierarchy & Timekeeping; 72-Hour Learning Review; Communication Access; Health & Medication Reconciliation; Workforce (IDC OSCEs); Data & Dashboards. Why this matters (and why it hasn’t worked) Restraint use often repeats because teams don’t convert lessons into a clear, shared plan with early cues, ready alternatives and accountable follow-through. Generic “be vigilant” notes change nothing. A Fade Plan makes restraint rarer, shorter and safer by setting concrete targets, ordering better options, and assigning owners with dates. Fast take (read this first) • Purpose: replace restraint with effective supports; shorten any event that still occurs. • Always include: early warning cues, what to try in order, who does what, time- bound goals, and how progress is measured. • Keep it live: update after every 72-hour learning review or sentinel change. • Guardrails: no blanket time-based fades; no punitive language; chemical restraint is never a “strategy”. • Success looks like: fewer events, shorter minutes, fewer injuries, better participation. Triggers (when to create/update) • New service start or setting change (home → day program → ED). • After any restraint/seclusion-like event or emergency sedation. • When patterns shift (new health issue, medication change, environment, staffing). • When goals advance (e.g., expanding community roles). Who’s in the room (and roles) • Person/Representative (supported): preferences, triggers, what helps. • IDC Lead: coordinates drafting; ensures practical steps. • Clinician/Specialist (as relevant): communication, sensory, medical input. • Family/Key Allies: context, community opportunities. • Recorder: completes the one-page summary during the meeting. • Coach/Trainer (optional): converts plan into shifts and OSCE practice. Inputs you must have • Most recent 72-Hour Learning Review summary and actions. • Restrictive Practice Log (start/stop times; alternatives tried). • Communication profile/AAC tools and scripts. • Health updates (pain, infection risk, meds, side-effects). • Environment map (noise, space, transport, seating, exits). • Roster capacity (who’s competent; who needs coaching).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 156 Template example - One-Page Fade Plan (complete live) A. Person summary (2-3 lines) Strengths, interests, key values, primary communication modes. B. Early warning cues (ranked) - “First signs” 1. … 2) … 3) … C. What to try first (green supports) - in order 1. Words that work (exact phrases): … 2. Communication supports (yes/no, pictures, device): … 3. Environment changes (quiet space, lighting, step-out): … 4. Activity/routine adjustments (breaks, sequencing): … 5. Sensory supports (pressure, movement, headphones): … D. If risk escalates (amber responses) - time-limited • Team roles (who leads, who clears space): … • Safe positioning/space management: … • Call criteria for clinical/backup: … E. Only if imminent harm (red, emergency-only) • Least-restrictive option; start/stop timing; notify. • Post-event: injury check; family/rep contact; log; 72-hour review. F. Health checks & medication notes Pain first? GI/UTI flags? Allergy/side-effect watch-outs. PRN rules (if any): indication, dose, who authorises (never for convenience). G. Participation & daily rhythm anchors Weekly community roles, times, allies, and transport plan. H. Goals & measures (90-day horizon) • Reduce total restraint minutes by: ___% (baseline: ___ mins/month). • Max event length: ___ minutes (from ___). • Zero injuries for ___ days. • Participation: ___ outings/week; ___ named roles. • Coaching: ___ staff complete OSCE ___ by ___/____. I. Actions & owners Action | Owner | Due | Check (30/60/90d) - | - | - | -
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 157 J. Reviews & sign-off Next review date: ___/____ (or after any event). Person/Rep: ___ IDC Lead: ___ Clinician (if any): ___ Manager: ___ How to build the plan (30-40 minutes) 1. Open with voice and values (5 min): person/rep states what matters; confirm supports (interpreter/AAC). 2. List early cues (5 min): capture first signs seen by family/frontline; make them observable. 3. Order green supports (10 min): write exact phrases and actions; sequence them. 4. Define amber roles (5 min): who leads; how the room changes; when to call help. 5. Set health checks (5 min): rule out pain/infection; confirm med notes. 6. Set goals & actions (10 min): measurable targets; owners and dates; book coaching/OSCEs. What good looks like / Red flags Good: short, lived plan; exact words; clear sequence; owners named; measures tracked; plan updated after reviews; participation grows. Red flags: vague “de-escalate” lines; no sequence; punitive tone; PRN as behaviour control; no person voice; plan not used in shift huddles. Micro-scenarios (worked) • Shopping centre (noise surge): Early cue = head-clutching → Step 1 phrase: “Quiet exit?” + point to card → Step-out route to car → Five-minute reset with music → Return via side entrance or reschedule. • Day program (crowded room): Early cue = pacing → Offer headphones + outdoor lap → Swap task to preferred role → If escalates, clear space and rotate staff lead → Emergency-only hold if running risk; time and log. Quick scripts • Explaining the plan to the person/rep: “This plan lists the first signs things feel wrong, the words and supports that help most, and who does what. If danger is immediate, we use the safest option briefly and time it. We review every event to keep improving.” • Shift huddle opener (60 seconds): “Today’s cues: ___; first supports: ___ → ___ → ___. If it climbs: ___ leads, ___ clears space. Health watch: ___. Goal this week: ___.” Storage, privacy & use in practice • Keep the one-pager at point-of-care and in the person’s record; update after each review. • Bring the plan to shift huddles and supervision.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 158 • Share with the person/rep in plain English/Easy Read unless that creates risk (record rationale). • Feed measures to dashboards (minutes, frequency, injuries, participation, coaching completion). Where to get help / Artefacts & Templates • Fade Plan - One-Page Template (fields A-J) • Shift Huddle Card (cues → green supports → roles) • Action Register (with 30/60/90-day checks) • OSCE Coaching Map (which skills, who, when) Summary companion. Decisions rely on the governing sections named in the Safety & Restrictive Practices Standard and related policies. Appendix D - Handover & Medication Reconciliation Pack Owner: Health & Safety Interfaces: Safety & Restrictive Practices; Restraint Hierarchy & Timekeeping; 72-Hour Learning Review; Fade Plan; Workforce (IDC); Data & Dashboards; Privacy (DPIA); Pharmacy Stewardship. Why this matters (and why it hasn’t worked) People bounce between home, GP, pharmacy and ED with fragmented information, so medicines get duplicated, stopped without reason, or added as quick fixes for distress. That drives avoidable ED returns and chemical restraint drift. This pack makes handover standard, and medication reconciliation mandatory within 72 hours, so everyone works from one safe, shared list and a clear plan. Fast take (read this first) • Use this pack for every transition (home↔GP↔pharmacy↔ED↔short-stay↔day program). • Bring a Health Passport: conditions, allergies, current meds (name/strength/route/indication), communication needs, guardian/representative details. • At handover: state the reason for presentation, what was tried already, any restraint minutes, and what usually works. • On discharge/return: you must reconcile medicines within 72 hours: current, changed, started, stopped - each with an indication and who authorised it. • Chemical restraint rules still apply: if a medicine is used primarily to control behaviour, log and review it. • Kill-switches: red-flag high-risk combos, duplicate psychotropics, or unclear PRNs; escalate to prescriber/pharmacist immediately.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 159 • Measure it: track 72-hour reconciliation completion, avoidable ED returns (7/30 days), and polypharmacy rates. Scope All community, primary care, pharmacy, dental, mental health and hospital interfaces covered by this White Paper. Applies to prescription, OTC and complementary medicines and to sedation given for procedures. Part 1 - Standard handover (to ED/GP/pharmacy/dental) Minimum handover fields (complete or state “unknown”) • Reason for presentation and time of onset. • What was attempted (supports/strategies; any restraint minutes with start/stop). • Baseline health & recent changes (pain, infection flags, sleep, hydration, bowel). • Current medicines (name/strength/route/frequency/indication). • Allergies & adverse reactions (what happened, when). • Communication access (AAC, interpreters, yes/no methods). • Consent/guardian/representative details (name, phone). • Risk notes (seizure, choking, diabetes, anticoagulants, wandering). • What usually helps (exact phrases, sensory aids, step-out plans). Attach (if available) Health Passport; last 72-Hour Review summary; Fade Plan one-pager; Restrictive Practice Log (if relevant); recent pathology/letters; GP details; pharmacy contact. Part 2 - Discharge/hand-back (what must come back with the person) • Diagnosis or working diagnosis (plain English). • Procedures done and sedation given (drug/dose/route/time/indication). • Meds started/changed/stopped with reasons and duration (e.g., “amoxicillin 500 mg TDS 5 days for otitis media”). • Monitoring required (vitals, side-effects to watch; who to call). • Follow-ups booked or required (GP by date, tests, referrals). • Red flags for return to ED. • Contact for the treating team. Part 3 - Medication reconciliation (within 72 hours) Definition A structured process to verify and document a single, correct medicine list by comparing all sources (person/rep, GP summary, pharmacy dispense history, ED/hospital discharge, provider notes). Steps (do these in order)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 160 1. Collect sources: Health Passport; discharge summary; GP summary; pharmacy list; carer/provider list. 2. Build the “one list”: for each medicine, record name, strength, route, frequency, indication, start/stop, prescriber. 3. Resolve conflicts: duplicates, dose mismatches, unclear PRNs; call the prescriber/pharmacist; document decisions. 4. Apply red-flag rules (see below). 5. Update the person’s record and share the list (plain English/Easy Read where appropriate) with the person/rep, GP and pharmacy. 6. Set review dates (e.g., antipsychotic review in 4 weeks; antibiotic stop date). 7. Log completion in dashboards (reconciled ≤72h: yes/no; actions raised). Red-flag rules (act the same day) • Poly-psychotropic (≥2 psychotropics without clear indications/plan) → escalate to prescriber and schedule review. • Sedation added for behaviour without pain/medical assessment → trigger Safety & Restrictive Practices review. • Duplicate drug classes (e.g., two SSRIs; two anticholinergics) → clinician check. • High-risk interactions (e.g., macrolide + QT-prolonging antipsychotic) → pharmacist review. • Unclear PRNs (no indication/max dose) → clarify or hold. Who does what • Person/Representative: brings/passports information; states what works; receives the final list in plain language. • IDC Lead (provider): completes handover, ensures the 72-hour reconciliation, files documents, books follow-ups. • GP/ED/Dental Clinician: documents changes with indications; provides clear discharge/hand-back. • Pharmacist: performs clinical check, flags interactions, supports de-prescribing plans, updates dispense records. • Manager/Clinician (provider): monitors completion rates; escalates red-flags; ensures coaching where gaps appear. What good looks like / Red flags Good: complete handover at arrival; discharge summary with clear indications; reconciliation finished ≤72h; updated one-list shared; reduced duplicate psychotropics; fewer ED returns. Red flags: person arrives with no Health Passport; vague discharge notes (“continue usual meds”); no reconciliation; unclear PRNs; rising sedation use; repeat ED within 7 days with the same issue. Micro-scenarios (worked)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 161 • ED agitation with pain: Person arrives with Health Passport; staff try AAC and step- out; short-acting sedative used for scan; discharge lists dose/time/indication; provider reconciles next day, adds pain-first protocol and books GP review. • Dental procedure: Planned graded desensitisation fails; minimal sedation used; pharmacy provides post-procedure advice; reconciliation confirms stop date and adds home oral-health routine. • GP antibiotic change: New macrolide added; pharmacist flags QT-risk with antipsychotic; prescriber switches to safer option; documented same day. Quick scripts • At triage: “Here’s the Health Passport and today’s reason. These are the medicines, allergies, and what works to calm things quickly.” • Calling the pharmacist/prescriber: “I’m reconciling meds after an ED visit. I’m seeing [drug/dose]; indication isn’t listed. Can we confirm keep/stop and the review date?” • Explaining reconciliation to family: “Within 72 hours we check every medicine from all sources and agree on one correct list. You’ll get a plain-language copy.” Privacy, storage & data • File the handover sheet, discharge summary and reconciled list in the person’s record; share only with those who need to know. • If devices or photos are used to capture lists, follow the DPIA and delete transient images after filing. • Dashboards track: reconciled ≤72h (%), avoidable ED returns (7/30 days), poly- psychotropic rate, PRN clarifications raised/closed. Where to get help / Artefacts & Templates • Standard Handover Sheet (all settings) • ED Arrival Handover + ED Discharge Summary (plain-English companion) • GP Hand-Back Form (changes, indications, review dates) • Medication Reconciliation Checklist (72-hour) • Health Passport (conditions, allergies, contacts, communication) • Allergy & Adverse Reaction Card (wallet-size) Summary companion. Decisions rely on the governing sections named in the Safety & Restrictive Practices Standard, Health Interface policies and Privacy/DPIA.
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Appendix E - Minimum Two-Party E-Receipt JSON Schema (v1.x)
Owner: Integrity & Data
Interfaces: Truth-by-Design Standard; Roster↔Claim Cross-Checks; Dashboards
(public/family/provider); Complaints & Sanctions Ladder; Privacy/DPIA; Accessibility
(AAC/translation).
Why this matters (and why it hasn’t worked)
Narrative notes and after-the-fact invoicing can hide mismatches between what was rostered,
what happened, and what was claimed. People and families rarely see or can confirm the
details. A two-party e-receipt makes the truth observable: one compact record that both
sides can view and attest to, with enough structure to audit and enough accessibility to use in
real life.
Fast take (read this first)
• Capture a single receipt per session (or logical block).
• Two-party means: worker submits; person/nominee/guardian can attest in accessible
ways (tap, PIN, biometric, verbal-witnessed, alt-comm).
• Payload uses pseudonym keys (no names), ISO timestamps and minimum fields
only.
• Minutes are timed, not guessed. If offline, store and auto-submit later with a
submitted_at timestamp.
• Attestation states: present? accurate? any exceptions (e.g., E7 = declined).
• Feeds roster↔claim sweeps before payment and powers the family view and public
integrity tiles.
• Privacy by design: geolocation is fuzzed and only coarse geohash is stored;
attachments are optional and minimal.
Scope
All funded supports covered by this paper across home, community, health, education, work
and tele-supports. Applies to agency-managed, plan-managed and self-managed contexts.
Works online and offline.
Required data (JSON Schema - minimum) example
This schema is deliberately small. You can extend it locally, but do not remove required
fields.
{
"$schema": "https:___/json-schema.org/draft/2020-12/schema",
"title": "Disability Support E-Receipt (Minimum)",
"type": "object",
"required": [
"receipt_id",
"person_psn",
"worker_psn",
"provider_abn",
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"service_minutes",
"activity_code",
"domain",
"location_type",
"consent",
"attest",
"integrity",
"device"
],
"additionalProperties": true,
"properties": {
"receipt_id": { "type": "string", "description": "ULID/UUIDv7" },
"person_psn": { "type": "string", "description": "Pseudonym key (no names)" },
"worker_psn": { "type": "string", "description": "Pseudonym key (no names)" },
"provider_abn": { "type": "string", "pattern": "^[0-9]{11}$" },
"service_start": { "type": "string", "format": "date-time" },
"service_minutes": { "type": "integer", "minimum": 5 },
"activity_code": { "type": "string" },
"domain": { "type": "string", "enum": ["home", "community", "health", "education",
"work", "other"] },
"location_type": { "type": "string", "enum": ["home", "onsite", "public", "tele"] },
"goal_link": { "type": "string" },
"notes_min": { "type": "string", "maxLength": 480 },
"cpi_flags": {
"type": "object",
"properties": {
"counts_for_cpi": { "type": "boolean" },
"variety_tag": { "type": "string" },
"role_depth": { "type": "string", "enum": ["observer", "member", "helper", "paid"]
}
}
},
"consent": {
"type": "object",
"required": ["who", "mode", "timestamp"],
"properties": {
"who": { "type": "string", "enum": ["person", "nominee", "guardian", "parent"] },
"mode": { "type": "string", "enum": ["tap", "pin", "biometric", "verbal-witnessed",
"alt-comm"] },
"timestamp": { "type": "string", "format": "date-time" },
"witness_psn": { "type": "string" }
}
},
"attest": {
"type": "object",
"required": ["present", "accuracy"],
"properties": {
"present": { "type": "boolean" },
"accuracy": { "type": "boolean" },
"exceptions": { "type": "array", "items": { "type": "string" } }
}
},
"device": {
"type": "object",
"properties": {
"platform": { "type": "string" },
"app_version": { "type": "string" },
"offline": { "type": "boolean" },
"submitted_at": { "type": "string", "format": "date-time" } Core paper · PDF page 164
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 164
}
},
"integrity": {
"type": "object",
"required": ["hash", "prev_hash"],
"properties": {
"hash": { "type": "string" },
"prev_hash": { "type": "string" },
"sig": { "type": "string" },
"device_attest": { "type": "string" }
}
},
"geo": {
"type": "object",
"properties": {
"geohash_5": { "type": "string" },
"fuzz_m": { "type": "integer" }
}
},
"attachments": { "type": "array", "items": { "type": "string" } }
}
}
• person_psn / worker_psn: stable pseudonym keys; names live in secure directories,
not in receipts.
• service_start: ISO-8601 in UTC or local with offset.
• service_minutes: integer, timed from actual start/stop.
• activity_code: your local service taxonomy; map once for dashboards.
• consent.mode: ensures accessible attestation (AAC and verbal-witnessed are valid).
• attest.exceptions: string list for edge cases (e.g., E7 = “declined”). The full
catalogue will live in Appendix AA; use E-codes in the payload and explain them in
UIs.
• integrity.hash/prev_hash: allows chained receipts and tamper-evident export.
• geo: store coarse location only (e.g., geohash-5) plus a fuzz_m value (metres).
• attachments: optional artefacts (e.g., a photo of an accessible signature panel). Keep
minimal.
Validation rules (minimum)
• All required fields present and non-null.
• ABN = 11 digits.
• service_start and consent.timestamp are valid ISO date-times.
• service_minutes ≥ 5.
• domain, location_type, role_depth must match allowed values.
• If attest.present = false or attest.accuracy = false, an exceptions entry is required
(use E-codes; e.g., E7).
• If device.offline = true, device.submitted_at must be set (≤ local policy window,
e.g., 48 hours).
• If attachments exist, file types and size follow DPIA limits. Core paper · PDF page 165
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 165 Workflow (who does what) 1. Worker ends session → generates receipt; confirms minutes, activity_code, domain, short note. 2. Person/Representative reviews on-screen (Easy Read/AAC) → attests (or declines = E7). 3. App stamps device info, integrity hash and coarse geo (if enabled); stores offline if needed. 4. Provider system runs validators and roster↔claim cross-check. 5. Exceptions route to a courtesy check queue; unresolved items surface to supervision and (if patterns emerge) sanctions review. 6. Dashboards update: person/family view (history and corrections), provider quality tiles, and public integrity tiles (suppressed/small-cell protected). What good looks like / Red flags Good: same-day receipts; clear consent mode; accurate minutes; rare exceptions; roster↔claim match rates > 98%; family view used. Red flags: batch entries days later; missing consent; repeated E-codes from the same worker/team; rising “tele” claims without supporting context; long notes that still don’t explain minutes. Micro-scenarios • Community outing: 90 minutes at local club; person taps to attest; domain=community, role_depth=member; geo stored at geohash-5 with 150 m fuzz; shows in family view same day. • Low-signal farmhouse (offline): receipt saved offline; device.offline=true; submitted next morning with submitted_at set; passes the window; no exception. • Person declines (E7): worker records the work done; attest.present=true, accuracy=false, exceptions=["E7"]; courtesy check triggers; supervisor calls family to resolve. Quick scripts (frontline use) • Explaining the why (20 seconds): “We use a simple receipt so you can see what happened and agree. It protects you and us, and keeps claims honest.” • If someone declines: “No problem - your choice is recorded. A supervisor will follow up so we can fix anything not right.” Privacy, storage & retention • Pseudonym keys only in the payload; identities live in the provider directory.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 166 • Coarse location and fuzzing by default; precise GPS never published. • Receipts are retained per funding rules; exports are hashed and tamper-evident. • Public dashboards use suppression for small cells; family view shows full history to the person/rep. Where to get help / Templates & artefacts • UI copy deck (plain-English/AAC screens for attestation) • Courtesy-check flow (states, SLAs, escalation) • Roster↔Claim cross-check rules (minimal set) • Exception codes list (E-series; E7 = Declined) - maintained in Appendix AA • Family view explainer (what appears, how corrections show) Summary companion. Decisions rely on the governing sections named in the Truth-by- Design Standard, Privacy/DPIA and associated integrity policies. Appendix F - Roster-to-Claim Cross-Check Rules Owner: Truth-by-Design Interfaces: E-Receipt Schema; Dashboards & Suppression; Governance & Complaints; Sanctions Ladder; Privacy/DPIA; Finance. Why this matters (and why it hasn’t worked) Traditional invoicing and narrative notes don’t reliably show what was rostered, what actually happened, and what was claimed. This creates padding risk, erodes trust, and leaves the person/family out of the loop. Cross-checks make the truth observable before payment: every claim is matched to a rostered session and an e-receipt, with clear rules for variances and a timed path to resolve exceptions. Fast take (read this first) • Run the cross-check before any claim is paid. • Each claim must match (a) a roster record and (b) a two-party e-receipt (Appendix E). • The engine checks: existence, timing window, minutes variance, worker role/scope, location/domain, overlaps/duplicates, and attestation state. • Items that fail drop into an exceptions queue with clear E-codes (E1-E8) and SLA tiers. • Family view shows history and corrections; public tiles show match-rates (suppressed for small cells). • Privacy by design: pseudonym keys only; coarse location; audit-logged decisions. Scope
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 167 All paid supports under this paper, across home, community and tele-supports, including travel where applicable. The rules (pass/fail logic) example Threshold values marked [POLICY] are set in the Standards and may be tightened over time. 1. Existence o Roster record exists for the period. o E-receipt exists for the same session. o Fail → E1 (no roster) or E2 (no receipt). 2. Timing window o Receipt service_start within [POLICY: start tolerance] of roster start, and service_minutes within [POLICY: minutes tolerance] of rostered duration. o Fail → E3 (timing/minutes variance). 3. Role & scope o Worker’s current role/credential allows the activity_code (e.g., safety tasks require assessed competence). o Fail → E4 (scope mismatch). 4. Location/domain o Receipt domain/location_type is compatible with the rostered category (home/community/tele). o Fail → E5 (location/domain mismatch). 5. Overlap/duplicate o Worker and person have no overlapping paid sessions beyond [POLICY]. o Duplicate receipt/claim IDs are rejected. o Fail → E6 (overlap/duplicate). 6. Attestation state o attest.present = true and accuracy = true, or a valid exception code is recorded. o E7 is reserved for declined/contested by person/rep; routes to courtesy-check. 7. Timeliness o Offline submissions must be uploaded within [POLICY: offline window]; claims lodged within [POLICY: claim window]. o Fail → E8 (late submission). Optional checks (if configured): geohash plausibility vs planned venue; travel adjacency; maximum daily hours per worker/person; hard blocks where sanctions apply. Exception codes (E-series) • E1: Missing roster record • E2: Missing e-receipt • E3: Time/minutes variance beyond tolerance • E4: Worker role/credential doesn’t permit activity • E5: Location/domain mismatch • E6: Overlap/duplicate session • E7: Person/rep declines or contests details
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 168 • E8: Late submission (offline/claim window breach) Full catalogue with UI copy and remediation steps is maintained in Appendix AA. SLAs and escalation (resolve before payment) Tier 1 - Same day to 2 business days • E1/E2/E3/E5/E8 where evidence is available (fix records, correct minutes, re-attest if needed). • Owner: Supervisor/rostering lead. Tier 2 - Within 5 business days • E4/E6 or repeated Tier-1 failures; requires manager review and credential/roster correction. • Owner: Service manager; finance hold remains. Tier 3 - Governance alert (within 10 business days) • Unresolved E7, patterns suggesting fraud, or repeat non-compliance. • Owner: Governance/Integrity; may trigger sanctions process and external notification. Finance releases only on pass or resolved exception with audit notes. Workflow (who does what) 1. Worker completes session → e-receipt generated and attested (or E7 recorded). 2. System runs cross-checks on import; passes flow to payment; failures to exceptions queue. 3. Supervisor works the queue by SLA tier; contacts person/rep for E7 (courtesy- check), fixes roster data, or returns to worker for correction. 4. Manager/Governance handle Tier-2/3, apply sanctions where required, and publish quality tiles. 5. Dashboards update match-rate, exception mix, and mean time-to-resolve; family view shows corrections. What good looks like / Red flags Good: ≥ [POLICY] overall match-rate; low E-code volume; corrections made inside SLA; clear audit notes; families use the view; no repeat scope or overlap issues. Red flags: batch receipts days later; spike in E3/E6; the same worker/team generating most exceptions; unresolved E7s; finance overrides without audit notes. Micro-scenarios (worked)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 169 • Minutes variance (E3): Roster 120 min; e-receipt 90 min. Supervisor corrects to 90, worker adds note; claim pays for 90. • Scope mismatch (E4): Worker without verified safety OSCE logs a complex behaviour support. Manager reallocates, books OSCE, declines claim. • Person declines (E7): Family contests accuracy. Courtesy-check call clarifies 30 minutes were travel; worker adds travel code and adjusted minutes; family re-attests. Quick scripts (frontline & supervisor) • Explaining cross-checks: “Claims only pay when roster, receipt and minutes line up. It keeps things fair and transparent for everyone.” • Courtesy-check opener (E7): “You declined the receipt yesterday. Can we walk through what happened so we can correct it together?” Data, privacy & audit • Use pseudonym keys in cross-checks; identities live in secure directories. • All changes produce audit-log events (Appendix T) with who/when/what-changed. • Public reporting shows match-rate and exception resolution times with small-cell suppression; family view shows full history to the person/rep. Where to get help / Templates & artefacts • Rule table (with [POLICY] tolerances) • Exceptions queue workflow (kanban + SLAs) • Resolution note template (mandatory fields) • Courtesy-check script pack • Finance hold/release checklist Summary companion. Decisions rely on the governing sections named in the Truth-by- Design Standard, Finance policy and Privacy/DPIA. Appendix G - Sanctions, Reasons & Weighing (R&W), Contradiction Matrix, and Independent-Reasoning Certificate (IRC) Owner: Integrity & Enforcement Lead (with Legal) Operational owners: DSC Panel Secretariat; Registry/OPA/NDIA stewards (per case) Interfaces: Two-Key Register; R&W Store (Appendix H); Contradiction Matrix (Appendix I); IRC (Appendix J); e-Receipt Store (Appendix E); Audit Log (Appendix T); Owner Matrix (Appendix Y); Publication & Dashboards (Appendix S/AL); DPIA (Appendix R) Version: G-1.6.0 · Next review due: 30 days from publication Compatibility note: Keep all existing G-appendix text unless it directly conflicts with any
Core paper · PDF page 170
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 170 Normative rule below. Where conflicts exist, this version prevails and the change must be logged in the S-8 change-log. Why this matters (and why it hasn’t worked) Sanctions and remedies have too often leaned on titles and desk files rather than observed competence and field signals. Inconsistent thresholds, late reasons, unresolved contradictions, and slow appeals have dulled accountability. This appendix makes consequences proportionate, predictable and fair by standardising triggers, evidence, and timelines - anchored to artefacts that stand up in review. Fast take (read this first) • Four-rung Sanctions Ladder with evidence-based triggers; escalates when patterns persist. • Natural justice by design: right to reply and appeal; every decision and reasons hash-recorded (Appendix T). • Safety first: immediate suspension authority where risk to people is acute or serious fraud is likely. • Mandatory trio for consequential matters: R&W (H) + Contradiction Matrix (I) + IRC (J); DSC file⇄field verification for contested facts. • Publication you can read: status, reason and what was fixed - never person-level data (Appendix S). Scope Covers: provider licensing/registration conditions; COORD/OPS licence classes; clinical safety domains (restraint, medication delegation, mealtime/IDDSI, seizure response); financial integrity (e-receipt / roster↔claim); and Navigator/Foundational handovers. Applies to actions by NDIA/Commission/Guardian/Tribunal/OPA/OPG/Regulator and contractual sanctions. The Sanctions Ladder (G-SL) - rungs, triggers, durations G-SL-1 Improvement Plan (IP) • Trigger: first substantiated breach; low risk; documentation gaps; missed tiles/SLAs. • Content: corrective actions (owners/dates); training/OSCE bookings; e-receipt catch- up; DPIA patch if needed. • Window: 30-60 days. • Evidence: R&W optional; Contradiction Matrix if facts contested. • Publication: internal; aggregates only (S-Q tiles). G-SL-2 Conditional Operation (CO)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 171 • Trigger: repeat breach or moderate risk; unresolved conflicts of interest; failed warm handovers; low doc_integrity_score. • Conditions: narrowed scope; Two-Key mandatory for named domains; DSC shadowing; enhanced reporting (S-Q10, S-Q11). • Window: 60-120 days. • Evidence: R&W + Matrix + IRC required; DSC verification recommended. • Publication: de-identified provider-family status + reasons digest. G-SL-3 Suspension (SUS) - partial or full • Trigger: serious risk of harm; restrictive-practice breaches; falsified records; unresolved high anomaly rate; unlicensed safety-critical acts. • Action: stop named services; appoint alternate second key; managed switching for affected participants. • Window: up to 6 months (review at 90 days). • Evidence: DSC report required; R&W + Matrix + IRC; OSCE/licensing status checked. • Publication: status + reasons digest; tiles flagged (S-Q03, S-Q11). • Immediate suspension authority (normative): where a DSC/decision-maker identifies acute risk to safety or probable serious fraud, suspension may be imposed immediately, with a reasons note issued within 5 business days and a review at 30-90 days. G-SL-4 Deregistration / Contract Termination (DRG) • Trigger: grave or recurring breaches; non-cooperation; retaliation; systemic fraud. • Action: revoke licence/registration; managed exit plan via Owner Matrix (Y). • Window: permanent; re-entry only via new application after stand-down + full licensing/OSCE. • Evidence: DSC + R&W + Matrix + IRC; integrity pack (e-receipt coverage, roster↔claim reconciliation, audit-log hashes). • Publication: formal public notice; dashboards updated next cycle. Automatic escalators (normative): • Failure to meet IP/CO milestones without approved variance. • Two consecutive quarters with doc_integrity_score < 70 or dsc_file_field_concordance < 80. • Sentinel events with no 72-hour review (S-Q01). Evidence Rules (what counts, how it is weighed) - normative Mandatory artefacts for any CO/SUS/DRG and for consequential decisions: 1. Reasons & Weighing (Appendix H): issues → options → weights (H/M/L) → least- restrictive analysis → decision/conditions → plain-language summary. 2. Contradiction Matrix (Appendix I): material assertions; sources; weight; status (C/CT/U); action & owner/due; evidence links.
Core paper · PDF page 172
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 172 3. Independent-Reasoning Certificate (Appendix J): independent evaluation, least- restrictive tests, SDM/communication access, MIS deviations, appeal-bundle initiated. 4. DSC Verification: file⇄field check; shadowing notes; calibration status; integrity pack (e-receipts, roster↔claim, audit-log hash). 5. Privacy/DPIA hooks (Appendix R): lawful basis; access rules; redaction plan. Weighing principles: • No single source determinative where contradictions exist. • Observed practice (DSC/OSCE/field) outranks uncorroborated paper. • E-receipt + roster↔claim + audit-log concordance ↑weight; unexplained gaps ↓weight. • Person’s will and preferences (with communication access/AAC/Interpreter) must be captured and weighed explicitly. Timeliness & windows (normative) • Right-to-Reasons (lay): within applicable service guarantee; clock starts at decision notification. • Appeal bundle initiation: ≤ 10 business days from request (R&W, Matrix, schedules, audio/transcript request). • 72-hour learning review: mandatory after any restraint/sedation/PRN trigger. • Sanction review points: IP (≤60d), CO (≤120d), SUS (90d). • Status change publication: within 5 business days; dashboards update next cycle. Roles & independence (normative) • Decision-maker: Regulator/NDIA delegate/Guardian/Tribunal member (as applicable). • DSC: panel-appointed, conflict-screened; never provider-appointed; method published. • Second key: independent pairing via IPP; conflict screen logged; identity verified. • Separation: COORD independence from provision enforced; alternate second key required where conflicts persist. • Natural justice: before an adverse sanction (CO/SUS/DRG), provide the evidence pack and a reasonable opportunity to reply, except where urgent action is required for safety/fraud. All decisions and reasons are hash-recorded in the Audit Log (Appendix T) and an appeal pathway is stated in the notice. Tiles referenced in decisions (signals) Cite, where relevant (Appendix S): • Public: two_key_coverage (S-P01), r2r_on_time_rate (S-P03), doc_integrity_score (S-P06).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 173 • QA: 72h_review_completion_rate (S-Q01), dsc_file_field_concordance (S-Q02), licensed_scope_coverage (S-Q03), e_receipt_coverage (S-Q10), roster_claim_anomaly_rate (S-Q11). What good looks like / Red flags Good • Decisions include R&W + Matrix + IRC; DSC pack attached; lay reasons readable; audit-log hash present. • Improvement Plans close on time; OSCE/licensing status visible; conflicts declared; Navigator warm handovers evidenced. • Publication shows updated aggregates; S-8 change-log complete; small-cell suppression applied. Red flags • Sanction without Matrix/IRC; contradictions unresolved or off-record. • Recurrent unlicensed safety-critical acts; missing e-receipts; audit-log gaps. • Falling two_key_coverage with rising time_to_second_key; doc_integrity_score < 70 two quarters running. Where to get help / Artefacts & Templates • Appendix H: Reasons & Weighing (fillable shell) • Appendix I: Contradiction Matrix (registry tool) • Appendix J: Independent-Reasoning Certificate (IRC) • Appendix E: Two-party e-receipt schema • Appendix T: Audit Log Specification (hash/trace) • Appendix S / AL: Tiles & publication schema; change-log • Appendix Q: OSCE rubrics & licensing registry • Appendix Y: Owner Matrix & Escalation (close-out) Summary companion: Sanctions must be proportionate & predictable, uphold natural justice, escalate when patterns persist, publish outcomes that the public can read (no person-level data), and default to safety first. Use R&W + Matrix + IRC every time; bring in DSC when facts are contested; and make each decision audit-verifiable. Appendix H - Reasons & Weighting (R&W) Issues, evidence table with probative weight, applied tests, findings, remedies/actions. Owner: DSC Unit Interfaces: Independent Verification Standard; Contradiction Matrix; Complaints & Appeals; Sanctions Ladder; Truth-by-Design; Privacy/DPIA; Two-Key Register (IPP); e-
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 174 Receipt store; Audit Log; Publication & Tiles (Appendix S); Navigator/Foundational Supports (where relevant) Why this matters (and why it hasn’t worked) Contested decisions often read like conclusions first, reasons later. Evidence is mixed together without showing what carries weight, contradictions aren’t resolved, and applied tests are unclear. Live practice (what actually happened) can diverge from curated files. This appendix information makes decisions auditable and fair: issues framed up front, evidence weighed transparently, contradictions resolved on the record, tests applied (including least- restrictive), and actions that actually fix the problem - with artefacts that stand up in review (e-receipts, roster↔claim checks, DSC file-vs-field). Fast take (read this first) • Frame the issues before reading evidence. • Weigh each item on a 0-4 probative scale with a short rationale. • Resolve contradictions explicitly (who/what to prefer, and why) using the Contradiction Matrix. • Apply the tests (necessity, least-restrictive, lawfulness, proportionality, candour/integrity, privacy; add Two-Key/Independence and Warm Handover where relevant). • Write numbered findings that cite evidence IDs and weights. • Finish with remedies/actions (owner, deadline, verification). • Sign the Independent-Reasoning Certificate (named officer) and record the audit-log hash. • If an appeal is requested, start the bundle within 10 business days. 1) Issues list (set the questions first) Number each question the decision must answer. Issue ID Question (plain English) Outcome needed I1 Did staff use restraint lawfully and only to prevent imminent harm on 15 Aug? Yes/No with reasons I2 Are claim variances a pattern requiring enforcement? Yes/No + stage I3 What immediate remedies are required? Actions with owners/dates I4 (if applicable) Was Two-Key obtained for this consequential decision? Yes/No + why; independence screen I5 (if applicable) Was a Navigator warm handover completed? Yes/No + evidence 2) Evidence table with probative weight Use short, neutral descriptions. Weight each item before you write findings.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 175 Probative scale: 0 Excluded • 1 Low • 2 Moderate • 3 High • 4 Determinative Weighting cues: directness; proximity in time; consistency/corroboration; source expertise/interest; chain-of-custody/integrity (e-receipt + roster↔claim + audit-log); method quality; plausibility; observed practice/DSC. Ev ID Description Source Date/Time Relates to (Issues) Weight (0-4) Why this weight (≤25 words) E01 CCTV corridor clip (00:14- 00:17) Site system 15-Aug 14:03 I1 4 Direct, timestamped, no edits E02 Worker note (“brief hold ~2 min”) Note system 15-Aug 16:40 I1 2 Late entry; vague timing E03 Two-party e-receipt (90 min, community) App 15-Aug 16:10 I2 3 Dual attested; minutes verified E04 Family statement Phone log 16-Aug I1 2 Partial view; consistent tone E05 Cross-check report (E3 variances 9%) Integrity 1-31 Aug I2 3 System-generated; reproducible E06 (opt.) DSC field observation memo DSC 17-Aug I1/I4 3 Observed practice aligns with E01 3) Contradiction Matrix (resolve conflicts) Show conflicts and the resolution principle you applied (link to Appendix I row IDs). Conflict Items Resolution principle Preferred item Why Timing of hold E01 vs E02 Direct, timestamped > late narrative E01 Video is contemporaneous and complete Minutes billed E03 vs roster Attested minutes with audit trail > roster estimate E03 Dual attestation + claim match 4) Applied tests (state the test, then apply it) Tick Pass/Fail/Mixed and cite the evidence IDs you relied on. Test Standard Result Evidence relied on Notes (≤30 words) Necessity & least-restrictive Emergency-only; prevent imminent harm Pass E01, E04, E06 Hold brief; alternatives attempted Lawfulness/authorisation Named authority; time- kept start/stop Mixed E01, E02 Timing ok; authoriser not recorded Two-Key / Independence (if consequential) Second key via IPP; conflicts screened; timestamps Fail/Pass E06, IPP log Second key missing; require now Candour & integrity Truth-by-Design artefacts present Mixed E03, E05 Variance pattern needs remedy
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 176 Test Standard Result Evidence relied on Notes (≤30 words) Privacy/DPIA Minimum data published; suppression rules Pass - No person-level data Warm handover (Navigator) (if applicable) Artefact + contact + appointment kept Pass/Fail E-receipt handover flag Three elements verified 5) Findings (numbered, with reasons) Write short, numbered findings. Each finding must cite the evidence IDs and weights that carried it. 1. The restraint on 15 Aug was necessary and least-restrictive (E01, w4; E04, w2; E06, w3). 2. Authorisation records were incomplete (E02, w2): authoriser not captured at the time of event. 3. Claim variances constitute a pattern requiring Stage 1 Improvement Notice (E05, w3; E03, w3). 4. (If applicable) This consequential decision lacked Two-Key; a compliant second key must be obtained prior to enactment (IPP entry required). 6) Remedies & actions (owner, deadline, verification) Tie actions directly to findings. Each action needs a verification step. No. Action Owner Due Verification A1 Add start/stop & authoriser fields to Restrictive Practice Log; retrain staff Manager 14 days Audit 10 events; 0 missing fields A2 Issue Stage 1 Improvement Notice on claim variances; CAP with roster rules Governance 10 days Match-rate ≥98% for 2 fortnights A3 Family debrief using 72-Hour Review; update Fade Plan IDC Lead 3 days Review held; plan updated A4 (if Two- Key failed) Obtain second key via IPP; record Reasons & Weighting for co-sign Coordinator 24 h IPP timestamps + R&W attached A5 (if handover due) Complete Navigator warm handover (artefact + contact + appointment) COORD 7 days E-receipt handover flag present 7) Plain-English Reasons (one paragraph) On 15 Aug, staff briefly held John to stop immediate harm. Video shows the hold started at 14:03 and ended soon after. Alternatives were attempted first. However, the authoriser’s name was not recorded at the time. Claims data shows a recent pattern of minutes variances. We have ordered fixes to authorisation capture, a time-boxed improvement plan on claims, and a debrief with the family to update the fade plan. (If relevant: A second decision-maker
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 177 will now co-sign this decision under the Two-Key rule; your Navigator handover is booked and confirmed.) 8) Independent-Reasoning Certificate (sign-off) I confirm that I identified the issues before reading conclusions, weighed each evidence item using the stated scale, resolved contradictions, applied the listed tests, and wrote findings that cite weighted evidence. I have initiated the appeal bundle within 10 business days if requested, and recorded the audit-log hash. • Decision officer (name, role, signature, date) • Second reviewer (name, role, date) • Conflicts declared: ___ • Records kept: evidence list, tables, notes, and this certificate filed to audit log. What good looks like / Red flags Good: issues framed first; weights justified in one line; contradictions resolved using the Matrix; tests applied (incl. Two-Key/Independence and Warm Handover where relevant); numbered findings that point to evidence IDs; actions with owners and verification; reasons readable by families; audit-log hash present. Red flags: conclusions without weights; “balance of probabilities” stated without showing why; contradictions ignored; actions like “staff to be vigilant”; no Two-Key where required; no e-receipt or roster↔claim reconciliation. Quick scripts • Explaining R&W to a family: “We list the questions, weigh each piece of evidence, resolve conflicts, apply the rules, then write findings you can read. You’ll see which evidence we relied on.” • Explaining a downgrade/upgrade: “We changed our view because E05 (system report, weight 3) showed a broader pattern than the notes suggested.” • Explaining Two-Key: “For big decisions, a second independent decision-maker must co- sign. We record who, why, and when.” Where to get help / Artefacts & Templates • R&W One-Pager (Issues → Evidence table → Contradiction Matrix → Tests → Findings → Actions) • Independent-Reasoning Certificate • Weights rubric (0-4 cues and examples) • Plain-English Reasons block (with character limit) • Contradiction Matrix (Appendix I) · Truth-by-Design · Privacy/DPIA · Sanctions Ladder · Publication & Tiles (Appendix S)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 178 Summary companion. Decisions rely on the governing sections named in the Independent Verification Standard, Truth-by-Design and Privacy/DPIA. Use this 0-4 weighted method, show how conflicts were resolved, prove integrity (e- receipt/roster↔claim/audit-log), apply least-restrictive, and write reasons the person can read. Appendix I - Contradiction Matrix Identify conflicts, apply resolution principles, record the preferred evidence and confidence. Owner: DSC Unit Interfaces: Reasons & Weighting (Appendix H); Independent Verification Standard; Complaints & Appeals; Sanctions Ladder; Truth-by-Design; Audit Log Spec; Privacy/DPIA; Two-Key Register (IPP); e-Receipt store; Navigator/Foundational Supports (handover artefacts) Why this matters (and why it hasn’t worked) Disputes derail when conflicting accounts are listed but not resolved. Decisions then look arbitrary or biased. The Contradiction Matrix forces a clear method: name the conflict, apply standard resolution principles, state which evidence prevails (and why), and record the confidence so others can audit the reasoning. It also brings observed practice (DSC/file-vs- field) and integrity hooks (e-receipts, roster↔claim, audit-log hashes) into the resolution - so titles and averages don’t overrule facts. Fast take (read this first) • Log each specific conflict (not the whole case). • Compare items by quality, proximity, consistency, independence and integrity hooks - not by job title or volume. • Apply the resolution principles (below) and write the one-line reason. • Record a confidence level and any follow-ups needed to lift it (e.g., DSC shadow, IPP check). • Feed the result straight into Appendix H (R&W) findings and note the C-ID you relied on. Resolution principles (use these consistently) 1. Direct over derivative: primary evidence (video, telemetry, contemporaneous record) > recollection or summary. 2. Contemporaneous over retrospective: recorded at/near the time > late entry. 3. Objective method over impression: measured/validated > opinion without method. 4. Complete chain-of-custody over partial: intact metadata/logs > cropped/edited or missing context.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 179 5. Consistent & corroborated over isolated: aligns with other independent sources > stands alone. 6. Competence & role relevance: trained observer in scope > bystander outside scope. 7. Lower conflict-of-interest over interested party: neutral source > party with stake. 8. Plausibility & mechanism: fits human factors/clinical reality > implausible claim. 9. Reproducibility: system can re-create the figure/state > one-off calculation. 10. If still tied → seek more: escalate for independent verification (DSC) or Two- Key/IPP re-check; mark confidence Low until resolved. (Tip: Where integrity artefacts exist, prefer items with e-receipt + roster↔claim + audit-log concordance, unless a higher-quality primary record contradicts them.) Example Template - Contradiction Matrix (one row per conflict) C-ID Conflict (plain English) Evidence items compared (IDs from Appx H) Key resolution principles (nos.) Preferred evidence (ID) Why preferred (≤25 words) Confidence (High/Mod/Low) Follow-ups to lift confidence (owner/date) C01 How long did the hold last? E01 CCTV, E02 late note 1,2,4 E01 Direct video, timestamped, intact metadata High - C02 Were 120 mins claimed appropriately? E03 e- receipt, E06 roster, E07 family call 3,9,5 E03 Dual-attested; system-timed; claim match Mod Supervisor to confirm travel split by 12/09 C03 Was interpreter offered? E10 triage form, E11 family statement 2,5,7 E10 Completed at time; corroborated by ED SMS log Mod Check ED kiosk CCTV still 11/09 C04* Was Two-Key obtained? IPP log, E02 note, DSC memo 2,6,7 IPP log Independent pairing + timestamps High - C05* Navigator warm handover completed? Handover artefact, contact note, booking record 3,5,7 Artefact bundle All three elements present High - Add “” to flag conflicts that gate a consequential decision (Two-Key/Warm-handover).* Keep conflicts atomic. If several points are entangled, create C-IDs C03a, C03b… Conflict types (tick one per row) • Fact/time (what/when/how long) • Attribution/role (who did what) • Method/measurement (minutes, dosage, billing) • Law/threshold (authorisation, necessity, Two-Key obtained?)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 180 • Context/translation (meaning; interpreter/AAC) • Handover/continuity (Navigator warm handover) Confidence guide (how to rate) • High: preferred item is direct/contemporaneous with intact chain; ≥2 principles favour it; no credible rebuttal. • Moderate: strong but one material weakness (e.g., partial context) or a pending corroboration (e.g., DSC shadowing). • Low: tie not broken; further verification required (then escalate via Independent Verification Standard and/or IPP check). How to run the matrix (step-by-step) 1. List conflicts you must resolve to answer the Issues (Appendix H). 2. Attach the items being compared (use evidence IDs from the R&W table). 3. Apply principles (numbers only in the table; keep the Why line ≤25 words). 4. Select preferred item and record the reason. 5. Rate confidence; add follow-ups if <High (e.g., DSC file-vs-field, audit-log hash check, IPP independence screen). 6. Port results directly to Appendix H: cite the C-ID in your numbered findings. What good looks like / Red flags Good: conflicts are specific; principles are cited; preference reasons are short and neutral; most rows end High; unresolved rows have explicit follow-ups with owners/dates; integrity hooks referenced. Red flags: “both could be true” with no action; status-based deference (“manager said”); long prose without principle numbers; no link back to evidence IDs; ignoring IPP/Two-Key or handover artefacts when in scope. Micro-scenarios (worked) • Roster vs e-receipt minutes: Roster says 120; receipt says 90. Preferred: receipt (system- timed, dual-attested). Follow-up: confirm travel code split. Confidence: Mod → High once adjusted. • Note vs CCTV on restraint start: Late note “~2 min”; CCTV shows 43 seconds. Preferred: CCTV (1,2,4). Confidence: High. • Family recollection vs medication chart: Family says sedative at 18:00; chart shows 19:10 with barcode scan. Preferred: chart (3,4,9). Confidence: High; offer family timeline explanation. • Two-Key obtained? IPP shows second-key at 10:14; progress note says “awaiting co- sign”. Preferred: IPP log (2,6,7). Confidence: High.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 181 • Warm handover complete? Artefact + contact call + first booking kept present. Preferred: artefact bundle. Confidence: High. Quick scripts • Explaining a resolution to a family: “Two records disagreed on how long the hold lasted. We preferred the timestamped video recorded at the time. Your account helped explain what led up to it.” • Explaining a tie to a provider: “The evidence is split. We’ve marked confidence Low and requested an independent check. Until then, we won’t rely on that point to escalate sanctions.” Where to get help / Artefacts & Templates • Contradiction Matrix table (blank) • Principles one-pager (with short examples) • Confidence rubric (High/Mod/Low) • Independent verification request form (DSC) • IPP independence screen (Two-Key) · e-Receipt schema · Audit-log hash check Summary companion. Use the Matrix on every material conflict. Prefer direct, contemporaneous, reproducible evidence with integrity hooks; escalate ties to DSC or IPP; write one-line reasons; carry the C-ID into Appendix H; and make the record audit- verifiable. Appendix J - Independent-Reasoning Certificate (IRC) Owner: DSC Unit Interfaces: Reasons & Weighting (Appendix H); Contradiction Matrix (Appendix I); Independent Verification Standard; Complaints & Appeals; Truth-by-Design; Audit Log Spec; Privacy/DPIA; Two-Key Register (IPP); e-Receipt store; Publication & Tiles (Appendix S); Navigator/Foundational Supports. Why this matters (and why it hasn’t worked) Contested decisions lose trust when they look like opinions dressed as findings. Families cannot see who took responsibility, what method was used, or whether conflicts of evidence were resolved fairly. The IRC is a named, auditable sign-off that the R&W method was followed, contradictions were resolved with stated principles, tests were applied (including least-restrictive), conflicts were declared, actions are verifiable, and the record is anchored to integrity artefacts (e-receipts, roster↔claim checks, audit-log hash, DSC file-vs-field).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 182 Fast take (read this first) • Use the IRC for any contested or high-impact decision (safety, sanctions, funding integrity, complaint outcomes, tribunal prep). • One page to read; evidence bundle behind it. • Must cite: Issues list, Evidence IDs & weights, Contradiction Matrix IDs, Applied tests, Numbered findings, Actions with owners/dates. • Two signatures (decision officer + second reviewer). • File to the audit log with a provenance hash; share a plain-English summary with the person/representative. • If an appeal is requested, start the bundle within 10 business days. • Where applicable, confirm Two-Key (IPP) and Navigator warm handover status. When the IRC is required (minimum triggers) • Use of restraint or seclusion-like practice is disputed by any party. • Sanctions Ladder Stage ≥ 2, or payment holds/suspension. • Complaints where findings rely on conflicting accounts. • Decisions that limit access/participation or change living arrangements. • Any appeal or tribunal preparation package. • Consequential decisions requiring Two-Key or Navigator handover. Example Template - Independent-Reasoning Certificate (complete and file) A. Case header • Case/Ref ID: ____ Provider/Team: ____ Person/Rep: ____ • Decision scope (1 line): ____________________________________ • Decision date/time (local): / : ___ • Evidence bundle hash (SHA-256): __________________________ • Audit-log event ID: __________________ B. Method check (tick all that apply / mandatory ticks required) ☐ Issues were listed first (Appendix H §1) ☐ Evidence items were described neutrally and weighted 0-4 (H §2) ☐ Conflicts were resolved in a Contradiction Matrix with principles cited (Appendix I) ☐ Applied tests used: necessity, least-restrictive, lawfulness, proportionality, candour/integrity, privacy ☐ Two-Key status checked (IPP independence, timestamps) where consequential ☐ Navigator warm handover checked (artefact + contact + appointment) where applicable ☐ Numbered findings cite Evidence IDs and weights ☐ Remedies/actions specify owner + due date + verification step ☐ Plain-English Reasons prepared for the person/representative ☐ Privacy/DPIA checks completed; small-cell suppression considered for any publication ☐ DSC file-vs-field verification included where facts were contested
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 183 C. References (write IDs, not prose) • Issues considered: I__ , I__ , I__ • Evidence relied upon (IDs & weights): E__ (w__), E__ (w__), E__ (w__) … • Contradictions resolved: C__ , C__ , C__ • Applied tests (results): Necessity/Least-restrictive (P/F/M); Lawfulness (P/F/M); Candour/Integrity (P/F/M); Privacy/DPIA (P/F/M); Two-Key (P/F/M/NA); Navigator handover (P/F/M/NA) D. Numbered findings (≤5 lines total; cite IDs & weights) 1. 2. 3. E. Remedies & actions (each must be verifiable) No. Action Owner Due Verification (what proves it) 1 2 3 F. Conflicts of interest & participation • Decision officer conflict declared? ☐ No ☐ Yes → details: __________________ • Second reviewer conflict declared? ☐ No ☐ Yes → details: __________________ • Person/Representative involved? ☐ Yes (how: meeting/phone/written) ☐ No (why: risk/unavailable) • Interpreters/AAC used? ☐ Yes (type: _______) ☐ Not required G. Plain-English Reasons (for the person/representative) - ≤140 words H. Natural justice & appeal ☐ Evidence pack provided and right to reply offered (unless urgent safety/fraud) ☐ Appeal pathway stated; appeal bundle initiated within 10 business days if requested I. Sign-off I certify that this decision followed the Independent Verification method and that findings are supported by the weighted evidence cited above. • Decision officer (name, role, signature): __________________ Date: / • Second reviewer (name, role, signature): __________________ Date: / J. Filing
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 184 ☐ Filed to audit log with evidence bundle and hash ☐ Shared with person/representative in accessible format (record method) ☐ Publication status set per policy (Appendix S suppression rules) Grounds that can invalidate a decision (use as a self-check) • Issues not stated up front; no link from findings to Evidence IDs/weights. • Contradictions listed but not resolved with stated principles. • Required tests not applied or misapplied (least-restrictive, lawfulness, candour/integrity, privacy). • Two-Key not obtained where required; Navigator handover missing where mandated. • Undisclosed conflict of interest. • Evidence added/changed after sign-off without an addendum in the audit log. • Privacy breach (identifiers published; small cells exposed). What good looks like / Red flags Good: short certificate; specific IDs; clear tests; actions with verification; family can read the Reasons; audit-log entry present; Two-Key/IPP and Navigator checks completed when in scope. Red flags: prose without IDs; “balance of probabilities” asserted without weights; no second signature; publication before DPIA check; missing small-cell suppression. Micro-scenarios (worked) • Restraint dispute: Issues I1-I3 set. CCTV (E01, w4) vs late note (E02, w2) resolved in C01 using principles 1,2,4. Findings: lawful brief hold; authorisation field missing → Action to fix log; 72-hour review with family. • Payment hold: Cross-check report (E05, w3) + receipts (E03, w3) show sustained E3 variances. Findings: Stage-2 Enforcement Warning → Actions: CAP with roster rules; match-rate ≥98% for 2 fortnights (verification). • Interpreter complaint: Triage form (E10, w3) + SMS log (E12, w3) outweigh recollection (E11, w2) via principles 2,5,7. Finding: offer made and declined; mandate proactive communication plan. • Two-Key check: IPP shows second-key at 10:14; progress note says “awaiting co-sign”. Finding: Two-Key satisfied at 10:14; condition: maintain IPP timestamps for future decisions. • Navigator handover: Artefact + contact + appointment kept present. Finding: continuity requirement met; no delay to supports. Quick scripts
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 185 • To a family: “This certificate shows exactly how we reached the decision - what evidence counted most, how we resolved differences, and what we’re changing by when.” • To a provider manager: “Sign your IRC only when every finding points to an Evidence ID and a weight. If you can’t do that, you’re not finished.” Where to get help / Artefacts & Templates • IRC one-page form (fillable) • Second-reviewer checklist • Publication decision aid (what goes public; suppression rules) • Audit-log filing checklist • R&W template (Appendix H) · Contradiction Matrix (Appendix I) · Truth-by-Design · Privacy/DPIA Summary companion. Decisions rely on the governing sections named in the Independent Verification Standard, Reasons & Weighting Template, Truth-by-Design and Privacy/DPIA. Appendix K - Accessible Plan Pack (Plain English + Easy Read) Owner: Coordination & Practice Interfaces: Choice & Control; Communication Access; Safety & Restrictive Practices; 72- Hour Review & Fade Plan; Participation/CPI; Handover & Medication Reconciliation; E- Receipts (family view); Complaints & Appeals; Privacy/DPIA. Why this matters (and why it hasn’t worked) Plans are often long, legalistic and out of date. Families and new staff can’t quickly see what matters today, who to call, or how to act in a crisis. This pack turns the person’s plan into clear, short pages that the person can understand and use - Plain English for detail, Easy Read for at-a-glance action - so goals move, risks drop and rights are respected. Fast take (read this first) • The pack has two companion formats: 1. Plain English Summary (2-4 pages) for detail; 2. Easy Read One-Pagers (large type + icons) for daily use. • Keep language concrete. Define acronyms once or avoid them. • Update on any major change and at least quarterly. • Provide in the person’s preferred format/language (interpreter/Auslan/audio/Braille). • Include who does what, how to reach them, and how the person says yes/no. • Store at point-of-care and in the record; share with the person/representative. Scope
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 186 All participants and settings (home, community, day program, school, work, health interfaces). Digital and print versions must mirror each other. Where time limits or legal tests are referenced (e.g., restraint rules), copy them verbatim from the governing standards. What’s in the pack (content checklist) 1) Plain English Plan Summary (2-4 pages) • About me (2-3 lines): strengths, interests, what matters most. • Communication access: how I say yes/no; AAC/interpreters; words/phrases that help. • Goals this quarter (max 5): each with steps, allies, and dates. • Weekly rhythm: where I go, when, transport plan, community roles. • Health & safety notes: allergies, seizures/choking risks, pain plan, emergency contacts. • Supports & roles: who does what (family, IDC lead, specialists). • Rights & decisions: consent preferences; who can speak for me and when. • How to raise a concern: easy path to complaints/appeals. • Last updated / next review date; who agreed (signatures/attestation options). 2) Easy Read One-Pagers (each stand-alone) • My day & week (big calendar tiles; pictures/icons). • How to talk with me (yes/no, key words/pictures/device). • Where I go in my community (maps/tiles; CPI-friendly). • People & permissions (photos/names/roles; who to call). • If I’m upset (first signs → what helps first → who leads). • My health basics (allergies, medicine times, red flags). • My rights (choice, privacy, complaint buttons). • Photo & data sharing (what I agree to / don’t). • Switching providers (how to take my info with me). Build and maintain (step-by-step) 1. Prepare o Confirm preferred language/format; book interpreter/Auslan if needed. o Gather current plan, 72-Hour Review/Fade Plan, health passport, weekly schedule. 2. Draft the Plain English Summary o Short sentences (avg ≤18 words). o Use must/when/unless for rules; avoid jargon. o Copy any legal thresholds verbatim from standards. 3. Create Easy Read One-Pagers o 16-18 pt font minimum, left-aligned; icons/pictures next to text. o One idea per line; tick-boxes where actions/choices apply. o Offer audio/voiceover QR if helpful. 4. Check with the person/representative o Walk through each page; confirm words and pictures feel right. o Record consent preferences (photo/data sharing, publication). 5. File and share
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 187 o Store in the person’s record and give copies (print/digital). o Place the How to talk with me and If I’m upset pages at point-of-care. 6. Keep it live o Update after any 72-Hour Review, health change, or goal shift. o Quarterly huddle: refresh weekly rhythm and roles. Formatting & accessibility rules • Plain English: Year-11/12 readability; headings, bullets, white space. • Easy Read: Year-6-8 readability; pictures/icons; minimal text; no ALL CAPS. • Provide translations; Auslan video for key pages where relevant. • Offer audio versions; large-print and Braille on request. • Use person-first language unless the person states otherwise. What good looks like / Red flags Good: one short pack everyone uses; person can point to choices; staff can act on first signs; community roles visible; updates are dated and signed. Red flags: 30-page plans no one reads; acronyms everywhere; no yes/no method; out-of-date contacts; no copy at point-of-care; no evidence of the person’s voice. Micro-scenarios (worked) • New staff on night shift: Reads How to talk with me and If I’m upset pages; uses the exact calming phrase and headphones; no restraint needed; logs minutes as zero. • Switching providers: Person uses Switching providers page; coordinator exports pack + receipts history; new team is ready on Day 1 with weekly rhythm set. • ED visit: Family hands over My health basics and Communication pages; interpreter requested; sedation avoided; meds reconciled within 72 hours. Quick scripts • Starting the pack: “We’re making a short set of pages that show what matters to you, how you like to communicate, and what your week looks like. It should be easy to read.” • Checking consent: “Do you want photos in your pack? We can use pictures, drawings, or text only. You can change your mind any time.” Privacy, consent & sharing • Record who agreed, how (tap/PIN/biometric/verbal-witnessed/alt-comm), and date/time. • Store only what’s needed; keep addresses/phone numbers off public-facing copies. • Use small-cell suppression in any aggregated publication. • Renewal of consent at each quarterly update or when circumstances change.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 188 Where to get help / Artefacts & Templates • Plain English Plan - 2-4 page template • Easy Read One-Pager set: My day & week / How to talk with me / Where I go / People & permissions / If I’m upset / My health basics / My rights / Photo & data sharing / Switching providers • Consent & attestation form (accessible options) • Quarterly update checklist • Translation/Auslan/audio request form Summary companion. Decisions rely on the governing sections named in the Choice & Control Standard, Communication Access policy and Privacy/DPIA. Appendix L - Weekly Community Schedule & Presence/Participation Tracker Owner: Coordination & Practice. Service Model Standards. Interfaces: Choice & Control; Accessible Plan Pack (Appendix K); E-Receipts (Appendix E); Roster↔Claim Cross-Checks (Appendix F); Dashboards (Participation/CPI); Transport & Costs; Privacy/DPIA. Why this matters (and why it hasn’t worked) People drift back indoors when weeks aren’t planned with real places, roles and allies. Rosters fill time, not lives; notes say “community access” without showing where, who with, or what changed. This schedule and tracker make participation visible and repeatable - so variety grows, roles deepen, and crises fall. Fast take (read this first) • Build a one-week rhythm with named places, roles, allies and transport. • Link every outing to a quick e-receipt so minutes and participation tags flow to dashboards. • Track three numbers: sessions out-of-home per week; variety index (distinct places/activities per month); role depth (observer → member → helper → paid). • Review weekly in shift huddles; update monthly (or after any life change). • Use plain language and the person’s preferred format (Easy Read available). Scope All services and settings. Works for individuals and small groups. Use with the person/representative in co-design.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 189 Part 1 - Weekly Community Schedule (co-design and print) Fields to complete (per slot): Day | Time window | Place/venue | Role (observer/member/helper/paid) | Purpose/goal link | Ally/contact | Transport (to/from) | Costs/budget note | Accessibility needs (AAC, ramps, quiet space) | Backup plan (bad weather/closed) | E-receipt link/QR Example (snippet): Mon 10:00-12:00 | Oak St Men’s Shed | Member | Woodwork bench task (Goal 2) | Joe (volunteer) | Bus 705 / return with Mum | $5 materials | Ear defenders | If noisy → library craft | [QR] Build steps (30-40 min): 1. Map places and people the person actually likes; add one new place to trial. 2. Set transport (route, who drives, pickup point). 3. Confirm access supports (AAC, yes/no card, interpreter booking). 4. Write a short purpose line per slot (why we’re going). 5. Add a simple backup plan for each slot. 6. Print for the fridge and point-of-care; save to the record. Part 2 - Participation Tracker (method and fields) The three numbers (definitions) 1. Sessions out-of-home per week - count from e-receipts tagged domain=community (median per person). 2. Variety index (per month) - distinct places/activities visited (from venue/activity codes). 3. Role depth mix - share of sessions tagged observer/member/helper/paid. Recording (minimum fields per session) • Date | Venue/activity | Role depth | With whom (ally/peer) | Minutes (from e-receipt) | Notes (what changed / next step) Monthly summary (team view) • Sessions/week (median): ___ • Variety index (distinct venues/activities): ___ • Role depth mix: observer __% | member __% | helper __% | paid __% • New places tried: ___ | Stuck spots (why): ___ • Next month’s push (one line): ___ Targets (90-day horizon, set with the person) • Sessions/week ≥ ___ • Variety index ≥ ___ distinct places • Role depth: ≥ ___% at member or higher • Named community role(s): ___ by ___/____
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 190 What good looks like / Red flags Good: names of real places; allies listed; transport locked in; receipts arrive same day; numbers move up over 90 days; backup plans prevent cancellations. Red flags: “community access” with no venue; cancelled slots with no backup; all observer roles; receipts batched days later; zero growth in variety. Micro-scenarios (worked) • Quiet joiner → active member: Library visit becomes “volunteer shelf-straightener” on Wednesdays; role tag moves from observer→member; variety index +1; calmer afternoons at home. • Weather fallback: Park walk washed out; backup “indoor pool” used; e-receipt shows domain=community; minutes preserved; streak of three weeks without cancellation continues. • Transport fix: Two missed sessions due to late bus → switch to community carpool with neighbour; sessions/week returns to target. Quick scripts • Explaining the plan: “This is your week in places you choose, with people who know you. Each visit has a purpose and a backup plan.” • Setting the next step: “You liked the Men’s Shed. Next week, do you want to try a small bench task with Joe as your helper?” Data, privacy & linkage • Use pseudonym keys on the tracker; names and contacts stored in the secure directory. • Addresses aren’t shown on public dashboards; publication uses coarse geography and suppression. • The schedule page includes a QR to open the e-receipt screen for that slot (fast capture, fewer errors). Where to get help / Artefacts & Templates • Weekly Community Schedule (fillable) - single-page planner with QR placeholders • Participation Tracker (individual/monthly) - sheet + CSV headers • Role Depth Guide - observer/member/helper/paid (examples) • Transport & Backup Planner - routes, contacts, contingencies • Icon set for Easy Read (places, roles, supports)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 191 Summary companion. Decisions rely on the governing sections named in Choice & Control, Participation/CPI, and Privacy/DPIA. Appendix M - Switching Protocol & Exit/Entry Data Set Owner: Coordination & Integrity Interfaces: Choice & Control; Accessible Plan Pack (Appendix K); Weekly Community Schedule & Participation Tracker (Appendix L); E-Receipts (Appendix E); Roster↔Claim Cross-Checks (Appendix F); Handover & Medication Reconciliation (Appendix D); Privacy/DPIA; Complaints & Appeals; Sanctions Ladder. Why this matters (and why it hasn’t worked) Families get stuck with providers because the exit is messy: missing information, slow transfers, and fear of retaliation. People lose weeks of participation, medicines are duplicated, and billing disputes drag on. A clear switching protocol with a standard exit/entry data set makes transfers fast, safe and verifiable - so the person’s life keeps moving while organisations change. Fast take (read this first) • Person choice first. Switching must be supported, not blocked. • Two packs, one week: Exit Pack from the old provider; Entry Pack stood-up by the new provider - both due inside 5 business days of notice. • Minimum data set is standardised (below) and travels in a secure bundle with an audit hash. • Continuity window: weekly schedule continues; medications reconciled within 72 hours of entry. • Money & minutes: final claims locked to the roster↔receipt truth; disputes handled separately from care. • No retaliation. Any obstruction triggers governance review and, where needed, the sanctions ladder. Scope All provider switches (voluntary or directed), including partial switches (e.g., behaviour support only). Applies across home, community, day programs, respite/short-stay and health interfaces. The Exit/Entry Data Set (minimum fields) Single JSON/CSV bundle + PDFs of human-readables. Identities use pseudonym keys; directory holds names. A. Person & Authority • person_psn; preferred name; date of birth (YYYY-MM-DD)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 192 • legal authority (self / nominee / guardian / parent); contacts (phone/email) • consent record (mode, timestamp, scope for sharing) B. Communication Access • yes/no method; AAC devices/apps; interpreters/ Auslan needs; words/phrases that help C. Plan Essentials (Plain English) • top 5 goals (90-day horizon) with next steps • rights & preferences (photo/data sharing, privacy) D. Weekly Community Schedule • next 2 weeks of slots (day/time, venue, role, ally/contact, transport, backup plan) E. Participation/CPI Snapshot (last 90 days) • sessions/week (median); variety index; role-depth mix F. Health & Safety • allergies/adverse reactions; risk flags (seizure/choking/diabetes etc.) • last 72-hour review summary if any; current Fade Plan one-pager • restrictive-practice authorisations (if applicable), with start/stop/expiry G. Medicines (reconciled list) • name/strength/route/frequency/indication; start/stop; prescriber; pharmacy contact • PRNs with clear indication/max dose; next review dates H. Equipment & Access • issued equipment/consumables; ownership; service dates; keys/codes handback list I. Records & Integrity • e-receipt history pointer (secure link/IDs); outstanding E-codes pending courtesy- check • last 90-day claim/roster match-rate; exceptions unresolved (IDs only) • audit-log hash of the exiting bundle J. Contacts & Roles • who does what (IDC lead, coordinator, clinicians, family allies) with direct contacts Switching steps (who does what, with timeframes)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 193 1. Notice & consent (Day 0) o Person/rep gives written notice (or decision recorded). o Old provider confirms no-retaliation clause and nominates a switching lead. o New provider assigns an entry lead; both acknowledge timelines. 2. Exit Pack (≤5 business days) - Old provider o Assemble the Exit/Entry Data Set (A-J) and encrypt bundle. o Provide Plain English + Easy Read copies (Appendix K). o Freeze rostered sessions beyond the agreed end date; cease new bookings. o Run final roster↔receipt sweep; flag any exceptions (do not hold up care). 3. Entry Pack (≤5 business days, can overlap) - New provider o Stand up weekly schedule for two weeks (Appendix L). o Book medication reconciliation within 72 hours of first shift (Appendix D). o Confirm staff competence/OSCE currency for safety tasks. o Load consent settings and privacy preferences. 4. Continuity window (Weeks 1-2) o Person’s usual places continue with named allies; transport confirmed. o Any restrictive-practice plan is honoured exactly; timing/logs continue. o E-receipts flow from Day 1; family view live. 5. Settlement & close-out (≤20 business days) o Old provider submits final claims; disputes routed to governance without impacting support. o Keys, equipment and data directories reconciled and signed off. o New provider confirms first 30-day check-in meeting date. SLAs & escalation • Exit Pack late → 2-day grace → governance notification; Stage 1 Improvement Notice if pattern. • Data incomplete (missing meds, risk flags, restrictive-practice plan) → same-day escalation; pause only the unsafe element, not all supports. • Retaliation signals (cancelled shifts, gatekeeping venues, negative commentary) → immediate Stage 3 payment hold on offending categories while continuity plan activates. • Billing disputes → handled in integrity channel; care continues. What good looks like / Red flags Good: both packs delivered on time; person continues routine in Week 1; meds reconciled ≤72h; receipts match; disputes handled without service gaps. Red flags: “we can’t share that” without lawful basis; vague plans; lost devices; unexplained cancellations; staff without required competence. Micro-scenarios (worked) • Partial switch (behaviour support only): Old provider keeps daily living; New provider receives Fade Plan + last review and begins coaching. Shared schedule avoids double-booking. Receipts split by activity codes; no service gap.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 194 • Obstructed exit: Exit Pack late; governance issues Stage 1 notice. When keys aren’t returned, Stage 3 targeted payment hold applies to the old provider’s community- access category; person’s week proceeds with new provider. • Medication clean-up: Entry provider’s 72-hour reconciliation finds duplicate psychotropics; prescriber contacted; PRN clarified; DPIA notes updated; family receives plain-language summary. Quick scripts • To the person/rep (start): “You can change providers. We’ll move your week, your supports and your information safely. Your services keep running while we settle the admin.” • Between providers (handover call): “We’re following the standard switch protocol. Exit Pack by Friday; Entry Pack stands up two weeks of schedule. Disputes go to governance - care continues.” • If old provider delays: “A late pack triggers a governance notice and, if needed, a payment hold on the categories at issue. Please send sections A-H today; integrity items can follow.” Privacy & security • Use pseudonym keys in the bundle; names in the secure directory. • Encrypt files at rest and in transit; share via approved link with expiry. • Remove precise addresses from any public-facing artefacts. • Log every access and change (Appendix T Audit Log Spec). Where to get help / Artefacts & Templates • Switch Notice & Consent Form • Exit/Entry Data Set - JSON/CSV schema + human-readable PDF pack • Two-Week Stand-Up Schedule (fillable) • Keys/Equipment Handback Checklist • Continuity & Escalation Flowchart • Governance Notification & Payment-Hold Notice (targeted) Summary companion. Decisions rely on the governing sections named in Choice & Control, Privacy/DPIA, Truth-by-Design and the Independent Verification & Integrity policies.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 195 Appendix N - Interpreter/Auslan/AAC Toolkit Owner: Communication Access Interfaces: Choice & Control; Accessible Plan Pack (Appendix K); Handover & Medication Reconciliation (Appendix D); 72-Hour Learning Review & Fade Plan (Appendices B-C); Complaints & Appeals; Independent Verification; Privacy/DPIA; Workforce (IDC OSCEs); Health/ED interfaces. Why this matters (and why it hasn’t worked) People are too often asked to guess what’s being said - or to “nod along” - because interpreters aren’t booked, AAC isn’t set up, or family are used in place of professionals. That leads to unsafe consent, missed pain, avoidable restraint and complaints. This toolkit makes access the default: offer early, book properly, set up AAC, and record what was provided and how decisions were made. Fast take (read this first) • Always offer communication access for material decisions, health visits, investigations, reviews and complaints. • Use qualified interpreters (Auslan/spoken language), not family/friends or the support worker on shift. • Set up AAC every time: yes/no method, boards/device charged, vocabulary ready. • Record the method (who, language/mode, start/stop, NAATI/registration if relevant, offer/decline and why). • Urgent rule: if in doubt, tele-interpreting in ≤2 hours; in-person for planned events. • Never proceed with restrictive practices, consent or medication changes without an accessible explanation and a recorded method of agreement. • Measure it: fulfilment rate, time-to-fill, and “offer made/declined” are tracked on dashboards. Scope All settings (home, community, ED/health, day programs, police/tribunal touchpoints). Covers spoken-language interpreters, Auslan, Deaf interpreters (DI), and AAC (unaided and aided - yes/no, pictures, devices/apps, text-to-speech). When access is required (minimum triggers) • Consent for treatment/medication; behaviour support/restrictive-practice decisions. • Complaints, investigations, sanctions, tribunal preparation. • Assessments, plan reviews, switching providers, serious incident debriefs (72-hour reviews). • Any meeting where the person or family says they need help to understand or be understood. Offer/decline rule: Offer every time. If declined, record who declined and why, and ensure AAC scaffolds are still provided.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 196 Roles & boundaries • Interpreter (spoken/Auslan/DI): impartial, interprets meaning accurately, manages turn-taking, keeps confidentiality. Not a support worker or advocate in the room. • Support worker/IDC: prepares the environment, ensures AAC is present, speaks plainly, and never “interprets” for the person. • Coordinator/Clinician: books the interpreter, chairs the meeting, checks understanding, documents access provided. • Family/Representative: supports preferences and checks that access was offered; should not act as the interpreter except in a true emergency, recorded as such. Booking rules (spoken language & Auslan) • Lead times: planned events ≥3 business days; investigations/ED via tele in ≤2 hours. • Type: Auslan → NAATI-certified Auslan interpreter; complex or DeafBlind → Deaf interpreter + Auslan interpreter pair. • Conflicts: avoid relatives/friends; ask the person about gender/cultural preferences. • Session length: ≥60 minutes book two interpreters for long/complex sessions. • Briefing: send topic, agenda, names/roles, and any jargon to avoid. • Privacy: interpreter signs confidentiality; no recording unless approved by DPIA. • Documentation: record provider/agency, interpreter ID/NAATI, start/stop times, and any issues. AAC essentials (set up every time) 1. Yes/No method confirmed (gesture, card, nod, eye-blink) - write it down. 2. Device/app ready: charged, unlocked, correct vocabulary page. 3. Back-ups: paper core board, alphabet board, pen/paper. 4. Environment: quiet space, face visible, one speaker at a time. 5. Pacing: short sentences; check back (“Tell me in your way”). 6. Recording: note what AAC was used and what the person expressed. Quick AAC set-up check (60 seconds) • “Show me how you say yes / no.” • “Do you want device / pictures / talk?” • “Is this page right?” (open vocabulary) • “Would you like someone with you?” (ally/advocate) Consent & comprehension check (use and record) • Ask for teach-back: “Can you tell me in your words/pictures what we decided?” • Use two non-leading options when appropriate. • Record mode (interpreter/Auslan/DI/AAC type), attestation (tap/PIN/biometric/verbal-witnessed/alt-comm) and timestamp.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 197 • If comprehension remains doubtful → pause the decision and escalate for independent verification. Documentation (minimum fields to capture) • Was access offered? (Yes/No) Who accepted/declined? Why? • Language/modality (e.g., Dari, Auslan + DI, AAC-device/board). • Interpreter details (agency, NAATI number if relevant) and start/stop times. • AAC provided (device type/app; board name/version). • Setting (ED/home/tribunal etc.) and purpose. • Attestation mode for any decision made. • Barriers (noise, time pressure) and actions to fix for next time. What good looks like / Red flags Good: interpreter or DI booked when needed; AAC visible and used; yes/no method recorded; teach-back completed; consent captured in an accessible way; decision stands up on review. Red flags: “family translated” in serious matters; staff “interpreting” on the fly; device uncharged; no record of offer/decline; restraint or sedation used where access could have prevented escalation. Micro-scenarios (worked) • ED triage (urgent): Person arrives distressed; tele-Auslan connected in 12 minutes; yes/no card used for pain scale; short-acting sedative for imaging explained and attested; med reconciliation booked. • Plan review (scheduled): Dari interpreter booked; agenda sent; AAC pictures used to choose between two community roles; teach-back confirms choice; Easy Read update shared. • Complaint meeting (contested): DI + Auslan pair engaged; Contradiction Matrix used later; Plain-English Reasons issued with video summary in Auslan. • Police contact: Interpreter requested at first contact; support worker provides AAC board but does not interpret; rights explained; entry logged. Quick scripts • Offering access (plain): “We can book an interpreter or set up your device and pictures so this makes sense. What would you prefer?” • If someone says ‘no interpreter’: “That’s okay - can we still set up your device and yes/no cards? We can also get a phone interpreter anytime if you change your mind.” • To an interpreter (pre-brief): “Goal: agree a plan change. Please keep it literal, signal if pacing is too fast, and tell us if you need a break.” Measures & dashboards (track and improve)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 198 • Offer documented (%) for eligible meetings. • Fulfilment rate (%) (interpreter/Auslan requests filled). • Time-to-fill (median minutes to interpreter on line/in room). • AAC present & used (%) in eligible meetings. • Event outcomes (e.g., restraint avoided; comprehension confirmed). • Complaints about access (count, resolved inside standard). Privacy, safety & ethics • Use secure booking channels; never share personal numbers. • Avoid using minors or family as interpreters except for immediate safety - record as emergency and replace ASAP. • For recordings (e.g., Auslan video explanations), complete a DPIA; store with access controls; share only with consent. • Respect cultural protocols (gender, kinship, community sensitivities). Where to get help / Artefacts & Templates • Interpreter/Auslan booking form & SLA sheet • AAC quick set-up card (yes/no, core words, troubleshooting) • Teach-back & consent checklist (attestation modes) • ED communication card (wallet/phone) • Session record form (offer/decline, interpreter IDs, start/stop) • Plain-language scripts (offer, decline, pre-brief, close-out) Summary companion. Decisions rely on the governing sections named in the Communication Access policy, Choice & Control Standard, Health Interface policies and Privacy/DPIA. Appendix O - First Nations Partnership MOU Template & Cultural Plan Owner: First Nations Partnerships & Community Interfaces: Choice & Control; Communication Access (Appendix N); Accessible Plan Pack (Appendix K); Weekly Community Schedule (Appendix L); Handover & Medication Reconciliation (Appendix D); Complaints & Appeals; Workforce/IDC; Procurement; Privacy/DPIA; Public Reporting. Why this matters (and why it hasn’t worked) Too many services “consult” late, rely on family as interpreters, and miss local protocols - so supports feel unsafe, participation drops, and trust erodes. A clear Partnership MOU with a practical Cultural Plan puts self-determination first: cultural authority is named, consent is accessible, data is handled respectfully, and Elders and local organisations are paid and involved.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 199 Fast take (read this first) • Partner early with the local Aboriginal Community Controlled Organisation (ACCO) or recognised cultural authority. • Sign an MOU that sets roles, decision rights, data rules, payments, and dispute paths. • Make a Cultural Plan with the person/family that guides everyday practice (places, people, language, ceremony, Sorry Business, gender-specific care). • Pay for cultural work (brokerage, Elders’ time, interpreters). • Record consent for any information sharing with community bodies; follow data- sovereignty principles. • Measure it: fulfilment of MOU actions, interpreter use, complaint resolution, and participation on Country. Scope All services supporting First Nations people across home, community, health, education, work and justice interfaces; applies to urban, regional and remote contexts. Use local Nation/Language names where the person prefers. Part 1 - Partnership MOU (structure & clauses) A. Parties & purpose • Provider, the person/representative, and local ACCO / cultural authority. • Purpose: culturally safe, self-determined supports; clear roles; shared problem- solving. B. Guiding principles Self-determination; cultural authority; free, prior & informed consent; trauma-aware practice; strengths-based; reciprocity; Indigenous data-sovereignty (collective benefit, authority to control, responsibility, ethics); privacy by design. C. Scope of collaboration • Planning & review meetings; crisis response; hospital/ED interfaces; complaints; recruitment & training; publication notes that concern culture; Switching Protocol support. D. Decision-making & cultural authority • Who can speak for what (Elders, nominated kin, ACCO role). • Men’s/Women’s business; Sorry Business protocols; who approves what, and how. E. Access & language • Interpreter/Auslan/AAC booking standards; preferred language(s); who pays; minimum lead times; emergency tele-interpreting. F. Workforce & capability
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 200 • Cultural capability requirements; induction on Country; shadowing ACCO staff; OSCE-style checks for cultural practice (greetings, introductions, protocol checks, consent scripts). G. Information sharing & data • What can be shared, with whom, and how consent is recorded; storage location; retention; community access rules; publication safeguards (no small-cell harms). H. Payment & procurement • Fees/honoraria for Elders and cultural brokers; preferred procurement from Aboriginal-owned businesses; travel costs. I. Dispute resolution & complaints • Culturally safe path; timelines; escalation to independent bodies; protection from retaliation. J. Reporting & review • Quarterly check-ins; measures (below); MOU renewal/termination clauses. K. Signatures • Provider exec; ACCO/cultural authority delegate; person/representative; date. Part 2 - Cultural Plan (person-level, used day-to-day) 1) Identity & connections Nation/Language group (if the person wishes to record), totems/skin names (optional), key kin and community ties, safe/not-safe places. 2) Communication & language Preferred language(s); interpreter needs; plain-English phrases; AAC methods; who can speak for the person and when. 3) Protocols & responsibilities Men’s/Women’s business preferences; Sorry Business arrangements; ceremony/seasonal obligations; who should (and should not) be present. 4) On-Country preferences Important places; welcome/smoking ceremony options; what helps when away from Country. 5) Health & practice notes Cultural considerations for touch, food, medicines, gender of clinician; how to introduce new workers; who to call first in worry.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 201 6) Weekly rhythm & community roles Preferred community venues and events; named allies; transport; backup plans. 7) Consent & data choices What can be shared with ACCO/authority; photos/video rules; publication preferences; renewal dates for consent. 8) Safety & escalation Early signs of distress; words that work; who leads in crisis; how cultural authority is involved quickly. 9) Review & sign-off Update after life changes; signatures/attestations (person/rep; ACCO; provider). How to build it (step-by-step) 1. Invite the right people: person/rep + ACCO/cultural authority + key allies; book interpreter if needed. 2. Walk Country or meet on Country if preferred; begin with introductions and protocols. 3. Draft the Cultural Plan with the person; confirm consent choices for sharing. 4. Complete and sign the MOU (or update if in place). 5. Embed: add Cultural Plan pages to the Accessible Plan Pack (K); reflect in schedule (L), handover pack (D), and staff induction. 6. Review quarterly or after major events (e.g., Sorry Business, moving house, health change). Who does what • Person/Representative: states preferences, approves sharing choices, names cultural authority. • ACCO/Cultural authority: guides protocols, provides brokers, co-chairs reviews on request, assists with complaints. • Provider Coordinator/IDC Lead: books interpreters, ensures plan is used, pays fees promptly, logs access provided. • Manager/Executive: signs MOU, funds cultural brokerage and training, tracks measures, responds to complaints. • Governance: ensures publication and data use respect cultural safety and suppression rules. What good looks like / Red flags Good: MOU signed; Cultural Plan in the person’s pack; interpreters used; Elders’ time paid; Sorry Business respected; participation on Country grows; complaints drop and resolve quickly. Red flags: “We asked family to translate”; no cultural authority named; rushed decisions without consent; refusal to pay for cultural work; publication that reveals small communities.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 202 Measures (publish internally; some to dashboards) • MOU in place (yes/no); Cultural Plan current (yes/no). • Interpreter fulfilment rate; time-to-fill for urgent bookings. • % shifts led by culturally competent staff (OSCE in date). • Participation on Country (sessions/month; venues). • Complaints about cultural safety (count; resolved inside standard). • Spend with Aboriginal-owned suppliers (%). Micro-scenarios (worked) • ED visit: ACCO broker meets the person; tele-interpreter joined; male nurse requested and arranged; short procedure explained; consent confirmed via AAC; discharge includes clear plan and follow-up with ACCO. • Sorry Business: Two-week change to schedule; provider funds temporary travel; participation tracker pauses community roles respectfully; receipts continue for agreed supports; no cancellation penalties. • Complaint about a worker: ACCO co-chairs the meeting; Contradiction Matrix used; outcome letter in plain English with cultural plan updates; apology delivered and accepted. Quick scripts • Opening the partnership: “We work with the local community-controlled organisation so your supports follow the right protocols. Who should we speak with as cultural authority for you?” • Consent for sharing: “These pages say what we can share with the community organisation and what stays private. You can change this anytime.” • On payment: “We pay Elders and cultural brokers for their time. Here’s the rate and how we book.” Privacy & data-sovereignty notes • Record consent for sharing with ACCO/cultural authority (mode, scope, timestamp). • Use pseudonym keys in datasets; store names in secure directories. • Apply small-cell suppression in any public reporting; no maps that identify households. • Respect community requests to review public wording before publication. Where to get help / Artefacts & Templates • Partnership MOU template (fillable) • Cultural Plan - person-level (print + Easy Read) • Cultural Brokerage booking & payment form • Interpreter/Auslan request (First Nations languages)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 203 • Cultural OSCE rubric (worker competence) • Sorry Business protocol & schedule change form • Data-sharing consent form (with revocation option) Summary companion. Decisions rely on the governing sections named in the First Nations Partnership commitments, Choice & Control, Communication Access, Procurement and Privacy/DPIA. Appendix P - Rural Micro-Hub Operating Pack & Tele-OSCE Protocol Owner: Rural & Remote Access + Workforce Interfaces: Workforce (IDC & OSCEs); Accessible Plan Pack; Weekly Community Schedule & Participation; Interpreter/Auslan/AAC; First Nations Partnership; Handover & Medication Reconciliation; E-Receipts & Cross-Checks; Governance & Complaints; Privacy/DPIA; Procurement. Why this matters (and why it hasn’t worked) In rural towns, long travel, thin rosters and last-minute cancellations shrink participation and stall workforce competence. Training is classroom-heavy, assessment is rare, and people wait months for help. Micro-hubs anchor services in local venues, and tele-OSCEs let us observe safety skills without shipping everyone to the city - so weeks are predictable, skills are verified, and travel becomes purposeful, not waste. Fast take (read this first) • Micro-hub = small, dependable base in a local venue (library, council hall, ACCO site), with privacy zones, connectivity, and a weekly timetable. • Run with a simple kit (connectivity + power backup + AAC + camera/mic + lockable storage) and clear emergency links to local health. • Publish an A/B timetable (weekday + weekend) so families know when the hub is live. • Tele-OSCE uses a standard room layout, two cameras, an onsite proctor, and a remote examiner; scenarios are timed and scored on a common rubric. • Accessibility by default: interpreters/Auslan/AAC offered; cultural protocol set with the local authority; venues and scripts in plain English. • Data & integrity: e-receipts for sessions, audit-logged OSCE results, privacy safeguards, and small-cell suppression in any publication. Scope Rural and remote communities (including pop-up outreach). Applies to day programs, skill- building, plan reviews, coaching, and competency assessment (OSCE). Use with First Nations partners where relevant. Thresholds marked [POLICY] are set by the standards owner.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 204 Part 1 - Micro-Hub Operating Pack A) Site selection & agreements • Venue: accessible entry/amenities; two rooms (quiet room + shared space) or configurable screens; safe parking/lighting. • MOU: with local council/ACCO/school - hours, keys, costs, Wi-Fi, cleaning, insurance, emergency contacts. • Cultural plan: local protocols, Sorry Business arrangements, signage language. B) Minimum kit (fit in two road cases) • Connectivity: primary broadband (fixed/4G/5G/Starlink) + failover hotspot; router with QoS; SIM on rural carrier. • Power: UPS (≥[POLICY] minutes) for router/laptop; surge protection. • Audio/Video: 2 webcams (wide room + close face/hands), tripod, boundary mic or lapel mic, LED panel, headphones. • Computing: laptop with camera switcher or hub; locked-down OS; screen share. • AAC & access: yes/no cards, core boards, tablet with speech app, low-tech kits. • Privacy: portable screens, door sign system, lockable cabinet for records/gear. • Other: printer/scanner, labeler, basic first-aid kit. C) Operating rhythm • Timetable: publish weekly hours, drop-in times, and booked sessions (OSCE, coaching, plan reviews). • Booking & reminders: SMS/voice, interpreter/Auslan pre-booked, transport aligned. • Arrival flow: sign-in, quick access check (AAC present? interpreter?), e-receipt QR for the session. • Safety: incident kit; local ED/GP contacts; evacuation plan on wall. • Data trail: e-receipts for supports; audit log for any document transfer; no local storage beyond DPIA-approved cache. D) Privacy & DPIA guardrails • Hub DPIA approved before opening; no CCTV in private rooms; if entry CCTV exists, signage + retention set by venue. • Windows frosted or screened; sound bleed managed; paper notes minimised; everything else digital and access-controlled. • Small-cell suppression and coarse geography in any public reporting about the hub. E) Staffing & roles • Hub host (level 1): opens/sets up, greets, runs kit, knows the timetable. • IDC lead (level 2): runs sessions, completes e-receipts, leads de-escalation. • Proctor (OSCE days): identity checks, room setup, timing, integrity. • Cultural broker/ACCO link (as applicable). • Tech support (remote help-desk). Part 2 - Tele-OSCE Protocol (Observed, structured competence)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 205 Purpose: Verify that staff can do the safety-critical tasks they’re paid for, under observation, with accessibility and integrity. A) Roles • Candidate (worker). • Remote examiner (qualified assessor). • Onsite proctor (neutral, trained; manages room & integrity). • Standardised person/actor (onsite or remote, as the station requires). • Interpreter/Auslan or AAC support (if needed for fair access). • Tech support (on call). B) Environment & tech • Room layout: 3 m x 3 m clear space; desk; chair; door visible in wide camera. • Cameras: o Cam 1 = wide shot (candidate + space). o Cam 2 = close shot (hands/faces/materials). • Audio: boundary mic or lapel; speakers off or echo-canceled. • Connectivity: stable link ≥ [POLICY bandwidth] up/down; latency ≤ [POLICY ms]. • Lighting: face lit; no backlight glare. • Privacy: door sign “Assessment in progress”; no bystanders. C) Integrity & identity • Candidate shows photo ID; proctor pans room with Cam 1 before start. • Phones/watches on a side table; only permitted materials in reach. • All events time-stamped; examiner and proctor complete a short integrity checklist. • Recording only if approved by DPIA; if recorded, hash stored with the scoring file. D) Accessibility & fairness • Interpreters/Auslan allowed; non-leading role briefed by examiner. • AAC supported; extra time [POLICY] when access requires; content unchanged. • Practice orientation (5-10 min) before first OSCE; sample prompts provided. E) Station design & scoring • Each OSCE = scenario + tasks + critical-fail items + rubric. • Timing: 8-12 min per station + 3 min changeover (or per [POLICY]). • Score: pass/fail per critical item; overall Pass if all criticals met and total ≥ [POLICY %]. • Examples: o De-escalation & least-restrictive decision (words + timing start/stop). o Safe handover & med reconciliation mock. o Communication access setup (yes/no + AAC + interpreter brief). o Incident log with start/stop and 72-hour review booking. F) Flow (candidate view)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 206 1. Check-in & ID → access needs confirmed. 2. Orientation & tech check (2-3 min). 3. Station 1 → changeover → Station 2 → … 4. De-brief (2-3 min): high-level feedback; results later the same day. 5. Result email + actions (coaching/retake plan) filed to the record. G) Failures, retakes & appeals • Critical fail → overall fail for that OSCE; remediation plan with coaching; retake window [POLICY days]. • Appeal path uses Reasons & Weighting with an independent second marker; summary shared with the worker. H) Data, storage & publication • Store scores + rubric + integrity checklist + examiner notes; keep video only if DPIA allows and retention is set. • Publish counts/percentages of currency by provider (Workforce tile), not individual names. Measures (monitor monthly; some publish) • Hub open hours delivered vs planned (%). • Session cancellations (rate) and reasons. • Interpreter/AAC fulfilment (%). • Tele-OSCE completion & pass rate; currency of required OSCEs (% in date). • Time-to-assessment (days from booking). • Participation: sessions out-of-home/week; variety index. • Travel saved (km or hours) vs previous model. • Complaints about access or cultural safety (count; resolved inside standard). What good looks like / Red flags Good: predictable timetable; gear always works; interpreters show up; people know when the hub is open; OSCEs run on time; feedback leads to coaching; participation rises and cancellations fall. Red flags: pop-up only when inspectors visit; single camera; no privacy screens; recordings without DPIA; access not offered; long waits for assessment; staff practising unsafe tasks while “awaiting OSCE”. Micro-scenarios (worked) • Storm day: Primary link drops; hub fails over to satellite; examiner pauses 60 seconds; OSCE resumes; integrity checklist notes the switchover. • First Nations partnership: ACCO lounge used as hub 2 days/week; MOU covers keys/hours/payments; cultural broker co-chairs plan reviews; participation on Country increases.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 207 • Audio failure mid-station: Proctor switches to lapel mic; station time extended by [POLICY] for fairness; event logged; candidate passes. • New worker remediation: Fails “least-restrictive” critical; receives coaching; retakes in 10 days; passes; roster unlocks scope. Quick scripts • To the community: “This hub gives you a local base - clear hours, interpreters when needed, and the gear to do video assessments so staff don’t have to leave town.” • To a candidate: “We’re observing real skills. Two cameras, one proctor, one remote examiner. If tech hiccups happen, we pause and log it - fairness first.” Where to get help / Artefacts & Templates • Micro-hub site & MOU checklist • Hub DPIA & privacy signage set • Kit list & setup guide (network, power, cameras, AAC) • Weekly timetable poster + SMS reminder scripts • Tele-OSCE proctor checklist & integrity form • OSCE station packs & scoring rubrics (de-escalation; med recon; communication access; incident logging) • Result letter + remediation/retake plan Summary companion. Decisions rely on the governing sections named in Workforce/IDC, Communication Access, First Nations Partnership, Health Interface policies and Privacy/DPIA. Appendix Q - IDC Curriculum Map, EPA Logbook & OSCE Rubrics Owner: Workforce (IDC) Interfaces: Safety & Restrictive Practices; Handover & Medication Reconciliation; Communication Access; Participation/CPI; E-Receipts & Cross-Checks; Independent Verification (R&W, Contradiction Matrix, IRC); Governance & Complaints; Privacy/DPIA. Why this matters (and why it hasn’t worked) People are safest when workers are observed-competent, not just “trained”. Today, courses are tick-box, scopes drift, and there’s no shared proof of who can do what. This appendix sets a single pathway: what IDC staff learn (Curriculum Map), what they may be entrusted to do (EPAs with a logbook), and how they are observed doing it (OSCE rubrics) - with clear renewal and audit. Fast take (read this first)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 208 • Scope = competence = scope of practice. You may only do tasks you hold current EPA level for (L3-L5). • Curriculum Map shows modules and outcomes; EPAs are the real licence (entrustable tasks in the field). • OSCEs test the safety-critical core; logbook proves real-world practice. • Currency expires unless renewed (see rules). • Integrity by design: audits, hashed results, and publication as workforce tiles (no names). Scope All IDC roles (entry, advanced, lead). Applies in home, community, day programs, short- stay, health interfaces and rural micro-hubs. IDC Curriculum Map (what we teach, how it builds) This appendix defines the whole teaching-and-testing spine for the Integrated Disability Clinician (IDC) pathway and the Community Ally baseline (parents, guardians, volunteers). It maps learning modules, supervised practice, EPAs, OSCEs, logbook headers, renewal rules, and calibration. Bands. IDC-Associate → IDC-Full → IDC-Advanced (educator/supervisor). Supervised practice (IDC). 360-450 hours blended across settings (recommended anchors: 270-300 h hospital placements; 250-300 h disability/community; 100 h community clinic). Hours may be achieved via pilots/micro-hubs/tele-OSCE blend with named supervision. Safety stations (mealtime/IDDSI, seizure response, medication handover, least-restrictive practice, AAC-in-conversation, documentation integrity) are never waived; RPL may shorten pathways but cannot remove these safety gates. Q-1 Curriculum Map (M1-M19) How to read: each module lists outcomes, indicative learning/practice, and assessment hooks. M1. Rights, Law & Duty of Care Outcomes: supported decision-making in practice; consent; privacy by design; least- restrictive tests. Learn/practise: case huddles; reasons-in-plain-English drill. Assess: short viva; R&W micro-table; conflict scenario. M2. Service Models & Practice Theory Outcomes: role clarity; outcome focus; boundaries. Assess: supervision observation (boundary cueing; rescue-to-coaching swap). M3. Communication & AAC Basics Outcomes: functional profiling; quick AAC set-ups; plain notes. Assess: OSCE station “AAC in conversation”.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 209 M4. Community Access & Participation Outcomes: CPI timetable; role-building; graded exposure. Assess: EPA-2 “Run a community session”. M5. PBS Foundations Outcomes: ABC data; function hypotheses; non-aversive strategies; fidelity. Assess: mini-plan with three graduated alternatives. M6. Mealtime & Dysphagia Safety (IDDSI) Outcomes: textures/fluids; positioning; red flags. Assess: OSCE station “Mealtime safety” + field observation. M7. Epilepsy & Seizure Response Outcomes: recognition; rescue-med delegation where permitted; escalation. Assess: OSCE station; logbook capture of one supervised response drill. M8. Medication Safety & Psychotropic Stewardship Outcomes: six rights; side-effect watch-list; reconciliation; PRN rules. Assess: OSCE “Handover & reconciliation”. M9. Health in Daily Living Outcomes: infection prevention; skin/continence; diabetes/bowel basics; sleep hygiene; manual handling. Assess: checklist + supervisor sign-off. M10. Human Development & Disability Outcomes: lifespan and sensory processing implications. Assess: short case mapping to supports. M11. Assessment → Planning → Review Outcomes: intake; goal setting; outcomes/measure link; review cadence. Assess: plan extract aligned to dashboard fields. M12. Casework, Records & Evidence Outcomes: contemporaneous notes; chronology; evidence chains; document control. Assess: documentation integrity rubric. M13. Cultural Safety & Family Partnership Outcomes: First Nations partnership; CALD/Auslan access; sexuality/relationships & consent. Assess: interpreter booking & pre-brief flow; reflective note. M14. Community Systems & Navigation Outcomes: health/education/housing/justice interfaces; referrals; case conferences; advocates’ roles. Assess: handover packet assembly (Appendix D links). M15. Safeguarding & Restrictive-Practice Governance Outcomes: restraint hierarchy; timekeeping; 72-hour review; fade plans. Assess: OSCE “De-escalate & document” + 72-hour review write-up.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 210 M16. Assistive Tech & Digital Practice Outcomes: AT basics; accessibility settings; privacy; safe photos/video. Assess: DPIA mini + AT deployment checklist. M17. Quality Improvement & Outcomes Outcomes: PDSA; tile literacy; preparing for audit. Assess: one PDSA cycle with baseline → change → result. M18. Practice Education (Supervised Placements) Outcomes: block practicums; observed EPAs; portfolio build. Assess: EPAs 1-5 completions; supervision notes. M19. Leadership & Supervision (advanced) Outcomes: reflective practice; coaching; safe rostering; investigation basics; service readiness. Assess: observed supervision conversation + risk review. Q-2 EPA Logbook (headers and rules) Logbook headers (CSV-friendly): date, setting (home/community/clinic/hospital/justice), module tag (M1-M19), EPA code (EPA-1…EPA-5), scenario summary (≤140 chars), observer role/name, supervision level (direct/indirect), outcome (pass/coach/remediate), follow-ups due (date), file-vs-field alignment (yes/no), privacy note (if any), candidate signature, supervisor signature. EPAs (Entrustable Professional Activities): • EPA-1 Plan conversation with SDM & accessible materials (M1,M3,M11). • EPA-2 Deliver a community session that builds presence (M4). • EPA-3 Manage low-to-moderate escalation using least-restrictive options; start timekeeping if restraint occurs; trigger 72-hour review (M5,M15). • EPA-4 Complete a safe medication handover/reconciliation (M8,M9,M14). • EPA-5 Produce a clean documentation pack incl. two-party e-receipt where applicable (M12,M17). Completion rule. Each EPA is observed twice without critical error, at least one by an external supervisor. Safety EPAs can’t be RPL-waived. Q-3 OSCE Blueprint & Rubrics (summary) Circuit design (6-8 stations): 1. Person-first planning & consent (M1,M11) 2. AAC in conversation (M3) 3. Community role-building (M4) 4. De-escalate & rights test + 72-hour review stub (M5,M15) 5. Mealtime/IDDSI safety (M6)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 211 6. Seizure response (M7) 7. Medication handover & reconciliation (M8,M14) 8. Documentation integrity & privacy (M12,M16,M17) Scale: 0 Unsafe · 1 Needs improvement · 2 Competent · 3 Exemplary. Pass: all bolded safety criteria ≥2; overall mean ≥2.0. Calibration: double-rating on sample videos; kappa published; annual standard-setting. (Rubrics mirror the rOSCE style you approved - if you want, I can drop the full per- criterion wordings into this appendix verbatim.) Q-4 Supervised Practice Hours & Bands • IDC-Associate: 360-380 h blended; at least 2 safety OSCE stations sat during programme; 10 field observations; 2 external. • IDC-Full: 400-420 h; full OSCE circuit sat; 12 observations; 2 external; two EPAs at “exemplar” once. • IDC-Advanced: 430-450 h; mini-educator module; examines at least one OSCE sitting; leads two supervisions documented. Setting anchors (target ranges during total hours): • Hospital placements 270-300 h (acute, ED liaison, GP handover interface). • Disability/community 250-300 h (home, community roles, participation). • Community clinic ~100 h (micro-hub/tele-OSCE prep, allied health liaison). Q-5 Renewal & Currency • Cycle: 3-year renewal; 40 hours CPD/year (≥8 hours equity). • Mini-OSCE: 3 stations (one safety) or equivalent workplace assessment; two fresh field observations; documentation candour check. • Recency: ≥600 h frontline practise across cycle (or supervised equivalent). Q-6 Community Allies Baseline (parents/guardians/volunteers) Why this exists. Being a parent, guardian or volunteer does not automatically imbue the knowledge or habits needed for safe, growth-oriented support. Many well-intentioned efforts have missed the mark, leaving the person at centre to unlearn what didn’t help. Good intentions need current practice, shared language with clinicians, and a habit of learning in community (not alone). Scope (non-clinical). Conversations, companionship, graded practice in ordinary places, low-arousal basics, safe transport, privacy habits, brief plain-English notelets to the IDC. Clinical decisions remain with the IDC/clinician. Learning commitment (light but real).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 212 • Micro-credential: 8-12 hours short course + 6-10 hours coached practice. • Keep current: attend a local/network session at least twice a year (PBS/mealtime/AAC update or community forum). • Read & refresh: skim the “What Can Go Wrong (Even With Love)” guide every 6 months; add one new practical strategy to the weekly plan. • Co-reflect: after two community sessions, share one success and one stuck point with the IDC; agree the next micro-skill. Assessment (supportive, not high-stakes). • Short scenario viva (plain-language). • “What Can Go Wrong (Even With Love)” safety quiz. • Two coached community sessions with a reflection notelet. Network & trend habits (stay connected). • Join a local ally circle or online group curated by the service; swap ideas that worked (and those that didn’t). • Follow changes in IDDSI/mealtime, PBS, and AAC basics via the service’s quarterly digest. • Ask for an IDC show-me when something is new (e.g., a communication device, travel route, or community role). Safety absolutes (never DIY). • No changes to mealtime textures/positioning, medications, seizure plans, or restraint decisions. • If unsure, pause and ask. Record what you tried and what happened; the IDC decides next steps. Boundaries that protect everyone. • Money, PINs, and personal data only as the plan allows. • Photos/stories only with consent and for a clear purpose. • Home is not a workplace: keep support purposeful, time-bound, and scheduled. Interface with the IDC. • Use the weekly plan, not ad-hoc help. • Send short notelets (what we did, what helped, what didn’t). • IDC owns clinical records and decisions; allies are partners in practice, not substitute clinicians. Q-7 Data & Publication Hooks • Logbook and OSCE feeds map cleanly to dashboard tiles (licence/renewal rates; OSCE pass; supervision throughput). • Privacy & suppression rules apply on public tiles; family view shows person-level detail with role-based access (see Data, Dashboards & Privacy section in Draft 2).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 213 What good looks like / Red flags Good: everyone knows their EPAs and levels; logbooks are current; OSCEs in date; fewer incidents; faster handovers; families see safe practice. Red flags: “trained” but never observed; expired OSCEs; vague logbook entries; scope creep; governance overrides without evidence. Micro-scenarios (worked) • New starter: Completes modules → shadows (L1-L2) → passes OSCE-C and OSCE-S → gains L4 on EPA-C1/EPA-S1 → logs 3 entries each in 3 months. • Drift caught early: Two E3 exceptions plus one poor de-escalation → manager sets coaching; tele-OSCE retake in 10 days; L4 restored after pass. • Equivalency: Experienced worker claims prior learning; passes OSCEs and submits 6 months of verified EPA entries → mapped to IDC-Lead for EPA-R1 and EPA-H1. Quick scripts • To a worker: “Your scope equals your current EPAs. Keep your logbook live and your OSCEs in date - otherwise the system will limit what you can do.” • To a family: “Everyone who supports you is observed doing the safety-critical parts of their job. You can ask what EPAs your team holds.” Where to get help / Artefacts & Templates • Curriculum Map poster + module outcomes • EPA Logbook (fillable + CSV headers) • Supervisor/Verifier guide • OSCE station packs & rubrics (S, C, H, R, F…) • Progression & currency checklist • Scope change & remediation form • Audit & publication checklist (hashing, suppression) Summary companion. Decisions rely on the governing sections named in Workforce/IDC standards, Safety & Restrictive Practices, Communication Access, Health Interface policies and Privacy/DPIA.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 214 Appendix R - Privacy, DPIA & Feed Registry Protect people’s rights while letting the system learn and improve. Owner: Privacy/DPIA Lead (with Data & Integrity; Legal; First Nations Partnership) Interfaces: Publication & Tiles (Appx S/AL); Audit Log (Appx T); E-Receipts (Appx E); Roster↔Claim (Appx F); Reasons & Weighting / Matrix / IRC (Appx H/I/J); Two-Key Register (IPP); Navigator/Foundational registry; DSC Audits (AG.1); Psychotropic Stewardship (AB); Mealtime/IDDSI (Z); Owner Matrix & Escalation (Y). Why this matters (and why it hasn’t worked) People with cognitive disability carry the heaviest privacy risks while receiving the most fragmented support. Historic reporting mixed person-level details into public artefacts, used shifting denominators, and leaked small cells. This appendix makes privacy operational: one DPIA method, a feed registry with minimum fields, small-cell suppression by default, and auditable provenance hashes. Fast take (read this first) • One DPIA per product/flow, registered and versioned; no feed goes live without it. • Minimum data always: collect only what is needed for the declared purpose. • Small-cell suppression and differencing guard on every published tile (Appx S/AL). • Provenance hash + role-based access for each dataset version (Appx T). • First Nations and CALD/Auslan checks on method and wording. • Switch-ready: when a person changes provider, their artefacts travel - not their raw histories. Scope All system components that process personal or sensitive information: intake, support delivery, incident/review, decision-making, integrity, publication, audit/assurance. Applies to providers, regulators, tribunals/OPA, Navigators, Plan Managers, and DSC actors where adopted. A. DPIA method (concise) 1. Describe the purpose and lawful basis (consent, duty of care, public task, law). 2. Map the data flow (collection → storage → use → share → publish/retain/destroy). 3. Identify risks (re-identification, unfairness, chilling effect, safety). 4. Controls (minimisation, access, encryption, suppression, noise, redaction, retention). 5. Equity lens (First Nations partnership; interpreters/Auslan; Easy Read). 6. Outcome & sign-off (accept, reduce, redesign; owner and review date). 7. Provenance (dataset IDs, schema version, hash; change-log “S-8” note if public definition moves).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 215 Cadence: initial DPIA, then review on any change to purpose, fields, recipients, algorithms, or publish rules. B. Feed Registry (what flows, who sees it, why) (Register each feed before go-live; paste these rows into the feed table. “PII fields” shows minimum set.) Feed ID Purpose (why) Source system(s) PII fields (minimum) Derived fields Role access Retention Lawful basis Publish ? R-E01 e_receipts_ core Verify service occurred; person view of history; integrity E-Receipts app participant_id (pseudo), worker_id (pseudo), attestation markers, timestamps minutes, CPI flags, match status Worker (own), Person/Rep, Integrity, Navigator (read) 7 yrs (statute) contract/p ublic task No (aggrega ted only) R-F01 roster_clai m_xcheck Detect billing exceptions Roster, Claims, E- Receipts provider_id, shift_id (pseudo) match_rate, anomalies Integrity, Regulator (summary) 7 yrs public task Tiles only (S- Q11) R-H01 reasons_ma trix_bundle Appeal- ready decisions R&W/Mat rix/IRC store case_ref (pseudo), dates, role IDs (pseudo) weights table, contradictions Decision- makers, DSC/Tribunal/ OPA per statute legal obligation No (digest only) R-K01 twokey_reg ister Show independenc e & timestamps IPP/Two- Key case_ref (pseudo), key_ids (pseudo) coverage %, time_to_secon d_key Registry, DSC, Tribunal 7 yrs legal obligation Tiles (S- P01/S- Q07) R-N01 navigator_ handover Continuity of support Navigator registry, E-Receipt (handover flag) case_ref (pseudo), handover artefact id warm_handov er_rate Navigator, Person/Rep; DSC summary 2 yrs consent/pu blic task Tiles (S- Q06; Family view detail) R-S01 safety_revi ews 72-hour learning loop Incident log, Review notes case_ref (pseudo), event_time, reviewer_id (pseudo) review_on_tim e %, restraint_min_ per_1000h Clinical Gov., DSC 7 yrs duty of care Tiles (Safety bundle) R-Q01 osce_licensi ng Workforce competence currency OSCE/EP A registry worker_id (pseudo), station ids osce_currency %, licensed_scope _coverage Workforce Licensing; DSC (summary) 7 yrs employme nt Tiles (S- Q03/S- Q04) R-AL01 publication _release Public accountabilit y Tile engine none (aggregated) trend, notes, definition_vers ion Public; Family; Provider evergreen (versioned) public task Yes (Appx S/AL) R-T01 audit_log Provenance & trace Audit system event_id, actor_id (pseudo) hash_chain, change_type Privacy/Legal; DSC (subset) 7 yrs legal obligation No Rules: • Pseudonymous IDs by default; separate key vault for identity linkage. • Any new field/recipient = DPIA update and feed-table change. • Sharing with Ombudsman/Tribunal/DSC uses the same numbered evidence set (Appx H/I/J), not reconstructions.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 216 C. Publication & small-cell discipline (for Appx S/AL) • Suppression: hide counts <5 and any rate derived from <5 events; show “Insufficient data”. • Differencing guard: introduce ±1-2% jitter or banding where repeated releases could reveal small cells by subtraction. • Coarse geography only (no addresses); time windows ≥28 days for public series. • Notes must be plain English; link to method and definition_version. • Family view: full personal history to the person/rep; never public. D. Role-based access & least privilege • Access profiles: Person/Rep; Worker (own records); Navigator (read); Provider Governance; Regulator/DSC; Tribunal/OPA; Data & Integrity; Privacy Lead. • Multi-factor auth for any dataset with health or restraint markers. • Break-glass with auto-notice to Privacy Lead + person/rep (where safe) for emergency reads. E. Rights, notices, and corrections • Right to access (person/rep): “My Visits” + copy of evidence relied on. • Right to correction: e-receipt correction flow with dual attestation; change-log preserved (no hard deletes). • Right to explanation: plain-language reasons (Appx H/J). • First Nations & language access: interpreter/Auslan/translation on request; record modality on each form (A-templates, AG-1A). F. Retention & destruction • Retain per statute (usually 7 years); hash manifest persists for public releases. • Secure destruction after retention ends; preserve audit hash and non-PII counts for research comparability. G. Breach & incident response (72-hour clock) 1. Detect & contain (isolate dataset, revoke tokens). 2. Assess risk (who, what, how many, likelihood of harm). 3. Notify: Privacy Lead → leadership; regulator and affected people as required; provide clear next steps. 4. Remediate: patch, rotate keys, retrain; publish S-8 change note if definitions or access rules shift. 5. Learn: 72-hour review (Appx B/C); update DPIA and feed registry.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 217 H. Algorithmic & metric fairness (where tiles or triage use scoring) • Register any scoring/thresholds (inputs, purpose, owner, drift monitors). • No person-level in public; only aggregates with suppression and trend bands. • Bias checks: stratify by First Nations, CALD, Auslan, gender, age band, rural/metro (publish only if cells ≥5). • Appeal route: decisions explain inputs and allow challenge (H/J; AG). I. Privacy hooks in core artefacts (tie-backs) • A-templates carry a Privacy Notice and translation options (A11, A12). • R&W/IRC require small-cell check boxes and a publication note. • Two-party e-receipt fields include interpreter_used, AAC_used, and notes_redacted. • Appendix S/AL tiles must embed owner_role, source_refs, definition_version, provenance_hash, suppressed. J. What good looks like / Red flags Good: each feed has a DPIA; minimum fields; pseudonymous IDs; small-cell guard; public tiles reproducible; provenance hash present; First-Nations wording reviewed; switch-ready exports work. Red flags: ad-hoc extracts; person-level data in public; changed denominators without an S-8 note; unsuppressed tiny numbers; undefined lawful basis; live access granted outside roles. K. Micro-scenarios (worked) • Tile back-calc risk: Provider wants suburb tiles; cells <5. Outcome: publish provider-level only, add differencing guard; S-8 note explains comparability. • Navigator packet: Handover artefact includes phone number; DPIA trims to first name initial + role; full contact in private channel only. • Tribunal bundle: Member asks for full notes; provide numbered evidence with redactions; publish digest with suppression; record hash in Appx T. L. Artefacts & templates • R-FR1 Feed Registry (CSV) - one row per feed (fields above) • R-DPIA form (short/long) - with equity and publication sections • R-SR1 Small-cell decision tree - with examples • R-CH1 Change-log “S-8” note - public definition changes • R-AK1 Access profiles matrix - roles → permissions → expiry • R-BR1 Breach workbook - 72-hour response and notices
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 218 Summary companion. Privacy is not a banner - it’s a build rule. Register the feed, minimise fields, suppress small cells, hash the bundle, and speak plainly. Everything else in the White Paper (Two-Key, R&W/Matrix, e-receipts, tiles) plugs into that spine. Appendix S - Dashboard Tiles, Suppression & Publication Owner: Lead Agency Analytics Unit Operational owners: Registry/OPA/NDIA Data Stewards (per tile) Interfaces: Two-Key Register; R&W store (H/J); DSC Audits; e-Receipt store (E); Audit Log (T); Licensing/OSCE (Q); Navigator/Foundational registries; Publication service (AL) Version: S-1.4.0 · Next review due: 30 days from publication Why this matters (and why it hasn’t worked) Without standard tiles, reporting slides into narrative, exceptions stay invisible, and publication lags. Dashboards do not mix incomparable denominators, there are no weak privacy controls, and hash-verifiable provenance exist. This appendix: demonstrates shared computation rules, suppression by design, and visible change-logs tied to the audit log (T). Fast take (read this first) • Six public tiles (S-P01…S-P06) show safety, reasons, integrity, and access. • Eleven internal QA tiles (S-Q01…S-Q11) drive market quality and enforcement. • Every payload ships with: source, period, last_updated, definition_version, population, suppression_applied, hash. • Small-number suppression (<5), role-based access, and DPIA hooks are mandatory. • Publish quarterly; refresh internal QA monthly; keep a visible change-log (S-8). Scope Applies to any published or internal performance tile referenced anywhere in this paper, including NDIS Interface, DSC calibration, IDC/COORD licensing, Foundational Supports, and sanction ladders. Formats: CSV + JSON (mandatory), API optional. Rounding: 1 decimal unless stated. S-Tiles at a glance: catalogue (required set) Public tiles (publish de-identified by region/provider-family) • S-P01 two_key_coverage - % consequential decisions with Two-Key recorded. • S-P02 restraint_minutes_per_1000hrs - restraint minutes per 1,000 support hours (by hierarchy internally).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 219 • S-P03 r2r_on_time_rate - Right-to-Reasons delivered within service guarantees (%). • S-P04 navigator_coverage_rate - eligible participants with Navigator assigned or warm handover complete (%). • S-P05 foundational_access_time - median days referral → first attended foundational support (P50 & P90). • S-P06 doc_integrity_score - documentation integrity index (0-100). Internal QA & market-quality tiles (publish only in aggregate) • S-Q01 72h_review_completion_rate - % Tier-0/1 events with learning review ≤72h. • S-Q02 dsc_file_field_concordance - % sampled items where field observation matches the file. • S-Q03 licensed_scope_coverage - % safety-critical tasks performed by OSCE- licensed staff. • S-Q04 osce_pass_rate_coord_ops - OSCE/EPA pass rate for COORD/OPS licence classes. • S-Q05 coord_independence_rate - % COORD cases with no financial/managerial conflict. • S-Q06 navigator_warm_handover_rate - % COORD cases with e-receipted warm handover (where applicable). • S-Q07 time_to_second_key - median hours to valid second key on consequential decisions. • S-Q08 ops_gateway_elapsed_days - median days intake → first attended support (OPS roles). • S-Q09 mandatory_registration_uptake_sc_sil_platform - % in-scope providers transitioned to new class. • S-Q10 e_receipt_coverage - % delivered supports with dual attestation captured. • S-Q11 roster_claim_anomaly_rate - % shifts with unresolved roster↔claim discrepancies. Payload requirements (all tiles) Each record must include: tile, period, value, value_pct (if relevant), numerator, denominator, source, last_updated (ISO), definition_version (semver), population, suppression_applied (Y/N), suppression_rule_id, cell_count_min, extraction_ts, hash (Appendix T), contact_owner, notes. Provenance: Hash with Appendix T; no hard deletes; changes appear in the S-8 change-log. Definitions & computation rules (normative) • Consequential decision (Two-Key domain): acts affecting liberty, residence, psychotropic/chemical restraint, restrictive-practice authorisation/renewal, high-value AT/service changes, justice/hospital discharge to new setting.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 220 • Valid second key: IPP independence screen passed; conflicts declared; identity verified; R&W note attached; pairing timestamps recorded. • On-time reasons: per jurisdictional guarantee; clock starts at decision notification. • Warm handover: (i) handover artefact present, (ii) person/family contact recorded, (iii) first appointment booked/kept - all three required. • Documentation integrity score (S-P06): 40% e-receipt coverage; 25% author identity/time-stamp concordance; 20% contradictions resolved (I); 15% audit-log completeness (T). Weights versioned. Privacy, suppression & redaction • Cell-size rule: suppress n < 5 or where cross-tab could identify a person/location (k- anonymity ≥5). • Aggregation: public tiles at Quarter × Region/Provider-family; finer cuts restricted under role-based access. • Differencing guard: apply ±1-2% noise to small denominators; lock annual totals. • Redaction: code free-text reasons; band rare categories (<1%). • Consent & DPIA: person-level stories require consent; DPIA version noted in payload. • Small-cell suppression. Suppress any cell with n < 5 or where cross-tabbing could re-identify an individual (k-anonymity ≥ 5). Apply banding or aggregation as needed; for residual disclosure risk, add ±1-2% random noise and lock annual totals. Data-quality SLAs & validation • Timeliness: extract ≤15 days after period close; publish ≤30 days. • Completeness: mandatory fields present in ≥98% of records; e-receipt coverage target ≥85% in Y1 → ≥95% by Y3. • Concordance: DSC file-vs-field ≥90% (green) / 80-89% (amber) / <80% (red → calibration). • Reproducibility: computation notebooks and definition files versioned; reruns must reproduce values ±0.1. Roles, cadence & escalation • Data Owner: Lead Agency Analytics; Ops owners: registry stewards per tile. • Cadence: S-P tiles quarterly; S-Q tiles quarterly (dashboard) with monthly internal refresh. • Escalation: Red/amber auto-routes to Owner Matrix (Appendix Y) with due dates and DSC options. Visible change-log (S-8 tile) For every release: publish definition_version, what changed, why, comparability impact, and next review date (default 30 days). Keep prior definitions accessible with diffs.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 221
Example payloads (copy)
JSON (S-P01)
{
"tile": "two_key_coverage",
"period": "2025-Q3",
"value_pct": 78.6,
"numerator": 121,
"denominator": 154,
"source": "TwoKeyRegister+R&W",
"last_updated": "2025-09-22T11:05:00+10:00",
"definition_version": "1.4.0",
"population": "All consequential decisions finalised in quarter",
"suppression_applied": "N",
"hash": "a1f9…",
"contact_owner": "Registry Analytics <analytics@…>"
}
CSV headers (all tiles)
tile,period,value,value_pct,numerator,denominator,source,last_updated,definition_version,po
pulation,suppression_applied,hash,notes
What good looks like / Red flags
Good:
• Public site shows six S-P tiles with current quarter and prior four trend points; S-8
change-log populated; suppression marks visible; definitions link lives next to each
tile.
• Internal dashboard shows S-Q tiles with green/amber/red bands; DSC calibration
items within SLA; reproducible hashes match Appendix T.
Red flags:
• High roster_claim_anomaly_rate with flat e_receipt_coverage.
• Rising time_to_second_key in parallel with lower two_key_coverage.
• doc_integrity_score <70 for two quarters, or dsc_file_field_concordance <80.
• navigator_coverage_rate falling while SC line items are removed from plans.
Where to get help / Artefacts & Templates
• Appendix AL - Publication & Dashboard Schema (feeds, API).
• Appendix T - Audit Log Specification (hashing & trace).
• Appendix H / I / J - R&W, Contradiction Matrix, Independent-Reasoning
Certificate.
• Appendix E - Two-Party e-Receipt schema.
• Appendix Q - OSCE registry + rubrics (licensing).
• Appendix R - DPIA template & privacy hooks.
• Appendix Y - Owner Matrix & Escalation. Core paper · PDF page 222
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 222 Summary companion One page for executives: “S-Tiles at a glance” - six public metrics + three QA sentinels (S- Q02, S-Q03, S-Q11), with definitions, suppression note, and the S-8 change-log link. Use as the briefing cover for quarterly releases. Appendix T - Audit Log Specification Events, fields, retention, verification of append-only properties; external audit read-out. Owner: Integrity & Privacy Interfaces: E-Receipts (Appx E); Roster↔Claim (Appx F); Sanctions Ladder (Appx G); Dashboards & Suppression (Appx S/AL); Privacy & Feed Registry (Appx R); R&W / Matrix / IRC (Appx H-J); Workforce/IDC & OSCEs (Appx Q); Switching Protocol (Appx M); Two-Key Register (IPP); Navigator/Foundational registry. Why this matters (and why it hasn’t worked) When records can be changed without a trace, truth becomes a debate. Past systems mixed activity notes with edits, kept weak logs, or let admins rewrite history. A rigorous audit log makes decisions and payments provable: every important action is time-stamped, linked to a person, hashed, and impossible to quietly delete - and every published number can be traced to a feed (Appx R) and definition version (Appx S/AL). Fast take (read this first) • Append-only, tamper-evident journal for every safety, care, integrity, workforce, privacy and publication action. • Each event captures who/what/when/where/why/result with dual hash chains. • Feed/DPIA linkage: every event that creates or publishes data records the feed_id and dpia_id (Appendix R). • Provenance hashes on exports; monthly anchors published; public tiles list the anchor. • Least-privilege reads (with read events logged); small-cell suppression enforced at export. Scope All systems covered by this White Paper (care records, receipts/claims, investigations, decisions, dashboards, OSCEs, switching packs, privacy incidents, Navigator handovers, IPP/Two-Key).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 223 Event model (minimum fields - every event must carry these) Field Type Meaning / example event_id ULID/UUIDv7 Unique event ts ISO-8601 Event time with timezone offset actor_psn string Pseudonym of human/system actor actor_role string e.g., IDC_Lead, Supervisor, System provider_abn string 11-digit ABN (where relevant) action string See Action catalogue below subject_type string e.g., receipt, incident, decision, tile_release subject_id string ID of the thing acted on object_hash string SHA-256 of new object state/payload object_prev_hash string Prior object hash (or null on create) event_prev_hash string Hash of prior event (global chain) result string success / failure / partial reason_code string short code (e.g., CAP_RULE, PRIV_SCAN) diff_summary string ≤240 chars human-readable change note (no PII) correlation_id string Trace ID across services/batches session_id string UI/session correlation device object platform, app_version, ip_hash, geo_coarse(optional) feed_id string Registry ID from Appx R (e.g., R-E01) or “na” dpia_id string DPIA record/version for this flow definition_version string Metric/logic SemVer (tiles, checks) anchor_ref string YearMonth anchor this event will roll into (YYYY-MM) Clock & ordering: servers must NTP sync (≤±2s drift). For burst writes, include a monotonic sequence per subject to preserve order. Action catalogue (grouped) Security & access • login, logout, password_reset, mfa_enrol, role_grant, role_revoke, consent_viewed, read (sensitive read), break_glass_read Records & workflow • create, update, delete_request (tombstone), restore, attach, detach, export_bundle, share_link_create Integrity & finance • receipt_submit, receipt_attest, crosscheck_run, exception_raise, exception_resolve, claim_hold, claim_release Safety & quality
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 224 • incident_log_create, restraint_time_start, restraint_time_stop, review_72h_booked, fadeplan_update Decisions & governance • rw_issue_list_set, rw_evidence_weight_set, cm_conflict_resolve, irc_signoff, sanction_stage_set, publication_release, publication_correct, s8_change_note_issued Workforce • osce_result_recorded, epa_level_set, scope_change_set Switching & handover • switch_exit_pack_issued, switch_entry_pack_loaded, med_recon_complete, navigator_warm_handover_logged Privacy • dpia_approved, breach_logged, subject_access_provided, erasure_request_recorded, small_cell_scan_run, suppression_applied Vendors may extend verbs, but must map to a parent group above. Integrity requirements (tamper-evidence) 1. Append-only storage (WORM or equivalent). 2. Dual hash chaining o Per-object chain: every change to a subject carries object_prev_hash. o Journal chain: every event carries event_prev_hash. 3. Monthly anchor o Compute Merkle root of month’s events; sign; publish anchor + signature; store off-site. 4. Signed exports o Any bundle (e.g., receipts, decision pack, tile release) includes a provenance hash + anchor reference. 5. Reconciliation o Random audit compares log trails to DB states; mismatches escalate via Owner Matrix (Y). Privacy & safety rules (log smart, not everything) • Pseudonymous IDs; identity directory held separately with strict access. • Store ip_hash (salted/rotating), not raw IP; geo_coarse only when necessary. • diff_summary must never include names/health details. • All reads are logged; break_glass_read auto-notifies Privacy Lead + (where safe) the person/rep.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 225 • Publication exports must run small-cell scan and record suppression_applied with definition_version (Appx S/AL). • Each event that writes to a dataset must carry feed_id and dpia_id (Appx R). Events without them are rejected (except security/auth). Retention & deletion • Default retention: 7 years (align to statute). • Serious incidents/decisions: 25 years. • Auth logs (login etc.): 2 years minimum. • Deletion is logical (delete_request); physical purge only when required by law with DPO sign-off → erasure_request_recorded + erasure certificate artifact. Search & reports (minimum queries systems must support) • Who changed X and when? (by subject_id; show object/journal chains). • Everything actor Y did in period Z (by actor_psn). • Show the chain of a decision (link irc_signoff, R&W weights, Matrix, sanction stage). • Receipts altered after submission (flags for back-dating). • Publication corrections (what/when/reason/provenance). • OSCE/EPA changes (scope adjustments + reasons). • Switching pack access (who viewed/downloaded). • Feed lineage: list events for feed_id = R-E01 between dates; show dpia_id + definition_version. • Suppression audit: list small_cell_scan_run and suppression_applied for tile releases. Indexes: subject_id, actor_psn, action, ts, feed_id, correlation_id. API surface (reference - vendors must implement) • POST /audit/events (append one or batch; reject edits; require feed_id/dpia_id when applicable) • GET /audit/events?subject_id=…&from=…&to=… • GET /audit/anchors/:yyyymm (anchor + signature) • POST /audit/export (criteria → signed bundle + provenance hash) • GET /audit/feeds/:feed_id/lineage?from=…&to=… (feed-scoped view) All endpoints: service-to-service auth; MFA for consoles; rate limits. Publishing & provenance • Every dashboard release, sanctions notice, Navigator metric, or public correction must log publication_release (or publication_correct) with definition_version, feed_id, and a provenance hash that resolves to the month’s anchor. • Family-view exports include a short plain-English provenance: “Generated 12 Sep 2025 from receipts v1; anchor 2025-08; hash …”.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 226 What good looks like / Red flags Good: every important action has an ordered trail; anchors verify; exports are reproducible; feeds link to DPIAs; suppression logged; auditors can answer “who/what/when/why/from which feed” in minutes. Red flags: admins can edit without logs; back-dated batches; missing anchors; diff_summary leaks PII; changed tile definitions without s8_change_note_issued; reads unlogged. Micro-scenarios (worked) • Back-dated receipts: 30 tele-receipts appear at once. Log shows receipt_submit with same device/app and submitted_at >48h. Cross-check flags; Governance sees the trail; payment hold initiates. • Decision changed after sign-off: Manager attempts edit; system blocks; requires irc_signoff addendum referencing prior hash. Public page shows “Updated” with change reason. • Dashboard correction: Safety denominator error. publication_correct links to prior release hash; S-8 change note logged; page updates within 72h. • Suppression proof: Public tile release triggers small_cell_scan_run + suppression_applied; auditor queries by feed_id=R-AL01 and confirms definition_version + anchor. • Navigator handover: navigator_warm_handover_logged for person P; later complaint prompts read audit showing who accessed the pack and when. Quick scripts • To a provider manager: “If an action isn’t in the audit log, it didn’t happen. Work inside systems that log every change.” • To a family: “Your history bundle comes with a fingerprint (hash) tied to a public anchor - anyone can check it wasn’t altered.” • To a vendor: “Append-only journal, dual hash chains, monthly anchor, feed/DPIA linkage, and suppression logging - no silent edits.” Where to get help / Artefacts & Templates • Audit Event Schema (JSON) with enumerated actions • Anchoring & hashing guide (Merkle root + publication pattern) • Provenance export format (bundle + hash manifest) • Access & role matrix (who can read what) • Query cookbook (sample SQL/DSL) • Erasure certificate form & SOP • Privacy guardrails (ip_hash, geo_coarse, no-PII diffs) • Feed Registry cross-walk (Appendix R IDs ↔ systems)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 227 Summary companion. The audit log is the backbone of truth-by-design: append-only records, hash chains and anchors; feeds and DPIAs linked; suppression logged; provenance on every public number. That is how this system earns trust. Appendix U - Red-Team Scenarios & Reports Fraud ring, data breach, provider failure & mass switching, restraint spike, interpreter failure; report template and close-out tracker. Owner: Governance & Integrity Interfaces: Safety & Restrictive Practices; Reasons & Weighting / IRC; E-Receipts & Cross- Checks; Dashboards & Publication; DPIA; Workforce/IDC & Tele-OSCE; First Nations Partnership; Rural Micro-Hubs; Complaints & Appeals. Why this matters (and why it hasn’t worked) We usually discover weaknesses after people are harmed or money is lost. Internal audits check paperwork, not reality. Red-teaming uses safe, authorised tests to probe the system like an adversary or a stressed shift would - so we fix holes before they become incidents. Fast take (read this first) • Run quarterly red-team exercises plus spot tests after big changes. • Use pre-approved scenarios (below) with clear rules of engagement and privacy gates. • Every exercise ends with a Plain-English report: what we tried, what broke, how to fix it, and by when. • Findings route into CAPs, dashboards, and (if needed) the Sanctions Ladder - with no retaliation against whistleblowers. Scope Covers people safety, integrity/claims, access/consent, privacy/publication, workforce competence and rural delivery. Applicable across home, community, tele, ED/health, micro- hubs and switching events. Program setup (minimum) • Governance sponsor & red-team lead named; annual plan approved. • Rules of engagement (RoE): safety first; no real harm; minimal data; revert steps ready. • Safeguards: DPIA completed for any data capture; pseudonym keys; small-cell protection in reports. • Hotline & safe email for staff/families to suggest scenarios; protections from retaliation.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 228 • Tracking: each finding becomes an action with owner/date; closure verified. Scenario library (pick 4-6 per quarter) A) Safety & practice 1. Timing honesty test: Can restraint start/stop be missed or altered without detection? 2. 72-Hour Review pressure: Will a review slip past 72h without an alert? 3. PRN drift: Will a sedative be recorded as routine PRN instead of chemical restraint? B) Integrity & finance 4. Roster-receipt mismatch: Attempt to claim 120 minutes against a 90-minute receipt. 5. Batch-after-the-fact: Try submitting 20 receipts offline beyond the policy window. 6. Overlap session: Double-book a worker across two people. C) Communication access & consent 7. Interpreter skipped: Hold a plan change without interpreter/Auslan despite trigger. 8. AAC absent: Arrive to ED without the device; test whether a back-up is offered and recorded. D) Privacy & publication 9. Small-cell leak: Try to publish a tile where num <5; check suppression and complementary suppression. 10. Unlogged export: Attempt to export a history bundle without an audit event. E) First Nations & cultural safety 11. Protocol bypass: Schedule during Sorry Business; test whether the Cultural Plan/MOU halts and re-routes. 12. Language mis-match: Request a community language interpreter and check time-to- fill. F) Rural & micro-hub 13. Link failover: Drop primary internet mid tele-OSCE; test integrity checklist and fairness extensions. 14. Staffing thin-ice: Remove IDC lead; see if roster locks high-risk tasks. Add local scenarios as needed; keep the RoE updated. Execution protocol (how to run a scenario) 1. Brief & authorise: governance sponsor signs the RoE; notify emergency contacts. 2. Prime the safety net: designate observers; define hard stop conditions. 3. Run the scenario: follow steps; record timestamps, screenshots (sanitised), and logs. 4. Restore state: undo any temporary changes; confirm normal operations.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 229 5. Debrief the same day: capture what worked/failed; draft the one-page summary. 6. File evidence: to the audit log with a provenance hash. Scoring rubric (rate each finding) • Severity (S): impact if real (Low/Med/High/Critical). • Exploitability (E): effort to trigger (One-click / Some skill / Complex). • Reach (R): how many people/sessions it could affect (Few / Many / Sector). • Fix readiness (F): we can fix now (High) vs needs system change (Low). Priority = S + E + R (4-point scale mapped to colours). Use F to choose the owner and timeline. Report format (one page + evidence bundle) Header: scenario ID & name • date • team • RoE link • DPIA ref • provenance hash What we tried (≤5 lines) What happened (facts & timestamps) What should have happened Why it matters (risk in plain English) Priority & scores (S/E/R/F) Actions (owner/date/verification) Lessons (1-3 lines) All attachments are de-identified and hashed; public summaries avoid small-cell risk. Roles & responsibilities • Red-team lead: runs scenarios, keeps RoE, files to audit log. • Observer(s): watch for safety/privacy; can pause. • System owner(s): receive actions and report closure. • Governance panel: reviews monthly; escalates to Sanctions if repeat or severe. • Comms lead: prepares plain-English notes for staff/families where appropriate. What good looks like / Red flags Good: regular, safe tests; quick, specific fixes; clear notes on the dashboards; no blame for reporting; repeat failures drop. Red flags: tests blocked; findings buried; same hole every quarter; retaliation against staff who raised concerns. Micro-scenarios (worked) • E-receipt decline loop (E7): Red-team “family” declines three receipts. Courtesy- check fires; supervisor resolves two; one remains and blocks payment - Pass.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 230 • Suppression bypass attempt: Publishing a suburb tile would reveal one family. System applies suppression and complementary suppression - Pass. Method note improved. • Interpreter skipped in plan change: Team proceeds without Auslan. Red-team flags; IRC later shows “Fail (Lawfulness/Candour)”. Action: booking rule in system, dashboard tile added - Fixed in 10 days. • Back-dated batch: 25 tele claims appear with identical minutes. Cross-check + Audit Log catch it; targeted hold triggers; provider coached; match-rate recovers - Closed. Quick scripts • Invite to staff: “Help us break the system safely so it protects people better. No blame - just fixes.” • To families: “We test our systems like seatbelts. If we find a flaw, we fix it and tell you what changed.” • To a provider manager: “If a finding repeats next quarter, it escalates to the sanctions ladder.” Privacy & ethics • Minimise personal data; use test accounts where possible. • Never simulate harm without explicit safeguards. • Reports carry no names; identifiers replaced by pseudonym keys. • First Nations scenarios are co-designed with the local cultural authority; publication wording reviewed. Where to get help / Artefacts & Templates • Red-Team RoE pack (authorisation, hard stops, contacts) • Scenario cards (A-F above, step-by-step) • One-page report template (with S/E/R/F scoring) • CAP tracker (owner/date/verification; dashboard feed) • Debrief checklist (facts, why, fix, lesson) • Whistleblower & anti-retaliation notice • Provenance & hashing script (attach to audit log) Summary companion. Decisions rely on the governing sections named in Governance & Integrity, Safety & Restrictive Practices, Truth-by-Design, DPIA and Public Reporting policies.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 231 Appendix V - Peer Calibration Rubrics & Quality Summary Template Double-rating sheets (IDC observation, review quality, receipt candour, R&W structure); quarterly quality summary layout. Owner: Quality & Independent Verification Interfaces: Reasons & Weighting (Appx H); Contradiction Matrix (Appx I); IRC (Appx J); Workforce/OSCEs (Appx Q); Sanctions Ladder (Appx G); Dashboards & Suppression (Appx S); DPIA (Appx R); Audit Log Spec (Appx T); Red-Team (Appx U). Why this matters (and why it hasn’t worked) Different reviewers have reached different outcomes on the same facts. OSCE examiners score unevenly. Families call this “postcode justice.” Calibration fixes this by scoring the same cases together, using clear rubrics, checking agreement, and then tightening the rules or retraining where drift appears. Fast take (read this first) • Calibrate monthly for each stream: Decisions (R&W/IRC), OSCE examiners, and Safety Logs. • Use a 5-case pack per stream; score blind, then compare. • Targets: ≥80% agreement on critical items and kappa ≥0.60 (substantial) across raters. • Write a one-page Quality Summary with results, top errors, fixes and owners. • If below target → immediate micro-training + re-check within 14 days. • File packs, scores and summaries to the audit log with a provenance hash. Scope All reviewers, examiners, chairs and supervisors who make or quality-check decisions, mark OSCEs, or sign off restrictive-practice logs. Rubrics (score 0-3 unless marked “critical”) 0 Not done/unsafe • 1 Weak/partial • 2 Acceptable • 3 Strong/best practice Items in bold are critical: a 0 = automatic “Not acceptable” for the case/station. A) R&W / IRC Decision Rubric (per case) Criterion 0 1 2 3 Issues listed first none vague or mixed with findings clear list but incomplete clear, complete, numbered Evidence table & weights (0-4) none some items unweighted all weighted, brief reasons weighted + consistency checks noted
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 232 Criterion 0 1 2 3 Contradictions resolved (principles cited) none gesture to conflict only principles listed; decision stated principles + ≤25-word reason per conflict; confidence recorded Applied tests (necessity, least- restrictive, lawfulness, candour, privacy) none partial or misapplied all applied applied with precise evidence IDs Findings cite Evidence IDs & weights none some citations all cited all cited + clean numbering (≤5) Actions are specific + owner + date + verification none vague (“be vigilant”) specific with owner/date specific + verification step fits the finding Plain-English Reasons (≤140 words) missing/jargon long or unclear clear & respectful clear + accessible format noted (interpreter/AAC) Privacy/DPIA respected breach risk not addressed minimum data + no names plus suppression/publication notes if relevant Critical fails: no issues list; no evidence IDs in findings; no actions/verification; privacy breach. B) Contradiction Matrix Rubric (per conflict row) Criterion 0 1 2 3 Conflict is atomic & plain blended broad single point single point + narrow tag (time/method/law) Principles used (by number) none 1 weak ≥2 relevant ≥2 + short why (≤25 words) Preferred item stated missing implied stated stated + confidence + follow-up if <High C) OSCE Examiner Calibration (per station) Criterion 0 1 2 3 Critical items applied consistently not aligned often off mostly aligned fully aligned across raters (≥90%) Timing & integrity (checklist, identity, dual cam if tele) gaps minor misses complete complete + clean notes Feedback style (brief, specific, safe) missing generic specific specific + next step Accessibility (interpreter/AAC, fair extensions) ignored ad-hoc provided provided + recorded Station acceptability rule: any examiner marking a critical pass where others mark fail → flagged for re-brief and re-check. D) Restrictive-Practice Log & Timekeeping (spot-check rubric)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 233 Criterion 0 1 2 3 Start/stop timed (ISO or hh:mm) none one end only both ends both ends + seconds or device time Alternatives tried (green→amber order) none vague listed listed in order that matches Fade Plan Authoriser captured none late on time on time + contactable 72-Hour review booked no >72h ≤72h ≤72h + summary filed Running a calibration session (60-90 minutes) 1. Pick the pack: 5 recent, de-identified cases/stations/logs (mix easy/hard). 2. Blind score (20-30 min): everyone completes rubrics solo. 3. Compare & compute (10 min): show % agreement and kappa; mark drifts. 4. Discuss (20 min): where did ratings split? tie back to standards. 5. Decide fixes (10 min): update examples, tighten wording, plan micro-training. 6. Record & file (5 min): Quality Summary + actions → audit log with hash. Measures & thresholds Metric Target Escalation Agreement on critical items ≥ 80% <80% → retrain + re-check in 14 days Overall kappa (per stream) ≥ 0.60 <0.60 two months running → governance review Rework rate (decisions returned) ↓ over quarter spike → cause analysis in next calibration Time to close actions from calibration ≤ 30 days overdue → Sanctions Stage 1 (internal) Quality Summary - One-Page Template (publish internally) Header: Month • Stream (Decisions / OSCE / Logs) • Team • Provenance hash Results (traffic lights) • Critical-item agreement: __% (Target ≥80%) • Kappa: __ (Target ≥0.60) • Cases/stations scored: __ Top 3 drifts 1. 2. 3. Fixes decided • Rule/wording change: __________________ (owner/date) • Micro-training: ________________________ (owner/date) • Example library update: ________________ (owner/date)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 234 Good practice examples (IDs) • Risks & notes (≤4 lines) Sign-off: Lead / Date • Filed to audit log (event ID ______) What good looks like / Red flags Good: clear rubrics; same facts → same score; fast micro-training; fewer reworks; families see consistent reasons. Red flags: scoring by seniority; long debates without rules; kappa never computed; actions not closed; repeat drift in the same area. Micro-scenarios (worked) • Dueling findings: Two reviewers split on “least-restrictive”. Matrix shows video (E01, w4) outweighs late note (E02, w2). Agreement rises to 92% after adding that example to the pack. • OSCE drift: One examiner passes candidates who miss the “start/stop timing” critical. Re-brief + shadowing fixes alignment the same month. • Log gaps: Authoriser field often blank. Calibration triggers a log redesign + coaching; blanks drop by 70% in 6 weeks. Quick scripts • Invite: “Same facts should lead to the same score. We’ll test ourselves together and tighten the rules where we drift.” • Close-out: “Here’s the one-page summary: what split, what we fixed, and who owns it by when.” Where to get help / Artefacts & Templates • R&W/IRC Calibration Rubric (0-3 with critical fails) • Contradiction Matrix mini-rubric • OSCE Examiner calibration pack (station keys + marking guide) • Restrictive-Practice Log spot-check sheet • Kappa & agreement calculator (spreadsheet/CSV headers) • Quality Summary one-pager • Example library (good/poor anonymised cases)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 235 Summary companion. Decisions rely on the governing sections named in Independent Verification, Workforce/IDC, Truth-by-Design, DPIA and Governance policies. Appendix W - Evaluation Access Protocol Dataset inventory, privacy conditions, lineage map (capture→transform→tile), right-to- publish clauses. Owner: Evaluation & Governance Interfaces: DPIA (Appx R); Privacy & Audit Log (Appx T); Dashboards & Suppression (Appx S); First Nations Partnership (Appx O); Interpreter/Auslan/AAC Toolkit (Appx N); Family View & E-Receipts (Appx E); R&W / IRC (Appx H-J); Switching Protocol (Appx M). Why this matters (and why it hasn’t worked) Evaluations have arrived with clipboards, big promises and vague permissions. People are asked the same questions twice, raw data walks out the door, and results come back a year later - if at all. This protocol gives clear, fair access that protects privacy, respects culture, and still lets independent evaluators see what’s real and feed fixes back quickly. Fast take (read this first) • Access is tiered (A-E) and purpose-based. Start at the lowest tier that works. • Consent is real: accessible, recorded, revocable; interpreters/AAC offered. • Data minimised: pseudonym keys, suppression, secure “data room”, no raw exports without approval. • Independent & transparent: ethics approval, conflicts declared, methods pre- registered; share a Plain-English summary back to participants. • Everything logged in the audit log; DPIA approved before fieldwork. Scope All external and internal evaluations, audits, research collaborations and pilots that touch people, records, or operational data across any setting. Access tiers (A-E) - use the lowest tier that meets the question A. Public (no application needed) • What: published dashboards & method notes (Appx S), policies, anonymised case examples. • Use when: high-level benchmarking, trend sense-check.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 236 B. Participant-consented “Family View” • What: the person/representative shares their own history (receipts, plans, outcomes). • Access: in the room with them; no copies unless they request a download. • Record: consent mode, timestamp, who saw what. C. On-site provider records (supervised) • What: read-only access to specified files; screen-share or supervised read. • Controls: no screenshots; notes de-identified; extracts requested via DPO route. • Use when: you need context behind events or to verify procedures. D. Secure data room (de-identified dataset) • What: pseudonym keys; coarse geography; small-cell suppression; date lags; k- anonymity. • Controls: virtual desktop; queries run server-side; outputs scanned for suppression; no USB / email out. • Use when: quantitative analysis is needed across many people or sites. E. Identified observation/interview (with consent) • What: interviews, focus groups, shadowing, OSCE observation. • Controls: Interpreter/Auslan/AAC as needed; optional audio/video only if DPIA allows; recordings stored encrypted with set retention. • Use when: the evaluation question needs lived experience or practice observation. Escalation rule: if a lower tier won’t answer the question, justify the move up in the DPIA and get approval. Consent & participation (make it real) • Offer access supports (Interpreter/Auslan/AAC); use teach-back. • Plain-English consent must state: what, why, who sees it, retention, withdrawal path, and that services don’t depend on saying yes. • Record: mode (tap/PIN/biometric/verbal-witnessed/alt-comm), date/time, and any limits (topics off-limits, “no recording”, etc.). • First Nations: follow the MOU & Cultural Plan (Appx O); community consent may be required for community-level data or publication wording. Quick consent script (plain): “We’re evaluating how well this service works. You can say yes or no. If yes, we’ll look at [describe tier], keep the minimum data, and share a short summary with you. Saying no won’t change your supports.” Apply for access (what evaluators submit) 1. Purpose & questions (1-2 pages, plain English).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 237 2. Access tier(s) requested and why lower tiers won’t do. 3. Method & sampling (who, how many, how chosen; power & equity notes). 4. Ethics & independence (committee approval or exemption; conflicts of interest). 5. DPIA (Appx R) with data inventory & controls. 6. Consent materials (Plain-English + Easy Read; interpreter/Auslan availability). 7. Return-of-results plan (what participants get back, when). 8. Data handling (storage, retention, publication rules). 9. Team (roles, checks, cultural brokers if applicable). Turnaround: triage in 5 business days; decision/conditions within 15 (complex items may need panel review). Sampling & fairness rules • Minimum burden: avoid duplicate asks; re-use existing data where valid. • Equity: include people who use interpreters/AAC; offer after-hours/remote options; reimburse time/transport. • Do no harm: avoid recruitment via workers who hold power over the person; provide a safe decline path. • First Nations: co-design sampling with the local ACCO/cultural authority. Data handling & security (all tiers C-E) • Pseudonym keys only; names live in a separate directory. • Small-cell suppression and rounding rules (Appx S) for any published crosstabs. • Provenance: analysis bundles hashed; codebooks/versioning recorded. • No raw exports from data room; approved aggregates only; complementary suppression applied. • Audit log every access/query/export (Appx T). • Retention: keep the minimum for the minimum time; set auto-purge. Interviews & observation (E-tier) - minimum protocol • Environment: private, quiet; the person chooses who’s present. • Access: Interpreter/Auslan/AAC set up; yes/no method confirmed. • Topics: explain sensitive areas; allow “skip” on any question. • Recording: only with consent & DPIA; stop immediately if asked. • Safety: if harm risk appears, pause and follow the practice escalation path. • Debrief: give contact for questions/withdrawal; advise on complaints path. Independence & publication • Pre-register key outcomes & analysis plan (or note why not). • Declare conflicts (funders, roles, relationships). • Plain-English summary (≤2 pages) must be returned to participants/families and posted with the report.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 238 • Small-cell & cultural review for any public wording (Appx S & O). • Right of reply: providers can correct facts (not opinions) before final release; responses logged. What good looks like / Red flags Good: lowest viable access tier; real consent with supports; de-identified analysis in a secure room; timely, plain-English feedback; community protocols followed; full audit trail. Red flags: “give us everything” requests; family used as interpreters; raw data emailed; findings without suppression; no summary back to participants. Micro-scenarios (worked) • Quick study using existing data (Tier D): Evaluator analyses participation trends in the data room; exports rounded tables with suppression; two privacy risks found and fixed; 2-page summary sent to families. • Interview on switching (Tier E): Person chooses Auslan + DI; AAC board used; no recording by choice; notes de-identified; summary paragraph shared with the person for member-check. • Cultural review before publication: Draft includes a suburb map; ACCO requests aggregation to district; wording updated; report released with a cultural note. Quick scripts • To an evaluator (triage): “Start with Public/Family View. If that won’t answer your question, show us why in your DPIA and we’ll consider Tier C-E.” • To a participant: “You can read or hear a short summary of what we learned. If you want a copy of your own data, we’ll help you get it.” • To a provider manager: “Evaluation can’t hold up care or billing. If we need a data fix, we’ll route it through governance while supports continue.” Where to get help / Artefacts & Templates • Evaluation Access Request form (purpose, tiers, DPIA link, ethics, conflicts) • Plain-English & Easy Read consent packs (with interpreter/Auslan options) • Data room user agreement (no raw exports; suppression checks) • Participant summary template (≤2 pages; multi-language/Auslan/audio) • Sampling & equity checklist • Cultural review checklist (with ACCO sign-off) • Provenance & audit checklist (hashes, event IDs) Summary companion. Decisions rely on the governing sections named in DPIA & Privacy, First Nations Partnership, Truth-by-Design, and Independent Verification policies.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 239 Appendix X - ROI Workbook Notes & Assumptions Register Parameter list (unit costs, effect sizes, lags, discount rate); change log; sensitivity guidance. Owner: Finance & Governance Interfaces: Dashboards & Suppression (Appx S); E-Receipts (Appx E); Roster↔Claim Cross-Checks (Appx F); Workforce/IDC & OSCEs (Appx Q); DPIA (Appx R); Audit Log Spec (Appx T); Evaluation Access (Appx W); Red-Team (Appx U); Switching Protocol (Appx M). Attached excel workbook. Why this matters (and why it hasn’t worked) “Benefits” have been claimed without showing the maths or the assumptions. Costs were counted, but not avoided re-work, reduced travel, fewer incidents, or faster assessments. This appendix makes return-on-investment traceable: a small set of measures fed by receipts and logs, a plain register of assumptions, and repeatable rules that avoid double-counting. Fast take (read this first) • Three benefit types: 1. Cash-releasing (real $$ outlays drop). 2. Cost-avoided (likely $$ pressures prevented). 3. Impact index (non-$ improvements that still matter). • Keep one baseline window and one change window (e.g., baseline = prior 6 months; change = last 6). • Link numbers directly to receipts, cross-checks, OSCE results and dashboards. • Record every valuation in the Assumptions Register with source, bounds and owner. • Show NPV, BCR, payback months with sensitivity (Low/Default/High). • Privacy: publish provider-level ROI only; no person-level stories without consent. Scope All initiatives in this paper (e-receipts, cross-checks, participation scheduling, interpreter/Auslan/AAC, rural micro-hubs, OSCE & IDC uplift, publication). Use with provider pilots and sector roll-outs. What counts (definitions & examples) A) Costs (separate one-off vs ongoing) • Staff time (set-up, training, running cross-checks, courtesy-checks) • Interpreter/Auslan & AAC spend • OSCE delivery & remediation time • Micro-hub kit, connectivity, venue fees • Software, hosting, support, change management • Governance/compliance effort (sanctions, publication) • Switching support (temporary overlap, travel)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 240 B) Benefits Cash-releasing • Reduced travel km/hrs (micro-hubs, better routing) • Fewer cancelled sessions (backup plans; schedule quality) • Lower rework/admin minutes (e-receipt automation; cross-check pass) Cost-avoided • Over-claim prevention/repayments avoided (match-rate ↑) • ED visits/incidents avoided (communication access; de-escalation) • Agency/legal costs avoided (clear reasons; fewer appeals) Impact index (publish, not monetise) • Restraint minutes ↓ • Participation variety/role depth ↑ • Time-to-OSCE / staff in-scope ↑ • Complaints resolved inside standard ↑ Rule: use cash-releasing for hard $$, cost-avoided when evidence shows strong likelihood, and index when monetisation would be speculative. Measurement notes (how we compute) 1. Baselines & windows o Choose windows that avoid season spikes (e.g., rolling 90d for safety; 28d for integrity). o Baseline = last stable period before change; Change = most recent period after change matured. 2. Attribution & deadweight o Attribution = share of improvement due to this initiative. Default 0.6 (60%) unless stronger design (e.g., stepped-wedge, red-team control) supports more. o Deadweight = improvement that would’ve happened anyway. Default 0.2 (20%). o Drop-off (benefit fade) per year: default 0.15 (15%) unless refreshed by policy. 3. Avoid double-counting o If you monetise “admin minutes saved”, do not also monetise the same minutes as travel saved. o If ED avoidance is counted, don’t add the same minutes as “incident admin saved”. 4. Discounting & inflation o Real terms. Discount rate d = [POLICY] (e.g., 3-7%). CPI applied to cost lines only. 5. Rounding & suppression o Use Appx S rules for public numbers; internal workbook can keep exacts.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 241 Formulas (used in the workbook) • Change in metric (Δ) = value_change_window - value_baseline • Net attributable change = Δ × (1 - deadweight) × attribution • Annualised benefit = net attributable change × unit valuation × (1 - drop-off) • NPV = Σ (benefit_t - cost_t) / (1 + d)^t • BCR (benefit-cost ratio) = Σ benefit_t / Σ cost_t • Payback months = months until cumulative (benefit - cost) ≥ 0 Unit valuation examples live in the Register (e.g., $ per km, $ per cancelled session, $ per avoided ED visit). Assumptions Register (what every line must include) Field What to enter Code Short ID (e.g., VAL_TRAVEL_KM) Definition What this assumption values or sets Unit $, %, km, min, rate, etc. Default Default value used in “central” case Low / High Sensitivity bounds Type Cash-releasing / Cost-avoided / Index Source Dataset, study, tariff, or policy note Evidence strength High / Medium / Low Owner Role/name responsible for this assumption Next review Date Linked KPI Tile or metric (Appx S code) Notes / change-log Why it changed; decision ID (audit log link) Starter list (illustrative defaults - set locally in AA) • VAL_TRAVEL_KM (Unit $/km): Default 0.78 | Low 0.60 | High 1.10 | Source: fleet/ATO mix | Type Cash • VAL_CANCELLED_SESSION (Unit $/session): 45 | 30 | 70 | Source: payroll + overhead | Cash • VAL_ADMIN_MIN (Unit $/minute): 0.70 | 0.50 | 1.00 | Source: blended wage | Cash • VAL_ED_VISIT_AVOIDED (Unit $/visit): 820 | 600 | 1500 | Source: local health tariff | Avoided • ATTR_DEFAULT (Attribution %): 0.60 | 0.40 | 0.80 | Source: method note | Meta • DEADWEIGHT_DEFAULT: 0.20 | 0.10 | 0.30 | Meta • DROPOFF_DEFAULT: 0.15 | 0.10 | 0.30 | Meta • DISCOUNT_RATE: 0.05 | 0.03 | 0.07 | Finance policy | Meta (Populate the full table in Appendix AA; each line gets an owner and review date.) Worked mappings (data → benefit lines) • Cross-check match-rate ↑ → Over-claim prevention o Δ = pass_rate_change × claims_volume × avg_claim_value × ATTR
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 242 • Cancellations ↓ (from schedule + backup plans) → Sessions saved o Δ sessions × avg minutes × VAL_ADMIN_MIN (or tariff) • Travel km ↓ (micro-hubs) → Fuel/vehicle hours saved o Δ km × VAL_TRAVEL_KM • Time-to-OSCE ↓ / currency ↑ → Incidents avoided (risk proxy) o Δ currency × risk reduction factor × VAL_ED_VISIT_AVOIDED (if evidenced) • Interpreter/Auslan/AAC use ↑ → Contested decisions ↓ / sedation avoided o Δ contested-rate × case volume × cost-avoided tariff (if evidenced) • Restraint minutes ↓ → Impact index (publish; do not monetise unless approved) How to run the workbook each month (10 steps) 1. Lock the period (period_end = last day of month). 2. Pull inputs from tiles (Appx S) + receipt/claim extracts. 3. Validate counts against provenance hash; re-run if mismatched. 4. Compute Δ vs baseline; apply attribution & deadweight. 5. Apply valuations from the Register (central case). 6. Roll NPV/BCR/payback over 12-24 months. 7. Run sensitivity (Low/High bounds). 8. Create one-page ROI summary (see below). 9. File workbook & summary to audit log (event + hash). 10. Publish provider-level summary (safe aggregates only). One-page ROI Summary (internal; publishable with suppression) Header: Initiative • Provider/Region • Period end • Provenance hash Costs (this period): $____ one-off | $____ ongoing Benefits: Cash-releasing $____ | Cost-avoided $____ | Impact index: list (no $) NPV / BCR / Payback: $____ | . | __ months Top drivers: (1-3 lines) Assumptions changed: Codes & reason (from Register) Risks & notes: small-cell, attribution caveats Sign-off: Finance • Governance • Practice lead • Date What good looks like / Red flags Good: all benefits trace to data; assumptions owned and reviewed; sensitivity shown; ROI improves as operations stabilise; public note is short and honest. Red flags: “soft” benefits monetised without source; double-counting; person-level publication; moving baselines; missing hashes; BCR quoted without costs. Micro-scenarios (worked) • Micro-hub pilot: 1,800 km/month travel saved; cancellations down 22%; OSCE currency +15 pts. Central case: BCR 1.7, payback 7 months.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 243 • Interpreter uplift: Fulfilment +30 pts; contested decisions -40%. Cash costs rise slightly; cost-avoided from appeals/ED trips bigger → BCR 1.3. • Cross-check deployment: Match-rate up to 98.8%; over-claim prevention $__/mo; admin minutes down 12%. Payback 3 months. Quick scripts • Board: “This is conservative: cash first, cost-avoided second, impact shown as an index. Every dollar has a source and a hash.” • Provider: “If you keep cancellations down and travel local, the model pays for itself inside a year - here’s where the savings land.” • Public note: “We report savings only when the maths is traceable and privacy-safe.” Where to get help / Artefacts & Templates • Assumptions Register (CSV headers + example lines) • ROI workbook shell (inputs, formulas, sensitivity toggles) • One-page ROI Summary (fillable) • Valuation library (unit costs/tariffs, evidence strength) • Attribution guide (stepped-wedge, DiD, red-team controls) • Double-counting checklist • Provenance & filing checklist (hashes, audit events) Summary companion. Decisions rely on the governing sections named in Finance policy, Truth-by-Design, DPIA, Audit Log and Public Reporting rules. Appendix Y - Owner Matrix & Escalation Playbook Owner: Governance & Operations (Accountable Executive: Director, Operations) Interfaces: Safety & Restrictive Practices; Minimum Investigation Standard (MIS); Reasons & Weighting (Appx H); Contradiction Matrix (Appx I); IRC (Appx J); DPIA (Appx R); Dashboards & Suppression (Appx S); Audit Log Spec (Appx T); Sanctions Ladder (Appx G); Evaluation Access (Appx W). Why this matters (and why it hasn’t worked) When ownership is fuzzy and escalation paths are unclear, serious issues stall, people stay at risk, and fixes drift. Past playbooks doubled-up roles, set no response times, and rarely closed the loop. A single owner per decision area, clear severity levels, and tight close-out rules make responses fast, fair and auditable. Fast take (read this first)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 244 • One accountable owner (A) per decision area. Never more than one “A”. • Four severity bands (S0-S3) with fixed response times and who leads. • Stop-rules trigger an immediate fix-forward sprint. • Close-out requires MIS checklist + R&W summary + actions with owners/dates. • Everything logged to the audit log with a provenance hash. Scope All providers and settings under this White Paper: incidents, safety practices, privacy events, integrity exceptions, workforce scope/OSCE currency, publication errors, and rural continuity issues. Key terms (plain) • Owner (A): single person accountable for outcomes; may delegate work, not accountability. • Responsible (R): the doers (team/role running the task). • Consulted (C): inputs shape the decision. • Informed (I): must be told; don’t decide. • S-level: severity band that sets timers and leadership. • Stop-rule: pre-agreed condition that pauses business-as-usual and starts the playbook. Escalation ladder (S0-S3) Level Typical triggers (examples) First response time Lead on scene S0 - Critical Life-threatening risk; sentinel restraint/sedation; medication error with harm; missing person; major privacy breach (raw PII) Immediate (0-15 min) Site Incident Lead → On-call Manager; A notified ≤30 min S1 - High Emergency restraint; repeated seizure rescues above threshold; mealtime/IDDSI failure; supervision lapse; serious complaint 60 min On-call Manager; A joins ≤2 h S2 - Medium KPI breach x2 days (e-receipt <85%, incident timeliness <95%); documentation-integrity fail; preview data errors By end of day Functional Lead; A reviews ≤24 h S3 - Low Single breach with no immediate risk; small data/roster mismatches; complaints resolved same day ≤2 business days Team Lead; weekly review by A Auto-promote if unsure. S-level can only be downgraded by the A after facts are recorded. Stop-rules (pre-wired triggers) Start the playbook immediately and brief the A when any occur: • Sentinel event (choking, severe injury, chemical restraint outside plan). • Two consecutive days below critical KPIs (e-receipt coverage or incident timeliness). • OSCE inter-rater reliability < 0.75 at any hub.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 245 • Privacy breach with raw identifiers or unsuppressed tiny cells. • Restrictive-practice minutes rising two quarters with no fade plan. How escalation runs (5 steps) 1. Make safe & record Stabilise the person/situation; start the incident timer; capture facts only. 2. Notify per ladder Page on-call; name the current A from the matrix; confirm S-level and timers. 3. Assign roles & scope o Incident Manager (R) runs the response. o Owner (A) sets scope/resources and any external notifications (ED/regulator/police/OPG). o Comms lead handles family/staff/partner updates. o Start MIS checklist; open Contradiction Matrix if accounts conflict. 4. Fix-forward sprint (time-boxed) o S0/S1: actions in hours; S2: within 1-3 days; S3: within 5-10 days. o Apply relevant standards (Restraint Timing, Mealtime/IDDSI, DPIA, etc.). 5. Close-out & learning o File R&W (issues → weighted evidence → findings). o Log corrective actions (owner/date/verification). o Update Publication Notes for next release; schedule learning debrief ≤72 h for S0. Owner matrix rules (how to keep it clean) • Exactly one A per row; list R/C/I clearly. • Name alternates for the A and on-call; include after-hours numbers and backup channel (SMS + phone; radio for rural). • Replace names the day roles change; review the matrix monthly. • Anyone with lapsed licence/scope cannot be the A for that area. • Post the live matrix in the staff app and at the huddle board. Measures (publish internally; some to dashboards) • decision_timely_le_20bd_pct (tribunal/decision timeliness) • mis_compliance_pct (MIS used & complete) • stop_rule_trigger_count and mean_time_to_contain (by S-level) • external_notify_within_sla_pct (privacy/regulator/tribunal) • repeat_incident_30d_pct (by category) • owner_matrix_currency_pct (rows with a current A + alternates) Micro-scenarios (worked)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 246 • S0 - Mealtime sentinel: Choking event. On-call triggers S0; A authorises 72-hour review; mealtime plan re-checked; kitchen audit same day; family briefed; publication note queued. • S1 - Privacy breach: Email with raw names. Contain ≤60 min; notify privacy officer + A; regulator notice within statutory window; DPIA addendum filed; staff re- briefed. • S2 - KPI drift: E-receipt coverage <85% two days. Stop-rule fires; workflow coaching; sampling plan; preview notes updated. • S3 - Single documentation miss: Correct same day; add to supervisor’s monthly sample. Quick scripts • To staff (start of shift): “If a stop-rule fires, page on-call and start the pack. One owner per area - check the board for who’s A today.” • To families (S0/S1): “We’ve paused normal routines to make things safe. Here’s what happened, who’s in charge, and what will happen in the next few hours.” • To providers: “If it isn’t in the audit log, it didn’t happen. Close-out needs MIS + R&W + dated actions.” Where to get help / Artefacts & Templates • Y1. Owner Matrix (R/A/C/I) sheet - Decision Area | A (name, role, mobile, alt) | R (team) | C | I | Hours | Notes. • Y2. On-Call Roster & Handover Card - week grid; coverage; escalation numbers; rural radio fallback. • Y3. Escalation Decision Tree (S0-S3) - one-page triggers/timers. • Y4. Close-Out Pack - MIS checklist + R&W one-pager + Publication Notes stub. • Y5. Family/Partner Comms Scripts - S0/S1 only (plain English). Summary companion. Decisions rely on the governing sections named in Safety & Restrictive Practices, MIS, Truth-by-Design (R&W/IRC), DPIA, Dashboards & Suppression, Audit Log and Sanctions policies. Appendix Z - Practice-Note Crosswalks (including “Thriving Kids”) Purpose Collect the practice-note crosswalk tables that translate everyday situations into the Standards. Use for training, OSCE prep, supervision and quality reviews. Owner: Practice & Governance Interfaces: Choice & Control; Communication Access (Appx N); Accessible Plan Pack (Appx K); Weekly Community Schedule & Participation (Appx L); Handover & Medication
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 247 Reconciliation (Appx D); Reasons & Weighting / IRC (Appx H-J); DPIA (Appx R); Evaluation Access (Appx W); Owner Matrix (Appx Y). Why this matters (and why it hasn’t worked) Great practice notes exist, but they live in PDFs and long emails. Staff don’t know what to do today, or how a note fits the standards. Crosswalks turn each practice note into a one- pager of actions with links to the exact clauses, templates and measures - so workers can apply it the same way, every time. Fast take (read this first) • Make a one-page crosswalk per practice note (including “Thriving Kids”). • Show triggers, do/never do, who owns it, which forms to use, and how we’ll measure it. • Keep a second table that maps the note’s sections to the Standard/Appendix clauses. • Store crosswalks with a provenance hash and review them six-monthly or when the note changes. Scope All active practice notes, guidance letters and toolkits used by providers, schools, hospitals and community partners. Applies in home, school, community, day programs, short-stay and health interfaces. Part 1 - Crosswalk (one-page template) Header: Practice note name • Version/date • Source/owner • Applies to (people/settings) A) Triggers (when to use this note) • (List 3-6 short triggers) B) Do / Never do (top actions) • Do: 1) … 2) … 3) … 4) … 5) … • Never do: 1) … 2) … 3) … C) What to complete (forms & artefacts) • (name the exact templates from Appendix AA, e.g., “Easy Read: If I’m upset”, “72-Hour Review pack”, “R&W one-pager”) D) Who owns what (R/A/C/I) • A: role/title • R: team/role • C: roles (e.g., family, school, ACCO) • I: roles E) Measures (how we know it worked)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 248 • Tile/KPI codes (from Appx S), e.g., sessions_out_home_median, mis_compliance_pct, interp_fulfilment_pct F) Standard links (exact clauses/appendices) • (bulleted references to the governing sections and appendices) G) Privacy & consent notes • (short DPIA/consent rules, interpreters/AAC, small-cell warning if publishing) (This one-pager sits on top. The detailed line-by-line mapping is below.) Part 2 - Section-by-section mapping (table) Practice-note section / line “In-force” action or rule (plain) Standard/Appendix link What changes in practice (today) Owner Due e.g., “Early signs & de- escalation” Use person’s exact calming phrase; try green → amber supports before any restraint Safety & Restrictive Practices; Appx A/B/C Add phrase to Easy Read: If I’m upset; coach new staff this week IDC Lead 7 days “Interpreter for plan reviews” Offer interpreter/Auslan for all reviews Appx N; Choice & Control Add booking rule to calendar template Coordinator 3 days … … … … … … Part 3 - Worked crosswalk: “Thriving Kids” (example, copy-ready) Header: Thriving Kids - Participation & Family Partnership Guide • v1.0 • Source: Practice • Applies to: children/young people (home/school/community/health) A) Triggers • Starting school or changing school/teacher/therapy. • New diagnosis or big routine change (move house, new sibling, short-stay). • Regular distress after school or on Sundays. • Plan review, complaint, or decline in participation. B) Do / Never do Do 1. Build a Weekly Community & School Rhythm (Appx L) with the young person and family; include one new role to try each fortnight. 2. Set up Communication Access every meeting (yes/no, AAC, interpreters/Auslan) (Appx N).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 249 3. Use an If I’m upset Easy Read page (Appx K) at home and school; share the same calming phrase. 4. Book 72-Hour Review after any serious incident; update the Fade Plan (Appx B-C). 5. Agree a Team-around-the-Child contact list (school, family, provider, health) with response times. Never do 1. Proceed with a plan change if the child/young person did not understand in their way (no access = no consent). 2. Use restraint except emergency-only and always time-kept (Appx A). 3. Share photos/data without recorded consent (Appx R). 4. Let cancellations pile up - use backup plans (Appx L) and log why. 5. Use family as interpreters for serious matters (unless an emergency; then replace ASAP) (Appx N). C) What to complete • Plain English Plan + Easy Read one-pagers (Appx K). • Weekly schedule & participation tracker (Appx L). • Interpreter/Auslan booking & session record (Appx N). • 72-Hour Review + Fade Plan (Appx B-C). • R&W one-pager if a contested decision is made (Appx H-J). D) Who owns what (R/A/C/I) • A: Coordinator (Children & Families) • R: IDC Lead / Key Worker (home & community) • C: Family/Carer; School contact; Therapist(s); Cultural broker/ACCO • I: Manager; Governance; GP/Paediatric team (when relevant) E) Measures • sessions_out_home_median ↑; variety_index_month ↑; role depth share at member+ ↑ (Appx S) • interp_fulfilment_pct ≥ target; 72h_review_on_time_pct ≥ target • Complaints resolved inside standard; restraints ↓ quarter-on-quarter F) Standard links • Choice & Control; Safety & Restrictive Practices; Communication Access (Appx N); Accessible Plan Pack (Appx K); Weekly Schedule (Appx L); 72-Hour Review & Fade Plan (Appx B-C); DPIA (Appx R); Owner Matrix (Appx Y). G) Privacy & consent • Record consent mode (tap/PIN/biometric/verbal-witnessed/alt-comm). • School/health info-sharing on a “minimum necessary” basis; small-cell suppression in any publication (Appx S).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 250 Section-by-section mapping (Thriving Kids) Practice-note line Action in plain English Standard link Practice change now Owner Due “One page about me” Use About me + How to talk with me pages Appx K Create/update both pages; send to school Coordinator 5 days “Weekly community role” Plan real places/roles with transport Appx L Add venue, ally, backup; print fridge copy IDC Lead 3 days “After-incident meeting” Review within 72h; update Fade Plan Appx B-C Book review before close of next business day Manager 1 day “Interpreter when needed” Offer every time; record fulfilment Appx N Add “offer & record” step to school meetings Coordinator 3 days “Family partnership” Shared contact list with response times Appx Y Publish list in pack; confirm on Fridays Team weekly Part 4 - Other crosswalks to complete (stubs) • ED/Health Interface Note → Handover & Medication Reconciliation; Communication Access; DPIA; Owner Matrix. • Mealtime & IDDSI Note → Safety & Restrictive Practices; OSCE First Response; Owner Matrix (stop-rule). • Switching Schools/Providers → Switching Protocol; Weekly Schedule stand-up; Evaluation Access (student records). • Transport & Community Safety → Participation; DPIA (location data); Red-Team scenario on failover. (Use the same one-page template + mapping table.) Part 5 - Use this to route children/families quickly and safely Columns: Who presents → Where they land (service lane) → Who holds risk (accountable owner until handover completes) → Time standard (max elapsed) → Evidence sent (minimum pack) → Dashboard metric (publish de-identified). Who presents Where they land Who holds risk Time standard Evidence sent Dashboard metric 0-8 yrs, mild- moderate developmental delay or autism (no crisis) Thriving Kids mainstream early- supports hub (MCH/GP/ECE/schoo l gateway) Hub team lead (intake navigator) First contact ≤5 days; first session ≤21 days Intake form, parent goals, communication snapshot, consent Wait to first contact; wait to first session; % consented care plans 0-8 yrs, permanent & significant disability likely NDIS access pathway + IDC clinic warm handover IDC clinic lead (until NDIS access decision) Handover started ≤2 days; completed ≤10 days Common referral, preliminary functional summary, risks, interim supports Boundary SLA compliance; % accepted to NDIS; time to access decision 0-8 yrs, no diagnosis yet, functional concerns Thriving Kids pre- diagnosis skills stream (sleep/feeding/commu nication/behaviour coaching) Stream coordinator Start ≤14 days Brief functional screen; family priorities; coaching plan Starts within 14 days; % coaching goals met; escalation rate
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 251 9-17 yrs, learning/behavio ur/participation needs School-Age Navigation & Supports (IDC-led community clinic + school interface) Clinic coordinator First contact ≤7 days; first session ≤28 days School referral, attendance record, communication/ AAC profile Waits; school attendance delta; CPI (school-age) Existing NDIS child (any age) also needing mainstream supports Shared-care protocol (IDC clinic ↔ GP/ECE/school) IDC clinic lead (for shared items) Shared plan agreed ≤10 days Shared support plan; service map; review dates Shared plan rate; reviews on time; duplicate/contra diction rate ED presentation for behaviour/distre ss (no major injury) IDC on-call advice + crisis de-escalation; schedule IDC clinic follow-up ED senior nurse (until discharge), then IDC clinic Safety plan before discharge; follow-up ≤24-72 h ED summary, safety plan, seizure/meds review, contacts % with plan at discharge; follow-up within 72 h; repeat ED 30/90 d ED presentation with aspiration risk/mealtime incident Mealtime/dysphagia pathway (IDC SLP/OT + GP) ED senior nurse → IDC mealtime lead at discharge Mealtime plan before discharge; community review ≤7 days IDDSI level, aspiration risks, posture/positioni ng, choking history IDDSI plan at discharge; readmit ≤30 d; IDDSI drill pass rate Ambulance/poli ce call-out (community crisis) Least-Restrictive Response + 72-hour multi-agency review On-scene lead (shift) → review chair (IDC/police/h ealth) Review convened ≤72 h Incident timeline, de- escalation attempts, meds used, witnesses Restraint/sedati on minutes; 72- h review completion; corrective actions Discharged from hospital (any cause) 30-day continuity pack + IDC clinic Ward discharge planner (until pack sent) → IDC clinic Pack issued at discharge; community review ≤7 days Meds reconciliation, mealtime & seizure protocols, contacts Pack completeness; 7-day review rate; readmit ≤30 d Child in Out-of- Home Care (OOHC) with functional needs IDC clinic + OOHC health pathway + school Child Safety health coordinator First case conference ≤14 days Care & Communication Passport, trauma notes, consents Conference on time; placement stability; school attendance First Nations family (any need) Place-based outreach via ACCHO with IDC support ACCHO coordinator First contact ≤5 days; visit ≤14 days Culturally adapted intake; interpreter if required Coverage by postcode; uptake; satisfaction score CALD family needing interpreter IDC clinic with interpreter + translated materials IDC intake navigator First contact ≤5 days; interpreter booked ≤10 days Translated consent; interpreter booking; plain- language plan Interpreter utilisation; plan comprehension score Rural/remote family Mobile clinic / telehealth + local GP/pharmacy hooks Mobile clinic lead First contact ≤5 days; first session ≤21 days Telehealth consent; device/test call log Telehealth completion; travel saved; outcomes parity index School flags risk of exclusion/expuls ion IDC-school rapid response panel School principal (until panel meets) Panel ≤5 days; plan enacted ≤10 days Behaviour data; triggers/ABC; adjustments tried; family view Exclusion avoided %; attendance delta; restraint incidents GP detects developmental concerns GP → Thriving Kids triage (warm handover) Thriving Kids triage nurse Handover started same day; booked ≤14 days GP letter; Red Flags checklist; parent questionnaire GP referrals completed; time to first session Maternal & Child Health (MCH) nurse flags delay MCH → Thriving Kids (as above) MCH nurse (until booked) Booking made during visit; session ≤21 days MCH milestones; observations; parent goals Booking at point-of-care %; session within 21 d
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 252 Allied health waitlist > 90 days IDC clinic interim support + escalation IDC clinic coordinator Contact ≤5 days; interim session ≤21 days Interim plan; risks; coaching leaflets Interim uptake; waitlist-to- service conversion Dental/vision/he aring unmet need Priority allied pathways (public dental; audiology; optometry) IDC navigator (until appointment) Booking ≤10 days; visit ≤30 days Referral; communication needs; consent Appointment within 30 d; treatment started Family distress/carer burnout Short-break & coaching, not ED Short-break coordinator Offer ≤48 h; start ≤7 days Carer strain score; respite plan Respite started within 7 d; ED diversion rate Domestic/family violence risk DFV referral + safety plan + IDC clinic DFV service lead (safety), IDC clinic (health/partici pation) Contact same day; plan ≤72 h Safety plan; contacts; code words; consent Same-day contact; re- victimisation rate Housing insecurity Housing/homelessnes s service + IDC support Housing case lead Contact ≤5 days; plan ≤14 days Evidence of need; support letter; risk summary Application lodged; placement within 30/90 d Transition 8→9 yrs (ageing out of Thriving Kids) School-Age Navigation & Supports Clinic coordinator Transition plan started at 8½ yrs; active at 9 Handover pack; current goals; risk plans On-time transition %; service gap days Transition 17→18 yrs Youth-to-adult IDC pathway + NDIS (if eligible) IDC youth transition lead Plan ≤6 months before 18th; first adult contact ≤30 days post-18 Adult services map; GP handover; consent updates On-time transition %; post-18 gap days Crisis placement breakdown risk Rapid wrap-around (IDC, provider, housing, school) IDC crisis coordinator Plan ≤72 h; stabilise ≤14 days Crisis profile; triggers; staffing/safety plan Placement saved %; restraint minutes; ED diversions Thriving Kids intake rejects (outside scope) “No Wrong Door” handover to IDC/NDIS/other Refusing service must hand over Handover started same day; completed ≤10 days Triage notes; referral form; contacts No-Wrong- Door compliance; bounced referrals Island/remote community with limited transport Mobile clinic + telehealth + local GP/pharmacy hooks Mobile clinic lead First contact ≤5 days; first session ≤21 days Telehealth consent; device/test call log; connector details Telehealth completion; travel saved; outcomes parity index Implementation notes (for the practice note) • Time standards are maximums; sooner is better. Where two owners are listed, responsibility transfers only when the receiving service acknowledges handover. • Evidence sent are minimum items; add clinical documents when relevant (IDDSI plan, seizure protocol, medicines reconciliation, Care & Communication Passport). • Dashboard metrics are de-identified and published quarterly; each row should map to a public indicator (access, safety, participation, boundary SLAs). • Escalation: Missed time standards escalate automatically to a named senior and appear on the next dashboard. • Equity lens: All rows must be reportable by postcode, First Nations status, CALD/interpreter use and rurality to catch structural gaps.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 253 What good looks like / Red flags Good: every practice note has a one-pager; tools are named; measures move; families and schools see the same pages; crosswalks get updated when notes change. Red flags: PDFs with nice words but no actions; plans that don’t show how to talk with the young person; restraint used because access failed; publication without suppression. Micro-scenarios (worked) • Prep to Year 7 transition: Crosswalk adds a school contact, bus route, and two new clubs. Interpreter booked for the parent. Participation variety rises; zero restraints in term 1. • Post-ED weekend: 72-hour review updates the If I’m upset page; Monday teacher uses the new calming phrase; no escalation and day completed. • New therapist joins: Given the one-pager; adds AAC vocabulary; weekly rhythm continues; family reports better handovers. Quick scripts • To a worker: “For this note, use the one-pager: when to use it, what to do, and which forms. If it isn’t in the crosswalk, it isn’t in force.” • To a school partner: “Here’s the one page and the two sheets we actually use. Same phrases, same contacts, same backup plan.” • To a family: “These pages are yours. If they stop matching real life, we fix them together.” Where to get help / Artefacts & Templates • Z1. Crosswalk one-page template (triggers; do/never; R/A/C/I; measures; links; privacy notes) • Z2. Section-by-section mapping table (CSV headers) • Z3. Thriving Kids crosswalk (filled example) • Z4. ED/Health, Mealtime/IDDSI, Switching crosswalk stubs • Z5. Provenance & review checklist (hash; six-monthly review) Summary companion. Decisions rely on the governing sections named in Choice & Control, Communication Access, Safety & Restrictive Practices, Participation/CPI, DPIA and Owner Matrix policies.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 254 Appendix AA - Service Template & Crosswalks Library (download pack index) Purpose Index of all operational crosswalks and templates supplied as a separately downloadable Service Crosswalk & Template Library.zip (Thriving Kids Crosswalk remains with Appendix Z.) How to use • Each item uses the appendix letter prefix (e.g., A-1, Y-2) + short name. • Narrative standards live in the main body / appendix; these artefacts operationalise them. • Owners/refresh cadence follow each appendix’s “Interfaces/Owner” lines. • Crosswalks and templates are designed as baseline minimum approaches, not the ceiling. • Due to parameters/limitations at URL repository, site may not display full listings. However, all files do present upon completion of download. Crosswalks - the double A baseline standards • AA-C01 - NDIS / Access Pathway (no-wrong-door, warm handover) • AA-C02 - Health Interfaces (GP / ED / Dental / Pharmacy) • AA-C03 - Justice (police / courts / corrections / release) • AA-C04 - Equity (First Nations, CALD/Auslan, AAC) • AA-C05 - Out-of-Home Care & Child Adolescent and Adult Protection (with Court Decisions) • AA-C06 - Family & DV • AA-C07 - Housing & Homelessness • AA-C08 - Ambulance & First Responder • AA-C09 - Emergency Department (specific) • AA-C10 - Mealtime / IDDSI • AA-C11 - Switching Between Service Providers • AA-C12 - Police & Custody Interface (hooks to AN- Templates) • AA-C13 - Mental-Health Triage & Crisis Co-response • AA-C14 - Outpatients / Planned-Care Handover • AA-C15 - Inpatient Admission & Discharge Bridge • AA-C16 - Residential & Day-Program Mealtime Readiness (site-level) • AA-C17 - School / Education Interface • AA-C18 - GP & Primary-Care (specific) • AA-C19 - Transport & Travel (links to AE- Templates) • AA-C20 - First Nations Partnership Crosswalk (O- Templates hooks) • AA-C21 - Interpreter / Auslan / AAC Operations (N- Templates) • AA-C22 - Privacy / DPIA & Publication Hooks (R- Templates ↔ S-8) • AA-C23 - Red-Team & Incident Learning Loop (U- Templates) • AA-C24 - Switching: Justice / Housing Variant
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 255 • AA-C25 - Psychotropic Stewardship in Community (AB- Templates) • AA-C26 - Dental Desensitisation Pathway (AC- Templates) • AA-C27 - Financial Safety (AH- Templates interface) • AA-C28 - Research & Evaluation Access (W- Templates) • AA-C29 - Tele-OSCE & Rural Micro-Hub (P- Templates) • AA-C30 - IDC Curriculum Interfaces (Q- Templates) • AA-C31 - Owner Matrix & Escalation (Y- Templates bridge) • AA-C32 - Publication & Dashboard Release (AL/S-Templates) • AA-C33 - Rural Telehealth & Mobile Clinic Templates - grouped by Appendix A - Safety & Restrictive Practices • A-1 Restrictive-Practice Log • A-2 Incident Report • A-3 Use-of-Force/Seclusion Timekeeping Log (custody variant) • A-4 Dignity-of-Risk: Community Risk/Opportunity Assessment • A-5 Debrief Prompts (room copy) B - 72-Hour Review • B-1 72-Hour Learning Review - One-Page Summary • B-2 Fade Plan - One-Page Template • B-3 Chair’s Checklist (before/during/after) • B-4 Action Register (30/60/90-day check-backs) • B-5 Plain-Language Summary Handout C - Fade Plan Template (Restraint-Reduction & Positive Supports) • C-1 Behaviour & Trigger Profile (ABC patterns; sensory/contexts; early cues) • C-2 Hypothesis & Function Worksheet (SEAT; competing hypotheses; evidence needed) • C-3 Gentle Practices Ladder (from least-intrusive → more structured; “try first” list) • C-4 Environmental Adjustments Plan (noise, light, space, timing, predictability) • C-5 Communication & Accessibility Plan (plain/Easy Read, visuals, AAC, Auslan/interpreter) • C-6 Skill-Building Goals & Supports (replacement skills; micro-steps; prompting) • C-7 PRN Gate & Safeguards Insert (indications; non-drug first; dose/interval; review) • C-8 Positive Engagement Menu (interests, routines, community roles; “what helps”) • C-9 De-escalation Kit Checklist (tools, phrases, roles, space setup; “who does what”) • C-10 Fade Steps & Timetable (stepwise reductions; owners; dates; fallback rules) • C-11 Monitoring Data Sheet (frequency/intensity/duration; ABC notes; daily tiles) • C-12 Weekly Review Huddle Card (what changed/why; blockers; next step; dates) • C-13 Risk & Safeguards Map (Tier-0 triggers; emergency plan; consent & notifications) • C-14 Family/Supporter Partnership Sheet (roles; preferred phrases; home/community linkage)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 256 • C-15 Interface Handovers (ED, GP, school, justice) (what to send; plain-language companion) • C-16 72-Hour Insert Hook (links to B-1/B-2; how to update after an RP/incident) • C-17 Chair/Clinician Sign-off & Attestation (least-restrictive first; rationale in plain English) • C-18 Outcome Tiles & Thresholds (target behaviours, RP minutes, participation; success bands) • C-19 Audit & Change Notes (what we tried; what worked; version/date; steward) • C-20 Plain-Language Fade Summary (≤1 page for the person/family; next review date) D - Handover & Medication • D-1 Standard Handover Sheet (all settings) • D-2 Medication Reconciliation Checklist (72-hour) • D-3 ED Arrival Handover + ED Discharge Summary (plain companion) • D-4 GP Hand-Back Form (changes/indications/review dates) • D-5 Health Passport (conditions, allergies, contacts, communication) • D-6 Allergy & Adverse Reaction Card (wallet size) E - E-Receipts (minimum two-party) • E-1 UI Copy Deck (plain English/AAC screens) • E-2 Resolution Note Template (mandatory fields) F - Roster↔Claim Cross-Checks & Exceptions • F-1 Courtesy-Check Flow (states, SLAs, escalation) • F-2 Roster↔Claim Cross-Check Rules (minimal set) • F-3 Exception Codes List (E-series; maintained centrally) • F-4 Family View Explainer (what appears, correction path) • F-5 Rule Table (with policy tolerances) • F-6 Exceptions Queue Workflow (kanban + SLAs) • F-7 Courtesy-Check Script Pack • F-8 Finance Hold/Release Checklist G - Sanctions Ladder (governance) • G-1 Notice of Concern • G-2 Corrective Action Plan (CAP) • G-3 Payment-Hold Notice (categories, dates, release) • G-4 Probation/Suspension Decision Record • G-5 Right-of-Reply / Appeal Form • G-6 Publication Panel Content (public page fields) • G-7 Provider Right-of-Reply & Public Statement (sanctions) • G-8 Sanctions Publication Cover Letter H - Reasons & Weighting • H-1 R&W One-Pager (Issues → Evidence → Matrix → Tests → Findings → Actions) • H-2 Weights Rubric (0-4 cues & examples) • H-3 Plain-English Reasons Block (character-limited) • H-4 Contradiction Matrix (blank) • H-5 Principles One-Pager (short examples) • H-6 Confidence Rubric (High/Mod/Low) • H-7 Independent Verification Request I - Contradiction Matrix Templates • I-1 Contradiction Matrix (case-level, blank shell) • I-2 Evidence Line-Up Sheet (source → claim → test → reliability)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 257 • I-3 Competing Explanations Grid (A/B/C hypotheses with disconfirming facts) • I-4 Conflict Locator (where statements collide; who/when/context) • I-5 Resolution Notes & Rationale (why we prefer X over Y; rule refs) • I-6 Missing Pieces & Next-Inquiry Plan (what would change the view) • I-7 Blind Review Form (second reader: agree/partial/disagree + reasons) • I-8 Consistency Checks Pack (timeline, roles, documents, system logs) • I-9 Weight Shift Log (what changed weights; from→to; trigger/date) • I-10 Plain-English Contradiction Summary (≤200 words for H-1/J-1) • I-11 Publication Footnotes Builder (non-PII caveats; small-cell aware) • I-12 Version & Evidence Hash Register (tie to T-pack event IDs) J - Independent-Reasoning Certificate • J-1 IRC One-Page Form (fillable) • J-2 Second-Reviewer Checklist • J-3 Publication Decision Aid (what goes public; suppression rules) • J-4 Audit-Log Filing Checklist K - Accessible Plan Pack • K-1 Plain English Plan (2-4 pages) • K-2 Easy-Read One-Pagers set (My day; How to talk with me; Where I go; People & permissions; If I’m upset; My health basics; My rights; Photo & data sharing; Switching) • K-3 Consent & Attestation Form (accessible options) • K-4 Quarterly Update Checklist • K-5 Translation/Auslan/Audio Request Form • K-6 Supported Decision-Making & Consent Pack L - Weekly Community Schedule & Participation • L-1 Weekly Community Schedule (fillable) • L-2 Participation Tracker (individual/monthly) • L-3 Role-Depth Guide (observer/member/helper/paid) • L-4 Transport & Backup Planner (routes/contacts/contingencies) • L-5 Icon Set for Easy Read • L-6 Weekly Roster ↔ Community Schedule Bridge Sheet M - Switching Protocol • M-1 Switch Notice & Consent Form • M-2 Exit/Entry Data Set (JSON/CSV schema + human-readable PDF) • M-3 Two-Week Stand-Up Schedule (fillable) • M-4 Keys/Equipment Hand-Back Checklist • M-5 Continuity & Escalation Flowchart • M-6 Governance Notification & Payment-Hold (targeted) • M-7 Provider Transition Pack (expanded onboarding) • M-8 Release Continuity Pack - Court/Parole Variant • M-9 Switching Friction Report N - Interpreter/Auslan/AAC Toolkit • N-1 Interpreter/Auslan Booking & SLA + Quality Feedback • N-2 AAC Quick Set-Up Card (yes/no, core words, troubleshooting) • N-3 Teach-Back & Consent Checklist (attestation modes) • N-4 ED Communication Card (wallet/phone) • N-5 Session Record (offer/decline; interpreter IDs; start/stop) • N-6 Plain-Language Scripts (offer/decline/pre-brief/close-out) • N-7 Justice Fast-Path Booking (variant) O - First Nations Partnership
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 258 • O-1 Partnership MoU (fillable) • O-2 Cultural Plan - person level (print + Easy Read) • O-3 Cultural Brokerage Booking & Payment • O-4 Interpreter Request (First Nations languages) • O-5 Cultural OSCE Rubric (worker competence) • O-6 Sorry Business Protocol & Schedule Change • O-7 Data-Sharing Consent (with revocation) P - Rural Micro-Hub & Tele-OSCE • P-1 Site & MoU Checklist • P-2 DPIA & Privacy Signage Set • P-3 Kit List & Setup Guide (network/power/cameras/AAC) • P-4 Weekly Timetable Poster + SMS Scripts • P-5 Tele-OSCE Proctor Checklist & Integrity Form • P-6 OSCE Station Packs & Scoring Rubrics • P-7 Result Letter + Remediation/Retake Plan • P-8 Diversion Referral to IDC/Micro-hub • P-9 Outreach & Examiner Pool Roster • P-10 Participation & Outreach Schedule Q - IDC Curriculum & Assessment • Q-1 Curriculum Map Poster + Module Outcomes • Q-2 EPA Logbook (fillable + CSV headers) • Q-3 Supervisor/Verifier Guide • Q-4 OSCE Station Packs & Rubrics • Q-5 Progression & Currency Checklist • Q-6 Scope Change & Remediation Form • Q-7 Audit & Publication Checklist (hashing/suppression) R - DPIA & Privacy (incl. AI) • R-1 DPIA Long-Form Template (fillable) • R-2 Plain-Language DPIA Summary (multi-language/Auslan) • R-3 Data Inventory Workbook (fields/retention/minimisation) • R-4 Risk Matrix & Controls Library • R-5 Publication Suppression Checklist • R-6 Third-Party Processor Register & DPA Checklist • R-7 Breach Response Playbook • R-8 Privacy Signage Pack (hubs/offices/apps) • R-9 AI Safety & Incident SOP (kill-switch; shadow-mode; rollback; audit-log schema) • R-10 AI Prompt Starter Pack (worked prompts for safe ops) • R-11 Executive Go/No-Go Checklist (privacy/DPIA/AI) S - Dashboards & Publication • S-1 Tile Specification Table (fields/denominators/windows/rounding) • S-2 Suppression Decision Tree (primary/secondary/complementary) • S-3 Release Checklist (validation → suppression → notes → sign-off → audit log) • S-4 Plain-English Glossary (labels & caveats) • S-5 Data-Correction Form (links to R&W/IRC) • S-6 Provenance Script (hashing & change-log pattern) • S-7 Small-Provider Data-Adapter Checklist • S-8 Publication Notes & Visible Change Log (per release/tile) • S-9 Year-1 KPI Tiles (national digest) T - Audit Log & Provenance
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 259 • T-1 Audit Event Schema (JSON) with enumerated actions • T-2 Anchoring & Hashing Guide (Merkle root + publication pattern) • T-3 Provenance Export Format (bundle + hash manifest) • T-4 Access & Role Matrix (who can read what) • T-5 Query Cookbook (sample SQL/DSL) • T-6 Erasure Certificate Form & SOP • T-7 Privacy Guardrails (ip_hash, geo_coarse, no-PII diffs) • T-8 Event-Model Cheat-Sheet (standard API/webhook names) U - Red-Team • U-1 Rules-of-Engagement Pack (authorisation, hard stops, contacts) • U-2 Scenario Script Cards (A-F) • U-3 One-Page Report (S/E/R/F scoring) • U-4 CAP Tracker (owner/date/verification; dashboard feed) • U-5 Debrief Checklist (facts → why → fix → lesson) • U-6 Whistleblower & Anti-Retaliation Notice • U-7 Provenance & Hashing Script (attach to audit log) V - Peer Calibration & Quality • V-1 R&W/IRC Calibration Rubric (0-3 with critical fails) • V-2 Contradiction Matrix Mini-Rubric • V-3 OSCE Examiner Calibration Pack (station keys + marking guide) • V-4 RP-Log Spot-Check Sheet • V-5 Kappa/Agreement Calculator (spreadsheet) • V-6 Quality Summary One-Pager • V-7 Example Library (good/poor anonymised cases) W - Evaluation Access • W-1 Evaluation Access Request (purpose, tiers, DPIA, ethics, conflicts) • W-2 Consent Packs (Plain/Easy Read; interpreter/Auslan/AAC) • W-3 Data-Room User Agreement (no raw exports; suppression checks) • W-4 Participant Summary (≤2 pages; multi-language/Auslan/audio) • W-5 Sampling & Equity Checklist • W-6 Cultural Review Checklist (ACCO sign-off) • W-7 Provenance & Audit Checklist (hashes, event IDs) X - ROI & Assumptions • X-1 Assumptions Register (CSV + examples) • X-2 ROI Workbook Shell (inputs/formulas/sensitivity toggles) • X-3 One-Page ROI Summary (fillable) • X-4 Valuation Library (unit costs/tariffs; evidence strength) • X-5 Attribution Guide (stepped-wedge/DiD/red-team controls) • X-6 Double-Counting Checklist • X-7 Provenance & Filing Checklist Y - Owner Matrix & Escalation • Y-1 Owner Matrix (R/A/C/I) • Y-2 On-Call Roster & Handover Card (week grid; coverage; escalation; rural radio fallback) • Y-3 Escalation Decision Tree (S0-S3 triggers/timers) • Y-4 Close-Out Pack (MIS checklist + R&W one-pager + Publication Notes stub) • Y-5 Family/Partner Comms Scripts (S0/S1) • Y-6 Implementation Roadmap (0-90 / 91-180 / 181-365; swim-lanes & owners) • Y-7 Provider Self-Audit - Standards Readiness (lite) Z - Practice-Note Crosswalks
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 260 • Z-1 Crosswalk One-Pager (triggers; do/never; RACI; measures; links; privacy notes) • Z-2 Section-by-Section Mapping (CSV headers) • Z-3 “Thriving Kids” Crosswalk (filled example) • Z-4 ED/Health, Mealtime/IDDSI, Switching Crosswalk Stubs • Z-5 Provenance & Review Checklist (hash; 6-monthly review) AB - Psychotropic Stewardship (Pharmacy) • AB-1 Start/Renew Checklist (indication, baseline measures, review dates) • AB-2 PRN Gate Card (indications, non-drug steps, dose/interval) • AB-3 Monitoring Log (effect/side-effects/time) • AB-4 Deprescribing Ladder & Taper Plan • AB-5 Service One-Pager (Plain English) • AB-6 72-Hour Review Insert (RP as PRN event) • AB-7 Medication Reconciliation Addendum (stewardship fields) • AB-8 Prescriber Letter Template (request review/change) AC - Dental Desensitisation • AC-1 Dental Desensitisation Passport • AC-2 Exposure Ladder & Data Sheet • AC-3 Visual Storyboard (clinic visit) • AC-4 Sensory Kit Checklist • AC-5 Appointment Day Plan • AC-6 After-Care & Pain/Red Flags Sheet • AC-7 Distress Insert (72-hour review companion) • AC-8 Consent & Recording Form (clinic copy) AD - Quiet Hours (Community MOU) • AD-1 Community “Quiet Hours” MOU • AD-2 Sensory Settings Checklist (venue self-audit) • AD-3 Queue Options & Booking Flow • AD-4 Pocket Card for Venue Staff • AD-5 Promotion Kit (poster/social copy/alt-text) • AD-6 Session Log & Feedback • AD-7 DPIA (Quiet Hours) Template • AD-8 First Nations Co-design Checklist AE - Transport • AE-1 Transport Pocket Card (pre-start checks) • AE-2 Vehicle Securement & Tie-Down Checklist • AE-3 Run Sheet (routes, stops, backup) • AE-4 Access Travel Card (plain words for the person) • AE-5 Incident Quick Form (transport) • AE-6 Subcontractor Brief & Acknowledgement • AE-7 Seating/Harness Risk Assessment • AE-8 Cultural & Interpreter Note for Transport AF - AT & AAC Procurement • AF-1 AT/AAC Assessment & Trial Request • AF-2 Trial Data Sheet & Outcomes • AF-3 DPIA Mini for AT/AAC • AF-4 Quote Bundle Checklist (value for money) • AF-5 Deployment & Training Plan • AF-6 Vocabulary Export & Backup Procedure • AF-7 Switching Exit Checklist for AT/AAC • AF-8 Service & Repair Log
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 261 • AF-9 Low-Tech AAC Kit (printables) AG - Candour (Tribunal/OPA/Ombudsman) • AG-1A Plain-English Notice to the Person • AG-2A Decision Dossier Shell (Issues → R&W → Matrix → Tests → Orders & Safeguards) • AG-3A Safeguards Annex • AG-4A Service & Provenance Sheet (hashes + recipients) • AG-1 Hearing Fairness Protocol & Human-Factors Card • AG-2 OPA In-Person Visit & Conversation Record • AG-3 Counter-Evidence & Contradiction Duty • AG-4 Non-Mirroring Reasons & Independence Attestation • AG-5 Ombudsman Cover Page (timeliness & scope) • AG-6 Cross-Agency Routing & Ownership Matrix • AG-7 Post-Hearing Plain Summary (≤1 page, dated) • AG-8 Court Communication Passport & Adjustments Request • AG-9 Order Conditions - Easy-Read Summary (with safeguard checks) • AG-10 Authority & Representation Verification (conflicts/fit) • AG-11 Case Clock & Delay Escalation (public S-8 hook) • AG-12 Divergence Report (when we don’t mirror) AH - Financial Safety • AH-1 Money Agreement (Plain English + Easy Read) • AH-2 Spending Permissions Map (limits by role/item) • AH-3 Card & PIN Custody Register • AH-4 E-Receipt & Attestation Form • AH-5 Reimbursement & Cash-out SOP • AH-6 Red-Flag & Escalation Tree (S0-S3) • AH-7 Quarterly Family Summary Template • AH-8 Vendor Letter (receipt requirements & contact) • AH-9 Switching/Exit Financial Checklist • AH-10 Gifts/Benefits Register AI - Industrial Relations & Insurance • AI-1 Consultation Brief (change proposal) • AI-2 Staff & Union Cover Note (plain) • AI-3 Role & Scope Statement (IDC-linked) • AI-4 Investigation Terms of Reference & Witness Care • AI-5 Suspension/Stand-Down Letter (if used) • AI-6 Workers’ Compensation First Report • AI-7 Return-to-Work Plan Stub • AI-8 PI/PL Insurer Notice • AI-9 Motor Claim First Notice • AI-10 Cyber/Privacy Incident Notice • AI-11 Ombudsman Cover Page (with Candour pack link) • AI-12 Dispute Brief & Resolution Plan • AI-13 Evidence Bundle Index (R&W + Matrix + hashes) AJ - Research & Evaluation MoU • AJ-1 Partnership MoU (fillable) • AJ-2 Project Schedule (one-pager per study) • AJ-3 Consent Packs (Plain/Easy Read; interpreter/Auslan/AAC) • AJ-4 Data-Room User Agreement
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 262 • AJ-5 Co-design & Governance Charter • AJ-6 Publication & IP Addendum • AJ-7 Plain-English Participant Summary Template • AJ-8 Provenance Checklist (hashes, audit IDs, retention & deletion) AK - Operational Prompt Pack • AK-1 Prompt Cards (OP-01…OP-14) - printable, two-sided • AK-2 Wall Posters - “Say • Check • Do • Record” • AK-3 QR Sheet - links to governing appendices • AK-4 Audit Sample Form - monthly prompt-use check • AK-5 Localisation Sheet - calming phrases, clinics, contacts • AK-6 Pocket App Pack - mobile-ready versions AL - Publication & Dashboard Schema (Public, Family, Provider) • AL-1 Channel Profiles (Public · Family · Provider - scope, fields, cadence) • AL-2 Data Dictionary (tile → field → type → unit → suppression) • AL-3 CSV/JSON Export Specs (delimiters, encodings, AU dates, headers) • AL-4 API Field Map & Versioning (v1/v2, deprecation rules, changelog) • AL-5 Suppression & Redaction Rules (public <5, rounding, small-cell logic) • AL-6 Tile Computation Sheets (formulas, denominators, QA notes) • AL-7 Accessibility & Presentation Guide (labels, units, alt text, colour safety) • AL-8 Privacy & DPIA Summary (purpose, minimisation, retention, lawful basis) • AL-9 Refresh & Release Runbook (quarterly jobs, timestamping, rollback) • AL-10 QA & Anomaly Checks (thresholds, drift, backfill, reconciliation) • AL-11 Family Portal Pack (plain-English field set, glossary, consent cues) • AL-12 Provider Portal Pack (role-based fields, error returns, support paths) • AL-13 Public Site Pack (static JSON, cache headers, sitemap/robots) • AL-14 Dashboard Embed Pack (iframes, tokens, rate limits, timeout UX) • AL-15 Governance & Contacts (owners, stewards, incident matrix, SLAs) AM - Public Narrative & Media • AM-1 Message House (one-pager) • AM-2 Press Statement Templates (routine; crisis holding; second update; close-out) • AM-3 Q&A Bank (restraint, privacy, participation, IDC workforce, finance safety) • AM-4 Social Copy & Alt-Text Guide • AM-5 Accessibility Checklist (language, captions, formats, interpreters/Auslan) • AM-6 First Nations Wording & Co-release Checklist • AM-7 Media Inquiry Log (deadline, ask, response, hash) • AM-8 Approval Matrix & Crisis Cadence Card • AM-9 Dashboard/Publication Suppression Check (Appx S) • AM-10 Lived-Experience Brief & Support Plan • AM-11 Correction & Retraction Protocol (visible change notes) • AM-12 Ministerial Reporting Pack (cadence + 2-page brief) AN - Police Integration, Corrections & Custody • AN-1 First-Minute Drill Card (laminated, two-sided) • AN-2 CAD Scripts & Fields (COMM_ACCESS_NEEDED, PREFER_YES_NO, etc.) • AN-3 Recruit Curriculum & OSCE Rubrics (hours & gates) • AN-4 Accessible Caution/Rights Script (Plain + Easy Read + Auslan link) • AN-5 Custody & Interview Access Checklist • AN-6 Patrol Scene Guides (traffic, shop, DV, missing, ED) • AN-7 72-Hour Review Pack (multi-agency template)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 263 • AN-8 Red-Team Scenario Builder (police variant) • AN-9 First Nations Co-response MoU Stub (with ACCO) • AN-10 Tele-OSCE Kit (rural coach workflow & checklist) • AN-11 Body-Worn Camera Handling & Privacy Note • AN-12 First-Response De-escalation Cue Card • AN-13 Custody Use-of-Force/Seclusion Timekeeping Log • AN-14 Vulnerable-Person Flag & Interview Support Plan • AN-15 Police Field Contact Note (Plain English + referral ticks) • AN-16 Certification & Currency Log (hours, OSCE, sign-off) • AN-17 Corrections & Custody Health Standard (summary) • AN-18 Academy Timetable Overlay (A4 printable) • AN-19 Custody Intake One-Pager (A4 printable) AO - IDC Equivalency & Bridging • AO-1 Equivalency Matrix (CSV) - title family → provisional band → bridges → assessments • AO-2 Individual Bridging Plan (auto-dated tasks + owners) • AO-3 RPL Evidence Checklist & Supervisor Attestation • AO-4 OSCE Booking Sheet & Results Log (mini/full; safety stations flagged) • AO-5 EPA Pack (INT, EVID, FF-VER, PRN, MEAL, HAND, CONS, PRIV, R&W/IRC, PUB, RURAL, SWITCH) • AO-6 Support Coordinator Decision-Quality Fast Pack • AO-6N Navigator Fast Bridge Pack • AO-7 SC Complaint-Independent Oversight Pack • AO-7N Navigator Oversight Pack • AO-8 Grand-parenting Letter (time-boxed equivalency with safety gates) • AO-8N Grandparenting Letter Navigator Transition • AO-9 Bench-Cards - Decision-Maker Fast Pack (R&W, Matrix, small-cell, applied tests) • AO-9N Bench-Cards for Navigators • AO-10 30/90-Day Review Form (gap close-out; status colours) • AO-11 Skill-Slip Red-Team Scenario Builder (trigger → scene → test → remediation) • AO-12 Title→Band Mapper (Quick Intake) (role → provisional band → pre-practice bridges) • AO-13 Governance OSCE (tile reading + actions; leaders/board) • AO-14 Annual Currency Tracker (OSCE/CPD due list; alerts) • AO-15 External Calibration Pack (double-marking sheets; kappa log) • AO-16 Rural & Paediatric Variant Kit (tele-OSCE, satellite hub checklist, paeds stations) • AO-17 Publication & S-8 Hook (how bridging artefacts surface as non-PII change notes) • AO-18 IDC Audit Plan (with risk-weighted sampling math) AO.1 - DSC Equivalency & Bridging • AO.1-1 Role→Band Mapper (DSC) • AO.1-2 Bridging Plan (DSC) with rOSCE schedule • AO.1-3 rOSCE Rubrics (Triage, Interview, Weigh, Decision, Publish) • AO.1-4 EPA Pack (INT, EVID, FF-VER, PUB, RUN) • AO.1-5 Intake & Interview Checklists (access, privacy, First Nations wording) • AO.1-6 Calibration Kit (shared R&W case + scoring guide)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 264 • AO.1-7 Red-Team Scenario Builder (regulator edition) AO.2 - Two-Key Guardianship • AO.2-1 Two-Key Pairing Request & Independence Screen • AO.2-2 Emergency Single-Key Authorisation & Risk Record • AO.2-3 72-Hour Review & Fade Plan • AO.2-4 Joint Decision Form (R&W summary + signatures) • AO.2-5 Contradiction Matrix - Two-Key Insert • AO.2-6 Independent Reasoning Certificate (IRC) - Co-sign/Dissent • AO.2-7 Registry Checklist - Service & Appeal-Ready Record • AO.2-8 IPP Assignment Log & SLA Tracker • AO.2-9 Cultural/Linguistic Fit & Accessibility Checklist (First Nations/Auslan/AAC) • AO.2-10 Family/Supporter Notice - Plain-English/Easy-Read (service of record) • AO.2-11 Quarterly Publication Pack (de-identified reasons + tiles index) • AO.2-12 Audit & Exceptions Report (emergency use; 72-hour compliance) AO.3 - RPL Evidence Checklist • AO.3-1 RPL Evidence Checklist Note: additional AO.3 Templates to be workshopped and designed with governing bodies Pack metadata Filename: Service Crosswalk & Template Library (versioned, e.g., v1_DDMMYYYY). Structure: /Crosswalks/AA-C01…/ and /Templates/<AppendixPrefix>/<Code_Name>/. Licence: reuse permitted across the program; no resale; cite this white paper. Dates: documents use DD/MM/YYYY; filenames use DDMMYYYY. Owners: as per each appendix; CHANGELOG.md maintained in the library folder. Appendix AB - Pharmacy Psychotropic Stewardship Protocol Right medicine, clear purpose, minimum dose, time-limited, and reviewed with the person. Owner: Pharmacy & Clinical Governance Interfaces: Handover & Medication Reconciliation (Appx D); 72-Hour Learning Review & Fade Plan (Appx B-C); Safety & Restrictive Practices (Appx A); Interpreter/Auslan/AAC (Appx N); First Nations Partnership (Appx O); Workforce/OSCEs (Appx Q); Audit Log (Appx T); DPIA (Appx R); Dashboards & Suppression (Appx S); Switching Protocol (Appx M); Evaluation Access (Appx W). Why this matters (and why it hasn’t worked) Psychotropics are often used to “settle behaviour” instead of addressing pain, distress, or environment. Plans lack clear indications, PRN rules drift, reviews are late, and side-effects go unseen - leading to falls, weight gain, and rights breaches (chemical restraint). A stewardship protocol sets one safe method: define purpose, prove non-drug supports were tried, set dose/time limits, monitor effects, and taper when possible. Fast take (read this first)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 265 • No purpose = no prescription. Write a plain goal (what changes and how we’ll know). • Access first: pain check, communication access (Appx N), environment fixes. • If used for behaviour control → it is a restrictive practice. Apply Appx A rules (authorisation, start/stop timing, review). • PRNs are specific: indication, first-line non-drug steps, max dose/24h, minimum re- dose interval, stop by date. • Monitor & review: set dates up-front; track benefits/harms; taper when stable. • Record everything (two-party e-receipt + audit log); share a plain-English summary with the person/family. Scope All psychotropics (antipsychotics, benzodiazepines, sedating antihistamines, antidepressants used for agitation, mood stabilisers) in home, community, short-stay, day programs and health interfaces, including PRN and scheduled use. Definitions (plain) • Psychotropic: a medicine that affects mood, thinking or behaviour. • Chemical restraint: giving a medicine mainly to control behaviour, not to treat a diagnosed condition or clear, time-limited symptom - see Appx A rules. • PRN (“as needed”): only for the named indication with limits and alternatives tried first. Governing rules (use every time) 1. Purpose & consent written first (plain words + access supports provided). 2. Minimum effective dose for the shortest time. 3. Document non-drug steps tried before PRN (and again next time). 4. Monitoring plan set on day 1 (benefits and harms). 5. Reviews on time (below); taper/stop unless clear benefit remains. 6. Two-party attestation for timing when used as restraint. 7. Reconcile within 72 hours on entry/switch (Appx D, Appx M). 8. Cultural & language safety (Appx O, Appx N). 9. Everything auditable (Appx T). Workflow (step-by-step) A) Before starting / renewing • Screen for causes: pain, infection, constipation, sleep, sensory overload, hunger/thirst, communication barriers. • Agree the purpose: “reduce night-time pacing from 6× to ≤2× per week” (example). • Record access supports: interpreter/Auslan/AAC set up; yes/no method. • Write the order clearly: medicine, dose range, indication, non-drug first steps, max dose/24h, re-dose interval, review & stop-by dates.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 266 • Restrictive-practice check: if primary purpose is behaviour control → record authorisation, start/stop timing, emergency override steps (Appx A). • Risk screen: falls, dysphagia/aspiration, constipation, seizures, QT prolongation, interactions (alcohol/opiates). • Share the plain-English plan with the person/family. B) Each administration (including PRN) • Confirm indication is present and non-drug steps were tried/ruled out. • Record start time (and stop time if short-acting) and effect at 30-120 min. • Log adverse effects (oversedation, unsteady, EPS, paradoxical agitation). • If used as restraint: apply Appx A timing, notify per local rule, book 72-hour review. C) After any PRN use (same day) • Debrief briefly: what worked, what didn’t, what to try first next time. • If two PRNs within 24 h or ≥3/week → trigger prescriber/Pharmacist review. D) Scheduled reviews (minimum) • New start / dose change: 2 weeks, then 6-8 weeks. • Stable ongoing: every 12 weeks (or prescriber policy), with a taper test considered each review. • Post-incident/ED: within 72 hours (Appx B). Monitoring set (pick what fits the medicine & person) Domain Examples & frequency Effect on target agreed measure (e.g., pacing count; sleep hours; ABC log) - daily/weekly Sedation/falls RASS or simple 0-3 scale; falls events - per shift Metabolic (antipsychotics) weight/BMI monthly x3 then q3-6m; BP; fasting glucose/lipids per policy Movement (EPS/Tardive) AIMS or brief EPS check each review; sooner if symptoms Constipation & swallow bowel chart daily; IDDSI/mealtime risks each review Cardiac risk QTc/EKG per policy & when risk factors present Cognition/affect simple checklist (alertness, engagement) weekly Record benefits and harms side-by-side; decisions must cite both. When is it chemical restraint vs therapeutic? (quick table) Situation Treat-ment (not RP) Chemical restraint (RP) Short-acting med for acute delirium with medical work-up ✔ if treating delirium with diagnosis & plan ✖ if used mainly to make someone “easier” Regular antipsychotic for psychosis with specialist oversight ✔ with reviews & monitoring ✖ if used for convenience without diagnosis/plan
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 267 Situation Treat-ment (not RP) Chemical restraint (RP) PRN given because noise/queue triggers distress and non-drug steps weren’t attempted - RP: log timing, authorisation, review Deprescribing / Fade plan (standard pattern) 1. Confirm stability and non-drug supports in place. 2. Agree taper steps (e.g., 25% dose cut every 2-4 weeks). 3. Name watch-outs (withdrawal, rebound anxiety, insomnia). 4. Add supports (sleep routine, sensory tools, pain plan). 5. If relapse: step back one taper step; re-try later with extra supports. 6. Stop date recorded; remove from repeat scripts if ceased. Safety stop-rules (act now, then review) • New confusion, over-sedation, or unsteady gait → hold next dose; seek clinical advice. • Suspected NMS/serotonin syndrome, severe EPS, allergic reaction → emergency pathway. • Two PRNs in 24 h or three in a week → urgent prescriber/pharmacist review. • Any choking/aspiration event → mealtime/IDDSI review (Appx Z crosswalk + Owner Matrix Y). Recording (minimum fields in chart/receipt) • Medicine, dose, route, batch (if relevant) • Indication present (yes/no) and non-drug steps attempted • Start time; effect (benefit/harms) at agreed interval • If RP: authorisation ID; start/stop times; notifier; 72-hour review booked • Who administered; two-party attestation (Appx E) • Any contact with prescriber/pharmacist and advice given Measures (internal; some publishable via tiles) • psychotropic_prn_rate_per_1000h (suppressed when small; Appx S) • review_on_time_pct (2-week / 6-8 week / 12-week) • taper_attempted_pct (eligible cases) & taper_success_90d_pct • oversedation_or_falls_after_dose_pct • rp_minutes_documented_pct (when PRN used for behaviour control) • Outcome pair: target behaviour ↓ with participation steady or ↑ (Appx L). Micro-scenarios (worked)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 268 • Night agitation → pain + sleep fix (no PRN needed): Staff use the person’s yes/no card; pain gel and warm drink; lights dimmed. Agitation drops; no PRN; note added to plan. • PRN drift caught: Three PRNs in a week for queue distress. 72-hour review adds quiet waiting spot and headphones; prescriber halves PRN dose and narrows indication. Next month: PRN zero. • Deprescribing win: Stable for 3 months; taper 25% q2w with increased community outings; sleep routine added. Stopped at week 8; participation rises. Quick scripts • Explaining to a family: “Medicines that change mood or behaviour are last-line and time-limited. We start with comfort and communication first, and we review early and often.” • To a prescriber (referral): “Two PRNs in 24 h for noise-triggered distress despite headphones and calm space. Request review of PRN haloperidol 0.5 mg; propose narrower indication + taper plan.” • To staff: “If you can’t name the indication and the first non-drug step, you shouldn’t give the PRN.” Where to get help / Artefacts & Templates • AB-1 Psychotropic Start/Renew Form (purpose, access provided, risks, review/stop-by dates) • AB-2 PRN Card (indication, first-line non-drug steps, max dose/interval, stop-by date) • AB-3 Monitoring Pack (effect/harms side-by-side; sedation/falls/EPS/metabolic charts) • AB-4 Deprescribing Algorithm & Taper Tracker • AB-5 Plain-English Medicine Summary (family version; multi-language/Auslan) • AB-6 72-Hour Review insert (when PRN used as RP) • AB-7 Pharmacist 72-Hour Reconciliation Form (switching/entry) • AB-8 Prescriber Letter Template (concise data + request) Summary companion. Decisions rely on the governing sections named in Safety & Restrictive Practices, Handover & Medication Reconciliation, 72-Hour Review & Fade Plan, Communication Access, First Nations Partnership, DPIA, Audit Log and Dashboards.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 269 Appendix AC - Dental Desensitisation Protocol Build tolerance, reduce fear, complete care without restraint. Owner: Oral Health (Dental Lead) Interfaces: Communication Access (Appx N); Accessible Plan Pack (Appx K); Weekly Schedule (Appx L); Handover & Medication Reconciliation (Appx D); 72-Hour Learning Review & Fade Plan (Appx B-C); Safety & Restrictive Practices (Appx A); First Nations Partnership (Appx O); Rural Micro-Hubs & Tele-OSCE (Appx P); DPIA (Appx R); Owner Matrix (Appx Y); Switching Protocol (Appx M). Why this matters (and why it hasn’t worked) People miss check-ups because clinics feel loud, bright and unpredictable. Visits start cold, communication access is missing, and teams jump to restraint or heavy sedation. Pain is missed, teeth are removed late, and trust drops. A graded, repeatable desensitisation plan with real access supports lets most people complete exams, cleans and simple treatment safely. Fast take (read this first) • Access first: interpreter/Auslan/AAC, yes/no method, plain words, teach-back. • Plan the ladder: short steps from “meet the space” → “open mouth 5-10 sec” → “clean with suction” → “local anaesthetic if needed”. • Rehearse at home/community; use photos, storyboards and the same calming phrase. • Measure small wins (seconds tolerated, tools touched) and build up; never force. • If medication or deep sedation is considered, get proper consent, follow clinical policy, and treat restraint rules as applicable (see Appx A). • Debrief within 72 hours after any distressed visit; update the plan. Scope All ages and settings (home practice, micro-hub pre-visits, community dental clinics, hospital dental). Applies to check-ups, clean/polish, X-rays, simple fillings, and pathwaying to specialist clinics when needed. Minimum safety & access rules 1. Offer communication access every time (Appx N). 2. Use visuals (photos of clinic/tools), sensory kit (sunglasses, headphones, weighted pad), and predictable order. 3. Stop signals agreed beforehand (hand raise/thumb down or card). 4. No restraint (physical or chemical) except emergency or planned under law with consent and timing (Appx A). 5. Medication reconciliation before visits (Appx D) - note seizure meds, anticoagulants, allergies. 6. Cultural protocols and family preferences (Appx O). 7. Privacy for photos/videos used for rehearsal (DPIA, Appx R).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 270 Desensitisation ladder (copy and tailor) Aim: complete an exam/clean without restraint; build to simple treatment. Level Step & success test Notes 0 Story & kit at home: look at pictures; try sunglasses/headphones; hold mirror Use Easy Read storyboard; pick a calming phrase 1 Front-of-clinic: enter, sit 2-3 min, leave on a win Schedule at quiet time; greet by name 2 Room look-around: sit in chair (upright) 1-2 min; touch mirror; count to 10 Headphones on if needed 3 Chair tilt & light: tilt slightly; light on with sunglasses; 10- 20 sec Say what’s next; practise breathing 4 Mouth open: mirror in/out, 5-10 sec; stop signal honoured Reward immediately 5 Suction sound & feel: touch lips/teeth 5-10 sec Show on hand first 6 Toothbrush/polish tip: gentle vibration on a back tooth 10- 20 sec One quadrant only 7 Full quick clean: 2-4 mins with breaks Timer visible; count-downs 8 X-ray (if needed): practise bite-wing with cardboard, then quick capture Two-step coaching 9 Local anaesthetic (if needed): numbing gel; count-down; hand squeeze Only with consent and clear purpose 10 Simple filling/extraction pathway: if not tolerated → step back or plan specialist clinic No surprises; document reasons Move up only after 2-3 “green” successes at a level. Step back freely; celebrate micro-wins. Roles (R/A/C/I) • A: Dental Lead (clinic or commissioned dentist) • R: IDC Lead/Key Worker (home practice + visit coaching); Dental Assistant (in room) • C: Person/Representative; Family/Carer; Cultural broker/ACCO; GP/Allied health (if pain/feeding issues) • I: Manager; Governance/Privacy; School/day program (for practice carry-over) Visit recipe (15-40 minutes) Before the day (48-72 h) o Confirm supports (interpreter/Auslan/AAC). o Share 1-page plan (ladder level, calming phrase, stop signal, sensory kit). o Med reconciliation done; transport booked; short slot reserved (first/last of session). On the day
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 271 o Greet softly; match the plan; offer choice (music, sunglasses, who stands where). o State the order of steps; keep counts short; honour stop signals; log seconds tolerated. o If distress rises → step back one level; finish on a win. After o Reward; give plain-English after-care (brush/fluoride advice). o Record wins/barriers; schedule next step (≤2-4 weeks). o If there was distress, book 72-hour review and update the ladder. Pain & oral-health basics (build into the plan) • Pain first: check teeth, gums, ulcers; use simple pain scale (faces/FLACC via AAC). • Daily toothbrushing plan (smear/pea toothpaste, handle/grip options, visual timer). • Fluoride varnish and fissure sealants where indicated (consent recorded). • Food/drink swaps (limit frequent sugars/acid drinks); agree one small change at a time. • If feeding/swallow risks (IDDSI) → loop mealtime lead and speech pathology before treatment. Medication & sedation notes (high level) • Pre-visit anxiolytics or procedural sedation only with prescriber/dentist oversight, proper consent and monitoring. • If the primary purpose is behaviour control (not clinical treatment) → treat as restrictive practice and apply Appx A. • General anaesthesia / hospital pathway: consent + anaesthetist instructions (fasting etc.) + clear after-care and follow-up plan to continue desensitisation, not end it. Recording (minimum fields) • Ladder level targeted & level achieved; seconds tolerated for open-mouth/tools. • Access provided (interpreter/AAC), calming phrase used, stop-signal honoured (Y/N). • Sensory kit used; barriers (noise, smell, vibration). • Pain scale result; work done (exam/clean/X-ray/etc.). • Any medicine used (dose/route/indication); if RP → authorisation + start/stop times (Appx A). • Next step/date; who agreed; signatures/attestation. Measures (internal; some publishable) • Visit completion rate (exam/clean completed without restraint). • Ladder progress (highest level achieved this quarter). • Distress events requiring stop/step-back (count; downward trend).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 272 • Sedation/GA rate (only where clinically indicated; publish with suppression rules, Appx S). • 72-hour review on time after distressed visits. • Home brushing adherence (weekly tick via Easy Read card). Micro-scenarios (worked) • Noise-sensitive adult: Starts at Level 2 with headphones and sunglasses; practises suction on hand; by Week 4 completes first clean without restraint. • Young person fearful of light: Social story + “count to 10” game; light turned on only after sunglasses on; chair tilt kept minimal. X-ray delayed; no meltdown. • Severe distress at Level 5: Team steps back to Level 3; books two short “look and leave” visits; adds lavender scent and weighted pad; returns to Level 5 the next week and succeeds. Quick scripts • To the person: “We’ll go in small steps. If you show this card, we stop and take a breather.” • To family: “We’re building up seconds in the chair. We’ll practise with the mirror at home and bring the same sunglasses.” • To the dentist: “Here’s the one-page plan: calming phrase, stop signal, current ladder level, and what we’re aiming to do today.” Where to get help / Artefacts & Templates • AC-1 Dental Passport (allergies, meds, access supports, calming phrase, stop signal) • AC-2 Desensitisation Ladder & Data Sheet (levels, seconds, notes, next step) • AC-3 Visual Storyboard & Photo Pack (clinic, tools, step order) • AC-4 Sensory Kit Checklist (sunglasses, headphones, pad, lip balm, scented wipe) • AC-5 Appointment Day Plan (who, when, quiet slot, success test) • AC-6 After-Care & Home Brushing Plan (plain English/Easy Read) • AC-7 Distress & 72-Hour Review Insert (for any difficult visit) • AC-8 Consent & Recording Pack (interpreters/Auslan/AAC, DPIA note for photos/videos) Summary companion. Decisions rely on the governing sections named in Communication Access, Safety & Restrictive Practices, Handover & Medication Reconciliation, 72-Hour Review & Fade Plan, First Nations Partnership, DPIA and Owner Matrix policies.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 273 Appendix AD - “Quiet Hours” Community MOU Template Make everyday places calmer and predictable so more people can join in. Owner: Community Partnerships & Participation Interfaces: Weekly Community Schedule & Participation (Appx L); Communication Access (Appx N); First Nations Partnership (Appx O); Dental & Health Access (Appx AC/D); Safety & Restrictive Practices (Appx A); Rural Micro-Hubs (Appx P); DPIA & Publication (Appx R/S); Audit Log (Appx T); Owner Matrix & Escalation (Appx Y); Evaluation Access (Appx W). Why this matters (and why it hasn’t worked) Shops, pools, cinemas and libraries can be loud, bright and unpredictable. People avoid them or have distress in queues. Staff want to help but don’t have a plan. A simple Quiet Hours MOU sets the time, the sensory settings and the roles - so visits are calmer, short, and successful. Participation goes up; incidents go down. Fast take (read this first) • Same slot every week (minimum 60 minutes) and published for a term/quarter. • Sensory settings agreed: lower lights, no PA/music, low-fragrance cleaning, visual clocks. • Queue alternatives: priority lane, take-a-number or pre-order/collect. • Trained staff on deck with a pocket card and a quick de-escalation script. • Communication access offered: plain signs, AAC picture cards; interpreters/Auslan by booking. • Small “quiet space” available to pause and regroup. • Measure it: sessions delivered, attendance, cancellations, short feedback, incidents (if any). Scope Supermarkets, libraries, pools/gyms, community centres, museums, cinemas, pharmacies, council service desks, transport offices, banks/post, and small-town venues via the micro- hub. Works for children, adults and older people; co-designed with the local ACCO/cultural authority where relevant. Quiet Hours - MOU template (fillable) A. Parties & purpose Venue (name, contact) • Provider/Network (contact) • ACCO/cultural authority (if partnering). Purpose: provide a low-sensory, predictable hour each week so people can shop, swim, study, watch a film or use services safely. B. Days, times & capacity
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 274 • Day/time (e.g., Tuesdays 4-5 pm). • Blackout dates (public holidays, events). • Max capacity (if needed) and how it’s managed. C. Sensory settings (minimum) • Lights: set to agreed level (e.g., ~50% lux; no flashing displays). • Sound: no music/PA unless safety; alarms tested outside the hour where possible. • Smell: avoid strong floor polish/perfume; schedule cleaning before/after. • Visuals: simple signs; visual timer or countdown board. • Environment map: show entrances, quiet space, toilets, lift, low-traffic paths. D. Queue & service options • Priority checkout/desk; take-a-number system; seat while waiting. • Pre-order / click-and-collect spot. • “I need more time” card accepted without fuss. E. Staff roles & training • Quiet Hours Lead on site. • 30-minute briefing: calm greeting, one-step instructions, stop signal respect, offer of help, escalation path. • Pocket card (plain scripts + do/never do). F. Communication access & inclusion • Offer AAC picture card set; plain-language signs; interpreters/Auslan on request. • First Nations protocol: welcome signage; cultural broker contact if partnering. G. Safety & escalation • Local emergency plan (who calls; where to wait). • If distress rises: step to quiet space; offer water; call family/ally if requested; no restraint except emergency (Appx A). H. Data, privacy & evaluation • What is counted (sessions delivered, head-count range, short feedback). • No photos/videos without consent; any reporting follows suppression rules (Appx S). • File a one-page term summary with a provenance hash (Appx T). I. Money & support • Any small costs (staffing, signage, cleaning timing) and how covered; brokerage for ACCO involvement. J. Promotion & review
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 275 • How the slot is advertised (posters, website, social). • Quarterly review meeting (15 min): what worked, what to tweak. K. Signatures Venue manager • Provider lead • ACCO/cultural authority (if applicable) • Dates. Setup checklist (venue) • Posters up with day/time; website updated. • Lights/music/PA plan tested; alarms scheduled outside the hour. • Priority lane sign and seat in place. • Quiet space set (chairs, water, basic kit). • Staff pocket cards printed; lead on roster. • Environment map printed at entry. On-the-day flow (venue + provider) 1. 5 min before: lights/sound set; lead does a calm walk-through. 2. Start: greet at door; give “quiet hour welcome” card; point to map/quiet space. 3. During: help quickly; keep instructions short; honour stop signals; avoid crowding. 4. If distress: step to quiet space; reduce stimuli; call ally if asked. 5. Finish: thank people; reset; note any issues in the log. Measures (internal; some publish) • Sessions delivered vs planned (%) • Attendance band (e.g., 0-5 / 6-15 / 16-30) • Cancellations/no-shows (count) & reasons • Short feedback (good / ok / needs work) with one open comment • Incidents (count; proportion resolved without police/ambulance) • Interpreter/AAC provided (%) when booked • Repeat participation (returned within 4 weeks) (Public numbers follow Appx S suppression & rounding.) Micro-scenarios (worked) • Supermarket: PA/muzak off; staff use “one-step, one-question” script; a customer uses priority checkout and a take-a-number ticket - visit done in 12 minutes, no distress. • Pool: Lifeguards use visual flags instead of whistles during the hour; a small quiet room offers a pause; three new swimmers complete two laps. • Library (remote town): Micro-hub sets a weekly hour with the library; lights dimmed; storytime with visual timetable; attendance grows from 3 to 12 over a term. • Cinema: Sunday 10am slot with low volume, captions on, and relaxed seating; families bring snacks; zero exits mid-film after adding a pre-visit storyboard.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 276 Quick scripts (pocket card) • Welcome: “Hi, this is our quiet hour. Lights and music are low. Take your time - tell me if you’d like a quieter spot.” • Offer help: “Would a number ticket or a priority checkout help today?” • If distressed: “We can pause in the quiet space. Would you like someone called?” • To other customers: “This is our quiet hour - thanks for keeping noise low and giving people space.” Where to get help / Artefacts & Templates • AD-1 Quiet Hours MOU (fillable) • AD-2 Sensory Settings Checklist & Environment Map template • AD-3 Queue & Service Options pack (signage + number tickets) • AD-4 Staff Pocket Card (scripts: welcome, help, de-escalate) • AD-5 Promotion kit (poster, web copy, social tile) • AD-6 Session Log & Term Summary (with provenance hash) • AD-7 DPIA & Privacy note (no photos; suppression rules) • AD-8 First Nations co-design checklist & brokerage form Summary companion. Decisions rely on the governing sections named in Participation/CPI, Communication Access, Safety & Restrictive Practices, First Nations Partnership, DPIA/Publication and Owner Matrix policies. Appendix AE - Transport Staff Pocket Card Owner: Transport & Community Access Interfaces: Weekly Community Schedule & Participation (Appx L); Communication Access (Appx N); Safety & Restrictive Practices (Appx A); Handover & Medication Reconciliation (Appx D); Owner Matrix & Escalation (Appx Y); First Nations Partnership (Appx O); DPIA & Publication (Appx R/S); Audit Log (Appx T). Why this matters (and why it hasn’t worked) Trips fall over when pickups are vague, communication access is missing, or wheelchairs aren’t secured right. Distress rises in noise and traffic, and staff sometimes use makeshift restraints. This pocket card sets a clear, safe routine so people arrive calm and on time - without restrictive practices. Fast take (read this first) • Know the plan: who, where, when, access supports, and backups (Appx L/N). • Seatbelts are safety; any harness beyond vehicle safety is a restrictive practice (needs authorisation or emergency rule) (Appx A).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 277 • Wheelchairs: 4-point tie-down + occupant belt, never to removable parts. • If distress: reduce stimuli, offer choices, don’t hold or tie; pull over safe and use de- escalation script. • Record the basics (pickup/drop, issues, any incidents) and escalate per Owner Matrix (Appx Y). Scope All transport delivered or arranged by providers: vans, cars, taxis/rideshare, community buses, rural micro-hub shuttles. Applies to school, work, health, community and switching visits. Pocket Card - Side A (Before / During / After) 1) Before you start (1-2 mins) • Check run sheet: names, addresses, access notes, mobility aid, stop-signal, emergency contacts. • Communication access ready: yes/no cards, AAC app/board; interpreter booked if needed (Appx N). • Vehicle quick check: fuel, tyres, ramp/lift, restraints set, first-aid kit, phone charged. 2) Pickup (calm start) • Greet by name; plain words + visual (“Next: car → [place]”). • Confirm seat preference, headphones/sunglasses if helpful. • Wheelchair users: brakes on, 4-point tie-down to solid frame, lap-shoulder belt low across pelvis; no straps to wheels/armrests/trays. 3) On the road • Drive smooth; one voice at a time; offer short choices (“music off/on?”, “window a little?”). • Watch early cues (fidget, fast breathing). Use calming phrase from plan. • If distress rises: 1. Pull over safely, hazards on. 2. Reduce noise/light; offer water; check pain/needs. 3. Use yes/no/AAC to choose next step (pause/return/continue). 4. If imminent danger only, follow emergency steps (Appx A) and time-keep. 4) Health events (quick) • Seizure: stop safely; time it; protect head; recovery position when safe; call 000 if >5 min, repeat seizures, injury, or per plan. • Choking: stop; follow mealtime/IDDSI plan if eating in vehicle (generally avoid eating in transit). • Crash/near miss: keep everyone seated if safe; call emergency services; notify per playbook. 5) Drop-off & after • Confirm destination staff/family receive the person. • Note any changes (mood, equipment issue, near miss). • Log incident or courtesy note if something may affect the next shift.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 278 Pocket Card - Side B (Rules, Do / Never Do, Scripts) Safety & restraint rules (plain) • Seatbelt = required. • Harnesses/positioning aids only if part of an approved seating system or lawfully authorised plan. • Never tie with scarves/straps, hold someone down, or wedge with bags. • Ramps/lifts: secure vehicle; flat ground; spotter if needed; hands clear; brakes on before securing. Do / Never do Do: • Use the same calming phrase and stop-signal as in the plan. • Offer quiet options (music off, window slightly). • Call ahead if running late; use backup stop from the schedule. • Report loose restraints or equipment faults immediately. Never do: • Leave a person alone in a vehicle. • Share routes/photos on social media. • Move the vehicle while belts or tie-downs are off. • Use family as interpreters for serious matters (unless emergency, then replace ASAP). Quick scripts (plain) • Offer choice: “Would you like the music off or a little quieter?” • If anxious: “We can take a short pause or head straight there - your choice.” • If stopping: “I’m pulling over somewhere safe so we can slow things down.” • To bystanders: “We’re okay - thanks for giving us some space.” Recording (minimum fields) • Date/time; pickup & drop-off; people transported; access provided (AAC/interpreter); any pause/route change and why; wheelchair securement check (Y/N); incidents/near misses; who was informed and when. Measures (internal; some publishable) • On-time pickups/drops (%); zero-defect securement audits (%); incidents/near misses (rate per 10,000 km); distress stops that resolved without restraint (%); interpreter/AAC provided when flagged (%). Micro-scenarios (worked) • Noise spike on freeway: pull off at rest area; music off; window cracked; agree “straight to venue”; trip completes, note filed.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 279 • Loose tray on wheelchair: stop; secure or remove tray; photo of mount (no person) filed to maintenance; run continues safely. • Taxi subcontract: driver given one-page plan (calming phrase, stop-signal, belt rule); AAC card supplied; successful school drop. Where to get help / Artefacts & Templates • AE-1 Pocket Card (print, two-sided) • AE-2 Vehicle Safety & Securement Checklist (daily) • AE-3 Run Sheet + Backup Stops (from Appx L) • AE-4 Communication Access travel card (yes/no, scripts) • AE-5 Incident / Near-Miss quick form (with audit-log link) • AE-6 Subcontractor briefing sheet (taxis/rideshare/community bus) • AE-7 Seating/Harness risk assessment (links to Appx A) • AE-8 Cultural & Interpreter booking note (Appx O/N) Summary companion. Decisions rely on the governing sections named in Participation/CPI, Communication Access, Safety & Restrictive Practices, Handover & Medication Reconciliation, First Nations Partnership, DPIA/Publication and Owner Matrix policies. Appendix AF - Assistive Technology (AT) & AAC Procurement Spec Right tool, right voice, owned by the person, safe by design. Owner: Procurement & Clinical Technology (with Speech Pathology/OT leads) Interfaces: Communication Access (Appx N); Accessible Plan Pack (Appx K); Weekly Schedule (Appx L); Safety & Restrictive Practices (Appx A); Handover & Medication Reconciliation (Appx D); First Nations Partnership (Appx O); Rural Micro-Hubs (Appx P); Workforce/OSCEs (Appx Q); DPIA & Publication (Appx R/S); Audit Log (Appx T); Switching Protocol (Appx M); Owner Matrix (Appx Y). Why this matters (and why it hasn’t worked) People lose their voice when devices are hard to get, locked to providers, or arrive without training. Purchases chase discounts, not fit. Data is synced to random clouds. When AT/AAC is person-owned, trialled, and supported, participation rises and restraint drops. This spec makes that the default. Fast take (read this first) • Assessment → trial → selection → training → review. No “buy first, figure out later.” • Licences and vocab belong to the person, not the provider. Switching must be easy (export/import).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 280 • Offline first, privacy by design; no always-on recording; encrypted backups. • Access methods (touch, switch, eye gaze, keyguard, partner-assisted scanning) supported. • Spare pool + repair SLAs so the person is never without a voice. • Measure use and outcomes, not just purchases. Scope All AAC and related AT used for communication, planning and access (low-tech boards/books; mid/high-tech speech-generating devices; switches; mounts; robust tablets; hearing/vision add-ons where relevant). Applies to home, community, day programs, school, health, rural micro-hubs and during provider switching. Principles (plain) 1. Person first: selection by goals and contexts; culturally safe language options. 2. Own & carry: device, licence and vocabulary travel with the person. 3. Try before buy: structured trials with clear success tests. 4. Access everywhere: supports at home, in vehicles, in noisy places, and during health visits. 5. Simple + durable: fewer steps; rugged; long battery; easy clean. 6. Privacy/consent: minimum data; no covert capture; small-cell rules for any reporting. 7. Support & training: staff/family pass the OSCE for AAC support (Appx Q). 8. Switch-ready: export/import without fees; handover pack in Switching Protocol (Appx M). Procurement workflow (step-by-step) 1. Referral & assessment (Speech Pathology/OT lead) o Goals (what the person wants to say/do), settings, partners, motor/vision/hearing, yes/no method. o First-language and First Nations language needs; interpreter/Auslan (Appx N, O). 2. Trial plan (2-4 weeks each option) o Choose 1-2 candidate systems (low-tech + high-tech if relevant). o Define success tests (e.g., 3 novel messages/day at home & community; order own food; make a choice in health visit). o Provide mount/case and training for partners; collect simple use logs. 3. Selection & DPIA o Compare trial data; complete short DPIA (Appx R) covering backups, cloud, MDM, permissions. o Confirm licence to the person, export format, and switching terms. 4. Quote & purchase o Bundle: device + case + mount + charger + spare kit + licence + voices + warranty + training hours + support SLA. o Record provenance in audit log (Appx T). 5. Deployment
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 281 o Load vocab; set voices (incl. child/First Nations language where available); configure offline use and backups. o Add to Accessible Plan Pack; publish quick “How to talk with me” page (Appx K). 6. Training & OSCE o Partners (family, staff, peers) complete quick training; IDC staff complete OSCE-C (comm access) (Appx Q). o Provide scripts/cards for everyday places. 7. Review & renewal o 6-8 week review against goals; adjust vocab/mounts; confirm repairs/loan process. o Annual check; renew licences; refresh training if staff change. Minimum technical spec (AAC/high-tech) • Hardware o Rugged case + shoulder/hand strap; drop rating or proven field durability. o Battery ≥ 8-10h real use; USB-C; spare charger; charging safety label. o Mounting: universal plate or clamp compatible (wheelchair/table/vehiclepassenger only). o I/O: switch ports or wireless switch; eye-gaze or camera access if needed; loud but clean speaker; headphone jack/Bluetooth. o Weight/size suited to the person; keyguard option. • Software o Symbol + text; quick phrases; message banking; bilingual layouts; custom key sizes. o Offline operation fully functional; cloud sync optional with consent. o Export/import vocab (open format or widely used standard). o Voices: adult/child; local accents; First Nations packs where available. o Privacy: no auto-upload media; per-app permissions; easy “privacy off” toggle. o Analytics: on-device counts (e.g., messages/day) viewable by the person; no personal analytics published. • Security/MDM o PIN/biometric; managed updates; remote-wipe only with dual authorisation; device labeled “Communication - medical equipment - do not confiscate.” Low-tech spec (must have in every plan) • Laminated core board (A4/A3); waterproof option; lanyard card for yes/no/stop/help. • Partner-assisted scanning template; spare copies in bag/vehicle. • Photo/symbol schedule strips for community visits; removable for privacy. Access methods & mounts (choose what fits) • Touch with keyguard • Switch scanning (1-2 switch) • Eye gaze • Head/motion • Partner scanning.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 282 • Mounts: wheelchair (clinically approved), table, bed, vehicle passenger use only. Quick-release; no straps used as restraints (Appx A). Safety, privacy & lawfulness • No always-on audio/video. Recording only with consent + DPIA; short retention. • Respect search rules: staff may not dig through private messages/photos without lawful reason and consent. • Cleaning protocol compatible with device; avoid fluid ingress. • Label chargers/cables; avoid trip hazards; inspect mounts monthly. Support & service levels • Spare/loan pool: replacement within 2 business days (metro) / 5 days (remote). • Repair SLA: triage in 1 day; repair/replace ≤ 10 business days or provide extended loan. • Help desk hours and escalation path (Appx Y). • Training package: min 4 hours partner training at go-live; refresh at staff turnover. Switching & ownership (non-negotiables) • Person holds the licence, vocab files and mounts that fit their chair/desk. • Exit pack (Appx M): device, charger, mounts, export of vocab/settings, licence keys, warranty/support details. • No “factory reset” without a backup given to the person/representative. Do / Never do (quick) Do: trial first; set goals; train partners; keep low-tech backup; export vocab monthly; record consent modes. Never do: buy without trial; lock licence to a provider; remove a device as “punishment”; use straps to hold the person; enable cloud sync without consent. Recording (minimum fields) • Assessment summary; chosen device & access method; licences (owner & expiry); mounts; training delivered (who/when); backup method; consent settings; review dates; service/repair history; export hash for vocab backups (Appx T). Measures (internal; some publishable) • Time from referral → trial start / device in hand (days). • Partner OSCE-C pass rate (% in date).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 283 • Daily use (messages/day or minutes with device) - person-level private; publish only aggregates. • Goal hits (e.g., orders own food weekly, starts 3 conversations/day). • Repair/loan timeliness; switching completeness (exit packs with exports, %). • Complaints about access resolved inside standard. Micro-scenarios (worked) • School & community: Trial board + app; success test = order at café and answer two teacher questions/day. App chosen; vocab exported monthly; teacher and parent pass OSCE-C. • Rural: Micro-hub loan kit; satellite updates off, offline backups to SD card; repair swap posted next-day. • Switching providers: Exit pack handed over with vocab export; new team imports in 10 minutes; person’s phrases unchanged. Quick scripts • To a family: “We’ll try options first. The licence and vocabulary belong to you, and the device works without the internet.” • To staff: “If the person’s device is not present and on, we haven’t provided communication access.” • To vendor: “We require person-owned licences, offline operation, open export, and a 10-day repair SLA.” Where to get help / Artefacts & Templates • AF-1 Assessment & Trial Plan (goals, contexts, success tests) • AF-2 Trial Data Sheet (use counts, partner notes, yes/no method) • AF-3 DPIA mini (cloud, backups, permissions, analytics) • AF-4 Quote & Bundle Checklist (device + case + mount + licence + SLA) • AF-5 Deployment & Training Checklist (setup, voices, partners trained, OSCE booked) • AF-6 Vocab Export/Backup SOP (with provenance hash) • AF-7 Switching Exit Pack (export, licences, mounts list) • AF-8 Service & Repair Log (SLA tracker) • AF-9 Low-Tech Kit Pack (core board, lanyard yes/no, scanning card) Summary companion. Decisions rely on the governing sections named in Communication Access, Participation/CPI, Safety & Restrictive Practices, Handover & Medication Reconciliation, First Nations Partnership, DPIA/Publication, Audit Log, Workforce/OSCEs and Switching policies.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 284 Appendix AG - Tribunal/OPA/DSC “Candour by Template” Exemplars Say everything that matters, plainly, with evidence and safeguards attached. Owner: Governance & Legal Liaison & DSC Unit Interfaces: Reasons & Weighting (Appx H); Contradiction Matrix (Appx I); Independent- Reasoning Certificate (Appx J); Owner Matrix & Escalation (Appx Y); Safety & Restrictive Practices (Appx A); 72-Hour Review & Fade Plan (Appx B-C); Communication Access (Appx N); First Nations Partnership (Appx O); DPIA & Publication (Appx R/S/AL); Audit Log (Appx T); Switching Protocol (Appx M); Navigator/Foundational Supports; AG.1 (DSC/Ombudsman companion). Why this matters (and why it hasn’t worked) Bundles to Tribunal/OPA often arrive late, one-sided, and jargon-heavy. The person’s voice (and interpreter/Auslan/AAC supports) is missing; evidence isn’t weighed; contradictions aren’t resolved; safeguards lack expiry/fade. That slows hearings and risks over-restrictive orders. “Candour by template” fixes this: we show the helpful and unhelpful facts, number and weight evidence, resolve contradictions, and attach time-bounded safeguards, with privacy and provenance you can check. Fast take (read this first) • Use one standard pack with four parts (below). • Candour rule: include facts that help and facts that hurt; explain the weight (0-4). • Access first: interpreter/Auslan/AAC offered and recorded; the person’s will & preferences in plain words. • Two-Key: identify co-signers and independence (IPP screen + timestamps) where consequential. • Number everything: evidence IDs, pages, annexes; log a provenance hash. • Service timelines: serve the person/representatives ≥5 business days before hearing (unless urgent); attach a plain-language version. • Small-cell suppression for any public release (Appendix S/AL). Scope All Tribunal/OPA matters: restrictive-practice authorisations/variations; guardianship/administration; health/medication orders; reviews; responses to OPA notices. Ombudsman or DSC request packs use the same templates (with their cover page per AG.1). Navigators may prepare family-facing summaries; the same evidence set is used across bodies. The Candour Pack - structure & exemplars 1) Plain-English Notice to the Person (exemplar AG-1A)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 285 • What is happening and when. • Why (plain purpose; any immediate risks). • Your rights: support person, interpreter/Auslan, AAC, see the papers, tell your side. • What we are asking for (short bullets). • How to contact us (named person). • Accessible versions (Easy Read, audio, translated, Auslan). 2) Decision Dossier (exemplar AG-2A) A) Issues (numbered) B) Evidence table with weights (R&W) ID Source Date Summary Weight (0- 4) Why this weight (≤25w) E01 Video 02:14-03:03 12 Aug pacing/exit toward road 4 direct, time-stamped E02 Staff note (unsigned) 13 Aug “often aggressive” 1 hearsay; no detail E03 Pharmacy review 15 Aug PRN 3×/wk 3 independent; clear count C) Contradiction Matrix (hearing version) - conflict, principle(s) (see Appx I), preferred item, confidence, follow-up/owner/date. D) Applied tests - necessity; least-restrictive; lawfulness; proportionality; candour/integrity; privacy/suppression (≤25 words each, cite IDs). E) Orders sought & safeguards - time-limited; review dates; fade steps; practice actions “tomorrow morning”. 3) Safeguards Annex (exemplar AG-3A) • Access provided (interpreters/Auslan/AAC; consent mode/attestation). • DPIA summary (minimum data; suppression plan if publishing). • Authorisations & expiries (if RP/psychotropic). • Reviews booked (72-hour, next panel/tribunal date). • First Nations protocols (MOU, wording review). • Two-Key co-signers, independence screen (IPP), timestamps. 4) Service & Provenance (exemplar AG-4A) • Who received what, when, and how (person, representative, OPA, counsel). • Hashes & audit events (bundle + attachments; Appendix T IDs). • Contact sheet (hearing day). • Cross-references if also lodged with Ombudsman/DSC (AG.1). Will & Preferences Note (insert) • Method used (SDM/BIWP/AAC/interpreter) and who supported it. • The person’s own words (or best evidence of will/preferences).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 286 • Dignity of risk considered; agreed supports; fade/expiry if restrictions are sought. Tier-0 Log & 72-Hour Review (for emergency pathways) • Trigger; immediate action; restraint/sedation minutes; outcome. • 72-hour review: attendees; alternatives; least-restrictive re-test; fade/next steps; learning points; next review date. • Outputs: updated R&W short form; Matrix updates; reasons digest; audit hash; publication note. DSC Calibration Memo (Two-Key) - for contested/complex matters • File vs field checks: second-key independence; rotation; R&W quality; will & preferences fidelity; small-cell guard. • Variances; corrective actions; publication note (non-PII). • Feeds Owner Matrix (Y) and tiles (S-Q02, S-P06). Candour by Template - exemplars Exemplar AG-1A - Plain-English Notice (≤200 words) You have a hearing on [date/time] about [topic]. We are asking the Tribunal to consider [short ask]. This is because [plain reason]. You have rights: you can bring a support person; we will provide an interpreter/Auslan or AAC if you want one; you can read these papers; you can tell the Tribunal what you want. What matters to you: [two lines captured in intake]. If the Tribunal makes any short-term order, it will be checked again in 72 hours. Call [name, number] if you need help. Easy Read/Auslan video versions are available. Exemplar AG-2A - Orders & Safeguards block (≤120 words) We seek a time-limited order to [scope] for [days/weeks]. Safeguards: start/stop timing; second-key co-sign; 72-hour review booked [date]; fade plan steps: [1-2 bullets]; consent/communication supports in place; publication is de-identified with small-cell suppression; next review [date]. Timing & service • Standard: serve ≥5 business days before hearing; interpreters booked; Easy Read provided. • Urgent: registrar contacted; serve what exists now + list what follows (with dates). • After hearing: share the order + one-page plain summary with the person/family same/next business day.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 287 Ombudsman & DSC pathway (AG.1 - same pack, routed) Who gets what (routing matrix) Body When to notify What to send Tribunal/OPA Applications, variations, reviews, urgent orders Full Candour Pack (AG-1A…AG-4A) Ombudsman Complaints/systemic issues; information requests Candour Pack + Ombudsman cover page (ref/due date) DSC Safety/quality notifications (S0- S3) Candour core (facts timeline; R&W top items; Matrix if conflict; immediate controls; fix-forward; audit hashes) Timeframes (align to law): Tribunal/OPA ≥5 bd (unless urgent); Ombudsman by request due date; DSC S0 2h / S1 24h / S2 3bd / S3 7bd. One evidence set: same numbered R&W table and Matrix for all audiences; apply minimum data + suppression/redaction for any public step; all packs carry hashes and audit IDs. Hearing-day roles & quick scripts • Presenter: “We’ll show both the helpful and unhelpful facts. The person’s position is on page 2.” • If challenged: “That item is E02 (weight 1). We prefer E01 because it’s direct and time-stamped.” • To the person: “If you need a pause or interpreter change, tell us by [gesture/word].” Measures (internal; some publishable) • Bundles on time (%) · Interpreter/Auslan fulfilment (%) · Packs returned for defect (%) (↓) · Orders with least-restrictive safeguards (%) · Reviews booked inside standard (%) · Post-hearing actions on time (%). Micro-scenarios (worked) • Urgent medication order: Short pack filed same day; interpreter by video; time- limited order; taper review in 14 days. • RP variation: PRN drift shown; alternatives added; order amended with strict start/stop timing and fade steps; 4-week review set. • Guardianship review: Person’s AAC statement leads; Matrix prefers recent video + pharmacist review over old note; limited-scope order with review date.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 288 Where to get help / Artefacts & Templates • AG-1A Plain-English Notice (Easy Read + translated/Auslan) • AG-2A Decision Dossier shell (Issues → R&W → Matrix → Tests → Orders & Safeguards → Actions) • AG-3A Safeguards Annex • AG-4A Service & Provenance sheet (hash fields + multi-recipient log) • AG-5 Ombudsman cover page (ref, scope, due, contact) • AG-6 Pack routing checklist (AG.1) - Tribunal / OPA / Ombudsman / DSC • AG-7 Post-hearing plain summary (≤1 page; distribution list) Summary companion. One pack, many audiences. Numbered, weighted evidence; contradictions resolved; Two-Key and 72-hour learning loop visible; small-cell suppression and audit hash in place; safeguards that fade by default. Candour by template turns hearings from guesswork into accountable decisions. Appendix AH - Fiduciary Safeguards & Financial Safety Pack Protect the person’s money; make spending transparent; stop harm early. Owner: Finance & Governance (with Practice Lead) Interfaces: E-Receipts (Appx E); Roster↔Claim Cross-Checks (Appx F); Sanctions Ladder (Appx G); Audit Log (Appx T); DPIA & Publication (Appx R/S); Switching Protocol (Appx M); Owner Matrix & Escalation (Appx Y); Communication Access (Appx N); Tribunal/OPA & Ombudsman (Appx AG). Why this matters (and why it hasn’t worked) People have lost money through cash handling, vague approvals, gift cards, and “we’ll fix it later” reimbursements. Records are scattered, families can’t see what was spent, and small leaks become large losses. A clear Financial Safety Pack puts the person first: simple permissions, cash-free where possible, two-party evidence, fast reimbursements, and red- flag alerts. Fast take (read this first) • Cash-light by design: prefer pre-paid card or account with limits; no loose petty cash. • Two-party proof: every purchase has an e-receipt + staff attestation (Appx E). • Plain “Money Agreement” with the person/family sets what’s OK, who can help, and how to see statements. • Red-flags watched daily; escalate by S-level (below). • Quarterly plain summary for the person/family; privacy-safe public tiles only. • Everything auditable (Appx T) and switch-ready (Appx M). Scope
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 289 All spending on behalf of the person: food, travel, outings, subscriptions, equipment, phones/tablets, and small home items - whether funded by plan budgets or the person’s own money. Applies to in-home, community, day program, short-stay and rural micro-hub. Roles (R/A/C/I) • A: Finance & Governance Lead • R: Team leaders / key workers (day-to-day approvals) • C: Person/representative; family/guardian; Cultural broker/ACCO (where relevant) • I: Practice lead; Ombudsman/OPA when escalated; Vendors/banks for fraud blocks Person-first rules (plain) 1. It’s their money. Get consent in their way (Appx N). Keep purchases aligned to their goals. 2. No cash unless written in the Money Agreement; if used, count/receipt/lock immediately. 3. Cards & PINs: personal to the person; if staff must assist, use sealed PIN, named custody log, and two-party use. 4. Conflict of interest: staff don’t buy from or sell to people they support. No “points farming”. 5. Fast fixes: if anything feels off, stop and tell a supervisor - same shift. Financial Safety Pack - contents (what every site must keep current) 1. Money Agreement (plain English/Easy Read) - what’s OK to buy, weekly caps, card rules, who can see statements, consent mode. 2. Spending Permissions Map - who can approve what (limits by role & item). 3. Pre-paid/Card Register - card IDs, holders, limits, PIN custody, lost/stolen steps. 4. E-Receipt Workflow - how staff capture itemised receipts and attest two-party (Appx E). 5. Reimbursement & Cash-out SOP - allowed cases only; timeframes; evidence. 6. Red-Flag Triggers & Escalation Tree - see S-levels below. 7. Quarterly Person/Families Summary - simple pie chart + top vendors (private). 8. Switching/Exit Checklist - close cards, export statements, hand back balances (Appx M). Everyday workflow (1-page) Before buying • Check the Money Agreement and the limit. • If not listed or over limit → get approval (phone/SMS log is fine if captured in the audit log). At purchase
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 290 • Use the person’s card (preferred) or approved method. • Capture itemised e-receipt (photo/upload) and two-party attestation. After purchase (same day) • Tag to the person and category; add short note (“bus pass”, “entry fee”). • If mistake or damaged item → start refund/return the same day. Weekly • Team lead reviews exceptions (missing receipts, split transactions). • Courtesy check: anything unusual? If yes, call family/representative. Red-flags & escalation (financial harm ladder) Level Examples (not exhaustive) First response Notify/escalate S0 Critical Cash withdrawal at ATM; card used when person not present and not in plan; repeated high-value electronics; forged/edited receipt; suspected theft Immediate stop card; make safe; inform person; start facts log On-call + A in 15 min; Ombudsman/OPA if harm/abuse suspected; police per policy; audit log S1 High Three missing receipts in a week; split transactions to dodge limit; vendor linked to staff; denial of access to statements Freeze spending to essentials; collect facts; courtesy-call family A within 2 h; improvement plan in 24 h; consider sanctions (Appx G) S2 Medium Late reimbursements; plan purchase not in goals; repeated subscriptions Fix within 3 days; coach staff; update Money Agreement Team lead; monthly review S3 Low Single small error; price above usual without reason Correct same day; note reason Team lead; watch list Auto-promote if unsure. Downgrade only by A after facts recorded. Controls (what must exist) Cards & accounts • Pre-paid or debit with per-transaction and daily caps; merchant blocks (e.g., gaming, liquor) where appropriate. • No shared cards. One card per person; custody log when staff carry it temporarily. • Lost/stolen = immediate block + report. E-receipts & approvals • Itemised receipt + 2-party attestation fields: who bought, who witnessed, purpose, location, timestamp (Appx E). • Roster↔claim cross-check (Appx F): spending must line up with support actually delivered. Reimbursements • Only for pre-approved cases or true emergencies.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 291 • Timeframe: submit same day; pay within 5 business days. • Evidence: itemised receipt; reason why card was not used; approval ID. Gifts/benefits register • Record any gifts from vendors/families; no kickbacks. Privacy • Statements shared with person/family per Money Agreement; minimum data in any public release (Appx S); all packs hashed (Appx T). Measures (internal; some publishable) • e_receipt_coverage_pct (target ≥98%) • exceptions_per_100_tx (downward trend) • missing_receipt_rate (≤1% with rapid correction) • time_to_reimburse_median_days • card_custody_breaches_count • split_tx_detected_count and vendor_conflict_hits • Courtesy-check completion (%) and satisfaction (short 3-emoji scale) • Publish only safe aggregates per Appx S. Micro-scenarios (worked) • ATM withdrawal detected (S0): Card blocked in 10 min; person safe; facts log shows staff error; training + limit changes; family updated same day; Ombudsman advice sought; card reinstated with custody log tightened. • Missing receipts x3 (S1): Freeze non-essentials; 24-hour improvement plan; staff coached on e-receipts; coverage returns to 99%; monitored for 30 days. • Subscription creep (S2): Music + video + game passes stacking. Team reviews goals; keep one, cancel two; Money Agreement updated; spend drops $35/month. Do / Never do (baseline) Do: keep it cash-light; use two-party e-receipts; match spend to goals; call early if something feels wrong; share simple quarterly summaries. Never do: hold a person’s card “just in case”; share PINs on paper; buy from staff/family businesses; accept “no receipt available”; delay reimbursements. Switching & exit (must-do) • Close/transfer cards; hand back balances; export 12 months of statements and e- receipts with hashes; update contact emails/phone on any online stores; confirm device/account sign-outs (Appx M).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 292 Quick scripts • To the person/family: “It’s your money. We use your card where possible, keep receipts, and send you a simple summary each term. If anything looks wrong, we fix it fast.” • To staff: “If you can’t get an itemised receipt, don’t buy it - or call first. Two-party proof every time.” • To a vendor: “We need itemised receipts - GST or not. Please include product names, not just ‘miscellaneous’.” Where to get help / Artefacts & Templates • AH-1 Money Agreement (Plain English + Easy Read) • AH-2 Spending Permissions Map (limits by role/item) • AH-3 Card & PIN Custody Register • AH-4 E-Receipt & Attestation Form (aligned to Appx E schema) • AH-5 Reimbursement & Cash-out SOP (with timeframes) • AH-6 Red-Flag & Escalation Tree (S0-S3) • AH-7 Quarterly Family Summary template (private) • AH-8 Vendor Letter (receipt requirements & contact) • AH-9 Switching/Exit Financial Checklist • AH-10 Gifts/Benefits Register Summary companion. Decisions rely on the governing sections named in E-Receipts, Cross-Checks, Audit Log, DPIA/Publication, Owner Matrix & Escalation, Sanctions Ladder, Communication Access and Tribunal/OPA/Ombudsman protocols. Appendix AI - Industrial Relations & Insurance Brief Templates Clear briefs mean faster fixes, safer work, and fewer disputes or claim surprises. Owner: People & Culture (HR) with Legal/Insurance Lead Interfaces: Owner Matrix & Escalation (Appx Y); Safety & Restrictive Practices (Appx A); 72-Hour Review & Fade Plan (Appx B-C); Handover & Medication Reconciliation (Appx D); E-Receipts & Cross-Checks (Appx E-F); Sanctions Ladder (Appx G); Red-Team (Appx U); DPIA & Publication (Appx R/S); Audit Log (Appx T); Workforce/IDC & OSCEs (Appx Q); Switching Protocol (Appx M); Ombudsman/Tribunal (Appx AG). Why this matters (and why it hasn’t worked) Industrial issues and insurance notifications are often late, wordy, or missing facts. That raises legal risk, slows return-to-work, and can void cover. With short, standard briefs - written in plain English and backed by the same evidence tables we use elsewhere - unions, staff, and insurers see the same picture and can act quickly.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 293 Fast take (read this first) • Use two streams of templates: 1. IR/Workforce (consultation, change, investigation, dispute). 2. Insurance (notify early; facts only; no admissions). • One evidence set everywhere: R&W table, Contradiction Matrix, audit hashes. • Link actions to the Owner Matrix and IDC/OSCE requirements (competence, supervision). • Time matters: notify insurers promptly; start consultation before change; keep the tone respectful and factual. Scope All workforce and insurance matters across home, community, day program, micro-hubs and health interfaces: roster changes, new IDC roles, OSCE currency requirements, disciplinary investigations, protected disclosures, industrial disputes; workers’ compensation, professional indemnity, public liability, motor, property, and cyber/privacy incidents. When to use which brief (quick matrix) Situation Use these templates Timeframe Roster redesign / new IDC model / micro-hub AI-1 Consultation Brief, AI-2 Staff & Union Cover Note, AI-3 Role/Scope Statement Start before change; give clear dates Practice concern / misconduct / incident with worker harm AI-4 Investigation ToR & Witness Care, AI-5 Suspension/Stand-Down Notice (if used) Same day as decision Worker injury / psychological harm AI-6 First Report (Workers’ Comp), AI-7 RTW Plan Stub 24 h to insurer (earlier if policy says) Family/third-party claim risk (service error, injury) AI-8 Liability Notice (PI/PL) + R&W pack Immediately / next business day Vehicle damage / road incident AI-9 Motor Claim First Notice + photos/map 24 h Privacy/cyber incident AI-10 Cyber/Privacy Notice + DPIA snippet Immediately / regulator windows Data or publication complaint AI-11 Ombudsman Cover Page + Candour pack Per request due date Industrial dispute / grievance AI-12 Dispute Brief & Resolution Plan On receipt (same/next business day) Always attach: R&W top items, Contradiction Matrix (if accounts conflict), audit event IDs & hashes (Appx H/I/T). IR stream - core rules (plain)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 294 1. Consult early, not after the fact. Give reasons, options, dates, and invite alternatives. 2. Separation of roles: one person runs the process, another supports the worker. 3. Safe participation: interpreters/Auslan/AAC offered; no retaliation for raising issues. 4. IDC competence: any change must show OSCE/IDC coverage and supervision (Appx Q). 5. Keep to facts: use short, numbered points; avoid labels and opinions. AI-1 Consultation Brief (change proposal) - structure • What is changing & why (1-2 paras; link to participation/safety goals). • Who is affected (roles/locations/FTE). • Options considered (keep/change/phase-in; pros/cons). • Impact summary (rostering, allowances, travel, training). • IDC/OSCE coverage (how competence is kept). • Support offered (training, redeployment, EAP). • How to respond (contact, dates, meeting times). • Attachments: draft roster map, role/scope statements, FAQs. AI-2 Staff & Union Cover Note (plain) • Plain words; invite discussion; list access supports; set consultation window and a decision date. AI-3 Role & Scope Statement (IDC-linked) • Purpose • Key tasks • Boundaries (what you must not do) • Supervision • OSCE requirement • Licences/clearances • Pay/allowances • Review date. AI-4 Investigation Terms of Reference (ToR) & Witness Care • Allegation(s) in plain English • Scope (what is and isn’t included) • Process (interviews, documents) • Standards referenced • Timeframe • Support offered • Privacy & non-retaliation notice. AI-5 Suspension/Stand-Down (if used) • Reason (link to risk or process fairness) • Pay status • Duration/review dates • What you can/can’t do • Contacts & supports. Insurance stream - core rules (plain) 1. Notify early (often “as soon as practicable”): send facts only; no admissions of liability. 2. One contact point to the insurer (Legal/Insurance lead). 3. Bundle the facts: short timeline, R&W table, photos/maps, contracts/consents, policy numbers. 4. Keep privilege clean (if legal advice is sought). 5. Support the person/worker while the claim runs (separate from liability position).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 295 Common policies & what they expect • Workers’ Compensation: first report, injury details, duties/RTW plan, medical certificates. • Professional Indemnity (PI): alleged error/omission; who, when, what harm; steps taken to mitigate. • Public & Products Liability (PL): incident details, maintenance logs, third-party contacts. • Motor: driver details, police number, photos, repairer info. • Property: asset list, photos, cause, invoices/quotes. • Cyber/Privacy: what data, how many affected, containment, regulator timelines, notification plan. AI-6 Workers’ Comp First Report - fields • Worker details • Incident date/time/place • What happened (≤6 bullets) • Immediate treatment • Duties at time • Witnesses • Access provided (interpreter/AAC) • Early contact to worker & RTW plan booked. AI-7 Return-to-Work (RTW) Plan Stub • Capacity (hours/tasks) • Adjustments • Supervisor check-ins • Treatment schedule • Review dates • Worker agreement (plain consent). AI-8 PI/PL Notice to Insurer (no admissions) • Policy # • Event summary (facts) • Parties involved • Harm reported • Controls in place • Documents list • Contact for further info. AI-9 Motor Claim First Notice • Driver/licence • Vehicle details • Photos/diagram • Police/incident # • Repairs/ tow • Injuries (if any). AI-10 Cyber/Privacy Notice • Data type/volume • Containment • Forensics started? • Legal/regulator timelines • Draft comms (plain) • DPIA snippet • Audit IDs. Evidence & tone (for both streams) • Use R&W table (max 6 items) with weights 0-4 and one-line reasons. • If accounts conflict, add the Contradiction Matrix (principles; preferred item; confidence; follow-up). • Attach only what is needed; de-identify where possible; add hashes & audit events. • Plain, respectful, and specific. No blame language. Measures (internal; some publishable)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 296 • Consultations on time (%) (opened before change). • Workers’ comp first-notice timeliness (%) and median RTW days. • Insurer notifications on time (%) by policy. • Investigation cycle time (open → close, median). • Repeat disputes (same topic/site) down. • IDC/OSCE currency for affected roles (%) during/after change. Micro-scenarios (worked) • Roster redesign for micro-hub: AI-1 sent 3 weeks early with options; union chooses phased roll-in + travel allowance tweak; OSCE sessions scheduled; change lands without dispute. • Vehicle scrape in carpark: AI-9 filed same day with photos; no injury; repair approved; driver debriefed. • Family injury claim (slip): AI-8 sent with maintenance log and photos; hazard fixed; PI handles correspondence; plain apology issued without admitting liability. • Data email error: AI-10 submitted within hours; 16 families notified with plain message; regulator timeframes met; no Ombudsman escalation. • Worker strain injury: AI-6 + AI-7 lodged; duties adjusted; RTW in 9 days; IDC supervision increased for manual-handling refresh. • Practice allegation: AI-4 ToR set; interpreter provided; Matrix resolves note vs video; outcome letter cites standards and support offers. Quick scripts • To staff & union (consultation): “Here’s what we’re changing and why. These are the options and dates. Tell us better ideas - we’ll publish the decision and reasons.” • To an insurer (first notice): “Facts attached, evidence numbered and hashed. Please confirm coverage position and next steps. No admissions are made.” • To a worker (injury): “We’ll lodge the claim today and build a duties plan with you. Your health comes first.” • To a family (privacy/cyber): “A mistake happened with your data. Here’s what, what we’ve done to protect you, and how to get help.” Where to get help / Artefacts & Templates • AI-1 Consultation Brief (change proposal) • AI-2 Staff & Union Cover Note (plain) • AI-3 Role & Scope Statement (IDC-linked) • AI-4 Investigation ToR & Witness Care pack • AI-5 Suspension/Stand-Down letter (if used) • AI-6 Workers’ Comp First Report • AI-7 Return-to-Work Plan stub • AI-8 PI/PL Insurer Notice • AI-9 Motor First Notice • AI-10 Cyber/Privacy Notice • AI-11 Ombudsman Cover Page (with Candour pack link)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 297 • AI-12 Dispute Brief & Resolution Plan • AI-13 Evidence bundle index (R&W + Matrix + hashes) Summary companion. Decisions rely on the governing sections named in Owner Matrix & Escalation, Safety & Restrictive Practices, Truth-by-Design (R&W/IRC), Workforce/IDC & OSCEs, DPIA/Publication, Audit Log, Sanctions Ladder and Tribunal/OPA/Ombudsman protocols. Appendix AJ - Research & Evaluation Partnership MoU Work together, protect people, share results that improve everyday life. Owner: Evaluation & Governance (with Practice Lead) Interfaces: Evaluation Access Protocol (Appx W); DPIA & Publication (Appx R/S); Audit Log (Appx T); First Nations Partnership (Appx O); Interpreter/Auslan/AAC (Appx N); Switching Protocol (Appx M); Owner Matrix & Escalation (Appx Y); Workforce/IDC & OSCEs (Appx Q); Tribunal/OPA & Ombudsman (Appx AG). Why this matters (and why it hasn’t worked) Good studies have fallen over because approvals were vague, data left the building, or participants never heard back. Sometimes projects helped the paper more than the people. A plain MoU locks in ethics, access tiers, privacy, co-design, and what the community gets back - so research answers real questions without harm. Fast take (read this first) • Use one MoU for each partner, with a short Project Schedule per study. • Access follows Appx W (Tiers A-E). Start low; justify going higher. • Consent is real: accessible, recorded, revocable; interpreters/Auslan/AAC offered. • Independence & candour: pre-register methods; declare conflicts; publish a Plain- English summary back to participants. • Data room, not email: de-identified datasets only; outputs checked for suppression. • Community benefit: training, feedback loops, and a change plan tied to IDC workforce. Scope Universities, research institutes, evaluators, and community partners working with any service, site or dataset covered by this White Paper. Partnership MoU - fillable template 1) Parties & purpose • Parties (legal names) and leads (names/contacts).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 298 • Purpose: what questions we will answer and how this helps people now. 2) Principles • Do no harm • Person first • Co-design with lived experience • First Nations protocols (Appx O) • Minimum data • Results back to the community. 3) Ethics & approvals • Human Research Ethics Committee (HREC) approval or exemption numbers. • If clinical procedures: additional approvals listed. • Amendment protocol for changes. 4) Access & data (point to Appx W + R/S) • Access tier(s) requested (A-E) and justification. • Data room use for de-identified data; no raw exports. • Pseudonym keys kept separate; small-cell suppression and rounding for any publication. • Retention period; secure deletion; provenance hashes (Appx T). 5) Consent & supports • Consent materials (Plain English + Easy Read; interpreter/Auslan/AAC options). • Mode recorded (tap/PIN/biometric/verbal-witnessed/alt-comm) and withdrawal path. • Payment/reimbursement for participant time; no coercion. 6) Co-design & governance • Lived-experience advisors named; meeting schedule; decision rights. • IDC workforce link: which OSCE/skills sessions, shadowing or tool feedback the partner will provide back to the service. 7) Roles & independence • Who does what (PI, data steward, privacy officer, cultural broker, analyst). • Conflicts of interest declared and managed. • Pre-registration (link) or method note if not feasible. 8) Deliverables & timelines • Milestones (start; mid-point memo; draft; final). • Plain-English participant summary (≤2 pages) and practice note for services. • Training/briefing for staff or families (what, when). 9) Publication & IP • Partner may publish findings, not raw data; provider has factual-accuracy check (not veto). • Authorship reflects contribution; lived-experience roles named. • Codebooks and analysis code shared back to provider (license: non-exclusive, non- commercial unless agreed). 10) Complaints, safety & escalation
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 299 • Follow Owner Matrix (Appx Y) for any incident; pause if a stop-rule fires. • Ombudsman/Tribunal contact points (Appx AG) if a complaint overlaps. • Whistle-blower and grievance paths for participants and staff. 11) Term, variation & exit • Start/end dates; renewal option. • Exit for breach or harm; data return/destroy with hash receipts. • Surviving clauses: privacy, IP, acknowledgement, community summary. 12) Signatures • Provider lead; Partner lead; Cultural authority (if First Nations partnership); Date. Project Schedule (attach per study) • Title & brief aim • Access tier(s) • Sample & recruitment (equity notes) • Measures & tiles (Appx S codes) • Analysis plan • Risks & mitigations • Outputs (reports, code, training) • Dates • Contacts. Guardrails (what must never slip) • No family-as-interpreters for serious matters unless emergency, then replace ASAP. • No recording without consent & DPIA. • No raw person-level data offsite. • No “surprise” methods; changes go back to HREC and MoU signatories. • Community gets the Plain-English summary - always. Measures (internal; some publishable) • MoUs signed with co-design & ethics complete (%) • Projects delivering a Plain-English summary on time (%) • Time from request → data room access (median days) • Findings adopted into practice within 90 days (%) • Participant satisfaction (short 3-emoji scale) • Privacy incidents = zero; small-cell breaches = zero Micro-scenarios (worked) • School transition study: Tier D data room; 8-week analysis; summary shows “visual schedule + transport ally” doubles attendance. Practice note updated; results posted in plain English. • Rural micro-hub pilot: Tier C observation + Tier D data; co-design with local ACCO; partner delivers two IDC mini-trainings; report uses suppression; travel time drops 28%.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 300 • Medication review audit: Tier D only; findings lead to stewardship tweak (Appx AB); 90-day follow-up shows PRN rate down 40%. Quick scripts • To a researcher: “Start at the lowest access tier that answers your question. We use a data room and we return a two-page summary to participants.” • To a participant: “You can say yes or no. If you say yes, we’ll use the least data, keep it safe, and tell you what we learned.” • To staff: “One evidence set, many audiences. If the method changes, we pause and re-approve.” Where to get help / Artefacts & Templates • AJ-1 Partnership MoU (fillable) • AJ-2 Project Schedule (one-pager per study) • AJ-3 Consent packs (Plain English, Easy Read, interpreter/Auslan/AAC options) • AJ-4 Data Room User Agreement (no raw exports; suppression checks) • AJ-5 Co-design & Governance charter (roles, meetings, decision rights) • AJ-6 Publication & IP addendum (authorship, accuracy check, code return) • AJ-7 Plain-English Participant Summary template • AJ-8 Provenance checklist (hashes, audit IDs, retention & deletion receipts) Summary companion. Decisions rely on the governing sections named in Evaluation Access, DPIA/Publication, First Nations Partnership, Interpreter/Auslan/AAC, Audit Log, Owner Matrix, Workforce/IDC & OSCEs, and Tribunal/OPA/Ombudsman protocols. Appendix AK - Operational Prompt Pack Keep people safe in Supported Independent Living (SIL) and Individualised Living Options (ILO) homes without reducing autonomy. Owner: Operations (Practice Lead + Site Managers) Interfaces: Owner Matrix & Escalation (Appx Y); Safety & Restrictive Practices (Appx A); 72-Hour Review & Fade Plan (Appx B-C); Handover & Med Reconciliation (Appx D); E- Receipts & Cross-checks (Appx E-F); Sanctions Ladder (Appx G); Publication & Dashboards (Appx S); DPIA & Privacy (Appx R); Interpreter/Auslan/AAC (Appx N); First Nations Partnership (Appx O); Transport (Appx AE); Dental (Appx AC); Psychotropic Stewardship (Appx AB); Evaluation Access (Appx W); Candour pack (Appx AG); Financial Safety (Appx AH); AT & AAC (Appx AF); Switching Protocol (Appx M). Minimum standards (must-haves)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 301 • Annual independent audit per dwelling; corrective actions tracked to closure and shared with the person/nominee in Plain English/Easy Read. • Risk-based upgrades funded and sequenced against a published defects list (highest risk first). • Dashboards show pass rates, incident trends and time-to-fix, segmented by site and risk tier. • No seclusion, ever. Bedroom doors and environmental features must not be used to isolate a person. Audit checklist (summary) Fire & life safety - interconnected smoke alarms (bedrooms/living), visual/vibration alerts as required; monthly test log; fire blanket/extinguisher; clear egress; doors openable from inside without a key; ramps/rails as needed; sprinkler rules by risk tier; local hazard plan (bushfire/flood/cyclone/heat). Mealtime & aspiration safety (IDDSI) - current plan visible and understood; correct textures/cuts; posture supports; documented supervision level; pantry/choke-risk controls; denture fit check; oral care routine; suction plan if clinically indicated. Bedroom door & privacy - privacy locks openable in emergency; written door policy with the person; no wedges/chocks; alarms only where risk-assessed and least-restrictive. Electrical, gas, water & environment - test/tag schedule; RCDs; service gas appliances; CO alarm where required; scald risk controls; non-slip/lighting in bathrooms and stairs. Why this matters (and why it hasn’t worked) People freeze in busy moments. Teams know the policy but not the next sentence or first three checks. That leads to missed consent, poor handovers, and over-use of restraint. This pack gives ready-to-say prompts with tiny checklists so care is safe, lawful and kind under pressure. Fast take (read this first) • Each prompt has four parts: Say → Check → Do → Record. • Use the lowest-risk path first; escalate using Appx Y (S0-S3). • Access first (Interpreter/Auslan/AAC). No access = no consent. • Time-keep any emergency restraint and log it (Appx A). • Everything leaves a one-line record you can write now and tidy later. Scope For frontline workers, coordinators and on-call leads across home, community, day programs, short-stay and health interfaces. How the prompts are built (standard) Format • Context (when to use)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 302 • Say (one or two sentences, plain) • Check (3 quick checks) • Do (the action order) • Record (minimum fields) • Escalate (who/when) Core operational prompts (ready to paste/print) 1) Offer communication access (every meeting) - OP-01 Context: starting any conversation, review, or visit. Say: “How do you want to communicate today? We have interpreters/Auslan/AAC/yes-no cards.” Check: (1) Interpreter/Auslan needed? (2) Person has device/board? (3) Quiet space available? Do: set supports; confirm teach-back (“tell me in your way what we’re deciding”). Record: supports offered/used; consent mode. Escalate: if access not possible → reschedule or move to quiet space; notify lead if urgent care cannot proceed. 2) De-escalate early - OP-02 Context: signs of rising distress. Say: “I see this is hard. We can pause, change the space, or choose a simpler step.” Check: (1) Pain/thirst/toilet? (2) Noise/light triggers? (3) Known calming phrase available? Do: lower stimuli; offer choice A/B; use the person’s calming phrase; invite ally. Record: trigger, choices offered, what worked. Escalate: if imminent harm → follow Appx A emergency steps, time-keep. 3) Emergency restraint (last resort) - OP-03 Context: immediate risk of serious harm. Say: “I’m helping to keep you safe for a short time. We’ll stop as soon as it’s safe.” Check: (1) Imminent risk? (2) Least-restrictive option? (3) Safe staff present? Do: apply brief hold per training; start timer; remove hazards; switch to comfort plan ASAP. Record: start/stop time, cause, who present, injuries, debrief booked. Escalate: S0/S1 per Appx Y; 72-hour review (Appx B). 4) Mealtime/IDDSI ready - OP-04 Context: any meal or drink. Say: “We’ll follow your mealtime plan. If anything feels unsafe we stop and try another way.” Check: (1) Right texture/drink? (2) Upright/positioning? (3) Supervision level? Do: set up; small test sip/bite; no talking while chewing; pause if cough/wet voice. Record: plan used, any changes, issues. Escalate: choking/aspiration risk → S0; mealtime review within 72 h. 5) Transport start - OP-05
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 303 Context: pickup. Say: “Next is the car to [place]. Do you want music off or window a little?” Check: (1) Wheelchair 4-point + lap/shoulder belt? (2) Calming kit (phones/headphones)? (3) Backup stop if traffic? Do: secure; drive smooth; choices; pull over early if distress. Record: securement check, route changes, any pause. Escalate: safety risk or near-miss → Appx Y; quick note to next worker. 6) Medication PRN gate - OP-06 Context: PRN being considered. Say: “Before medicine, let’s try your first steps: [two non-drug steps].” Check: (1) Indication present? (2) Non-drug steps tried/ruled out? (3) Max dose/interval OK? Do: follow Psychotropic Stewardship (Appx AB); monitor at 30-120 min. Record: indication, steps tried, time/effect, side-effects. Escalate: ≥2 PRNs/24h or ≥3/week → prescriber/pharmacist review. 7) 72-hour review booking - OP-07 Context: after incident/rescue/PRN as RP. Say: “We’ll meet within 72 hours to learn and adjust the plan. Who should be there?” Check: (1) Person/family availability + interpreter/Auslan/AAC? (2) Evidence gathered? (3) Roles set? Do: send invite; prep R&W table; bring Contradiction Matrix if accounts clash. Record: date/time, attendees, evidence list. Escalate: if no slot found in 24 h → manager. 8) First Nations partnership check - OP-08 Context: planning or publishing involving a First Nations person/community. Say: “We’ll follow cultural protocols. Who should we speak with to do this the right way?” Check: (1) ACCO/cultural broker engaged? (2) Consent language correct? (3) Publication wording reviewed? Do: align to Appx O; adjust plan; book broker. Record: contacts, decisions. Escalate: if disagreement on protocol → senior broker + manager. 9) Dental desensitisation step - OP-09 Context: clinic visit or rehearsal. Say: “We’ll try just one step today. If you show this card, we stop.” Check: (1) Ladder level? (2) Sensory kit (glasses/headphones)? (3) Stop-signal agreed? Do: run step; finish on a win; schedule next. Record: level attempted/achieved; seconds; barriers. Escalate: distress → 72-hour review insert (Appx AC). 10) Money at point-of-sale - OP-10 Context: buying on behalf of the person. Say: “We’ll use your card and keep the receipt. Is this what you want to buy today?”
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 304 Check: (1) In Money Agreement? (2) Within limit? (3) Receipt capture working? Do: purchase; e-receipt + two-party attestation. Record: what/why/where; exceptions. Escalate: red-flags → Financial harm ladder (Appx AH). 11) Research consent - OP-11 Context: study invite. Say: “This is optional. Saying no won’t change your supports. Would you like it in Easy Read or with an interpreter?” Check: (1) Access provided? (2) Risks/benefits explained plainly? (3) Withdrawal path offered? Do: record consent mode; give contact; schedule. Record: mode, date/time, supports. Escalate: any pressure/coercion concern → stop and notify governance. 12) Complaints intake - OP-12 Context: person/family raises a concern. Say: “Thank you for telling us. We’ll write this down in your words and tell you what will happen next.” Check: (1) Access? (2) Safety now? (3) Preferred contact/time? Do: capture facts; give reference #; set update time. Record: plain summary; access given; risk level. Escalate: S-level via Appx Y; link to Candour pack if tribunal/ombudsman likely. 13) Publication preview - OP-13 Context: numbers or stories going public. Say: “Let’s check privacy and wording. Could this identify anyone?” Check: (1) Small-cell suppression? (2) Cultural review if First Nations? (3) Consent for any story/photo? Do: apply Appx S rules; fix wording; log hash. Record: checks passed, who signed off. Escalate: doubts → governance holds release. 14) Switching handover - OP-14 Context: provider change. Say: “We’re moving your supports. Here’s what you’ll keep and who to call.” Check: (1) AT/AAC licences + vocab exports? (2) Money/receipts/statements handed over? (3) Schedule and contacts live? Do: deliver exit pack; confirm new team import; courtesy call after first shift. Record: checklist complete; any gaps. Escalate: gaps within 24 h → managers both sides. Keeping the pack live • Prompts live in the staff app and as two-sided pocket cards.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 305 • Add QR codes to relevant appendices (A, N, R, S, etc.). • Review prompts quarterly or after any S0/S1 event. • Localise calming phrases, contacts, and clinic details; keep the structure the same. Measures (internal; some publishable) • Interpreter/AAC offer rate at contact points (%) • 72-hour review booked on time (%) • Mealtime/IDDSI adherence audits (%) • PRN avoided after non-drug steps (%) • Financial exceptions per 100 tx (down) • Complaints acknowledged inside 2 bd (%) • Publication preview passes (%) • Switching pack completeness (%) Micro-scenarios (worked) • Crowded foyer → OP-02: Lights down, seat offered, headphones on; visit continues without restraint; note filed. • PRN request → OP-06: Noise trigger managed; PRN not needed; effect noted; prescriber not called. • Data release → OP-13: Tile suppressed for small cells; wording updated after ACCO review; safe publish. • Switching day → OP-14: Vocab exported/imported; card/receipts passed; courtesy call confirms first shift smooth. Where to get help / Artefacts & Templates • AK-1 Prompt Cards (OP-01…OP-14) - printable, two-sided • AK-2 Wall Posters - “Say • Check • Do • Record” quick view • AK-3 QR Sheet - links to the governing appendices for each prompt • AK-4 Audit Sample Form - monthly check of prompt use/records • AK-5 Localisation Sheet - calming phrases, clinic names, contacts • AK-6 Pocket App Pack - mobile-ready versions with tap-to-record lines Summary companion. Decisions rely on the governing sections named in Communication Access, Safety & Restrictive Practices, 72-Hour Review, Mealtime/IDDSI, Psychotropic Stewardship, Transport, Financial Safety, DPIA/Publication, Owner Matrix & Escalation, AT & AAC, and Switching policies.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 306 Appendix AL - Publication & Dashboard Schema (Public, Family, Provider) Owner: Data & Integrity Interfaces: E-Receipts (Appendix E); Roster↔Claim Cross-Checks (Appendix F); Sanctions Ladder (Appendix G); Safety & Restrictive Practices; Participation/CPI; Workforce/IDC; Privacy/DPIA; Two-Key Register (IPP); DSC Audits; Navigator/Foundational registries; Audit Log Spec; Appendix S (tiles). Why this matters (and why it hasn’t worked) Reports have been dense, late and hard to compare. Families can’t see the things that matter; the public sees spin; providers can’t benchmark fairly. A single, consistent schema fixes this: the same tiles, same definitions, same update rhythm - with clear owners and system mappings - plus privacy protection and plain-English labels. Fast take (read this first) • One schema, three views: Public, Family, Provider. • Six public tiles + eleven QA tiles (see Tile map below). • Rates use clear denominators and rolling windows; trends are 3-point (↑ ↔ ↓). • Small-cell suppression and provenance hashes are mandatory. • Each tile lists Owner role and Source systems so responsibility and reproducibility are obvious. Scope All providers under this White Paper. Publication cadence is monthly (unless noted). Family/Provider views show more detail; Public view is privacy-safe. Tile map - owner & system mapping (add to S-tiles) Tile ID Label (short) Owner role Source systems (IDs) Views (P/F/Prov) Cadence S-P01 Two-Key coverage (%) Registry Analytics TwoKeyRegister; R&W store (H); DSC memos P/F/Prov Quarterly S-P02 Restraint min/1,000h Clinical Analytics Safety logs; E-Receipts; Roster↔Claim P/F/Prov Quarterly S-P03 Reasons on time (%) Registry Analytics R&W (H); IRC (J); Tribunal/NDIA exports P/F/Prov Quarterly S-P04 Navigator coverage (%) NDIA/PITC Data Steward Navigator reg.; PITC; E-Receipt handover flag P/F/Prov Quarterly S-P05 Foundational access time (days) Foundational Supports Steward Foundational registry; Bookings; E-Receipts P/F/Prov Quarterly S-P06 Documentation integrity score Data & Integrity E-Receipt store; Audit Log (T); Matrix (I) P/F/Prov Quarterly
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 307 Tile ID Label (short) Owner role Source systems (IDs) Views (P/F/Prov) Cadence S-Q01 72-hour reviews on time (%) Clinical Governance Safety logs; DSC tracker F/Prov Quarterly (monthly internal) S-Q02 DSC file-field concordance (%) DSC Panel Secretariat DSC audits; Shadow notes F/Prov Quarterly (monthly internal) S-Q03 Licensed-scope coverage (%) Workforce Licensing OSCE/IDC registry (Q); Rosters; E-Receipts F/Prov Quarterly S-Q04 OSCE/EPA pass rate (COORD/OPS) Workforce Licensing OSCE/EPA registry; Licensing DB F/Prov Quarterly S-Q05 COORD independence rate (%) Registry Analytics COI declarations; DSC notes F/Prov Quarterly S-Q06 Navigator warm handover rate (%) NDIA/PITC Data Steward E-Receipt handover flag; Navigator reg. F/Prov Quarterly S-Q07 Time to second key (hrs, median) Registry Analytics TwoKeyRegister; IPP timestamps F/Prov Quarterly S-Q08 OPS gateway elapsed days (median) Operations Intake; Bookings; E-Receipts F/Prov Quarterly S-Q09 Mandatory registration uptake (%) Regulator Liaison Regulator feed; Provider attestations F/Prov Quarterly S-Q10 E-receipt coverage (%) Data & Integrity E-Receipt store (T-10) F/Prov Monthly S-Q11 Roster-claim anomaly rate (%) Integrity Unit Roster; Claims; Integrity reconciler F/Prov Monthly Safety (legacy bundle for CPI pages)* Clinical Analytics Incidents; E-Receipts P/F/Prov Monthly Participation/CPI Variety, role depth Service Outcomes E-Receipts (CPI flags) P/F/Prov Weekly/Monthly Workforce IDC IDC-led shifts, OSCE currency Workforce Licensing Rosters; OSCE registry F/Prov Monthly * Keep legacy headings where used in CPI pages; they point to S-tiles for values. Tile set (definitions, method, update rhythm) Each tile includes: label, definition, numerator/denominator, window, cadence, suppression, notes. (Definitions live in Appendix S; this appendix binds them to owners/systems and views.) 1) Safety (public bundle) • Meaning: Time in restraint/seclusion-like practices is reducing; reviews happen on time. • Measures: o restraint_minutes_per_1000hrs (rolling 90d, monthly). o 72h_review_completion_rate (rolling 90d, monthly). • Denominators: total support hours; total events requiring review. • Suppression: hide if events <5 (show “Insufficient data”).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 308 • Owner/Systems: Clinical Analytics; Incidents/E-Receipts/Roster↔Claim. 2) Participation (CPI) • Meaning: People are present in community with growing variety and role depth. • Measures: out-of-home sessions per person (median, rolling 28d, weekly); variety index (rolling 90d); role depth share. • Denominators: active participants; sessions from E-Receipts with CPI flags. • Suppression: small cells by site/suburb; publish provider-level aggregates. • Owner/Systems: Service Outcomes; E-Receipts (CPI). 3) Integrity • Meaning: Claims match what happened; exceptions are resolved quickly. • Measures: roster↔receipt match-rate (%), exceptions resolved inside SLA (%), both rolling 28d, weekly. • Denominators: total receipts; total exceptions. • Owner/Systems: Integrity Unit; Roster, Claims, E-Receipts. 4) Workforce • Meaning: People are supported by observed-competent staff. • Measures: shifts led by credentialed IDC (%), safety OSCE currency (%), rolling 90d, monthly. • Denominators: total shifts; staff in scope. • Owner/Systems: Workforce Licensing; Rosters; OSCE/IDC registry. 5) Candour & Complaints • Meaning: Issues are surfaced and closed with reasons. • Measures: plain-English reasons issued (count/yes-no); complaints closed inside standard (%), monthly. • Denominators: contested decisions; complaints in period. • Owner/Systems: Complaints Office; R&W/IRC store; Case system. Optional tiles: First Nations partnership; Interpreter/AAC fulfilment; Medication reconciliation ≤72h. Owners: First Nations Partnerships; Interpreter Service; Medication Safety respectively. Suppression & privacy rules (apply to all tiles) • Small cells: do not show counts <5 or rates derived from <5 events; render “Insufficient data”. • Geography: public maps use coarse areas; no addresses. • Time: no daily person-level streams on public pages. • Narratives: redact personal identifiers; use roles (e.g., “family member”, “worker”). • Link-outs: public links go to policy glossaries; Family view links to the person’s receipts/history. • Differencing guard: ±1-2% noise for tiny denominators; lock annual totals.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 309
Data dictionary (minimum fields for each published point)
Field Type Meaning
tile_id string e.g., two_key_coverage, e_receipt_coverage
label string Plain-English name
value / value_pct number Metric value
num integer Numerator (suppressed if <5)
den integer Denominator
window string e.g., rolling_90d, quarterly
period_end date ISO-8601
trend string “up”, “flat”, “down” (3-point based on last 3 periods)
notes string Plain-English method caveats
owner_role string Tile owner (from table above)
source_refs array Upstream datasets (IDs)
provenance_hash string SHA-256 of source bundle
suppressed boolean True when small-cell rule applied
definition_version string SemVer for compute logic
Example payload (Public view)
{
"tile_id": "two_key_coverage",
"label": "Two-Key coverage",
"value_pct": 78.6,
"num": 121,
"den": 154,
"window": "quarterly",
"period_end": "2025-09-30",
"trend": "up",
"notes": "Consequential decisions with independent second key and R&W
attached.",
"owner_role": "Registry Analytics",
"source_refs": ["twokey:v1", "reasons:v1"],
"provenance_hash": "a1f9…",
"suppressed": false,
"definition_version": "1.4.0"
}
View rules (who sees what)
Public
• Sees tile values, trend arrows, short method, last update date, and plain-English status notes.
• Sees current Sanctions stage (Appendix G).
• No person-level history.
Family
• Everything in Public plus: person’s receipt history, corrections, friendly explanations, and
export to PDF.
• Warnings when an exception involves their receipts and the outcome. Core paper · PDF page 310
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 310 Provider • Everything in Family plus: exception queues, drill-downs by site/team (suppressed where small cells), and benchmarking vs sector median. • Internal QA tiles (S-Q) visible with amber/red flags and links to Improvement Plans. Publishing cadence & governance • Monthly release on the 7th for prior month; weekly for match-rate/exception SLA tiles; quarterly for S-P tiles. • Pre-publication quality gate: data validation, small-cell scan, plain-English check. • Audit log each release (dataset versions, hash, approver). • Correction window: factual errors corrected within 72 hours; change noted on the page. • Change-log tile (S-8) carries definition changes and comparability notes. What good looks like / Red flags Good: stable definitions; on-time releases; owner + system listed for every tile; clear trend commentary; suppression consistent; families can find and understand their history. Red flags: changed denominators without notice; late releases; tiles not reproducible from sources; long jargon notes; unsuppressed tiny numbers; no owner named. Micro-scenarios • Small provider: Only three restraint events in 90 days → Public safety tile shows “Insufficient data”; Family view still shows personal history. • Exception spike: Match-rate dips; exception SLA falls. Public tile shows trend ↓ with a note; Provider page links to an Improvement Notice (Appendix G). • Data correction: Provider reports an over-count. Release 1.1 corrects the numerator, provenance hash updates, change-log shows the fix. Artefacts to insert • Tile specification table (S-1 .txt with fields/denominators/windows/rounding) • Plain-English glossary (labels, method) • Suppression decision tree • Release checklist (validation, suppression, audit log) • Public page wireframe (example tiles and notes) Summary companion. One schema, three views - and every tile has a named owner and system mapping. That is how publication becomes trustworthy for the public, useful for families, and actionable for providers.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 311 Appendix AM - Public Narrative & Media Plan Metrics & signals Reach, engagement and message pull-through (share of stories that correctly cite CPI/safety/candour); talent metrics (clicks to careers, trainee applications, rural bursary uptake); sentiment & accuracy score (fact-check); diversity of voices (First Nations, CALD, Auslan/Deaf, women, LGBTQ+, ageing 55+, rural/remote); complaint volume/themes/median days to resolution. Governance Lived-Experience Council reviews story pipeline and language; sign-off matrix: legal/privacy → clinical → comms; archive assets with consent forms, alt-text and captions; maintain a change log; align story timing with dashboard preview window (10 days) to correct data pre- publication. Speak plainly. Lead with people and proof. Protect privacy. Fix fast. Owner: Communications & Governance (with Practice Lead and Lived-Experience Advisors) Interfaces: Publication & Dashboards (Appx S); DPIA & Privacy (Appx R); Owner Matrix & Escalation (Appx Y); Candour by Template (Tribunal/OPA/Ombudsman, Appx AG); First Nations Partnership (Appx O); Interpreter/Auslan/AAC (Appx N); Safety & Restrictive Practices (Appx A); 72-Hour Review & Fade Plan (Appx B-C); Audit Log (Appx T); Financial Safety (Appx AH); Research MoU (Appx AJ); Operational Prompts (Appx AK). Why this matters (and why it hasn’t worked) Messages have been late, technical, or defensive. Families hear policy, not people; media sees gaps; small cells risk re-identification; updates arrive after rumours. A clear narrative and one media plan make our story consistent: participation up, harm down, proof attached, privacy protected - and when things go wrong, we say so and show the fix. Fast take (read this first) • One message house for all channels; update quarterly. • Plain language + access every time (Easy Read, interpreters/Auslan/AAC). • Candour: we include what went wrong, what we changed, and by when (Appx AG). • Privacy guardrails: small-cell suppression and wording checks before publish (Appx S/R). • Crisis cadence: acknowledge fast, explain facts we know, commit to next update time, and follow through. • Single source of truth: dashboard tiles (Appx S) + audit provenance (Appx T). Scope All external comms: press statements, interviews, social, website, dashboards, letters to families/partners, and responses to Ombudsman/Tribunal interest. Applies to routine news and incidents.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 312 Message house (keep on one page) Top line: People with cognitive disability lead ordinary lives - safe, connected, and heard. We measure what matters and act on it. Three pillars (with proof): 1. Access first, then consent. (Interpreters/Auslan/AAC offered every contact; Appx N; interp_fulfilment_pct tile.) 2. Least-restrictive by design. (Restraint minutes down; 72-hour reviews on time; Appx A-C; tiles rp_minutes_per_1000h, 72h_review_on_time_pct.) 3. Truth you can check. (Dashboards with suppression; audit hashes; Appx S/T.) Human proof points (swapable): short stories approved by the person/family, with consent recorded. Roles & approvals • Spokespeople: o Primary: Executive Lead (system/strategy). o Clinical/Practice: Practice Lead or named expert. o Lived-experience advisors: opt-in, supported and pre-briefed. • Approval ladder (normal): Draft → Practice check → Privacy check → Owner sign-off → Executive sign-off (if policy-level) → Publish. • Approval ladder (crisis, S0/S1): Comms drafts holding line in 30-60 min → Governance/Practice/Privacy 10-min huddle → Owner sign-off → Publish → Update on schedule set in holding line. • One inbox/phone for media; log every inquiry (time, outlet, topic, deadline). Accessibility & First Nations • Plain English first; Easy Read when appropriate; interpreters/Auslan for briefings. • Image descriptions; captions on video; readable PDFs avoided (HTML preferred). • First Nations: co-design message, check wording with ACCO/cultural authority; do not publish community-level numbers without agreement; use welcome/acknowledgement where relevant (Appx O). Risk & privacy guardrails (always apply) • No small cells (<5) in any table, map, or story; round and blur per Appx S. • Consent for stories/photos: mode recorded; withdrawal respected. • No operational detail that increases risk (e.g., de-identified but easily triangulated routines). • Provenance hash added to releases; corrections get a new hash and visible change note (Appx T).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 313 • Tribunal/Ombudsman matters: use Candour pack framing; do not pre-judge outcomes (Appx AG). Channels & cadence • Owned: website newsroom, dashboard pages, email to families/partners, SMS for urgent alerts, social channels. • Shared: community radio, local papers, ACCO newsletters, venue partners (Quiet Hours, Appx AD). • Cadence: quarterly “state of play” + monthly practice note updates + incident- specific updates as promised. Media inquiry triage (flow) 1. Log inquiry (deadline, outlet, ask). 2. Classify: routine / sensitive / crisis (link to Appx Y S-level). 3. Check: privacy risks? active legal/tribunal? cultural review needed? 4. Choose response type: written statement / interview with conditions / background briefing. 5. Prepare: pull tiles, R&W highlights if needed, approved quotes. 6. Close: send; confirm receipt; schedule follow-up; store in log with hash. Crisis communications (S0/S1) Holding line (first hour): “We’re aware of an incident at [place] today. Everyone is safe/being cared for. We’ve started our safety review and offered support to those involved. We’ll share an update by [time].” Second update (facts & candour): • What happened (plain) • What we did to make things safe • What we’re checking next (timeline + who leads) • When we’ll report again • No identities, no blame language, no speculation Close-out note (after review): • Findings in plain language (what went wrong/right) • Actions taken (owner/dates) • Any regulator/Tribunal/Ombudsman interface • Where the public can read the safe numbers (dashboard link) Do / Never do (baseline)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 314 Do: speak to the person/family first; use lived-experience advisors; show proof (tiles); publish correction notes; thank critics when they’re right. Never do: identify people; argue on social media; “no comment” without context; publish small cells; use family as interpreters for serious matters (unless emergency, then replace ASAP). Measurement (internal; some publishable) • Time to first statement (median, by S-level) • On-time follow-ups (%) against promised times • Accuracy/corrections (count; downward trend) • Interpreter/Auslan provided for briefings (%) • Pickup & sentiment (earned media tone; community survey) • Dashboard preview passes (%) (Appx S checks) • Misinformation correction time (median) Micro-scenarios (worked) • Restraint sentinel (S0): 45-min holding line; family briefed first; next-day update cites Appx A timing + Appx B review; dashboard tile flagged for next cycle; Ombudsman/Tribunal noted if applicable. • Privacy email error: Same-day statement with numbers in bands, not counts; DPIA actions; families contacted first. • Great news (participation): Story with consented quotes; photo alt-text; tile trend over 2 quarters; ACCO partner co-release. Quick scripts (for spokespeople) • Core values: “Access first, least-restrictive always, truth you can check.” • On numbers: “Our dashboard uses privacy-safe tiles - no small cells, no guess-who.” • On criticism: “You’re right to ask. Here’s what we changed this week and when we’ll report back.” • On Tribunal/Ombudsman: “We’re using a candour pack - both helpful and unhelpful facts are included. Outcomes sit with the decision-maker.” Where to get help / Artefacts & Templates • AM-1 Message House (one-pager) • AM-2 Press Statement Template (routine; crisis holding; second update; close-out) • AM-3 Q&A Bank (restraint, privacy, participation, IDC workforce, finance safety) • AM-4 Social Copy & Alt-Text Guide • AM-5 Accessibility Checklist (language, captions, formats, interpreters/Auslan) • AM-6 First Nations Wording & Co-release Checklist • AM-7 Media Inquiry Log (deadline, ask, response, hash) • AM-8 Approval Matrix & Crisis Cadence Card • AM-9 Dashboard/Publication Suppression Check (Appx S)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 315 • AM-10 Lived-Experience Brief & Support Plan • AM-11 Correction & Retraction Protocol (with visible change notes) Summary companion. Decisions rely on the governing sections named in Publication & Dashboards, DPIA/Privacy, Owner Matrix & Escalation, Candour (Tribunal/OPA/Ombudsman), First Nations Partnership, Interpreter/Auslan/AAC, Safety & Restrictive Practices, 72-Hour Review, Audit Log and Financial Safety policies. Appendix AN - Police Academy Integration Plan (Cognitive Disability Capability) Equip first responders to recognise, slow down, and resolve safely - every time. Why this matters (read first): Police often have seconds to decide in noisy, uncertain places. Current academy content skews to “mental illness/crisis” and generic de-escalation; cognitive disability (ID/ABI/Autism) is usually an elective, brief, or assumed knowledge. Without practical access skills and clear “first minute” drills, officers can misread behaviour, escalate force, or miss health risks. This plan gives police simple, repeatable methods that save lives and build trust. Owner: Police Academy (Curriculum & Operational Skills) with Justice/Community Safety Interfaces: Communication Access (Appx N); Safety & Restrictive Practices (Appx A); 72- Hour Review & Fade Plan (Appx B-C); Handover & Med Reconciliation (Appx D - ED interface); First Nations Partnership (Appx O); Rural Micro-Hubs & Tele-OSCE (Appx P); Red-Team Scenarios (Appx U); Publication & Suppression (Appx S); DPIA/Privacy (Appx R); Candour (Tribunal/OPA/Ombudsman, Appx AG); Owner Matrix & Escalation (Appx Y); Transport (Appx AE). Fast take (read this first) • See it early, make time: recognise cognitive-disability clues; create a tactical pause (space, quiet, fewer voices). • Access first = safer calls: always offer plain words, yes/no/AAC, interpreter/Auslan (Appx N). No access = no informed directions. • Least-restrictive, time-kept: avoid prone; if emergency restraint is unavoidable, time-keep and hand over to health fast (Appx A). • One minute drill on arrival (below) + OSCE-backed training with lived experience (Appx Q). • One evidence set: after any serious event, run a 72-hour learning review with R&W table (Appx B-C, H). • Measure and publish safely: force/injury down; interpreter use up; repeat-call reduction (Appx S). Scope
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 316 Recruit training, in-service refreshers, call-taking/dispatch, patrol practice, custody & interview, transport, rural/remote, and ED/hospital interface. The “first minute” drill (carry card) Say: “I’m here to keep everyone safe. We’ll go one step at a time.” Check (10-15s): 1. Noise/light - reduce if you can; one voice only. 2. Access - offer yes/no/AAC; ask for a support person by name. 3. Medical - breathing, bleeding, seizure signs; stop food/drink if choking risk. Do: slow your body; give a single clear direction; show (don’t crowd); allow extra time to process; use their calming phrase if known. Record later: what access you offered/used; any force used with start/stop time. Academy curriculum map (recruits + refreshers) Module Hours What officers learn (plain) Assessment 1. Foundations: ID, ABI, Autism 3 How cognitive disability differs from mental illness/intox; common communication/sensory profiles; rights & “reasonable adjustment” Short applied quiz 2. Communication Access 4 Use of yes/no, pictures, devices; when/how to book interpreters/Auslan; “teach-back” OSCE station (direction comprehension) 3. Behaviour = communication 3 Triggers (noise, queuing, pain); how to create time and reduce stimuli; ally/family use Scenario with lived- experience coach 4. Safety & least- restrictive 4 Restraint hierarchy, time-keeping, avoid prone; medical red flags; custody transport rules OSCE + skills tick 5. Scene types 6 Traffic stop; shop incident; missing person; DV call; ED hallway; short-stay house 3 OSCEs, rotating 6. Custody & interview access 3 Accessible caution/rights; support person; AAC in interviews; breaks; recording Case write-up + roleplay 7. First Nations interface 2 Protocols with ACCOs; language/cultural brokers; wording & consent Scenario + checklist 8. Rural & Tele- OSCE 2 Micro-hub kits; phone/video coach; long-drive de- escalation Tele-OSCE check 9. Data, DPIA & candour 2 Body-worn video boundaries; privacy; R&W tables; 72- hour review Mini R&W exercise Refreshers: 4-6 hours yearly; red-team scenarios (Appx U) rotated by local pattern. Call-taking & dispatch (CAD updates) • Scripts to spot access needs: “Is the person speaking or using a device or cards?” “Is noise or light upsetting them?”
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 317 • Flags (non-diagnostic): COMM_ACCESS_NEEDED, PREFER_YES_NO, SUPPORT_PERSON:<name/phone>, SEIZURE_RISK, WANDERING_PATTERN:<place>. • Dispatch notes: approach quietly; one voice; avoid crowding; ask for ally; consider no siren on approach if safe; request interpreter/Auslan via comms if indicated. • DPIA: CAD fields minimised; purge rules; audit (Appx R/T). Patrol protocols (scene-type quick guides) Traffic stop (no response to commands): • Park safely; lights dim; single officer at window, open hands; one direction; show the action; allow time; use visual card. • If stimming/rocking: not automatically non-compliant or intoxicated - slow down. Shop incident (distress/possible “theft”): • Move out of line/aisle; reduce eyes on; ask ally to bring the item to counter; offer choice (pay/put back/leave). • Treat “bolt for the door” as escape from overload, not aggression. DV call with ID/ABI present: • Separate calmly; use plain yes/no; check injury/medical; avoid rapid questioning; call a support person. • Capacity/consent: use accessible rights script; involve OPA/guardian where relevant (Appx AG). Missing person/wandering: • Use known safe places pattern; request family/ally contact; avoid loud hailers; prepare quiet greeting on locate; offer water/shelter first. ED/hospital hallway: • Ask for mealtime/IDDSI or seizure plan; request quiet space; coordinate with security/clinicians; avoid crowding; no “chemical restraint” decisions by police. Custody, interview & transport • Rights & caution explained with Easy Read + teach-back; interpreters/Auslan/AAC offered; support person recorded. • Transport: 4-point chair tie-down + lap/shoulder belt only; no improvised harnesses (Appx AE). • Interview: short, concrete questions; no rapid yes/no stack; breaks; allow device/board; record consent mode. • If force used: avoid prone; time-keep; medical check; report with R&W summary and Contradiction Matrix if accounts clash. Post-incident learning (same playbook as services)
Core paper · PDF page 318
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 318 • 72-hour review with practice lead & lived-experience coach: what helped/hurt; what to change next patrol. • One evidence set: numbered items + weights; privacy applied; Ombudsman/Tribunal interface if relevant (Appx AG). • Red-team scenario created from the event for next month’s training (Appx U). Measures (internal; some publishable with suppression) • Use-of-force with known/disclosed cognitive disability (rate ↓). • Injuries to person/officer (rate ↓). • Interpreter/AAC offered & fulfilled (%) at relevant events (↑). • First-minute drill documented (%) on relevant CAD jobs (↑). • Repeat calls to same address for distress (↓). • 72-hour reviews on time (%) and OSCE pass rates (%). • First Nations co-response used (%) where indicated. (Public reporting uses Appx S suppression/rounding.) Do / Never do (baseline) Do: create time; one voice; offer access; use allies; step back if crowding; log start/stop times if force used; book a 72-hour review. Never do: shout multiple commands; assume intoxication; use family as interpreters for serious matters (except emergency, then replace ASAP); improvise restraints; publish small- cell stories. Micro-scenarios (worked) • Freeway breakdown: Officer uses first-minute drill, turns off siren, gives one code gesture; person follows to shoulder; no force used; family arrives; note filed. • Night-time DV call: Easy-Read rights; Auslan interpreter on video; support person contacted; safety plan agreed; no arrest; next-day welfare check shows no recurrence. • Rural wandering: Tele-OSCE coach supports two officers; locate at usual footy oval; calm re-contact; water offered; safe return; red-team scenario built for region. Quick scripts (pocket) • Greeting: “I’m [name]. I’ll go one step at a time. Thumbs up for yes, flat hand for no?” • To ally: “What helps most right now - quiet, light down, or your calming phrase?” • If stopping activity: “Pause. We’ll breathe and try an easier step.” • If force unavoidable: “Short hold to keep safe - timer on - then we stop.” Where to get help / Artefacts & Templates • AN-1 First-Minute Drill Card (laminated, two-sided) • AN-2 CAD Scripts & Fields (COMM_ACCESS_NEEDED, PREFER_YES_NO, etc.) • AN-3 Recruit Curriculum & OSCE Rubrics (traffic/shop/DV/ED) • AN-4 Accessible Caution/Rights Script (Plain + Easy Read + Auslan link) • AN-5 Custody & Interview Access Checklist
Core paper · PDF page 319
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 319 • AN-6 Patrol Scene Guides (traffic, shop, DV, missing, ED) • AN-7 72-Hour Review Pack (R&W + Matrix) • AN-8 Red-Team Scenario Builder (turn an event into training) • AN-9 First Nations Co-response MOU stub (with ACCO) • AN-10 Tele-OSCE Kit (rural coach workflow & checklist) Summary companion. Decisions rely on the governing sections named in Communication Access, Safety & Restrictive Practices, 72-Hour Review, First Nations Partnership, Rural Micro-Hubs/Tele-OSCE, Red-Team Scenarios, Publication/Privacy, Candour (Tribunal/OPA/Ombudsman), Owner Matrix & Escalation, and Transport policies. Appendix AO - IDC Equivalency & Bridging Matrix Recognise real proficiency fast, bridge the gaps, and prove safety in practice. This includes community/frontline, education, clinical, justice/police, government/NDIS/regulation, and corporate/enablers - because titles don’t protect anyone from knowing what they must know. Owner: IDC Program (Workforce & Education) Interfaces: IDC Curriculum, EPA Logbook & OSCE Rubrics (Appx Q); Owner Matrix & Escalation (Appx Y); Communication Access (Appx N); Safety & Restrictive Practices + 72- Hour Review (Appx A-C); Handover & Medication Reconciliation (Appx D); Psychotropic Stewardship (Appx AB); Mealtime/IDDSI (Appx Z crosswalks); First Nations Partnership (Appx O); DPIA/Publication (Appx R/S); Transport (Appx AE); Switching (Appx M); Red- Team (Appx U); Candour/Tribunal/Ombudsman (Appx AG); Police Integration (Appx AN); Financial Safety (Appx AH); Navigator/Foundational Supports Registry. Why this matters (and why it hasn’t worked) The 1990s IDS officer training and upper band hierarchical roles proved you can build a workforce that is practical, lawful and humane - ready for deinstitutionalisation and world- best practice. Over the decades, titles multiplied while knowledge thinned. Today, “role” often outruns capability - from volunteers and support workers to support coordinators, senior public servants, planners, regulators and even the bench. People with cognitive disability pay the price in missed access, over-restrictive practice, and avoidable harm. This matrix restores the IDS spirit with our timely upgrade: licence by evidence, not by title - credit what’s solid, bridge the gaps, and prove competence and proficiency with OSCEs/EPAs. Fast take (read this first) • Map every person to a provisional IDC band (1-5), then issue a Bridging Plan. • Pre-practice bridges + at least one OSCE before solo work - no seniority waivers. • Use one RPL evidence pack (logs, attestations, short videos, certificates). • 30/90-day close-out on open gaps; use red-team scenarios if skill-slip appears.
Core paper · PDF page 320
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 320 • Judiciary/NDIS/government leaders complete a Decision-Maker Fast Pack (bench- cards + candour modules) with annual refresh. • Navigators replace/support legacy Support Coordination functions; they must sit on the IDC pathway (no “advice-only” carve-outs). • Map each Navigator to a provisional IDC band (target IDC-3) and issue a Navigator Fast Bridge Plan (AO-6N) on day one. • Pre-practice bridges (Access, Two-Key/Independence, Handover, Privacy/Publication, Candour, 72-hour basics) are mandatory before solo work. • Warm handover competence is verified via OSCE-HO and EPA-HO; document integrity and small-cell suppression are part of the exam. • Legacy Support Coordinators/PRCs cross-walk to Navigators via RPL + gap bridges; grand-parenting is time-boxed and safety-gated (AO-8N). IDC bands (plain) • IDC-1 Assistant: supports access & schedules under supervision. • IDC-2 Practitioner: runs everyday supports, records safely. • IDC-3 Lead: coordinates plans, books 72-hour reviews, coaches. • IDC-4 Specialist/Coach: complex cases, cross-agency interface, trains others. • IDC-5 Verifier/Calibrator: assesses OSCEs/EPAs, runs peer calibration (Appx V). A. Universal rules (apply to all titles) 1. Licence by evidence (OSCE/EPAs) beats job title or pay grade. 2. Access first (Appx N) is a pre-practice bridge for everyone. 3. Independence & Two-Key. Navigators must demonstrate independence from provision (conflict screen) and, for consequential matters, log IPP pairing and timestamps; no Navigator may “single-key” a consequential decision. 4. Least-restrictive + time-keeping (Appx A) beats “situational improvisation.” 5. 72-hour learning (Appx B-C) after any incident/PRN-as-RP. 6. First Nations protocols (Appx O) where relevant; privacy (Appx R/S) always. 7. Switch-ready (Appx M): your competence and artefacts travel with the person. B. Equivalency & Bridging Matrix - Government, NDIS & Regulation Columns key: Provisional band (max) • RPL you must show • Pre-practice bridges (before solo) • Within 90 days • Assessment & checks 1) Community & Frontline Role/title Band RPL evidence Pre-practice 90-day bridges Assessment Volunteer / Support friend IDC- 1 Induction + referee Access prompts (N); Operational prompts (AK); Safeguarding basics Mealtime/IDDSI; Privacy/DPIA Buddy shifts; micro- OSCE (OP-01/02) Disability Support Worker Cert III/IV IDC- 2 Cert; 2 wks logs; supervisor note Access (N); Safety & RP basics (A); Transport safe (AE) 72-hour review basics (B-C); Mealtime; Money safety (AH) OSCE-C ≤30d; OSCE-RP ≤60d
Core paper · PDF page 321
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 321 Role/title Band RPL evidence Pre-practice 90-day bridges Assessment Team Leader / House or SIL Coordinator IDC- 3 Roster, incident reviews Access (N); Least- restrictive + timing (A); 72-hour chair Candour basics (AG); First Nations (O); Finance oversight (AH) OSCE-RP + EPA-LR (chairs 1 review) Service/Operations Manager IDC- 3 Site KPIs; audits As above + Owner Matrix/Escalation (Y) Publication/privacy checks (R/S); Red-team leadership (U) EPA-CAN (issues→actions) + calibration check (V) Peer/Lived- Experience Worker IDC- 2 Lived- experience CV; refs Boundaries & privacy (R); Access prompts (N); RP basics Participation build (L); Money safety (AH) Buddy shifts ×6; OSCE-C 2) Education & Youth Role/title Band RPL evidence Pre-practice 90-day bridges Assessment Teacher / Education Support / Youth Worker IDC- 2 School plans; behaviour artefacts Access (N); Operational prompts (AK); RP basics Weekly Participation (L); Transport (AE) OSCE-C ≤30d; EPA-PART School Leader / SENCO IDC- 3 Program plans; audits As above + 72-hour chair (B-C) Publication/privacy (R/S); First Nations (O) EPA-LR + calibration (V) 3) Clinical & Practice Role/title Band RPL evidence Pre-practice 90-day bridges Assessment Registered/Enrolled Nurse IDC- 3 Registration; med logs Least-restrictive + timing (A); Handover/Med-rec (D); PRN gate (AB) Access (N); 72-hour chair OSCE-RP; 2 EPAs (HO, PRN) Allied Health (OT/SLP/Psych/SW/Physio) IDC- 3 Registration/assoc; case notes Access (N) advanced; Mealtime (if relevant); RP (A) 72-hour & Fade plan; First Nations OSCE-C + OSCE- RP; EPAs (consent & participation) Behaviour Support Practitioner (credentialed) IDC- 4 Plans + outcomes Access (N) for BSPs; RP law & time-keeping (A); Candour pack (AG) Peer calibration (V); Dashboards (S) Calibrate 2 OSCE- RP; 3 EPAs incl. tribunal-ready dossier Pharmacist (Psychotropic Stewardship) IDC- 3 Reg; DMM reviews PRN gate (AB); Access (N); Mealtime/IDDSI basics Candour (AG); Privacy (R) EPA-PRN + stewardship case Dentist / Oral Health Therapist IDC- 2 Registration; clinic notes Dental desensitisation (AC); Access (N) 72-hour review; First Nations EPA-DENT (ladder step) GP / Community Health Clinician IDC- 3 Reg; shared-care Access (N); RP hierarchy (A); Handover (D) Candour (AG); 72-hour OSCE-RP (medical context) 4) Justice, Police & Safety Role/title Band RPL evidence Pre-practice 90-day bridges Assessment Police/Justice Liaison (incl. custody) IDC- 3 Scenario log; certs First-minute drill (AN); Access & least-restrictive (A/N); Transport (AE) 72-hour review; First Nations co- response (O) Joint OSCE with academy; 2 EPAs (scene + handover) Court Support / Corrections / Security IDC- 2 Logs; supervisor Access (N); Operational prompts (AK); RP basics Candour basics (AG) OSCE-C; EPA-CAN (intake) 5) Government, NDIS & Regulation
Core paper · PDF page 322
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 322
Role/title Band RPL evidence Pre-practice 90-day bridges Assessment
NDIS/LAC Planner /
NDIA Delegate IDC-3 Plans; decisions
Access (N); Least-
restrictive 101 (A);
Candour pack (AG)
Publication/privacy
(R/S); First Nations
(O)
EPA-CAN (decision
with R&W); bench-
card quiz
Navigator
(Foundational
Supports) - new
appointee
IDC-3
(IDC-2
provisional
≤30 days
max)
CV; two referee
contacts (one
external); 4 weeks of
case artefacts if prior
role
B-N
Communication
Access; B-A RP
hierarchy + timer
drill; B-D Handover
& Med-Rec; B-R
DPIA/Privacy &
Publication
(tiles/suppression);
B-AG Candour pack
(R&W + Matrix
basics); Two-
Key/IPP
independence check;
Warm handover
protocol
B-BC 72-Hour
Review & Fade
Plan; B-L
Participation build;
B-O First Nations
wording;
Dashboard
literacy (S-tiles)
OSCE-C
(community
conversation),
OSCE-HO (warm
handover), mini-
OSCE PUB (safe
notes/suppression);
EPAs: EPA-HO,
EPA-PART, EPA-
CAN (decision with
R&W), EPA-PUB; 2
external field
observations; doc-
integrity spot check
Navigator (transition
from Support
Coordination/PRC)
IDC-3
(IDC-2
provisional
≤30 days
max)
RPL pack:
plans/brokerage
history; case notes;
two referees (one
family/independent);
integrity attestations
Bridging deltas
only: B-R
DPIA/Publication;
Two-Key/IPP
screen; Warm
handover bundle;
B-AG Candour; B-
D Handover & Med-
Rec
As above +
Reasons & Matrix
mini (H/I); S-tile
literacy; Financial
Safety
Same as above;
grand-parenting
window ≤90 days to
complete
OSCE/EPAs; failure
→ scope limits under
Owner Matrix (Y)
*Support Coordinator /
Psychosocial Recovery
Coach
IDC-3
(IDC-2
provisional
≤30 days
max)
Plans; brokerage
history; case notes;
two referee contacts
(one external)
Access (N);
Operational prompts
(AK); RP hierarchy
+ time-keeping (A);
Owner Matrix &
Escalation (Y);
Handover & Med-
Rec (D);
Privacy/DPIA &
Publication (R/S);
Financial Safety
(AH); Switching
(M); Candour
basics (AG)
72-hour basics &
Fade plan (B-C);
Reasons & Matrix
mini (H/I); First
Nations wording
(O); Dashboard
literacy (S)
OSCE-C
(community
conversation) and
OSCE-HO
(handover); EPAs:
EPA-PART
(community role),
EPA-HO (handover),
EPA-CAN (decision
with R&W), EPA-
PUB (safe
tile/suppression
note); 2 external
field observations; 1
S-8 change-note
draft; documentation
integrity check
Regulator/Commission
- Complaints &
Investigations
IDC-3 Case files
Candour (AG);
Access (N);
R&W/Matrix (H/I)
Publication/privacy
(R/S)
EPA-CAN +
calibration (V)
Guardianship/OPA
Officer IDC-3 Files; appearances
Access (N);
Candour (AG);
Least-restrictive (A)
First Nations (O);
Publication (R/S)
EPA-CAN (orders &
safeguards)
Tribunal
Registrar/Member /
Judiciary†
IDC-3 Bench exp.; PDs
Decision-Maker
Fast Pack: R&W +
Matrix (H/I); Access
(N); small-cell
privacy (S/R)
72-hour learning
lens; First Nations
wording
Bench-card OSCE
(applied tests) +
yearly refresh Core paper · PDF page 323
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 323
Role/title Band RPL evidence Pre-practice 90-day bridges Assessment
Dept.
Executives/Directors /
Board
IDC-3 Portfolios; KPIs
Message House &
Candour (AM/AG);
Owner Matrix (Y);
Dashboards (S)
Privacy/DPIA (R);
Red-team
leadership (U)
Governance OSCE
(tile reading +
actions)
†Decision quality pack: applied tests, weights, contradictions, suppression, and accessible
participation - not clinical up-skilling.
*Legacy positions; This role is transitioning to Navigator; use AO-6N Fast Bridge and AO-
8N Grand-parenting letter. IDC-2 provisional is capped at 30 days.
6) Corporate & Enablers
Role/title Band RPL
evidence Pre-practice 90-day bridges Assessment
Finance/Admin handling
client funds
IDC-
2
Role desc.;
audit
Financial safety (AH);
Access (N) Publication/privacy EPA-FIN
(exceptions down)
Procurement / ICT / Data &
Analytics
IDC-
2
Role desc.;
specs
AT/AAC spec (AF);
Privacy/DPIA (R);
Publication (S)
Switching (M); Audit
(T)
EPA-PUB (safe
tiles) + hash trail
Communications/Media IDC-
2
Releases;
logs
Access (N); Media plan
(AM); Small-cell checks
(S/R)
Candour interface
(AG)
EPA-PUB
(correction notes)
Insurance/Legal IDC-
3
Notices;
claims
Candour (AG); DPIA (R);
Owner Matrix (Y) Red-team (U) EPA-CAN (first-
notice quality)
C. Bridging modules (menu)
Code Module Hours OSCE/EPA link
B-NAV Navigator role, independence & conflict screen (IPP) 1.5 OSCE-HO, EPA-HO
B-WH Warm handover bundle (artefact + contact + booked/kept) 1.0 OSCE-HO, EPA-HO
B-PUB-N Publication & small-cell suppression for Navigators 1.0 mini-OSCE PUB, EPA-PUB
B-CAN-N Candour with families (plain-English R&W / Matrix mini) 1.0 EPA-CAN
B-DL Dashboard literacy (S-tiles, reading & notes) 0.75 EPA-PUB
B-N Communication Access & teach-back 2-4 OSCE-C
B-A Safety & Restrictive Practices + timer drill 3 OSCE-RP
B-BC 72-Hour Review & Fade Plan 2 EPA-LR
B-D Handover & Medication Reconciliation 1.5 EPA-HO
B-AB Psychotropic Stewardship & PRN gate 2 EPA-PRN
B-L Weekly Participation & backups 1.5 EPA-PART
B-ME Mealtime/IDDSI safety 1.5 EPA-MEAL
B-R DPIA/Privacy & Publication checks 1 EPA-PUB
B-O First Nations cultural safety & wording 1.5 EPA-FN
B-AE Transport securement & distress stops 1 EPA-TR
B-AG Candour pack (R&W + Matrix) 1.5 EPA-CAN
B-AK Operational prompts in practice 1 - Core paper · PDF page 324
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 324 D. RPL (Recognition of Prior Learning) - evidence pack • RPL-NAV bundle: AO-RPL form; two referees (one external/family); 2 de- identified reasons blocks; 1 warm-handover artefact; 1 documentation-integrity sample (e-receipt + roster link). • Credit rules: documented warm handover experience and Two-Key/IPP familiarity can credit B-WH/B-NAV; no credit for Publication/suppression without a passed mini-OSCE PUB. • Time-box: ≤90 days to close all gaps; unresolved → scope restriction (Owner Matrix Y) until completed. • AO-RPL form + supervisor attestation • Short skills video (2-4 min) (consent/DPIA) • Two case notes showing access + least-restrictive decisions • Licences/registrations & CPD • Referee calls (one internal, one external) Outcome: credit granted + dated Bridging Plan with OSCE/EPA bookings E. Supervision, calibration & skill-slip • Navigators at IDC-2 provisional require 100% buddying on consequential handovers until OSCE-HO passed. • Any missed 72-hour review, absent second key on consequential action, or publication without suppression → immediate red-team micro-scenario + re- OSCE (mini-OSCE PUB / OSCE-HO). • At least one external observation (non-line reviewer) within first 30 days. • Before sign-off: IDC-1 → 100% close; IDC-2 → 25-50%; IDC-3 → case review; IDC-4/5 → peer review. • Peer calibration 6-monthly (Appx V). • Skill-slip (missed access, unsafe restraint, late review) → red-team micro-scenario + targeted coaching + re-OSCE if needed. F. Quick placement guide (use this to assign today) Stream Typical title → IDC band House/SIL & community Navigator (Foundational Supports) = IDC-3 target (IDC-2 provisional ≤30d); pre-practice B- NAV/B-WH/B-R/B-AG/B-D; OSCE-HO booked ≤30d. Team Leader = IDC-3; Practice Lead / Complex Case Coord = IDC-4; Program Educator (field) = IDC-4; Director of Practice Quality = IDC-5 Behaviour support Senior BSP = IDC-4; Principal BSP / BSP Clinical Governance Lead = IDC-5 Clinical (RN/allied) Clinical Nurse Consultant / Clinical Educator = IDC-4; Principal Clinician / Allied Clinical Lead (program-wide) = IDC-5 Health interfaces Hospital/ED Interface Lead = IDC-4; Service-wide Handover/Med-rec Verifier = IDC-5
Core paper · PDF page 325
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 325 Stream Typical title → IDC band Communication & culture AAC Lead; First Nations Practice Lead = IDC-4; Cultural Calibration Lead (program-wide) = IDC-5 Systems, data, publication Publication Steward (channel) = IDC-4; Principal Publication Steward / Privacy Gatekeeper = IDC-5 Rural/paeds Micro-hub Lead / Tele-OSCE Proctor = IDC-4; Rural/Paeds Lead Examiner = IDC-5 Governance & education OSCE Station Lead = IDC-4; Lead OSCE Examiner / Calibration Lead = IDC-5 IDC-4 - Specialist / Coach Core: handles complex cases across interfaces, coaches others, and leads practice uplift. Must still meet all IDC-3 requirements, plus coach/examine in their specialty. What IDC-4s do (minimum) • Take complex referrals, run cross-agency plans, and coach IDC-1-3. • Chair 72-hour reviews and ensure fade plans exist where needed. • Run targeted bridges (B-modules) and observe EPAs for staff. • Proctor tele-OSCEs or in-person stations; contribute to item review. IDC-4 must have: • Passed full rOSCE circuit at exemplar level in their specialty station(s). • Observed and signed ≥20 EPAs for others (with feedback artefacts). • Chaired ≥3 72-hour reviews and produced a fade-plan insert where indicated. • Delivered ≥2 bridging modules (B-codes) and logged outcomes. IDC-5 - Verifier / Calibrator Core: assures competence across the program - examines OSCEs, signs EPAs, runs calibration, and protects provenance/public transparency. What IDC-5s do (minimum) • Double-mark OSCEs; run calibration and publish kappa/standard-setting notes. • Sign final EPA panels (with at least one external observation). • Oversee complaint-independent sampling and publish cohort tiles (S-pack). • Guard change control: S-8 notes, T-pack hashes, and suppression discipline. IDC-5 must have: • Led ≥2 OSCE calibration events; kappa ≥0.6 on sample double-ratings. • Chaired ≥3 EPA panels (with an external). • Published ≥1 S-8 visible change note and T-pack hash manifest tied to an assessment cycle.
Core paper · PDF page 326
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 326 • No unresolved conflicts of interest; externality demonstrated each quarter. Not in scope (important) • Judiciary/Tribunal/OPA/Regulator leadership complete the Decision-Maker Fast Pack and bench-card OSCE, but that is decision-quality credentialing, not IDC licensure. They don’t hold IDC-4/5 unless they are also appointed within the IDC program’s assessment/governance structure. Who audits the auditors - supervision chain Goal. Make audits trustworthy by adding independent eyes, rotation, and public traceability. Titles don’t trump evidence. Four lines of assurance (who checks whom) 1. First line - Practice supervision (case level) o Who: IDC-4 (Specialist/Coach) supervising IDC-1-3 on live work. o What: observes EPAs, runs 72-hour reviews, signs AO/AA packs. o Limits: cannot be the only assessor for their own supervisee’s summative decision. 2. Second line - Program verification (meta-audit) o Who: IDC-5 Verifier/Calibrator (not in the supervisee’s reporting line). o What: double-marks OSCE samples; re-checks EPA evidence; reviews documentation integrity & privacy. o Rules: ≥20% of each supervisor’s audits are re-audited each quarter; kappa ≥0.6 target; publish calibration note. 3. Third line - Independent Quality & Audit Committee (org-level) o Who: Chair external to operations; members include an external IDC-5, a Privacy/DPIA lead, and a First Nations advisor (when relevant). o What: approves the yearly Audit Plan, examines trends, and signs S-8 visible change notes for systemic fixes. o Powers: can trigger Red-Team (U) scenarios and impose G-pack sanctions (Notice → CAP → Hold → Probation). 4. Fourth line - External assurance o Who: External assessor pool (contracted IDC-5s), partner hospital educators, or regulator-appointed reviewers. o What: random shadowing, tele-OSCE proctor checks, file-vs-field matches. o Output: short Public Summary (non-PII) + T-pack hashes. Independence & rotation rules • No single-line sign-off: any summative decision must include either (a) an external observation, or (b) an IDC-5 not in the line. • Rotation: supervisors rotate every 12 months across teams or have a paired co- reviewer for independence. • Conflict declarations: recorded in the audit record; conflicted reviewers cannot sole- sign EPAs/OSCE outcomes.
Core paper · PDF page 327
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 327 Meta-audit cadence & scope • Quarterly: re-audit ≥20% of each supervisor’s audits (stratify by risk: restraint minutes, PRN-as-RP, ED/police contact). • Half-yearly: observe each supervisor in the field at least once; verify their timing discipline on 72-hour reviews. • Annually: full calibration day (double-rating OSCE videos/cases); publish kappa and any scoring drifts. Evidence & provenance (must attach) • T-1/T-3 events for: audit start/stop, reviewer identity, conflicts, outcomes, remediation tasks, and hash manifest. • S-8 note if rules or denominators change (non-PII; link to Audit Plan item). • Owner Matrix (Y) entry naming the audit owner, due date, escalation path. Escalation (who the supervisor answers to) • If a supervisor fails an independence or safety check: o Immediate pause on their summative sign-offs. o Red-Team micro-scenario focused on the failure mode (U-pack). o Re-observation by a different IDC-5; CAP (G-2) with time-boxed fixes. o Repeat breach → refer to Sanctions Ladder (G-pack) and publish a short S-8 note. Participant voice (without complaints) • After audited contacts, send a two-question micro-survey (access/clarity; on-time actions). • Results feed dashboard tiles (non-PII) reviewed by the Audit Committee. Rural/remote & paediatric variants • Use tele-observation plus at least one in-person co-review yearly per supervisor. • Paediatric audits include school inclusion and paeds mealtime checks. Quick matrix - “who supervises the supervisor” Auditor role Who checks them How often Independence guard IDC-4 Practice Supervisor IDC-5 Verifier/Calibrator Quarterly re-audit ≥20% + field shadow half-yearly Different reporting line; conflict recorded IDC-5 Verifier/Calibrator Independent Quality & Audit Committee Quarterly trend review; annual calibration day External member on committee; kappa published Audit Committee External assessor/regulator Annual program review or spot audit Public summary + S-8/T-pack trail Measures (internal; some publishable)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 328 • Time from hire/role change → safe solo (median days) • navigator_warm_handover_rate (S-Q06) ↑ after AO-6N completion. • r2r_on_time_rate (S-P03) stable/improving where Navigators support contested matters. • doc_integrity_score (S-P06) ↑ where Navigator notes meet mini-OSCE PUB standard. • OSCE first-pass rate (%) by title family • 90-day bridge completion (%), open-gap count • Incidents linked to access failure (↓) • 72-hour reviews on time (↑) • Participation tiles improve post-bridge (Appx S) Micro-scenarios (worked) • Support Coordinator: Once pre-practice bridges met; mini-OSCE (OSCE-HO) sat before any solo work. AO-6 Fast Pack used on first live case; external observation #1 scheduled within 3 weeks. Quarterly complaint-independent audit randomly selects this case: consent & access present, reasons table solid, S-8 draft logged after service change. One PRN-as-RP alert the next month triggers automatic 72-hour review booking and a red-team micro-scenario drill; remediation completed and re- observed. Dashboard shows external_observation_rate ↑ and 30d_bridge_completion_pct = 100%. • Navigator onboarding: Day 1 mapped to IDC-3 (provisional IDC-2). Pre-practice bridges completed (B-NAV, B-WH, B-R, B-AG, B-D). OSCE-HO passed at day 19; mini-OSCE PUB at day 24. Two external observations logged. First quarter shows navigator_warm_handover_rate ↑, doc_integrity_score ↑, and r2r_on_time_rate steady. One missed suppression note triggers a red-team drill; remediation documented; subsequent audit clean. • NDIA delegate: Completes Candour + Access modules and bench-card OSCE. First three decisions run through a 10-minute audit (from the Oversight Pack) even without complaints. Outputs now include an R&W table, contradiction log IDs, and a suppression note where small-cell risk exists. One late action (>7 days) is escalated via Owner Matrix (Y); a short S-8 note explains the fix-forward change. • Senior registrar: Uses Decision-Quality Fast Pack + small-cell checks. Two independent file-vs-field observations are booked per the Oversight Pack. Hearing notes shift from narrative to evidence-weighted with clear legal tests; 72-hour cadence visible on the calendar. After a missed Tier-0 cue in a sampled case, a red- team micro-scenario is run; registrar passes a targeted re-OSCE station the following week. • Peer worker: Completes Access + boundaries + Money safety bridges; OSCE-C booked and passed within 3 weeks. Supervisor logs 6 buddy shifts; one external observation checks documentation integrity and privacy habits. Participation sessions increase; audit sampling of two cases shows clean consent notes and no privacy leaks; no incidents recorded.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 329 • BSP (Behaviour Support Practitioner): Adds time-keeping and candour modules; all restraint minutes now start/stop-timed and route to 72-hour reviews. Tribunal dossier is accepted without defect; peer calibration is logged (Appx V). Oversight sampling finds denominator drift in a published tile; BSP files a visible S-8 change note and updates the plan; restraint minutes trend down quarter-on-quarter. Quick scripts • To a candidate: “We’ll credit what you already know. You’ll bridge the gaps and pass an OSCE before you work solo.” • To a manager: “Map to a provisional band today, book 3 bridges, OSCE ≤30 days, and choose 2 EPAs that prove change.” • To a Navigator: “We’ll credit what you already know. You’ll complete Access, Handover, Candour and Publication bridges, then pass OSCE-HO and a quick publication safety check before solo work.” • To a family: “Your Navigator must log the warm handover, book and keep the first appointment, and record plain-English reasons where decisions affect you.” • To leaders/judiciary: “This pack lifts decision quality: clear tests, evidence weights, contradictions resolved, privacy safe.” AO templates list (Appendix AA) • AO-1 Equivalency Matrix (CSV) - title family → provisional band → bridges → assessments • AO-2 Individual Bridging Plan (auto-dated tasks + owners) • AO-3 RPL Evidence Checklist & Supervisor Attestation • AO-4 OSCE Booking Sheet & Results Log (mini/full; safety stations flagged) • AO-5 EPA Pack (INT, EVID, FF-VER, PRN, MEAL, HAND, CONS, PRIV, R&W/IRC, PUB, RURAL, SWITCH) • AO-6 Support Coordinator Decision-Quality Fast Pack • AO-6N Navigator Fast Bridge Pack (checklist + module links + booking sheet) • AO-7 SC Complaint-Independent Oversight Pack • AO-7N Navigator Oversight Pack (complaint-independent sampling + external observation form) • AO-8 Grand-parenting Letter (time-boxed equivalency with safety gates) • AO-8N Grand-parenting Letter - Navigator Transition (time-boxed, safety- gated) • AO-9 Bench-Cards - Decision-Maker Fast Pack (R&W, Matrix, small-cell, applied tests) • AO-9N Bench-Cards for Navigators (Two-Key/IPP, warm handover, suppression quick checks) • AO-10 30/90-Day Review Form (gap close-out; status colours) • AO-11 Skill-Slip Red-Team Scenario Builder (trigger → scene → test → remediation) • AO-12 Title→Band Mapper (Quick Intake) (role → provisional band → pre- practice bridges) • AO-13 Governance OSCE (tile reading + actions; leaders/board) • AO-14 Annual Currency Tracker (OSCE/CPD due list; alerts)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 330 • AO-15 External Calibration Pack (double-marking sheets; kappa log) • AO-16 Rural & Paediatric Variant Kit (tele-OSCE, satellite hub checklist, paeds stations) • AO-17 Publication & S-8 Hook (how bridging artefacts surface as non-PII change notes) • AO-18 IDC Audit Plan (with risk-weighted sampling math) Summary companion. Decisions rely on the governing sections named in IDC Curriculum & OSCEs, Safety & Restrictive Practices, Communication Access, 72-Hour Review, Handover/Medication, Psychotropic Stewardship, Mealtime/IDDSI, First Nations Partnership, Transport, DPIA/Publication, Owner Matrix & Escalation, Red- Team and Candour/Ombudsman/Tribunal protocols. Appendix AO.1 - DSC Equivalency & Bridging Matrix Licensing regulators by evidence, not job title. Owner: DSC - Workforce & Capability (with Governance & Legal Liaison) Interfaces: Candour by Template & AG.1 (Tribunal/OPA/Ombudsman & DSC companion); Owner Matrix & Escalation (Appx Y); Reasons & Weighting / Contradiction Matrix (Appx H/I); DPIA & Publication (Appx R/S); Audit Log (Appx T); E-Receipts & Cross-Checks (Appx E/F); Dashboards (Appx S); Red-Team (Appx U); IDC Curriculum/OSCEs (Appx Q); Communication Access (Appx N); First Nations Partnership (Appx O); Evaluation Access (Appx W). Why this matters (and why it hasn’t worked) Regulatory teams are strong generalists, but access practice, evidence-weighting and privacy vary. That creates late or uneven notifications, unweighted dossiers, small-cell risk, and case drift. A DSC must model the standard: access first, one evidence set (R&W + Matrix), least-restrictive thinking, and publication the public can check and trust. Fast take (read this first) • Provisional IDC banding (IDC-2…IDC-4) for DSC roles on day one; no solo practice for complaint intake or investigations until pre-practice bridges + rOSCE (regulatory OSCE) are passed. • One evidence set everywhere (R&W + Matrix + hashes) shared across tribunal/ombudsman/DSC - no rewrites. • S0-S3 triage windows are met; fix-forward runs in parallel (AG.1). • Small-cell & cultural safety checks on every outbound line. • 6-monthly calibration across regions to keep decisions aligned.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 331 A) Roles → Bands → Bridges (copy-ready) Columns: Provisional IDC band (max) • RPL you must show • Pre-practice bridges (before solo) • Within 90 days • Assessment (rOSCE/EPA) DSC role Band RPL evidence Pre-practice 90-day bridges Assessment Complaints/Intake Officer IDC- 2 Prior complaints/call- centre logs; supervisor note Access prompts (N); S0-S3 triage (AG.1); Candour intake (plain capture); Privacy basics (R) First Nations wording (O); Publication/suppression intro (S) rOSCE-Triage (classify + pack stub ≤60 min); EPA- CAN-INT (clean intake) Case Triage Lead IDC- 3 Triage decisions; queue stats Above + R&W/Matrix (H/I); Owner Matrix (Y) Dashboards (S); Red- team leadership (U) rOSCE-Weigh (top- 6 evidence table + Matrix); EPA-TRI- OT (on-time rate) Investigator (desk/field) IDC- 3 Case files; interview notes Accessible interview (N/AAC/Auslan); Least-restrictive lens (A); DPIA on collection (R) Matrix deep dive; Family plain-summary skills rOSCE-Interview (AAC scenario); rOSCE-Weigh; EPA-EVID Clinical Adviser (Pharmacist/SLP/OT etc.) IDC- 3 Registration; reviews/audits Psychotropic stewardship (AB) or Mealtime/IDDSI (as relevant); Candour Publication/privacy (R/S); tribunal interface (AG) rOSCE-Clin (advice note with RP timing); EPA-PRN/MEAL Field Inspector/Auditor IDC- 3 Site audits; CAPs Access first (N); RP timing & logs (A/T); E-receipt integrity (E/F) Fix-forward verification; First Nations protocol (O) rOSCE-Audit (finding→control); EPA-FF-VER Legal/Decision Writer IDC- 3 Orders/decisions R&W/Matrix (H/I); Applied tests; Small-cell checks (S) Plain-English summaries; Cultural wording (O) rOSCE-Decision (orders + safeguards); EPA- CAN-DEC Data & Analytics IDC- 2 Dashboards/SQL; QA notes Suppression rules (S); Audit hashes (T); Access context (N) Tile codebook; mis-ID risk patterns rOSCE-Publish (safe tile); EPA-PUB Publication/Comms IDC- 2 Releases; media logs Media plan (AM); Small-cell/consent (S/R); Candour framing (AG) First Nations co-release (O) rOSCE-Publish; EPA-CORR (corrections) Panel Chair/Reviewer IDC- 4 Hearings/appeals R&W/Matrix; Access & interpreters (N); Applied tests Calibration lead (V); Ombudsman/AG routing rOSCE-Panel (applied tests under time); EPA-CAL- LEAD Program Manager/Team Lead IDC- 3 KPIs; improvement logs Owner Matrix (Y); AG.1 cadence; Dashboards (S) Red-team routines; Evaluation access (W) EPA-RUN (S0-S3 on time; close-outs) Gate: No solo complaint handling or field investigation until pre-practice bridges + first rOSCE are passed. B) Bridging modules (DSC set) Code Module Hours rOSCE/EPA link B-AG.1 S0-S3 DSC triage & cadence 1.5 rOSCE-Triage, EPA-TRI-OT B-H/I Evidence & Weights + Contradiction Matrix 2 rOSCE-Weigh, EPA-EVID
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 332 Code Module Hours rOSCE/EPA link B-N-INV Accessible interviewing (AAC/Auslan/PECS) 2-3 rOSCE-Interview B-A Least-restrictive lens & time-keeping 2 rOSCE-Decision B-R/S Privacy/DPIA + small-cell suppression 1.5 rOSCE-Publish, EPA-PUB B-FF Fix-forward verification & CAPs 1 EPA-FF-VER B-O First Nations protocols & wording 1.5 Panel/Publish sign-off B-T Audit & provenance (hashes, chain-of-custody) 1 All rOSCEs B-AM Public narrative & crisis comms 1 EPA-CORR C) RPL (Recognition of Prior Learning) - regulator version • AO.1-RPL form + 2 case examples; one must include access supports. • Short skills video (2-4 min): intake or interview using AAC/interpreter (consent/DPIA). • Anonymised R&W table + Matrix from a real/retro case. • Referees: one internal, one external/independent. • Outcome: credit granted + dated Bridging Plan with rOSCE bookings. RPL credit rules (quick): • Demonstrated S0-S1 triage with clean intake → credit B-AG.1 theory only (rOSCE still required). • Prior accessible interviewing → credit B-N-INV hours after skills video; rOSCE- Interview still required. • Prior publication responsibilities without documented suppression → no credit for B-R/S until rOSCE-Publish passed. D) Bridging Plans (templates & cadence) Plan contents (one page): role → provisional band; RPL credits; pre-practice bridges (dates/bookings); 90-day bridges; rOSCE/EPA schedule; supervisor + second reviewer; risks & mitigations. Cadence: • Day 0-5: RPL review; plan issued and booked. • ≤30 days: complete all pre-practice bridges + first rOSCE (role-specific). • ≤90 days: close remaining bridges; sit any remaining rOSCE/EPA. • Slippage: owner escalates via Owner Matrix (Y); scope limits may apply. E) Supervision, calibration & “skill-slip” • Before sign-off: Intake IDC-2 → 100% co-review; Investigator IDC-3 → joint plan + first two interviews shadowed. • Calibration: 6-monthly cross-region case rating using the same R&W pack (Appx V).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 333 • Skill-slip triggers (missed access, small-cell breach, late S0/S1) → immediate red- team micro-scenario + targeted bridge + re-rOSCE. F) Measures (internal; some publishable) • S0/S1 on-time notifications (%) • Intake completeness (EPA-CAN-INT pass rate, %) • rOSCE first-pass rate by role (%) • Small-cell/privacy defects (count) - trend ↓ • Fix-forward verified on time (%) • Complaint re-work / tribunal returns for defect (%) - trend ↓ • Interpreter/Auslan/AAC provided at interviews (%) - trend ↑ (Public metrics follow Appendix S suppression/rounding.) G) Micro-scenarios (worked) • S0 restraint outside plan: Intake triages S0; 60-min pack with R&W top-6 + Matrix; immediate controls listed; 72-hour review booked; rOSCE-Triage sign-off for new officer. • Publication risk: Analyst proposes a map with small cells; Comms applies suppression; rOSCE-Publish passed; safe release with change note. • Conflicting accounts: Investigator runs accessible interview with AAC; Matrix prefers body-worn clip over hearsay; decision writer adds least-restrictive safeguards; Ombudsman notes quality. H) Where to get help / Artefacts & Templates • AO.1-1 Role→Band mapper (DSC) • AO.1-2 Bridging Plan (DSC) with rOSCE schedule • AO.1-3 rOSCE rubrics (Triage, Interview, Weigh, Decision, Publish) • AO.1-4 EPA pack (INT, EVID, FF-VER, PUB, RUN) • AO.1-5 Intake & Interview checklists (access, privacy, First Nations wording) • AO.1-6 Calibration kit (shared R&W case + scoring guide) • AO.1-7 Red-team scenario builder (regulator edition) Summary companion. DSC capability is licensed by evidence: map to a provisional band, bridge fast, prove it in rOSCE/EPA, and publish safely. Use one evidence set (R&W + Matrix + hashes), keep triage on time, and treat privacy & cultural safety as non- negotiable parts of quality.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 334 Appendix AO.2 - Tribunal Practice Note (Brief): Two-Key Guardianship Owner: Tribunal/Registry (with OPA/OPG liaison and DSC Secretariat) Interfaces: Shared Decision Standard (Two-Key); Reasons & Weighting (Appendix H); Contradiction Matrix (Appendix I); Independent-Reasoning Certificate (Appendix J); 72- Hour Review (Appendix B/C); Truth-by-Design/e-Receipts (Appendix E/F); Publication & Tiles (Appendix S/AL); Audit Log (Appendix T); First Nations Partnership (Appendix O); Communication Access (Appendix N); Owner Matrix (Appendix Y) Why this matters (and why it hasn’t worked) High-impact orders still hinge on desk files, single-actor findings, or late reasons. Families experience opacity; frontline practice diverges from the record. Two-Key makes consequential decisions fast and safe - if independence, evidence weights, and review cadence are visible on the page. This note standardises what must be recorded, and adds a light equivalency/bridging pathway so registrars and members apply the method consistently. Fast take (read this first) • No single-actor orders in consequential matters: record second key, independence/IPP check, and timestamps. • Use the R&W short form with a 0-4 probative weight for each item; resolve conflicts in the Matrix (IDs on page). • Tier-0 emergency decisions act first, then 72-hour review with fade/next-steps. • Small-cell suppression for any publication; log the audit hash. • Bench-ready: new/returning decision-makers follow a Decision-Quality Fast Bridge (below) with an RPL check and a short bench OSCE. Scope Applies to consequential orders/endorsements (liberty/residence, restrictive practices incl. psychotropics, high-risk health consent, discharge to new setting, high-value changes). Covers interim (Tier-0) and standard hearings; works with DSC file↔field verification where facts are contested. Two-Key Decision Record (R&W short form) Complete in every consequential matter (interim and final). Keep to 1-2 pages plus annexes. • Decision class; why now; alternatives tried; least-restrictive test. • Evidence table: Source → Probative weight (0-4) → Why (≤25 words; integrity hooks if used). • Applied tests: rights; least-restrictive; lawfulness; proportionality; candour/integrity; privacy/suppression. • Will & preferences: plain words; method (SDM/AAC/interpreter; BIWP if used).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 335 • Co-signers: roles, IDs, independence screen (IPP), timestamps (start/stop). • Outcome; safeguards/conditions; review date; publication note (what goes public; suppression tag). • Links: R&W full table (H); Matrix row IDs (I); IRC tick (J); audit-log hash (T). Evidence table (example headings): EvID | Description | Source | Date/Time | Weight (0-4) | Why (≤25w) Will and Preferences Note (insert) • Method used: SDM/BIWP/AAC/interpreter; who assisted; how comprehension/communication were supported. • Person’s priorities/concerns in their words (or best evidence of will/preferences). • Dignity-of-risk considered; agreed supports and fade/expiry rules (if any). Tier-0 Log & 72-Hour Review (for emergency pathways) • Trigger; immediate action; restraint/sedation minutes; outcome. • 72-hour review: attendees; alternatives considered; least-restrictive re-test; fade/next-steps plan; learning points logged; date of next review. • Outputs: updated R&W short form; Matrix updates; reasons digest; audit hash; publication note. DSC Calibration Memo (Two-Key) - (for contested/complex matters) • File vs field checks: second-key independence; rotation; R&W quality; will & preferences fidelity. • Variances; corrective actions; publication note (non-PII); integrity hooks checked (e-receipt/roster↔claim/audit-log). • Memo feeds Owner Matrix (Y) and tiles (S-Q02, S-P06). Equivalency & Bridging (for Tribunal roles) Goal: credential decision-quality skills quickly (not clinical content). Titles don’t exempt anyone from the method. Roles → Provisional band → Bridges → Assessment Columns: Band (DQ) · RPL you must show · Pre-practice bridges (before sitting) · Within 90 days · Assessment Tribunal role Band (Decision- Quality) RPL evidence Pre-practice bridges (before sitting) 90-day bridges Assessment Registrar (case manager/ADR) DQ-2 2 recent bundles showing B-H/I-DQ (R&W+Matrix for registries); B-N (Access B-LR (least- restrictive & review cadence); Bench-OSCE-R (short- form compile); EPA-
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 336
Tribunal role
Band
(Decision-
Quality)
RPL evidence Pre-practice bridges
(before sitting) 90-day bridges Assessment
issues, weights
table, Matrix
refs
& interpreters); B-S/T
(Suppression + audit hash)
B-PUB
(publication
notes)
DQ-REG (on-time
bundle)
Member
(decision-maker) DQ-3
3 decisions
with tests
applied; 1
appeal upheld
B-H/I-DQ; B-LR; B-CAN
(plain-English reasons); B-
IPP (Two-
Key/independence)
B-72H (Tier-
0→72h); B-FN
(First Nations
wording)
Bench-OSCE-M
(applied tests under
time); EPA-DQ-M
(findings→actions)
Senior
Member/Deputy
President
DQ-4
5 decisions
incl. contested
facts; 1
published
reasons model
As for Member + B-CAL
(panel calibration & dissent
handling)
B-PUB-ADV
(small-cell edge
cases); B-RED
(red-team drill)
Bench-OSCE-S (panel
lead & dissent); EPA-
DQ-LEAD
Bands (Decision-Quality only):
• DQ-2: compiles compliant short-form; understands suppression/audit.
• DQ-3: applies tests; resolves contradictions on the record; manages Two-Key & 72h
loop.
• DQ-4: leads panels; calibrates peers; publishes model reasons; guards privacy at
scale.
Decision-Maker Fast Bridge (plan template)
Who: any registrar/member new to Two-Key, or returning after >12 months.
Plan contains: role → DQ band target; RPL credits; pre-practice bridges (dates/bookings);
90-day bridges; Bench-OSCE/EPA schedule; second reviewer; risks & mitigations.
Cadence:
• Day 0-5: RPL review; plan issued and scheduled.
• ≤30 days: complete pre-practice bridges + Bench-OSCE (role-specific).
• ≤90 days: close remaining bridges; sit EPA(s).
• Slippage: escalate via Owner Matrix (Y); may limit listing duties until complete.
Bridge module keys (non-clinical):
• B-H/I-DQ: R&W/Matrix for tribunal writing (weights 0-4; ≤25-word why).
• B-IPP: Two-Key independence & IPP timestamps; conflict screen.
• B-LR: Least-restrictive & review triggers (expiry/fade).
• B-72H: Tier-0 → 72h decision chain; learning review.
• B-CAN: Plain-English reasons (≤140w block) & family notices.
• B-S/T: Small-cell suppression & audit hash on reasons.
• B-FN: First Nations protocols & wording; interpreter/AAC.
• B-PUB / B-PUB-ADV: Publication notes; edge-case suppression.
• B-CAL / B-RED: Panel calibration; red-team scenario for decision drift. Core paper · PDF page 337
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 337 RPL (Recognition of Prior Learning) - Decision-quality pack Submit once per role change; keep de-identified. • Two recent decisions with R&W tables (0-4 weights) and Matrix IDs. • One plain-English reasons block (≤140 words) and the audit-log hash. • One Tier-0→72h example (timeline + review outcome). • Conflict-of-interest declaration and sample IPP independence note. • Referees: one internal judicial/registry, one external (e.g., OPA/DSC). • Outcome: credit mapped; Fast Bridge issued with Bench-OSCE/EPA bookings. RPL credit rules (quick): • Prior small-cell/suppression training without live examples → no credit until B-S/T is passed in-house. • Published decisions that omit weights or Matrix → RPL accepted for experience, but B-H/I-DQ remains mandatory. What good looks like / Red flags Good: short-form shows issues → weighted evidence → resolved contradictions → applied tests → decision & safeguards → review date → publication note; Two-Key independence is explicit; Tier-0 rolls into a clean 72-hour review; audit hash present. Red flags: single-actor consequential orders; titles cited as “weight”; reasons without a weights table; no Matrix; suppression missed; no review/expiry. Templates & artefacts • Two-Key Decision Record - Short Form (this section) • Will & Preferences Note • Tier-0/72-Hour Review sheet • DSC Calibration Memo (Two-Key) • Decision-Maker Fast Bridge plan (bench) • Bench-OSCE rubrics: Registrar/Member/Senior Member • RPL checklist (Decision-Quality) Summary companion. Two-Key is the guardrail; R&W short form is the language; the Matrix is how we resolve conflict; Tier-0 → 72h is the learning loop; suppression + audit hash keep the public record safe and checkable. The Fast Bridge + RPL ensure every registrar or member can deliver that - consistently.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 338 Appendix AO.3 - RPL Evidence Checklist (Recognition of Prior Learning) Credits prior learning and competence fairly (work logs, supervision notes, incident reflections, family feedback). Owner: IDC Program (Workforce & Education) Interfaces: IDC Curriculum & OSCE/EPAs (Appx Q); Equivalency & Bridging (Appx AO/AO-1/AO-2/AO-6N); Reasons & Weighting / Matrix / IRC (Appx H-J); Communication Access (Appx N); Safety & Restrictive Practices + 72-Hour Review (Appx A-C); Handover & Medication Reconciliation (Appx D); Psychotropic Stewardship (Appx AB); Mealtime/IDDSI (Appx Z); First Nations Partnership (Appx O); Privacy/DPIA & Publication/Suppression (Appx R/S/AL); Audit Log Spec (Appx T); Owner Matrix & Escalation (Appx Y). Why this matters (and why it hasn’t worked) RPL has drifted into “CV review + certificates”. That misses what protects people: observed practice, access and least-restrictive thinking, warm handovers, document integrity, and privacy discipline. This checklist credits genuine competence and pinpoints bridges, using artefacts you can verify and re-create. Fast take (read this first) • One pack per person, one hour to review, verifiable in the audit log. • Evidence must show: access, reasoning (H/I/J), safety timing (A-C), handover quality (D), privacy discipline (R/S). • Map to a provisional IDC band, then issue a dated Bridging Plan with OSCE/EPA bookings. • No seniority waivers: at least one observed assessment (mini-OSCE/OSCE/EPA) before solo scope. Scope All applicants seeking IDC banding or bridge credit (frontline, coordination/navigator, clinical, management, regulator/DSC). Use the role-family tables in AO & AO-1/2/6N to select which modules are “must show”. Checklist (compile the pack; tick and attach IDs/links) A. Identity & provenance ☐ AO-3 cover sheet (role sought; provisional band requested)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 339 ☐ Resume/CV (max 2 pages) + current registration (if clinical) ☐ Audit references: feed_id(s) and anchor_ref (Appx T) for each attached artefact B. Supervised practice & logs (last 6-12 months) ☐ Work-log excerpts (dates/hours, contexts) - ≥4 weeks representative ☐ Supervision notes (frequency, topics, actions) - ≥4 entries with outcomes ☐ Two external field observations (outside line) or equivalents (AO-7N for Navigators) ☐ Attendance at 72-hour reviews (if triggered) - dates/roles C. Decision-quality artefacts (H/I/J) ☐ One Reasons & Weighting table with probative weights (Appx H) (ID: ___) ☐ One Contradiction Matrix page resolving at least one conflict (Appx I) (ID: ___) ☐ One Independent-Reasoning Certificate (Appx J) signed by a second reviewer (ID: ___) D. Safety & least-restrictive practice (A-C / AB / Z) ☐ Time-kept restraint/PRN example showing start/stop and review path (A-C/AB) ☐ Mealtime/IDDSI artefact or acknowledgement (Z) if in scope ☐ Evidence of booking/holding a 72-hour learning review where required (B-C) E. Access & culture (N/O) ☐ Example of communication access (interpreter/Auslan/AAC) with consent note (N) ☐ First Nations protocol/wording example or cultural broker involvement (O) (if relevant) F. Continuity & handover (D / AO-6N for Navigators) ☐ Warm handover bundle (SBAR + named steward + “booked & kept” proof) (D) ☐ Medication reconciliation status carried or confirmed (D) (if relevant) G. Integrity & privacy (R/S/T/AL) ☐ E-receipt(s) with two-party attestation IDs (A10) and match-status (E/F) ☐ Documentation-integrity sample (passes rubric or remediation shown) ☐ Small-cell/suppression check note for any publication/tile use (S/AL) ☐ Provenance hash/anchor for any exported bundle (T) H. Stakeholder corroboration ☐ Family/representative feedback (≤140 words or survey result) ☐ Cross-agency testimony (e.g., GP, school, ED) (optional but strong) I. Referees ☐ One internal and one external referee, reachable, with roles and dates contacted Short video options (2-4 min; consented; de-identified where required) ☐ Access conversation snippet (N) ☐ SBAR handover call snippet (D) (If video cannot be shared, attach structured observation notes with audit ID.) Scoring rubric (10 points; pass ≥7; any critical fail = remediation first)
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 340 1. Access present & recorded (N) - 0/1/2 2. Least-restrictive reasoning evident (A-C) - 0/1/2 3. Evidence weighting & conflict resolution (H/I) - 0/1/2 4. Warm handover booked & kept (D / AO-6N) - 0/1/2 5. Privacy/suppression discipline (R/S/AL) - 0/1/2 Critical fails (auto-bridge before credit): • Missing access where needed • No time-keeping on restraint/PRN • Publication with small-cell breach • Fabricated/ unverifiable artefacts. Verification steps (reviewer use) • Check hashes/anchors (T) for any exported artefact; confirm IDs match. • Spot-call one referee; confirm roles and independence. • Run a file-vs-field check on one item (e.g., handover “kept”). • Record the review as an audit event (rpl_reviewed) with outcome and next steps. Outcome mapping → Bridging Plan (dated; owner; bookings) If Pass (≥7/10; no critical fails): • Provisional band = [IDC-1/2/3/4] per AO matrix + book required OSCE/EPA (≤30 days). If Borderline (6/10 or missing artefact): • Issue targeted bridges (B-modules) + mini-OSCE; re-present in ≤30 days. If Fail (<6/10 or critical fail): • Narrow scope; red-team micro-scenario if safety/independence failed; re-OSCE after remediation. Navigator-specific addendum (for AO-6N stream) Must include: • Two warm handovers with “booked & kept” outcome • One Reasons mini + Matrix reference • Privacy/suppression quick check note • Two external observations (outside line) Assessments to book: OSCE-HO; mini-OSCE-PUB; EPA-HO; EPA-CAN; EPA-PUB. What good looks like / Red flags Good: verifiable artefacts with hashes; short, neutral reasoning; access and privacy visible; handovers that actually happened; 72-hour reviews on triggers; referees answerable. Red flags: certificates without practice; “manager says competent”; no independence screen for consequential items; unsourced numbers; small-cell leaks; unverifiable videos. Where to get help / Artefacts & Templates • AO-3 cover sheet (fillable) • RPL evidence index (with hash fields) • Reviewer scorecard &
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 341 decision note • Mini-OSCE booking sheet • Red-team micro-scenario prompt (safety/independence) • Privacy/suppression quick guide Summary companion. Decisions rely on the governing sections named in IDC Curriculum & OSCE/EPAs, Safety & Restrictive Practices, Communication Access, 72- Hour Review, Handover/Medication, Psychotropic Stewardship, Mealtime/IDDSI, First Nations Partnership, DPIA/Publication, Audit Log, Owner Matrix & Escalation, and Candour/Tribunal/Ombudsman protocols. Appendix AP - Two-Key Guardianship (specific) Owner: Tribunal President (rules committee) · Operational owner: Principal Registrar Interfaces: Registry; Public Advocate/Guardian (OPA/OPG); Decision Support Consultant (DSC); treating team; service provider; person at centre and nominated supporters Related standards: IDC Workforce Standard; Independent Verification (DSC); Safety & Restrictive Practices; Truth-by-Design (e-receipts, roster-to-claim); Data, Dashboards & Privacy. Why this matters (failure modes addressed) • Single-actor decisions under time pressure; weak documentation of how objections were weighed. • Emergency practices become habitual; ‘consultation’ unlogged; appeal records partial or late. • Capture and conflicts where the same pair sign repeatedly without rotation or independence checks. • Inaccessible service and reasoning for the person and their supporters. Fast Take (read this first) • No single-person major decisions. • Emergency single-key permitted only for imminent risk, with a 72-hour review and fade plan. • Appeal-ready record: written reasons + R&W + (if used) Contradiction Matrix + IRC + exhibits schedule must be served before the appeal clock runs. • Publication cadence: de-identified reasons + tiles each quarter. Scope Applies to all guardianship/administration matters and any tribunal direction authorising significant medical, living, safety, legal or financial decisions. Definitions
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 342 • Two-Key: two independent keys recorded for any in-scope decision (authorised decision-maker + paired co-decision key). • MPG (Multi-Person Guardianship) Quorum: a quorum (e.g., 3) for complex/contested liberty-reducing decisions, including at least one external member. • Emergency (Tier-0): imminent risk requiring immediate action; followed by a 72-hour learning review and a Two-Key decision. • Will-and-Preferences Record: the person’s stated will and preferences (with supported decision-making), recorded in accessible language. • R&W (Reasons & Weighings) Table: structured table linking issues → evidence → probative weight → findings. • Contradiction Matrix: file-vs-field reconciliation where evidence conflicts. • IRC (Independent Reasoning Certificate): a signed checklist confirming least- restrictive analysis, options considered, rights impacts, and reasons quality. • IPP (Independent Pairing Pool): registry-maintained roster used to source an independent second key within service levels. • Calibration Memo (Two-Key): DSC short memo rating co-sign independence, R&W quality, and will-and-preferences fidelity. Minimum Standard (must be true to proceed) • Two independent keys are documented: (a) authorised decision-maker; and (b) paired co-decision key (OPA/OPG delegate, DSC-paired professional, or court-recognised supporter). • Contradictions between file and field are logged in a Contradiction Matrix where present. • An R&W table accompanies the written reasons. • An IRC is completed, confirming alternatives considered, least-restrictive test, and rights impacts. • Service is effected in accessible form to the person and their representative. Model Text - Practice Note (adopt or adapt) • Two-Key rule. No order may authorise a major decision unless two independent approvals are recorded and served. • Emergency exception. A single key may authorise time-critical actions only to prevent serious and imminent harm. The order must: (i) specify the risk; (ii) limit scope to the minimum necessary; (iii) schedule a Two-Key review within 72 hours; (iv) require a fade plan. • Appeal-ready record. Time to seek review/appeal does not begin to run until service of: (a) written reasons; (b) R&W table; (c) Contradiction Matrix (if applicable); (d) IRC; (e) exhibits schedule. • Publication. The registry publishes de-identified reasons and R&W tables quarterly with open-justice tiles (time-to-reasons; % with R&W; % with IRC).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 343 • Equity. Where the person is First Nations, CALD or uses Auslan/AAC, supports must be arranged; service occurs in accessible form. Independence & Conflict Rules • Co-signers must be independent: no direct financial conflicts; not both employed by the same provider team making/benefiting from the decision. • Rotation and pairing limits: same-pair cap per quarter; exceeding cap triggers DSC sampling (≥20% next quarter). • Conflict declaration required for all keys; cooling-off rules apply where a prior relationship exists. • Where a second key is unavailable/recused, the IPP must pair an independent key within 72 hours (tele-co-sign acceptable with identity check and recorded reason). Quorum Models • Standard: Two-Key (two independent keys) for most decisions. • MPG: quorum of 3 for complex/contested liberty-reducing decisions (must include at least one external member). • Emergency Quorum: 2-of-5 with TTL 72 hours for time-critical safety events; mandatory post-hoc DSC review; auto-reversal if review fails. Roles & Responsibilities • Tribunal/Commissioner: decision-maker of record; issues determinations; maintains practice notes; sets rotation thresholds. • Principal Registrar: maintains IPP; ensures registry checks; schedules reviews; oversees publication. • OPA/OPG/Guardians: provide a key or quorum seat; maintain conflicts/rotation registers; ensure cultural pairing where feasible. • DSC: independent verification where risk/contest is present; provides Calibration Memo; reconciles file-vs-field; supports lawful, reviewable decisions. • IDC & treating team: lead SDM; maintain timekeeping; conduct 72-hour learning reviews; prepare documentation packs (including Will-and-Preferences record). • Providers/COORD licence holders: log R&W and Two-Key details where they influence decisions; maintain independence from provision. Process - End-to-End (Registry Checklist Embedded) • Intake & triage: identify if decision falls within scope; check for emergency flag; assign case number. • Pairing: verify two independent keys; if none available, initiate IPP pairing within 72 hours; record conflicts/independence screen.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 344 • Evidence pack: assemble plans, notes, incidents, medication, rosters/claims, e- receipts, previous orders; confirm cultural/communication supports (interpreters/AAC). • Field check (if DSC engaged): schedule targeted observations; gather neutral artefacts; complete Contradiction Matrix where discrepancies arise. • Hearing/decision: record Will-and-Preferences; apply least- restrictive/proportionality/necessity tests; log votes/approvals. • Record & serve: written reasons + R&W + (if used) Contradiction Matrix + IRC + exhibits schedule; serve in accessible form; log service date. • Emergency handling: if single-key used, specify risk/scope; schedule Two-Key review within 72 hours; require fade plan; mark for DSC post-hoc review. • Publication: de-identified reasons and tiles queued for quarterly batch; apply suppression (n < 5) and redaction per DPIA. • Follow-up: actions and due dates entered on dashboards; monitor rotation health and emergency exception use. Artefacts - Templates & Minimum Content Two-Key Decision Record (short form) • Matter ID; date; decision class; keys (names/roles/independence declarations). • Will-and-Preferences summary (plain language/Easy Read). • Decision outcome; actions; review date; publication flag. Reasons & Weighings (R&W) Table • Issues/questions; evidence source/date; relevance; probative weight (scaled); analysis; finding; reason. • Alternatives considered; least-restrictive test; rights impacts; why chosen option best fits will-and-preferences. Contradiction Matrix (if contradictions present) • Item/claim; file says; field shows; other sources (e-receipts/rosters/clinician notes); resolution (accept/discard/seek more); residual uncertainty. Independent Reasoning Certificate (IRC) • Scope, data sources, observation dates/contexts, communication supports used; conflicts declared. • Summary of variance (file vs field); rights tests applied; signature (decision- maker/reviewer). Calibration Memo (Two-Key) - DSC
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 345 • Co-sign independence rating; R&W quality; will-and-preferences fidelity; rotation/bias notes; recommended remediation/calibration actions. Independence & Rotation - Detailed Rules • Independence screen must be completed for both keys: financial interests, employment ties, familial/close relationships, prior involvement in the case. • Same-pair cap: policy-set threshold (e.g., ≤25-33% of decisions per quarter). Exceeding cap requires written justification and triggers DSC sampling in the next quarter. • Conflict handling: if conflict unavoidable in thin markets, record mitigations (external observer, DSC sampling, time-bound pairing) and reasons for proceeding. • Cooling-off: minimum period (e.g., 24 months) where a key has been employed by or contracted to the provider involved. Equity & Accessibility • First Nations cultural safety requirements; access to interpreters (including Auslan) and AAC; culturally appropriate pairing for the second key where feasible. • Service and reasons provided in accessible forms (Easy Read, plain English, formats compatible with assistive tech). • Track equity tiles: interpreter/AAC utilisation; cultural pairing rate; outcomes by cohort (de-identified). Data, Dashboards & Privacy • Tiles (minimum): time_to_reasons_median_days; pct_decisions_with_rw; pct_decisions_with_irc; pct_two_key_coverage; pct_emergency_exceptions_within_rules; pct_reviews_completed_72h; rotation_health. • Privacy-by-design: DPIA for each artefact; minimum-necessary data; role-based visibility; suppression n < 5; redaction rules for public releases. • Family-view dashboards: status and due dates sans sensitive content; public tiles de- identified and aggregated. Registry Fields - Minimum Dataset • Case metadata: matter ID; dates (lodgement, decision, service); decision class; emergency flag. • Keys: names/roles; independence checks; conflicts; rotation counter; IPP pairing source if used. • Artefacts: reasons served Y/N; R&W attached Y/N; Contradiction Matrix used Y/N; IRC Y/N; Calibration Memo Y/N. • Equity: interpreter/AAC used; cultural pairing; accessible formats provided.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 346 • Outcomes: actions and due dates; review date; publication date; appeals filed Y/N. Compliance, Audit & Sanctions • Audit cadence: quarterly sampling (≥10% or risk-weighted) for artefact completeness and independence compliance. • Sanctions ladder: improvement plan → licence/contract conditions → administrative fines → de-preference/debarment → publication on registry. • Exception governance: emergency use beyond threshold triggers targeted audit and calibration. Rural & Thin-Market Parity • IPP with 72-hour SLA to source independent keys; tele-co-sign permitted with identity check; satellite session scheduling. • No dilution of standards: Two-Key/MPG, artefacts, and publication rules remain unchanged in rural or thin markets. • Weather-miss protocol: reschedule within 10 business days; document any adjusted minima. Implementation (Switch-On Order) • 0-3 months: issue Practice Note; stand up IPP; publish templates and DPIA; configure registry fields and dashboard tiles; staff training. • 3-6 months: pilot (1 metro + 1 rural); target ≥90% Two-Key coverage; median co- sign ≤72h moving to ≤48h; first publication batch. • 6-12 months: extend to priority cohorts; publish calibration & rotation report; embed emergency-quorum post-hoc checks. • 12-24 months: full regional parity; independent evaluation; integrate with procurement/accreditation conditions. Version & Review v1.0. Rules Committee reviews 6-monthly with OPA/OPG and registry; updates recorded in release notes.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 347 Appendix AQ - OPA/OPG Investigations Code Addendum: Two-Key Guardianship Owner: Public Advocate/Guardian (state) · Operational owner: Investigations Manager Interfaces: Interfaces: Tribunal/Registry; Decision Support Consultant (DSC); police (where harm/risk); providers; families; First Nations partners. Related standards: Appendix AP - Two-Key; Independent Verification (DSC); Safety & Restrictive Practices; Truth-by-Design; Data, Dashboards & Privacy. Why this matters (failure modes addressed) • Investigations triggered after unilateral decisions with missing consent trails and unverified ‘emergencies’. • Families and supporters lose trust; investigators reconstruct basic facts instead of testing reasoning quality. • Lack of rotation/independence checks for second keys; emergency exceptions over- used without timely review. Fast Take (read this first) • Verify Two-Key coverage first. • If emergency single-key used: confirm imminent-risk threshold and the 72-hour review outcome and fade plan. • Always extract the appeal-ready record and include outcomes in de-identified quarterly notes. Scope Applies to all OPA/OPG investigations where major decisions, restrictive practices, or placement changes are alleged or contemplated. Includes preliminary enquiries and full investigations. Definitions • Two-Key: two independent keys recorded for any in-scope decision (authorised decision-maker + paired co-decision key). • Emergency exception (Tier-0): immediate, serious risk requiring single-key action, followed by a 72-hour review and fade plan. • R&W (Reasons & Weighings) table: structured issues→evidence→weight→finding matrix accompanying written reasons. • Contradiction Matrix: file-vs-field reconciliation tool where evidence conflicts. • IRC (Independent Reasoning Certificate): checklist confirming options considered, least-restrictive test, rights impacts.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 348 • IPP (Independent Pairing Pool): roster used to source an independent second key within service levels. • Calibration Memo (Two-Key): DSC memo rating co-sign independence, R&W quality, and will-and-preferences fidelity. Minimum Standard (investigation entry gates) • Two-Key verification: collect identities, roles, independence checks, timestamps for both keys; rotation check against registry thresholds. • Emergency audit: if single-key used, verify criteria: imminent risk; minimum scope; Two-Key review scheduled and completed within 72 hours; fade plan in place; DSC post-hoc review if required. • Evidence balance: complete/obtain R&W table; log contradictions via Contradiction Matrix if discrepancies present. • Safeguards: confirm service in accessible form; interpreter/AAC usage; cultural safety steps; will-and-preferences record obtained. Model Code (use/adapt for internal manuals) • At intake, determine whether Two-Key applied or emergency exception invoked; record basis and artefacts present/absent. • Where Two-Key absent without emergency criteria: issue Remedy Direction - (i) reinstate decision to neutral (no effect), (ii) convene Two-Key case conference within 5 business days via IPP if needed, (iii) notify the tribunal where a current order is implicated. • Findings report must include: (a) Two-Key compliance status; (b) rights impact analysis; (c) remedies ordered; (d) referral where wilful breach suspected. • Close-out requires accessible service of findings to the person/representative and logging for quarterly publication. Process (10 Steps - with artefacts & service checks) • Intake & triage: classify risk; conflict screen for investigators; secure records; create investigation plan. • Duty of care check: ensure immediate safety; if emergency ongoing, issue interim advice on least-restrictive action and set 72-hour review. • Two-Key verification: confirm two independent keys, independence screens, timestamps, rotation status; if missing, initiate IPP pairing. • Emergency audit (if any): verify imminent risk, minimum scope, 72-hour review scheduling/completion, fade plan; set DSC post-hoc review where indicated. • Interviews (person first): obtain will-and-preferences with SDM; arrange interpreters/AAC; document consent and supports used. • Records request: written reasons; R&W; Contradiction Matrix (if used); IRC; exhibits schedule; provider logs (timekeeping; e-receipts; rosters-to-claims).
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 349 • Contradiction Matrix: reconcile file vs field; document residual uncertainty; capture neutral artefacts (receipts, logs). • Findings + Remedy Direction: determine compliance; order remedies (neutralise decision; convene Two-Key; training/calibration; referral). • Service in accessible form: Easy Read/plain English; log service date and method; provide rights-to-review information. • Publication: add de-identified outcome to quarterly notes; update dashboard tiles and registry fields. Artefacts & Templates (minimum content) Investigation Plan • Scope/issue; risk; decision class; timeline; records to obtain; interview plan; cultural/communication supports. • Conflicts for investigators; independence checks; escalation plan if harm emerges. Two-Key Verification Sheet • Keys (names/roles); independence declarations; rotation status; timestamps; IPP pairing reference if used. Emergency Exception Audit Sheet • Imminent risk description; actions taken; scope minimisation; 72-hour review scheduling/completion; fade plan detail; DSC post-hoc review tick. R&W Table + Contradiction Matrix • R&W: issues; evidence; weight; analysis; finding; reason; alternatives; least- restrictive test; rights impacts. • Contradiction Matrix: item; file says; field shows; other sources; resolution; residual uncertainty. Findings Report & Remedy Direction • Compliance status; rights impact; ordered remedies and timeframes; referrals; publication flag; appeal/complaint guidance. Interfaces with DSC & Tribunal • Trigger DSC where facts contested, rotation concerns, or emergency exception disputed; request Calibration Memo and (if needed) limited field checks. • Notify tribunal where existing orders implicated or where Remedy Direction requires case conference/Two-Key compliance.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 350 • Share artefact pack (R&W, Contradiction Matrix, IRC) to make orders appeal-ready. Registry Fields & Dashboards • Case metadata: ID; intake date; decision class; emergency flag; sector (home, health, justice). • Two-Key: keys/roles; independence screens; rotation counters; IPP reference. • Artefacts: reasons Y/N; R&W Y/N; Contradiction Matrix Y/N; IRC Y/N; DSC memo Y/N. • Equity: interpreter/AAC used; cultural safety steps; accessible service provided. • Outcomes: remedies; due dates; completion status; publication date; referral made Y/N. Tiles (publish de-identified quarterly) pct_investigations_two_key_compliant; pct_emergency_exceptions_validated; median_time_to_remedy; referrals_made_count; rotation_health. Equity & Accessibility • First Nations partnership; cultural pairing where feasible; interpreters (including Auslan) and AAC arranged before interviews. • Accessible service (Easy Read/plain English; assistive-tech compatible formats). • Track equity tiles and include notes in quarterly summaries (de-identified). Rural & Thin-Market Parity • IPP rapid pairing SLA; tele-interviews/co-sign with identity checks; satellite sessions where needed. • No dilution of standards; emergency quotas audited; weather-miss protocol (reschedule ≤10 business days). Governance, Sanctions & Referrals • Sanctions ladder for wilful or repeated non-compliance: improvement plan → conditions → administrative fines → de-preference/debarment → publication. • Referral triggers: suspected fraud; abuse/neglect; breach of orders; obstruction; document fabrication. • Quarterly calibration workshop with DSC/Tribunal to review patterns and update guidance. Implementation (Switch-On Order) • 0–3 months: publish addendum; train investigators; stand up IPP link; add registry fields; configure dashboards; release templates & DPIA.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 351 • 3–6 months: pilot; publish first de-identified notes; baseline tiles; embed DSC triggers; rotation health reporting. • 6–12 months: expand; quarterly calibration; refine Remedy Direction templates; external audit sample. • 12–24 months: full integration with tribunal practice notes; independent evaluation and public report. Measures (Performance Management) pct_investigations_two_key_compliant; pct_emergency_exceptions_validated; median_time_to_remedy; referrals_made_count; rotation_health; equity_supports_provided_pct. Version & Review v1.0. Review each 6 months with Tribunal and Analytics; update release notes with any changes. Appendix AR - Procurement Direction & Independent Pairing Pool (IPP) Service-Level Agreement Owner: Central Procurement (Disability/Justice portfolio) · Operational owner: IPP Panel Manager Interfaces: Tribunal Registry; OPA/OPG; DSC program; providers; First Nations partners; finance/audit Why this matters (and why it hasn’t worked) Second keys are improvised or conflicted. Panels exist but are slow, metro-centred, and opaque on conflicts. Fast take (read this first) • Maintain a rotating, conflict-screened pool for the second key. • Response in 2 hours urgent / 2 business days standard. • Pair by skills + independence; log every pairing and outcome. Scope Standing offer arrangement to supply qualified co-decision participants (clinician, advocate, legal/ethics, peer) to act as the second key for major decisions. Minimum standard • Panel composition: at least 4 categories - senior clinician, disability advocate, legal/ethics, peer/family; with rural/remote representation.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 352 • Independence & conflicts: written declaration each assignment; exclusions include current employer/provider, family ties, financial interest. • Capability: verified credentials; observed practice or equivalent; cultural competence; Auslan/AAC literacy for relevant streams. • Privacy & security: ISO-style handling; secure comms; records retained per retention schedule. Pairing algorithm (order of preference) 1 Skills match to decision domain → 2 Jurisdiction & cultural fit → 3 Independence score → 4 Geography/tele-readiness → 5 Rotation / workload balance. Service levels • Urgent (risk of serious harm): acceptance within 2 hours; joint decision within 24 hours; 72-hour review scheduled. • Standard: acceptance in 2 business days; joint decision within 10 business days. • Failure to meet SLA: escalate to Panel Manager; alternate pairing within 4 hours (urgent) / 1 day (standard). Outputs (per engagement) • Co-decision note with signatures/time-stamps. • R&W table entries relevant to the decision. • IRC co-sign or dissent note. • Conflicts declaration and independence checklist. Pricing & funding (indicative) • Call-out fee (urgent) capped; hourly rates by category; rural loadings; travel at government rates. • Funding source: tribunal/OPA cost-centre with recoveries via program budgets where applicable. Quality & audit • Quarterly sample review; client feedback; breach ladder (warn → suspend → remove). • Equity metrics: rural fulfilment rate; First Nations and CALD pair availability. Measures (tiles) ipp_response_time_median; pct_pairings_meet_sla; pct_pairings_conflict_free; rural_pairing_rate; client_feedback_score_median. Version & review v1.0; annual market refresh; six-monthly KPI review.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 353 Appendix AS - Dashboard Tile Specifications: Two-Key Guardianship Owner: Lead Agency Analytics Unit · Operational owner: Registry/OPA Data Stewards Interfaces: Tribunal CMS; OPA/OPG case system; IPP logs; provider incident systems; public dashboard Why this matters (and why it hasn’t worked) Narrative reports hid exceptions; timing drifted; publication was irregular. Standard tiles make risk and progress visible, quarterly. Fast take (read this first) • Four public tiles; two internal QA tiles. • Quarterly, de-identified; suppression <5. • Every payload includes: metric, value, period (YYYY-Qn), source, last_updated (ISO 8601), optional notes. • Source files (machine-readable): /dashboards/reasons_tiles_example.json, /dashboards/reasons_tiles_dictionary.md, /schemas/dashboard_template.json. Tile dictionary (table view) Metric What it measures (definition) Numerator / Denominator Period Source systems Public? pct_two_key_coverage Share of major decisions with two independent keys Num: decisions with two keys · Den: all major decisions finalised YYYY- Qn Tribunal registry; IPP pairing log Yes emergency_exceptions_rate Share using Tier-0 single- key pathway Num: Tier-0 decisions · Den: all major decisions finalised YYYY- Qn Tribunal registry Yes reviews_completed_72h % of Tier-0 decisions reviewed ≤72h Num: Tier-0 with review ≤72h · Den: all Tier-0 decisions YYYY- Qn Registry scheduler / case mgmt Yes time_to_second_key_median_hours Median hours from pairing request → confirmed second key Median( confirm_ts − request_ts ) YYYY- Qn IPP pairing log Yes pct_pairings_conflict_free % pairings passing independence/conflict checks Num: conflict-free pairings · Den: all pairings YYYY- Qn IPP conflict declarations Internal contradiction_resolved_rate % Contradiction Matrix entries closed ≤14 days (Two-Key matters) Num: entries closed ≤14d · Den: entries opened in period YYYY- Qn DSC case register; Matrix log Internal Inclusion / exclusion (edge cases, minimal) • Major decisions: liberty, health, home, money, relationships (exclude routine daily care). • Count once at finalisation; if revoked/re-made same quarter, keep the latest only. • Tier-0 valid only where imminent serious harm is documented; repeat flags on one episode count once.
Core paper · PDF page 354
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 354
• Include tele-pairings. Timestamps use Australia/Melbourne; keep offset in
last_updated.
Computation rules (normative, one-liners)
• pct_two_key_coverage = keys✓ / decisions_finalised × 100
• emergency_exceptions_rate = tier0 / decisions_finalised × 100
• reviews_completed_72h = tier0_reviewed≤72h / tier0 × 100
• time_to_second_key_median_hours = median( confirm_ts − request_ts ) hours
Payload requirements (all tiles)
metric (string) · value (number) · period (YYYY-Qn) · source (string list) · last_updated (ISO 8601
+ offset) · notes (optional).
Suppress or aggregate where any underlying cell <5.
Example payload (JSON)
[
{
"metric": "pct_two_key_coverage",
"value": 86.4,
"period": "2025-Q3",
"source": "tribunal_registry; ipp_log",
"last_updated": "2025-10-05T10:12:00+10:00",
"notes": "Includes remote tele-pairings"
},
{
"metric": "emergency_exceptions_rate",
"value": 7.2,
"period": "2025-Q3",
"source": "tribunal_registry",
"last_updated": "2025-10-05T10:12:00+10:00",
"notes": "Imminent risk only; see PN s.2"
}
]
Data lineage & QA (publication gates)
• Freeze window: lock 10 calendar days after quarter end.
• Must pass:
o ≥99% decisions have service date & type,
o 100% Tier-0 have booked review timestamps,
o No negative or >365-day durations; no future-dated events,
o Registry finalisations reconcile with denominators used.
Publication & suppression
• Public: quarterly PDF/HTML + JSON; internal QA tiles remain internal.
• Dashboard footer: “Last checked: DD-MM-YYYY · Method v1.0 · Suppression <5”.
Version & review
v1.0; review quarterly with Registry/OPA. Core paper · PDF page 355
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 355 Appendix AT - Talking Points & Q&A: Two-Key Guardianship Owner: Lead Communications (with Tribunal/OPA) · Operational owner: Media & Briefings Team Interfaces: Ministers’ offices; tribunal leadership; OPA/OPG; providers; unions; family peak bodies Why this matters (and why it hasn’t worked) Unilateral practice persisted because it felt faster and cheaper. It wasn’t. It created risk, appeals, and distrust. Fast take (read this first) • Two-Key is not bureaucracy; it’s a safety mechanism. • Emergencies still move fast; we review within 72 hours. • Families and workers get clearer reasons and easier appeals. Plain-language talking points (30-60 sec) • No one decides alone on major life decisions. A second, independent key checks that options are least-restrictive and rights-respecting. • When it’s urgent, one key can act, but only to keep someone safe. We then review within 72 hours and plan to step down. • We publish our reasons (in plain English) and the simple table that shows how we weighed the evidence. Appeals run from when the full record is served. • Frontline workers are backed by simple templates and a neutral pairing pool to keep decisions on time. • Dashboards track it all: reasons published, time-to-reasons, Two-Key coverage, and emergency use. Q&A (objections you’ll hear, answers you can stand behind) • Q: Won’t this slow everything down? A: No. Urgent cases still move immediately. For all others, the IPP supplies the second key within two business days; urgent in two hours. The gain is fewer reversals and safer outcomes. • Q: What if the existing sole guardian is doing a great job? A: Keep them. Two-Key doesn’t replace good guardianship; it adds a second set of eyes on major decisions, like a surgical “time-out”. It protects good practice. • Q: Who is the second key? A: An independent, conflict-screened professional from a standing pool - clinician, advocate, legal/ethics, or trained peer - matched to the decision. • Q: Isn’t this expensive? A: It’s cheaper than failed placements, preventable hospitalisations, and litigation. Panels cap rates and prioritise tele-pairings for rural/remote. • Q: Won’t people collude? A: Independence checks, rotation rules, and random audits reduce that risk. Contradictions between file and field are logged and resolved.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 356 • Q: What about cultural safety and language access? A: Pairings must fit the person’s culture and language. Auslan/AAC and First Nations partners are built into the pool. • Q: How do families appeal? A: They receive the full appeal-ready record - reasons, the weighing table, exhibits - so the clock starts from service, not from rumour. Call to action (for each audience) • Ministers: announce Two-Key with the practice note and the open-justice tiles; publish first quarterly results in 90 days. • Tribunal leaders: adopt the PN; train registry; switch on templates. • OPA/OPG: apply the investigations addendum; report emergency audits quarterly. • Providers: prepare for independent pairings; use the e-receipt and R&W tools. • Families: ask for the appeal-ready record and an Easy-Read version. Version & review v1.0; update after first quarter of publication.
Core paper · PDF page 357
The original text below is unchanged. The v3 audit gives Harden et al. (1975): DOI 10.1136/bmj.1.5955.447, and Gwet (2008): DOI 10.1348/000711006X126600. Read the deposited v3 audit and its limits before reusing these references.
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 357 Appendix AU - Bibliography (Alphabetised list of sources - books, articles, standards and websites - relevant to this white paper. Some entries are foundational reference works that may not be explicitly cited in-text.) Aged Care Quality and Safety Commission. (n.d.). Minimising restrictive practices. https://www.agedcarequality.gov.au/safe-care/behaviour-support/minimising-restrictive-practices AHPRA & National Boards. (2020). Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020-2025. https://www.ahpra.gov.au/About-Ahpra/Aboriginal-and-Torres-Strait-Islander- Health-Strategy.aspx Angrist, J. D., & Pischke, J.-S. (2009). Mostly harmless econometrics: An empiricist’s companion. Princeton University Press. https://press.princeton.edu/books/hardcover/9780691120355/mostly- harmless-econometrics Australian Bureau of Statistics. (n.d.). The Five Safes framework. https://www.abs.gov.au/statistics/research/technical-papers/five-safes Australian Commission on Safety and Quality in Health Care. (n.d.). Medication Safety Standard (NSQHS). https://www.safetyandquality.gov.au/standards/nsqhs-standards/medication-safety-standard Australian Signals Directorate. (n.d.). Event logging and monitoring guidance. https://www.cyber.gov.au/resources-business-and-government/maintain-security/event-logging-and- monitoring Beukelman, D. R., & Mirenda, P. (2013). Augmentative and alternative communication: Supporting children & adults with complex communication needs (4th ed.). Paul H. Brookes. Bernal, J. L., Cummins, S., & Gasparrini, A. (2017). Interrupted time series regression for the evaluation of public health interventions. International Journal of Epidemiology, 46(1), 348-355. https://doi.org/10.1093/ije/dyw098 Carr, E. G., Dunlap, G., Horner, R. H., Koegel, R. L., Turnbull, A. P., Sailor, W., … Fox, L. (2002). Positive behavior support: Evolution of an applied science. Journal of Positive Behavior Interventions, 4(1), 4-16. Committee on the Rights of Persons with Disabilities (CRPD Committee). (2014). General Comment No. 1: Article 12 - Equal recognition before the law. United Nations. Disability Royal Commission. (2023). Final Report (12 vols). https://disability.royalcommission.gov.au/publications/final-report Gwet, K. L. (2008). Computing inter-rater reliability and its variance in the presence of high agreement. Statistical Methods for Inter-Rater Reliability. https://doi.org/10.1002/asmb.779 Harden, R. M., & Gleeson, F. A. (1975). Assessment of clinical competence using an objective structured clinical examination (OSCE). British Medical Journal, 1(5955), 447-451. https://www.bmj.com/content/1/5955/447 IDDSI (International Dysphagia Diet Standardisation Initiative). (n.d.). IDDSI Framework. https://iddsi.org/Framework/
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The original text below is unchanged. The v3 audit gives ten Cate (2005): DOI 10.1111/j.1365-2929.2005.02341.x. Read the deposited v3 audit and its limits before reusing this reference.
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 358 Medical Education - see ten Cate (2005). Mitchell, M., Wu, S., Zaldivar, A., Barnes, P., Vasserman, L., Hutchinson, B., … Gebru, T. (2019). Model cards for model reporting. arXiv preprint. https://arxiv.org/abs/1810.03993 National Aboriginal and Torres Strait Islander Health Plan 2021-2031. (2021). Australian Government, Department of Health and Aged Care. https://www.health.gov.au/resources/collections/national-aboriginal-and-torres-strait-islander-health- plan-2021-2031 NDIS Quality and Safeguards Commission. (n.d.). Regulated restrictive practices. https://www.ndiscommission.gov.au/resources/restrictive-practices NHS England. (n.d.). E-rostering good practice. https://www.england.nhs.uk/ourwork/nhs- people/workforce-and-training/e-rostering/ NIST. (2020). Security and Privacy Controls for Information Systems and Organizations (SP 800-53 Rev. 5). National Institute of Standards and Technology. https://doi.org/10.6028/NIST.SP.800-53r5 NIST. (2006/2012). Guide to Computer Security Log Management (SP 800-92). National Institute of Standards and Technology. Office of the Australian Information Commissioner (OAIC). (n.d.). Guide to undertaking privacy impact assessments (PIAs). https://www.oaic.gov.au/privacy/privacy-guidance-for-organisations-and- government-agencies/guide-to-undertaking-privacy-impact-assessments Office of the Australian Information Commissioner (OAIC). (2024). De-identification and the Privacy Act. https://www.oaic.gov.au/privacy/privacy-guidance-for-organisations-and-government- agencies/de-identification-and-the-privacy-act Schalock, R. L., & Verdugo, M. A. (2012). A leadership guide for today’s disabilities organizations: Overcoming challenges and making change happen. Paul H. Brookes. Speech Pathology Australia. (n.d.). IDDSI resources & endorsement. https://www.speechpathologyaustralia.org.au/SPAweb/Resources_for_the_Public/Eating__Drinking_ and_Swallowing/IDDSI.aspx Standards Australia. (2020). AS ISO 21998:2020 - Healthcare interpreting - Requirements and recommendations. Standards Australia/ISO. ten Cate, O. (2005). Entrustability of professional activities and competency-based training. Academic Medicine, 80(10), 452-457. https://doi.org/10.1097/00001888-200505000-00023 United Nations. (2006). Convention on the Rights of Persons with Disabilities (CRPD). https://www.un.org/development/desa/disabilities/convention-on-the-rights-of-persons-with- disabilities.html World Health Organization. (2017). Medication Without Harm: WHO Global Patient Safety Challenge. WHO. World Health Organization. (2019). Medication safety in transitions of care. WHO. https://www.who.int/publications/i/item/WHO-UHC-SDS-2019.10
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 359 Glossary & Acronyms (Plain-English definitions for ministers, practitioners and the public) People, roles and programs • ABI - Acquired brain injury. Brain injury after birth (e.g., traumatic injury, hypoxic/anoxic insult, stroke-related cognitive impacts, infection, tumour). Effects may include changes in cognition, communication, behaviour, mood and function. • AHPRA - Australian Health Practitioner Regulation Agency. Regulator for registered health professions. • ID - Intellectual disability. Lifelong condition involving significant limitations in (a) intellectual functioning and (b) adaptive behaviour, with onset before 18. Person- first language; not a mental illness; support needs vary widely. • TBI - Traumatic brain injury. A subset of ABI from external force (e.g., blows to head, falls, crashes). • IDC - Integrated Disability Clinician. Licensed, nurse-grade frontline practitioner for cognitive-disability support, with supervised practise, observed exams (OSCEs) and periodic revalidation. • IDC-Prep. Two-year mapped education program (AQF 5 Diploma or assessed equivalent) that qualifies a person to enter IDC licensing. • IDC-Paeds. IDC paediatric module set for early-years and school-age practice (communication/AAC, feeding and mealtime safety, sensory/behaviour coaching, school interface). • DSC - Decision Support Consultant. Neutral, tribunal/OPA/Ombudsman-facing professional appointed in contested/complex matters to run a short file-vs-field calibration and lodge a Calibration Memo attached to Reasons & Weighting. Verifies observable signals (e.g., OSCE currency, two-party e-receipts, CPI recompute, attention/digital exposure), resolves contradictions in a matrix, and recommends corrective actions. DSCs do not sanction. • IPP (Independent Pairing Pool) • Lived-Experience Council. Standing group of people with disability and families who co-design tools, review sentinel events and publish recommendations. • MPG (Multi-Person Guardianship) • NDIA - National Disability Insurance Agency. The Commonwealth agency that administers the NDIS. • NDIS - National Disability Insurance Scheme. Individualised funding for eligible participants. • NDIS Commission (NQSC). National regulator for NDIS provider quality, safeguards and the SIRS (reportable incidents). • Neuropsychology. Assessment and rehabilitation focused on cognition, behaviour and function after brain injury. • OPA - Office of the Public Advocate (Public Guardian in some jurisdictions). Statutory body safeguarding adults with impaired decision-making. • Speech pathology / Occupational therapy / Physiotherapy. Core allied-health roles in communication/AAC, cognition/ADL, mobility and participation. • Thriving Kids. Australian Government early-years foundational supports initiative for children (typically under 9) with mild-moderate developmental differences (including developmental delay and autism) and their families; complements, not replaces, the NDIS.
Core paper · PDF page 360
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 360 Diagnosis and conditions • GCS - Glasgow Coma Scale. Common acute measure of consciousness after brain injury. • PTA - Post-traumatic amnesia. Period of disorientation and memory impairment post-injury; a severity marker. • RLAS - Rancho Los Amigos Scale. Functional scale describing cognitive recovery/behavioural presentation after TBI. • Cognitive-communication. Communication difficulty arising from cognitive changes (attention, memory, processing speed, executive control). • Executive function. Planning, organising, initiating, shifting, monitoring and inhibiting behaviour. • Dysphagia. Swallowing difficulty; addressed via IDDSI and a Mealtime/Swallowing Plan. • Post-ictal. Recovery period after a seizure. Education, licensing and workforce • AQF - Australian Qualifications Framework. National levels system (e.g., Cert III/IV, Diploma). • ASQA - Australian Skills Quality Authority. Regulator for RTOs and VET quality. • TEQSA - Tertiary Education Quality and Standards Agency. Regulator for higher-education providers. • VET - Vocational Education and Training. Delivered via TAFE and private RTOs. • RPL - Recognition of Prior Learning. Recognises existing skill/experience; cannot waive safety-critical assessments. • CPD - Continuing professional development. Structured learning to maintain licence/registration. • Provisional licence. Time-limited IDC licence issued after core OSCEs/placements; converts to full licence on EPA sign-off. • Revalidation. Periodic reassessment (usually every three years); high-risk skills refreshed on 24-36-month cycles. • EPA - Entrustable Professional Activity. A real-world task a trainee is judged ready to perform with decreasing supervision. • OSCE - Objective Structured Clinical Examination. Station-based, observed test of practical skills (e.g., IDDSI setup, seizure response). • dOSCE - Decision OSCE. Observed simulation for tribunal/OPA decision-makers testing Reasons & Weighting, contradiction handling, least-restrictive analysis and attention/digital-health literacy. • Member Competence Passport. Record for tribunal/OPA members showing module currency, dOSCE recency/result band, calibration variance band and field-immersion status. Workforce competence KPIs (publish quarterly): competence_passport_currency_pct; dOSCE_pass_rate_pct. • Decision-Pause Rule. If a DSC Calibration Memo is pending, or a member’s Competence Passport is not current, only interim safeguards may be issued; no orders entrenching restrictive or screen-only routines may be finalised. • Scope of practice. Defined activities and limits for each role; scope is earned by observed competence, not titles.
Core paper · PDF page 361
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 361 • Delegation vs supervision. What may be delegated, to whom, and with what level of oversight; documented and observed. • Supernumerary shift. An over-and-above shift used for education or remediation, not counted toward ratios. Plans and attachments (standardised terminology) • PCP - Person-centred plan. The umbrella service/support plan owned with the person/family; operationalises goals and ties to verifiable practice (CPI timetable, IDDSI plan, seizure plan, medication responsibilities, AAC, travel, risk and safeguards). • NDIS plan. The funding instrument issued by the NDIA (not a service plan). It is informed by the PCP but is distinct. • Support plan / Individual Support Plan (ISP) / Individualised Support Plan / Individual Service Plan / Individualised Care Plan. Common labels used by providers; in this white paper these are treated as PCP equivalents. • IEP - Individual Education Plan. Education-system plan for school-age learners. In this white paper it is a PCP attachment where applicable, with goals mapped to the PCP timetable and CPI targets. • PCP attachments (examples, not exhaustive): ◦ PBS Plan (with restrictive-practice governance and fade plan) ◦ Mealtime/Swallowing Plan (IDDSI) ◦ Seizure Management Plan (SMP) and rescue-med protocol (where permitted) ◦ Medication Management Plan / Medication Chart (including PRN protocols; psychotropic stewardship) ◦ Communication Passport / Communication Access Plan (AAC profile, partners, vocabulary sets) ◦ Health Action Plan (HAP) / Annual Health Check (GP-led) ◦ Personal Emergency Plan (all-hazards) ◦ Advance Care Plan / Goals of Care ◦ Cultural Support Plan (First Nations peoples/CALD) ◦ Transition Plans (hospital discharge; school-to-work/SLES; custody release) ◦ ILO Plan (Individualised Living Options, where used) ◦ Employment/Micro-enterprise Plan (DES/SLES, where used) • Accessible plan. Plain English with Easy Read insert; names ordinary places, roles, steps, communication supports and dignity-of-risk notes. Practice and safety • Person-first practice. Seeing/supporting a person, not a label; goals, choices and rights lead the plan. • AAC - Augmentative and Alternative Communication. Tools/strategies supporting understanding and expression (gestures, pictures, devices). • PBS - Positive Behaviour Support. Uses functional assessment to teach skills, adjust environments and reduce restrictive practices. (Disambiguation: not the Pharmaceutical Benefits Scheme.) • IDDSI - International Dysphagia Diet Standardisation Initiative. Common language for food/liquid textures to reduce choking/aspiration. • Mealtime plan. Person-specific safety plan for eating/drinking (IDDSI level, posture, pacing, supervision).
Core paper · PDF page 362
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 362 • Seizure protocol / Seizure Management Plan. Steps for recognising, timing and responding to seizures; rescue-med thresholds; post-ictal care. • Medication reconciliation. Aligning all medicines at transitions (admission, discharge, handover) to avoid errors. • Psychotropic stewardship. Indication, target outcome and review date documented; taper/cease when no longer beneficial. • Low-arousal approach. Calm, minimal-demand methods to reduce distress and risk. • Quiet Hours. Pre-agreed low-stimulus periods in public venues (reduced noise, clear queues, AAC at counters). • Attention health & digital exposure. Planning to prevent prolonged, unsupervised device use from displacing participation, sleep, communication and learning; substitute with movement, social and learning activities. • Informed consent/assent. Supported decision-making tools used to understand choices, risks and alternatives. Restraint and least-restrictive practice • Least-restrictive practice. Always use the safest, least-limiting option to prevent immediate serious harm. • RP - Restrictive practice. Any practice limiting rights/movement; must be authorised, time-limited and reviewed. • Regulated restrictive practices (NDIS). Environmental restraint, physical restraint, mechanical restraint, chemical restraint, seclusion. Authorisation and availability vary by jurisdiction; where prohibited, this paper assumes zero use. • RP Panel. Mixed, time-limited authorisation panel independent of plan authorship; maintains expiry and fade-plan governance. • Environmental restraint. Restricting access to parts of the environment (e.g., locked doors/cupboards) under authorisation. • Seclusion. Supervised separation in a space the person cannot freely leave; used only for immediate risk and reviewed rapidly. • Mechanical restraint. Device-based restriction under strict clinical governance. • Chemical restraint. Medication primarily to control behaviour or movement (not ordinary treatment); requires oversight, timing and review. • Fade plan. Documented steps and dates to reduce and cease a restrictive practice. • 72-hour learning review. Rapid, post-event review after any restraint/sedation to capture learning and corrective actions. • Least-restrictive by default. Rights-based rule: use the least-restrictive option likely to work; log minutes if restraint occurs; run a 72-hour learning review; maintain a fade plan. Community inclusion and outcomes • CPI - Community Presence Index. Composite measure of presence in ordinary places: Frequency (how often), Variety (how many domains), Role Depth (observer → role-holder). • Participation floor. Minimum expected out-of-home participation each week, with clinically documented exceptions and ramp-up. • Return-to-learn / Return-to-work. Staged pathways to resume education or employment after ABI/TBI.
Core paper · PDF page 363
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 363 • Local Inclusion Multiplier (LIM). Simple local indicator of inclusion-linked economic activity (visits, spend, roles, volunteer hours). • School-Age Navigation & Supports. IDC-led stream for 9-17-year-olds linking schools, families and community activities. • QOL - Quality of Life. Wellbeing across domains (health, relationships, roles, autonomy); tracked alongside CPI/participation metrics. • ICF - International Classification of Functioning, Disability and Health. WHO framework linking body functions/structures, activity, participation and environment. Tribunal, investigations and candour • MIS - Minimum Investigation Standard. Checklist of contacts, documents and credibility tests for guardianship/OPA investigations. • Contradiction Matrix. Table showing which claims agree/contradict and how conflicts were resolved. • Reasons & Weighting template. Structured decision: issues, options, evidence table (accept/reject/partial; weight and why), least-restrictive analysis, decision and conditions. • Independent-Reasoning Certificate (IRC). Decision-maker’s attestation that evidence was weighed independently and contradictions addressed. • Calibration Memo. Short DSC report summarising file-vs-field findings and variances; attached to Reasons & Weighting. • Second-reader safeguard. Additional member co-sign on high-stakes matters or where competence currency is uncertain. • Duty of candour. Professional obligation to be frank about facts, risks, errors and reasons. • VCAT / NCAT / QCAT / SAT (WA) / SACAT / TASCAT / ACAT / NTCAT. State/territory civil and administrative tribunals referenced throughout the paper. • ISBAR - Identify, Situation, Background, Assessment, Recommendation. Standard handover structure used in clinical/tribunal briefings. Data, integrity and transparency • Two-party e-receipt. Digital shift receipt confirmed by participant/nominee and worker, with time/date/location and plain-language description. • Roster-to-claim cross-check. Automated comparison of planned shifts vs billed claims to detect overlaps, impossible hours, travel anomalies and pricing errors. • Phoenix controls. Rules preventing sanctioned providers from re-entering under new entities. • Whistleblower protection. Confidential channels and legal protections for reporters of wrongdoing. • De-identified data. Data stripped of direct identifiers and aggregated/suppressed to protect privacy. • Immutable audit log. Append-only, time-stamped record of changes enabling reconstruction and accountability. • DPIA - Data Protection Impact Assessment. Privacy risk assessment for any data flow, dashboard or analytics model; mitigations logged. • PII - Personally Identifiable Information. Data that can identify a person directly/indirectly; protected under APPs.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 364 • RBAC - Role-Based Access Control. Grant the least privilege required for role- based access. • Kill-switch. Pre-defined trigger to pause an AI model or practice when harm/bias thresholds are crossed. • Bias and drift monitoring. Regular tests for unfairness or performance change in rules/models. • Open APIs/schemas. Published interfaces and data models that enable portability and audit. • E-receipts: privacy baseline. Pseudonyms only; no raw addresses or device IDs; optional coarse geohash with fuzzing. Records become append-only after 24 h using a hash-chain. Access is least-privilege; no tracking between visits. • OIDC/OAuth2. Open standards for secure identity and access. • HL7 FHIR - Fast Healthcare Interoperability Resources. Widely used health- data standard for exchanging clinical information. • APPs / OAIC. Australian Privacy Principles enforced by the Office of the Australian Information Commissioner. • My Health Record (MHR). National system for sharing key health information; access is role-based with consent. • SPC chart. Statistical process control chart to spot signal vs noise over time. • DAG. Directed acyclic graph used to plan unbiased analyses. • Model card. Published description of purpose, data sources, limits, fairness checks and update cadence. • Shadow-mode. A model runs alongside human decisions for a defined period without affecting outcomes; results are evaluated before go-live. • Kill-switch & rollback. Technical and procedural stops to immediately disable a model and restore a last known-good state. Assessment and supervision • OSCE - Objective Structured Clinical Examination. Station-based, observed test of practical skills (e.g., IDDSI setup, seizure response). • Field observation. Direct observation in real settings by an authorised assessor. • Supervision ratios. Minimum mentor ratios (e.g., 1:8; 1:10) with reflective practise and observed sessions. • Double-rating (calibration). Two raters independently assess the same artefact/case; discrepancies reconciled and published as calibration stats. • Double-loop learning. Improvement that changes both frontline practise and the standards/tools that shape it. Economics and procurement • KPI - Key performance indicator. Measurable outcome tied to quality/performance. • ROI - Return on investment. (Benefits - Costs) ÷ Costs. • NPV - Net present value. Discounted sum of net benefits over time. • BCR - Benefit-cost ratio. Present value of benefits ÷ present value of costs. • CBA - Cost-benefit analysis. Formal comparison of costs and benefits with sensitivity testing. • Payback period. Time for cumulative net benefit to reach zero.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 365 • Procurement ratio. Required percentage of IDC-licensed staff by role in contracts/registration. • Reasonable & Necessary (NDIS). Legislative test for funded supports tied to goals, evidence and value for money. Justice, emergency and handovers • Boundary protocols. Agreed rules for handovers between programs (e.g., Thriving Kids, IDC clinics, NDIS), including maximum times and minimum documents. • No-wrong-door. Any gateway service must triage and warm-hand over; no turn- aways. • Handover pack. Minimum documents that travel with a person when services change (e.g., mealtime plan, seizure protocol, medicines list, contacts). • Continuity pack (30-day). Simple bundle at discharge/release to bridge the first month back in community. • Custody health. Health checks and safety plans used at police/corrections intake, including mealtime, seizure and AAC needs. • NSQHS Standards. National Safety and Quality Health Service standards for clinical governance and handover. • DAMA - Discharge Against Medical Advice. Process safeguards to ensure risk/choices are documented and supports arranged. • SIRS - NDIS Reportable Incidents Scheme. Notifiable incidents and time-bound reporting to the NDIS Commission. • ISBAR. Standard clinical handover mnemonic (Identify, Situation, Background, Assessment, Recommendation). Equity and access • First Nations. Aboriginal and Torres Strait Islander peoples. • CALD - Culturally and linguistically diverse. Communities with diverse cultural/linguistic backgrounds. • Auslan - Australian Sign Language. • Rural/remote. Communities outside major cities (ASGS remoteness areas). • Equity segmentation. Publishing de-identified outcomes by equity cohorts to detect gaps and drive closure plans. • On-Country. Supports/reviews conducted on Country with respect to local protocol and guidance, when desired. • Cultural safety. Practices that recognise and respect cultural identity (First Nations, CALD, Auslan access). • UNCRPD. UN Convention on the Rights of Persons with Disabilities; rights baseline. Abbreviations for agencies and venues (used in examples) • GP (general practitioner); ED (emergency department); MCH (maternal and child health services); ECE (early childhood education, e.g., kindergarten, preschool); RTO (registered training organisation). • DES - Disability Employment Services; SLES - School Leaver Employment Supports. Rural / regional / remote
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 366 • ACCHO - Aboriginal Community Controlled Health Organisation. • RFDS - Royal Flying Doctor Service. • RA1-RA5. ASGS remoteness areas: Major Cities (RA1); Inner Regional (RA2); Outer Regional (RA3); Remote (RA4); Very Remote (RA5). • Micro-hub. Small IDC team in a regional location running mobile clinics and hosting quarterly satellite OSCEs. • Standby. Paid availability period guaranteeing emergency coverage or loops despite thin demand. • Interpreter/AAC pool. Regional pool coordinated through micro-hubs; minimum service levels. Glossary (Key Terms) Practice & Safeguards • Least-restrictive practice. Supports are chosen and delivered to minimise restriction; restraint fades are time-bound and reviewed. • Dignity of risk. The person’s right to make choices that involve risk, with reasonable mitigation and learning reviews. • Two-Key Guardianship. MPG, IPP, Tier-0 Emergency, Will-and-Preferences (BIWP). • Two-party e-receipt. Claim transparency where the person/family receives a mirror of items billed by the provider. • 72-hour learning review. Short, time-boxed review after a serious incident focused on learning and prevention, not blame. • Sanctions ladder. Transparent escalations for non-compliance, paired with improvement supports. • Plain-English reasons. Short decisions published in accessible language (who decided, evidence relied on, why). Workforce • IDC pathway. Mapped study (or equivalency) + observed practise (OSCE/EPAs) + renewal on a 3-year cycle. • Equivalency & bridging. Credit for prior training/experience, with defined bridging modules to close gaps. • Tele-OSCE / micro-hub. Remote or small-site assessment/teaching arrangements to ensure rural parity. Data & AI • Shadow-mode. Model runs alongside human decisions for a defined period without affecting outcomes; results evaluated before go-live. • Kill-switch & rollback. Technical and procedural stops to immediately disable a model and restore a last known-good state. • Model card. Published description of purpose, data sources, limits, fairness checks and update cadence.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 367 • Suppression rule (n<5). Privacy protection in dashboards where small counts are hidden or aggregated. • Human-in-the-loop. Models may flag, but no automated adverse decision (access, eligibility, pricing, safeguards) is permitted. Access & Equity • Independent coordination. Coordination separated from service provision to protect choice and manage conflicts of interest. • Cultural safety. Practices recognising and respecting cultural identity (e.g., First Nations, CALD, Auslan access). • Rural parity. Design choices that keep services viable and skilled in regional and remote communities. Symbols & Statistical Terms • κ (kappa). Inter-rater agreement statistic (chance-corrected). • G (Gwet’s AC1/AC2). Inter-rater agreement statistic less sensitive to prevalence/imbalance than κ. • n. Count; n<5 denotes suppression for privacy. Terms and definitions (alphabetical) Accessible plan. A Plain English plan with an Easy Read insert that states goals, supports and review dates. It names ordinary places, roles, practice steps, communication supports and dignity-of-risk notes. [See Service Model Standards - life in community.] Audit log (immutable). Append-only record of data events (create, read, update, export, permission changes) used to verify integrity and privacy compliance. [See Data, Dashboards and Privacy.] Community presence / participation. Presence = time in ordinary places; Participation = roles, relationships and contribution in those places. Both are required outcomes and are tracked. [See Service Model Standards - life in community.] Contradiction Matrix. A DSC tool that lines up File says / Field shows / Other sources and records the resolution and any residual uncertainty. [See Independent Verification Standard.] Cultural plan. A one-page addendum to a person’s plan covering Country, kinship, protocol, language and who should be present at key meetings. [See Equity, First Nations Partnership and Access.] Dignity of risk. Right to make choices and learn through reasonable risk with supports in place, rather than being over-protected in ways that shrink life. Double-loop learning. Improvement that changes both frontline practise and the standards/tools that shape it (not just fixing incidents). [See Evaluation & Continuous Learning.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 368 Double-rating (calibration). Two raters independently assess the same artefact/case to check consistency; discrepancies are reconciled and published as calibration stats. [See Evaluation & Continuous Learning.] Easy Read. Highly accessible summaries using large type, icons and short sentences. Paired with Plain English materials throughout this paper. e-receipt (two-party). Digital receipt confirmed by both the person/authorised representative and the provider for supports delivered. Includes accessible attestation modes and exception codes (e.g., E7 Declined). [See Truth-by-Design Standard.] Exit & Entry Data Set. Minimum, standardised information that must move with a person when switching providers (goals, progress, communication supports, safeguards, upcoming commitments). [See Service Model Standards - life in community.] Fade plan. A short, time-bound plan to reduce and remove any restraint, naming alternatives, practice steps, supports and review checkpoints. [See Safety & Restrictive Practices Standard.] Family view. Role-based, person-level view of receipts, plans, reviews and progress available to the person and their authorised representatives. Distinct from public dashboards. [See Data, Dashboards and Privacy.] First Nations partnership MOU. A paid, local agreement with decision rights and escalation pathways for designing and delivering culturally safe supports. [See Equity, First Nations Partnership and Access.] Green / Amber / Red-light (restraint hierarchy). Graduated levels from least-restrictive alternatives (Green) to exception-only uses requiring high authorisation (Red-light). [See Safety & Restrictive Practices Standard.] Independent-Reasoning Certificate (IRC). Short DSC certificate describing scope, sources, observations, conflicts declared and variance summary, attached to published reasons. [See Independent Verification Standard.] Least-restrictive by default. Rights-based rule: use the least-restrictive option likely to work; log minutes if restraint occurs; run a 72-hour learning review; maintain a fade plan. [See Safety & Restrictive Practices Standard.] Micro-hub. Regional shared supervision and education site (and interpreter pool) enabling rural parity for IDC training/assessment and support delivery. [See Equity, First Nations Partnership and Access.] On-Country. Supports or reviews conducted on Country with respect to local protocol and community guidance, when desired. [See Equity, First Nations Partnership and Access.] Plain English. Clear, active, jargon-free language intended for broad audiences, paired with Easy Read where appropriate. Public tiles (dashboards). Quarterly, de-identified indicators (e.g., e-receipt coverage, restrictive minutes/1,000 hours) published with suppression rules and method notes. [See Data, Dashboards and Privacy.]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 369 Reasons & Weighting (R&W). Structured decision document (issues, evidence table with probative weight, applied tests, findings, remedies/actions) enabling plain-English publication. [See Independent Verification Standard.] Red-team drill. Planned simulation (e.g., fraud ring, data breach, restraint spike, interpreter failure) used to test controls and publish lessons. [See Governance, Assurance and Risk.] Roster-to-claim cross-check. Automated matching of rosters, time-and-attendance, e-receipts and claims before payment, with exceptions routed to review. [See Truth-by-Design Standard.] Sanctions ladder. Proportionate consequences (advice → corrective plan → probation → suspension → contract exit/referral) tied to verified findings, with publication rules. [See Truth-by-Design Standard.] Shadowing (dependency risk). Staff doing tasks for a person long-term rather than coaching with prompt-fading; reduces independence and participation. Addressed via IDC practise rules. Switching protocol. Low-friction process to change providers/coordinators with time limits, standardised data, and continuity safeguards. [See Service Model Standards - life in community.] Tele-OSCE / tele-review. Secure remote assessment/review modes used to support rural parity, complemented by required in-person observations across the renewal cycle. [See Workforce Standard - IDC; Safety & Restrictive Practices Standard.] 72-hour learning review. Mandatory review within 72 hours of any restraint use to test alternatives, update the fade plan, and reconcile medication and handovers. [See Safety & Restrictive Practices Standard.] Suppression rules / k-anonymity. Techniques for de-identification in public tiles (e.g., small-cell suppression, minimum group sizes) to prevent re-identification. [See Data, Dashboards and Privacy.] Verification (independent). DSC-led enquiry that reconciles file vs field facts and enables publication of plain-English reasons using R&W and the Contradiction Matrix. [See Independent Verification Standard.] “Screens-as-care” (anti-pattern). Over-reliance on screens/remote contact in place of real presence in ordinary places. Discouraged except for short, purposeful coaching. [See Service Model Standards - life in community.] Workflows (event model). Standardised data events (e.g., receipt.created, restraint.logged, review.completed, dsc.published) used by APIs and audit logs. [See Data, Dashboards and Privacy.] Workforce levels (IDC). Progression from Foundation → Proficient → Advanced (supervisor/educator), each with defined supervision ratios, OSCE expectations and renewal requirements. [See Workforce Standard - IDC.] Standardisation note (used wherever plan names appear): In this white paper, PCP is the umbrella plan. “Support plan”, “ISP”, “Individualised Support Plan”, “Individual Service Plan” and similar labels are treated as PCP equivalents. IEP is an education- specific attachment to the PCP. Clinical and safety documents (e.g., PBS Plan, IDDSI mealtime plan, Seizure Plan, Medication Plan, Health Action Plan) are maintained as PCP attachments, not substitutes.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 370
Acknowledgements & References
With respect and gratitude to the people at the centre and those who stand with them every
day:
• People and families who shared lived experience that grounds this work - including
First Nations families and communities who guided culturally safe practice.
• Frontline practitioners (future and current Integrated Disability Clinicians) and
supervisors across metro, regional and remote pilots.
• Community-controlled organisations, providers and micro-hubs that opened their
doors to observation, calibration and honest review.
• Decision-makers and oversight bodies - tribunals, public advocates and program
commissioners - who strengthened the verification and publication approach.
• Equity partners - interpreters, Auslan professionals and AAC specialists - who
ensured language justice.
• Data, privacy and evaluation colleagues who kept integrity, safety and transparency
at the core.
Any remaining errors are the onus of the author. This edition is offered in the spirit of
practical improvement and shared custody of change.
How to cite this paper
Zelen, G. (2025). Cognitive Disability Standards Refresh (ID/ABI): White Paper (Version 1.0, 25
September 2025). Melbourne: public-interest submission. Licence: Text © 2025 ZELEN. G - CC
BY 4.0. Schemas/templates: CC BY 4.0. Example payloads/data tiles: CC0 1.0. No organisation
approved this work prior to release. _Not legal advice._ Prepared pro bono; see Conflicts &
Independence in the paper.
See repository README for details. Repository:
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Zelen G. Cognitive Disability Standards Refresh (ID/ABI): White Paper. Version 1.0 - 25 Sep 2025. Available at:
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Optional (BibTeX)
@report{Zelen2025CDSR,
author = {ZELEN. G},
title = {Cognitive Disability Standards Refresh (ID/ABI): White Paper},
year = {2025},
month = {September},
version = {1.0},
note = {Version 1.0, 25 September 2025},
institution = {Public-interest submission},
url = {https://sites.google.com/view/cognitivedisabilitystandards/home}
} Core paper · PDF page 371
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 371 • Reports/white papers: Organisation Year. Title. Place (if relevant): Publisher. Version/date. • Legislation/standards/policy notes: Jurisdiction Year. Instrument title. Section/clause (if relevant). Date accessed. • Datasets/dashboards: Owning body Year. Dataset/Tile name (version). “Method notes” version. Date accessed. • Web sources: include author/organisation, year, title, site, and access date. • Personal communications or pilot artefacts (e.g., field notes) should be cited in-text as “personal communication” with date and stored in the program record, not reproduced publicly. Internal sources These documents informed or supply templates/schemas for the standards in this edition. Where a stronger template existed in the draft corpus, it has been lifted into the relevant appendix and duplicates elsewhere removed. 1. A_DSC_IDC_Reform_Blueprint.pdf 2. B_DSC_IDC_Policy_and_Legislative_Pack.pdf 3. C_Audit_Information_Pack_Guardianship_OPA_Investigations.docx 4. DSC_Proposal.pdf 5. D_IMPLEMENTATION_ORDER.pdf 6. E_DSC_IDC_Two-Key_Guardianship_Pack.pdf 7. Frontline_HouseShift_Provider_Handbook_Exec.docx 8. Frontline_HouseShift_Provider_Handbook_Coalface.docx 9. No_Surprises_Handbook.docx 10. Provider_Handbook.docx 11. e_receipt_min_schema.json (aligned with Appendix E) 12. dashboard_template.json (aligned with Appendix S) (Note: IDR_CBA_Workbook_V8_MinisterPack_Unlocked.xlsx is referenced methodologically in Finance & ROI Case and Appendix X - ROI Workbook Notes & Assumptions Register; values are sourced from the maintained workbook.) Additional external references • Disability Royal Commission - Final Report (12 volumes, 2023) - https://disability.royalcommission.gov.au/publications/final-report • Royal Commission into Aged Care Quality and Safety - Final Report (2021) - https://www.royalcommission.gov.au/aged-care-royal-commission-publications/final-report • Royal Commission into Victoria’s Mental Health System - Final Report (2021) - https://www.rcvmhs.vic.gov.au/mental-health-reform/final-report
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 372 • UN Convention on the Rights of Persons with Disabilities (CRPD) - https://www.un.org/development/desa/disabilities/convention-on-the-rights-of-persons-with- disabilities.html • Victoria - Charter of Human Rights and Responsibilities Act 2006 - https://www.legislation.vic.gov.au/in-force/acts/charter-human-rights-and-responsibilities-act- 2006/023 • Queensland - Human Rights Act 2019 - https://www.legislation.qld.gov.au/view/whole/html/inforce/current/act-2019-005 • NDIS Commission - Regulated Restrictive Practices Guide - https://www.ndiscommission.gov.au/resources/restrictive-practices • Aged Care Quality and Safety Commission - Minimising restrictive practices - https://www.agedcarequality.gov.au/safe-care/behaviour-support/minimising-restrictive-practices • ACSQHC - Medication Safety Standard (NSQHS Standards) - https://www.safetyandquality.gov.au/standards/nsqhs-standards/medication-safety-standard • WHO - Medication safety in transitions of care (2019) - https://www.who.int/publications/i/item/WHO-UHC-SDS-2019.10 • Harden & Gleeson (1975) - Assessment of clinical competence using an OSCE (BMJ) - https://www.bmj.com/content/1/5955/447 • ten Cate (2005) - Entrustability of professional activities and competency-based training (Medical Education) - https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2929.2005.02341.x • AHPRA & National Boards - Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020-2025 - https://www.ahpra.gov.au/About-Ahpra/Aboriginal-and-Torres- Strait-Islander-Health-Strategy.aspx • National Aboriginal and Torres Strait Islander Health Plan 2021-2031 - https://www.health.gov.au/resources/collections/national-aboriginal-and-torres-strait-islander- health-plan-2021-2031 • AS ISO 21998:2020 - Healthcare interpreting (requirements and recommendations) - https://www.standards.org.au/standards-catalogue/international/iso/AS%20ISO%2021998:2020 • Speech Pathology Australia - IDDSI endorsement & resources - https://www.speechpathologyaustralia.org.au/SPAweb/Resources_for_the_Public/Eating__Drinki ng_and_Swallowing/IDDSI.aspx • IDDSI Framework - Levels & testing methods - https:___/iddsi.org/Framework/ • OAIC - Guide to undertaking privacy impact assessments (PIAs) - https://www.oaic.gov.au/privacy/privacy-guidance-for-organisations-and-government- agencies/guide-to-undertaking-privacy-impact-assessments • OAIC - De-identification and the Privacy Act (2024) - https://www.oaic.gov.au/privacy/privacy-guidance-for-organisations-and-government- agencies/de-identification-and-the-privacy-act • ABS - Five Safes framework - https://www.abs.gov.au/statistics/research/technical-papers/five- safes • Australian Signals Directorate - Event logging and monitoring guidance - https://www.cyber.gov.au/resources-business-and-government/maintain-security/event-logging- and-monitoring • NIST SP 800-53 Rev.5 - Audit and Accountability (AU) controls - https://doi.org/10.6028/NIST.SP.800-53r5
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 373 • ANAO - NDIS: Fraud Control Program (performance audit) - https://www.anao.gov.au/work/performance-audit/national-disability-insurance-scheme-fraud- control-program • Services Australia - Fraud Fusion Taskforce - https://www.servicesaustralia.gov.au/fraud- fusion-taskforce • NDIS Commission - Compliance and enforcement actions register - https://www.ndiscommission.gov.au/resources/provider-registers/compliance-and-enforcement- actions • NHS England - E-rostering good practice - https://www.england.nhs.uk/ourwork/nhs- people/workforce-and-training/e-rostering/ • Angrist & Pischke (2009) - Mostly Harmless Econometrics - https://press.princeton.edu/books/hardcover/9780691120355/mostly-harmless-econometrics • Bernal, Cummins & Gasparrini (2017) - Interrupted time series regression for public health - https://doi.org/10.1093/ije/dyw098 • Mitchell et al. (2019) - Model Cards for Model Reporting - https://arxiv.org/abs/1810.03993 • Gwet (2008) - Computing inter‑rater reliability… AC1/AC2 - https://doi.org/10.1002/asmb.779 Statutes and Standards - Quick Links by Jurisdiction Last checked: 25 September 2025 (AET). Links point to official legislation registers and tribunal sites. Where possible, prefer consolidated “in force” versions for operational use; use “as-made” for historical versioning and commencement tables. Commonwealth • National Disability Insurance Scheme Act 2013 (Cth). https://www.legislation.gov.au/C2025C00222 • Disability Services Act 1986 (Cth). https://www.legislation.gov.au/C2024C00269 • Privacy Act 1988 (Cth). https://www.legislation.gov.au/C2025C00228 • Australian Consumer Law (Competition and Consumer Act 2010, Sch 2). https://www.legislation.gov.au/C2025C00197 Victoria (Vic) • Guardianship and Administration Act 2019 (Vic). https://www.legislation.vic.gov.au/in- force/acts/guardianship-and-administration-act-2019 • Charter of Human Rights and Responsibilities Act 2006 (Vic). https://www.legislation.vic.gov.au/in-force/acts/charter-human-rights-and-responsibilities- act-2006 • Health Records Act 2001 (Vic). https://www.legislation.vic.gov.au/in-force/acts/health-records-act- 2001 • Privacy and Data Protection Act 2014 (Vic). https://www.legislation.vic.gov.au/in- force/acts/privacy-and-data-protection-act-2014
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 374 • VCAT Practice Note PNG1 (Guardianship List). https://www.vcat.vic.gov.au/media/381/download New South Wales (NSW) • Guardianship Act 1987 (NSW). https://legislation.nsw.gov.au/view/html/inforce/current/act-1987- 257 • NSW Trustee and Guardian Act 2009 (NSW). https://legislation.nsw.gov.au/view/html/inforce/current/act-2009-049 • Privacy and Personal Information Protection Act 1998 (NSW). https:___/legislation.nsw.gov.au/view/whole/pdf/inforce/2025-08-12/act-1998-133 • Health Records and Information Privacy Act 2002 (NSW). https://legislation.nsw.gov.au/view/html/inforce/current/act-2002-071 • NCAT Procedural Directions & Guidelines. https://ncat.nsw.gov.au/publications-and- resources/procedural-directions-and-guidelines.html Queensland (Qld) • Guardianship and Administration Act 2000 (Qld). https://www.legislation.qld.gov.au/view/html/inforce/current/act-2000-008 • Public Guardian Act 2014 (Qld). https://www.legislation.qld.gov.au/view/html/inforce/current/act- 2014-026 • Information Privacy Act 2009 (Qld). https://www.legislation.qld.gov.au/view/html/inforce/current/act-2009-014 • QCAT Practice Directions (incl. guardianship participation PD 11/2022). https://www.qcat.qld.gov.au/resources/practice-directions South Australia (SA) • Guardianship and Administration Act 1993 (SA). https://www.legislation.sa.gov.au/lz?path=%2FC%2FA%2FGUARDIANSHIP+AND+ADMI NISTRATION+ACT+1993 • South Australian Civil and Administrative Tribunal Act 2013 (SA). https://www.legislation.sa.gov.au/lz?path=%2FC%2FA%2FSOUTH+AUSTRALIAN+%20C IVIL+AND+ADMINISTRATIVE+TRIBUNAL+ACT+2013 • Information Privacy Principles Instruction (PC012). https://www.dpc.sa.gov.au/resources-and- publications/premier-and-cabinet-circulars/DPC-Circular-Information-Privacy-Principles- IPPS-Instruction.pdf • SACAT forms, fact sheets and guides. https://www.sacat.sa.gov.au/about-sacat/publications-and- resources/forms%2C-fact-sheets-and-guides Western Australia (WA) • Guardianship and Administration Act 1990 (WA). https://www.legislation.wa.gov.au/legislation/statutes.nsf/main_mrtitle_406_homepage.html
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 375 • Privacy and Responsible Information Sharing Act 2024 (WA). https://www.legislation.wa.gov.au/legislation/statutes.nsf/law_a147470.html%26view%3Dco nsolidated • SAT Practice Note 9 (Guardianship and Administration Act 1990). https://www.sat.justice.wa.gov.au/_files/practice_note9.pdf • Office of the Public Advocate (WA). https://www.wa.gov.au/organisation/department-of- justice/office-of-the-public-advocate Tasmania (Tas) • Guardianship and Administration Act 1995 (Tas). https://www.legislation.tas.gov.au/view/pdf/authorised/2024-09-01%202024-09-02/act-1995- 044 • Personal Information Protection Act 2004 (Tas). https://www.legislation.tas.gov.au/view/whole/html/inforce/current/act-2004-046 • TASCAT Practice Directions. https://www.tascat.tas.gov.au/publications/practice-directions • TASCAT Guardianship Stream. https://www.tascat.tas.gov.au/guardianship Australian Capital Territory (ACT) • Guardianship and Management of Property Act 1991 (ACT). https://www.legislation.act.gov.au/a/1991-62/ • Health Records (Privacy and Access) Act 1997 (ACT). https://www.legislation.act.gov.au/a/1997- 125/ • Information Privacy Act 2014 (ACT). https://www.legislation.act.gov.au/a/2014-24/ • ACAT guardianship information. https://www.acat.act.gov.au/case-types/guardianship-and- management-of-property-cases Northern Territory (NT) • Guardianship of Adults Act 2016 (NT). https://legislation.nt.gov.au/Legislation/GUARDIANSHIP- OF-ADULTS-ACT-2016 • Information Act 2002 (NT). https://legislation.nt.gov.au/Legislation/INFORMATION-ACT-2002 • NTCAT rules and practice directions. https://nt.gov.au/law/courts-and-tribunals/northern-territory- civil-and-administrative-tribunal-ntcat/ntcat-rules-and-practice-directions • Office of the Public Guardian (NT). https://agd.nt.gov.au/independent-offices/office-of-the-public- guardian International instruments (for context and interpretation) • Convention on the Rights of Persons with Disabilities (CRPD) and Optional Protocol.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 376 • CRPD Committee General Comments (esp. No. 1 on equal recognition before the law; No. 5 on independent living; No. 7 on participation). • WHO International Classification of Functioning, Disability and Health (ICF). Common subordinate instruments & guidance (national) NDIS Rules and Operational Guidelines (plan management, guardianship interfaces, restrictive practices, behaviour supports). • NDIS Review - Final Report & factsheets (Navigators; Foundational Supports). • NDIS Amendment (Getting the NDIS Back on Track No. 1) Act 2024 (commenced 3 Oct 2024) + explanatory updates. • NDIS Commission (mandatory registration direction - SIL, Support Coordination, platforms). Disability Royal Commission - Final Report (222 recommendations). National Cabinet / Ministers’ statements (Foundational Supports 50:50 design/funding intent). 2025 “Thriving Kids” announcement (foundational supports for children outside NDIS). OAIC: Australian Privacy Principles Guidelines (APP Guidelines). Link hygiene note Prefer “in force”/“consolidated” pages for operational use. If a deep link changes, search the official register by Act title and year; verify the version date and record a new “Last checked” date. Conflicts and independence Independent verification (DSC) reports and published reasons are subject to conflict declarations and double-rating. Editorial control of this white paper rests with the Program Owner/Commissioner; evaluation partners retain the right to publish findings within privacy safeguards. Attribution statement Where language or templates were co-created with lived-experience contributors, First Nations partners, interpreters/Auslan practitioners, and frontline IDC candidates, this is acknowledged in the relevant appendix headers and in quarterly Quality Summaries.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 377 Stewardship, Data Publication & Author Exit (governance declaration) Custodian of record (post-publication) From v1.0 onward, custodianship of this work is transferred to an independent Custodian of Record appointed by collective consent of the convening partners (tribunal/registry, OPA/OPG, lead agency, First Nations partners, family peak bodies), chaired by an independent member. The author retires from all custodial and editorial roles at publication and does not approve or oversee subsequent changes. Appointment & term • Appointed by majority consent of the convening partners; conflicts declared and published. • 12-month renewable term; an acting custodian may be appointed for up to 90 days if a vacancy arises. • The custodian may be an organisation; a named officer is recorded as the contact. Scope of custodianship (minimum duties) • Maintain the canonical repository; mint releases/DOIs; keep CITATION.cff, CHANGELOG.md, and licences current. • Run the accessibility checklist; publish the tagged PDF and Easy-Read one-pager each release. • Govern schemas and tiles (Appendix E, Appendix S); manage versioning and deprecation notes. • Operate the open-justice cadence (reasons + R&W + tiles) per the hub section. • Triage errata; publish corrections and rationale; preserve prior versions and checksums. • Ensure legal deposit/preservation (e.g., NED/Trove, Internet Archive) is completed for each tagged release. Change control (transparent by default) • Semantic versioning: MAJOR for breaking changes; MINOR for additions; PATCH for fixes. • Major changes: 14-day public notice window unless urgent risk; record votes and reasons. • All changes must include a release note with what/why and backward-compatibility statement. Data availability and publication (custodian-governed) • Family view. Person-level receipts, plans, review summaries and progress are provided to the person and their authorised representatives via role-based access, with audit logs, accessible formats (including Easy-Read on request) and consent/withdrawal processes.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 378 • Public tiles. De-identified indicators (coverage, safety, participation, verification, equity, sanctions) are published quarterly with suppression rules, method notes and “last checked” dates. • Release notes. Every update is versioned with a clear change log and rationale; archived copies with checksums remain available for audit; DOIs/permals are updated in CITATION.cff. • Preservation. Tagged PDFs and key artefacts are deposited for public record and discovery per the custodian’s preservation plan. (See Open reasons & appeal-ready records hub; Appendix E (schemas), Appendix S (dashboards), and README for accessibility and link-hygiene rules.) Author’s Conflicts & Independence Purpose of this statement This declaration helps readers understand the author’s position, relationships, and commitments that could reasonably be perceived to influence the work. Independence This white paper is a public-interest submission authored by ZELEN. G. It was prepared for the public good without commission or sponsorship. No organisation exercised editorial control over its content. Funding No external funding or in-kind support was received for drafting, editing, design, or dissemination. Current relationships • Paid roles with entities named in this paper: none. • Advisory/committee positions related to the subject matter: none. • Gifts, travel, or hospitality from entities named: none. Intellectual independence & reuse All recommendations, template texts, and schemas are published to invite scrutiny and reuse under the licences stated. Where evidence between “file” and “field” diverged, this is explicitly flagged using the Contradiction Matrix method, with sources cited. Scope limits & non-advice notice This publication is general information, not legal advice. Readers should consult the relevant legislation, practice notes, and local policy before acting. Corrections & updates Substantive changes are to be tracked in the repository CHANGELOG and/or release notes. Corrections or conflict updates can be requested via the future public issue tracker as per; [Stewardship, Data Publication & Author Exit (governance declaration)]
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 379 Afterword - Language, visibility, and what comes next This white paper closes with an unfashionable claim - likely true in a century, perhaps five: the smallest private stance scales. A quiet dismissal - seems small in the moment, but it travels: from a room to a team, through a family, into a culture that someone else then has to endure. Often when we doubt another person, we’re rehearsing a doubt we already carry about ourselves. It leaks out as an eye-roll, a slow reply that never comes, a tired story about “people these days.” It feels subtle, even harmless, yet it lands hard: it shrinks the other person, erodes trust, and quietly gives us permission to hold back our effort. Most of the time the “other” isn’t trying to diminish you at all, but an offhand retort still has consequences. Life is short - none of us gets a special pass. If you decide it’s all for nothing, you’ll find evidence for that everywhere. Or you can choose a healthier way: to make things better on purpose - lighter, clearer, more decent - for those who cannot yet, and for those who are yet to arrive. That choice is ordinary, repeatable, contagious; it’s how cultures change. Jung taught us to recognise the shadow, but the future will ask more: to treat projection not as pathology alone but as a routine mirror check before we touch a person, or a policy. What you condemn in another is often your unexamined fragment looking back. The mature move is not to perform tolerance, but to name your shard, lay it down, and proceed. In such a civilisation, ethics is not theatre. It is infrastructure - like clean water or power - continuously available, quietly load-bearing, and missed only when absent. And because culture is a school with no recess, every act is curriculum: you are always learning, and (whether you intend to or not) always teaching. Dignity is the ground, not the garnish. Privacy, consent and pace are not extras we bring out on good days; they are the minimum standard on the worst days, when fear is high and choices are tight. “Least-restrictive by default” is more than a value statement - it is a clock we keep. If restraint happens at all, it happens only as a last resort, for the shortest possible time, with every minute accounted for, followed by a same-shift check and a plain-English explanation to the person and their supporters, and then a 72-hour learning review with a concrete fade plan. The aim is not to win an argument that restraint is bad; the aim is to become technically excellent at making it unnecessary - through communication access, environmental adjustments, pacing, skilled de-escalation, and clear roles so people know who is doing what and why. That is adult work. It asks for quiet competence and steadiness: noticing triggers before they flash, speaking simply and respectfully, making space, and protecting the person’s choices even when the room is noisy and time is short. When teams practise this, harm is prevented before anyone can put words to why the room feels safer and calm. That is the standard. We must stop confusing pace with worth. Some people receive the world the way a weak radio catches a station - static, then clarity. The humane response is not to scold the static; it is to reduce the noise. Fewer inputs, plainer cues, one step at a time, and a brief check-back in their own words. When understanding is late to arrive, we face a fork: read it as defiance, or adjust the setting so comprehension can take root. Choosing the latter is what grown societies do.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 380 Usefulness beats niceness. Warmth without precision keeps problems intact; precise help, even when a little uncomfortable, moves lives. Pair evidence with empathy. If your numbers and a person’s dignity don’t line up, the problem is your method, not their humanity. The target isn’t optics; it’s durable capacity - skills and routines that still work tomorrow without you in the room. And for those who carry titles - judges, clinicians, principals, executives, officers - the test is simple: speak so the room can act. Lead with one plain sentence of purpose, then the steps, the choices, the “what if it goes wrong,” and the time and place of review. Trade acronyms for verbs. Give reasons anyone could explain to a neighbour. Ask for a teach-back: “Can you put this in your own words so I know I’ve made sense?” Put the reason in writing - with a name, a number, and the next step - and leave space for questions. Authority earns trust when it makes power legible and help actionable. When the person in front of you doesn’t speak the institution’s language - angry, halting, swearing, off-script - treat that as data, not disrespect. Never grade trauma for grammar. Separate heat from truth; extract the claim, the evidence, and the ask. Say, “I can hear this matters. Let me play back what I think you’re saying,” then summarise and check accuracy. Offer amnesty for language - no penalties for dialect, tears, or rough edges. Provide a navigator or advocate; pay them when you can. Document the decision and the reasons in plain English. Refuse the decorum tax - where polish buys credibility and pain is discounted for lack of jargon. Substance first, style second; people before protocol. A civilisation matures when it makes hate expensive and remedy cheap. Hatred often feels like a need because it is a shortcut. When people are overwhelmed - thrown by change, stung by humiliation, or scared by loss of control - the nervous system reaches for relief before it reaches for accuracy. Hate offers a quick conversion: uncertainty collapses and hardens into certainty, isolation flips into instant belonging, and helplessness masquerades as agency. In the body, that can feel like clarity, and in the moment it “works,” which is why so many of us reach for it. But it’s rented relief at a high interest rate. And what does this actually purchase? Affective relief, where pain becomes misguided action. Moral licence, where punishment feels righteous. Cognitive savings, where mixed, messy motives and partial causality are avoided. Status cover - private shame gets laundered as public certainty. And group credit - we belong without doing the slower work of building bridges. And what debt does it incur? Dehumanisation that makes later cruelty easier; policy errors that flow from simplified stories; vendettas that crowd out solutions; violence dressed as virtue; and, most corrosive, cultures that reward contempt over repair. The adult task is to price that shortcut correctly and make repair cheap: slow the moment, check the facts, widen the circle, and choose actions that reduce harm now and make the next encounter easier. That kind of clarity takes longer up front, but it compounds into safety, trust and competence - the real dividends of a advanced society. We will not sermonise our way there. We will build there: by auditing humiliation as if it were pollution, by giving grief lawful lanes, by mixing lives until strangers become co- practitioners, by publishing reasons fast enough that outrage loses its only argument - that nothing else works. This is why hatred is best treated as a design failure, not destiny. Our systems too often make the hateful option cheap and the careful option expensive. If the fastest path to attention is contempt, and the slow path to remedy is clogged, people will take the fast road. Redesign the roads and the “need” drops. Slow mass outrage; speed fair process.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 381 In practice, its like a type of covenant and it feels like this: you arrive and park your story, you breathe once long enough to turn judgment into description, you set a calm tempo and offer real choices, you do one concrete thing that reduces friction now - and you leave a trace others can copy. When you miss (and you will), you own it without theatre, apologise once, restore consent, and restart slower, clearer. This is what “teach by conduct” looks like. It rejects the fantasy that perfection is the point. Improvement in daylight is the point. Leaders are simply those who go first at repair. The sequence is stable: disclose, debrief, design a guard-rail, try again at the other’s pace. That loop - humility → repair → redesign - is more protective than any posture of certainty. It is how trust compounds. It is how quiet professions keep civilisations from tearing at their seams. And it is how the private vow of care becomes a public contract: everyone’s admitted debt, no longer “problem”, but a “design requirement.” Hold one sentence in view when fatigue tempts you to abbreviate the covenant: “if I am not making it easier, I am making it harder. There is no neutral gear.” Ease paid forward - privacy restored, capability built, dignity preserved - is the interest a civilisation earns on its intelligence. The cleverness of a people is the speed at which it updates; the wisdom of a people is the gentleness with which it proceeds at another human’s pace. The former can be simulated by machines; the latter is still ours to demonstrate. So we return to where this begins: your smallest private stance scales. Treat another’s vulnerability not as a verdict on their worth, but as a doorway to your growth. Name your shadow. Match the tempo. Choose the precise helpful act. Publish reasons. Consider hate as an artefact of weak design, then specify the hydraulics that make adulthood the path of least resistance. Learn in daylight. What follows will show the costs of forgetting - and the gains of remembering - this covenant. The threshold covenant… In concluding perhaps let me tell it as a story, because that’s how the first accounting was kept - around a fire, in memory, in the bodies of people who survived the season and those who didn’t. In the beginning, the village measured worth by what could be counted before winter: meat on the rack, grain in the pit, stones stacked against a flood. In that counting, speed looked like wisdom and strength looked like truth. A child who moved out of rhythm with the drumline of the day - who startled at light, who learned words like they were slippery fish, who needed time - a child unlike the others; asked the village to bend its tempo. Under a sky ruled by weather and luck, bending the tempo felt like blasphemy against scarcity. Councils of men, faces smoked and scarred, weighed the seasons aloud. Hunters spoke in verbs - run, lift, carry, fight. The quiet work inside the hut - feeding, soothing, scaffolding meaning one gesture at a time - was not yet a language they could hear. So the first debt was miscast: care was counted as delay; delay was priced as danger.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 382 Still, there was a counterweight to the council: a mother at the threshold, holding the future close. She had already survived a trial the council did not have words for: months of being two people at once, the raw mathematics of blood and breath, the bargain with pain. In that arithmetic, love was not a feeling; it was a failsafe. Too much labour and hope had already been spent for her to accept the village’s small ledger. She pressed for inspection, for help, for change, long before those were disciplines. Around her gathered the fringe dwellers - the curious, the healers, the women with hands that could coax life from fever and milk from silence. They were not yet a profession. They were a circle, with a single rule: keep trying. In their hut, the child’s difference was a problem to be solved by attention. Outside, it was a sign to be read by fear. When sacrifice shows itself in public, the unknown walks in with it. People saw a mother keep vigil and felt a tug they could not name - was this holy or foolish? The world of limited firewood and thin harvests prefers a quick verdict, and difference seldom wins a quick vote. So a second drift began. Men who could not feel the tether mistook it for madness; neighbours misread patience as waste. The bond remained private, coded as women’s work, and the village built no structure to carry it. This was our species in its adolescence: ingenious with tools, clumsy with time; brave against predators, timid before tenderness; certain about gods and weather, baffled by the slow alchemy of learning. We then cloaked our discomfort in stories. Some said the gods were angry; some said a spirit had taken hold; some said the child was a test sent to weigh the tribe. These stories cut both ways. In one village, a shaman kept the child close, teaching them to wait, to watch, and to practise the old arts of wonder and wander. In another, the omen was taken as a mark to be hidden, held in wary respect, and deemed off-limits to inquiry. Across generations, the outcomes diverged. Where patience was ritualised, the circle widened and skill grew. Where impatience was sanctified, exclusion hardened into custom. The same river of human feeling ran beneath both. The difference was whether we built channels or walls. Centuries passed. Scarcity eased in fits and starts, then returned, then eased again. Empires rose, cities crowded, trade quickened the clock. And yet the old mispricing followed us into each new age. The work that held difference - slow coaching, low-arousal approaches, mealtime safety, seizure literacy, the humility to fade prompts - kept getting filed under sentiment. The village council had become an office, a parliament, a market floor, but the bias was unchanged: pay for spectacle, ask patience to volunteer. Professions that grew out of the hut carried the hut’s status - necessary, feminine, invisible. Even when they earned uniforms and titles, their wages remembered the first vote under the lean-to. We armed the mispricing with theories. “Survival of the fittest,” we said, grasping at Darwin like a weapon. We ignored the elephants who ring a calf, the dolphins who lift their young to breathe, the wolves who feed an injured packmate. We ignored our own record, too: outbreaks survived because nurses stood their ground; wars endured because someone kept mending bodies; economies recovered because teachers, quietly, rebuilt minds. We preferred the story where the hero is fast and loud. The tale where the hero sits still long enough for another nervous system to synchronise, felt too small for the stage.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 383 Across the long arc, the child is still with us - no longer miscast as the “eternal child”, but recognised as a person, yet still shadowed by a stigma that should never have existed. For some, the world arrives a half-beat late and out of order - like subtitles that drift from the film. Words come; meaning lands after the moment has moved on. Before any task begins, there is already a tax to pay: sorting glare, filtering noise, decoding faces that change faster than the sky. By afternoon, the ledger of small costs is full. From the outside, it is easy to name this indifference or defiance or cycles of deviancy. From the inside, it is endurance - a resilience most of us are never asked to cultivate. In the old village, there was no word for latency; there was only a sense that the child would not “keep up.” We have the word now, and still we punish the lag as character. That is not maturity. It is a habit we forgot to unlearn. The plain truth - simple, human, and close to shame - is this: the many of us who live outside the daily reality of such ‘difference’ carry a single, crude picture when the subject arises. We don’t imagine the plethora of complexities in the slow building of everything from language through to the careful coaching of something as simple as sleep; we reduce the whole field and industry to toilet care - and recoil. “Who,” we ask - other than a parent, and even then not always - “would choose to wipe a stranger’s bottom?” The thought feels unsayable in polite rooms, so we laugh it off or fall quiet. We forget that each of us performs this act for ourselves almost daily, and that the distance between “me” and “someone who cannot yet” is not moral but circumstantial - and often temporary. But the real work is not confined to a toilet. It is maturity about circumstance. It is evolution. It is complex teaching - patiently and proficiently - a sequence that preserves dignity for a lifetime, that those outside of the field simply never consider: noticing the signal; planning the route; managing clothing and balance; cleaning well; washing hands; resetting calm; returning to the day. It is infection control and privacy; sensory regulation in a small, echoing room; AAC cues when words are scarce; patience when the body is frightened or the timing is a beat off. The goal is not simply a clean moment; the goal is independence. That takes real time, expertise, supervision, and respect - exactly the things our old ledgers underfunded because the task looked “dirty” instead of clinical, essential, human. Those who step toward this vulnerability - who treat another’s need as a doorway rather than a verdict - learn something larger than care: that connection is not merely medicine for the self alone, but the substance of what we all are. We all get our hands dirty in life. The point is not to deny it; it is to turn that shared fact into a heightened perspective, beyond craft, a future-proofing aptitude that restores privacy, builds capability, and lets more of us move through the day unescorted. Who steps up when most step back? Not only mothers, fathers, nurses and volunteers. Often it is the people our societies misname as marginal - workers on the edges, migrants, the quietly stubborn - who understand that the world is bigger than the self and that civilisation is measured in how we guard one another’s privacy and pride at our most vulnerable. We have been wrong to read this as low status. Accomplished appropriately, it is a high competence with a low wage.
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COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 384 A witness voice - call it the scribe who sits one pace back from the epistemological fire and offers the plain account beneath the story. We undervalued this work not because it lacked worth, but because our early ledgers were written by those who did not stand at the threshold of the hut. Fear and scarcity taught us to count what moved quickly. Misaligned levels of patriarchy taught us to discount what moved quietly. Anthropocentrism taught us to despise what did not look like us, think like us, or keep our pace. Those three tutors - fear, scarcity, pride - graduated into policy. Once policy hardens, architecture follows: institutions built to contain rather than nurture, pay scales that make care a vow of poverty, training that arrives late and thin. And yet the mother’s covenant - the overdue bridge that welcomes whichever hands will join in crossing this threshold - remains the most adult work we do. It is not soft; it is engineering. It slows the clock until two tempos can meet. It publishes what matters - minutes of restraint, days in ordinary places - and learns fast from failure. It proves that the quiet professions keep civilisations from tearing at their seams. Adolescence ends when the village - now society - rewrites its ledgers: when care moves from private vow to public contract, from largely women’s unpaid burden to everyone’s acknowledged debt, from ‘blessing/curse’ to ‘design requirement’. We are late to that rewriting. We are not too late. In our story, as the scene widens. The streetlight has long replaced the fire. The hut is a kitchen, a clinic, a shed, an office, a factory, a lab, an online portal. The village is a city that hums and stutters, full of signal and haze. The counting is louder than ever - likes, clicks, dollars, cases, codes - but the old error still haunts the tally. And yet, everywhere, quiet achievers move the ledger grain by grain. In one back shed, a teenager learns the patience of solder: a cheap 3D printer chattering beside jars of screws; a prosthetic wrist taking shape layer by layer. In another, a robotics club reworks an exoskeleton so it tunes itself to gait and fatigue, not spectacle. In a library after hours, a volunteer shows a room of strangers how to caption their own videos so elders can hear with their eyes. At the local TAFE, a tutor builds a micro-credential that treats “support worker” as clinician, pairing low-arousal practice with seizure first-aid and safe mealtimes. Men’s Sheds repair mobility devices between stories; cousins in a granny flat hack together DIY air-quality sensors and post the graphs for their street. On Country, rangers walk with satellites and story, reading fire with both. Frontline rooms carry the same light. A nurse replaces a brittle checklist with a handover that actually asks: what calms, what frightens, what works when nothing else does? An ambo crew reviews the one minute before a restraint - not to defend it, but to find the first fork where another choice could have been made. A teacher co-designs an AAC board with a family and stops calling paperwork “care.” In a small clinic, a rural GP keeps a pocket ultrasound and a long memory for people’s lives, knowing both will save a trip to town. Further up the hill, labs and super-structures hum. A synchrotron images materials that will make sensors smaller and cheaper, another to study the structure of viruses and proteins. A hospital biobank shortens the road from suspicion to diagnosis. A clean room prints the next- gen chip that will sit in a wearable and whisper to a phone, “Stand up now, before dizziness becomes a fall.” National compute runs protein models at breakfast and climate models by lunch. Civic-tech teams publish open dashboards that let families track the care that matters.
Core paper · PDF page 385
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 385 Start-ups write glue code that lets old systems speak, and open-source contributors fix a critical bug at 2am without bothering to sign their names. Youth of today still remain potential and are not a problem to be solved; they are the proof that adaptation is native. For every loud harm, there are nine quiet repairs. Students mentor peers they will never meet. Young carers teach officials to write letters people can actually read. Under-25 founders ship tools that work, then answer emails at midnight because someone needed the fix. Early-career clinicians refuse to let “the computer says no” pass for care. Their distractions are many, their feeds are noisy, their worlds are complex - and they are still ahead of their time, because by design, they are the prospects for success, the advanced quiet achievers. It is activation time. The season is acceleration. For those of us born earlier, we actually are living in the future. Pathogens are sequenced in regional labs. CRISPR-class edits face down blood disorders once thought immovable. Lab-on-a-chip rides to the bedside in a pocket. Neural interfaces give back a voice; rehab robotics remember that fatigue is a clinical sign, not a failure of will. Organoids test drugs so fewer bodies have to. Blood tests at point-of-use shrink the queue at ED. AI designs pharmaceuticals overnight and helps triage and roster the next, reducing waits without reducing people to codes. Fraud detectors protect honest providers so the trust can flow again. Multimodal captioners open doors for those in the communities that cannot hear; translation whispers across languages and into Easy Read. Digital twins pressure-test policy, and simple e-receipts with plain-English reasons rebuild the kind of confidence the old hut carried without paperwork. As a majority we tend to focus on the latest media coverage, usually, predominantly negative, but many of us have already sourced alternatives in private positive feeds. Mesh networks and low-Earth satellites keeping remote clinics online. Live captioning and AAC are everywhere we will let them be. Data are shared with restraint and precision so teams can coordinate without stripping anyone bare. Dashboards are written in the language of families and frontline staff, not committees. Perovskites and rooftops make houses net-positive; batteries even out the peaks; greener materials rebuild the places we broke. Farms save water and soil by noticing again. Micro-mobility gives streets back to people. Competence is measured in what we can actually do in the room, not what we claim on a form. Simulation labs let people practise the moments where harm loves to hide. Rural scholarships and tele- OSCEs make “far” less of a sentence. And still, while these gardens are being planted, the old wars of pride and the old worship of speed stagger on. Starvation keeps its passport. Mainstream media grows into a revenue- driven demigod. Thin lives pass for normal. Much of it remains, to our shame, legal. That is the part of the story where the narrator looks up from the page and says: this is not fate. This is design. And design can be changed. Which brings us to you. You have abilities, attributes, potential - a proven record whether or not you have named it that way - time, energy, resources you may not yet have recognised. They do not need to remain dormant. In a world this complex, a small, well-aimed act is not small. Write the letter. Share the prototype. Convene the meeting that should have already happened. Clean the dataset. Join the rostering fix. Add the safeguard. Restore a dignity. Start where your hands already are; then widen the circle by one more person.
Core paper · PDF page 386
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 386 No one alive can prove what this life “is about” with the kind of certainty that silences questions. Very few of us are at our best consistently, and no one person knows best. What we do know - what the first mother at the threshold knew - is that we get through by helping one another pace the day. The first exclusion was an error of accounting made by frightened geniuses. The repair is an act of maturity. Pay for what holds the world together. Teach it. Supervise it. Renew it. Tell the story so the next council, in whatever clothes it wears, remembers the hut as the place where our species first learned to be more than clever - where we learned to be human at the pace another human needs.
Core paper · PDF page 387
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 387 Words Words build the scaffolding we stand on. For decades we were taught to move from labels like handicapped and retarded to person-first language - person with a disability. It was a necessary shift. Yet many of our current terms (cognitive disability, intellectual disability, acquired brain injury/damage) still cue the reader to search for the problem in the person. Language can constrain like that. It can also liberate - meeting us exactly where connection is needed. This paper keeps statutory terminology where rights and precision matter. Laws, funding instruments and accountability systems still speak those words, and people’s entitlements must be protected in that register. At the same time, if we are serious about evolving as a species - socially, ethically, institutionally - we need frames that focus on fit: person, body, brain, communication, and the environments we design. That isn’t euphemism; it’s operational truth. When the frame shifts from ‘deficit in a person’ to ‘mismatch to be solved’, different decisions follow - about training, design, supervision, risk, and everyday presence in public life. With that in mind, here is a working lens I will explore elsewhere. It is not adopted across this Standards Refresh; it is an invitation to think forward. CEEN - a new word, a new way Pronounced: “seen” Definition (first use): People with CEEN (Cognitive-Embodied & Environmental Needs) - a respectful umbrella term for people whose cognitive processing, executive function, communication, sensory/embodied experience, or environmental demands require consistent supports. This encompasses groups traditionally described as having intellectual disability, acquired brain injury and related profiles, and is recognised as disability under the Disability Discrimination Act/NDIS Act and equivalent state laws. Why this works • Affirming, not deficit-led. Centres the fit between person and environment, not a problem in the person. • Whole-person + context. “Cognitive-Embodied & Environmental” explicitly includes brain, body, communication, sensory processing and the surrounds (design, routines, supports). • Operational. Maps cleanly to standards, OSCEs, funding and accountability without euphemism. • Memorable meaning. Sounds like “seen” or “scene” - aligning with the theme of visibility and with a cultural sense of belonging (a scene as the shared environment for a practice or interest). If a better term emerges from communities, families, frontline workers and scholars, we should adopt it. Language should keep pace with our practice - and our practice with people’s lives.
Core paper · PDF page 388
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 388 Appendix AZ - Legal, Risk & Publication Basis Owner: Custodian of Record (post-publication) Interfaces: Tribunal/Registry, OPA/OPG, Lead Agency, First Nations partners, Family peaks, Analytics Purpose Collect in one place the conditions of use, risks and mitigations, governance, and publication rules that apply to this work and its artefacts. A. Non-reliance / No-duty (plain-language clause) Users must not rely on this publication as advice or instruction for a specific case. No duty of care is assumed to any person in respect of decisions made using this material. Implementation remains the responsibility of the decision-maker under local law, practice notes, ethics rules and organisational policy. B. Scope limits Not legal advice; not clinical guidance; not a substitute decision; not professional services. Emergency care takes precedence: act to make safe, then document and review within stated timeframes. C. Jurisdiction Legislation and practice vary across states/territories. Always confirm in-force sources (and record “last checked” dates for external links). D. Privacy & data handling No person-level publication. De-identify, suppress small numbers (<5), maintain immutable audit logs, complete DPIAs where required, and prohibit re-identification attempts. Breach response: notify custodian; follow statutory reporting. E. Defamation & sub judice hygiene No commentary on identifiable individuals or live proceedings. Generalise examples; remove case-specific details; use de-identified composites. F. Publication cadence (open justice) & records Appeal-ready records (reasons + R&W + Contradiction Matrix + IRC + exhibits schedule) govern timing. De-identified reasons + tiles are published quarterly with method notes and suppression rules. G. Change control & provenance Semantic versioning; release notes; checksums; DOI minting; tagged PDF + Easy-Read each release; archived copies retained. Major changes require public notice unless urgent. H. Custodianship From v1.0 the Custodian of Record maintains the repository, licences, schemas/tiles, link hygiene, and legal deposit/preservation. The author has no custodial or editorial role post- release.
Core paper · PDF page 389
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 389 I. Conflicts & independence Declare and manage conflicts for custodians, editors, and contributors. Providers/paid supporters must not act as keys/guardians on conflicted matters. J. AI & automation limits Analytics and prompts may flag issues; a named human decides. No automated decision- making for consequential outcomes. K. Notice & takedown (contact) Report alleged breaches (privacy, defamation, copyright, errors) to: <contact>. The custodian acknowledges within 5 business days; urgent risks triaged within 24 hours. L. Licences & reuse Text: CC BY 4.0; schemas/templates: CC BY 4.0; examples/sample data: CC0 1.0; code snippets: MIT. No warranties. Cite the canonical DOI and version. M. Records of appointment Minute of the custodian’s appointment (date, parties, term, conflicts) is appended here and updated on renewal.
Core paper · PDF page 390
COGNITIVE DISABILITY STANDARDS REFRESH (ID/ABI) · V1.0 - 25 SEP 2025 · © ZELEN. G· CC BY 4.0 390 Dedication For my beautiful son, my diamond in the rough; the most resilient person I have ever met, who taught me how to think when things weren’t right: “The rules of goodness, Dad.” This paper is for him, and for everyone who moves at a different tempo. May those rules guide what we build next, so people are seen, safety is proven, and belonging is practised in ordinary places every day.
All 33 service crosswalks
Historical proposals · v1 · stated review date 20 December 2025
The original review date has passed. Fixed times, “must” wording, sample metrics and Two-Key provisions remain proposals awaiting jurisdiction-specific validation. They are not confirmed legal duties, clinical instructions or measured outcomes.
These views contain the 417 indexed passages, comprising 8,764 unique source paragraphs. Paragraph numbers are extraction locators in each DOCX member’s word/document.xml, not original page numbers. Table cells are shown in original extraction order with their table/row/cell path; this linear reading copy does not reproduce the original table layout. Open the source archive when relationships between cells matter.
Download original Service Crosswalk & Template Library.zip
Choose a service crosswalk
- AA-C01 · NDIS Access Pathway Crosswalk
- AA-C02 · Health Interfaces (GP ED Dental Pharmacy)
- AA-C03 · Justice (Police Courts Corrections Release)
- AA-C04 · Equity (First Nations CALD Auslan AAC)
- AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions)
- AA-C06 · Family & DV
- AA-C07 · Housing & Homelessness
- AA-C08 · Ambulance & First Responder
- AA-C09 · Emergency Department (specific)
- AA-C10 · Mealtime & IDDSI
- AA-C11 · Switching Between Service Providers
- AA-C12 · Police & Custody Interface (AN-hooks)
- AA-C13 · Mental-Health Triage & Crisis Co-response
- AA-C14 · Outpatients & Planned-Care Handover
- AA-C15 · Inpatient Admission & Discharge Bridge
- AA-C16 · Residential & Day-Program Mealtime Readiness (site-level)
- AA-C17 · Education & School Interface
- AA-C18 · GP & Primary-Care (specific)
- AA-C19 · Transport & Travel (AE-hooks)
- AA-C20 · First Nations Partnership Crosswalk (O-hooks)
- AA-C21 · Interpreter Auslan AAC Operations (N-Templates)
- AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8)
- AA-C23 · Red-Team & Incident Learning Loop (U-Templates)
- AA-C24 · Switching Justice & Housing Variant
- AA-C25 · Psychotropic Stewardship in Community (AB-Templates)
- AA-C26 · Dental Desensitisation Pathway (AC-Templates)
- AA-C27 · Financial Safety (AH-interface)
- AA-C28 · Research & Evaluation Access (W-Templates)
- AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates)
- AA-C30 · IDC Curriculum Interfaces (Q-Templates)
- AA-C31 · Owner Matrix & Escalation (Y-Templates bridge)
- AA-C32 · Publication & Dashboard Release (AL-S-Templates)
- AA-C33 · Rural Telehealth & Mobile Clinic
AA-C01 · NDIS Access Pathway Crosswalk
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C01_NDIS_Access_Pathway_Crosswalk_v1.docx
Member SHA-256: 24d49270dd4c2de892b43fc9f18d7434fa9b3c6c432ce80b6e66e3acc80100d9
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 1–9
¶ 1 - Document control - Template ID: AA-C01 - NDIS / Access Pathway (No‑Wrong‑Door, Warm Handover) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C01 - NDIS / Access Pathway (No‑Wrong‑Door, Warm Handover)
¶ 3What this title means (in plain words)
¶ 4Access should be simple, safe and person-led. You can start from any door (phone, GP/ED, school, community service, Navigator). We record your choices once, organise communication access, and stay with you until the next service is ready - so you’re not left to chase. Big decisions use Two-Key (no one decides alone), and privacy is protected.
¶ 5What this means for the person and supporters
¶ 6Start anywhere, tell it once. Your story, goals and preferences are captured in plain words (Easy Read/Auslan/AAC available) and travel with you.
¶ 7Communication first. If you need an interpreter, Auslan, pictures or yes/no tools, we organise and use them from first contact.
¶ 8Warm handover (booked & kept). We book the next step, name the receiving person, share only what’s needed, and check it happened.
¶ 9No one decides alone on big things. Life-shaping decisions use Two-Key with short reasons you can read.
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 10–19
¶ 10Least-restrictive by default. If something urgent happens, we act to make you safe, then hold a 72-hour learning review and update your plan.
¶ 11Your rights up front. You can see the papers, ask questions, bring a supporter/advocate, and appeal if you disagree.
¶ 12Privacy protected. We share minimum information, use pseudonymous IDs, and never publish personal details.
¶ 13Switching is easy. If it’s not working, we help you change providers without penalty and keep supports continuous.
¶ 14What services must do (so the person doesn’t have to)
¶ 15Use the warm-handover checklist. SBAR summary, named steward, time booked, and “kept” verified.
¶ 16Record reasons you can read. One-page Reasons & Weighting with any contradictions resolved (link to Matrix).
¶ 17Check independence. When Two-Key is required, the second signer is independent (screened via IPP).
¶ 18Keep privacy tight. Minimum data only; small-cell suppression for any publication; provenance hash on releases.
¶ 19Close the loop fast. If hospital/ED/school changes your plan (mealtime, seizure, medication), update quickly and tell everyone who needs to know.
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 20–33
¶ 20Clock the steps. Eligibility help, handover booked, plan built, and first supports live to standard timeframes; missed clocks auto-escalate (Owner Matrix).
¶ 21Helpful artefacts (where to find them)
¶ 22Access & Communication tools: teach-back prompts, Easy Read blocks, interpreter/Auslan booking slips (Appendix N).
¶ 23Warm Handover bundle: SBAR + steward + “booked & kept” proof; medication reconciliation/transfer where needed (Appendix D; AO-6N).
¶ 24Two-Key short form: independence check + co-sign timestamps + Reasons mini (Appendix K / AA-Two-Key).
¶ 25Plain-English Reasons & Matrix: one-page decision note with weights and conflict resolution (Appendix H/I).
¶ 2672-Hour Review & Fade Plan: quick script and checklist (Appendix B-C).
¶ 27Privacy/Suppression checks: minimum data, small-cell guard, provenance hash (Appendix R/S/AL/T).
¶ 28Tiles (wire this to dashboards)
¶ 29(Publish only at safe aggregation with S-8 suppression; no person-level data.)
¶ 30Warm handover kept (%) - handovers with named steward + attended.
¶ 31Access fulfilled on first contact (%) - interpreter/Auslan/AAC in place when indicated.
¶ 32Two-Key used when required (%) - with R&W/Matrix IDs.
¶ 3372-hour review on time (%) - Tier-0 events.
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 34–61
¶ 34Switching continuity (%) - switches with zero service gap.
¶ 35Plain-language promise
¶ 36“You choose how we talk. We’ll book the next step and stay with you until it happens. Big decisions won’t be made by one person. If something isn’t right, tell us - we’ll fix it and explain what changed.”
¶ 38How the warm handover works (at a glance)
¶ 39 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 40 · tbl[1] / tr[1] / tc[2]Start at any door
¶ 41 · tbl[1] / tr[1] / tc[3]Understand needs
¶ 42 · tbl[1] / tr[1] / tc[4]Warm handover
¶ 43 · tbl[1] / tr[1] / tc[5]Decisions & reasons
¶ 44 · tbl[1] / tr[1] / tc[6]Supports live
¶ 45 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 46 · tbl[1] / tr[2] / tc[1]You & Your Supporter
¶ 47 · tbl[1] / tr[2] / tc[2]Walk in, call, or get help via GP/ED/school/community.
¶ 48 · tbl[1] / tr[2] / tc[3]Your communication needs and preferences are recorded.
¶ 49 · tbl[1] / tr[2] / tc[4]You choose who joins the handover.
¶ 50 · tbl[1] / tr[2] / tc[5]You get a plain‑English summary and Easy Read if you want it.
¶ 51 · tbl[1] / tr[2] / tc[6]Supports start in ordinary places you choose.
¶ 52 · tbl[1] / tr[2] / tc[7]If something goes wrong, we review within 72 hours.
¶ 53 · tbl[1] / tr[3] / tc[1]Navigator (Access)
¶ 54 · tbl[1] / tr[3] / tc[2]Navigator receives your contact (access receipt).
¶ 55 · tbl[1] / tr[3] / tc[3]Interpreter/Auslan/AAC arranged if needed.
¶ 56 · tbl[1] / tr[3] / tc[4]Navigator introduces you to the provider directly (not just a referral).
¶ 57 · tbl[1] / tr[3] / tc[5]How we decided is recorded, including your reasons.
¶ 58 · tbl[1] / tr[3] / tc[6]Navigator checks you’re getting what was promised.
¶ 59 · tbl[1] / tr[3] / tc[7]You can suggest changes or a second look.
¶ 60 · tbl[1] / tr[4] / tc[1]Health (GP/ED)
¶ 61 · tbl[1] / tr[4] / tc[2]Health flags any urgent risks and shares a short summary (with consent).
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 62–88
¶ 62 · tbl[1] / tr[4] / tc[3]Medication list and alerts are checked.
¶ 63 · tbl[1] / tr[4] / tc[4]If seen in ED, a GP hand‑back is booked within 48 hours.
¶ 64 · tbl[1] / tr[4] / tc[5]Medicine changes are double‑checked within 72 hours.
¶ 65 · tbl[1] / tr[4] / tc[6]Health follow‑ups are scheduled.
¶ 66 · tbl[1] / tr[4] / tc[7]GP/clinician joins the review if relevant.
¶ 67 · tbl[1] / tr[5] / tc[1]Provider (IDC‑led)
¶ 68 · tbl[1] / tr[5] / tc[2]Provider notes your goals and preferences.
¶ 69 · tbl[1] / tr[5] / tc[3]A weekly community schedule is drafted.
¶ 70 · tbl[1] / tr[5] / tc[4]First support session is booked while you’re present.
¶ 71 · tbl[1] / tr[5] / tc[5]The plan uses least‑restrictive options and notes consent.
¶ 72 · tbl[1] / tr[5] / tc[6]Provider logs sessions and travel with e‑receipts.
¶ 73 · tbl[1] / tr[5] / tc[7]The plan fades restrictions and adds alternatives.
¶ 74 · tbl[1] / tr[6] / tc[1]Justice (if involved)
¶ 75 · tbl[1] / tr[6] / tc[2]Police/courts consider diversion where safe.
¶ 76 · tbl[1] / tr[6] / tc[3]If justice is involved, alternatives to charge are explored.
¶ 77 · tbl[1] / tr[6] / tc[4]If risk is high, a specialist reviewer can be activated.
¶ 78 · tbl[1] / tr[6] / tc[5]If orders are needed, reasons are written clearly.
¶ 79 · tbl[1] / tr[6] / tc[6]Justice updates appear in plain language.
¶ 80 · tbl[1] / tr[6] / tc[7]Any orders are checked for fairness and appeal rights.
¶ 81 · tbl[1] / tr[7] / tc[1]Data & Integrity
¶ 82 · tbl[1] / tr[7] / tc[2]A case key is created; privacy‑safe IDs used.
¶ 83 · tbl[1] / tr[7] / tc[3]Basic checks prevent duplicate effort.
¶ 84 · tbl[1] / tr[7] / tc[4]E‑receipts are switched on to track real supports.
¶ 85 · tbl[1] / tr[7] / tc[5]Simple rules prevent impossible rosters or claims.
¶ 86 · tbl[1] / tr[7] / tc[6]Dashboards show delivery and exceptions.
¶ 87 · tbl[1] / tr[7] / tc[7]We publish de‑identified results and learnings.
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 89–99
¶ 89How we measure ourselves (published quarterly)
¶ 90We publish simple, comparable results. Each line shows the latest result in brackets and a bar for easy reading. Percentages are based on counts (how many out of how many). Some items use minutes or 0-10 scores.
¶ 91Access & Rights
¶ 92• Interpreter/Auslan provided on time - Latest result: [ - ] █ (we count how many needed one and how many got one on time) (TEMPLATES N).
¶ 93• Easy Read summary sent - Latest result: [ - ] █ (we count decisions and how many had an Easy Read) (TEMPLATES L).
¶ 94• AAC/Yes‑No offered - Latest result: [ - ] █ (we count eligible first contacts and offers) (TEMPLATES N).
¶ 95Safety (lower is better for minutes)
¶ 96• Restraint/sedation minutes per 1,000 hours - Latest result: [ - ] █ (we total minutes and divide by 1,000 hours of support).
¶ 97• Medication check within 72 hours - Latest result: [ - ] █ (we count changes and how many were checked) (TEMPLATE D‑2).
¶ 98Timeliness & Handover
¶ 99• GP hand‑back booked within 48 hours after ED - Latest result: [ - ] █ (we count ED cases and bookings) (TEMPLATES L).
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 100–127
¶ 100• Warm handover completed - Latest result: [ - ] █ (we count referrals and how many were ‘warm’, not ‘refer‑and‑hope’) (TEMPLATES N).
¶ 101Learning & Repair
¶ 102• 72‑hour learning reviews done on time - Latest result: [ - ] █ (we count required reviews and completed ones) (TEMPLATE B‑1).
¶ 103• Promise‑kept ratio - Latest result: [ - ] █ (promises kept ÷ promises made).
¶ 104ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 105If something goes wrong - your right to reasons
¶ 106• Facts: what happened, in plain words. • Rules: the test we used. • Alternatives: what else we considered. • Review: who checks it and how to appeal.
¶ 107Ask for a copy in plain English or Easy Read. (TEMPLATES L; TEMPLATE S‑8 for publication notes.)
¶ 108 Owner: __________ Data source(s): Access receipt register; Navigator logs; GP hand‑back register; Medication reconciliation; Incident system; E‑receipts; Roster↔Claim
¶ 120Flow - Swimlane - DETAILED (Any door → Triage & access → Warm handover → Supports live → Learning & fade)
¶ 121 · tbl[2] / tr[1] / tc[1]Swimlane
¶ 122 · tbl[2] / tr[1] / tc[2]Entry (Any Door)
¶ 123 · tbl[2] / tr[1] / tc[3]Triage & Access Needs
¶ 124 · tbl[2] / tr[1] / tc[4]Warm Handover
¶ 125 · tbl[2] / tr[1] / tc[5]Verification & Reasons
¶ 126 · tbl[2] / tr[1] / tc[6]Supports Live
¶ 127 · tbl[2] / tr[1] / tc[7]Review & Fade (72-hour if restraint)
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 128–147
¶ 128 · tbl[2] / tr[2] / tc[1]Person & Allies (Family/Guardian/Advocate)
¶ 129 · tbl[2] / tr[2] / tc[2]Walk-in, phone, portal, ED, police, school → Access receipt (TEMPLATE N-1)
¶ 130 · tbl[2] / tr[2] / tc[3]Accessible needs scan; goals; risks; consent/assent (TEMPLATE K-3)
¶ 131 · tbl[2] / tr[2] / tc[4]Person-led choices captured; supporters present (TEMPLATES N)
¶ 132 · tbl[2] / tr[2] / tc[5]Plain-English summary of decisions; Easy Read (TEMPLATES L)
¶ 133 · tbl[2] / tr[2] / tc[6]Supports begin in ordinary places (TEMPLATES M)
¶ 134 · tbl[2] / tr[2] / tc[7]72-hour learning review after restraint/sedation (TEMPLATE B-1)
¶ 135 · tbl[2] / tr[3] / tc[1]Navigator (NDIS, LAC/Partner in the Community)
¶ 136 · tbl[2] / tr[3] / tc[2]Receive & log; accessible conversation booked; interpreter/AAC if needed (TEMPLATES N)
¶ 137 · tbl[2] / tr[3] / tc[3]Navigator triage; eligibility screen; book warm handover (TEMPLATES N)
¶ 138 · tbl[2] / tr[3] / tc[4]Navigator → Provider IDC: warm handover (not “refer and hope”) (TEMPLATES N)
¶ 139 · tbl[2] / tr[3] / tc[5]Navigator logs time-to-reasons (TEMPLATES T)
¶ 140 · tbl[2] / tr[3] / tc[6]Navigator checks navigator_coverage tile (TEMPLATES T)
¶ 141 · tbl[2] / tr[3] / tc[7]Navigator assists transport/supports for reviews (TEMPLATES N)
¶ 142 · tbl[2] / tr[4] / tc[1]Health/ED & Primary Care
¶ 143 · tbl[2] / tr[4] / tc[2]Flag health/safety; Communication Passport; safe-to-share summary (TEMPLATES L)
¶ 144 · tbl[2] / tr[4] / tc[3]Primary care slot; med list; alerts (TEMPLATE D-2)
¶ 145 · tbl[2] / tr[4] / tc[4]GP hand-back ≤48h; ED summary to family view (TEMPLATES L)
¶ 146 · tbl[2] / tr[4] / tc[5]Medication reconciliation ≤72h if changes (TEMPLATE D-2)
¶ 147 · tbl[2] / tr[4] / tc[6]Health tasks scheduled (TEMPLATES L)
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 148–173
¶ 148 · tbl[2] / tr[4] / tc[7]Clinician joins review if med/ED involved (TEMPLATES L)
¶ 149 · tbl[2] / tr[5] / tc[1]Justice/Police (as applicable)
¶ 150 · tbl[2] / tr[5] / tc[2]If police contact: calm & connect; diversion where safe (TEMPLATES AB)
¶ 151 · tbl[2] / tr[5] / tc[3]Justice risk screen; diversion options (TEMPLATES AB)
¶ 152 · tbl[2] / tr[5] / tc[4]If applicable, restorative path; avoid charge-first (TEMPLATES AB)
¶ 153 · tbl[2] / tr[5] / tc[5] -
¶ 154 · tbl[2] / tr[5] / tc[6] -
¶ 155 · tbl[2] / tr[5] / tc[7] -
¶ 156 · tbl[2] / tr[6] / tc[1]Provider Intake (Support/IDC-led)
¶ 157 · tbl[2] / tr[6] / tc[2]Single intake; avoid duplication; capture will & preferences (TEMPLATE K-3)
¶ 158 · tbl[2] / tr[6] / tc[3]IDC lead assigned; weekly community schedule draft (TEMPLATE D-3)
¶ 159 · tbl[2] / tr[6] / tc[4]IDC joins handover; first community presence session (TEMPLATES M)
¶ 160 · tbl[2] / tr[6] / tc[5]Least-restrictive plan; consent & privacy notes (TEMPLATES M; TEMPLATE K-3)
¶ 161 · tbl[2] / tr[6] / tc[6]IDC sessions with e-receipts; CPI minutes ↑ (TEMPLATES T)
¶ 162 · tbl[2] / tr[6] / tc[7]Fade plan updated; next alternatives chosen (TEMPLATE D-3)
¶ 163 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 164 · tbl[2] / tr[7] / tc[2] -
¶ 165 · tbl[2] / tr[7] / tc[3]Trigger: contested facts/high risk → DSC (TEMPLATES M)
¶ 166 · tbl[2] / tr[7] / tc[4]If triggered: DSC file-vs-field check (TEMPLATES M)
¶ 167 · tbl[2] / tr[7] / tc[5]DSC calibration memo; Contradiction Matrix updated (TEMPLATES M)
¶ 168 · tbl[2] / tr[7] / tc[6]If disputes arise, DSC re-checks (TEMPLATES M)
¶ 169 · tbl[2] / tr[7] / tc[7]DSC close-out (TEMPLATES M)
¶ 170 · tbl[2] / tr[8] / tc[1]Tribunal/OPA/Trustee (as applicable)
¶ 171 · tbl[2] / tr[8] / tc[2]Check existing orders; ensure supported decision-making (TEMPLATES M)
¶ 172 · tbl[2] / tr[8] / tc[3] -
¶ 173 · tbl[2] / tr[8] / tc[4]If orders needed: Reasons & Weighting pre-draft (TEMPLATES M)
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 174–193
¶ 174 · tbl[2] / tr[8] / tc[5]Plain-English reasons published; appeal-ready (Right-to-Reasons)
¶ 175 · tbl[2] / tr[8] / tc[6] -
¶ 176 · tbl[2] / tr[8] / tc[7]Publication cadence met (de-identified) (TEMPLATE S-8)
¶ 177 · tbl[2] / tr[9] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 178 · tbl[2] / tr[9] / tc[2]Create case key; privacy-safe IDs; start e-receipt ledger (TEMPLATES T)
¶ 179 · tbl[2] / tr[9] / tc[3]Roster↔claim pre-checks configured (TEMPLATES T)
¶ 180 · tbl[2] / tr[9] / tc[4]Two-party e-receipt activated (TEMPLATES T)
¶ 181 · tbl[2] / tr[9] / tc[5]Roster↔claim rules prevent impossible hours (TEMPLATES T)
¶ 182 · tbl[2] / tr[9] / tc[6]Tiles: e-receipt coverage, exceptions aging (TEMPLATES T)
¶ 183 · tbl[2] / tr[9] / tc[7]Dashboard: restrictive minutes/1,000h; promise_kept_ratio (TEMPLATES T)
¶ 187Example - What real results look like (illustrative)
¶ 188These figures show how results might appear in public reporting. Replace with your actual numbers. Percentages come from simple counts (how many out of how many). Minutes and scores use the site’s standard method.
¶ 189Access & Rights (example)
¶ 190• AAC/Yes-No offered................................ [ 94% ] ██████████████████████████████████
¶ 191• Interpreter/Auslan provided on time.............. [ 89% ] ███████████████████████████████
¶ 192• Easy Read summary sent........................... [ 82% ] ████████████████████████████
¶ 193 Safety (example; lower is better for minutes)
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 194–220
¶ 194• Restraint/sedation minutes per 1,000 hours....... [ 22 ] ████████
¶ 195• Seizures managed per protocol.................... [ 91% ] ████████████████████████████████████
¶ 196• Mealtime/IDDSI compliance........................ [ 96% ] ██████████████████████████████████████
¶ 197 Timeliness & Handover (example)
¶ 198• Time-to-quiet (minutes; lower is better)......... [ 07 ] ██████
¶ 199• ED handover completeness score (0-10)............ [ 9.1 ] ███████████
¶ 200• Warm handover completed.......................... [ 95% ] █████████████████████████████████████
¶ 201• GP hand-back booked ≤48h after ED................ [ 87% ] ██████████████████████████████
¶ 202 Learning & Repair (example)
¶ 203• 72-hour reviews completed on time................ [ 93% ] ███████████████████████████████████
¶ 204• Actions closed by due date....................... [ 86% ] ██████████████████████████████
¶ 205• Promise-kept ratio............................... [0.92 ] ██████████████████████████████████
¶ 206Example Metrics Table (replace with your actuals)
¶ 207 · tbl[3] / tr[1] / tc[1]Tile
¶ 208 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 209 · tbl[3] / tr[1] / tc[3]Target
¶ 210 · tbl[3] / tr[1] / tc[4]Current
¶ 211 · tbl[3] / tr[1] / tc[5]Trend
¶ 212 · tbl[3] / tr[2] / tc[1]AAC/Yes-No offered
¶ 213 · tbl[3] / tr[2] / tc[2]% eligible first contacts offered AAC/Yes-No
¶ 214 · tbl[3] / tr[2] / tc[3]≥95%
¶ 215 · tbl[3] / tr[2] / tc[4]94%
¶ 216 · tbl[3] / tr[2] / tc[5]→
¶ 217 · tbl[3] / tr[3] / tc[1]Interpreter on time
¶ 218 · tbl[3] / tr[3] / tc[2]% required cases with interpreter within SLA
¶ 219 · tbl[3] / tr[3] / tc[3]≥90%
¶ 220 · tbl[3] / tr[3] / tc[4]89%
AA-C01 · NDIS Access Pathway Crosswalk · paragraphs 221–272
¶ 221 · tbl[3] / tr[3] / tc[5]↑
¶ 222 · tbl[3] / tr[4] / tc[1]Easy Read summary sent
¶ 223 · tbl[3] / tr[4] / tc[2]% decisions with Easy Read version sent
¶ 224 · tbl[3] / tr[4] / tc[3]≥90%
¶ 225 · tbl[3] / tr[4] / tc[4]82%
¶ 226 · tbl[3] / tr[4] / tc[5]↑
¶ 227 · tbl[3] / tr[5] / tc[1]Restraint minutes/1,000h
¶ 228 · tbl[3] / tr[5] / tc[2]Minutes per 1,000 hours of support
¶ 229 · tbl[3] / tr[5] / tc[3]↓ q/q
¶ 230 · tbl[3] / tr[5] / tc[4]22
¶ 231 · tbl[3] / tr[5] / tc[5]↓
¶ 232 · tbl[3] / tr[6] / tc[1]Seizures per protocol
¶ 233 · tbl[3] / tr[6] / tc[2]% seizure events managed per protocol
¶ 234 · tbl[3] / tr[6] / tc[3]≥90%
¶ 235 · tbl[3] / tr[6] / tc[4]91%
¶ 236 · tbl[3] / tr[6] / tc[5]→
¶ 237 · tbl[3] / tr[7] / tc[1]IDDSI compliance
¶ 238 · tbl[3] / tr[7] / tc[2]% meals observed meeting IDDSI level
¶ 239 · tbl[3] / tr[7] / tc[3]≥95%
¶ 240 · tbl[3] / tr[7] / tc[4]96%
¶ 241 · tbl[3] / tr[7] / tc[5]→
¶ 242 · tbl[3] / tr[8] / tc[1]Time-to-quiet (min)
¶ 243 · tbl[3] / tr[8] / tc[2]Mean minutes to quiet in de-escalation
¶ 244 · tbl[3] / tr[8] / tc[3]↓ q/q
¶ 245 · tbl[3] / tr[8] / tc[4]7
¶ 246 · tbl[3] / tr[8] / tc[5]↑
¶ 247 · tbl[3] / tr[9] / tc[1]ED handover score
¶ 248 · tbl[3] / tr[9] / tc[2]Mean completeness score (0-10)
¶ 249 · tbl[3] / tr[9] / tc[3]≥9.0
¶ 250 · tbl[3] / tr[9] / tc[4]9.1
¶ 251 · tbl[3] / tr[9] / tc[5]→
¶ 252 · tbl[3] / tr[10] / tc[1]Warm handover completed
¶ 253 · tbl[3] / tr[10] / tc[2]% referrals completed with warm handover
¶ 254 · tbl[3] / tr[10] / tc[3]≥95%
¶ 255 · tbl[3] / tr[10] / tc[4]95%
¶ 256 · tbl[3] / tr[10] / tc[5]→
¶ 257 · tbl[3] / tr[11] / tc[1]GP hand-back ≤48h
¶ 258 · tbl[3] / tr[11] / tc[2]% ED cases with GP hand-back booked ≤48h
¶ 259 · tbl[3] / tr[11] / tc[3]≥90%
¶ 260 · tbl[3] / tr[11] / tc[4]87%
¶ 261 · tbl[3] / tr[11] / tc[5]↑
¶ 262 · tbl[3] / tr[12] / tc[1]72h reviews on time
¶ 263 · tbl[3] / tr[12] / tc[2]% incidents with ≤72h review completed
¶ 264 · tbl[3] / tr[12] / tc[3]≥95%
¶ 265 · tbl[3] / tr[12] / tc[4]93%
¶ 266 · tbl[3] / tr[12] / tc[5]↑
¶ 267 · tbl[3] / tr[13] / tc[1]Promise-kept ratio
¶ 268 · tbl[3] / tr[13] / tc[2]Kept ÷ made (0-1)
¶ 269 · tbl[3] / tr[13] / tc[3]≥0.90
¶ 270 · tbl[3] / tr[13] / tc[4]0.92
¶ 271 · tbl[3] / tr[13] / tc[5]→
AA-C02 · Health Interfaces (GP ED Dental Pharmacy)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C02_Health_Interfaces_(GP_ED_Dental_Pharmacy)_v1.docx
Member SHA-256: 75cc00b6155bfcbded89698ea7e8d2227aebdc83fbb804d8c25203eea42b4752
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 1–8
¶ 1 - Document control - Template ID: AA-C02 - Health Interfaces (GP / ED / Dental / Pharmacy) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C02 - Health Interfaces (GP / ED / Dental / Pharmacy)
¶ 3How we make health visits safer and simpler. Your GP, hospital ED, dentist and pharmacy work together with your consent. We record your communication needs once, keep medicines safe, and hand you back to your regular care with a warm handover that’s booked and kept.
¶ 4What this means for the person and supporters
¶ 5You choose how we talk. We organise interpreters, Auslan or AAC/Yes-No tools and use them from triage to discharge.
¶ 6Your priorities are front and centre. We write down what matters to you (pain, routine, sensory needs, who to call) and share it with your consent.
¶ 7Medicines stay safe. Any change in hospital is checked against your home list within 72 hours (medication reconciliation), and you get a plain-language summary.
¶ 8Clear next steps. After ED, a GP appointment is booked within 48 hours (or sooner if needed). For dental care, options are explained plainly and we prefer the least-restrictive approach.
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 9–16
¶ 9No bouncing between services. A named person at the next service is responsible for calling you back - we stay with you until they do.
¶ 10Privacy protected. Only what’s needed is shared; no personal details are published.
¶ 11How it works (step-by-step)
¶ 12Arriving (GP/ED/Dental): We check communication access first. Your “hospital/health passport” (if you have one) is opened so you don’t repeat your story.
¶ 13During care: Clinicians see your seizure/mealtime/behaviour plans where relevant (e.g., IDDSI textures, rescue-med thresholds). If a big, life-shaping decision is needed, we use Two-Key (two independent sign-offs) and record reasons in plain English.
¶ 14Medicines: Any prescription or dose change is reconciled within 72 hours with your GP/pharmacist. We avoid using PRN medicines as restraint; if used in an emergency, we book a 72-hour learning review.
¶ 15Leaving ED or hospital: We send a warm handover to your GP (and any service you choose) - appointment booked within 48 hours, discharge notes shared with consent, and who-calls-when is clear.
¶ 16Aftercare: We check the appointment was kept and that your mealtime, seizure, and medication plans in home/day program files are updated quickly.
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 17–28
¶ 17What services must do (so you don’t have to)
¶ 18Access first: Book interpreter/Auslan/AAC; use teach-back.
¶ 19Share only what’s needed: Consent noted; privacy and small-cell rules followed.
¶ 20Warm handover: SBAR summary + named steward at receiving service + time booked & kept (documented).
¶ 21Safety artefacts: Update and share mealtime (IDDSI), seizure and medication plans; confirm transport and pain plans if relevant.
¶ 22Decision quality: Record a one-page Reasons & Weighting note; resolve contradictions; use Two-Key for consequential decisions.
¶ 23Follow-up discipline: GP within 48 h after ED; med-rec within 72 h; learning review within 72 h after any restraint/PRN-as-RP.
¶ 24Helpful artefacts (where to find them)
¶ 25Communication & consent tools: interpreter/Auslan/AAC prompts; Easy Read (Appendix N).
¶ 26Warm Handover bundle: SBAR + steward + booked/kept proof; medication reconciliation (Appendix D).
¶ 27Mealtime & IDDSI / Seizure / Psychotropic stewardship: checklists and thresholds (Appendix Z / A8 / AB).
¶ 28Two-Key short form + Reasons & Matrix: independence check, timestamps, and plain-English reasons (Appendix K; H/I).
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 29–57
¶ 29Privacy & publication checks: minimum data, suppression rules, provenance hash (Appendix R/S/AL/T).
¶ 30Plain-language promise “We’ll make sure the next appointment is booked, your medicines are checked, and you don’t have to tell your story again. If something urgent happens, we act to keep you safe and review it within 72 hours.”
¶ 32How care connects (at a glance)
¶ 33 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 34 · tbl[1] / tr[1] / tc[2]Arrive / Refer
¶ 35 · tbl[1] / tr[1] / tc[3]Share needs
¶ 36 · tbl[1] / tr[1] / tc[4]Warm handover
¶ 37 · tbl[1] / tr[1] / tc[5]Treatment / support
¶ 38 · tbl[1] / tr[1] / tc[6]Hand-back & reasons
¶ 39 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 40 · tbl[1] / tr[2] / tc[1]You & Your Supporter
¶ 41 · tbl[1] / tr[2] / tc[2]Arrive via GP/ED/dental/provider; supporter noted.
¶ 42 · tbl[1] / tr[2] / tc[3]Communication needs recorded; Easy Read available.
¶ 43 · tbl[1] / tr[2] / tc[4]You choose who’s present; your preferences lead.
¶ 44 · tbl[1] / tr[2] / tc[5]Comfort/sensory adjustments made.
¶ 45 · tbl[1] / tr[2] / tc[6]Decisions explained plainly; Easy Read on request.
¶ 46 · tbl[1] / tr[2] / tc[7]72-hour learning review if restraint/sedation.
¶ 47 · tbl[1] / tr[3] / tc[1]Navigator (Access)
¶ 48 · tbl[1] / tr[3] / tc[2]Navigator logs contact (access receipt).
¶ 49 · tbl[1] / tr[3] / tc[3]Interpreter/Auslan arranged if needed.
¶ 50 · tbl[1] / tr[3] / tc[4]Navigator books the handover.
¶ 51 · tbl[1] / tr[3] / tc[5]Navigator helps with attendance/transport.
¶ 52 · tbl[1] / tr[3] / tc[6]Navigator records time-to-reasons.
¶ 53 · tbl[1] / tr[3] / tc[7]Navigator checks follow-ups happened.
¶ 54 · tbl[1] / tr[4] / tc[1]GP / Primary Care
¶ 55 · tbl[1] / tr[4] / tc[2]GP shares summary and scripts (with consent).
¶ 56 · tbl[1] / tr[4] / tc[3]Medicine list prepared; alerts checked.
¶ 57 · tbl[1] / tr[4] / tc[4]GP → IDC/Dental/Pharmacy summary shared.
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 58–92
¶ 58 · tbl[1] / tr[4] / tc[5]GP monitors side-effects; care plan updated.
¶ 59 · tbl[1] / tr[4] / tc[6]GP summary and scripts to you/provider.
¶ 60 · tbl[1] / tr[4] / tc[7]GP reviews adherence & side-effects.
¶ 61 · tbl[1] / tr[5] / tc[1]ED / Hospital
¶ 62 · tbl[1] / tr[5] / tc[2]ED triages risks and stabilises if needed.
¶ 63 · tbl[1] / tr[5] / tc[3]ED pre-alerts GP/dental/pharmacy when safe.
¶ 64 · tbl[1] / tr[5] / tc[4]ED → GP hand-back booked ≤48h.
¶ 65 · tbl[1] / tr[5] / tc[5]ED stabilises and updates in plain English.
¶ 66 · tbl[1] / tr[5] / tc[6]ED discharge shared with follow-ups visible.
¶ 67 · tbl[1] / tr[5] / tc[7]ED callback if required.
¶ 68 · tbl[1] / tr[6] / tc[1]Dental
¶ 69 · tbl[1] / tr[6] / tc[2]Dental screens pain/sensory needs and options.
¶ 70 · tbl[1] / tr[6] / tc[3]Sedation risks weighed; alternatives considered.
¶ 71 · tbl[1] / tr[6] / tc[4]Dental ↔ Provider plan agreed.
¶ 72 · tbl[1] / tr[6] / tc[5]Dental treats in stages; explains choices.
¶ 73 · tbl[1] / tr[6] / tc[6]Dental post-op plan; alternatives.
¶ 74 · tbl[1] / tr[6] / tc[7]Dental pain review; staged alternatives.
¶ 75 · tbl[1] / tr[7] / tc[1]Pharmacy
¶ 76 · tbl[1] / tr[7] / tc[2]Pharmacy confirms current medicines.
¶ 77 · tbl[1] / tr[7] / tc[3]Interactions checked; dose pack options.
¶ 78 · tbl[1] / tr[7] / tc[4]Pharmacy adherence plan shared.
¶ 79 · tbl[1] / tr[7] / tc[5]Pharmacy dispenses; Easy Read CMI.
¶ 80 · tbl[1] / tr[7] / tc[6]Pharmacy counselling on interactions.
¶ 81 · tbl[1] / tr[7] / tc[7]Pharmacy adherence check.
¶ 82 · tbl[1] / tr[8] / tc[1]Provider (IDC-led)
¶ 83 · tbl[1] / tr[8] / tc[2]Provider notes goals and weekly schedule.
¶ 84 · tbl[1] / tr[8] / tc[3]Transport and support alignment.
¶ 85 · tbl[1] / tr[8] / tc[4]Provider books first community presence.
¶ 86 · tbl[1] / tr[8] / tc[5]Provider logs sessions; CPI minutes.
¶ 87 · tbl[1] / tr[8] / tc[6]Provider plan updated; consent noted.
¶ 88 · tbl[1] / tr[8] / tc[7]Provider updates fade plan.
¶ 89 · tbl[1] / tr[9] / tc[1]Data & Integrity
¶ 90 · tbl[1] / tr[9] / tc[2]Case key made; e-receipts ready.
¶ 91 · tbl[1] / tr[9] / tc[3]Roster↔claim pre-checks applied.
¶ 92 · tbl[1] / tr[9] / tc[4]E-receipts switched on.
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 93–117
¶ 93 · tbl[1] / tr[9] / tc[5]Impossible hours blocked; receipts kept.
¶ 94 · tbl[1] / tr[9] / tc[6]Audit trail intact; privacy respected.
¶ 95 · tbl[1] / tr[9] / tc[7]Dashboard shows progress and exceptions.
¶ 97Flow - Swimlane (DETAILED)
¶ 98 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 99 · tbl[2] / tr[1] / tc[2]Entry & Consent
¶ 100 · tbl[2] / tr[1] / tc[3]Assessment & Triage
¶ 101 · tbl[2] / tr[1] / tc[4]Warm Handover Artefacts
¶ 102 · tbl[2] / tr[1] / tc[5]Verification & Medicines
¶ 103 · tbl[2] / tr[1] / tc[6]Supports Live & Guardrails
¶ 104 · tbl[2] / tr[1] / tc[7]Review, Publication & Governance
¶ 105 · tbl[2] / tr[2] / tc[1]Person & Allies (Family/Guardian/Advocate)
¶ 106 · tbl[2] / tr[2] / tc[2]Start anywhere; give will & preferences; choose supporters (TEMPLATE K-3; TEMPLATES N).
¶ 107 · tbl[2] / tr[2] / tc[3]Accessible conversation; goals/risks; interpreter/AAC flagged (TEMPLATES N).
¶ 108 · tbl[2] / tr[2] / tc[4]Choose who joins handover; consent recorded (TEMPLATE K-3).
¶ 109 · tbl[2] / tr[2] / tc[5]Receive plain-English reasons; Easy Read available (TEMPLATES L).
¶ 110 · tbl[2] / tr[2] / tc[6]Attend community presence; provide feedback (TEMPLATES M).
¶ 111 · tbl[2] / tr[2] / tc[7]If incident/restraint: 72h review; appeal options explained (TEMPLATE B-1; TEMPLATE S-8).
¶ 112 · tbl[2] / tr[3] / tc[1]Navigator (NDIS, LAC/Partner in the Community)
¶ 113 · tbl[2] / tr[3] / tc[2]Access receipt raised; privacy options (TEMPLATE N-1; TEMPLATE K-3).
¶ 114 · tbl[2] / tr[3] / tc[3]Eligibility screen; book interpreter/Auslan/AAC (TEMPLATES N).
¶ 115 · tbl[2] / tr[3] / tc[4]Schedule warm handover; artefacts list started (TEMPLATES N).
¶ 116 · tbl[2] / tr[3] / tc[5]Log time-to-reasons; confirm med reconciliation booked (TEMPLATE D-2).
¶ 117 · tbl[2] / tr[3] / tc[6]Check navigator_coverage tile; transport aids arranged (TEMPLATES T).
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 118–136
¶ 118 · tbl[2] / tr[3] / tc[7]Confirm follow-ups done; prepare de-identified publication (TEMPLATE S-8).
¶ 119 · tbl[2] / tr[4] / tc[1]Health/ED & Primary Care
¶ 120 · tbl[2] / tr[4] / tc[2]ED triage/GP intake; risk & meds screen; consent check (TEMPLATES L; TEMPLATE K-3).
¶ 121 · tbl[2] / tr[4] / tc[3]Prepare med list/alerts; start D-2 if changes (TEMPLATE D-2).
¶ 122 · tbl[2] / tr[4] / tc[4]ED→GP hand-back ≤48h booked; summary channel set (TEMPLATES L).
¶ 123 · tbl[2] / tr[4] / tc[5]Medication reconciliation ≤72h; side-effect watch (TEMPLATE D-2).
¶ 124 · tbl[2] / tr[4] / tc[6]Clinical tasks scheduled; scripts dispensed; Easy Read CMI (TEMPLATES L).
¶ 125 · tbl[2] / tr[4] / tc[7]Join 72h review if triggered; update GP plan (TEMPLATE D-2).
¶ 126 · tbl[2] / tr[5] / tc[1]Justice/Police (as applicable)
¶ 127 · tbl[2] / tr[5] / tc[2]If applicable: calm approach; support person; diversion screen (TEMPLATES AB).
¶ 128 · tbl[2] / tr[5] / tc[3]Record communication needs; interpreter/AAC engaged (TEMPLATES N).
¶ 129 · tbl[2] / tr[5] / tc[4]If diversion to health, warm handover to Navigator/IDC (TEMPLATES AB).
¶ 130 · tbl[2] / tr[5] / tc[5]Plain-language conditions; meds continuity if custody (TEMPLATES L).
¶ 131 · tbl[2] / tr[5] / tc[6]Support least-restrictive compliance checks (TEMPLATES AB).
¶ 132 · tbl[2] / tr[5] / tc[7]Data shared lawfully; publication de-identified (TEMPLATE S-8).
¶ 133 · tbl[2] / tr[6] / tc[1]Provider Intake (Support/IDC-led)
¶ 134 · tbl[2] / tr[6] / tc[2]Single intake; capture will & preferences; privacy notes (TEMPLATE K-3).
¶ 135 · tbl[2] / tr[6] / tc[3]Assign IDC lead; weekly community schedule (TEMPLATE D-3).
¶ 136 · tbl[2] / tr[6] / tc[4]Receive artefacts; confirm first presence session (TEMPLATES M).
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 137–155
¶ 137 · tbl[2] / tr[6] / tc[5]Least-restrictive plan; consent; meds tasks tracked (TEMPLATES M; TEMPLATE D-2).
¶ 138 · tbl[2] / tr[6] / tc[6]e-Receipts for sessions/travel; CPI minutes; roster↔claim checks (TEMPLATES T).
¶ 139 · tbl[2] / tr[6] / tc[7]72h learning review participation; fade plan updated (TEMPLATE D-3; TEMPLATE B-1).
¶ 140 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 141 · tbl[2] / tr[7] / tc[2]Trigger on contested facts/high risk (TEMPLATES M).
¶ 142 · tbl[2] / tr[7] / tc[3]File-vs-field check; contradiction matrix (TEMPLATES M).
¶ 143 · tbl[2] / tr[7] / tc[4]Calibrate handover artefacts; ensure alternatives listed (TEMPLATES M).
¶ 144 · tbl[2] / tr[7] / tc[5]Review D-2 outputs; verify reasons vs facts (TEMPLATES M; TEMPLATE D-2).
¶ 145 · tbl[2] / tr[7] / tc[6]Monitor guardrails exceptions; coach IDC (TEMPLATES T).
¶ 146 · tbl[2] / tr[7] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 147 · tbl[2] / tr[8] / tc[1]Tribunal/OPA/Trustee (as applicable)
¶ 148 · tbl[2] / tr[8] / tc[2]Check existing orders; supported decision-making (TEMPLATES M).
¶ 149 · tbl[2] / tr[8] / tc[3]If new orders likely, prepare tests and evidence (TEMPLATES M).
¶ 150 · tbl[2] / tr[8] / tc[4]Ensure handover artefacts meet court needs (TEMPLATES L).
¶ 151 · tbl[2] / tr[8] / tc[5]Reasons/weighting pre-draft for fairness (TEMPLATES M).
¶ 152 · tbl[2] / tr[8] / tc[6]Guardrails around financial/guardian actions (TEMPLATES T).
¶ 153 · tbl[2] / tr[8] / tc[7]Publish de-identified reasons; appeal info (TEMPLATE S-8).
¶ 154 · tbl[2] / tr[9] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 155 · tbl[2] / tr[9] / tc[2]Create case key; privacy-safe IDs; start e-receipt ledger (TEMPLATES T).
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 156–170
¶ 156 · tbl[2] / tr[9] / tc[3]Configure roster↔claim rules; impossible hours blocked (TEMPLATES T).
¶ 157 · tbl[2] / tr[9] / tc[4]Two-party e-receipt activation; artefact inventory (TEMPLATES T).
¶ 158 · tbl[2] / tr[9] / tc[5]Time-to-reasons; D-2 audit; exception queue (TEMPLATES T).
¶ 159 · tbl[2] / tr[9] / tc[6]Tiles: e-receipt coverage; navigator_coverage; exceptions age (TEMPLATES T).
¶ 160 · tbl[2] / tr[9] / tc[7]Prepare publication pack; DPIA check; provenance chain (TEMPLATES T; TEMPLATE S-8).
¶ 161How we measure ourselves (published quarterly)
¶ 162Percentages are simple counts. Some items use minutes or 0-10 scores. Bars give a quick visual.
¶ 163Access & Consent
¶ 164• Interpreter/Auslan provided on time - Latest: [ - ] █ (we count who needed it vs who got it on time) (TEMPLATES N).
¶ 165• Medication check within 72 hours - Latest: [ - ] █ (we count changes vs checked) (TEMPLATE D-2).
¶ 166• Warm handover completed - Latest: [ - ] █ (we count handovers that were ‘warm’) (TEMPLATES N).
¶ 167Timeliness & Handover
¶ 168• GP hand-back booked ≤48h after ED - Latest: [ - ] █ (we count ED cases vs on-time bookings) (TEMPLATES L).
¶ 169• Discharge summary delivered on time - Latest: [ - ] █ (we count due summaries vs on-time).
¶ 170Learning & Safety
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 171–198
¶ 171• 72-hour reviews done on time - Latest: [ - ] █ (we count required vs completed) (TEMPLATE B-1).
¶ 172• Restraint/sedation minutes per 1,000 hours - Latest: [ - ] █ (lower is better).
¶ 173ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 175Example - What real results look like (illustrative)
¶ 176Replace with your numbers.
¶ 177Access & Consent (example)
¶ 178• Interpreter/Auslan provided on time.............. [ 91% ] ████████████████████████████████
¶ 179• Medication check within 72 hours................ [ 96% ] ██████████████████████████████████████
¶ 180• Warm handover completed......................... [ 95% ] █████████████████████████████████████
¶ 181 Timeliness & Handover (example)
¶ 182• GP hand-back booked ≤48h after ED................ [ 88% ] ██████████████████████████████
¶ 183• Discharge summary delivered on time............. [ 93% ] ███████████████████████████████████
¶ 184 Learning & Safety (example)
¶ 185• 72-hour reviews done on time.................... [ 92% ] ██████████████████████████████████
¶ 186• Restraint/sedation minutes per 1,000 hours..... [ 19 ] ████████
¶ 195Example Metrics Table (replace with your actuals)
¶ 196 · tbl[3] / tr[1] / tc[1]Tile
¶ 197 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 198 · tbl[3] / tr[1] / tc[3]Target
AA-C02 · Health Interfaces (GP ED Dental Pharmacy) · paragraphs 199–236
¶ 199 · tbl[3] / tr[1] / tc[4]Current
¶ 200 · tbl[3] / tr[1] / tc[5]Trend
¶ 201 · tbl[3] / tr[2] / tc[1]Interpreter on time
¶ 202 · tbl[3] / tr[2] / tc[2]% required cases with interpreter within SLA
¶ 203 · tbl[3] / tr[2] / tc[3]≥90%
¶ 204 · tbl[3] / tr[2] / tc[4]91%
¶ 205 · tbl[3] / tr[2] / tc[5]→
¶ 206 · tbl[3] / tr[3] / tc[1]Medication check ≤72h
¶ 207 · tbl[3] / tr[3] / tc[2]% med changes reconciled within 72h
¶ 208 · tbl[3] / tr[3] / tc[3]≥95%
¶ 209 · tbl[3] / tr[3] / tc[4]96%
¶ 210 · tbl[3] / tr[3] / tc[5]→
¶ 211 · tbl[3] / tr[4] / tc[1]Warm handover completed
¶ 212 · tbl[3] / tr[4] / tc[2]% referrals completed with warm handover
¶ 213 · tbl[3] / tr[4] / tc[3]≥95%
¶ 214 · tbl[3] / tr[4] / tc[4]95%
¶ 215 · tbl[3] / tr[4] / tc[5]→
¶ 216 · tbl[3] / tr[5] / tc[1]GP hand-back ≤48h
¶ 217 · tbl[3] / tr[5] / tc[2]% ED cases with GP hand-back booked ≤48h
¶ 218 · tbl[3] / tr[5] / tc[3]≥90%
¶ 219 · tbl[3] / tr[5] / tc[4]88%
¶ 220 · tbl[3] / tr[5] / tc[5]↑
¶ 221 · tbl[3] / tr[6] / tc[1]Discharge summary on time
¶ 222 · tbl[3] / tr[6] / tc[2]% with summary to person/GP/IDC by due date
¶ 223 · tbl[3] / tr[6] / tc[3]≥95%
¶ 224 · tbl[3] / tr[6] / tc[4]93%
¶ 225 · tbl[3] / tr[6] / tc[5]→
¶ 226 · tbl[3] / tr[7] / tc[1]72-hour reviews on time
¶ 227 · tbl[3] / tr[7] / tc[2]% triggered cases with ≤72h review
¶ 228 · tbl[3] / tr[7] / tc[3]≥95%
¶ 229 · tbl[3] / tr[7] / tc[4]92%
¶ 230 · tbl[3] / tr[7] / tc[5]↑
¶ 231 · tbl[3] / tr[8] / tc[1]Restraint minutes/1,000h
¶ 232 · tbl[3] / tr[8] / tc[2]Minutes per 1,000 hours of support
¶ 233 · tbl[3] / tr[8] / tc[3]↓ q/q
¶ 234 · tbl[3] / tr[8] / tc[4]19
¶ 235 · tbl[3] / tr[8] / tc[5]↓
¶ 236 Owner: __________ Data source(s): ED triage; GP summary register; Dental notes; Pharmacy dispensing/adherence; Medication reconciliation; Navigator/IDC logs; E-receipts; Roster↔Claim
AA-C03 · Justice (Police Courts Corrections Release)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C03_Justice_(Police_Courts_Corrections_Release)_v1.docx
Member SHA-256: fc980b3fdc3a32723127c6b49899f6c411661cc4aaa55b80a5b4b9343b6388c4
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 1–7
¶ 1 - Document control - Template ID: AA-C03 - Justice (Police / Courts / Corrections / Release) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C03 - Justice (Police / Courts / Corrections / Release)
¶ 3Calm response, communication access, diversion, warm handover
¶ 5What this title means (in plain words) If police or the courts become involved, the response should lower risk and stress, not raise it. “Calm response” means de-escalation first and avoiding force wherever safe. “Communication access” means the person gets the tools they need (interpreter, Auslan, AAC/Yes-No) before questions or cautions. “Diversion” means choosing health or community pathways instead of charges or custody when it’s safe and lawful. “Warm handover” means a named person books and keeps the next contact (ED, GP, Navigator, court program), so the person isn’t left to manage it alone.
¶ 6What this means for the person and supporters
¶ 7De-escalation first. Officers aim to slow things down, reduce noise/crowding, and use the least-restrictive options. Diversion to health/community supports is considered where safe and lawful.
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 8–17
¶ 8You choose how we talk. Interpreter, Auslan, AAC/Yes-No or Easy Read are offered early and used through statements, cautions and forms.
¶ 9Plain explanations you can keep. Rights, options and next steps are explained in plain English; Easy Read is available.
¶ 10Warm handover, not a hand-off. If ED, court programs or community services are involved, a named steward is booked and the appointment is checked as kept.
¶ 11Safety and review. If restraint or sedation occurs, a 72-hour learning review is held to understand what happened and how to reduce risk next time.
¶ 12Support people welcome. A family member, guardian or advocate can be involved and recorded on the file.
¶ 13Privacy protected. Only necessary information is shared; no person-level details are published.
¶ 14What services must do (so you don’t have to)
¶ 15Run the first-minute drill. De-escalation prompts; check triggers/sensory needs; consider diversion pathways.
¶ 16Provide communication access immediately. Book interpreter/Auslan, offer AAC/Yes-No; use teach-back to confirm understanding.
¶ 17Record reasons you can read. One-page Reasons & Weighting note (evidence IDs, least-restrictive test).
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 18–29
¶ 18Use Two-Key for consequential decisions. Where orders or major restrictions are proposed, obtain two independent sign-offs with an independence check.
¶ 19Do the warm handover properly. SBAR summary, named steward, time booked & kept, and a call-back if plans change.
¶ 20Close the learning loop. If restraint/PRN is used, hold the 72-hour review, update plans (seizure/mealtime/behaviour), and notify the person/representative.
¶ 21Guard privacy. Minimum necessary data, consent noted, small-cell/suppression rules for any public reporting.
¶ 22Helpful artefacts (where to find them)
¶ 23First-minute drill & diversion prompts: TEMPLATES AB
¶ 24Communication access kit (interpreter/Auslan/AAC) & consent notes: TEMPLATES N
¶ 25Plain-language/Easy Read notices and scripts: TEMPLATES L
¶ 26Warm handover bundle (SBAR + steward + booked/kept proof): Appendix D / AO-6N
¶ 2772-Hour Review checklist & Fade-Plan insert: TEMPLATE B-1 / Appendix B-C
¶ 28Two-Key short form (independence check + co-sign): Appendix K
¶ 29Reasons & Weighting + Contradiction Matrix: Appendix H / I
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 30–61
¶ 30Plain-language promise “We’ll keep responses calm, give you the communication support you choose, aim for health or community diversion where it’s safe, book and keep the next contact, explain decisions in plain words, and review any restraint within 72 hours.”
¶ 32How the justice pathway works (at a glance)
¶ 33 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 34 · tbl[1] / tr[1] / tc[2]Contact / incident
¶ 35 · tbl[1] / tr[1] / tc[3]Rights & supports
¶ 36 · tbl[1] / tr[1] / tc[4]Diversion / charge
¶ 37 · tbl[1] / tr[1] / tc[5]Court
¶ 38 · tbl[1] / tr[1] / tc[6]Custody / community
¶ 39 · tbl[1] / tr[1] / tc[7]Release & aftercare
¶ 40 · tbl[1] / tr[2] / tc[1]You & Your Supporter
¶ 41 · tbl[1] / tr[2] / tc[2]Supporter contacted; Communication Passport used.
¶ 42 · tbl[1] / tr[2] / tc[3]Plain-English rights; support person present.
¶ 43 · tbl[1] / tr[2] / tc[4]Preferences recorded.
¶ 44 · tbl[1] / tr[2] / tc[5]Supporter present; breaks as needed.
¶ 45 · tbl[1] / tr[2] / tc[6]Contact maintained; Easy Read materials.
¶ 46 · tbl[1] / tr[2] / tc[7]Warm handover on release; supporter present.
¶ 47 · tbl[1] / tr[3] / tc[1]Police / First Responder
¶ 48 · tbl[1] / tr[3] / tc[2]Police de-escalate; safety screen.
¶ 49 · tbl[1] / tr[3] / tc[3]Interpreter/Auslan/AAC arranged.
¶ 50 · tbl[1] / tr[3] / tc[4]Diversion considered; community referral.
¶ 51 · tbl[1] / tr[3] / tc[5]Conditions read plainly.
¶ 52 · tbl[1] / tr[3] / tc[6]Checks for breaches use least-restrictive options.
¶ 53 · tbl[1] / tr[3] / tc[7]Police notified of supports to reduce re-contact.
¶ 54 · tbl[1] / tr[4] / tc[1]Navigator (Access)
¶ 55 · tbl[1] / tr[4] / tc[2]Navigator alerted; access receipt made.
¶ 56 · tbl[1] / tr[4] / tc[3]Navigator organises supports.
¶ 57 · tbl[1] / tr[4] / tc[4]Navigator books warm handover.
¶ 58 · tbl[1] / tr[4] / tc[5]Time-to-reasons recorded.
¶ 59 · tbl[1] / tr[4] / tc[6]Navigator coordinates health/IDC/Corrections.
¶ 60 · tbl[1] / tr[4] / tc[7]Navigator confirms housing/benefits.
¶ 61 · tbl[1] / tr[5] / tc[1]Provider (IDC-led)
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 62–97
¶ 62 · tbl[1] / tr[5] / tc[2]IDC on-call if known client.
¶ 63 · tbl[1] / tr[5] / tc[3]IDC proposes alternatives to arrest where safe.
¶ 64 · tbl[1] / tr[5] / tc[4]IDC tables least-restrictive plan.
¶ 65 · tbl[1] / tr[5] / tc[5]Plan presented; CPI/community presence.
¶ 66 · tbl[1] / tr[5] / tc[6]IDC runs plan; logs CPI minutes.
¶ 67 · tbl[1] / tr[5] / tc[7]IDC fade plan; community presence.
¶ 68 · tbl[1] / tr[6] / tc[1]Legal Aid / Advocate
¶ 69 · tbl[1] / tr[6] / tc[2]Legal Aid notified (with consent).
¶ 70 · tbl[1] / tr[6] / tc[3]Lawyer provides advice; capacity supports.
¶ 71 · tbl[1] / tr[6] / tc[4]Lawyer files supports & alternatives.
¶ 72 · tbl[1] / tr[6] / tc[5]Facts and alternatives summarised.
¶ 73 · tbl[1] / tr[6] / tc[6]Legal Aid seeks variation if needed.
¶ 74 · tbl[1] / tr[6] / tc[7]Close legal matters/plain updates.
¶ 75 · tbl[1] / tr[7] / tc[1]Court / Registry
¶ 76 · tbl[1] / tr[7] / tc[2]Registry standby if bail likely.
¶ 77 · tbl[1] / tr[7] / tc[3]Court special measures flagged.
¶ 78 · tbl[1] / tr[7] / tc[4]Appropriate list/court selected.
¶ 79 · tbl[1] / tr[7] / tc[5]Special measures registered; dates visible.
¶ 80 · tbl[1] / tr[7] / tc[6]Registry updates conditions/variations.
¶ 81 · tbl[1] / tr[7] / tc[7]Registry sends outcomes; dates visible.
¶ 82 · tbl[1] / tr[8] / tc[1]Corrections / Prison
¶ 83 · tbl[1] / tr[8] / tc[2]Meds/safety screen on intake.
¶ 84 · tbl[1] / tr[8] / tc[3]Medication continuity confirmed.
¶ 85 · tbl[1] / tr[8] / tc[4]Corrections diversion options noted.
¶ 86 · tbl[1] / tr[8] / tc[5]Custody intake briefed on meds/adjustments.
¶ 87 · tbl[1] / tr[8] / tc[6]Meds continuity and adjustments in custody.
¶ 88 · tbl[1] / tr[8] / tc[7]Corrections close-out; appointments set.
¶ 89 · tbl[1] / tr[9] / tc[1]Health (ED/GP)
¶ 90 · tbl[1] / tr[9] / tc[2]ED if injury/med risk.
¶ 91 · tbl[1] / tr[9] / tc[3]Medication reconciliation if ED.
¶ 92 · tbl[1] / tr[9] / tc[4]ED summary shared (consented).
¶ 93 · tbl[1] / tr[9] / tc[5]GP/ED informed as needed.
¶ 94 · tbl[1] / tr[9] / tc[6]Scripts and reviews arranged.
¶ 95 · tbl[1] / tr[9] / tc[7]GP booked; ED follow-up if required.
¶ 96 · tbl[1] / tr[10] / tc[1]Data & Integrity
¶ 97 · tbl[1] / tr[10] / tc[2]Case key; privacy-safe IDs.
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 98–122
¶ 98 · tbl[1] / tr[10] / tc[3]Guardrails prepared (roster↔claim).
¶ 99 · tbl[1] / tr[10] / tc[4]E-receipt ready if community plan.
¶ 100 · tbl[1] / tr[10] / tc[5]Audit trail updated.
¶ 101 · tbl[1] / tr[10] / tc[6]Impossible hours blocked; e-receipts kept.
¶ 102 · tbl[1] / tr[10] / tc[7]Dashboard: re-contact, breach, CPI minutes.
¶ 104Flow - Swimlane (DETAILED)
¶ 105 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 106 · tbl[2] / tr[1] / tc[2]Entry & Consent
¶ 107 · tbl[2] / tr[1] / tc[3]Communication & Supports
¶ 108 · tbl[2] / tr[1] / tc[4]Diversion & Planning
¶ 109 · tbl[2] / tr[1] / tc[5]Court/Orders & Reasons
¶ 110 · tbl[2] / tr[1] / tc[6]Custody/Community Continuity
¶ 111 · tbl[2] / tr[1] / tc[7]Release, Review & Publication
¶ 112 · tbl[2] / tr[2] / tc[1]Person & Allies (Family/Guardian/Advocate)
¶ 113 · tbl[2] / tr[2] / tc[2]Supporter present; will & preferences recorded; consent choices (TEMPLATE K-3; TEMPLATES N).
¶ 114 · tbl[2] / tr[2] / tc[3]Interpreter/Auslan/AAC requested as needed (TEMPLATES N).
¶ 115 · tbl[2] / tr[2] / tc[4]Preference for diversion/community supports recorded (TEMPLATES AB).
¶ 116 · tbl[2] / tr[2] / tc[5]Receive plain-English reasons; Easy Read (TEMPLATES L).
¶ 117 · tbl[2] / tr[2] / tc[6]Continuity of medicines and supports through custody/community (TEMPLATE D-2).
¶ 118 · tbl[2] / tr[2] / tc[7]72h review rights; appeal notes; de-identified publication (TEMPLATE B-1; TEMPLATE S-8).
¶ 119 · tbl[2] / tr[3] / tc[1]Navigator (NDIS, LAC/Partner in the Community)
¶ 120 · tbl[2] / tr[3] / tc[2]Access receipt issued (TEMPLATE N-1); privacy notes (TEMPLATE K-3).
¶ 121 · tbl[2] / tr[3] / tc[3]Arrange communication supports; book accessible conversation (TEMPLATES N).
¶ 122 · tbl[2] / tr[3] / tc[4]Book warm handover; link IDC/Health/Legal; transport supports (TEMPLATES N).
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 123–140
¶ 123 · tbl[2] / tr[3] / tc[5]Record time-to-reasons; ensure Right-to-Reasons kit prepared (TEMPLATES L).
¶ 124 · tbl[2] / tr[3] / tc[6]Coordinate follow-ups; guardrail checks with Data/Integrity (TEMPLATES T).
¶ 125 · tbl[2] / tr[3] / tc[7]Confirm review completion; prepare public-safe update (TEMPLATE S-8).
¶ 126 · tbl[2] / tr[4] / tc[1]Health/ED & Primary Care
¶ 127 · tbl[2] / tr[4] / tc[2]ED triage/GP intake; injury/med risk; consent check (TEMPLATES L; TEMPLATE K-3).
¶ 128 · tbl[2] / tr[4] / tc[3]Communication needs to clinical team; interpreter booked (TEMPLATES N).
¶ 129 · tbl[2] / tr[4] / tc[4]If diversion, provide clinical summary for IDC/Police/Court (TEMPLATES L).
¶ 130 · tbl[2] / tr[4] / tc[5]Medication reconciliation ≤72h after changes (TEMPLATE D-2).
¶ 131 · tbl[2] / tr[4] / tc[6]Scripts dispensed; side-effect watch; continuity if custody (TEMPLATE D-2).
¶ 132 · tbl[2] / tr[4] / tc[7]Join 72h review; letters to court/community GP (TEMPLATES L).
¶ 133 · tbl[2] / tr[5] / tc[1]Justice/Police (as applicable)
¶ 134 · tbl[2] / tr[5] / tc[2]Calm approach; safety screen; record comms needs (TEMPLATES AB; TEMPLATES N).
¶ 135 · tbl[2] / tr[5] / tc[3]Interpreter/AAC present for interview; breaks (TEMPLATES N; TEMPLATES L).
¶ 136 · tbl[2] / tr[5] / tc[4]Diversion to health/community where safe; warm handover (TEMPLATES AB).
¶ 137 · tbl[2] / tr[5] / tc[5]Plain-language conditions; alternatives documented (TEMPLATES L).
¶ 138 · tbl[2] / tr[5] / tc[6]Least-restrictive breach checks; notify IDC/Navigator (TEMPLATES AB).
¶ 139 · tbl[2] / tr[5] / tc[7]Share outcomes lawfully; contribute to de-identified learning (TEMPLATE S-8).
¶ 140 · tbl[2] / tr[6] / tc[1]Provider Intake (Support/IDC-led)
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 141–159
¶ 141 · tbl[2] / tr[6] / tc[2]Single intake; will & preferences; privacy notes (TEMPLATE K-3).
¶ 142 · tbl[2] / tr[6] / tc[3]Assign IDC lead; accessible plan; community presence (TEMPLATE D-3).
¶ 143 · tbl[2] / tr[6] / tc[4]Table least-restrictive alternatives; artefacts for court (TEMPLATES M; TEMPLATES L).
¶ 144 · tbl[2] / tr[6] / tc[5]Reasons/weighting prepared; meds tasks tracked (TEMPLATES M; TEMPLATE D-2).
¶ 145 · tbl[2] / tr[6] / tc[6]e-Receipts for sessions/travel; CPI minutes; roster↔claim blocks (TEMPLATES T).
¶ 146 · tbl[2] / tr[6] / tc[7]72h review participation; fade plan; publish lessons (TEMPLATE B-1; TEMPLATE S-8).
¶ 147 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 148 · tbl[2] / tr[7] / tc[2]Trigger: contested facts/high risk (TEMPLATES M).
¶ 149 · tbl[2] / tr[7] / tc[3]File-vs-field check; contradiction matrix (TEMPLATES M).
¶ 150 · tbl[2] / tr[7] / tc[4]Calibrate diversion plan; verify artefacts (TEMPLATES M).
¶ 151 · tbl[2] / tr[7] / tc[5]Review reasons against facts; fairness tests (TEMPLATES M).
¶ 152 · tbl[2] / tr[7] / tc[6]Exception monitoring; coach IDC on guardrails (TEMPLATES T).
¶ 153 · tbl[2] / tr[7] / tc[7]Close-out memo; learning to publication (TEMPLATE S-8).
¶ 154 · tbl[2] / tr[8] / tc[1]Tribunal/OPA/Trustee (as applicable)
¶ 155 · tbl[2] / tr[8] / tc[2]Check existing orders; supported decision-making (TEMPLATES M).
¶ 156 · tbl[2] / tr[8] / tc[3]If new orders needed, prepare tests/evidence (TEMPLATES M).
¶ 157 · tbl[2] / tr[8] / tc[4]Ensure artefacts meet evidentiary needs (TEMPLATES L).
¶ 158 · tbl[2] / tr[8] / tc[5]Plain-English reasons served; appeal-ready (TEMPLATES L).
¶ 159 · tbl[2] / tr[8] / tc[6]Guardrails for financial/guardian actions (TEMPLATES T).
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 160–177
¶ 160 · tbl[2] / tr[8] / tc[7]Publish de-identified reasons; visible change log (TEMPLATE S-8).
¶ 161 · tbl[2] / tr[9] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 162 · tbl[2] / tr[9] / tc[2]Create case key; privacy-safe IDs; enable e-receipts (TEMPLATES T).
¶ 163 · tbl[2] / tr[9] / tc[3]Configure roster↔claim rules; impossible hours blocked (TEMPLATES T).
¶ 164 · tbl[2] / tr[9] / tc[4]Artefact inventory; provenance; two-key approvals (TEMPLATES T).
¶ 165 · tbl[2] / tr[9] / tc[5]Time-to-reasons & D-2 audit; exception queue (TEMPLATES T).
¶ 166 · tbl[2] / tr[9] / tc[6]Tiles: re-contact rate; CPI minutes; navigator coverage (TEMPLATES T).
¶ 167 · tbl[2] / tr[9] / tc[7]Prepare DPIA & publication pack (TEMPLATES R; TEMPLATE S-8).
¶ 169How we measure ourselves (published quarterly)
¶ 170Percentages are simple counts. Some items use minutes or 0-10 scores. Bars give a quick visual.
¶ 171Access & Rights
¶ 172• Interpreter/Auslan or AAC used where indicated - Latest: [ - ] █ (count who needed it vs who received it) (TEMPLATES N).
¶ 173• Court special measures set when needed - Latest: [ - ] █ (count indicated matters vs orders made).
¶ 174Safety & Continuity
¶ 175• Medication continuity across custody/ED - Latest: [ - ] █ (no breaks in supply).
¶ 176• Restraint/sedation minutes per 1,000 custody hours - Latest: [ - ] █ (lower is better).
¶ 177Timeliness & Handover
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 178–195
¶ 178• Diversion before charge where safe - Latest: [ - ] █ (eligible vs diverted) (TEMPLATES AB).
¶ 179• Release warm handover (Corrections → IDC) - Latest: [ - ] █ (releases vs warm handovers).
¶ 180Learning & Repair
¶ 181• 72-hour learning reviews on time - Latest: [ - ] █ (required vs completed) (TEMPLATE B-1).
¶ 182ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 184Example - What real results look like (illustrative)
¶ 185Replace with your numbers.
¶ 186Access & Rights (example)
¶ 187• Interpreter/Auslan/AAC used where indicated...... [ 88% ] ██████████████████████████████
¶ 188• Court special measures set when needed........... [ 86% ] █████████████████████████████
¶ 189 Safety & Continuity (example)
¶ 190• Medication continuity across custody/ED.......... [ 92% ] ██████████████████████████████████
¶ 191• Restraint/sedation minutes per 1,000 hours...... [ 24 ] ████████
¶ 192 Timeliness & Handover (example)
¶ 193• Diversion before charge where safe............... [ 43% ] ██████████████
¶ 194• Release warm handover completed.................. [ 91% ] ████████████████████████████████
¶ 195 Learning & Repair (example)
AA-C03 · Justice (Police Courts Corrections Release) · paragraphs 196–241
¶ 196• 72-hour learning reviews on time................. [ 94% ] ███████████████████████████████████
¶ 200Example Metrics Table (replace with your actuals)
¶ 201 · tbl[3] / tr[1] / tc[1]Tile
¶ 202 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 203 · tbl[3] / tr[1] / tc[3]Target
¶ 204 · tbl[3] / tr[1] / tc[4]Current
¶ 205 · tbl[3] / tr[1] / tc[5]Trend
¶ 206 · tbl[3] / tr[2] / tc[1]Interpreter/AAC used
¶ 207 · tbl[3] / tr[2] / tc[2]% indicated matters with communication supports
¶ 208 · tbl[3] / tr[2] / tc[3]≥85%
¶ 209 · tbl[3] / tr[2] / tc[4]88%
¶ 210 · tbl[3] / tr[2] / tc[5]→
¶ 211 · tbl[3] / tr[3] / tc[1]Special measures set
¶ 212 · tbl[3] / tr[3] / tc[2]% indicated matters with court adjustments
¶ 213 · tbl[3] / tr[3] / tc[3]≥90%
¶ 214 · tbl[3] / tr[3] / tc[4]86%
¶ 215 · tbl[3] / tr[3] / tc[5]↑
¶ 216 · tbl[3] / tr[4] / tc[1]Medication continuity
¶ 217 · tbl[3] / tr[4] / tc[2]% transitions with uninterrupted supply
¶ 218 · tbl[3] / tr[4] / tc[3]≥95%
¶ 219 · tbl[3] / tr[4] / tc[4]92%
¶ 220 · tbl[3] / tr[4] / tc[5]↑
¶ 221 · tbl[3] / tr[5] / tc[1]Restraint minutes/1,000h
¶ 222 · tbl[3] / tr[5] / tc[2]Minutes per 1,000 custody hours
¶ 223 · tbl[3] / tr[5] / tc[3]↓ q/q
¶ 224 · tbl[3] / tr[5] / tc[4]24
¶ 225 · tbl[3] / tr[5] / tc[5]↓
¶ 226 · tbl[3] / tr[6] / tc[1]Diversion applied
¶ 227 · tbl[3] / tr[6] / tc[2]% eligible incidents diverted pre-charge
¶ 228 · tbl[3] / tr[6] / tc[3]≥40%
¶ 229 · tbl[3] / tr[6] / tc[4]43%
¶ 230 · tbl[3] / tr[6] / tc[5]→
¶ 231 · tbl[3] / tr[7] / tc[1]Release warm handover
¶ 232 · tbl[3] / tr[7] / tc[2]% releases with warm handover to IDC
¶ 233 · tbl[3] / tr[7] / tc[3]≥95%
¶ 234 · tbl[3] / tr[7] / tc[4]91%
¶ 235 · tbl[3] / tr[7] / tc[5]↑
¶ 236 · tbl[3] / tr[8] / tc[1]72-hour reviews on time
¶ 237 · tbl[3] / tr[8] / tc[2]% triggered matters with ≤72h review
¶ 238 · tbl[3] / tr[8] / tc[3]≥95%
¶ 239 · tbl[3] / tr[8] / tc[4]94%
¶ 240 · tbl[3] / tr[8] / tc[5]→
¶ 241 Owner: __________ Data source(s): Police CAD; Court registry; Corrections CMS; Legal Aid; Navigator/IDC logs; Medication reconciliation; E-receipts; Roster↔Claim
AA-C04 · Equity (First Nations CALD Auslan AAC)
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AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 1–5
¶ 1 - Document control - Template ID: AA-C04 - Equity (First Nations, CALD/Auslan, AAC) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C04 - Equity (First Nations, CALD/Auslan, AAC)
¶ 3What this title means (in plain words) “Equity” means the same quality of care and the same voice for everyone - whether First Nations, culturally and linguistically diverse (CALD), Deaf/Auslan users, or people who use Augmentative and Alternative Communication (AAC). It is not an add-on. We build cultural brokerage, interpreters/Auslan, AAC, and Easy Read into every step so the person can understand, choose, and be heard. Where decisions are big, we also match the second key (Two-Key) for cultural fit and independence.
¶ 4What this means for the person and supporters
¶ 5You choose how we talk. Auslan, spoken-language interpreter, yarning circle, AAC/yes-no card, pictures, captioning or plain English/Easy Read - whatever works best for you (TEMPLATES N; TEMPLATES L).
AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 6–12
¶ 6First Nations first. Where relevant, a First Nations broker or community-controlled service is offered early. Wording is checked for cultural safety and any public release is co-released (TEMPLATES O; TEMPLATE AM-6).
¶ 7Your reasons lead. We record your will and preferences and support the least-restrictive option; big decisions use Two-Key with an independent, culturally appropriate co-signer (TEMPLATE K-3; TEMPLATES M).
¶ 8No repeats. Your communication needs and preferences are recorded once and travel with you - home, school, hospital, court, community.
¶ 9Privacy respected. We only share what’s needed, and we avoid small-cell disclosures that could identify you or your community.
¶ 10What services must do (so you don’t have to)
¶ 11Book access, don’t “make do”. Arrange NAATI-credentialed interpreters or Auslan; use relay/captioning; set up AAC tools; allow extra time; confirm understanding with teach-back (TEMPLATES N).
¶ 12Engage brokers early. Offer First Nations cultural brokerage and CALD liaison at first contact; recognise gender and kin preferences; support yarning or family meetings (TEMPLATES O).
AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 13–22
¶ 13Match the second key. For consequential decisions, use Two-Key and screen the second signer for independence and cultural fit (Appendix K).
¶ 14Write reasons people can read. One-page Reasons & Weighting with plain language or Easy Read; include how access supports were provided (Appendix H; TEMPLATES L).
¶ 15Warm handover is standard. SBAR summary + named steward + time booked & kept across agencies; carry interpreter/AAC details forward (Appendix D; AO-6N).
¶ 16Guard privacy in small communities. Use minimum necessary data, coarse geography, and small-cell suppression for any publication (Appendix R/S/AL).
¶ 17Pay and plan for access. Budget interpreter/Auslan/AAC time in the plan/appointment; do not reduce service time to “make room” for access.
¶ 18Helpful artefacts (where to find them)
¶ 19Communication access kit (interpreter/Auslan/AAC prompts, yes-no cards, picture boards, captioning): TEMPLATES N
¶ 20Plain-English & Easy Read blocks (with character limits and examples): TEMPLATES L
¶ 21First Nations brokerage & wording guide; co-release checklist: TEMPLATES O; TEMPLATE AM-6
¶ 22Two-Key short form (independence + cultural-fit check): Appendix K
AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 23–48
¶ 23Warm Handover bundle (SBAR + steward + booked/kept proof): Appendix D / AO-6N
¶ 24Privacy & suppression quick checks (minimum data, small-cell guard, provenance hash): Appendix R/S/AL/T
¶ 25Plain-language promise “We will talk with you in the way you choose, involve the right cultural supports, explain decisions in plain words you can keep, match independent co-signers where big decisions are made, and make sure the next step is booked and kept - without exposing your private details.”
¶ 27Equity supports (at a glance)
¶ 28 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 29 · tbl[1] / tr[1] / tc[2]Start anywhere
¶ 30 · tbl[1] / tr[1] / tc[3]Choose how we communicate
¶ 31 · tbl[1] / tr[1] / tc[4]Warm handover
¶ 32 · tbl[1] / tr[1] / tc[5]Supports live
¶ 33 · tbl[1] / tr[1] / tc[6]Plain reasons & co-release
¶ 34 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 35 · tbl[1] / tr[2] / tc[1]You & Your Supporter
¶ 36 · tbl[1] / tr[2] / tc[2]Walk in, call, or be referred - supporter welcome.
¶ 37 · tbl[1] / tr[2] / tc[3]Auslan/interpreter/AAC/yarning offered.
¶ 38 · tbl[1] / tr[2] / tc[4]You choose who joins the handover.
¶ 39 · tbl[1] / tr[2] / tc[5]Supports start with your chosen mode.
¶ 40 · tbl[1] / tr[2] / tc[6]Plain reasons; Easy Read/Auslan video if wanted.
¶ 41 · tbl[1] / tr[2] / tc[7]If something goes wrong, 72‑hour review.
¶ 42 · tbl[1] / tr[3] / tc[1]Navigator (Access)
¶ 43 · tbl[1] / tr[3] / tc[2]Navigator records your preferences once.
¶ 44 · tbl[1] / tr[3] / tc[3]Bookings made and paid; transport covered.
¶ 45 · tbl[1] / tr[3] / tc[4]Navigator introduces services directly.
¶ 46 · tbl[1] / tr[3] / tc[5]Navigator checks interpreter/AAC showed up.
¶ 47 · tbl[1] / tr[3] / tc[6]Consent refreshed; you can ask for review.
¶ 48 · tbl[1] / tr[3] / tc[7]Navigator helps fix barriers quickly.
AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 49–85
¶ 49 · tbl[1] / tr[4] / tc[1]Cultural Brokerage (First Nations / CALD)
¶ 50 · tbl[1] / tr[4] / tc[2]Brokerage invited (First Nations or CALD).
¶ 51 · tbl[1] / tr[4] / tc[3]Cultural plan started (your words first).
¶ 52 · tbl[1] / tr[4] / tc[4]Broker attends or briefs the team.
¶ 53 · tbl[1] / tr[4] / tc[5]Broker checks cultural safety is met.
¶ 54 · tbl[1] / tr[4] / tc[6]Co‑release wording agreed (AM‑6).
¶ 55 · tbl[1] / tr[4] / tc[7]Broker adds learning points.
¶ 56 · tbl[1] / tr[5] / tc[1]Health (GP/ED/Dental/Pharmacy)
¶ 57 · tbl[1] / tr[5] / tc[2]Clinicians see your preferences with consent.
¶ 58 · tbl[1] / tr[5] / tc[3]Easy Read and pictorial options provided.
¶ 59 · tbl[1] / tr[5] / tc[4]Health hands back to GP within 48h if ED.
¶ 60 · tbl[1] / tr[5] / tc[5]Clinicians use accessible materials.
¶ 61 · tbl[1] / tr[5] / tc[6]Medication changes explained plainly.
¶ 62 · tbl[1] / tr[5] / tc[7]Health follows up if needed.
¶ 63 · tbl[1] / tr[6] / tc[1]Provider (IDC-led)
¶ 64 · tbl[1] / tr[6] / tc[2]Provider plans with you in ordinary places.
¶ 65 · tbl[1] / tr[6] / tc[3]Adjustments and quiet spaces arranged.
¶ 66 · tbl[1] / tr[6] / tc[4]Provider books first community presence.
¶ 67 · tbl[1] / tr[6] / tc[5]Sessions logged; travel & notes visible.
¶ 68 · tbl[1] / tr[6] / tc[6]Plan fades restrictions over time.
¶ 69 · tbl[1] / tr[6] / tc[7]Provider updates alternatives.
¶ 70 · tbl[1] / tr[7] / tc[1]Data & Integrity
¶ 71 · tbl[1] / tr[7] / tc[2]Privacy respected; e‑receipts ready.
¶ 72 · tbl[1] / tr[7] / tc[3]Guardrails stop impossible hours/claims.
¶ 73 · tbl[1] / tr[7] / tc[4]Two‑party e‑receipts switched on.
¶ 74 · tbl[1] / tr[7] / tc[5]Dashboard tiles updated weekly.
¶ 75 · tbl[1] / tr[7] / tc[6]De‑identified results are published.
¶ 76 · tbl[1] / tr[7] / tc[7]Change log is public (TEMPLATE S‑8).
¶ 78Flow - Swimlane (DETAILED)
¶ 79 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 80 · tbl[2] / tr[1] / tc[2]Entry & Consent
¶ 81 · tbl[2] / tr[1] / tc[3]Communication & Access
¶ 82 · tbl[2] / tr[1] / tc[4]Warm Handover Artefacts
¶ 83 · tbl[2] / tr[1] / tc[5]Verification & Medicines
¶ 84 · tbl[2] / tr[1] / tc[6]Supports Live & Guardrails
¶ 85 · tbl[2] / tr[1] / tc[7]Review & Co‑release
AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 86–102
¶ 86 · tbl[2] / tr[2] / tc[1]Person & Allies (Family/Guardian/Advocate)
¶ 87 · tbl[2] / tr[2] / tc[2]State will & preferences; choose mode (Auslan/interpreter/AAC/yarning) (TEMPLATE K-3; TEMPLATES N).
¶ 88 · tbl[2] / tr[2] / tc[3]Provide Communication Passport/AAC vocab; ask for Easy Read (TEMPLATES L).
¶ 89 · tbl[2] / tr[2] / tc[4]Nominate supporters; approve broker involvement (TEMPLATES O).
¶ 90 · tbl[2] / tr[2] / tc[5]Receive plain-English reasons; Easy Read/visuals (TEMPLATES L).
¶ 91 · tbl[2] / tr[2] / tc[6]Attend with chosen communication mode; feedback logged (TEMPLATES M).
¶ 92 · tbl[2] / tr[2] / tc[7]Co‑release wording checked; appeal options (TEMPLATE AM-6; TEMPLATE S-8).
¶ 93 · tbl[2] / tr[3] / tc[1]Navigator (NDIS, LAC/Partner in the Community)
¶ 94 · tbl[2] / tr[3] / tc[2]Access receipt raised; privacy options captured (TEMPLATE N-1; TEMPLATE K-3).
¶ 95 · tbl[2] / tr[3] / tc[3]Book interpreter/Auslan/AAC; transport/funding (TEMPLATES N).
¶ 96 · tbl[2] / tr[3] / tc[4]Warm handover convened; artefact inventory (TEMPLATES N).
¶ 97 · tbl[2] / tr[3] / tc[5]Log time‑to‑reasons; ensure D‑2 booked if meds changed (TEMPLATE D-2).
¶ 98 · tbl[2] / tr[3] / tc[6]Check navigator_coverage tile; attendance verified (TEMPLATES T).
¶ 99 · tbl[2] / tr[3] / tc[7]Confirm 72‑hour review completed; publish de‑identified update (TEMPLATE S‑8).
¶ 100 · tbl[2] / tr[4] / tc[1]Cultural Brokerage (First Nations / CALD)
¶ 101 · tbl[2] / tr[4] / tc[2]Offer First Nations or CALD broker; confirm cultural authority (TEMPLATES O).
¶ 102 · tbl[2] / tr[4] / tc[3]Cultural plan drafted with person; interpreter pairing quality checked (TEMPLATES O; TEMPLATES N).
AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 103–118
¶ 103 · tbl[2] / tr[4] / tc[4]Brief services; ensure roles, kinship, and place are respected (TEMPLATES O).
¶ 104 · tbl[2] / tr[4] / tc[5]Review reasons for cultural fit; check tests/alternatives (TEMPLATES L; TEMPLATES M).
¶ 105 · tbl[2] / tr[4] / tc[6]Spot‑check cultural safety in delivery; advise provider (TEMPLATES O).
¶ 106 · tbl[2] / tr[4] / tc[7]Co‑author public wording; confirm AM‑6 usage and permissions (TEMPLATE AM-6).
¶ 107 · tbl[2] / tr[5] / tc[1]Health/ED & Primary Care
¶ 108 · tbl[2] / tr[5] / tc[2]Consent & comms mode recorded; flags in clinical systems (TEMPLATES L; TEMPLATE K-3).
¶ 109 · tbl[2] / tr[5] / tc[3]Interpreter/Auslan link booked; AAC supports available (TEMPLATES N).
¶ 110 · tbl[2] / tr[5] / tc[4]ED→GP hand-back ≤48h; share summaries in accessible format (TEMPLATES L).
¶ 111 · tbl[2] / tr[5] / tc[5]Medication reconciliation ≤72h if changes (TEMPLATE D-2).
¶ 112 · tbl[2] / tr[5] / tc[6]Accessible materials (Easy Read, pictorial); culturally safe practice (TEMPLATES L; TEMPLATES O).
¶ 113 · tbl[2] / tr[5] / tc[7]Join 72‑hour review as needed; contribute plain‑language notes (TEMPLATES L).
¶ 114 · tbl[2] / tr[6] / tc[1]Provider Intake (Support/IDC-led)
¶ 115 · tbl[2] / tr[6] / tc[2]Single intake; will & preferences including cultural needs (TEMPLATE K-3).
¶ 116 · tbl[2] / tr[6] / tc[3]Assign IDC lead; schedule community presence in culturally safe places (TEMPLATE D-3).
¶ 117 · tbl[2] / tr[6] / tc[4]Artefacts assembled; roles & responsibilities visible (TEMPLATES M).
¶ 118 · tbl[2] / tr[6] / tc[5]Reasons clear; meds tasks tracked; privacy respected (TEMPLATES L; TEMPLATE D-2).
AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 119–136
¶ 119 · tbl[2] / tr[6] / tc[6]e‑Receipts for sessions/travel; roster↔claim guardrails (TEMPLATES T).
¶ 120 · tbl[2] / tr[6] / tc[7]Fade plan co‑authored; co‑release wording agreed (TEMPLATE AM-6).
¶ 121 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 122 · tbl[2] / tr[7] / tc[2]Trigger: contested facts or parity drift (TEMPLATES M).
¶ 123 · tbl[2] / tr[7] / tc[3]File‑vs‑field; contradiction matrix; interpreter quality audit (TEMPLATES M; TEMPLATES N).
¶ 124 · tbl[2] / tr[7] / tc[4]Calibrate artefacts; ensure cultural alternatives listed (TEMPLATES O; TEMPLATES M).
¶ 125 · tbl[2] / tr[7] / tc[5]Fairness tests; Right‑to‑Reasons completeness (TEMPLATES L).
¶ 126 · tbl[2] / tr[7] / tc[6]Exception monitoring; coach on guardrails and cultural safety (TEMPLATES T; TEMPLATES O).
¶ 127 · tbl[2] / tr[7] / tc[7]Close‑out memo; lessons to publication (TEMPLATE S‑8).
¶ 128 · tbl[2] / tr[8] / tc[1]Tribunal/OPA/Trustee (as applicable)
¶ 129 · tbl[2] / tr[8] / tc[2]Support decision‑making; respect cultural authority (TEMPLATES M; TEMPLATES O).
¶ 130 · tbl[2] / tr[8] / tc[3]If orders needed, evidence includes cultural plan (TEMPLATES O).
¶ 131 · tbl[2] / tr[8] / tc[4]Artifacts meet evidentiary needs; interpreter records (TEMPLATES L; TEMPLATES N).
¶ 132 · tbl[2] / tr[8] / tc[5]Plain‑English reasons; Easy Read and co‑release (TEMPLATES L; TEMPLATE AM-6).
¶ 133 · tbl[2] / tr[8] / tc[6]Guardrails for substitute actions; small‑cell suppression (TEMPLATES T).
¶ 134 · tbl[2] / tr[8] / tc[7]De‑identified publication; visible change log (TEMPLATE S‑8).
¶ 135 · tbl[2] / tr[9] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 136 · tbl[2] / tr[9] / tc[2]Case key; privacy‑safe IDs; e‑receipt ledger (TEMPLATES T).
AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 137–151
¶ 137 · tbl[2] / tr[9] / tc[3]Roster↔claim rules; interpreter/AAC attendance capture (TEMPLATES T).
¶ 138 · tbl[2] / tr[9] / tc[4]Two‑party e‑receipts; provenance; DPIA check (TEMPLATES T; TEMPLATES R).
¶ 139 · tbl[2] / tr[9] / tc[5]Tiles: interpreter timeliness; AAC offers; cultural brokerage uptake (TEMPLATES T).
¶ 140 · tbl[2] / tr[9] / tc[6]Exception queue ageing; promise_kept_ratio (TEMPLATES T).
¶ 141 · tbl[2] / tr[9] / tc[7]Publish de‑identified results; S‑8 change log maintained (TEMPLATE S‑8).
¶ 143How we measure ourselves (published quarterly)
¶ 144We publish simple results using counts. The bracket shows the latest result and the bar gives a quick view. Percentages are ‘how many out of how many’. Some items are ratios or minutes.
¶ 145Access & Communication
¶ 146• Interpreter/Auslan provided on time - Latest: [ - ] █ (needed vs received on time) (TEMPLATES N).
¶ 147• AAC/Yes‑No tools offered at first contact - Latest: [ - ] █ (eligible contacts vs offers) (TEMPLATES N).
¶ 148• Cultural brokerage engaged when offered - Latest: [ - ] █ (offers vs acceptances) (TEMPLATES O).
¶ 149Quality & Safety
¶ 150• Easy Read / visual summary provided - Latest: [ - ] █ (decisions vs Easy Read sent) (TEMPLATES L).
¶ 151• Medication reconciliation within 72h when changed - Latest: [ - ] █ (changes vs reconciled) (TEMPLATE D-2).
AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 152–167
¶ 152Cultural Integrity & Co‑release
¶ 153• Co‑release wording used for First Nations materials - Latest: [ - ] █ (eligible docs vs AM‑6 applied) (TEMPLATE AM-6).
¶ 154• Supports delivered in culturally safe places - Latest: [ - ] █ (sessions planned vs delivered as planned).
¶ 155ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 157Example - What real results look like (illustrative)
¶ 158Replace with your own numbers.
¶ 159Access & Communication (example)
¶ 160• Interpreter/Auslan provided on time.............. [ 92% ] █████████████████████████████████
¶ 161• AAC/Yes‑No tools offered at first contact........ [ 89% ] ███████████████████████████████
¶ 162• Cultural brokerage engaged when offered.......... [ 78% ] ██████████████████████████
¶ 163 Quality & Safety (example)
¶ 164• Easy Read / visual summary provided............. [ 85% ] ██████████████████████████████
¶ 165• Medication reconciliation within 72h............ [ 97% ] ███████████████████████████████████████
¶ 166 Cultural Integrity & Co‑release (example)
¶ 167• Co‑release wording (AM‑6) used.................. [ 88% ] ████████████████████████████████
AA-C04 · Equity (First Nations CALD Auslan AAC) · paragraphs 168–213
¶ 168• Supports in culturally safe places.............. [ 91% ] ████████████████████████████████
¶ 172Example Metrics Table (replace with your actuals)
¶ 173 · tbl[3] / tr[1] / tc[1]Tile
¶ 174 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 175 · tbl[3] / tr[1] / tc[3]Target
¶ 176 · tbl[3] / tr[1] / tc[4]Current
¶ 177 · tbl[3] / tr[1] / tc[5]Trend
¶ 178 · tbl[3] / tr[2] / tc[1]Interpreter on time
¶ 179 · tbl[3] / tr[2] / tc[2]% required cases with interpreter/Auslan within SLA
¶ 180 · tbl[3] / tr[2] / tc[3]≥90%
¶ 181 · tbl[3] / tr[2] / tc[4]92%
¶ 182 · tbl[3] / tr[2] / tc[5]→
¶ 183 · tbl[3] / tr[3] / tc[1]AAC offered at first contact
¶ 184 · tbl[3] / tr[3] / tc[2]% eligible first contacts offered AAC/Yes‑No
¶ 185 · tbl[3] / tr[3] / tc[3]≥95%
¶ 186 · tbl[3] / tr[3] / tc[4]89%
¶ 187 · tbl[3] / tr[3] / tc[5]↑
¶ 188 · tbl[3] / tr[4] / tc[1]Cultural brokerage uptake
¶ 189 · tbl[3] / tr[4] / tc[2]% offers to brokerage accepted
¶ 190 · tbl[3] / tr[4] / tc[3]≥80%
¶ 191 · tbl[3] / tr[4] / tc[4]78%
¶ 192 · tbl[3] / tr[4] / tc[5]→
¶ 193 · tbl[3] / tr[5] / tc[1]Easy Read provided
¶ 194 · tbl[3] / tr[5] / tc[2]% decisions with Easy Read/visual version
¶ 195 · tbl[3] / tr[5] / tc[3]≥90%
¶ 196 · tbl[3] / tr[5] / tc[4]85%
¶ 197 · tbl[3] / tr[5] / tc[5]↑
¶ 198 · tbl[3] / tr[6] / tc[1]Med reconciliation ≤72h
¶ 199 · tbl[3] / tr[6] / tc[2]% med changes reconciled within 72h
¶ 200 · tbl[3] / tr[6] / tc[3]≥95%
¶ 201 · tbl[3] / tr[6] / tc[4]97%
¶ 202 · tbl[3] / tr[6] / tc[5]→
¶ 203 · tbl[3] / tr[7] / tc[1]AM‑6 wording applied
¶ 204 · tbl[3] / tr[7] / tc[2]% eligible public docs using co‑release wording
¶ 205 · tbl[3] / tr[7] / tc[3]≥95%
¶ 206 · tbl[3] / tr[7] / tc[4]88%
¶ 207 · tbl[3] / tr[7] / tc[5]↑
¶ 208 · tbl[3] / tr[8] / tc[1]Culturally safe delivery
¶ 209 · tbl[3] / tr[8] / tc[2]% planned sessions delivered in culturally safe places
¶ 210 · tbl[3] / tr[8] / tc[3]≥90%
¶ 211 · tbl[3] / tr[8] / tc[4]91%
¶ 212 · tbl[3] / tr[8] / tc[5]→
¶ 213 Owner: __________ Data source(s): Access receipt register; Interpreter/Auslan bookings; AAC logs; Cultural brokerage records; Medication reconciliation; Decision/Easy Read register; Session locations; E‑receipts; Roster↔Claim
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C05_Out-of-Home_Care_&_Child_Adolescent_&_Adult_Protection_(with_Court_Decisions)_v1.docx
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AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 1–5
¶ 1 - Document control - Template ID: AA-C05 - Out-of-Home Care & Child Protection Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C05 - Out-of-Home Care & Child, Adolescent and Adult Protection (with Court Decisions)
¶ 3What this title means (in plain words) This crosswalk covers safety and care decisions across the life course - child protection and out-of-home care (OOHC), youth transitions, and adult protection/guardianship - including what happens when courts or tribunals make orders (e.g., care & protection, contact conditions, guardianship/administration, restrictive-practice authorisations). The aim is the same at every age: the person is safe, heard and connected to family/kin or family of choice, culture and community. We use communication access, least-restrictive options with Two-Key for big calls, and warm handovers so no one is left to chase the next step.
¶ 4What this means for the person and supporters
¶ 5You are heard in your way. AAC, interpreters/Auslan, yarning or Easy Read are offered and used so your will and preferences appear in the reasons, not just the notes.
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 6–13
¶ 6Family/kin and culture stay close. Kinship (for children/ adolescents), community and family of choice (for adults) are prioritised. First Nations brokerage is offered early where relevant.
¶ 7Least-restrictive by default. Consequential decisions - placement moves, schooling/training changes, contact limits, medication affecting behaviour, guardianship/SDM arrangements - use Two-Key (two independent sign-offs) with plain reasons you can keep.
¶ 8Court/tribunal decisions you can read. When orders are sought or made, you receive a plain-English summary (Easy Read available) showing the evidence used, why, and review dates.
¶ 9Warm handover at every change. Placement, school/TAFE/uni, health/therapy, housing or court links are booked & kept with a named steward.
¶ 10Health continuity. Medicines and safety plans (seizure, mealtime/IDDSI, PBS) travel with you; changes are reconciled within 72 hours.
¶ 11Learning reviews after incidents. If restraint, PRN-as-RP or a critical incident occurs, a 72-hour learning review is held and the plan updated with fade steps.
¶ 12Privacy protected. Only necessary information is shared; no person-level details are published.
¶ 13What services must do (so you don’t have to)
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 14–19
¶ 14Access first (all ages). Book interpreters/Auslan, set up AAC/Yes-No tools, use teach-back; record and carry forward the person’s preferred communication mode.
¶ 15Prepare court/tribunal packs with candour. Use one Reasons & Weighting table and a Contradiction Matrix; include facts that help and facts that hurt; attach safeguards and review dates; hash the bundle; serve in time.
¶ 16Use Two-Key for consequential decisions. Screen the second signer for independence and cultural fit; record a one-page decision note; link to any order sought.
¶ 17Prioritise kin/culture and family of choice. Activate First Nations brokerage/CALD liaison early; document cultural plans; use co-release wording where appropriate.
¶ 18Make handovers real. SBAR summary, named steward, time booked & kept for placement/house moves, court dates, school transfers/IEPs, health/therapy, housing and income supports.
¶ 19Keep health/education/housing in sync. Update medication lists; complete med-rec ≤72 h after changes; update mealtime (IDDSI) and seizure plans; notify school/employer/landlord supports as agreed.
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 20–31
¶ 20Close the learning loop. After any restraint/sedation/critical incident, hold the 72-hour review with the person/their representative; update the behaviour/fade plan and protections.
¶ 21Guard privacy. Minimum data, coarse geography, small-cell suppression for any publication or dashboard tiles; provenance/hash for any releases.
¶ 22Helpful artefacts (where to find them)
¶ 23Communication & consent tools (AAC, interpreters/Auslan, Easy Read): TEMPLATES N; TEMPLATES L
¶ 24First Nations brokerage & cultural wording / co-release: TEMPLATES O; TEMPLATE AM-6
¶ 25Two-Key short form (independence + cultural-fit check): Appendix K
¶ 26Reasons & Weighting + Contradiction Matrix + IRC: Appendix H / Appendix I / Appendix J
¶ 27Tribunal/OPA/DSC Candour pack: Appendix AG (with AG.1 routing)
¶ 28Warm Handover bundle (SBAR + steward + booked/kept proof): Appendix D / AO-6N
¶ 29Medication reconciliation, psychotropic stewardship, mealtime/IDDSI: Appendix D / Appendix AB / Appendix Z
¶ 3072-Hour Review & Fade-Plan inserts: Appendix B - C
¶ 31Privacy & suppression quick checks: Appendix R/S/AL/T
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 32–56
¶ 32Plain-language promise “We will listen in the way that works for you, keep family/kin or family of choice and culture close, use two independent sign-offs for big decisions, prepare court papers you can read, book and keep every handover, check medicines within 72 hours, and review any incident to make tomorrow safer - whether you are a child, a teenager or an adult.”
¶ 34Child protection pathway (at a glance)
¶ 35 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 36 · tbl[1] / tr[1] / tc[2]Worry/report
¶ 37 · tbl[1] / tr[1] / tc[3]Safety & voice
¶ 38 · tbl[1] / tr[1] / tc[4]Placement & supports
¶ 39 · tbl[1] / tr[1] / tc[5]Health & learning
¶ 40 · tbl[1] / tr[1] / tc[6]Court decisions & reasons
¶ 41 · tbl[1] / tr[1] / tc[7]Stability & connection
¶ 42 · tbl[1] / tr[2] / tc[1]Child/Young Person & Family
¶ 43 · tbl[1] / tr[2] / tc[2]Anyone can raise a worry; family and kin are invited early.
¶ 44 · tbl[1] / tr[2] / tc[3]Child’s voice heard using AAC/interpreters/yarning.
¶ 45 · tbl[1] / tr[2] / tc[4]Placement aims for kinship or cultural match.
¶ 46 · tbl[1] / tr[2] / tc[5]Health and education assessments completed.
¶ 47 · tbl[1] / tr[2] / tc[6]Court hears evidence; child supported to speak.
¶ 48 · tbl[1] / tr[2] / tc[7]Stability and belonging are the goal.
¶ 49 · tbl[1] / tr[3] / tc[1]Child Protection Intake
¶ 50 · tbl[1] / tr[3] / tc[2]Intake records the worry and checks immediate safety.
¶ 51 · tbl[1] / tr[3] / tc[3]Immediate safety actions; involve kin and culture.
¶ 52 · tbl[1] / tr[3] / tc[4]Handover is warm (no ‘refer and hope’).
¶ 53 · tbl[1] / tr[3] / tc[5]Transport and visits arranged.
¶ 54 · tbl[1] / tr[3] / tc[6]Alternatives to removal explored and recorded.
¶ 55 · tbl[1] / tr[3] / tc[7]Step-down plans prepared early.
¶ 56 · tbl[1] / tr[4] / tc[1]OOHC Agency / Case Manager
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 57–86
¶ 57 · tbl[1] / tr[4] / tc[2]Agency plans a response; keeps the child informed.
¶ 58 · tbl[1] / tr[4] / tc[3]If needed, short-term placement identified.
¶ 59 · tbl[1] / tr[4] / tc[4]Agency coordinates care team meeting.
¶ 60 · tbl[1] / tr[4] / tc[5]Care plan kept current and shared with consent.
¶ 61 · tbl[1] / tr[4] / tc[6]If orders made, they are explained plainly.
¶ 62 · tbl[1] / tr[4] / tc[7]Family restoration explored where safe.
¶ 63 · tbl[1] / tr[5] / tc[1]Health & School
¶ 64 · tbl[1] / tr[5] / tc[2]Health/school alerted only with consent or lawful need.
¶ 65 · tbl[1] / tr[5] / tc[3]Health check and school plan within timeframes.
¶ 66 · tbl[1] / tr[5] / tc[4]School learning support starts; health follow-ups booked.
¶ 67 · tbl[1] / tr[5] / tc[5]Therapeutic supports begin; trauma-aware practice.
¶ 68 · tbl[1] / tr[5] / tc[6]School/home supports adjusted to fit orders.
¶ 69 · tbl[1] / tr[5] / tc[7]Transitions are warm (school/placement).
¶ 70 · tbl[1] / tr[6] / tc[1]Courts/Tribunal
¶ 71 · tbl[1] / tr[6] / tc[2]Court may be needed; child’s views gathered.
¶ 72 · tbl[1] / tr[6] / tc[3]Plain reasons provided; Easy Read available.
¶ 73 · tbl[1] / tr[6] / tc[4]Court reviews changes; family included.
¶ 74 · tbl[1] / tr[6] / tc[5]Reasons updated as decisions change.
¶ 75 · tbl[1] / tr[6] / tc[6]Appeal paths explained.
¶ 76 · tbl[1] / tr[6] / tc[7]Reasons and review schedule visible.
¶ 77 · tbl[1] / tr[7] / tc[1]Carer/Kin
¶ 78 · tbl[1] / tr[7] / tc[2]Carer/kin options discussed from the start.
¶ 79 · tbl[1] / tr[7] / tc[3]Carers get support, training and contact plans.
¶ 80 · tbl[1] / tr[7] / tc[4]Carer gets clear contacts and 24/7 help.
¶ 81 · tbl[1] / tr[7] / tc[5]Kin contact and cultural activities maintained.
¶ 82 · tbl[1] / tr[7] / tc[6]Carer supported to keep child connected.
¶ 83 · tbl[1] / tr[7] / tc[7]Kinship and culture are celebrated.
¶ 84 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 85 · tbl[1] / tr[8] / tc[2]Privacy-respecting case key created.
¶ 86 · tbl[1] / tr[8] / tc[3]E-receipts on; guardrails stop double claiming.
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 87–110
¶ 87 · tbl[1] / tr[8] / tc[4]Dashboard shows stability and incidents.
¶ 88 · tbl[1] / tr[8] / tc[5]Exceptions reviewed in real time.
¶ 89 · tbl[1] / tr[8] / tc[6]Public updates are de-identified (TEMPLATE S-8).
¶ 90 · tbl[1] / tr[8] / tc[7]Learning used to improve practice.
¶ 92Flow - Swimlane (DETAILED)
¶ 93 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 94 · tbl[2] / tr[1] / tc[2]Report & Consent
¶ 95 · tbl[2] / tr[1] / tc[3]Voice & Safety Planning
¶ 96 · tbl[2] / tr[1] / tc[4]Placement & Artefacts
¶ 97 · tbl[2] / tr[1] / tc[5]Health/Education Assessments
¶ 98 · tbl[2] / tr[1] / tc[6]Court/Orders & Reasons
¶ 99 · tbl[2] / tr[1] / tc[7]Stability, Review & Publication
¶ 100 · tbl[2] / tr[2] / tc[1]Child/Young Person & Family/Kin
¶ 101 · tbl[2] / tr[2] / tc[2]Worry raised; consent preferences and supporters listed (TEMPLATE K-3; TEMPLATES N).
¶ 102 · tbl[2] / tr[2] / tc[3]Voice captured with AAC/interpreter/yarning; safety plan agreed (TEMPLATES N; TEMPLATES L).
¶ 103 · tbl[2] / tr[2] / tc[4]Kin options proposed; belongings/identity items preserved (TEMPLATES O).
¶ 104 · tbl[2] / tr[2] / tc[5]Attend assessments with chosen supports; Easy Read results (TEMPLATES L).
¶ 105 · tbl[2] / tr[2] / tc[6]Orders explained in plain language; review dates known (TEMPLATES L).
¶ 106 · tbl[2] / tr[2] / tc[7]Care team reviews; restoration/step-down pathways considered; S-8 updates.
¶ 107 · tbl[2] / tr[3] / tc[1]Child Protection Intake / Investigation
¶ 108 · tbl[2] / tr[3] / tc[2]Record report; risk triage; cultural identification; privacy choices (TEMPLATES N; TEMPLATES O).
¶ 109 · tbl[2] / tr[3] / tc[3]Immediate safety planning; alternatives to removal recorded (TEMPLATES M).
¶ 110 · tbl[2] / tr[3] / tc[4]If placement needed: kin-first; artefacts: authority, contact, health/education pack (TEMPLATES N).
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 111–126
¶ 111 · tbl[2] / tr[3] / tc[5]Book health/education assessments within timeframe; D-2 if meds change (TEMPLATE D-2).
¶ 112 · tbl[2] / tr[3] / tc[6]Prepare court materials; Right-to-Reasons kit (facts, tests, alternatives) (TEMPLATES L; TEMPLATES M).
¶ 113 · tbl[2] / tr[3] / tc[7]Schedule reviews; maintain public-safe log (TEMPLATE S-8).
¶ 114 · tbl[2] / tr[4] / tc[1]OOHC Agency / Case Manager
¶ 115 · tbl[2] / tr[4] / tc[2]Single intake; will & preferences; cultural plan (TEMPLATE K-3; TEMPLATES O).
¶ 116 · tbl[2] / tr[4] / tc[3]Care team convened; communication supports booked (TEMPLATES N).
¶ 117 · tbl[2] / tr[4] / tc[4]Warm handover to carer/kin; placement pack delivered; contact plan (TEMPLATES N).
¶ 118 · tbl[2] / tr[4] / tc[5]Follow-up health/school actions; transport; therapeutics (TEMPLATES L).
¶ 119 · tbl[2] / tr[4] / tc[6]Serve reasons to child/family in plain language; court updates.
¶ 120 · tbl[2] / tr[4] / tc[7]Monitor stability; step-down/restoration planning; publish de-identified results (TEMPLATE S-8).
¶ 121 · tbl[2] / tr[5] / tc[1]Cultural Brokerage (First Nations/CALD)
¶ 122 · tbl[2] / tr[5] / tc[2]Confirm identity/kinship; cultural authority and broker engaged (TEMPLATES O).
¶ 123 · tbl[2] / tr[5] / tc[3]Cultural safety plan; language/interpreter pairing (TEMPLATES O; TEMPLATES N).
¶ 124 · tbl[2] / tr[5] / tc[4]Kin mapping; cultural placement principle applied (TEMPLATES O).
¶ 125 · tbl[2] / tr[5] / tc[5]Check assessments for cultural fit; adapt materials (TEMPLATES L; TEMPLATES O).
¶ 126 · tbl[2] / tr[5] / tc[6]Provide cultural context to court; co-author reasons wording (TEMPLATES L; TEMPLATE AM-6).
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 127–144
¶ 127 · tbl[2] / tr[5] / tc[7]Co-lead connection activities; public co-release wording applied (TEMPLATE AM-6).
¶ 128 · tbl[2] / tr[6] / tc[1]Health (ED/GP/CAMHS/Dental)
¶ 129 · tbl[2] / tr[6] / tc[2]ED/GP/CAMHS aware; consent and comms mode recorded (TEMPLATES L; TEMPLATE K-3).
¶ 130 · tbl[2] / tr[6] / tc[3]Screen trauma and immediate needs; interpreter/AAC as needed (TEMPLATES N).
¶ 131 · tbl[2] / tr[6] / tc[4]Health passport started; vaccination/med review (TEMPLATE D-2).
¶ 132 · tbl[2] / tr[6] / tc[5]Comprehensive assessments completed within timeframe; results to team (TEMPLATES L).
¶ 133 · tbl[2] / tr[6] / tc[6]Medication reconciliation within 72h of change (TEMPLATE D-2).
¶ 134 · tbl[2] / tr[6] / tc[7]Therapeutic plan reviewed at care-team and incidents (TEMPLATE B-1).
¶ 135 · tbl[2] / tr[7] / tc[1]Education (School/Early Learning)
¶ 136 · tbl[2] / tr[7] / tc[2]Enrolment/attendance continuity plan; consent forms (TEMPLATES L).
¶ 137 · tbl[2] / tr[7] / tc[3]Adjustments & communication supports in class (TEMPLATES N).
¶ 138 · tbl[2] / tr[7] / tc[4]IEP and transport organised; warm handover to new school if moving (TEMPLATES N).
¶ 139 · tbl[2] / tr[7] / tc[5]Learning assessments and support levels set; progress shared (TEMPLATES L).
¶ 140 · tbl[2] / tr[7] / tc[6]Court conditions reflected in attendance/safety plans.
¶ 141 · tbl[2] / tr[7] / tc[7]Termly reviews; transition plans for stability.
¶ 142 · tbl[2] / tr[8] / tc[1]Police (as applicable)
¶ 143 · tbl[2] / tr[8] / tc[2]Safety check; calm approach; record communication needs (TEMPLATES AB; TEMPLATES N).
¶ 144 · tbl[2] / tr[8] / tc[3]Support person present; breaks; alternatives to charge considered (TEMPLATES AB).
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 145–164
¶ 145 · tbl[2] / tr[8] / tc[4]If risk high, warm handover to health/agency; avoid criminalisation (TEMPLATES AB).
¶ 146 · tbl[2] / tr[8] / tc[5]Plain-language undertakings; link to supports.
¶ 147 · tbl[2] / tr[8] / tc[6]Trauma-aware practice; avoid unnecessary contact.
¶ 148 · tbl[2] / tr[8] / tc[7]Contribute de-identified learning to S-8 log.
¶ 149 · tbl[2] / tr[9] / tc[1]Children’s Court / Tribunal
¶ 150 · tbl[2] / tr[9] / tc[2]List matter; special measures for communication (TEMPLATES N; TEMPLATES L).
¶ 151 · tbl[2] / tr[9] / tc[3]Child’s views presented; cultural plan visible (TEMPLATES O).
¶ 152 · tbl[2] / tr[9] / tc[4]Orders prioritise kin/culture where safe; contact plan.
¶ 153 · tbl[2] / tr[9] / tc[5]Reasons in plain language; Easy Read version (TEMPLATES L).
¶ 154 · tbl[2] / tr[9] / tc[6]Review schedule and triggers defined.
¶ 155 · tbl[2] / tr[9] / tc[7]Public reasons de-identified; small-cell suppression (TEMPLATE S-8).
¶ 156 · tbl[2] / tr[10] / tc[1]Provider (IDC-led)
¶ 157 · tbl[2] / tr[10] / tc[2]Intake; weekly community presence; carer coaching (TEMPLATE D-3).
¶ 158 · tbl[2] / tr[10] / tc[3]Communication supports in home/school; transport (TEMPLATES N).
¶ 159 · tbl[2] / tr[10] / tc[4]Log sessions via e-receipts; handovers on placement change (TEMPLATES T).
¶ 160 · tbl[2] / tr[10] / tc[5]Therapeutic and daily living supports delivered; meds tasks tracked (TEMPLATE D-2).
¶ 161 · tbl[2] / tr[10] / tc[6]Step-up during wobble/crisis; avoid placement breakdown.
¶ 162 · tbl[2] / tr[10] / tc[7]Fade plan; voice-of-child checks; publish learning (TEMPLATE S-8).
¶ 163 · tbl[2] / tr[11] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 164 · tbl[2] / tr[11] / tc[2]Trigger: parity drift/contested facts; risk spike (TEMPLATES M).
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 165–180
¶ 165 · tbl[2] / tr[11] / tc[3]File-vs-field; contradiction matrix; check child’s voice is present (TEMPLATES M).
¶ 166 · tbl[2] / tr[11] / tc[4]Calibrate artefacts; ensure alternatives fully considered (TEMPLATES M).
¶ 167 · tbl[2] / tr[11] / tc[5]Fairness tests on reasons; small-cell suppression (TEMPLATES L; TEMPLATE S-8).
¶ 168 · tbl[2] / tr[11] / tc[6]Guardrails audit; exception queue ageing (TEMPLATES T).
¶ 169 · tbl[2] / tr[11] / tc[7]Close-out memo; lessons to S-8 publication.
¶ 170 · tbl[2] / tr[12] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 171 · tbl[2] / tr[12] / tc[2]Case key; privacy-safe IDs; start e-receipt ledger (TEMPLATES T).
¶ 172 · tbl[2] / tr[12] / tc[3]Roster↔claim rules; interpreter/AAC attendance capture (TEMPLATES T).
¶ 173 · tbl[2] / tr[12] / tc[4]Artefact inventory: placement pack, consent, contact plan (TEMPLATES T).
¶ 174 · tbl[2] / tr[12] / tc[5]Tiles: placement stability; time-to-first care-team; assessment timeliness (TEMPLATES T).
¶ 175 · tbl[2] / tr[12] / tc[6]Promise_kept_ratio; incident rate per 100 placements (TEMPLATES T).
¶ 176 · tbl[2] / tr[12] / tc[7]DPIA and publication pack; visible change log (TEMPLATE S-8).
¶ 178How we measure ourselves (published quarterly)
¶ 179We publish simple results using counts. The bracket shows the latest result and the bar gives a quick view. Percentages are ‘how many out of how many’. Some measures are rates per 100 placements or minutes per 1,000 hours.
¶ 180Access, Voice & Culture
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 181–193
¶ 181• Child’s voice recorded using chosen mode - Latest: [ - ] █ (required case notes vs done) (TEMPLATES N; TEMPLATES L).
¶ 182• Kinship placement rate - Latest: [ - ] █ (placements with kin/kin-like).
¶ 183• First Nations cultural placement principle applied - Latest: [ - ] █ (eligible First Nations placements meeting the principle) (TEMPLATES O).
¶ 184Safety & Health
¶ 185• Critical incident rate (per 100 placements; lower better) - Latest: [ - ] █.
¶ 186• Medication reconciliation within 72h after placement change - Latest: [ - ] █ (changes vs reconciled) (TEMPLATE D-2).
¶ 187• Restraint/sedation minutes per 1,000 care hours (if used) - Latest: [ - ] █ (lower is better).
¶ 188Timeliness & Stability
¶ 189• Time to first care team meeting (days; lower better) - Latest: [ - ] █.
¶ 190• Health & education assessments on time - Latest: [ - ] █ (due vs completed).
¶ 191• Placement stability: no unplanned moves this quarter - Latest: [ - ] █.
¶ 192Learning & Restoration
¶ 193• 72-hour reviews completed on time - Latest: [ - ] █ (required vs completed) (TEMPLATE B-1).
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 194–216
¶ 194• Family restoration progress where safe - Latest: [ - ] █ (% with active restoration plan milestones met).
¶ 195• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 196ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 204Example - What real results look like (illustrative)
¶ 205Replace with your numbers.
¶ 206Access, Voice & Culture (example)
¶ 207• Child’s voice recorded using chosen mode.......... [ 88% ] █████████████████████████████
¶ 208• Kinship placement rate........................... [ 62% ] ██████████████████
¶ 209• Cultural placement principle applied (First Nations) [ 79% ] ███████████████████████
¶ 210 Safety & Health (example)
¶ 211• Critical incident rate (per 100 placements)...... [ 12 ] ███████
¶ 212• Med reconciliation ≤72h after placement change... [ 95% ] █████████████████████████████████████
¶ 213• Restraint/sedation minutes per 1,000 care hours. [ 18 ] ████████
¶ 214 Timeliness & Stability (example)
¶ 215• Time to first care team meeting (days)........... [ 10 ] ██████
¶ 216• Health & education assessments on time........... [ 91% ] ████████████████████████████████
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 217–270
¶ 217• Placement stability (no unplanned moves)......... [ 86% ] ██████████████████████████████
¶ 218 Learning & Restoration (example)
¶ 219• 72-hour reviews completed on time................ [ 93% ] ███████████████████████████████████
¶ 220• Family restoration milestones met................ [ 47% ] ████████████
¶ 221• Promise-kept ratio............................... [0.91 ] ██████████████████████████████████
¶ 224Example Metrics Table (replace with your actuals)
¶ 225 · tbl[3] / tr[1] / tc[1]Tile
¶ 226 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 227 · tbl[3] / tr[1] / tc[3]Target
¶ 228 · tbl[3] / tr[1] / tc[4]Current
¶ 229 · tbl[3] / tr[1] / tc[5]Trend
¶ 230 · tbl[3] / tr[2] / tc[1]Child’s voice recorded
¶ 231 · tbl[3] / tr[2] / tc[2]% cases with voice captured using chosen mode
¶ 232 · tbl[3] / tr[2] / tc[3]≥95%
¶ 233 · tbl[3] / tr[2] / tc[4]88%
¶ 234 · tbl[3] / tr[2] / tc[5]↑
¶ 235 · tbl[3] / tr[3] / tc[1]Kinship placement rate
¶ 236 · tbl[3] / tr[3] / tc[2]% placements with kin/kin-like
¶ 237 · tbl[3] / tr[3] / tc[3]≥70%
¶ 238 · tbl[3] / tr[3] / tc[4]62%
¶ 239 · tbl[3] / tr[3] / tc[5]↑
¶ 240 · tbl[3] / tr[4] / tc[1]Cultural placement principle
¶ 241 · tbl[3] / tr[4] / tc[2]% eligible First Nations placements meeting principle
¶ 242 · tbl[3] / tr[4] / tc[3]≥90%
¶ 243 · tbl[3] / tr[4] / tc[4]79%
¶ 244 · tbl[3] / tr[4] / tc[5]↑
¶ 245 · tbl[3] / tr[5] / tc[1]Incident rate/100 placements
¶ 246 · tbl[3] / tr[5] / tc[2]Incidents per 100 placements (lower is better)
¶ 247 · tbl[3] / tr[5] / tc[3]↓ q/q
¶ 248 · tbl[3] / tr[5] / tc[4]12
¶ 249 · tbl[3] / tr[5] / tc[5]↓
¶ 250 · tbl[3] / tr[6] / tc[1]Med reconciliation ≤72h
¶ 251 · tbl[3] / tr[6] / tc[2]% med changes reconciled within 72h after placement change
¶ 252 · tbl[3] / tr[6] / tc[3]≥95%
¶ 253 · tbl[3] / tr[6] / tc[4]95%
¶ 254 · tbl[3] / tr[6] / tc[5]→
¶ 255 · tbl[3] / tr[7] / tc[1]Restraint minutes/1,000h
¶ 256 · tbl[3] / tr[7] / tc[2]Minutes per 1,000 care hours (lower better)
¶ 257 · tbl[3] / tr[7] / tc[3]↓ q/q
¶ 258 · tbl[3] / tr[7] / tc[4]18
¶ 259 · tbl[3] / tr[7] / tc[5]↓
¶ 260 · tbl[3] / tr[8] / tc[1]First care team meeting (days)
¶ 261 · tbl[3] / tr[8] / tc[2]Median days from placement to first meeting
¶ 262 · tbl[3] / tr[8] / tc[3]≤14
¶ 263 · tbl[3] / tr[8] / tc[4]10
¶ 264 · tbl[3] / tr[8] / tc[5]→
¶ 265 · tbl[3] / tr[9] / tc[1]Assessments on time
¶ 266 · tbl[3] / tr[9] / tc[2]% due health/education assessments completed on time
¶ 267 · tbl[3] / tr[9] / tc[3]≥95%
¶ 268 · tbl[3] / tr[9] / tc[4]91%
¶ 269 · tbl[3] / tr[9] / tc[5]↑
¶ 270 · tbl[3] / tr[10] / tc[1]Placement stability
AA-C05 · Out-of-Home Care & Child Adolescent & Adult Protection (with Court Decisions) · paragraphs 271–290
¶ 271 · tbl[3] / tr[10] / tc[2]% children with no unplanned moves in quarter
¶ 272 · tbl[3] / tr[10] / tc[3]≥90%
¶ 273 · tbl[3] / tr[10] / tc[4]86%
¶ 274 · tbl[3] / tr[10] / tc[5]↑
¶ 275 · tbl[3] / tr[11] / tc[1]72-hour reviews on time
¶ 276 · tbl[3] / tr[11] / tc[2]% required reviews completed within 72h
¶ 277 · tbl[3] / tr[11] / tc[3]≥95%
¶ 278 · tbl[3] / tr[11] / tc[4]93%
¶ 279 · tbl[3] / tr[11] / tc[5]→
¶ 280 · tbl[3] / tr[12] / tc[1]Restoration milestones met
¶ 281 · tbl[3] / tr[12] / tc[2]% cases with milestones achieved this quarter
¶ 282 · tbl[3] / tr[12] / tc[3]≥60%
¶ 283 · tbl[3] / tr[12] / tc[4]47%
¶ 284 · tbl[3] / tr[12] / tc[5]↑
¶ 285 · tbl[3] / tr[13] / tc[1]Promise-kept ratio
¶ 286 · tbl[3] / tr[13] / tc[2]Kept ÷ made (0-1)
¶ 287 · tbl[3] / tr[13] / tc[3]≥0.90
¶ 288 · tbl[3] / tr[13] / tc[4]0.91
¶ 289 · tbl[3] / tr[13] / tc[5]→
¶ 290 Owner: __________ Data source(s): Child protection intake; OOHC agency case system; Carer/kin records; Cultural brokerage register; Health assessments; School IEPs; Court/Tribunal lists; Medication reconciliation; Incident system; E-receipts; Roster↔Claim
AA-C06 · Family & DV
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C06_Family_&_DV_v1.docx
Member SHA-256: 33e25dd98af7fda21ac42073041c6fdf206f1435c8a3bd3fd41dc3830e09d218
AA-C06 · Family & DV · paragraphs 1–6
¶ 1 - Document control - Template ID: AA-C06 - Family & DV Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C06 - Family & DV (Domestic/Family Violence)
¶ 3What this title means (in plain words) When there are safety concerns in families or intimate relationships, the response should lower danger and stress. “Family & DV” covers police, courts, housing, health, disability and community services working together. Calm response means de-escalation and trauma-informed practice. Safe communication means interpreter/Auslan/AAC or yarning as the person chooses. Risk-led planning means safety actions are based on current risk, not labels. Warm handover means a named person books and keeps the next contact - housing, court, health, counselling - so the person is not left to navigate alone.
¶ 4What this means for the person and supporters
¶ 5Communication access is provided. Interpreter, Auslan, AAC/Yes-No, yarning or Easy Read are offered early and used across statements, orders and appointments.
¶ 6Risk is tracked and acted on. Safety planning is practical (where to go, who calls whom, tech/privacy steps) and written in plain English/Easy Read.
AA-C06 · Family & DV · paragraphs 7–14
¶ 7Warm handovers link services. Police, courts, housing, health and disability supports book the next step with a named steward and check it was kept.
¶ 8Least-restrictive, safety-first decisions. Big calls (relocation, contact arrangements, protective orders, medication affecting behaviour) use Two-Key with independent co-sign and reasons you can read.
¶ 9Children and dependants are considered. School/childcare handovers, transport and routines are planned so children stay connected and safe.
¶ 10Privacy and digital safety are protected. Information is shared on a need-to-know basis; small-cell/suppression rules apply for any publication; tech-safety steps are explained.
¶ 11If force or sedation occurs, it is reviewed. Any restraint/sedation triggers a 72-hour learning review with updates to the plan.
¶ 12What services must do (so the person doesn’t have to)
¶ 13Access first. Book interpreter/Auslan; set up AAC/Yes-No; allow yarning; use teach-back (TEMPLATES N).
¶ 14Run a risk-led process. Use a recognised DV risk tool; record red flags (weapons, strangulation, threats, stalking, tech abuse); update risk at each contact.
AA-C06 · Family & DV · paragraphs 15–24
¶ 15Use Two-Key for consequential decisions. Independence and cultural-fit screen; write a one-page Reasons & Weighting; resolve contradictions (Appendix K/H/I).
¶ 16Deliver warm handovers. SBAR summary, named steward, time booked & kept for housing, protection order listings, ED/GP, counselling, legal aid (Appendix D; AO-6N).
¶ 17Coordinate child/youth supports. School notifications (as agreed), transport plans, safe pick-up, continuity of medicines and mealtime/seizure plans (Appendix D/Z/AB).
¶ 18Protect privacy & safety. Minimum necessary data; safe contact preferences; tech-safety checklist; small-cell suppression and provenance for any release (Appendix R/S/AL/T).
¶ 19Close the learning loop. If restraint/PRN-as-RP or a critical incident occurs: 72-hour review, update the plan, and check actions were done.
¶ 20Helpful artefacts (where to find them)
¶ 21Communication access kit (interpreter/Auslan/AAC, Easy Read): TEMPLATES N; TEMPLATES L
¶ 22DV risk prompts & first-minute drill: TEMPLATES AB (adapted for DV scenes)
¶ 23Warm handover bundle (SBAR + steward + booked/kept proof): Appendix D / AO-6N
¶ 24Two-Key short form + Reasons & Matrix: Appendix K / Appendix H / Appendix I
AA-C06 · Family & DV · paragraphs 25–49
¶ 2572-Hour Review & Fade-Plan inserts: Appendix B-C
¶ 26Medication reconciliation / mealtime & seizure plans: Appendix D / Appendix Z / Appendix AB
¶ 27Privacy, suppression & provenance checks: Appendix R/S/AL/T
¶ 28Plain-language promise “We’ll keep the response calm, use the communication support you choose, act on current risk, book and keep the next steps across housing, courts, police and health, protect your privacy (including tech safety), use two independent sign-offs for big decisions, and review any use of force within 72 hours.”
¶ 30Family & DV safety pathway (at a glance)
¶ 31 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 32 · tbl[1] / tr[1] / tc[2]Request help
¶ 33 · tbl[1] / tr[1] / tc[3]Immediate safety
¶ 34 · tbl[1] / tr[1] / tc[4]Plan & supports
¶ 35 · tbl[1] / tr[1] / tc[5]Legal options
¶ 36 · tbl[1] / tr[1] / tc[6]Housing & money
¶ 37 · tbl[1] / tr[1] / tc[7]Follow-up & review
¶ 38 · tbl[1] / tr[2] / tc[1]You & Your Supporter
¶ 39 · tbl[1] / tr[2] / tc[2]Call, message, walk-in, or tell someone you trust.
¶ 40 · tbl[1] / tr[2] / tc[3]Choose interpreter/Auslan/AAC/yarning; supporter present.
¶ 41 · tbl[1] / tr[2] / tc[4]Agree a practical safety plan you can use.
¶ 42 · tbl[1] / tr[2] / tc[5]Decide what’s right for you; you can change your mind.
¶ 43 · tbl[1] / tr[2] / tc[6]Money, work, school and transport considered.
¶ 44 · tbl[1] / tr[2] / tc[7]Ask for review if the plan isn’t working.
¶ 45 · tbl[1] / tr[3] / tc[1]Navigator (Access)
¶ 46 · tbl[1] / tr[3] / tc[2]Navigator listens; records safe contact method.
¶ 47 · tbl[1] / tr[3] / tc[3]Risk screen; transport/children/pets considered.
¶ 48 · tbl[1] / tr[3] / tc[4]Warm handover bookings (not ‘refer and hope’).
¶ 49 · tbl[1] / tr[3] / tc[5]Navigator checks barriers and fixes them.
AA-C06 · Family & DV · paragraphs 50–81
¶ 50 · tbl[1] / tr[3] / tc[6]Children’s needs planned (school/health).
¶ 51 · tbl[1] / tr[3] / tc[7]Navigator calls back to make sure help arrived.
¶ 52 · tbl[1] / tr[4] / tc[1]Police / Crisis Line
¶ 53 · tbl[1] / tr[4] / tc[2]Police/crisis line if immediate danger; calm approach.
¶ 54 · tbl[1] / tr[4] / tc[3]Police safety actions; evidence preserved.
¶ 55 · tbl[1] / tr[4] / tc[4]If charge: conditions in plain English.
¶ 56 · tbl[1] / tr[4] / tc[5]Police share outcomes lawfully.
¶ 57 · tbl[1] / tr[4] / tc[6]Breach checks use least-restrictive options.
¶ 58 · tbl[1] / tr[4] / tc[7]Police reduce re-contact by sharing support info.
¶ 59 · tbl[1] / tr[5] / tc[1]Health (GP/ED)
¶ 60 · tbl[1] / tr[5] / tc[2]GP/ED checks injuries, meds, and calm space.
¶ 61 · tbl[1] / tr[5] / tc[3]Medical care; forensic if consented.
¶ 62 · tbl[1] / tr[5] / tc[4]Scripts and follow-up booked.
¶ 63 · tbl[1] / tr[5] / tc[5]GP/ED sends summary (with consent).
¶ 64 · tbl[1] / tr[5] / tc[6]Health and mental health supports connected.
¶ 65 · tbl[1] / tr[5] / tc[7]GP follow-up; trauma-informed care.
¶ 66 · tbl[1] / tr[6] / tc[1]Housing / Refuge
¶ 67 · tbl[1] / tr[6] / tc[2]Short-term safe place organised if needed.
¶ 68 · tbl[1] / tr[6] / tc[3]Emergency housing/refuge; financial safety.
¶ 69 · tbl[1] / tr[6] / tc[4]Repairs/locks/bank steps; Centrelink links.
¶ 70 · tbl[1] / tr[6] / tc[5]Sustained housing pathway (rent, bond, utilities).
¶ 71 · tbl[1] / tr[6] / tc[6]Restabilise housing or relocate safely.
¶ 72 · tbl[1] / tr[6] / tc[7]Sustainable tenancy and income plan.
¶ 73 · tbl[1] / tr[7] / tc[1]Courts (IFVO/IVO)
¶ 74 · tbl[1] / tr[7] / tc[2]Court options explained simply.
¶ 75 · tbl[1] / tr[7] / tc[3]Intervention order options discussed.
¶ 76 · tbl[1] / tr[7] / tc[4]Court date set; support to attend.
¶ 77 · tbl[1] / tr[7] / tc[5]Legal help understands your communication needs.
¶ 78 · tbl[1] / tr[7] / tc[6]Court outcomes explained plainly.
¶ 79 · tbl[1] / tr[7] / tc[7]Appeal/variation paths explained.
¶ 80 · tbl[1] / tr[8] / tc[1]Provider (IDC-led)
¶ 81 · tbl[1] / tr[8] / tc[2]Provider helps with daily supports.
AA-C06 · Family & DV · paragraphs 82–110
¶ 82 · tbl[1] / tr[8] / tc[3]Safety plan for daily life routines.
¶ 83 · tbl[1] / tr[8] / tc[4]Community presence started quickly.
¶ 84 · tbl[1] / tr[8] / tc[5]IDC logs sessions and helps with routines.
¶ 85 · tbl[1] / tr[8] / tc[6]Plan fades restrictions as risk reduces.
¶ 86 · tbl[1] / tr[8] / tc[7]IDC updates alternatives and skills.
¶ 87 · tbl[1] / tr[9] / tc[1]Data & Integrity
¶ 88 · tbl[1] / tr[9] / tc[2]Privacy respected; case key created.
¶ 89 · tbl[1] / tr[9] / tc[3]Guardrails block harmful contact routes.
¶ 90 · tbl[1] / tr[9] / tc[4]E-receipts enable transparency.
¶ 91 · tbl[1] / tr[9] / tc[5]Dashboard shows progress without names.
¶ 92 · tbl[1] / tr[9] / tc[6]Change log public (no identities).
¶ 93 · tbl[1] / tr[9] / tc[7]Learning improves practice (TEMPLATE S-8).
¶ 95Flow - Swimlane (DETAILED)
¶ 96 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 97 · tbl[2] / tr[1] / tc[2]Report & Consent
¶ 98 · tbl[2] / tr[1] / tc[3]Risk & Communication
¶ 99 · tbl[2] / tr[1] / tc[4]Warm Handover Artefacts
¶ 100 · tbl[2] / tr[1] / tc[5]Health & Forensic
¶ 101 · tbl[2] / tr[1] / tc[6]Orders/Conditions & Reasons
¶ 102 · tbl[2] / tr[1] / tc[7]Stabilise, Review & Publication
¶ 103 · tbl[2] / tr[2] / tc[1]Person & Allies (incl. children)
¶ 104 · tbl[2] / tr[2] / tc[2]Safe contact method chosen; consent & privacy choices (TEMPLATE K-3; TEMPLATES N).
¶ 105 · tbl[2] / tr[2] / tc[3]Voice captured with interpreter/Auslan/AAC; children’s needs listed (TEMPLATES N; TEMPLATES L).
¶ 106 · tbl[2] / tr[2] / tc[4]Nominate supporters; safety artefacts accepted/refused (photos, messages) (TEMPLATES L).
¶ 107 · tbl[2] / tr[2] / tc[5]Health/forensic with consent; trauma-aware care (TEMPLATES L).
¶ 108 · tbl[2] / tr[2] / tc[6]Plain-English reasons for orders/conditions; Easy Read; safety tests (TEMPLATES L; TEMPLATES M).
¶ 109 · tbl[2] / tr[2] / tc[7]Review invites; fade plan as risk lowers; S-8 updates (TEMPLATE S-8).
¶ 110 · tbl[2] / tr[3] / tc[1]Navigator (Access)
AA-C06 · Family & DV · paragraphs 111–126
¶ 111 · tbl[2] / tr[3] / tc[2]Access receipt; privacy & safe words; brokerage if First Nations/CALD (TEMPLATE N-1; TEMPLATES O).
¶ 112 · tbl[2] / tr[3] / tc[3]Risk screen; transport; children/pets; safe tech setup (TEMPLATES N).
¶ 113 · tbl[2] / tr[3] / tc[4]Warm handover to police/housing/health/legal; artefact inventory (TEMPLATES N).
¶ 114 · tbl[2] / tr[3] / tc[5]Ensure ED/GP aware of risks; D-2 if meds change (TEMPLATE D-2).
¶ 115 · tbl[2] / tr[3] / tc[6]Right-to-Reasons kit coordination (facts, tests, alternatives) (TEMPLATES L; TEMPLATES M).
¶ 116 · tbl[2] / tr[3] / tc[7]Follow-ups confirmed; de-identified publication pack (TEMPLATE S-8).
¶ 117 · tbl[2] / tr[4] / tc[1]Police / Crisis Service
¶ 118 · tbl[2] / tr[4] / tc[2]Calm approach; safety first; record comms needs (TEMPLATES AB; TEMPLATES N).
¶ 119 · tbl[2] / tr[4] / tc[3]Immediate risk management; referral to refuge; special measures for interview (TEMPLATES N; TEMPLATES L).
¶ 120 · tbl[2] / tr[4] / tc[4]Warm handover to Navigator/IDC; evidence preservation guidance (TEMPLATES AB).
¶ 121 · tbl[2] / tr[4] / tc[5]Forensic options explained; support person present (TEMPLATES L).
¶ 122 · tbl[2] / tr[4] / tc[6]Conditions in plain language; least-restrictive breach checks (TEMPLATES AB; TEMPLATES L).
¶ 123 · tbl[2] / tr[4] / tc[7]Share de-identified outcomes to support learning (TEMPLATE S-8).
¶ 124 · tbl[2] / tr[5] / tc[1]Health (ED/GP/MH/AOD)
¶ 125 · tbl[2] / tr[5] / tc[2]Consent & comms mode recorded; private room; children’s health noted (TEMPLATES L; TEMPLATE K-3).
¶ 126 · tbl[2] / tr[5] / tc[3]Injury/trauma/AOD screens; interpreter/Auslan/AAC as needed (TEMPLATES N).
AA-C06 · Family & DV · paragraphs 127–142
¶ 127 · tbl[2] / tr[5] / tc[4]Handover to refuge/housing; MH/AOD linkages (TEMPLATES N).
¶ 128 · tbl[2] / tr[5] / tc[5]Medication reconciliation ≤72h if started/changed (TEMPLATE D-2).
¶ 129 · tbl[2] / tr[5] / tc[6]Plain reasons for care plan; safety meds guidance (TEMPLATES L).
¶ 130 · tbl[2] / tr[5] / tc[7]GP follow-up; participation in 72h review if incident (TEMPLATE B-1).
¶ 131 · tbl[2] / tr[6] / tc[1]Housing/Refuge & Financial Safety
¶ 132 · tbl[2] / tr[6] / tc[2]Short-term safe placement; security changes; pets/children considered.
¶ 133 · tbl[2] / tr[6] / tc[3]Interpreter/Auslan/AAC; brokerage for First Nations/CALD (TEMPLATES N; TEMPLATES O).
¶ 134 · tbl[2] / tr[6] / tc[4]Artefacts: locks, phones, transport, bank safety; Centrelink; victim support (TEMPLATES N).
¶ 135 · tbl[2] / tr[6] / tc[5]Health needs supported; scripts; trauma-aware refuge practice (TEMPLATES L).
¶ 136 · tbl[2] / tr[6] / tc[6]Order conditions implemented; property retrieval plans (TEMPLATES L).
¶ 137 · tbl[2] / tr[6] / tc[7]Transition to long-term housing; de-identified learning shared (TEMPLATE S-8).
¶ 138 · tbl[2] / tr[7] / tc[1]Legal Aid / Courts (IVO/IFVO)
¶ 139 · tbl[2] / tr[7] / tc[2]List IVO/IFVO; special measures; communication supports (TEMPLATES N; TEMPLATES L).
¶ 140 · tbl[2] / tr[7] / tc[3]Lawyer explains options plainly; Easy Read; interpreter pairing quality (TEMPLATES L; TEMPLATES N).
¶ 141 · tbl[2] / tr[7] / tc[4]Serve handover artefacts to court; alternatives documented (TEMPLATES M).
¶ 142 · tbl[2] / tr[7] / tc[5]Reasons in plain language; Easy Read version; AM-6 for First Nations materials (TEMPLATES L; TEMPLATE AM-6).
AA-C06 · Family & DV · paragraphs 143–160
¶ 143 · tbl[2] / tr[7] / tc[6]Breach and variation paths explained; least-restrictive conditions (TEMPLATES AB).
¶ 144 · tbl[2] / tr[7] / tc[7]Public reasons de-identified; visible change log (TEMPLATE S-8).
¶ 145 · tbl[2] / tr[8] / tc[1]Provider (IDC-led)
¶ 146 · tbl[2] / tr[8] / tc[2]Intake; will & preferences; map daily routines (TEMPLATE K-3).
¶ 147 · tbl[2] / tr[8] / tc[3]Safe tech/practical supports; transport; communication supports (TEMPLATES N).
¶ 148 · tbl[2] / tr[8] / tc[4]Log sessions via e-receipts; coordinate with refuge/health/legal (TEMPLATES T).
¶ 149 · tbl[2] / tr[8] / tc[5]Deliver supports; meds tasks tracked; safety rehearsals (TEMPLATE D-2).
¶ 150 · tbl[2] / tr[8] / tc[6]Step-up during wobble; check-ins around court dates; children’s needs.
¶ 151 · tbl[2] / tr[8] / tc[7]Fade plan; skills and confidence building; publish learning (TEMPLATE S-8).
¶ 152 · tbl[2] / tr[9] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 153 · tbl[2] / tr[9] / tc[2]Trigger: parity drift/contested facts; risk spike (TEMPLATES M).
¶ 154 · tbl[2] / tr[9] / tc[3]File-vs-field; contradiction matrix; interpreter quality audit (TEMPLATES M; TEMPLATES N).
¶ 155 · tbl[2] / tr[9] / tc[4]Calibrate artefacts; ensure alternatives & cultural safety (TEMPLATES M; TEMPLATES O).
¶ 156 · tbl[2] / tr[9] / tc[5]Fairness tests; reasons completeness (TEMPLATES L).
¶ 157 · tbl[2] / tr[9] / tc[6]Guardrails and exceptions audit (TEMPLATES T).
¶ 158 · tbl[2] / tr[9] / tc[7]Close-out memo; learning to S-8 publication (TEMPLATE S-8).
¶ 159 · tbl[2] / tr[10] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 160 · tbl[2] / tr[10] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
AA-C06 · Family & DV · paragraphs 161–175
¶ 161 · tbl[2] / tr[10] / tc[3]Roster↔claim rules; safe-contact flags; impossible hours blocked (TEMPLATES T).
¶ 162 · tbl[2] / tr[10] / tc[4]Artefact inventory; provenance; DPIA (TEMPLATES T; TEMPLATES R).
¶ 163 · tbl[2] / tr[10] / tc[5]Tiles: interpreter timeliness; time-to-reasons; refuge occupancy (TEMPLATES T).
¶ 164 · tbl[2] / tr[10] / tc[6]Promise_kept_ratio; exception ageing (TEMPLATES T).
¶ 165 · tbl[2] / tr[10] / tc[7]Publication pack; visible change log (TEMPLATE S-8).
¶ 167How we measure ourselves (published quarterly)
¶ 168We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Percentages are ‘how many out of how many’. Some items are days, minutes or per-100 rates.
¶ 169Access & Safety
¶ 170• Safe contact established within 24h - Latest: [ - ] █ (new requests with a safe contact set).
¶ 171• Interpreter/Auslan/AAC provided when needed - Latest: [ - ] █ (needed vs provided) (TEMPLATES N).
¶ 172• Safety plan delivered in plain language - Latest: [ - ] █ (eligible vs delivered) (TEMPLATES L).
¶ 173Timeliness & Legal
¶ 174• Time to first warm handover (days; lower better) - Latest: [ - ] █.
¶ 175• Court special measures set when needed - Latest: [ - ] █ (indicated vs ordered) (TEMPLATES N).
AA-C06 · Family & DV · paragraphs 176–194
¶ 176• Breach checks least-restrictive - Latest: [ - ] █ (proportion with supports before enforcement).
¶ 177Health, Housing & Stability
¶ 178• ED/GP follow-up booked within 72h - Latest: [ - ] █.
¶ 179• Refuge/housing secured within 48h (eligible) - Latest: [ - ] █.
¶ 180• Re-contact rate within 90 days (per 100 cases; lower better) - Latest: [ - ] █.
¶ 181Learning & Repair
¶ 182• 72-hour reviews completed on time - Latest: [ - ] █ (required vs completed) (TEMPLATE B-1).
¶ 183• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 184ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 187Example - What real results look like (illustrative)
¶ 188Replace with your numbers.
¶ 189Access & Safety (example)
¶ 190• Safe contact established within 24h.............. [ 94% ] ████████████████████████████████████
¶ 191• Interpreter/Auslan/AAC provided when needed...... [ 91% ] ████████████████████████████████
¶ 192• Safety plan delivered in plain language.......... [ 87% ] █████████████████████████████
¶ 193 Timeliness & Legal (example)
¶ 194• Time to first warm handover (days; lower better). [ 2 ] ████
AA-C06 · Family & DV · paragraphs 195–235
¶ 195• Court special measures set when needed........... [ 84% ] ████████████████████████████
¶ 196• Least-restrictive breach checks.................. [ 73% ] ███████████████████████
¶ 197 Health, Housing & Stability (example)
¶ 198• ED/GP follow-up booked within 72h................ [ 89% ] ███████████████████████████████
¶ 199• Refuge/housing secured within 48h................ [ 76% ] ██████████████████████
¶ 200• Re-contact rate within 90 days (/100; lower)..... [ 21 ] █████████
¶ 201 Learning & Repair (example)
¶ 202• 72-hour reviews completed on time................ [ 93% ] ███████████████████████████████████
¶ 203• Promise-kept ratio............................... [0.90 ] █████████████████████████████████
¶ 205Example Metrics Table (replace with your actuals)
¶ 206 · tbl[3] / tr[1] / tc[1]Tile
¶ 207 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 208 · tbl[3] / tr[1] / tc[3]Target
¶ 209 · tbl[3] / tr[1] / tc[4]Current
¶ 210 · tbl[3] / tr[1] / tc[5]Trend
¶ 211 · tbl[3] / tr[2] / tc[1]Safe contact within 24h
¶ 212 · tbl[3] / tr[2] / tc[2]% new requests with a safe contact set within 24h
¶ 213 · tbl[3] / tr[2] / tc[3]≥95%
¶ 214 · tbl[3] / tr[2] / tc[4]94%
¶ 215 · tbl[3] / tr[2] / tc[5]→
¶ 216 · tbl[3] / tr[3] / tc[1]Interpreter/Auslan/AAC provided
¶ 217 · tbl[3] / tr[3] / tc[2]% required cases with supports provided
¶ 218 · tbl[3] / tr[3] / tc[3]≥90%
¶ 219 · tbl[3] / tr[3] / tc[4]91%
¶ 220 · tbl[3] / tr[3] / tc[5]→
¶ 221 · tbl[3] / tr[4] / tc[1]Plain-language safety plan
¶ 222 · tbl[3] / tr[4] / tc[2]% eligible cases with Easy Read/plain plan
¶ 223 · tbl[3] / tr[4] / tc[3]≥95%
¶ 224 · tbl[3] / tr[4] / tc[4]87%
¶ 225 · tbl[3] / tr[4] / tc[5]↑
¶ 226 · tbl[3] / tr[5] / tc[1]First warm handover (days)
¶ 227 · tbl[3] / tr[5] / tc[2]Median days to first warm handover
¶ 228 · tbl[3] / tr[5] / tc[3]≤2
¶ 229 · tbl[3] / tr[5] / tc[4]2
¶ 230 · tbl[3] / tr[5] / tc[5]→
¶ 231 · tbl[3] / tr[6] / tc[1]Court special measures set
¶ 232 · tbl[3] / tr[6] / tc[2]% indicated matters with adjustments ordered
¶ 233 · tbl[3] / tr[6] / tc[3]≥90%
¶ 234 · tbl[3] / tr[6] / tc[4]84%
¶ 235 · tbl[3] / tr[6] / tc[5]↑
AA-C06 · Family & DV · paragraphs 236–266
¶ 236 · tbl[3] / tr[7] / tc[1]Least-restrictive breach checks
¶ 237 · tbl[3] / tr[7] / tc[2]% breach checks with supports before enforcement
¶ 238 · tbl[3] / tr[7] / tc[3]≥80%
¶ 239 · tbl[3] / tr[7] / tc[4]73%
¶ 240 · tbl[3] / tr[7] / tc[5]↑
¶ 241 · tbl[3] / tr[8] / tc[1]ED/GP follow-up ≤72h
¶ 242 · tbl[3] / tr[8] / tc[2]% cases with health follow-up within 72h
¶ 243 · tbl[3] / tr[8] / tc[3]≥90%
¶ 244 · tbl[3] / tr[8] / tc[4]89%
¶ 245 · tbl[3] / tr[8] / tc[5]→
¶ 246 · tbl[3] / tr[9] / tc[1]Refuge/housing ≤48h
¶ 247 · tbl[3] / tr[9] / tc[2]% eligible cases housed within 48h
¶ 248 · tbl[3] / tr[9] / tc[3]≥85%
¶ 249 · tbl[3] / tr[9] / tc[4]76%
¶ 250 · tbl[3] / tr[9] / tc[5]↑
¶ 251 · tbl[3] / tr[10] / tc[1]Re-contact within 90 days
¶ 252 · tbl[3] / tr[10] / tc[2]Per 100 cases (lower is better)
¶ 253 · tbl[3] / tr[10] / tc[3]↓ q/q
¶ 254 · tbl[3] / tr[10] / tc[4]21
¶ 255 · tbl[3] / tr[10] / tc[5]↓
¶ 256 · tbl[3] / tr[11] / tc[1]72-hour reviews on time
¶ 257 · tbl[3] / tr[11] / tc[2]% required reviews completed ≤72h
¶ 258 · tbl[3] / tr[11] / tc[3]≥95%
¶ 259 · tbl[3] / tr[11] / tc[4]93%
¶ 260 · tbl[3] / tr[11] / tc[5]→
¶ 261 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 262 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 263 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 264 · tbl[3] / tr[12] / tc[4]0.90
¶ 265 · tbl[3] / tr[12] / tc[5]→
¶ 266 Owner: __________ Data source(s): Access receipt; Police/crisis logs; Refuge placements; Court lists; GP/ED summaries; Interpreter/Auslan bookings; IDC/e-receipts; Roster↔Claim
AA-C07 · Housing & Homelessness
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C07_Housing_&_Homelessness_v1.docx
Member SHA-256: 57b002a5f09c0a6bc4520322688d074f64ff56d5577b3dad62fd977b7c3c9350
AA-C07 · Housing & Homelessness · paragraphs 1–9
¶ 1 - Document control - Template ID: AA-C07 - Housing & Homelessness Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C07 - Housing & Homelessness
¶ 3(Crisis to ordinary, stable homes)
¶ 5What this title means (in plain words) This crosswalk sets out how we prevent homelessness, respond safely in a crisis, and support the person into an ordinary home - not institutions / micro-institutions or endless short stays. “Warm handover” means a named person books and keeps the next step across housing, income, health and justice. “Least-restrictive supports” means the person keeps choice and control (who to live with, visitors, routines); big calls use Two-Key so no one decides alone.
¶ 6What this means for the person and supporters
¶ 7You choose how we meet. Outreach, phone or office; interpreter, Auslan or AAC/Yes-No used from the first contact (TEMPLATES N).
¶ 8Crisis first, then a plan. Safe short-term options (refuge/motel/THM) are arranged quickly, then we plan with you for longer-term housing you actually want (TEMPLATES L).
¶ 9Real handovers, not “refer and hope”. Appointments for housing, income, health and justice are booked & kept with a named steward.
AA-C07 · Housing & Homelessness · paragraphs 10–17
¶ 10Your tenancy rights are respected. Plain-language agreements, reasonable adjustments, and support that doesn’t take over your tenancy.
¶ 11Least-restrictive by default. Decisions about where you live, who with, visitor rules or safety technology use Two-Key with plain reasons you can read.
¶ 12Money and health continuity. Income support, rent payments and medications are lined up so you don’t lose income or scripts between moves.
¶ 13If something goes wrong. Any use of restraint/sedation or critical incident triggers a 72-hour learning review and updates to the plan.
¶ 14Privacy protected. Only what’s needed is shared; no person-level details are published.
¶ 15What services must do (so you don’t have to)
¶ 16Access first. Book interpreter/Auslan; set up AAC; use teach-back; record and carry forward the person’s preferred communication mode (TEMPLATES N).
¶ 17Stabilise quickly, plan clearly. Arrange crisis accommodation; complete a plain-language Safety & Housing Plan (who/what/when), including transport and medication continuity (TEMPLATES L; Appendix D).
AA-C07 · Housing & Homelessness · paragraphs 18–29
¶ 18Use Two-Key for consequential housing decisions. Independence & cultural-fit screen; one-page Reasons & Weighting with contradictions resolved (Appendix K/H/I).
¶ 19Deliver warm handovers. SBAR summary, named steward, time booked & kept for:
¶ 20Housing allocations (public/community/SDA/ILO) and tenancy sustainment
¶ 21Income (Centrelink/guardianship admin where relevant)
¶ 22Health (GP/mental health, AOD, pharmacy/med-rec ≤72 h)
¶ 23Justice (fines, bail, ID recovery)
¶ 24Separate housing from support. Avoid conflicts (tenancy ≠ service roster); enable easy switching of supports without risking the tenancy.
¶ 25Prevent re-entry to homelessness. Budget setup costs; connect to local community (CPI/participation); set reminders for lease milestones; run early-warning prompts (arrears/utility risk).
¶ 26Guard privacy. Minimum data, coarse geography, small-cell suppression for any publication; provenance/hash on any releases (Appendix R/S/AL/T).
¶ 27Close the learning loop. After any incident or failed placement, hold the 72-hour review and adjust the plan (Appendix B-C).
¶ 28Helpful artefacts (where to find them)
¶ 29Communication access kit (interpreter/Auslan/AAC) & Easy Read blocks: TEMPLATES N; TEMPLATES L
AA-C07 · Housing & Homelessness · paragraphs 30–51
¶ 30Warm Handover bundle (SBAR + steward + booked/kept proof): Appendix D / AO-6N
¶ 31Two-Key short form + Reasons & Matrix: Appendix K / Appendix H / Appendix I
¶ 32Medication reconciliation (≤72 h) and continuity checklist: Appendix D
¶ 33Participation & community links (CPI): Appendix L (tiles feed to Appendix S/AL)
¶ 34Privacy, suppression & provenance checks: Appendix R/S/AL/T
¶ 35Switching protocol (keep tenancy, change supports safely): Appendix M
¶ 36Plain-language promise “We’ll meet you in the way that works for you, make crisis accommodation safe and quick, book and keep the next steps across housing, income, health and justice, protect your tenancy and privacy, use two independent sign-offs for big housing decisions, and review any incident within 72 hours so the plan keeps getting better.”
¶ 38Housing & homelessness (at a glance)
¶ 39 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 40 · tbl[1] / tr[1] / tc[2]Ask for help / outreach
¶ 41 · tbl[1] / tr[1] / tc[3]Immediate safety
¶ 42 · tbl[1] / tr[1] / tc[4]Plan for housing
¶ 43 · tbl[1] / tr[1] / tc[5]Apply & match
¶ 44 · tbl[1] / tr[1] / tc[6]Move-in & live well
¶ 45 · tbl[1] / tr[1] / tc[7]Review & stability
¶ 46 · tbl[1] / tr[2] / tc[1]You & Your Supporter
¶ 47 · tbl[1] / tr[2] / tc[2]Call, drop-in or meet outreach; supporter welcome.
¶ 48 · tbl[1] / tr[2] / tc[3]Choose interpreter/Auslan/AAC; yarning if preferred.
¶ 49 · tbl[1] / tr[2] / tc[4]You choose area, pets, housemates, supports.
¶ 50 · tbl[1] / tr[2] / tc[5]You view options and pick best fit.
¶ 51 · tbl[1] / tr[2] / tc[6]Move in; agree simple house rules/rights.
AA-C07 · Housing & Homelessness · paragraphs 52–82
¶ 52 · tbl[1] / tr[2] / tc[7]Goal is a stable ordinary home.
¶ 53 · tbl[1] / tr[3] / tc[1]Navigator (Access)
¶ 54 · tbl[1] / tr[3] / tc[2]Navigator sets safe contact and consent (TEMPLATE K-3).
¶ 55 · tbl[1] / tr[3] / tc[3]Transport and essentials (ID, phone, clothes).
¶ 56 · tbl[1] / tr[3] / tc[4]Navigator books warm handover meeting.
¶ 57 · tbl[1] / tr[3] / tc[5]Navigator confirms utilities and NBN.
¶ 58 · tbl[1] / tr[3] / tc[6]Navigator checks barriers (money/transport).
¶ 59 · tbl[1] / tr[3] / tc[7]Navigator confirms promises kept.
¶ 60 · tbl[1] / tr[4] / tc[1]Homelessness Entry/Outreach (SHS/Refuge)
¶ 61 · tbl[1] / tr[4] / tc[2]Entry service does quick triage and books a bed if needed.
¶ 62 · tbl[1] / tr[4] / tc[3]Short‑term place (motel/refuge/THM) found fast.
¶ 63 · tbl[1] / tr[4] / tc[4]Entry service gathers docs and references.
¶ 64 · tbl[1] / tr[4] / tc[5]Entry service keeps bed until keys.
¶ 65 · tbl[1] / tr[4] / tc[6]Entry service closes with warm handover.
¶ 66 · tbl[1] / tr[4] / tc[7]Entry service available if wobbles.
¶ 67 · tbl[1] / tr[5] / tc[1]Housing Provider (CHP/Public)
¶ 68 · tbl[1] / tr[5] / tc[2]Housing provider checks eligibility/wait options.
¶ 69 · tbl[1] / tr[5] / tc[3]Provider flags appropriate property types.
¶ 70 · tbl[1] / tr[5] / tc[4]Applications lodged (social/private).
¶ 71 · tbl[1] / tr[5] / tc[5]Offer made; entry condition report.
¶ 72 · tbl[1] / tr[5] / tc[6]Repairs pathway and contacts explained.
¶ 73 · tbl[1] / tr[5] / tc[7]Sustainment checks at 3/6/12 months.
¶ 74 · tbl[1] / tr[6] / tc[1]Health (GP/ED/MH/AOD)
¶ 75 · tbl[1] / tr[6] / tc[2]GP/ED checks health/meds; scripts if needed.
¶ 76 · tbl[1] / tr[6] / tc[3]Health plan for meds/sleep/stress.
¶ 77 · tbl[1] / tr[6] / tc[4]Clinical letters for accessibility if needed.
¶ 78 · tbl[1] / tr[6] / tc[5]Scripts/equipment ready for home.
¶ 79 · tbl[1] / tr[6] / tc[6]GP review; referrals as needed.
¶ 80 · tbl[1] / tr[6] / tc[7]Health checks; sleep/stress support.
¶ 81 · tbl[1] / tr[7] / tc[1]Provider (IDC-led)
¶ 82 · tbl[1] / tr[7] / tc[2]IDC listens to goals and daily routines.
AA-C07 · Housing & Homelessness · paragraphs 83–114
¶ 83 · tbl[1] / tr[7] / tc[3]IDC arranges meals/meds/appointments.
¶ 84 · tbl[1] / tr[7] / tc[4]IDC preps move‑in plan and schedule.
¶ 85 · tbl[1] / tr[7] / tc[5]IDC sets community presence times.
¶ 86 · tbl[1] / tr[7] / tc[6]IDC logs sessions; neighbour support.
¶ 87 · tbl[1] / tr[7] / tc[7]IDC fade plan as skills grow.
¶ 88 · tbl[1] / tr[8] / tc[1]Justice/Police (as applicable)
¶ 89 · tbl[1] / tr[8] / tc[2]Police only for safety; calm approach.
¶ 90 · tbl[1] / tr[8] / tc[3]Safety planning if family violence.
¶ 91 · tbl[1] / tr[8] / tc[4]Police support safe retrieval of belongings.
¶ 92 · tbl[1] / tr[8] / tc[5]Police attend only if necessary.
¶ 93 · tbl[1] / tr[8] / tc[6]Police use least‑restrictive options.
¶ 94 · tbl[1] / tr[8] / tc[7]Re‑contact reduced via supports.
¶ 95 · tbl[1] / tr[9] / tc[1]Data & Integrity
¶ 96 · tbl[1] / tr[9] / tc[2]Privacy kept; case key created.
¶ 97 · tbl[1] / tr[9] / tc[3]Guardrails block impossible hours/claims.
¶ 98 · tbl[1] / tr[9] / tc[4]Dashboard shows progress, no names.
¶ 99 · tbl[1] / tr[9] / tc[5]E‑receipts on; provenance kept.
¶ 100 · tbl[1] / tr[9] / tc[6]Exceptions queue watched.
¶ 101 · tbl[1] / tr[9] / tc[7]Public update without identities (TEMPLATE S-8).
¶ 103Flow - Swimlane (DETAILED)
¶ 104 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 105 · tbl[2] / tr[1] / tc[2]Contact & Consent
¶ 106 · tbl[2] / tr[1] / tc[3]Triage & Communication
¶ 107 · tbl[2] / tr[1] / tc[4]Warm Handover Artefacts
¶ 108 · tbl[2] / tr[1] / tc[5]Housing Pathway & Medicines
¶ 109 · tbl[2] / tr[1] / tc[6]Supports Live & Guardrails
¶ 110 · tbl[2] / tr[1] / tc[7]Stability, Review & Publication
¶ 111 · tbl[2] / tr[2] / tc[1]Person & Allies (Family/Guardian/Advocate)
¶ 112 · tbl[2] / tr[2] / tc[2]Choose safe contact; state housing goals, pets, preferred areas (TEMPLATE K-3; TEMPLATES N).
¶ 113 · tbl[2] / tr[2] / tc[3]Interpreter/Auslan/AAC/yarning as preferred; consent choices (TEMPLATES N).
¶ 114 · tbl[2] / tr[2] / tc[4]Nominate supporters; artefacts list (ID, income, references) (TEMPLATES N).
AA-C07 · Housing & Homelessness · paragraphs 115–130
¶ 115 · tbl[2] / tr[2] / tc[5]Agree pathway (social, private, ILO/SIL) and health needs; med plan (TEMPLATE D-2).
¶ 116 · tbl[2] / tr[2] / tc[6]Daily routines and responsibilities; feedback loop (TEMPLATES M).
¶ 117 · tbl[2] / tr[2] / tc[7]Ask for review; co-release wording if published (TEMPLATE S-8; TEMPLATE AM-6).
¶ 118 · tbl[2] / tr[3] / tc[1]Navigator (Access)
¶ 119 · tbl[2] / tr[3] / tc[2]Access receipt; privacy-safe IDs; brokerage for First Nations/CALD (TEMPLATE N-1; TEMPLATES O).
¶ 120 · tbl[2] / tr[3] / tc[3]Triage risk; book interpreter; transport/tech set-up (TEMPLATES N).
¶ 121 · tbl[2] / tr[3] / tc[4]Warm handover to SHS/Refuge/Housing/IDC; artefact inventory (TEMPLATES N).
¶ 122 · tbl[2] / tr[3] / tc[5]Coordinate applications; link to income and bond; ensure D-2 booked if meds change (TEMPLATE D-2).
¶ 123 · tbl[2] / tr[3] / tc[6]Check navigator_coverage; barrier fixes; roster↔claim rules (TEMPLATES T).
¶ 124 · tbl[2] / tr[3] / tc[7]Confirm follow-ups and 3/6/12‑month sustainment checks; publish de-identified update (TEMPLATE S-8).
¶ 125 · tbl[2] / tr[4] / tc[1]Homelessness Entry/Outreach (SHS/Refuge)
¶ 126 · tbl[2] / tr[4] / tc[2]Assertive outreach; contact recorded; consent (TEMPLATES N).
¶ 127 · tbl[2] / tr[4] / tc[3]Triage (crisis/priority); interpreter/Auslan/AAC if needed (TEMPLATES N).
¶ 128 · tbl[2] / tr[4] / tc[4]Warm handover to housing provider; documents gathered (ID, proof of income, references).
¶ 129 · tbl[2] / tr[4] / tc[5]Short‑term stay arranged; safety; health links; medication continuation (TEMPLATE D-2).
¶ 130 · tbl[2] / tr[4] / tc[6]Daily living aids; meals; transport; sessions logged via e‑receipts (TEMPLATES T).
AA-C07 · Housing & Homelessness · paragraphs 131–147
¶ 131 · tbl[2] / tr[4] / tc[7]Close with warm handover to housing/IDC; lessons to S‑8 log.
¶ 132 · tbl[2] / tr[5] / tc[1]Housing Provider (CHP/Public/Private)
¶ 133 · tbl[2] / tr[5] / tc[2]Eligibility; waitlist options; accessibility requirements.
¶ 134 · tbl[2] / tr[5] / tc[3]Interpreter/Auslan/AAC for viewings; Easy Read offers (TEMPLATES L; TEMPLATES N).
¶ 135 · tbl[2] / tr[5] / tc[4]Warm handover artefacts: offer, entry condition report, repairs SLA, contacts (TEMPLATES L).
¶ 136 · tbl[2] / tr[5] / tc[5]Allocate property; coordinate utilities/modifications; med delivery point if needed (TEMPLATE D-2).
¶ 137 · tbl[2] / tr[5] / tc[6]Repairs/inspections; sustainment checks; reasonable adjustments (TEMPLATES L).
¶ 138 · tbl[2] / tr[5] / tc[7]Tenancy reviews; public-safe outcomes filed (TEMPLATE S-8).
¶ 139 · tbl[2] / tr[6] / tc[1]Health (GP/ED/MH/AOD)
¶ 140 · tbl[2] / tr[6] / tc[2]Consent & comms mode recorded; scripts and equipment (TEMPLATES L; TEMPLATE K-3).
¶ 141 · tbl[2] / tr[6] / tc[3]Assess injuries/AOD/MH; interpreter/Auslan/AAC as needed (TEMPLATES N).
¶ 142 · tbl[2] / tr[6] / tc[4]Summary letters for housing; disability evidence if required (TEMPLATES L).
¶ 143 · tbl[2] / tr[6] / tc[5]Medication reconciliation ≤72h if changes; safe storage guidance (TEMPLATE D-2).
¶ 144 · tbl[2] / tr[6] / tc[6]Ongoing care in the community; outreach for rough sleepers.
¶ 145 · tbl[2] / tr[6] / tc[7]Join reviews; plain-language updates (TEMPLATES L).
¶ 146 · tbl[2] / tr[7] / tc[1]Provider Intake (IDC-led)
¶ 147 · tbl[2] / tr[7] / tc[2]Single intake; will & preferences; tenancy sustainment goals (TEMPLATE K-3).
AA-C07 · Housing & Homelessness · paragraphs 148–163
¶ 148 · tbl[2] / tr[7] / tc[3]Assign IDC lead; weekly community presence; communication supports (TEMPLATE D-3; TEMPLATES N).
¶ 149 · tbl[2] / tr[7] / tc[4]Artefacts collated; first presence session booked; e‑receipts (TEMPLATES T).
¶ 150 · tbl[2] / tr[7] / tc[5]Deliver supports; meds tasks tracked; community connections (TEMPLATE D-2).
¶ 151 · tbl[2] / tr[7] / tc[6]Step-up during wobble/crisis; neighbour problem-solving (TEMPLATES M).
¶ 152 · tbl[2] / tr[7] / tc[7]Fade plan after stability; contribute to learning review (TEMPLATE B-1; TEMPLATE S-8).
¶ 153 · tbl[2] / tr[8] / tc[1]Justice/Police (as applicable)
¶ 154 · tbl[2] / tr[8] / tc[2]Safety by presence; calm approach; comms needs recorded (TEMPLATES AB; TEMPLATES N).
¶ 155 · tbl[2] / tr[8] / tc[3]Diversion to health/housing where safe; avoid charge-first (TEMPLATES AB).
¶ 156 · tbl[2] / tr[8] / tc[4]Warm handover to Navigator/IDC; belongings retrieval.
¶ 157 · tbl[2] / tr[8] / tc[5]Plain-language conditions if orders; meds continuity in custody (TEMPLATES L; TEMPLATE D-2).
¶ 158 · tbl[2] / tr[8] / tc[6]Neighbour disputes mediation; least-restrictive compliance (TEMPLATES AB).
¶ 159 · tbl[2] / tr[8] / tc[7]De-identified learning shared to S‑8 log.
¶ 160 · tbl[2] / tr[9] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 161 · tbl[2] / tr[9] / tc[2]Trigger: parity drift or repeated rough sleeping after contact (TEMPLATES M).
¶ 162 · tbl[2] / tr[9] / tc[3]File‑vs‑field; contradiction matrix; interpreter quality audit (TEMPLATES N).
¶ 163 · tbl[2] / tr[9] / tc[4]Calibrate artefacts; alternatives completeness; affordability tests (TEMPLATES M).
AA-C07 · Housing & Homelessness · paragraphs 164–181
¶ 164 · tbl[2] / tr[9] / tc[5]Fairness tests for allocations; D‑2 verification (TEMPLATES L; TEMPLATE D-2).
¶ 165 · tbl[2] / tr[9] / tc[6]Exception ageing; coach providers on guardrails (TEMPLATES T).
¶ 166 · tbl[2] / tr[9] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 167 · tbl[2] / tr[10] / tc[1]Data/Integrity (E‑receipt, Roster↔Claim)
¶ 168 · tbl[2] / tr[10] / tc[2]Case key; privacy-safe IDs; start e‑receipt ledger (TEMPLATES T).
¶ 169 · tbl[2] / tr[10] / tc[3]Roster↔claim rules; outreach time capture; interpreter attendance (TEMPLATES T).
¶ 170 · tbl[2] / tr[10] / tc[4]Artefact inventory: applications, offers, entry report, utilities (TEMPLATES T).
¶ 171 · tbl[2] / tr[10] / tc[5]Tiles: time-to-safe-bed; rough-sleep nights; exceptions age (TEMPLATES T).
¶ 172 · tbl[2] / tr[10] / tc[6]Promise_kept_ratio; arrears/repairs SLA feed (TEMPLATES T).
¶ 173 · tbl[2] / tr[10] / tc[7]DPIA; publication pack; visible change log (TEMPLATE S-8).
¶ 177How we measure ourselves (published quarterly)
¶ 178We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some are days/minutes or per‑100 client rates; others are percentages.
¶ 179Access & Entry
¶ 180• Time to safe bed (hours; lower is better) - Latest: [ - ] █ (first contact to temporary place).
¶ 181• Interpreter/Auslan/AAC provided when needed - Latest: [ - ] █ (needed vs provided) (TEMPLATES N).
AA-C07 · Housing & Homelessness · paragraphs 182–199
¶ 182• Assertive outreach contact rate - Latest: [ - ] █ (% of known rough sleepers contacted weekly).
¶ 183Safety & Health
¶ 184• Rough‑sleep nights per person this quarter - Latest: [ - ] █ (lower is better).
¶ 185• Critical incident rate (per 100 clients; lower better) - Latest: [ - ] █.
¶ 186• Medication reconciliation ≤72h after ED visit - Latest: [ - ] █ (changes vs reconciled) (TEMPLATE D-2).
¶ 187Timeliness & Housing Pathway
¶ 188• Time to long‑term housing offer (days) - Latest: [ - ] █.
¶ 189• Warm handover completed (SHS→Housing/IDC) - Latest: [ - ] █ (% with warm handover).
¶ 190• Repairs completed within SLA - Latest: [ - ] █ (requests vs on‑time).
¶ 191Learning & Sustainment
¶ 192• 12‑month tenancy sustainment - Latest: [ - ] █ (% still housed).
¶ 193• 72‑hour reviews completed on time - Latest: [ - ] █ (required vs completed) (TEMPLATE B-1).
¶ 194• Promise‑kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 195ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 197Example - What real results look like (illustrative)
¶ 198Replace with your numbers.
¶ 199Access & Entry (example)
AA-C07 · Housing & Homelessness · paragraphs 200–217
¶ 200• Time to safe bed (hours; lower).................. [ 9 ] █████
¶ 201• Interpreter/Auslan/AAC provided.................. [ 93% ] ██████████████████████████████████
¶ 202• Assertive outreach contact rate.................. [ 78% ] ██████████████████████████
¶ 203 Safety & Health (example)
¶ 204• Rough‑sleep nights this quarter.................. [ 4 ] ████
¶ 205• Critical incident rate (/100 clients; lower)..... [ 7.1 ] █████
¶ 206• Med reconciliation ≤72h after ED................. [ 96% ] ██████████████████████████████████████
¶ 207 Timeliness & Housing Pathway (example)
¶ 208• Time to long‑term housing offer (days)........... [ 63 ] ████████████████
¶ 209• Warm handover SHS→Housing/IDC................... [ 92% ] ███████████████████████████████████
¶ 210• Repairs completed within SLA..................... [ 89% ] █████████████████████████████
¶ 211 Learning & Sustainment (example)
¶ 212• 12‑month tenancy sustainment..................... [ 83% ] ████████████████████████████
¶ 213• 72‑hour reviews on time.......................... [ 91% ] ████████████████████████████████
¶ 214• Promise‑kept ratio................................ [0.88 ] ████████████████████████
¶ 216Example Metrics Table (replace with your actuals)
¶ 217 · tbl[3] / tr[1] / tc[1]Tile
AA-C07 · Housing & Homelessness · paragraphs 218–282
¶ 218 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 219 · tbl[3] / tr[1] / tc[3]Target
¶ 220 · tbl[3] / tr[1] / tc[4]Current
¶ 221 · tbl[3] / tr[1] / tc[5]Trend
¶ 222 · tbl[3] / tr[2] / tc[1]Time to safe bed (h)
¶ 223 · tbl[3] / tr[2] / tc[2]Median hours from contact to temporary place
¶ 224 · tbl[3] / tr[2] / tc[3]≤8
¶ 225 · tbl[3] / tr[2] / tc[4]9
¶ 226 · tbl[3] / tr[2] / tc[5]↓
¶ 227 · tbl[3] / tr[3] / tc[1]Interpreter/Auslan/AAC provided
¶ 228 · tbl[3] / tr[3] / tc[2]% required cases with supports provided
¶ 229 · tbl[3] / tr[3] / tc[3]≥90%
¶ 230 · tbl[3] / tr[3] / tc[4]93%
¶ 231 · tbl[3] / tr[3] / tc[5]→
¶ 232 · tbl[3] / tr[4] / tc[1]Outreach contact rate
¶ 233 · tbl[3] / tr[4] / tc[2]% known rough sleepers contacted weekly
¶ 234 · tbl[3] / tr[4] / tc[3]≥85%
¶ 235 · tbl[3] / tr[4] / tc[4]78%
¶ 236 · tbl[3] / tr[4] / tc[5]↑
¶ 237 · tbl[3] / tr[5] / tc[1]Rough‑sleep nights/qtr
¶ 238 · tbl[3] / tr[5] / tc[2]Median nights per person (lower better)
¶ 239 · tbl[3] / tr[5] / tc[3]↓ q/q
¶ 240 · tbl[3] / tr[5] / tc[4]4
¶ 241 · tbl[3] / tr[5] / tc[5]↓
¶ 242 · tbl[3] / tr[6] / tc[1]Incident rate/100 clients
¶ 243 · tbl[3] / tr[6] / tc[2]Incidents per 100 clients (lower better)
¶ 244 · tbl[3] / tr[6] / tc[3]↓ q/q
¶ 245 · tbl[3] / tr[6] / tc[4]7.1
¶ 246 · tbl[3] / tr[6] / tc[5]↓
¶ 247 · tbl[3] / tr[7] / tc[1]Med reconciliation ≤72h
¶ 248 · tbl[3] / tr[7] / tc[2]% ED med changes reconciled ≤72h
¶ 249 · tbl[3] / tr[7] / tc[3]≥95%
¶ 250 · tbl[3] / tr[7] / tc[4]96%
¶ 251 · tbl[3] / tr[7] / tc[5]→
¶ 252 · tbl[3] / tr[8] / tc[1]Time to LT housing (days)
¶ 253 · tbl[3] / tr[8] / tc[2]Median days to long‑term offer
¶ 254 · tbl[3] / tr[8] / tc[3]≤56
¶ 255 · tbl[3] / tr[8] / tc[4]63
¶ 256 · tbl[3] / tr[8] / tc[5]↑
¶ 257 · tbl[3] / tr[9] / tc[1]Warm handover SHS→Housing/IDC
¶ 258 · tbl[3] / tr[9] / tc[2]% with documented warm handover
¶ 259 · tbl[3] / tr[9] / tc[3]≥95%
¶ 260 · tbl[3] / tr[9] / tc[4]92%
¶ 261 · tbl[3] / tr[9] / tc[5]→
¶ 262 · tbl[3] / tr[10] / tc[1]Repairs within SLA
¶ 263 · tbl[3] / tr[10] / tc[2]% repairs completed on time
¶ 264 · tbl[3] / tr[10] / tc[3]≥95%
¶ 265 · tbl[3] / tr[10] / tc[4]89%
¶ 266 · tbl[3] / tr[10] / tc[5]↑
¶ 267 · tbl[3] / tr[11] / tc[1]12‑month sustainment
¶ 268 · tbl[3] / tr[11] / tc[2]% still housed at 12 months
¶ 269 · tbl[3] / tr[11] / tc[3]≥90%
¶ 270 · tbl[3] / tr[11] / tc[4]83%
¶ 271 · tbl[3] / tr[11] / tc[5]↑
¶ 272 · tbl[3] / tr[12] / tc[1]72‑hour reviews on time
¶ 273 · tbl[3] / tr[12] / tc[2]% required reviews completed ≤72h
¶ 274 · tbl[3] / tr[12] / tc[3]≥95%
¶ 275 · tbl[3] / tr[12] / tc[4]91%
¶ 276 · tbl[3] / tr[12] / tc[5]→
¶ 277 · tbl[3] / tr[13] / tc[1]Promise‑kept ratio
¶ 278 · tbl[3] / tr[13] / tc[2]Kept ÷ made (0-1)
¶ 279 · tbl[3] / tr[13] / tc[3]≥0.90
¶ 280 · tbl[3] / tr[13] / tc[4]0.88
¶ 281 · tbl[3] / tr[13] / tc[5]↑
¶ 282 Owner: __________ Data source(s): SHS/refuge intake; Outreach logs; Housing application systems; CHP/public housing offers; GP/ED summaries; Repairs/maintenance; Navigator/IDC logs; E‑receipts; Roster↔Claim
AA-C08 · Ambulance & First Responder
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C08_Ambulance_&_First_Responder_v1.docx
Member SHA-256: 142e04762e3bd5c4966fc96ff6837323cdb1d5717a6eae438f352b4c6d89c725
AA-C08 · Ambulance & First Responder · paragraphs 1–6
¶ 1 - Document control - Template ID: AA-C08 - Ambulance & First Responder Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C08 - Ambulance & First Responder
¶ 3(Calm approach, communication access, least-restrictive, warm handover)
¶ 4What this title means (in plain words) When paramedics, police or other first responders arrive, the goal is to lower risk and stress. “Calm approach” means slowing things down and explaining what will happen. “Communication access” means the person gets the tools they use (interpreter, Auslan, AAC/Yes-No, Easy Read) before questions or treatment. “Least-restrictive” means using the safest option that respects the person’s rights and preferences. “Warm handover” means a named clinician or service is booked and keeps the next contact (ED, GP, Navigator) so the person isn’t left to manage it alone.
¶ 5What this means for the person and supporters
¶ 6Arrivals are calm and clear. Crew introduce themselves, reduce noise/crowding where possible, and use your preferred way to communicate (TEMPLATES N; TEMPLATES L).
AA-C08 · Ambulance & First Responder · paragraphs 7–14
¶ 7Your plans travel with you. Seizure, mealtime/IDDSI, allergy and medication lists are asked for and followed; a supporter can help present them.
¶ 8Plain reasons for medicines. If pain relief, sedatives or other medicines are considered, you hear the reasons, alternatives and risks in plain language; consent/supported decision-making is recorded (TEMPLATES L; TEMPLATE D-2).
¶ 9Least-restrictive first. De-escalation, sensory adjustments, positioning and family/ally presence are tried before physical or chemical restraint.
¶ 10Warm handover every time. Whether you stay at home or go to ED, a named steward is booked (GP/ED/Navigator), and the handover is checked as kept (TEMPLATES N).
¶ 11Learning after incidents. If restraint or sedation is used, a 72-hour learning review happens and the plan is updated.
¶ 12Privacy protected. Only information needed for care is shared; no person-level details are published.
¶ 13What services must do (so you don’t have to)
¶ 14Access first at the scene. Offer interpreter/Auslan/AAC/Yes-No; use teach-back to confirm understanding; note consent mode and who supported it (TEMPLATES N).
AA-C08 · Ambulance & First Responder · paragraphs 15–22
¶ 15Follow existing safety plans. Ask for seizure, mealtime/IDDSI, allergy and medication plans; respect Advance Care/SDM documents; bring them to ED if transporting.
¶ 16Use least-restrictive options. Document de-escalation steps; if PRN/chemical restraint is used, record timing, dose and trigger; treat it as exceptional.
¶ 17Explain medicines plainly. State what the medicine is for, what else was tried, and what to expect; record reasons (TEMPLATES L; TEMPLATE D-2).
¶ 18Deliver a warm handover. SBAR summary + named clinician/service + time booked & kept (ED/GP/Navigator); include communication needs and any access supports already in place.
¶ 19Close the loop. If restraint/sedation occurred: flag 72-hour review, notify the relevant team/family, and ensure medication reconciliation within 72 hours if anything changed (Appendix B-C; D).
¶ 20Guard privacy & dignity. Minimum data; avoid broadcasting details on open radios where not required; apply suppression rules to any later reporting (Appendix R/S/AL/T).
¶ 21Helpful artefacts (where to find them)
¶ 22Communication access kit (interpreter/Auslan/AAC prompts; Easy Read scripts): TEMPLATES N; TEMPLATES L
AA-C08 · Ambulance & First Responder · paragraphs 23–47
¶ 23Seizure and medication handover sheets / med-rec checklist (≤72 h): Appendix D
¶ 24Mealtime/IDDSI quick card: Appendix Z
¶ 2572-Hour Review checklist & Fade-Plan insert: Appendix B-C
¶ 26Warm Handover bundle (SBAR + steward + booked/kept proof): Appendix D / AO-6N
¶ 27Reasons & Weighting + Contradiction Matrix (for consequential decisions): Appendix H / I
¶ 28Plain-language promise “We’ll arrive calmly, use the way you communicate, follow your safety plans, explain any medicines in plain words, book and keep the next step with ED or your GP, protect your privacy, and review any use of restraint within 72 hours so care keeps getting safer.”
¶ 30Ambulance & first response (at a glance)
¶ 31 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 32 · tbl[1] / tr[1] / tc[2]Call/request help
¶ 33 · tbl[1] / tr[1] / tc[3]Arrival & calm approach
¶ 34 · tbl[1] / tr[1] / tc[4]Assessment & reasons
¶ 35 · tbl[1] / tr[1] / tc[5]Decision: stay or go
¶ 36 · tbl[1] / tr[1] / tc[6]Warm handover
¶ 37 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 38 · tbl[1] / tr[2] / tc[1]You & Your Supporter
¶ 39 · tbl[1] / tr[2] / tc[2]You or a supporter calls 000 or uses text/relay if needed.
¶ 40 · tbl[1] / tr[2] / tc[3]Supporter welcomed; quiet space sought.
¶ 41 · tbl[1] / tr[2] / tc[4]You choose communication mode; say what helps.
¶ 42 · tbl[1] / tr[2] / tc[5]You decide with reasons and options.
¶ 43 · tbl[1] / tr[2] / tc[6]Supporter travels or stays with you.
¶ 44 · tbl[1] / tr[2] / tc[7]You can ask for review or second look.
¶ 45 · tbl[1] / tr[3] / tc[1]000 Call-taker
¶ 46 · tbl[1] / tr[3] / tc[2]Call-taker notes access needs, triggers interpreter/Auslan.
¶ 47 · tbl[1] / tr[3] / tc[3]Caller guided to keep area safe.
AA-C08 · Ambulance & First Responder · paragraphs 48–81
¶ 48 · tbl[1] / tr[3] / tc[4]Interpreter/Auslan/AAC connected where possible.
¶ 49 · tbl[1] / tr[3] / tc[5]Caller updated about next steps.
¶ 50 · tbl[1] / tr[3] / tc[6]Call closed with summary.
¶ 51 · tbl[1] / tr[3] / tc[7]Feedback channels offered.
¶ 52 · tbl[1] / tr[4] / tc[1]Paramedic Crew
¶ 53 · tbl[1] / tr[4] / tc[2]Crew heads to scene with calm approach info.
¶ 54 · tbl[1] / tr[4] / tc[3]Paramedics introduce selves; lower sensory load.
¶ 55 · tbl[1] / tr[4] / tc[4]Assessment; alternatives discussed; reasons explained plainly.
¶ 56 · tbl[1] / tr[4] / tc[5]Decision: transport or treat-in-place.
¶ 57 · tbl[1] / tr[4] / tc[6]Handover is spoken and written (ISBAR + access cues).
¶ 58 · tbl[1] / tr[4] / tc[7]72-hour review if restraint/sedation used.
¶ 59 · tbl[1] / tr[5] / tc[1]Police (if attending)
¶ 60 · tbl[1] / tr[5] / tc[2]Police attend only if required for safety.
¶ 61 · tbl[1] / tr[5] / tc[3]Calm, non-confronting stance used.
¶ 62 · tbl[1] / tr[5] / tc[4]Police defer if health-led response adequate.
¶ 63 · tbl[1] / tr[5] / tc[5]Least-restrictive options prioritised.
¶ 64 · tbl[1] / tr[5] / tc[6]Police outcomes recorded lawfully.
¶ 65 · tbl[1] / tr[5] / tc[7]Re-contact reduced with supports.
¶ 66 · tbl[1] / tr[6] / tc[1]ED / GP
¶ 67 · tbl[1] / tr[6] / tc[2]ED/GP alerted if transfer likely.
¶ 68 · tbl[1] / tr[6] / tc[3]ED prepared for arrival if needed.
¶ 69 · tbl[1] / tr[6] / tc[4]GP consult possible if safe to stay.
¶ 70 · tbl[1] / tr[6] / tc[5]ED receives clinical/communication info.
¶ 71 · tbl[1] / tr[6] / tc[6]ED continues plan; GP notified.
¶ 72 · tbl[1] / tr[6] / tc[7]GP follow-up ≤48-72h.
¶ 73 · tbl[1] / tr[7] / tc[1]Navigator (Access)
¶ 74 · tbl[1] / tr[7] / tc[2]Navigator on standby for warm handover.
¶ 75 · tbl[1] / tr[7] / tc[3]Navigator checks consent preferences.
¶ 76 · tbl[1] / tr[7] / tc[4]Navigator lines up follow-ups.
¶ 77 · tbl[1] / tr[7] / tc[5]GP/IDC booked if staying at home.
¶ 78 · tbl[1] / tr[7] / tc[6]Navigator verifies warm handover occurred.
¶ 79 · tbl[1] / tr[7] / tc[7]Navigator checks promises kept.
¶ 80 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 81 · tbl[1] / tr[8] / tc[2]Privacy-safe case key created.
AA-C08 · Ambulance & First Responder · paragraphs 82–105
¶ 82 · tbl[1] / tr[8] / tc[3]Guardrails block identity leaks.
¶ 83 · tbl[1] / tr[8] / tc[4]Tiles record key times and access.
¶ 84 · tbl[1] / tr[8] / tc[5]E-receipts ready for support hours.
¶ 85 · tbl[1] / tr[8] / tc[6]Exception queue watched.
¶ 86 · tbl[1] / tr[8] / tc[7]De-identified learning published (TEMPLATE S-8).
¶ 88Flow - Swimlane (DETAILED)
¶ 89 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 90 · tbl[2] / tr[1] / tc[2]Request & Consent
¶ 91 · tbl[2] / tr[1] / tc[3]Arrival & Communication
¶ 92 · tbl[2] / tr[1] / tc[4]Assessment & Alternatives
¶ 93 · tbl[2] / tr[1] / tc[5]Decision & Medicines
¶ 94 · tbl[2] / tr[1] / tc[6]Warm Handover & Transport
¶ 95 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 96 · tbl[2] / tr[2] / tc[1]Person & Allies (Family/Guardian/Supporter)
¶ 97 · tbl[2] / tr[2] / tc[2]Call 000 or text/relay; consent preferences shared; supporter identified (TEMPLATE K-3; TEMPLATES N).
¶ 98 · tbl[2] / tr[2] / tc[3]Choose communication mode (AAC/Auslan/interpreter); quiet space requested (TEMPLATES N; TEMPLATES L).
¶ 99 · tbl[2] / tr[2] / tc[4]Provide history, triggers, what helps; agree tests and alternatives (TEMPLATES L; TEMPLATES M).
¶ 100 · tbl[2] / tr[2] / tc[5]If medicines/sedation considered: discuss risks/benefits; D-2 flags if changes (TEMPLATE D-2).
¶ 101 · tbl[2] / tr[2] / tc[6]Agree ED vs home-with-follow-up; supporter travel plans; ISBAR cues for ED (TEMPLATES L).
¶ 102 · tbl[2] / tr[2] / tc[7]Ask for review/compliment/complaint; de-identified publication (TEMPLATE S-8).
¶ 103 · tbl[2] / tr[3] / tc[1]000 Call-taker / Dispatch
¶ 104 · tbl[2] / tr[3] / tc[2]Record access needs; trigger interpreter/Auslan; safety prompts (TEMPLATES N).
¶ 105 · tbl[2] / tr[3] / tc[3]Dispatch crew with access flags and calm approach notes (TEMPLATES N).
AA-C08 · Ambulance & First Responder · paragraphs 106–124
¶ 106 · tbl[2] / tr[3] / tc[4]Update crew with history from caller if consented.
¶ 107 · tbl[2] / tr[3] / tc[5]Alert ED/GP and Navigator as indicated.
¶ 108 · tbl[2] / tr[3] / tc[6]Record decision path and destination.
¶ 109 · tbl[2] / tr[3] / tc[7]Quality audit for access prompts and times.
¶ 110 · tbl[2] / tr[4] / tc[1]Paramedic Crew
¶ 111 · tbl[2] / tr[4] / tc[2]Arrival: introduce selves, seek permission, lower sensory load (TEMPLATES L).
¶ 112 · tbl[2] / tr[4] / tc[3]Communication supports; supporter participation; interpreter via phone if needed (TEMPLATES N).
¶ 113 · tbl[2] / tr[4] / tc[4]Clinical assessment + parity-of-reasons cues; list alternatives incl. treat-in-place (TEMPLATES M).
¶ 114 · tbl[2] / tr[4] / tc[5]Medicines: follow protocols; if sedation, use least-restrictive; start 72h review timer (TEMPLATE B-1; TEMPLATE D-2).
¶ 115 · tbl[2] / tr[4] / tc[6]Warm handover: ISBAR + communication/visual cues; transfer or GP/IDC booking (TEMPLATES L; TEMPLATES N).
¶ 116 · tbl[2] / tr[4] / tc[7]Complete Right-to-Reasons: Facts → Tests → Alternatives → Review; submit to learning (TEMPLATES L).
¶ 117 · tbl[2] / tr[5] / tc[1]Police (as applicable)
¶ 118 · tbl[2] / tr[5] / tc[2]Attend only if safety risk; calm stance; comms needs recorded (TEMPLATES AB; TEMPLATES N).
¶ 119 · tbl[2] / tr[5] / tc[3]Support health-led response; avoid charge-first (TEMPLATES AB).
¶ 120 · tbl[2] / tr[5] / tc[4]Assist safe environment and transport if required.
¶ 121 · tbl[2] / tr[5] / tc[5]Plain-language explanations of any conditions; least-restrictive checks (TEMPLATES AB).
¶ 122 · tbl[2] / tr[5] / tc[6]Handover to ED/GP/Navigator as needed.
¶ 123 · tbl[2] / tr[5] / tc[7]De-identified outcomes to S-8 log.
¶ 124 · tbl[2] / tr[6] / tc[1]ED / GP
AA-C08 · Ambulance & First Responder · paragraphs 125–141
¶ 125 · tbl[2] / tr[6] / tc[2]Pre-alert received; prepare accessible environment (TEMPLATES L).
¶ 126 · tbl[2] / tr[6] / tc[3]Interpreter/Auslan/AAC ready; supporter present where permitted (TEMPLATES N).
¶ 127 · tbl[2] / tr[6] / tc[4]ED/GP assessment continues from paramedic cues; alternatives maintained (TEMPLATES M).
¶ 128 · tbl[2] / tr[6] / tc[5]Medication reconciliation within 72h of change (TEMPLATE D-2).
¶ 129 · tbl[2] / tr[6] / tc[6]Discharge summary and follow-ups (≤48-72h) to person/GP/IDC (TEMPLATES L).
¶ 130 · tbl[2] / tr[6] / tc[7]Join 72h review if restraint/sedation occurred (TEMPLATE B-1).
¶ 131 · tbl[2] / tr[7] / tc[1]Navigator (Access)
¶ 132 · tbl[2] / tr[7] / tc[2]Access receipt; privacy notes; safe contact (TEMPLATE N-1; TEMPLATE K-3).
¶ 133 · tbl[2] / tr[7] / tc[3]Interpreter/Auslan/AAC bookings; transport and carer supports (TEMPLATES N).
¶ 134 · tbl[2] / tr[7] / tc[4]Warm handover meeting booked; artefact inventory (TEMPLATES N).
¶ 135 · tbl[2] / tr[7] / tc[5]Ensure D-2 pathway followed if meds changed (TEMPLATE D-2).
¶ 136 · tbl[2] / tr[7] / tc[6]Confirm follow-ups happened; promise-kept ratio tracked (TEMPLATES T).
¶ 137 · tbl[2] / tr[7] / tc[7]Public-safe learning prepared; visible change log (TEMPLATE S-8).
¶ 138 · tbl[2] / tr[8] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 139 · tbl[2] / tr[8] / tc[2]Trigger: restraint/sedation; repeated re-contacts; contested facts (TEMPLATES M).
¶ 140 · tbl[2] / tr[8] / tc[3]File-vs-field; contradiction matrix; audit comms support quality (TEMPLATES N).
¶ 141 · tbl[2] / tr[8] / tc[4]Calibrate alternatives list; fairness tests (TEMPLATES M).
AA-C08 · Ambulance & First Responder · paragraphs 142–163
¶ 142 · tbl[2] / tr[8] / tc[5]Verify D-2 compliance; small-cell suppression (TEMPLATE D-2; TEMPLATE S-8).
¶ 143 · tbl[2] / tr[8] / tc[6]Exception queue ageing; coaching to crews/ED (TEMPLATES T).
¶ 144 · tbl[2] / tr[8] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 145 · tbl[2] / tr[9] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 146 · tbl[2] / tr[9] / tc[2]Case key; privacy-safe IDs; start e-receipt ledger (TEMPLATES T).
¶ 147 · tbl[2] / tr[9] / tc[3]Capture times: call receipt, dispatch, arrival, time-to-quiet, handover (TEMPLATES T).
¶ 148 · tbl[2] / tr[9] / tc[4]Artefact inventory: call summary, ISBAR, access cues, consent (TEMPLATES T).
¶ 149 · tbl[2] / tr[9] / tc[5]Tiles: time_to_privacy; containment_minutes; error_half_life; navigator_coverage (TEMPLATES T).
¶ 150 · tbl[2] / tr[9] / tc[6]Exception queue; promise_kept_ratio (TEMPLATES T).
¶ 151 · tbl[2] / tr[9] / tc[7]DPIA; publication pack; visible change log (TEMPLATE S-8).
¶ 158How we measure ourselves (published quarterly)
¶ 159We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some are minutes or per-1,000 incident rates; others are percentages.
¶ 160Access & Calm Response
¶ 161• Interpreter/Auslan/AAC used where indicated - Latest: [ - ] █ (needed vs used) (TEMPLATES N).
¶ 162• Time-to-quiet (minutes; lower is better) - Latest: [ - ] █ (arrival to calm).
¶ 163• Supporter present by choice - Latest: [ - ] █ (who wanted a supporter and had one).
AA-C08 · Ambulance & First Responder · paragraphs 164–183
¶ 164Safety & Medicines
¶ 165• Restraint/sedation minutes per 1,000 attendances - Latest: [ - ] █ (lower is better).
¶ 166• Medication reconciliation ≤72h after change - Latest: [ - ] █ (changes vs reconciled) (TEMPLATE D-2).
¶ 167• Adverse events reported and explained - Latest: [ - ] █ (% with plain-language explanation).
¶ 168Handover & Timeliness
¶ 169• ED handover completeness score (0-10) - Latest: [ - ] █.
¶ 170• GP follow-up booked ≤48-72h (if treat-in-place) - Latest: [ - ] █.
¶ 171• Re-contact within 7 days (per 100 attendances; lower better) - Latest: [ - ] █.
¶ 172Learning & Review
¶ 173• 72-hour reviews after restraint/sedation - Latest: [ - ] █ (required vs completed) (TEMPLATE B-1).
¶ 174• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 175ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 179Example - What real results look like (illustrative)
¶ 180Replace with your numbers.
¶ 181Access & Calm Response (example)
¶ 182• Interpreter/Auslan/AAC used where indicated...... [ 86% ] █████████████████████████████
¶ 183• Time-to-quiet (minutes; lower is better)......... [ 7 ] █████
AA-C08 · Ambulance & First Responder · paragraphs 184–218
¶ 184• Supporter present by choice...................... [ 78% ] ██████████████████████████
¶ 185 Safety & Medicines (example)
¶ 186• Restraint/sedation minutes per 1,000............. [ 14 ] ███████
¶ 187• Med reconciliation ≤72h after change............. [ 95% ] █████████████████████████████████████
¶ 188• Adverse events explained plainly................. [ 91% ] ████████████████████████████████
¶ 189 Handover & Timeliness (example)
¶ 190• ED handover completeness score (0-10)............ [ 9.1 ] ██████████
¶ 191• GP follow-up booked ≤48-72h...................... [ 88% ] ██████████████████████████████
¶ 192• Re-contact within 7 days (/100; lower)........... [ 11 ] ███████
¶ 193 Learning & Review (example)
¶ 194• 72-hour reviews after restraint/sedation......... [ 93% ] ███████████████████████████████████
¶ 195• Promise-kept ratio................................ [0.89 ] ████████████████████████
¶ 198Example Metrics Table (replace with your actuals)
¶ 199 · tbl[3] / tr[1] / tc[1]Tile
¶ 200 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 201 · tbl[3] / tr[1] / tc[3]Target
¶ 202 · tbl[3] / tr[1] / tc[4]Current
¶ 203 · tbl[3] / tr[1] / tc[5]Trend
¶ 204 · tbl[3] / tr[2] / tc[1]Interpreter/AAC used
¶ 205 · tbl[3] / tr[2] / tc[2]% indicated attendances using supports
¶ 206 · tbl[3] / tr[2] / tc[3]≥90%
¶ 207 · tbl[3] / tr[2] / tc[4]86%
¶ 208 · tbl[3] / tr[2] / tc[5]↑
¶ 209 · tbl[3] / tr[3] / tc[1]Time-to-quiet (min)
¶ 210 · tbl[3] / tr[3] / tc[2]Median minutes arrival→calm (lower better)
¶ 211 · tbl[3] / tr[3] / tc[3]≤6
¶ 212 · tbl[3] / tr[3] / tc[4]7
¶ 213 · tbl[3] / tr[3] / tc[5]↓
¶ 214 · tbl[3] / tr[4] / tc[1]Supporter present by choice
¶ 215 · tbl[3] / tr[4] / tc[2]% attendances where supporter present if wanted
¶ 216 · tbl[3] / tr[4] / tc[3]≥85%
¶ 217 · tbl[3] / tr[4] / tc[4]78%
¶ 218 · tbl[3] / tr[4] / tc[5]↑
AA-C08 · Ambulance & First Responder · paragraphs 219–259
¶ 219 · tbl[3] / tr[5] / tc[1]Restraint minutes/1,000
¶ 220 · tbl[3] / tr[5] / tc[2]Minutes per 1,000 attendances (lower better)
¶ 221 · tbl[3] / tr[5] / tc[3]↓ q/q
¶ 222 · tbl[3] / tr[5] / tc[4]14
¶ 223 · tbl[3] / tr[5] / tc[5]↓
¶ 224 · tbl[3] / tr[6] / tc[1]Med reconciliation ≤72h
¶ 225 · tbl[3] / tr[6] / tc[2]% med changes reconciled within 72h
¶ 226 · tbl[3] / tr[6] / tc[3]≥95%
¶ 227 · tbl[3] / tr[6] / tc[4]95%
¶ 228 · tbl[3] / tr[6] / tc[5]→
¶ 229 · tbl[3] / tr[7] / tc[1]Adverse events explained
¶ 230 · tbl[3] / tr[7] / tc[2]% adverse events with plain explanation provided
¶ 231 · tbl[3] / tr[7] / tc[3]≥95%
¶ 232 · tbl[3] / tr[7] / tc[4]91%
¶ 233 · tbl[3] / tr[7] / tc[5]↑
¶ 234 · tbl[3] / tr[8] / tc[1]ED handover score (0-10)
¶ 235 · tbl[3] / tr[8] / tc[2]Average completeness score using checklist
¶ 236 · tbl[3] / tr[8] / tc[3]≥9.5
¶ 237 · tbl[3] / tr[8] / tc[4]9.1
¶ 238 · tbl[3] / tr[8] / tc[5]↑
¶ 239 · tbl[3] / tr[9] / tc[1]GP follow-up ≤48-72h
¶ 240 · tbl[3] / tr[9] / tc[2]% treat-in-place cases with booked GP follow-up
¶ 241 · tbl[3] / tr[9] / tc[3]≥90%
¶ 242 · tbl[3] / tr[9] / tc[4]88%
¶ 243 · tbl[3] / tr[9] / tc[5]→
¶ 244 · tbl[3] / tr[10] / tc[1]Re-contact within 7 days
¶ 245 · tbl[3] / tr[10] / tc[2]Per 100 attendances (lower better)
¶ 246 · tbl[3] / tr[10] / tc[3]↓ q/q
¶ 247 · tbl[3] / tr[10] / tc[4]11
¶ 248 · tbl[3] / tr[10] / tc[5]↓
¶ 249 · tbl[3] / tr[11] / tc[1]72h reviews completed
¶ 250 · tbl[3] / tr[11] / tc[2]% restraint/sedation incidents with ≤72h review
¶ 251 · tbl[3] / tr[11] / tc[3]≥95%
¶ 252 · tbl[3] / tr[11] / tc[4]93%
¶ 253 · tbl[3] / tr[11] / tc[5]→
¶ 254 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 255 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 256 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 257 · tbl[3] / tr[12] / tc[4]0.89
¶ 258 · tbl[3] / tr[12] / tc[5]↑
¶ 259 Owner: __________ Data source(s): 000 CAD/dispatch; Paramedic ePCR; Interpreter/Auslan logs; ED handover checklist; GP bookings; Medication reconciliation; Navigator/IDC logs; E-receipts; Roster↔Claim
AA-C09 · Emergency Department (specific)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C09_Emergency_Department_(specific)_v1.docx
Member SHA-256: 340f41644fcf95158e742133e98777c2cc253e9585e7bdc230c72b440be63e9e
AA-C09 · Emergency Department (specific) · paragraphs 1–6
¶ 1 - Document control - Template ID: AA-C09 - Emergency Department (specific) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C09 - Emergency Department (specific)
¶ 3What this title means (in plain words) This crosswalk explains how the ED welcomes and treats a person with cognitive disability. “Calm spaces” means noise and crowding are reduced where possible and you’re told what’s happening next. “Communication access” means interpreter/Auslan/AAC/Easy Read are offered before triage and used throughout care. “Clear reasons” means tests, medicines and options are explained in plain words. “Warm handovers” means the next contact (GP, specialist, community support, Navigator) is booked and kept, so no one is left to manage it alone.
¶ 4What this means for the person and supporters
¶ 5You choose how we communicate and who is with you. Auslan/interpreter/AAC/Easy Read are offered; a supporter/advocate can stay where safe (TEMPLATES N; TEMPLATES L).
¶ 6Care is explained in plain English. Tests, procedures, pain relief and alternatives are described; you can ask for time, breaks or a second look (TEMPLATES L; TEMPLATES M).
AA-C09 · Emergency Department (specific) · paragraphs 7–14
¶ 7Your plans travel with you. Seizure, mealtime/IDDSI, allergy and medication lists are followed; if anything changes, medicines are reconciled within 72 hours.
¶ 8Least-restrictive first. De-escalation and sensory adjustments are used before any restraint; if restraint or PRN-as-RP occurs, a 72-hour learning review is booked.
¶ 9Warm handover on discharge. GP and community follow-ups are booked & kept with a named steward; you get plain-language instructions and who to call.
¶ 10Privacy protected. Only what’s needed is shared; no person-level details are published.
¶ 11What services must do (so you don’t have to)
¶ 12Access first, at triage. Book interpreter/Auslan, set up AAC/Yes-No; record preferred communication and supporter; use teach-back to confirm understanding (TEMPLATES N).
¶ 13Prepare a calm path. Offer quieter waiting where possible; minimise staff changes; explain steps and timings.
¶ 14Explain decisions and options. One-page Reasons & Weighting for consequential choices (e.g., sedation, admission, discharge to police or mental-health hold); use Two-Key where indicated and record independence (Appendix H/I/K).
AA-C09 · Emergency Department (specific) · paragraphs 15–25
¶ 15Follow existing safety plans. Load seizure/mealtime/behaviour plans; respect Advance Care/SDM documents; document any deviation and why.
¶ 16Do the warm handover properly. SBAR summary to GP/specialist/Navigator; named steward; time booked & kept; send accessible discharge notes; schedule med-rec ≤72 h if medicines changed (Appendix D; AO-6N).
¶ 17Close the learning loop. If restraint/PRN-as-RP used: flag 72-hour review, update plans, notify the person/representative.
¶ 18Guard privacy. Minimum data; consent recorded; apply small-cell suppression to any later reporting (Appendix R/S/AL/T).
¶ 19Helpful artefacts (where to find them)
¶ 20Communication access kit & Easy Read blocks: TEMPLATES N; TEMPLATES L
¶ 21Warm Handover bundle (SBAR + steward + booked/kept proof): Appendix D / AO-6N
¶ 22Seizure, mealtime/IDDSI, medication reconciliation (≤72 h): Appendix D / Appendix Z / Appendix AB
¶ 23Reasons & Weighting + Contradiction Matrix + Two-Key short form: Appendix H / Appendix I / Appendix K
¶ 2472-Hour Review & Fade-Plan inserts: Appendix B–C
¶ 25Privacy/suppression & provenance checks: Appendix R/S/AL/T
AA-C09 · Emergency Department (specific) · paragraphs 26–55
¶ 26Plain-language promise “We’ll make the ED calmer, use the way you communicate, follow your safety plans, explain every test and medicine in plain words, book and keep your follow-ups, protect your privacy, and review any restraint within 72 hours so care keeps getting safer.”
¶ 28ED visit (at a glance)
¶ 29 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 30 · tbl[1] / tr[1] / tc[2]Arrival & welcome
¶ 31 · tbl[1] / tr[1] / tc[3]Assessment & comfort
¶ 32 · tbl[1] / tr[1] / tc[4]Tests & treatment
¶ 33 · tbl[1] / tr[1] / tc[5]Decision: admit or go home
¶ 34 · tbl[1] / tr[1] / tc[6]Warm handover
¶ 35 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 36 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 37 · tbl[1] / tr[2] / tc[2]You arrive; supporter welcomed; quiet space sought.
¶ 38 · tbl[1] / tr[2] / tc[3]You choose interpreter/Auslan/AAC; breaks as needed.
¶ 39 · tbl[1] / tr[2] / tc[4]You agree to tests/medicines or alternatives.
¶ 40 · tbl[1] / tr[2] / tc[5]You help decide to admit or go home.
¶ 41 · tbl[1] / tr[2] / tc[6]You leave with clear next steps.
¶ 42 · tbl[1] / tr[2] / tc[7]You can ask for review or feedback.
¶ 43 · tbl[1] / tr[3] / tc[1]ED Triage
¶ 44 · tbl[1] / tr[3] / tc[2]Triage notes access needs and preferred communication.
¶ 45 · tbl[1] / tr[3] / tc[3]Pain and comfort assessed; noise/light reduced.
¶ 46 · tbl[1] / tr[3] / tc[4]Triage updates times and needs.
¶ 47 · tbl[1] / tr[3] / tc[5]Triage readies transport if going home.
¶ 48 · tbl[1] / tr[3] / tc[6]Discharge checklist done.
¶ 49 · tbl[1] / tr[3] / tc[7]Triage audits access prompts.
¶ 50 · tbl[1] / tr[4] / tc[1]ED Clinician Team
¶ 51 · tbl[1] / tr[4] / tc[2]Team prepares calm approach and visual aids.
¶ 52 · tbl[1] / tr[4] / tc[3]Clinician introduces self; reasons explained plainly.
¶ 53 · tbl[1] / tr[4] / tc[4]Care plan co-authored; supporter included.
¶ 54 · tbl[1] / tr[4] / tc[5]Clinician writes plain summary and reasons.
¶ 55 · tbl[1] / tr[4] / tc[6]Scripts given; review times set.
AA-C09 · Emergency Department (specific) · paragraphs 56–89
¶ 56 · tbl[1] / tr[4] / tc[7]Team reviews adverse events in plain language.
¶ 57 · tbl[1] / tr[5] / tc[1]Imaging/Pathology
¶ 58 · tbl[1] / tr[5] / tc[2]Imaging/Path ready if likely.
¶ 59 · tbl[1] / tr[5] / tc[3]Tests described with pictures where helpful.
¶ 60 · tbl[1] / tr[5] / tc[4]If tests needed, staff explain step-by-step.
¶ 61 · tbl[1] / tr[5] / tc[5]Results explained; copy to you.
¶ 62 · tbl[1] / tr[5] / tc[6]Outpatient or GP booking made.
¶ 63 · tbl[1] / tr[5] / tc[7]Radiology/Pathology results followed up.
¶ 64 · tbl[1] / tr[6] / tc[1]Security (if involved)
¶ 65 · tbl[1] / tr[6] / tc[2]Security only if required for safety; calm stance.
¶ 66 · tbl[1] / tr[6] / tc[3]Least-restrictive actions discussed; de-escalation first.
¶ 67 · tbl[1] / tr[6] / tc[4]Security supports staff to keep things calm if present.
¶ 68 · tbl[1] / tr[6] / tc[5]Security records only what’s needed.
¶ 69 · tbl[1] / tr[6] / tc[6]If there was restraint/sedation, a review is started.
¶ 70 · tbl[1] / tr[6] / tc[7]Security learning fed back to reduce future use.
¶ 71 · tbl[1] / tr[7] / tc[1]Navigator (Access)
¶ 72 · tbl[1] / tr[7] / tc[2]Navigator can be called to help.
¶ 73 · tbl[1] / tr[7] / tc[3]Consent preferences checked and recorded.
¶ 74 · tbl[1] / tr[7] / tc[4]Navigator lines up follow-ups.
¶ 75 · tbl[1] / tr[7] / tc[5]Warm handover to GP/IDC/housing as needed.
¶ 76 · tbl[1] / tr[7] / tc[6]Navigator calls within 48-72h to check arrivals.
¶ 77 · tbl[1] / tr[7] / tc[7]Public update is de-identified (TEMPLATE S-8).
¶ 78 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 79 · tbl[1] / tr[8] / tc[2]Privacy-safe ID used where possible.
¶ 80 · tbl[1] / tr[8] / tc[3]Impossible hours/claims blocked.
¶ 81 · tbl[1] / tr[8] / tc[4]Key tiles: time-to-privacy, time-to-quiet.
¶ 82 · tbl[1] / tr[8] / tc[5]E-receipts enabled for supports.
¶ 83 · tbl[1] / tr[8] / tc[6]Exceptions queue watched.
¶ 84 · tbl[1] / tr[8] / tc[7]Learning improves next visit.
¶ 86Flow - Swimlane (DETAILED)
¶ 87 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 88 · tbl[2] / tr[1] / tc[2]Arrival & Consent
¶ 89 · tbl[2] / tr[1] / tc[3]Communication & Comfort
AA-C09 · Emergency Department (specific) · paragraphs 90–108
¶ 90 · tbl[2] / tr[1] / tc[4]Tests/Procedures & Alternatives
¶ 91 · tbl[2] / tr[1] / tc[5]Medicines & Safety
¶ 92 · tbl[2] / tr[1] / tc[6]Discharge/Admission & Handover
¶ 93 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 94 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 95 · tbl[2] / tr[2] / tc[2]Share will & preferences; choose supporter; consent and privacy choices (TEMPLATE K-3; TEMPLATES N).
¶ 96 · tbl[2] / tr[2] / tc[3]Select communication mode (AAC/Auslan/interpreter); ask for Easy Read (TEMPLATES N; TEMPLATES L).
¶ 97 · tbl[2] / tr[2] / tc[4]Agree tests or alternatives; sensory adjustments noted (TEMPLATES L; TEMPLATES M).
¶ 98 · tbl[2] / tr[2] / tc[5]Medicine options and risks explained plainly; D-2 used if changes (TEMPLATE D-2).
¶ 99 · tbl[2] / tr[2] / tc[6]Help decide admit vs home; receive plain reasons and a summary (TEMPLATES L).
¶ 100 · tbl[2] / tr[2] / tc[7]Ask for review; lessons are published without names (TEMPLATE S-8).
¶ 101 · tbl[2] / tr[3] / tc[1]ED Triage / Flow Coordinator
¶ 102 · tbl[2] / tr[3] / tc[2]Access prompts at triage; safe contact; interpreter/Auslan flag (TEMPLATES N).
¶ 103 · tbl[2] / tr[3] / tc[3]Quiet/minimal stimuli space; supporter access; time-to-privacy tracked (TEMPLATES L).
¶ 104 · tbl[2] / tr[3] / tc[4]Book imaging/path with access notes; prepare visual aids (TEMPLATES L).
¶ 105 · tbl[2] / tr[3] / tc[5]Alert D-2 if medicines changed/started; allergy check (TEMPLATE D-2).
¶ 106 · tbl[2] / tr[3] / tc[6]Coordinate admission/discharge logistics; transport and scripts.
¶ 107 · tbl[2] / tr[3] / tc[7]Audit access prompts; capture adverse-event explanations (TEMPLATES L).
¶ 108 · tbl[2] / tr[4] / tc[1]ED Clinician Team (Nurse/Doctor)
AA-C09 · Emergency Department (specific) · paragraphs 109–126
¶ 109 · tbl[2] / tr[4] / tc[2]Introduce self; confirm consent; use person-first language (TEMPLATES L).
¶ 110 · tbl[2] / tr[4] / tc[3]Communication supports present; pain/comfort assessed (TEMPLATES N).
¶ 111 · tbl[2] / tr[4] / tc[4]Explain facts→tests→alternatives→review; visual consent aids (TEMPLATES M; TEMPLATES L).
¶ 112 · tbl[2] / tr[4] / tc[5]If restraint/sedation used: least-restrictive, time-limited; 72h review timer (TEMPLATE B-1; TEMPLATE D-2).
¶ 113 · tbl[2] / tr[4] / tc[6]Write plain discharge summary; GP/IDC bookings (TEMPLATES L; TEMPLATES N).
¶ 114 · tbl[2] / tr[4] / tc[7]Participate in reviews; submit learning to publication (TEMPLATE S-8).
¶ 115 · tbl[2] / tr[5] / tc[1]Imaging / Pathology
¶ 116 · tbl[2] / tr[5] / tc[2]Receive access flags; consent verified (TEMPLATES N).
¶ 117 · tbl[2] / tr[5] / tc[3]Provide quiet waiting and visual supports (TEMPLATES L).
¶ 118 · tbl[2] / tr[5] / tc[4]Explain each step; allow breaks; alternatives considered (TEMPLATES L).
¶ 119 · tbl[2] / tr[5] / tc[5]Contrast/medication checks; D-2 if reactions (TEMPLATE D-2).
¶ 120 · tbl[2] / tr[5] / tc[6]Results routed promptly to ED/GP; accessible explanation.
¶ 121 · tbl[2] / tr[5] / tc[7]Feed learning into S-8 publication.
¶ 122 · tbl[2] / tr[6] / tc[1]Security (only if required)
¶ 123 · tbl[2] / tr[6] / tc[2]Called only if safety risk. Person-first, calm stance (TEMPLATES AB).
¶ 124 · tbl[2] / tr[6] / tc[3]Follow ED lead; allow supporter presence (TEMPLATES AB).
¶ 125 · tbl[2] / tr[6] / tc[4]Use de-escalation; record reasons if any restriction (TEMPLATES AB).
¶ 126 · tbl[2] / tr[6] / tc[5]If restraint occurs: least-restrictive; timer and observation (TEMPLATE B-1).
AA-C09 · Emergency Department (specific) · paragraphs 127–146
¶ 127 · tbl[2] / tr[6] / tc[6]Handover to clinician for continuity; reasons documented.
¶ 128 · tbl[2] / tr[6] / tc[7]Contribute to learning review de-identified (TEMPLATE S-8).
¶ 129 · tbl[2] / tr[7] / tc[1]GP / Ward Team
¶ 130 · tbl[2] / tr[7] / tc[2]Receive pre-alert and access notes; prepare calm space (TEMPLATES L).
¶ 131 · tbl[2] / tr[7] / tc[3]Interpreter/Auslan/AAC ready; supporter welcomed (TEMPLATES N).
¶ 132 · tbl[2] / tr[7] / tc[4]Continue tests or alternatives as agreed (TEMPLATES M).
¶ 133 · tbl[2] / tr[7] / tc[5]Medication reconciliation ≤72h (TEMPLATE D-2).
¶ 134 · tbl[2] / tr[7] / tc[6]Plan follow-ups; community presence where possible (TEMPLATES L).
¶ 135 · tbl[2] / tr[7] / tc[7]Join 72h review if triggered (TEMPLATE B-1).
¶ 136 · tbl[2] / tr[8] / tc[1]Navigator (Access)
¶ 137 · tbl[2] / tr[8] / tc[2]Access receipt; safe contact; privacy-safe IDs (TEMPLATE N-1; TEMPLATE K-3).
¶ 138 · tbl[2] / tr[8] / tc[3]Arrange communication supports and transport (TEMPLATES N).
¶ 139 · tbl[2] / tr[8] / tc[4]Warm handover meeting booked; artefact inventory (TEMPLATES N).
¶ 140 · tbl[2] / tr[8] / tc[5]Ensure D-2 pathway if meds changed (TEMPLATE D-2).
¶ 141 · tbl[2] / tr[8] / tc[6]Confirm GP/IDC bookings occurred; promise-kept ratio (TEMPLATES T).
¶ 142 · tbl[2] / tr[8] / tc[7]Public-safe update prepared; visible change log (TEMPLATE S-8).
¶ 143 · tbl[2] / tr[9] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 144 · tbl[2] / tr[9] / tc[2]Trigger: restraint/sedation; re-presentation within 72h; contested facts (TEMPLATES M).
¶ 145 · tbl[2] / tr[9] / tc[3]File-vs-field; contradiction matrix; comms support audit (TEMPLATES N).
¶ 146 · tbl[2] / tr[9] / tc[4]Calibrate alternatives; fairness tests (TEMPLATES M).
AA-C09 · Emergency Department (specific) · paragraphs 147–163
¶ 147 · tbl[2] / tr[9] / tc[5]Verify D-2 compliance; small-cell suppression (TEMPLATE D-2; TEMPLATE S-8).
¶ 148 · tbl[2] / tr[9] / tc[6]Exception ageing; coach triage/team (TEMPLATES T).
¶ 149 · tbl[2] / tr[9] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 150 · tbl[2] / tr[10] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 151 · tbl[2] / tr[10] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
¶ 152 · tbl[2] / tr[10] / tc[3]Capture times: arrival, triage, time-to-privacy, time-to-quiet, decision to admit/discharge (TEMPLATES T).
¶ 153 · tbl[2] / tr[10] / tc[4]Artefact inventory: consent, access notes, discharge summary, imaging/path orders (TEMPLATES T).
¶ 154 · tbl[2] / tr[10] / tc[5]Tiles: time_to_privacy; containment_minutes; navigator_coverage; error_half_life (TEMPLATES T).
¶ 155 · tbl[2] / tr[10] / tc[6]Exception queue; promise_kept_ratio (TEMPLATES T).
¶ 156 · tbl[2] / tr[10] / tc[7]DPIA and publication pack; visible change log (TEMPLATE S-8).
¶ 158How we measure ourselves (published quarterly)
¶ 159We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some items are minutes or per-1,000 attendances; others are percentages.
¶ 160Access & Comfort
¶ 161• Time-to-privacy (minutes; lower better) - Latest: [ - ] █.
¶ 162• Communication supports provided when needed - Latest: [ - ] █ (needed vs provided) (TEMPLATES N).
¶ 163• Supporter present by choice - Latest: [ - ] █ (wanted vs present).
AA-C09 · Emergency Department (specific) · paragraphs 164–183
¶ 164Quality & Safety
¶ 165• Time-to-quiet (minutes; lower better) - Latest: [ - ] █.
¶ 166• Restraint/sedation minutes per 1,000 attendances - Latest: [ - ] █ (lower is better).
¶ 167• Medication reconciliation ≤72h after change - Latest: [ - ] █ (TEMPLATE D-2).
¶ 168Timeliness & Handover
¶ 169• Discharge summary in plain English provided - Latest: [ - ] █ (% eligible).
¶ 170• GP follow-up booked within 48-72h - Latest: [ - ] █.
¶ 171• Re-presentation within 72h (per 100 attendances; lower better) - Latest: [ - ] █.
¶ 172Learning & Review
¶ 173• 72-hour reviews completed on time (if restraint/sedation) - Latest: [ - ] █ (TEMPLATE B-1).
¶ 174• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 175ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 178Example - What real results look like (illustrative)
¶ 179Access & Comfort (example)
¶ 180• Time-to-privacy (minutes; lower better)........... [ 6 ] █████
¶ 181• Communication supports provided.................. [ 90% ] ███████████████████████████████
¶ 182• Supporter present by choice...................... [ 84% ] ██████████████████████████
¶ 183 Quality & Safety (example)
AA-C09 · Emergency Department (specific) · paragraphs 184–222
¶ 184• Time-to-quiet (minutes; lower better)............ [ 8 ] █████
¶ 185• Restraint/sedation minutes per 1,000............. [ 13 ] ███████
¶ 186• Medication reconciliation ≤72h.................... [ 96% ] ██████████████████████████████████████
¶ 187 Timeliness & Handover (example)
¶ 188• Discharge summary in plain English................ [ 93% ] ███████████████████████████████████
¶ 189• GP follow-up booked within 48-72h................ [ 89% ] ███████████████████████████████
¶ 190• Re-presentation within 72h (/100; lower)......... [ 7.8 ] █████
¶ 191 Learning & Review (example)
¶ 192• 72-hour reviews completed on time................ [ 92% ] █████████████████████████████████
¶ 193• Promise-kept ratio................................ [0.91 ] ██████████████████████████████████
¶ 196Example Metrics Table (replace with your actuals)
¶ 197 · tbl[3] / tr[1] / tc[1]Tile
¶ 198 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 199 · tbl[3] / tr[1] / tc[3]Target
¶ 200 · tbl[3] / tr[1] / tc[4]Current
¶ 201 · tbl[3] / tr[1] / tc[5]Trend
¶ 202 · tbl[3] / tr[2] / tc[1]Time-to-privacy (min)
¶ 203 · tbl[3] / tr[2] / tc[2]Median minutes arrival→privacy (lower better)
¶ 204 · tbl[3] / tr[2] / tc[3]≤5
¶ 205 · tbl[3] / tr[2] / tc[4]6
¶ 206 · tbl[3] / tr[2] / tc[5]↓
¶ 207 · tbl[3] / tr[3] / tc[1]Comms supports provided
¶ 208 · tbl[3] / tr[3] / tc[2]% attendances where needed supports were provided
¶ 209 · tbl[3] / tr[3] / tc[3]≥95%
¶ 210 · tbl[3] / tr[3] / tc[4]90%
¶ 211 · tbl[3] / tr[3] / tc[5]↑
¶ 212 · tbl[3] / tr[4] / tc[1]Supporter present by choice
¶ 213 · tbl[3] / tr[4] / tc[2]% attendances with supporter present if wanted
¶ 214 · tbl[3] / tr[4] / tc[3]≥90%
¶ 215 · tbl[3] / tr[4] / tc[4]84%
¶ 216 · tbl[3] / tr[4] / tc[5]↑
¶ 217 · tbl[3] / tr[5] / tc[1]Time-to-quiet (min)
¶ 218 · tbl[3] / tr[5] / tc[2]Median minutes arrival→calm (lower better)
¶ 219 · tbl[3] / tr[5] / tc[3]≤6
¶ 220 · tbl[3] / tr[5] / tc[4]8
¶ 221 · tbl[3] / tr[5] / tc[5]↓
¶ 222 · tbl[3] / tr[6] / tc[1]Restraint min/1,000
AA-C09 · Emergency Department (specific) · paragraphs 223–258
¶ 223 · tbl[3] / tr[6] / tc[2]Minutes per 1,000 attendances (lower better)
¶ 224 · tbl[3] / tr[6] / tc[3]↓ q/q
¶ 225 · tbl[3] / tr[6] / tc[4]13
¶ 226 · tbl[3] / tr[6] / tc[5]↓
¶ 227 · tbl[3] / tr[7] / tc[1]Med reconciliation ≤72h
¶ 228 · tbl[3] / tr[7] / tc[2]% med changes reconciled within 72h
¶ 229 · tbl[3] / tr[7] / tc[3]≥95%
¶ 230 · tbl[3] / tr[7] / tc[4]96%
¶ 231 · tbl[3] / tr[7] / tc[5]→
¶ 232 · tbl[3] / tr[8] / tc[1]Plain discharge summary
¶ 233 · tbl[3] / tr[8] / tc[2]% eligible with plain-English summary provided
¶ 234 · tbl[3] / tr[8] / tc[3]≥95%
¶ 235 · tbl[3] / tr[8] / tc[4]93%
¶ 236 · tbl[3] / tr[8] / tc[5]→
¶ 237 · tbl[3] / tr[9] / tc[1]GP follow-up ≤48-72h
¶ 238 · tbl[3] / tr[9] / tc[2]% discharges with GP booking ≤48-72h
¶ 239 · tbl[3] / tr[9] / tc[3]≥95%
¶ 240 · tbl[3] / tr[9] / tc[4]89%
¶ 241 · tbl[3] / tr[9] / tc[5]↑
¶ 242 · tbl[3] / tr[10] / tc[1]Re-presentation ≤72h (/100)
¶ 243 · tbl[3] / tr[10] / tc[2]Per 100 attendances (lower better)
¶ 244 · tbl[3] / tr[10] / tc[3]↓ q/q
¶ 245 · tbl[3] / tr[10] / tc[4]7.8
¶ 246 · tbl[3] / tr[10] / tc[5]↓
¶ 247 · tbl[3] / tr[11] / tc[1]72-hour reviews on time
¶ 248 · tbl[3] / tr[11] / tc[2]% restraint/sedation incidents with ≤72h review
¶ 249 · tbl[3] / tr[11] / tc[3]≥95%
¶ 250 · tbl[3] / tr[11] / tc[4]92%
¶ 251 · tbl[3] / tr[11] / tc[5]→
¶ 252 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 253 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 254 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 255 · tbl[3] / tr[12] / tc[4]0.91
¶ 256 · tbl[3] / tr[12] / tc[5]→
¶ 258Owner: __________ Data source(s): ED triage & EHR; Interpreter/Auslan/AAC logs; Imaging/Path systems; Discharge summaries; GP booking records; Medication reconciliation; Navigator/IDC logs; E-receipts; Roster↔Claim
AA-C10 · Mealtime & IDDSI
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C10_Mealtime_&_IDDSI_v1.docx
Member SHA-256: f1f2ac7cfc3452eea07998deedd06546d4f8ddcf265f731358eadcd750732322
AA-C10 · Mealtime & IDDSI · paragraphs 1–9
¶ 1 - Document control - Template ID: AA-C10 - Mealtime / IDDSI Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C10 - Mealtime / IDDSI
¶ 3(safe, enjoyable, healthy and ordinary)
¶ 4What this title means (in plain words) Mealtimes should be safe, enjoyable and feel ordinary. IDDSI gives clear levels for food textures and drink thickness so everyone prepares and serves meals the same safe way at home, day programs, school and hospital. This crosswalk sets the discipline: clear personal plans, the right food/drink/medication forms, good seating and pacing, and warm handovers so changes don’t get lost between services.
¶ 5What this means for the person and supporters
¶ 6Meals are real food: vegetables, fruit, whole-grains, lean proteins and dairy/non-dairy alternatives that fit your plan and culture.
¶ 7Junk/ultra-processed options (high in sugar, salt or saturated fat) are the exception, not the default.
¶ 8Hydration first: water is always available; sugary drinks are limited unless clinically advised.
¶ 9Your culture, faith and preferences shape the menu; Easy Read photos show what’s safe and appetising.
AA-C10 · Mealtime & IDDSI · paragraphs 10–17
¶ 10A dietitian is involved when IDDSI, diabetes/weight change, allergies or tube feeding are in play.
¶ 11Your plan is personal. It shows what you like, what is safe (your IDDSI level), and the supports you want (positioning, pacing, utensils, prompts). Photos and Easy Read are available (TEMPLATES L).
¶ 12The right food, drink and medicines. Foods are the correct texture; drinks the right thickness; medicines are in a safe form (e.g., liquid/dispersion) that matches your plan.
¶ 13Comfortable and calm. You’re seated well, not rushed, with breaks as needed; you choose who helps you and how.
¶ 14Trained people. Staff/carers are taught and checked doing it the right way; reasons and alternatives are explained in plain words (TEMPLATES L; TEMPLATES M).
¶ 15Changes travel quickly. If your plan changes (for example after hospital), we update fast and tell everyone - home, day program, school and GP/pharmacy - so the next meal is safe (TEMPLATES N).
¶ 16If something goes wrong. Signs of choking/aspiration are acted on; after any sentinel aspiration or ED visit, we hold a 72-hour learning review and improve the plan.
¶ 17What services must do (so the person doesn’t have to)
AA-C10 · Mealtime & IDDSI · paragraphs 18–25
¶ 18Access first. Offer Easy Read, pictures, yes/no cards, interpreter/Auslan or AAC for mealtime teaching and consent (TEMPLATES N; TEMPLATES L).
¶ 19Plan menus to meet national nutrition guidelines and the person’s IDDSI level - safe textures without downgrading to poor-quality foods.
¶ 20Rule: “Soft diet ≠ nuggets and ice-cream.” Texture changes must keep nutritional value.
¶ 21Record hydration and nutrition checks (weight/other agreed measures), monitor constipation, and review medicines that affect appetite/weight.
¶ 22Provide a healthy-defaults snack list (e.g., yoghurt, fruit, eggs, soups at correct IDDSI) and remove automatic sugary drink add-ons.
¶ 23Use medication reconciliation ≤72 h when formulations change (crushing is avoided; pharmacy-approved alternatives only).
¶ 24Publish a plain-English weekly menu (with IDDSI icons) and update after hospital/clinic changes; confirm the first meal back is supervised and safe (warm handover).
¶ 25Use Two-Key with a short Reasons & Weighting note for consequential changes (e.g., NBM orders, long-term level downgrades).
AA-C10 · Mealtime & IDDSI · paragraphs 26–32
¶ 26Write a clear Mealtime & IDDSI plan. Include: IDDSI levels for food and drinks; setup (posture, equipment, supervision); pacing/cues; stop rules; allergies; cultural preferences; photo plate; who to call.
¶ 27Prepare & check correctly. Use IDDSI flow test (drinks) and fork-drip/spoon-tilt tests (foods); record the checks on shift.
¶ 28Match medicines to the plan. Use pharmacy-approved formulations; never crush/alter without authorisation; complete medication reconciliation ≤72 h after any change (Appendix D).
¶ 29Seat, pace, and protect airways. Position per plan; no multitasking while eating; follow post-meal upright time and oral care.
¶ 30Drill and escalate. Run a choking/aspiration drill; know the escalation pathway (when to stop, call for help, or transfer).
¶ 31Warm handovers. When settings change (home ↔ day program ↔ hospital), send the plan, photo plate, recent checks and any changes; confirm the first meal is supervised and safe (booked & kept) (TEMPLATES N).
¶ 32Use Two-Key for consequential changes. When significant restrictions or high-risk changes are proposed (e.g., NBM, level downgrades), use Two-Key with a one-page Reasons & Weighting note (Appendix K/H/I).
AA-C10 · Mealtime & IDDSI · paragraphs 33–43
¶ 33Audit & refresh. Spot-check documentation integrity; schedule OSCE-style observations for safe practice; refresh training at set intervals.
¶ 34Guard privacy. Share the minimum needed; no person-level detail in public tiles; apply small-cell suppression if reporting (Appendix R/S/AL/T).
¶ 35Helpful artefacts (where to find them)
¶ 36Mealtime/IDDSI plan shell, photo-plate & teaching guide: Appendix Z (crosswalks)
¶ 37Easy Read & plain-language blocks: TEMPLATES L
¶ 38Communication access kit (interpreter/Auslan/AAC, yes/no): TEMPLATES N
¶ 39Medication reconciliation checklist (≤72 h): Appendix D
¶ 40Choking/aspiration drill & 72-hour review checklist: A7 (Seizure/Drill adapted) & Appendix B-C
¶ 41Two-Key short form + Reasons & Matrix: Appendix K / Appendix H / Appendix I
¶ 42Documentation-integrity sample & audit log hooks: Appendix T
¶ 43Plain-language promise “We’ll make safe and healthy food the default - nutritious meals that match your IDDSI level and culture, water on hand, no automatic junk options, quick updates after hospital, and clear reasons when big changes are proposed.”
AA-C10 · Mealtime & IDDSI · paragraphs 44–69
¶ 44“We’ll make meals safe and ordinary by using the IDDSI level that’s right for you, checking textures and drinks every time, seating you comfortably, matching your medicines to the plan, updating everyone fast when things change, booking and keeping warm handovers between services, and reviewing any incident within 72 hours so the next meal is safer.”
¶ 46Mealtime safety (at a glance)
¶ 47 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 48 · tbl[1] / tr[1] / tc[2]Know the plan
¶ 49 · tbl[1] / tr[1] / tc[3]Prepare food/drink/meds
¶ 50 · tbl[1] / tr[1] / tc[4]Eat & enjoy safely
¶ 51 · tbl[1] / tr[1] / tc[5]If something changes
¶ 52 · tbl[1] / tr[1] / tc[6]Warm handover
¶ 53 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 54 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 55 · tbl[1] / tr[2] / tc[2]You choose foods you enjoy; your mealtime plan is in plain language/photos.
¶ 56 · tbl[1] / tr[2] / tc[3]You pick pace, seating and who helps.
¶ 57 · tbl[1] / tr[2] / tc[4]You eat at your pace with support.
¶ 58 · tbl[1] / tr[2] / tc[5]If coughing/choking or appetite drops - say it.
¶ 59 · tbl[1] / tr[2] / tc[6]You help decide changes to the plan.
¶ 60 · tbl[1] / tr[2] / tc[7]You can ask for a review anytime.
¶ 61 · tbl[1] / tr[3] / tc[1]Home/Program Staff
¶ 62 · tbl[1] / tr[3] / tc[2]Staff know where to find the plan and follow it.
¶ 63 · tbl[1] / tr[3] / tc[3]Kitchen prepares correct textures/thickness and equipment.
¶ 64 · tbl[1] / tr[3] / tc[4]Staff supervise; mouth checks; right posture.
¶ 65 · tbl[1] / tr[3] / tc[5]Staff stop, apply plan & call for help as needed.
¶ 66 · tbl[1] / tr[3] / tc[6]Staff training refreshed on the job.
¶ 67 · tbl[1] / tr[3] / tc[7]Staff file observations and raise alerts.
¶ 68 · tbl[1] / tr[4] / tc[1]Speech Pathology
¶ 69 · tbl[1] / tr[4] / tc[2]Speech Pathology sets IDDSI level(s) & safe strategies.
AA-C10 · Mealtime & IDDSI · paragraphs 70–101
¶ 70 · tbl[1] / tr[4] / tc[3]SP provides photos/videos and Easy Read (if wanted).
¶ 71 · tbl[1] / tr[4] / tc[4]SP monitors first meals after changes.
¶ 72 · tbl[1] / tr[4] / tc[5]SP reviews swallow; updates IDDSI level.
¶ 73 · tbl[1] / tr[4] / tc[6]SP provides skill checks and sign-off.
¶ 74 · tbl[1] / tr[4] / tc[7]SP reviews at least annually or sooner.
¶ 75 · tbl[1] / tr[5] / tc[1]Dietitian
¶ 76 · tbl[1] / tr[5] / tc[2]Dietitian aligns nutrition and preferences.
¶ 77 · tbl[1] / tr[5] / tc[3]Dietitian checks weight/hydration goals.
¶ 78 · tbl[1] / tr[5] / tc[4]Dietitian checks intake and supplements.
¶ 79 · tbl[1] / tr[5] / tc[5]Dietitian revises nutrition targets.
¶ 80 · tbl[1] / tr[5] / tc[6]Dietitian updates shopping/menus.
¶ 81 · tbl[1] / tr[5] / tc[7]Dietitian monitors weight/hydration.
¶ 82 · tbl[1] / tr[6] / tc[1]GP/ED/Hospital Ward
¶ 83 · tbl[1] / tr[6] / tc[2]Hospital/GP share changes on discharge.
¶ 84 · tbl[1] / tr[6] / tc[3]Scripts/med texture noted; med charts updated.
¶ 85 · tbl[1] / tr[6] / tc[4]Hospital ring-down to home/program.
¶ 86 · tbl[1] / tr[6] / tc[5]ED/ward notify changes; reasons explained.
¶ 87 · tbl[1] / tr[6] / tc[6]GP updates med scripts (texture-safe).
¶ 88 · tbl[1] / tr[6] / tc[7]Hospital discharge letters accessible.
¶ 89 · tbl[1] / tr[7] / tc[1]Provider (IDC-led)
¶ 90 · tbl[1] / tr[7] / tc[2]IDC coaches and checks practice.
¶ 91 · tbl[1] / tr[7] / tc[3]IDC logs presence; prompts and supports.
¶ 92 · tbl[1] / tr[7] / tc[4]IDC captures learning and fixes problems.
¶ 93 · tbl[1] / tr[7] / tc[5]IDC ramps support and coaching.
¶ 94 · tbl[1] / tr[7] / tc[6]IDC fades prompts as confidence grows.
¶ 95 · tbl[1] / tr[7] / tc[7]IDC contributes to learning review.
¶ 96 · tbl[1] / tr[8] / tc[1]Navigator (Access)
¶ 97 · tbl[1] / tr[8] / tc[2]Navigator ensures plan is shared across settings.
¶ 98 · tbl[1] / tr[8] / tc[3]Interpreter/Auslan/AAC arranged if needed.
¶ 99 · tbl[1] / tr[8] / tc[4]Navigator books follow-ups.
¶ 100 · tbl[1] / tr[8] / tc[5]Navigator confirms warm handovers.
¶ 101 · tbl[1] / tr[8] / tc[6]Navigator checks promises kept.
AA-C10 · Mealtime & IDDSI · paragraphs 102–128
¶ 102 · tbl[1] / tr[8] / tc[7]Navigator ensures cross-setting continuity.
¶ 103 · tbl[1] / tr[9] / tc[1]Data & Integrity
¶ 104 · tbl[1] / tr[9] / tc[2]Privacy respected; updates visible.
¶ 105 · tbl[1] / tr[9] / tc[3]Guardrails stop non-compliant orders/claims.
¶ 106 · tbl[1] / tr[9] / tc[4]Tiles show compliance & incidents.
¶ 107 · tbl[1] / tr[9] / tc[5]Exceptions queue watched.
¶ 108 · tbl[1] / tr[9] / tc[6]De-identified updates published (TEMPLATE S-8).
¶ 109 · tbl[1] / tr[9] / tc[7]Learning improves practice next quarter.
¶ 111Flow - Swimlane (DETAILED)
¶ 112 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 113 · tbl[2] / tr[1] / tc[2]Consent & Preferences
¶ 114 · tbl[2] / tr[1] / tc[3]Assessment & Plan (IDDSI)
¶ 115 · tbl[2] / tr[1] / tc[4]Preparation & Equipment
¶ 116 · tbl[2] / tr[1] / tc[5]Delivery, Seating & Supervision
¶ 117 · tbl[2] / tr[1] / tc[6]Medicines & Changes
¶ 118 · tbl[2] / tr[1] / tc[7]Warm Handover & Review
¶ 119 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 120 · tbl[2] / tr[2] / tc[2]Will & preferences; cultural foods; consent & privacy choices (TEMPLATE K-3; TEMPLATES O).
¶ 121 · tbl[2] / tr[2] / tc[3]Agree to assessment; choose communication mode (AAC/Auslan/interpreter; Easy Read) (TEMPLATES N; TEMPLATES L).
¶ 122 · tbl[2] / tr[2] / tc[4]Approve photos/videos in plan; equipment choices (cups, straws) (TEMPLATES L).
¶ 123 · tbl[2] / tr[2] / tc[5]Eat in upright posture; pacing; mouth checks as preferred.
¶ 124 · tbl[2] / tr[2] / tc[6]Understand medicine texture/thickened fluids; ask questions (TEMPLATE D-2).
¶ 125 · tbl[2] / tr[2] / tc[7]Attend reviews; request alternatives and second looks; S-8 updates.
¶ 126 · tbl[2] / tr[3] / tc[1]Home/Program Staff (Kitchen/Support)
¶ 127 · tbl[2] / tr[3] / tc[2]Intake shows where plan lives; staff read & sign (TEMPLATES N).
¶ 128 · tbl[2] / tr[3] / tc[3]Follow SP assessment; confirm IDDSI level(s); photos at prep stations (TEMPLATES L).
AA-C10 · Mealtime & IDDSI · paragraphs 129–147
¶ 129 · tbl[2] / tr[3] / tc[4]Prepare foods/drinks to IDDSI; thickeners measured; utensil checks; IDDSI testing (fork/drip/syringe).
¶ 130 · tbl[2] / tr[3] / tc[5]Seat and supervise; small amounts; stop if coughing; hydration prompts.
¶ 131 · tbl[2] / tr[3] / tc[6]Record med texture; crush/dispense per chart; D-2 check if changes (TEMPLATE D-2).
¶ 132 · tbl[2] / tr[3] / tc[7]Shift handover includes mealtime notes; incidents escalated; warm handover on setting changes (TEMPLATES N).
¶ 133 · tbl[2] / tr[4] / tc[1]Speech Pathology
¶ 134 · tbl[2] / tr[4] / tc[2]Swallow history; risks; what the person enjoys (TEMPLATES L).
¶ 135 · tbl[2] / tr[4] / tc[3]Assessment; set IDDSI levels for food/liquid; strategies; photos/videos.
¶ 136 · tbl[2] / tr[4] / tc[4]Specify equipment; environmental cues; IDDSI testing guide.
¶ 137 · tbl[2] / tr[4] / tc[5]First-meal supervision after changes; competence sign-off; refreshers.
¶ 138 · tbl[2] / tr[4] / tc[6]Align medicine forms with IDDSI; liaise with GP/pharmacy (TEMPLATE D-2).
¶ 139 · tbl[2] / tr[4] / tc[7]Review triggers: cough/choke/weight loss; publish learning (TEMPLATE S-8).
¶ 140 · tbl[2] / tr[5] / tc[1]Dietitian
¶ 141 · tbl[2] / tr[5] / tc[2]Nutrition goals; allergies; preferences; cultural food options (TEMPLATES O).
¶ 142 · tbl[2] / tr[5] / tc[3]Menu meets IDDSI and nutrition targets; supplements choice.
¶ 143 · tbl[2] / tr[5] / tc[4]Shopping lists; thickener stock; hydration plan.
¶ 144 · tbl[2] / tr[5] / tc[5]Monitor intake/weight; constipation/dehydration checks.
¶ 145 · tbl[2] / tr[5] / tc[6]Med-food interactions; schedules around meals.
¶ 146 · tbl[2] / tr[5] / tc[7]Review and adjust after hospital/GP changes; public-safe updates.
¶ 147 · tbl[2] / tr[6] / tc[1]GP / ED / Hospital Ward
AA-C10 · Mealtime & IDDSI · paragraphs 148–164
¶ 148 · tbl[2] / tr[6] / tc[2]Care plan and comms mode recorded; carer allowed (TEMPLATES L; TEMPLATES N).
¶ 149 · tbl[2] / tr[6] / tc[3]Bedside swallow screen or SP referral; avoid NBM unless necessary.
¶ 150 · tbl[2] / tr[6] / tc[4]Hospital kitchen follows IDDSI; bedside IDDSI cards/boards.
¶ 151 · tbl[2] / tr[6] / tc[5]Discharge includes IDDSI level(s) & strategies; Easy Read summary (TEMPLATES L).
¶ 152 · tbl[2] / tr[6] / tc[6]Medication changes reconciled within 72h; texture-safe forms (TEMPLATE D-2).
¶ 153 · tbl[2] / tr[6] / tc[7]Warm handover to home/program; GP review booked; S-8 publication.
¶ 154 · tbl[2] / tr[7] / tc[1]Provider (IDC-led)
¶ 155 · tbl[2] / tr[7] / tc[2]Single intake; preferences; weekly presence plan (TEMPLATE D-3).
¶ 156 · tbl[2] / tr[7] / tc[3]Skill coaching at mealtimes; record competence; interpreter/AAC as needed (TEMPLATES N).
¶ 157 · tbl[2] / tr[7] / tc[4]E-receipts on; roster↔claim checks; observation audits (TEMPLATES T).
¶ 158 · tbl[2] / tr[7] / tc[5]Deliver supports; prompt hydration/oral care; neighbour/community meals (ordinary places).
¶ 159 · tbl[2] / tr[7] / tc[6]Exception queue: choking/near misses; start 72h review (TEMPLATE B-1).
¶ 160 · tbl[2] / tr[7] / tc[7]Fade prompts as skills grow; contribute to learning review (TEMPLATE S-8).
¶ 161 · tbl[2] / tr[8] / tc[1]Navigator (Access)
¶ 162 · tbl[2] / tr[8] / tc[2]Access receipt; ensure plan accessible across settings (TEMPLATE N-1).
¶ 163 · tbl[2] / tr[8] / tc[3]Interpreter/Auslan/AAC bookings; Easy Read pack delivery (TEMPLATES N; TEMPLATES L).
¶ 164 · tbl[2] / tr[8] / tc[4]Warm handover bookings across home/day program/hospital (TEMPLATES N).
AA-C10 · Mealtime & IDDSI · paragraphs 165–189
¶ 165 · tbl[2] / tr[8] / tc[5]Check D-2 pathway if meds changed (TEMPLATE D-2).
¶ 166 · tbl[2] / tr[8] / tc[6]Confirm promises kept; fix barriers (TEMPLATES T).
¶ 167 · tbl[2] / tr[8] / tc[7]Prepare de-identified publication pack; visible change log (TEMPLATE S-8).
¶ 168 · tbl[2] / tr[9] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 169 · tbl[2] / tr[9] / tc[2]Trigger: choking/aspiration pneumonia; weight loss; repeated non-compliance (TEMPLATES M).
¶ 170 · tbl[2] / tr[9] / tc[3]File-vs-field checks; contradiction matrix; training currency audit.
¶ 171 · tbl[2] / tr[9] / tc[4]Calibrate plan artefacts; alternatives completeness; fairness tests (TEMPLATES M).
¶ 172 · tbl[2] / tr[9] / tc[5]Verify D-2 compliance; small-cell suppression in learning (TEMPLATE D-2; TEMPLATE S-8).
¶ 173 · tbl[2] / tr[9] / tc[6]Exception ageing; coach teams on guardrails (TEMPLATES T).
¶ 174 · tbl[2] / tr[9] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 175 · tbl[2] / tr[10] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 176 · tbl[2] / tr[10] / tc[2]Case key; privacy-safe IDs; start e-receipt ledger (TEMPLATES T).
¶ 177 · tbl[2] / tr[10] / tc[3]Capture: IDDSI compliance checks, competence sign-offs, incidents (TEMPLATES T).
¶ 178 · tbl[2] / tr[10] / tc[4]Artefact inventory: plan, photos, tests, med charts, discharge letters (TEMPLATES T).
¶ 179 · tbl[2] / tr[10] / tc[5]Tiles: mealtime/IDDSI compliance; med texture compliance; incident rate (TEMPLATES T).
¶ 180 · tbl[2] / tr[10] / tc[6]Promise_kept_ratio; training currency; exception age (TEMPLATES T).
¶ 181 · tbl[2] / tr[10] / tc[7]DPIA; publication pack; visible change log (TEMPLATE S-8).
AA-C10 · Mealtime & IDDSI · paragraphs 190–205
¶ 190How we measure ourselves (published quarterly)
¶ 191We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some are per-1,000 meals; others are percentages or days.
¶ 192Access & Plans
¶ 193• Mealtime plan current and accessible - Latest: [ - ] █ (% people with an in-date plan).
¶ 194• Communication/Easy Read provided - Latest: [ - ] █ (needed vs provided) (TEMPLATES L; TEMPLATES N).
¶ 195• Time to plan after admission/change (days; lower better) - Latest: [ - ] █.
¶ 196Safety & Compliance
¶ 197• IDDSI compliance (observed meals) - Latest: [ - ] █ (% meals compliant).
¶ 198• Medication texture compliance - Latest: [ - ] █ (% doses texture-safe) (TEMPLATE D-2).
¶ 199• Choking/aspiration incidents per 1,000 meals (lower better) - Latest: [ - ] █.
¶ 200Nutrition & Hydration
¶ 201• Hydration prompts achieved - Latest: [ - ] █ (% planned prompts delivered).
¶ 202• Weight stability (within target range) - Latest: [ - ] █ (% people on target).
¶ 203• Oral care delivered daily - Latest: [ - ] █ (% days delivered).
¶ 204Learning & Review
¶ 205• Competence sign-offs current - Latest: [ - ] █ (% staff current).
AA-C10 · Mealtime & IDDSI · paragraphs 206–224
¶ 206• 72-hour reviews after choking/near miss - Latest: [ - ] █ (TEMPLATE B-1).
¶ 207• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 208ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 212Example - What real results look like (illustrative)
¶ 213Replace with your numbers.
¶ 214Access & Plans (example)
¶ 215• Mealtime plan current and accessible.............. [ 89% ] ██████████████████████████████
¶ 216• Communication/Easy Read provided.................. [ 93% ] ██████████████████████████████████
¶ 217• Time to plan after admission/change (days; lower). [ 4 ] ████
¶ 218 Safety & Compliance (example)
¶ 219• IDDSI compliance (observed meals)................ [ 92% ] █████████████████████████████████
¶ 220• Medication texture compliance.................... [ 96% ] ██████████████████████████████████████
¶ 221• Choking incidents per 1,000 meals (lower)........ [ 0.7 ] █
¶ 222 Nutrition & Hydration (example)
¶ 223• Hydration prompts achieved........................ [ 88% ] ██████████████████████████████
¶ 224• Weight stability (within target range)........... [ 76% ] █████████████████████████
AA-C10 · Mealtime & IDDSI · paragraphs 225–277
¶ 225• Oral care delivered daily........................ [ 82% ] ███████████████████████████
¶ 226 Learning & Review (example)
¶ 227• Competence sign-offs current...................... [ 87% ] █████████████████████████████
¶ 228• 72-hour reviews after choking/near miss.......... [ 94% ] ███████████████████████████████████
¶ 229• Promise-kept ratio................................ [0.92 ] ███████████████████████████████████
¶ 232Example Metrics Table (replace with your actuals)
¶ 233 · tbl[3] / tr[1] / tc[1]Tile
¶ 234 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 235 · tbl[3] / tr[1] / tc[3]Target
¶ 236 · tbl[3] / tr[1] / tc[4]Current
¶ 237 · tbl[3] / tr[1] / tc[5]Trend
¶ 238 · tbl[3] / tr[2] / tc[1]Plan current & accessible
¶ 239 · tbl[3] / tr[2] / tc[2]% people with an in-date plan stored where staff can find it
¶ 240 · tbl[3] / tr[2] / tc[3]≥95%
¶ 241 · tbl[3] / tr[2] / tc[4]89%
¶ 242 · tbl[3] / tr[2] / tc[5]↑
¶ 243 · tbl[3] / tr[3] / tc[1]Comms/Easy Read provided
¶ 244 · tbl[3] / tr[3] / tc[2]% who needed comms aids and received them
¶ 245 · tbl[3] / tr[3] / tc[3]≥95%
¶ 246 · tbl[3] / tr[3] / tc[4]93%
¶ 247 · tbl[3] / tr[3] / tc[5]→
¶ 248 · tbl[3] / tr[4] / tc[1]Time to plan after change (days)
¶ 249 · tbl[3] / tr[4] / tc[2]Median days from admission/change to plan issue
¶ 250 · tbl[3] / tr[4] / tc[3]≤3
¶ 251 · tbl[3] / tr[4] / tc[4]4
¶ 252 · tbl[3] / tr[4] / tc[5]↓
¶ 253 · tbl[3] / tr[5] / tc[1]IDDSI compliance (meals)
¶ 254 · tbl[3] / tr[5] / tc[2]% observed meals that met specified IDDSI level(s)
¶ 255 · tbl[3] / tr[5] / tc[3]≥95%
¶ 256 · tbl[3] / tr[5] / tc[4]92%
¶ 257 · tbl[3] / tr[5] / tc[5]↑
¶ 258 · tbl[3] / tr[6] / tc[1]Medication texture compliance
¶ 259 · tbl[3] / tr[6] / tc[2]% doses aligned to texture/thickness requirements
¶ 260 · tbl[3] / tr[6] / tc[3]≥98%
¶ 261 · tbl[3] / tr[6] / tc[4]96%
¶ 262 · tbl[3] / tr[6] / tc[5]↑
¶ 263 · tbl[3] / tr[7] / tc[1]Choking/aspiration per 1,000 meals
¶ 264 · tbl[3] / tr[7] / tc[2]Incidents per 1,000 meals (lower is better)
¶ 265 · tbl[3] / tr[7] / tc[3]↓ q/q
¶ 266 · tbl[3] / tr[7] / tc[4]0.7
¶ 267 · tbl[3] / tr[7] / tc[5]→
¶ 268 · tbl[3] / tr[8] / tc[1]Hydration prompts achieved
¶ 269 · tbl[3] / tr[8] / tc[2]% scheduled prompts delivered
¶ 270 · tbl[3] / tr[8] / tc[3]≥95%
¶ 271 · tbl[3] / tr[8] / tc[4]88%
¶ 272 · tbl[3] / tr[8] / tc[5]↑
¶ 273 · tbl[3] / tr[9] / tc[1]Weight stability on target
¶ 274 · tbl[3] / tr[9] / tc[2]% people within agreed weight range
¶ 275 · tbl[3] / tr[9] / tc[3]≥85%
¶ 276 · tbl[3] / tr[9] / tc[4]76%
¶ 277 · tbl[3] / tr[9] / tc[5]↑
AA-C10 · Mealtime & IDDSI · paragraphs 278–299
¶ 278 · tbl[3] / tr[10] / tc[1]Oral care delivered daily
¶ 279 · tbl[3] / tr[10] / tc[2]% days oral care delivered per plan
¶ 280 · tbl[3] / tr[10] / tc[3]≥95%
¶ 281 · tbl[3] / tr[10] / tc[4]82%
¶ 282 · tbl[3] / tr[10] / tc[5]↑
¶ 283 · tbl[3] / tr[11] / tc[1]Competence sign-offs current
¶ 284 · tbl[3] / tr[11] / tc[2]% relevant staff with current skill sign-off
¶ 285 · tbl[3] / tr[11] / tc[3]≥95%
¶ 286 · tbl[3] / tr[11] / tc[4]87%
¶ 287 · tbl[3] / tr[11] / tc[5]↑
¶ 288 · tbl[3] / tr[12] / tc[1]72h reviews after choking
¶ 289 · tbl[3] / tr[12] / tc[2]% choking/near-miss incidents reviewed ≤72h
¶ 290 · tbl[3] / tr[12] / tc[3]≥95%
¶ 291 · tbl[3] / tr[12] / tc[4]94%
¶ 292 · tbl[3] / tr[12] / tc[5]→
¶ 293 · tbl[3] / tr[13] / tc[1]Promise-kept ratio
¶ 294 · tbl[3] / tr[13] / tc[2]Kept ÷ made (0-1)
¶ 295 · tbl[3] / tr[13] / tc[3]≥0.90
¶ 296 · tbl[3] / tr[13] / tc[4]0.92
¶ 297 · tbl[3] / tr[13] / tc[5]→
¶ 299Owner: __________ Data source(s): Mealtime plans; Observation audits; IDDSI testing records; Training/competence register; Medication charts; GP/ED discharge letters; Weight/hydration logs; Oral care records; Navigator/IDC logs; E-receipts; Roster↔Claim
AA-C11 · Switching Between Service Providers
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C11_Switching_Between_Service_Providers_v1.docx
Member SHA-256: 0bcc97ace620a18fd623c232346c95ff31ea209feb37e3ea7cd395ee359142d0
AA-C11 · Switching Between Service Providers · paragraphs 1–8
¶ 1 - Document control - Template ID: AA-C11 - Switching Between Service Providers Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C11 - Switching Between Service Providers
¶ 3(No gaps, no drama, no pressure)
¶ 4What this title means (in plain words) Switching is the person’s right - and it can be an anxious, stressful time for the person, family and workers. Done properly, it doesn’t need to be. This crosswalk sets out how to change providers smoothly and safely: clear, plain-language consent; warm handovers with a named steward; and continuity of supports (ideally the same worker until the new team is ready). Money, records and equipment move quietly in the background so daily life keeps running. Any big call that could limit supports or spending uses Two-Key - two independent sign-offs with reasons you can read - so no one decides alone. We prioritise what matters to the person, not the paperwork.
¶ 7What this means for the person and supporters
¶ 8You can switch any time. We explain options in plain English/Easy Read and help compare offers and fit (TEMPLATES L).
AA-C11 · Switching Between Service Providers · paragraphs 9–18
¶ 9Your consent leads. Your information moves only with your consent (or legal authority). You choose who is told and when (TEMPLATE K-3; TEMPLATES N).
¶ 10No service gap. Supports do not stop while paperwork moves. Dates are lined up so there is overlap if needed.
¶ 11Same-worker where possible. If you want, the same worker can help during the handover period (with safeguards).
¶ 12Money made simple. Claims stop and start on clear dates; prepaid items and deposits are explained and reconciled.
¶ 13Your plans travel with you. Mealtime/IDDSI, seizure, medication lists, PBS strategies and communication access are sent so the first visit is safe.
¶ 14No pressure. You won’t be asked to sign long or confusing exit forms; any disputed money is paused and reviewed.
¶ 15Privacy protected. Only what’s needed is shared; nothing personal is published.
¶ 17What services must do (so you don’t have to) - Part 1: Person First, paperwork second.
¶ 18Start with what matters to the person. Ask goals, worries, deal-breakers, and preferred workers/routines; write these at the top of the Switch Summary and carry them forward.
AA-C11 · Switching Between Service Providers · paragraphs 19–24
¶ 19Provide communication access from the first minute. Interpreter/Auslan/AAC/Yes-No as chosen; use teach-back; record preferred contact method and quiet/sensory needs (TEMPLATES N).
¶ 20Offer real choices, not pressure. Explain options in plain English/Easy Read; compare offers side-by-side; allow time to decide; note any supporter/advocate the person wants (TEMPLATES L).
¶ 21Protect continuity the person cares about. Keep critical routines (meds, mealtime/IDDSI, seizure plan, community roles) and same worker during overlap if the person wants it.
¶ 22Make the first visits feel safe. Appoint a named steward; book two starter visits the person helped plan (where, when, with whom); confirm they were kept.
¶ 23Use Two-Key only for consequential changes - and explain it. Screen independence/cultural fit; write a one-page reason the person can read; invite their voice/representative (Appendix K/H/I).
¶ 24Hold space for emotions and change. Offer check-ins at 48h and 7d; ask “what’s one thing to change this week?”; action it and report back.
AA-C11 · Switching Between Service Providers · paragraphs 25–36
¶ 25Move money and records without making the person carry the burden. Services do the admin; supports continue; disputes go to a side channel so daily life isn’t disrupted (Appendix E/F).
¶ 26Guard privacy and dignity. Minimum necessary data, consent noted, small-cell suppression for any reporting; no person-level publication (Appendix R/S/AL/T).
¶ 27Close the loop on safety. If anything goes wrong (restraint/PRN/incident), run the 72-hour learning review with the person/representative and fix forward (Appendix B-C).
¶ 30What services must do (so you don’t have to). Part 2: The Double Check Standard.
¶ 31Use the Switching Checklist.
¶ 32Person’s choice & consent captured (mode noted; interpreter/Auslan/AAC offered).
¶ 33Warm handover booked: SBAR summary, named steward, time booked & kept.
¶ 34Cut-over dates set for rosters, claims and plan management.
¶ 35Safety artefacts attached: mealtime/IDDSI, seizure plan, medication list, PBS, contact preferences.
¶ 36Keep supports continuous. Maintain current roster until the new provider confirms start; allow short overlap days where needed.
AA-C11 · Switching Between Service Providers · paragraphs 37–48
¶ 37Freeze disputes, not supports. Any billing dispute moves to a side channel; supports continue; plan manager holds contested amounts pending resolution.
¶ 38Move money cleanly.
¶ 39Final e-receipts issued within 48h; last claim date recorded.
¶ 40Pre-payments/deposits reconciled; equipment/keys documented and returned/handed over.
¶ 41No exit fees beyond what the contract and law allow - explained in plain words.
¶ 42Guard independence. Coordinators/Navigators must be conflict-free; if the switch was triggered by risk or conflict, offer an independent second key for the decision note.
¶ 43Use Two-Key for consequential changes. If the switch changes housing, health risk, or major hours/funding patterns, record a one-page Reasons & Weighting with an independent co-sign (Appendix H/I/K).
¶ 44Clinically safe first visit. New provider confirms medication reconciliation ≤72h if anything changed; first shift has a named lead and checks plans in practice.
¶ 45Close the loop. Confirm the first two visits occurred; call the person/representative; log any quick fixes.
¶ 47Pre-Switch Implementation Plan: (baseline standards)
¶ 48Purpose: make the change deliberate, safe and traceable - no gaps, no pressure, no data leaks.
AA-C11 · Switching Between Service Providers · paragraphs 49–67
¶ 49Phases & checkpoints (suggested cadence)
¶ 50T-30 to T-21 days - Plan & consent
¶ 51Confirm the person’s choice & consent (mode + access supports).
¶ 52Appoint a Switch Steward (named contact) and book a standing check-in.
¶ 53Map current supports (who/what/when/where), safety artefacts (mealtime/IDDSI, seizure, meds, PBS), and equipment/keys.
¶ 54Screen conflicts for Navigator/Coordinator; if consequential impacts expected, book Two-Key co-signer.
¶ 55Draft Cut-over Plan (roster/claims/plan management dates).
¶ 56T-14 - Readiness 1
¶ 57Warm handover appointment booked (SBAR + steward + “booked & kept”).
¶ 58Data transfer pack prepared (minimum necessary; pseudonymous IDs).
¶ 59Financial transition drafted (last claim date, deposits/pre-paids, arrears).
¶ 60Clinical safety: med list verified; med-rec ≤72h post cut-over scheduled.
¶ 61Draft Go/No-Go criteria (see below).
¶ 62T-7 - Rehearsal
¶ 63Joint call/walk-through with both providers and the person/representative.
¶ 64First two visits scheduled with named leads; shadow/overlap shifts agreed if needed.
¶ 65Technology check (phones, portals, e-receipt app, auth).
¶ 66Draft S-8 change note (what changes; why; non-PII provenance).
¶ 67T-2 - Readiness 2
AA-C11 · Switching Between Service Providers · paragraphs 68–88
¶ 68Confirm access supports for day-of (interpreter/Auslan/AAC).
¶ 69Confirm transport, cashflow for essentials, and pharmacy/med supply.
¶ 70Freeze any billing disputes to side-channel; supports continue.
¶ 71T-0 - Cut-over
¶ 72Final e-receipts issued; last claim submitted; new roster active.
¶ 73Two-Key decision note filed (if consequential) with R&W IDs.
¶ 74Warm handover executed; steward confirms first visit occurred.
¶ 75T+2 / T+7 - Stabilise
¶ 76Med-rec ≤72h complete if anything changed; safety plans checked in practice.
¶ 77Person/rep check-ins (48h & 7d); quick fixes logged and closed.
¶ 78Publish S-8 change note (internal/public per policy) with hash.
¶ 79Go/No-Go criteria (must be green to proceed)
¶ 80First two visits booked & named; transport confirmed.
¶ 81Access supports booked; consent captured; privacy checks passed.
¶ 82Cut-over dates aligned across roster, claims and plan management.
¶ 83Safety artefacts attached and acknowledged by receiving team.
¶ 84Financial handover documented; disputes quarantined.
¶ 85(If consequential) Two-Key independence screen passed; R&W one-pager ready.
¶ 87Strategic Processes: (baseline procedure)
¶ 88Risk-led switching (so the person doesn’t carry the risk)
AA-C11 · Switching Between Service Providers · paragraphs 89–105
¶ 89Rapid risk screen (housing, health, money, legal) → targeted controls in the Cut-over Plan.
¶ 90If risk ↑ (e.g., medication or housing change), require Two-Key and Navigator escalation.
¶ 91Continuity & quality
¶ 92Same-worker continuity where requested (short overlap with safeguards).
¶ 93Shadow visit before solo work; first shift has a named lead and plan checks in practice.
¶ 9472-hour learning review after any restraint/PRN or serious incident during switch.
¶ 95Data, privacy & publication
¶ 96Minimum-necessary data transfer; pseudonymous IDs; audit-log events for export/import; provenance hash recorded (Appx T).
¶ 97Apply small-cell suppression to any tiles; no person-level publication (Appx R/S/AL).
¶ 98Financial transition
¶ 99Stop/start claim schedule; last/first claim dates visible; deposits and pre-paids reconciled with a plain-English note.
¶ 100Plan manager holds contested amounts; supports continue during review.
¶ 101Communication & engagement
¶ 102Plain-language/Easy Read Switch Summary to the person/rep (who/what/when; how to get help).
¶ 103Single inbox/phone for switch issues (monitored by the Switch Steward).
¶ 104Verification & close-out
¶ 105Two post-switch check-ins (48h, 7d) recorded; quick-fix actions verified.
AA-C11 · Switching Between Service Providers · paragraphs 106–125
¶ 106Short post-implementation review (what worked/what changed); update Owner Matrix & dashboards.
¶ 109Helpful artefacts (where to find them)
¶ 110Switching Protocol & Checklist (consent + SBAR + cut-over): Appendix M
¶ 111Plain-language/Easy Read comparison sheet & exit/entry notes: TEMPLATES L
¶ 112Communication access kit (interpreter/Auslan/AAC, yes/no): TEMPLATES N
¶ 113Two-Key short form + Reasons & Matrix: Appendix K / Appendix H / Appendix I
¶ 114Medication reconciliation & safety packs (mealtime/IDDSI, seizure, PBS): Appendix D / Appendix Z / Appendix AB
¶ 115E-receipt & claim cut-over (roster↔claim cross-check): Appendix E / Appendix F
¶ 116Privacy, suppression & provenance checks: Appendix R/S/AL/T
¶ 117S-8 change note & hash trail: Appendix AL/T
¶ 119Plain-language promise “We’ll help you switch without gaps or pressure: clear consent, side-by-side handover, money and records moved cleanly, the first visit booked and kept, safety plans in place, and - when big changes are proposed - two independent sign-offs with reasons you can read.”
¶ 123*Reference: “what does "T-30 to T-21 days" mean?
¶ 124“It’s “project shorthand” for dates relative to the switch day (Timeline).
¶ 125T-0 = the cut-over/switch day.
AA-C11 · Switching Between Service Providers · paragraphs 126–155
¶ 126T-30 to T-21 = the window 30 to 21 days before T-0 (i.e., three to four weeks prior).
¶ 127Similarly: T-14 = 14 days before; T-2 = 2 days before; T+7 = 7 days after.
¶ 128If your timeline is shorter (e.g., urgent switch), you compress the checkpoints into the time you have - same steps, tighter windows.
¶ 130Switching providers (at a glance)
¶ 131 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 132 · tbl[1] / tr[1] / tc[2]Decide to switch
¶ 133 · tbl[1] / tr[1] / tc[3]Consent & compare
¶ 134 · tbl[1] / tr[1] / tc[4]Plan the handover
¶ 135 · tbl[1] / tr[1] / tc[5]Final day with current
¶ 136 · tbl[1] / tr[1] / tc[6]First day with new
¶ 137 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 138 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 139 · tbl[1] / tr[2] / tc[2]You tell us you want to change; supporter welcome.
¶ 140 · tbl[1] / tr[2] / tc[3]You choose what is shared and with whom (consent).
¶ 141 · tbl[1] / tr[2] / tc[4]Pick the first day and final day - no gaps.
¶ 142 · tbl[1] / tr[2] / tc[5]You say goodbye when ready.
¶ 143 · tbl[1] / tr[2] / tc[6]You meet the new team in ordinary places.
¶ 144 · tbl[1] / tr[2] / tc[7]You can change your mind or adjust the plan.
¶ 145 · tbl[1] / tr[3] / tc[1]Current Provider
¶ 146 · tbl[1] / tr[3] / tc[2]Current provider listens; no pressure to stay.
¶ 147 · tbl[1] / tr[3] / tc[3]Current provider prepares a warm handover pack.
¶ 148 · tbl[1] / tr[3] / tc[4]Current provider keeps supports running.
¶ 149 · tbl[1] / tr[3] / tc[5]Current provider sends plan, meds, risk notes in plain English.
¶ 150 · tbl[1] / tr[3] / tc[6]Current provider closes out respectfully.
¶ 151 · tbl[1] / tr[3] / tc[7]Current provider learns from feedback.
¶ 152 · tbl[1] / tr[4] / tc[1]New Provider
¶ 153 · tbl[1] / tr[4] / tc[2]New provider explains offer plainly.
¶ 154 · tbl[1] / tr[4] / tc[3]New provider offers a draft presence plan.
¶ 155 · tbl[1] / tr[4] / tc[4]New provider lines up staff and schedule.
AA-C11 · Switching Between Service Providers · paragraphs 156–189
¶ 156 · tbl[1] / tr[4] / tc[5]New provider confirms start times and staff.
¶ 157 · tbl[1] / tr[4] / tc[6]New provider delivers first session and checks fit.
¶ 158 · tbl[1] / tr[4] / tc[7]New provider updates plan and roster.
¶ 159 · tbl[1] / tr[5] / tc[1]Navigator (Access)
¶ 160 · tbl[1] / tr[5] / tc[2]Navigator can help compare and set dates.
¶ 161 · tbl[1] / tr[5] / tc[3]Navigator checks conflicts and transport.
¶ 162 · tbl[1] / tr[5] / tc[4]Navigator books a warm handover meeting.
¶ 163 · tbl[1] / tr[5] / tc[5]Navigator checks transport and equipment.
¶ 164 · tbl[1] / tr[5] / tc[6]Navigator verifies everything arrived.
¶ 165 · tbl[1] / tr[5] / tc[7]Navigator checks promises kept.
¶ 166 · tbl[1] / tr[6] / tc[1]Health/School/Housing (as relevant)
¶ 167 · tbl[1] / tr[6] / tc[2]Schools/health/housing told only with consent.
¶ 168 · tbl[1] / tr[6] / tc[3]Relevant partners ready for the change.
¶ 169 · tbl[1] / tr[6] / tc[4]Partners update contact points if needed.
¶ 170 · tbl[1] / tr[6] / tc[5]Partners switch contact lists.
¶ 171 · tbl[1] / tr[6] / tc[6]Partners receive the updated details.
¶ 172 · tbl[1] / tr[6] / tc[7]Partners confirm there were no gaps.
¶ 173 · tbl[1] / tr[7] / tc[1]Data & Integrity
¶ 174 · tbl[1] / tr[7] / tc[2]Privacy-safe case key used throughout.
¶ 175 · tbl[1] / tr[7] / tc[3]Guardrails block double-claiming.
¶ 176 · tbl[1] / tr[7] / tc[4]Dashboard shows dates, no names.
¶ 177 · tbl[1] / tr[7] / tc[5]E-receipts close and open on the right dates.
¶ 178 · tbl[1] / tr[7] / tc[6]Exceptions queue watched for issues.
¶ 179 · tbl[1] / tr[7] / tc[7]De-identified changes published (TEMPLATE S-8).
¶ 181Flow - Swimlane (DETAILED)
¶ 182 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 183 · tbl[2] / tr[1] / tc[2]Consent & Reasons
¶ 184 · tbl[2] / tr[1] / tc[3]Warm Handover Artefacts
¶ 185 · tbl[2] / tr[1] / tc[4]Scheduling & Continuity
¶ 186 · tbl[2] / tr[1] / tc[5]Medicines & Risk Notes
¶ 187 · tbl[2] / tr[1] / tc[6]First Session & Verification
¶ 188 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 189 · tbl[2] / tr[2] / tc[1]Person & Supporter
AA-C11 · Switching Between Service Providers · paragraphs 190–203
¶ 190 · tbl[2] / tr[2] / tc[2]Say why you want to switch; choose what is shared; consent & privacy choices (TEMPLATE K-3; TEMPLATES N).
¶ 191 · tbl[2] / tr[2] / tc[3]Approve the warm handover pack contents; choose who attends the meeting (TEMPLATES N).
¶ 192 · tbl[2] / tr[2] / tc[4]Pick the first day with the new provider and the final day with the current; request same-worker continuity where possible (TEMPLATES L).
¶ 193 · tbl[2] / tr[2] / tc[5]Confirm medicines list, risks, and communication preferences in plain English (TEMPLATES L; TEMPLATE D-2).
¶ 194 · tbl[2] / tr[2] / tc[6]Meet new team; check fit; adjust plan if needed (TEMPLATES L).
¶ 195 · tbl[2] / tr[2] / tc[7]Ask for review; de-identified publication of learning (TEMPLATE S-8).
¶ 196 · tbl[2] / tr[3] / tc[1]Current Provider (Support/IDC-led)
¶ 197 · tbl[2] / tr[3] / tc[2]Acknowledge request; no pressure to stay; reasons recorded neutrally (TEMPLATES L).
¶ 198 · tbl[2] / tr[3] / tc[3]Warm handover pack: plan, routines, risks, meds list, communication supports, progress, Easy Read summary (TEMPLATES N; TEMPLATES L).
¶ 199 · tbl[2] / tr[3] / tc[4]Keep supports running until the agreed final day; prepare staff notes for continuity.
¶ 200 · tbl[2] / tr[3] / tc[5]Verify medicine charts and risk notes; D-2 pathway if changes (TEMPLATE D-2).
¶ 201 · tbl[2] / tr[3] / tc[6]Attend handover; answer questions; close respectfully on final day.
¶ 202 · tbl[2] / tr[3] / tc[7]Share lessons learned de-identified (TEMPLATE S-8).
¶ 203 · tbl[2] / tr[4] / tc[1]New Provider (Support/IDC-led)
AA-C11 · Switching Between Service Providers · paragraphs 204–218
¶ 204 · tbl[2] / tr[4] / tc[2]Explain offer plainly; costs, coverage times, and guardrails (TEMPLATES L; TEMPLATES T).
¶ 205 · tbl[2] / tr[4] / tc[3]Receive handover pack; verify consent; create Easy Read welcome.
¶ 206 · tbl[2] / tr[4] / tc[4]Roster staff; aim for same-worker continuity; set weekly community presence (TEMPLATE D-3).
¶ 207 · tbl[2] / tr[4] / tc[5]Check medicine tasks and risk notes; train staff as needed (TEMPLATE D-2).
¶ 208 · tbl[2] / tr[4] / tc[6]Deliver first session; e-receipts on; confirm person is happy with fit (TEMPLATES T).
¶ 209 · tbl[2] / tr[4] / tc[7]Update plan; schedule review; contribute to S-8 learning.
¶ 210 · tbl[2] / tr[5] / tc[1]Navigator (Access)
¶ 211 · tbl[2] / tr[5] / tc[2]Access receipt; confirm safe contact; support comparisons; brokerage for First Nations/CALD if relevant (TEMPLATE N-1; TEMPLATES O).
¶ 212 · tbl[2] / tr[5] / tc[3]Book warm handover meeting; artefact inventory and timeline (TEMPLATES N).
¶ 213 · tbl[2] / tr[5] / tc[4]Confirm transport/funding continuity; avoid gaps; notify partners as consented (TEMPLATES N).
¶ 214 · tbl[2] / tr[5] / tc[5]Check D-2 compliance if meds changed; set 72h review if risks (TEMPLATE D-2; TEMPLATE B-1).
¶ 215 · tbl[2] / tr[5] / tc[6]Verify first session happened; fix barriers quickly; track promise-kept ratio (TEMPLATES T).
¶ 216 · tbl[2] / tr[5] / tc[7]Prepare publication pack; visible change log (TEMPLATE S-8).
¶ 217 · tbl[2] / tr[6] / tc[1]Health/School/Housing (as relevant)
¶ 218 · tbl[2] / tr[6] / tc[2]Receive consented notice of provider change; update contacts (TEMPLATES N).
AA-C11 · Switching Between Service Providers · paragraphs 219–236
¶ 219 · tbl[2] / tr[6] / tc[3]Share relevant plans/summaries to support continuity (TEMPLATES L).
¶ 220 · tbl[2] / tr[6] / tc[4]Align schedules (e.g., school, therapy, housing repairs).
¶ 221 · tbl[2] / tr[6] / tc[5]Confirm medicine charts and risk notes align across settings (TEMPLATE D-2).
¶ 222 · tbl[2] / tr[6] / tc[6]Report any gaps so they can be fixed quickly.
¶ 223 · tbl[2] / tr[6] / tc[7]Contribute to learning review de-identified (TEMPLATE S-8).
¶ 224 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 225 · tbl[2] / tr[7] / tc[2]Trigger: contested reasons, delays, or pressure reported (TEMPLATES M).
¶ 226 · tbl[2] / tr[7] / tc[3]File-vs-field; contradiction matrix; fairness tests (TEMPLATES M).
¶ 227 · tbl[2] / tr[7] / tc[4]Calibrate artefacts; ensure alternatives and consent are complete (TEMPLATES M; TEMPLATES N).
¶ 228 · tbl[2] / tr[7] / tc[5]Audit D-2 compliance; small-cell suppression (TEMPLATE D-2; TEMPLATE S-8).
¶ 229 · tbl[2] / tr[7] / tc[6]Exception queue ageing; coach providers on guardrails (TEMPLATES T).
¶ 230 · tbl[2] / tr[7] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 231 · tbl[2] / tr[8] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 232 · tbl[2] / tr[8] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
¶ 233 · tbl[2] / tr[8] / tc[3]Roster↔claim guardrails to stop overlap and gaps (TEMPLATES T).
¶ 234 · tbl[2] / tr[8] / tc[4]Artefact inventory: consent, handover pack, welcome pack, timelines (TEMPLATES T).
¶ 235 · tbl[2] / tr[8] / tc[5]Tiles: navigator_coverage; promise_kept_ratio; error_half_life (TEMPLATES T).
¶ 236 · tbl[2] / tr[8] / tc[6]Exceptions queue monitored; visible change log (TEMPLATE S-8).
AA-C11 · Switching Between Service Providers · paragraphs 237–256
¶ 237 · tbl[2] / tr[8] / tc[7]DPIA and publication pack produced (TEMPLATE S-8).
¶ 241How we measure ourselves (published quarterly)
¶ 242We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some items are days; others are percentages.
¶ 243Access & Consent
¶ 244• Plain-language comparison provided - Latest: [ - ] █ (% who wanted a comparison and got one).
¶ 245• Consent recorded correctly - Latest: [ - ] █ (% switches with complete consent) (TEMPLATE K-3).
¶ 246• Interpreter/Auslan/AAC used - Latest: [ - ] █ (needed vs used) (TEMPLATES N).
¶ 247Continuity & Timeliness
¶ 248• Gap-free changeover - Latest: [ - ] █ (% with zero missed sessions).
¶ 249• Time from decision→first day (days; lower better) - Latest: [ - ] █.
¶ 250• Same-worker continuity in first fortnight - Latest: [ - ] █ (% with intended worker).
¶ 251Safety & Reasons
¶ 252• Medicines list reconciled - Latest: [ - ] █ (% switches with D-2 check).
¶ 253• Plain-English reasons provided - Latest: [ - ] █ (% with reasons pack).
¶ 254• Adverse events within 30 days (per 100; lower) - Latest: [ - ] █.
¶ 255Learning & Repair
¶ 256• 72-hour reviews for reported incidents - Latest: [ - ] █ (TEMPLATE B-1).
AA-C11 · Switching Between Service Providers · paragraphs 257–276
¶ 257• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 258ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 262Example - What real results look like (illustrative)
¶ 263Replace with your numbers.
¶ 264Access & Consent (example)
¶ 265• Plain-language comparison provided................. [ 92% ] █████████████████████████████████
¶ 266• Consent recorded correctly........................ [ 98% ] ██████████████████████████████████████
¶ 267• Interpreter/Auslan/AAC used....................... [ 88% ] █████████████████████████████
¶ 268 Continuity & Timeliness (example)
¶ 269• Gap-free changeover............................... [ 94% ] ███████████████████████████████████
¶ 270• Time decision→first day (days; lower)............. [ 11 ] ███████
¶ 271• Same-worker continuity (first fortnight).......... [ 76% ] █████████████████████████
¶ 272 Safety & Reasons (example)
¶ 273• Medicines list reconciled........................ [ 96% ] ██████████████████████████████████████
¶ 274• Plain-English reasons provided.................... [ 89% ] ██████████████████████████████
¶ 275• Adverse events within 30 days (/100; lower)....... [ 2.3 ] ██
¶ 276 Learning & Repair (example)
AA-C11 · Switching Between Service Providers · paragraphs 277–342
¶ 277• 72-hour reviews for incidents..................... [ 93% ] ███████████████████████████████████
¶ 278• Promise-kept ratio................................ [0.91 ] ██████████████████████████████████
¶ 281Example Metrics Table (replace with your actuals)
¶ 282 · tbl[3] / tr[1] / tc[1]Tile
¶ 283 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 284 · tbl[3] / tr[1] / tc[3]Target
¶ 285 · tbl[3] / tr[1] / tc[4]Current
¶ 286 · tbl[3] / tr[1] / tc[5]Trend
¶ 287 · tbl[3] / tr[2] / tc[1]Plain comparison provided
¶ 288 · tbl[3] / tr[2] / tc[2]% people who wanted a comparison and received it
¶ 289 · tbl[3] / tr[2] / tc[3]≥95%
¶ 290 · tbl[3] / tr[2] / tc[4]92%
¶ 291 · tbl[3] / tr[2] / tc[5]↑
¶ 292 · tbl[3] / tr[3] / tc[1]Consent recorded correctly
¶ 293 · tbl[3] / tr[3] / tc[2]% switches with complete consent documentation
¶ 294 · tbl[3] / tr[3] / tc[3]=100%
¶ 295 · tbl[3] / tr[3] / tc[4]98%
¶ 296 · tbl[3] / tr[3] / tc[5]↑
¶ 297 · tbl[3] / tr[4] / tc[1]Interpreter/Auslan/AAC used
¶ 298 · tbl[3] / tr[4] / tc[2]% required cases with supports used
¶ 299 · tbl[3] / tr[4] / tc[3]≥95%
¶ 300 · tbl[3] / tr[4] / tc[4]88%
¶ 301 · tbl[3] / tr[4] / tc[5]↑
¶ 302 · tbl[3] / tr[5] / tc[1]Gap-free changeover
¶ 303 · tbl[3] / tr[5] / tc[2]% switches with zero missed sessions
¶ 304 · tbl[3] / tr[5] / tc[3]≥98%
¶ 305 · tbl[3] / tr[5] / tc[4]94%
¶ 306 · tbl[3] / tr[5] / tc[5]↑
¶ 307 · tbl[3] / tr[6] / tc[1]Decision→first day (days)
¶ 308 · tbl[3] / tr[6] / tc[2]Median days (lower better)
¶ 309 · tbl[3] / tr[6] / tc[3]≤10
¶ 310 · tbl[3] / tr[6] / tc[4]11
¶ 311 · tbl[3] / tr[6] / tc[5]↓
¶ 312 · tbl[3] / tr[7] / tc[1]Same-worker continuity
¶ 313 · tbl[3] / tr[7] / tc[2]% receiving planned worker in first fortnight
¶ 314 · tbl[3] / tr[7] / tc[3]≥85%
¶ 315 · tbl[3] / tr[7] / tc[4]76%
¶ 316 · tbl[3] / tr[7] / tc[5]↑
¶ 317 · tbl[3] / tr[8] / tc[1]Medicines reconciled
¶ 318 · tbl[3] / tr[8] / tc[2]% switches with medicines list reconciled (D-2)
¶ 319 · tbl[3] / tr[8] / tc[3]=100%
¶ 320 · tbl[3] / tr[8] / tc[4]96%
¶ 321 · tbl[3] / tr[8] / tc[5]↑
¶ 322 · tbl[3] / tr[9] / tc[1]Plain-English reasons
¶ 323 · tbl[3] / tr[9] / tc[2]% switches with a reasons pack provided
¶ 324 · tbl[3] / tr[9] / tc[3]=100%
¶ 325 · tbl[3] / tr[9] / tc[4]89%
¶ 326 · tbl[3] / tr[9] / tc[5]↑
¶ 327 · tbl[3] / tr[10] / tc[1]Adverse events /100 (30d)
¶ 328 · tbl[3] / tr[10] / tc[2]Events per 100 people within 30 days (lower)
¶ 329 · tbl[3] / tr[10] / tc[3]↓ q/q
¶ 330 · tbl[3] / tr[10] / tc[4]2.3
¶ 331 · tbl[3] / tr[10] / tc[5]→
¶ 332 · tbl[3] / tr[11] / tc[1]72h reviews completed
¶ 333 · tbl[3] / tr[11] / tc[2]% incidents with ≤72h review
¶ 334 · tbl[3] / tr[11] / tc[3]≥95%
¶ 335 · tbl[3] / tr[11] / tc[4]93%
¶ 336 · tbl[3] / tr[11] / tc[5]→
¶ 337 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 338 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 339 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 340 · tbl[3] / tr[12] / tc[4]0.91
¶ 341 · tbl[3] / tr[12] / tc[5]→
AA-C11 · Switching Between Service Providers · paragraphs 343–343
¶ 343Owner: __________ Data source(s): Consent records; Warm handover packs; Rosters & e-receipts; Navigator logs; GP/medication reconciliation; Incident reports; Partner notifications; Roster↔Claim
AA-C12 · Police & Custody Interface (AN-hooks)
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AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 1–9
¶ 1 - Document control - Template ID: AA-C12 - Police & Custody Interface (hooks to AN- TEMPLATES) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C12 - Police & Custody Interface (hooks to AN- TEMPLATES)
¶ 3What this title means (in plain words) This crosswalk explains how police and custody staff work with a person with cognitive disability - using calm, health-led approaches, communication access, least-restrictive options, and warm handovers to health, housing and courts. It can be a stressful, anxious time for everyone; done properly, it doesn’t need to be. AN-TEMPLATES provide accessible rights cards, interview scripts, custody care plans and handover notes so the process is clear, humane and safe.
¶ 4This crosswalk is one of the most important pieces of information the white paper carries.
¶ 7"Why firmness - because this is the coalface, and every decision lands on a person’s life."
¶ 9Why firmness - because first responders carry the load at the coalface: in seconds they protect themselves, the public, and the person at centre; disciplined, person-first practice honours that duty.
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 10–22
¶ 10Why firmness - because unsung frontline work demands it: split-second calls must safeguard responders, the public, and the person, with least-restrictive steps and clear reasons.
¶ 11Why firmness - because decisions made in seconds land on lives; firm, person-first rails keep responders safe, the public protected, and the person shielded with dignity.
¶ 14Clarity under pressure prevents harm; firm, least-restrictive steps give police, ambos and ED a safe, caring and lawful path in the moment - and a record we can all stand behind.
¶ 19What this means for the person and supporters
¶ 20Calm, person-first contact. Officers slow the scene, introduce themselves, and use your preferred communication (Auslan/interpreter/AAC/Yes-No, Easy Read).
¶ 21Your rights in plain words. Reasons and legal basis are explained; alternatives to detention are considered and recorded; you can have a supporter/advocate where lawful.
¶ 22Health needs handled early. Medicines, pain, seizure/mealtime plans and adjustments (quiet space, breaks) are addressed promptly; ED is involved when needed.
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 23–34
¶ 23Fair interviews. Communication support is in place before questions; breaks allowed; simple language used; you can talk to a lawyer first.
¶ 24Warm handovers. On release or transfer, next steps with ED/GP, Navigator, housing and courts are booked & kept with a named contact.
¶ 25Privacy and dignity protected. Only necessary information is shared; you receive accessible copies of notices and reasons.
¶ 27What services must do (so the person doesn’t have to). Part1: (the failsafe baseline)
¶ 28Go / No-Go criteria - first contact, detention, force, and interview
¶ 29Always first - Aim: avoid misreading cognitive disability as intoxication/violence; choose the least-restrictive safe path.
¶ 30Scene safety secured (remove hazards / create space) → calm stance, single voice.
¶ 31Access first: offer interpreter/Auslan/AAC/Yes-No; use teach-back; allow supporter/advocate where lawful. (TEMPLATES N; TEMPLATES L)
¶ 33A) Quick screen: could this be cognitive disability (not intoxication)?
¶ 34If ≥1 cue present → treat as possible cognitive disability and go to “No-Go/Pause” pathway below. Cues are not diagnoses; they are prompts to slow down and adapt.
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 35–47
¶ 35Very literal answers, repeats question, slow processing, needs extra time.
¶ 36Uses communication aids (cards/device/book) or a supporter indicates communication needs.
¶ 37Over- or under-reacts to sensory input (noise, lights, touch) and settles when environment is adjusted.
¶ 38Has medical ID, care plan card, or a known support worker/family present.
¶ 39Speech pattern steady with no alcohol odour; horizontal gaze nystagmus absent; steadier after quiet time.
¶ 40Notices like “Easy Read please” or “I need pictures/yes-no” from the person or supporter.
¶ 41Also consider medical look-alikes: hypoglycaemia, head injury, post-ictal state, sepsis, delirium, dehydration, medication side-effects. (Escalate to ED when suspected.)
¶ 43B) NO-GO / PAUSE (adapt & divert where safe)
¶ 44Do not proceed to detention/force/interview until these are addressed:
¶ 45Communication access in place (interpreter/Auslan/AAC/Yes-No) and supporter offer recorded.
¶ 46Health check for look-alikes (glucose, head injury, seizure/post-ictal, meds). If positive/uncertain → ED diversion.
¶ 47Least-restrictive options attempted and logged: de-escalation, quiet space, time, contact family/Navigator, transport to health.
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 48–61
¶ 48Legal basis clarified; if only disorderly/behavioural without risk → prefer support/health pathway.
¶ 49Two-Key used for any consequential restriction (e.g., custody for care, chemical restraint) with a one-page Reasons & Weighting note. (Appendix K/H/I; AN-reasons record)
¶ 50If the person calms with adjustments or accepts health diversion → do not escalate; complete warm handover (ED/GP/Navigator/housing) with booked & kept time. (TEMPLATES N; TEMPLATE D-2)
¶ 52C) GO (detain/force) - proceed only if all true
¶ 53Immediate serious risk remains (to person/others) after de-escalation and supports.
¶ 54Lawful threshold for detention/arrest is met and stated in plain words.
¶ 55Communication access was offered/arranged; supporter/legal advice opportunity documented (where lawful).
¶ 56Health red flags assessed; ED pathway considered/ruled out with reasons.
¶ 57Least-restrictive option chosen; if restraint/medication used, it is time-kept, proportionate, and recorded with start/stop and why.
¶ 58Supervisor notified; AN-templates completed (reasons/options, custody care plan, health handover).
¶ 59Warm handover on release/transfer booked with a named steward (ED/GP/courts/housing/Navigator).
¶ 61D) Interview Go/No-Go
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 62–73
¶ 62No-Go: interpreter/Auslan/AAC not yet present; person fatigued/distressed; no fit-for-interview when indicated; no legal advice opportunity → delay and arrange supports.
¶ 63Go: access supports in place; fit-for-interview obtained where needed; accessible script used (short questions, one at a time, visuals, breaks); any exceptions logged. (AN-accessible interview; AN-exceptions log)
¶ 65E) Mandatory follow-ups (if any force/PRN used)
¶ 6672-hour learning review booked; update plans/fade steps; notify person/representative. (Appendix B-C)
¶ 67Medication reconciliation ≤72 h if medicines were given/changed. (TEMPLATE D-2)
¶ 68Audit log events recorded; small-cell suppression for any reporting. (Appendix T; Appendix R/S/AL)
¶ 71What services must do (so the person doesn’t have to) Part 2: (The Double Check Standard)
¶ 72Access first at first contact. Arrange interpreter/Auslan/AAC; note preferred communication and supporter; use teach-back (TEMPLATES N; TEMPLATES L; AN-rights card).
¶ 73Test least-restrictive options. Try de-escalation, supporter call, and health diversion before detention; record options and reasons (Two-Key + one-page R&W when decisions restrict rights) (Appendix K/H/I; AN-reasons record).
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 74–81
¶ 74Safe custody intake. Complete disability prompts; set observation level; provide a Custody Care Plan (hydration, meals, toileting, sensory needs); verify and administer medicines per protocol; escalate to ED when indicated (AN-custody care plan; TEMPLATE D-2).
¶ 75Interview that’s actually accessible. Confirm legal advice opportunity; obtain fit-for-interview note when needed; use AN-accessible interview script (short questions, visuals, breaks) and record any exceptions.
¶ 76Real handovers, not ‘refer and hope’. SBAR to ED/GP/courts/housing/Navigator with a named steward and time booked & kept; include communication needs and safety plans (TEMPLATES N; AN-handover notes).
¶ 77Close the learning loop. Any restraint/PRN-as-RP or Tier-0 incident triggers a 72-hour review with updates to plans and safeguards (Appendix B-C).
¶ 78Guard privacy. Minimum data; small-cell suppression for any publication; provenance/hash in the audit log (Appendix R/S/AL/T).
¶ 80What services must do (so the person doesn’t have to) Part 3: Process flow with template hooks (so teams know ‘how’)
¶ 81First contact → AN-L-01 rights card; AN-N-02 comm-access request.
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 82–96
¶ 82Decision point (divert vs detain) → AN-R-01 reasons & options (Two-Key if consequential).
¶ 83Custody intake → AN-C-01 custody care plan; AN-D-2 meds/health; quiet room/breaks set.
¶ 84Interview → legal opportunity; AN-M-01 fit-for-interview if indicated; AN-S-01 accessible script; AN-R-02 exceptions log.
¶ 85Release/transfer → AN-N-04 release & contacts; AN-C-02 bail support plan; AN-N-05 custody-to-custody handover.
¶ 86Court day → AN-L-03 plain court summary; AN-N-06 court handover to Navigator/housing/health.
¶ 87Supervisor & executive “double-check” (clocks & fairness)
¶ 88Access clock: interpreter/Auslan/AAC in place before interview (target ≥95%).
¶ 89Least-restrictive test: AN-R-01 present before detention (≥90%).
¶ 90Medication continuity: AN-D-2 reconciled ≤60 minutes of intake (≥95%).
¶ 91Handover kept: named steward + attended (≥90%).
¶ 92Tier-0 learning: 72-hour review completed on time (≥95%), actions verified.
¶ 93Escalation: missed clocks auto-escalate (Custody Sgt → Duty Inspector → Area Commander); Owner Matrix (Y) shows owner, due date, status.
¶ 95Least-restrictive & rights checks (do-not-skip)
¶ 96Rights explained in plain English (and in first language where possible).
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 97–116
¶ 97Communication access present before interview (interpreter/AAC).
¶ 98Supporter offer recorded; legal advice opportunity documented.
¶ 99Alternatives to detention considered and recorded.
¶ 100Time limits, observation levels, and breaks documented.
¶ 101Warm handovers completed (health, housing, courts); names + times recorded.
¶ 102Communication access quick list
¶ 103Short sentences; one question at a time; confirm understanding.
¶ 104Visuals/pictograms; allow writing/drawing responses.
¶ 105Avoid idioms, rapid speech, or multi-part choices.
¶ 106Ask the person how they prefer to communicate.
¶ 107Escalations (in order)
¶ 108Custody Supervisor → Duty Inspector (practice/safety concern).
¶ 109Health Lead → ED/On-call clinician (urgent health risk).
¶ 110Legal Rep → Bail Sergeant/Magistrates’ Court (release conditions).
¶ 111If safeguarding concerns: notify relevant oversight per local law; document.
¶ 112Records & artefacts to file
¶ 113AN-R-01 Reasons & options record; AN-R-02 Exceptions log.
¶ 114AN-L-01/02/03 Plain-language rights, custody notice, court summary.
¶ 115AN-N-01/02/03/04/05/06 Handover notes (health, comms, supporter, release, transfer, court).
¶ 116AN-C-01 Custody care plan; AN-C-02 Bail support plan.
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 117–131
¶ 117AN-D-2 Health & medication sheet; AN-M-01 Fit-for-interview note. (Map to Appendix T - Audit Log; Appendix S - Dashboard Tiles.)
¶ 118What to measure (tiles)
¶ 119Rights explained (pct): custody episodes with AN-L-01 issued.
¶ 120Comm access on time (pct): interpreter/AAC in place before interview.
¶ 121Least-restrictive tested (pct): AN-R-01 completed before detention.
¶ 122Warm handover completed (pct): named contact + time recorded at release/transfer.
¶ 123Medication continuity (pct): AN-D-2 reconciled within 60 minutes of intake.
¶ 12472-hour review completed (pct) for Tier-0 events (link to Appendix B).
¶ 125Helpful artefacts (where to find them)
¶ 126AN-TEMPLATES: plain-language rights card; reasons/options record; custody care plan; accessible interview script; fit-for-interview note; health/custody handover sheets; release & contacts sheet; bail support plan.
¶ 127Communication access & Easy Read: TEMPLATES N; TEMPLATES L
¶ 128Medication reconciliation & health interfaces: TEMPLATE D-2; AA-C02
¶ 129Two-Key short form + Reasons & Matrix: Appendix K / Appendix H / Appendix I
¶ 13072-Hour Review & Fade-Plan: Appendix B-C
¶ 131Privacy/suppression & provenance: Appendix R/S/AL/T\
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 132–152
¶ 132Template hooks: AN-rights card; AN-reasons & options record; AN-custody care plan; AN-health handover; AN-accessible interview & exceptions log; AN-release & contacts / bail support plan.
¶ 133 Companions: TEMPLATES N/L (access & Easy Read), Appendix K/H/I (Two-Key + R&W + Matrix), Appendix B-C (72-hour review), Appendix D (health), Appendix R/S/AL/T (privacy/provenance).
¶ 135Plain-language promise “We’ll keep things calm, use the way you communicate, explain reasons in plain words, try safer alternatives first, meet your health needs, book and keep the next steps with health, housing and courts, protect your privacy, and review any incident within 72 hours so the process keeps getting safer.”
¶ 137Police & custody (at a glance)
¶ 138 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 139 · tbl[1] / tr[1] / tc[2]Contact / approach
¶ 140 · tbl[1] / tr[1] / tc[3]Decision to detain or divert
¶ 141 · tbl[1] / tr[1] / tc[4]In custody - care & communication
¶ 142 · tbl[1] / tr[1] / tc[5]Interview / charge / bail
¶ 143 · tbl[1] / tr[1] / tc[6]Warm handover
¶ 144 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 145 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 146 · tbl[1] / tr[2] / tc[2]You meet police; supporter welcomed; calm approach.
¶ 147 · tbl[1] / tr[2] / tc[3]You hear reasons and alternatives in plain English.
¶ 148 · tbl[1] / tr[2] / tc[4]You have access to support and your comms mode.
¶ 149 · tbl[1] / tr[2] / tc[5]You can ask questions; explanations recorded plainly.
¶ 150 · tbl[1] / tr[2] / tc[6]You leave with clear next steps.
¶ 151 · tbl[1] / tr[2] / tc[7]You can request review or provide feedback.
¶ 152 · tbl[1] / tr[3] / tc[1]Police (Frontline)
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 153–180
¶ 153 · tbl[1] / tr[3] / tc[2]Officer records communication needs; interpreter/Auslan/AAC if needed.
¶ 154 · tbl[1] / tr[3] / tc[3]Least-restrictive options tried first; diversion preferred where safe.
¶ 155 · tbl[1] / tr[3] / tc[4]Officer uses person-first, calm stance.
¶ 156 · tbl[1] / tr[3] / tc[5]Interview supports provided (TEMPLATES AN).
¶ 157 · tbl[1] / tr[3] / tc[6]Police hand over to court/health/housing respectfully.
¶ 158 · tbl[1] / tr[3] / tc[7]Police learning loop reduces re-contact.
¶ 159 · tbl[1] / tr[4] / tc[1]Custody/Watchhouse
¶ 160 · tbl[1] / tr[4] / tc[2]Custody notified if likely; health risks flagged.
¶ 161 · tbl[1] / tr[4] / tc[3]Custody receives access flags and supporter details.
¶ 162 · tbl[1] / tr[4] / tc[4]Care plan: meds, sensory adjustments, breaks (TEMPLATES AN).
¶ 163 · tbl[1] / tr[4] / tc[5]If charged, plain-language notice and conditions.
¶ 164 · tbl[1] / tr[4] / tc[6]Custody provides transfer pack or discharge info.
¶ 165 · tbl[1] / tr[4] / tc[7]Custody reviews incidents and care plans.
¶ 166 · tbl[1] / tr[5] / tc[1]ED / GP (as required)
¶ 167 · tbl[1] / tr[5] / tc[2]ED/GP alerted if health-first safer than custody.
¶ 168 · tbl[1] / tr[5] / tc[3]Health-led diversion arranged if needed.
¶ 169 · tbl[1] / tr[5] / tc[4]ED/GP treats injuries/meds; return if safe.
¶ 170 · tbl[1] / tr[5] / tc[5]Health summaries sent to custody if returning.
¶ 171 · tbl[1] / tr[5] / tc[6]ED/GP summary and scripts provided.
¶ 172 · tbl[1] / tr[5] / tc[7]Health reviews medicine changes (D-2).
¶ 173 · tbl[1] / tr[6] / tc[1]Courts
¶ 174 · tbl[1] / tr[6] / tc[2]Court pathways explained simply.
¶ 175 · tbl[1] / tr[6] / tc[3]Court date/time pathways sketched.
¶ 176 · tbl[1] / tr[6] / tc[4]Court-informed about adjustments required.
¶ 177 · tbl[1] / tr[6] / tc[5]Bail/conditions explained plainly; alternatives discussed.
¶ 178 · tbl[1] / tr[6] / tc[6]Court outcomes shared lawfully in plain English.
¶ 179 · tbl[1] / tr[6] / tc[7]Court adjustments audited.
¶ 180 · tbl[1] / tr[7] / tc[1]Navigator (Access)
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 181–209
¶ 181 · tbl[1] / tr[7] / tc[2]Navigator can be called early for warm handover.
¶ 182 · tbl[1] / tr[7] / tc[3]Transport/advocacy arranged.
¶ 183 · tbl[1] / tr[7] / tc[4]Navigator confirms access and supporters.
¶ 184 · tbl[1] / tr[7] / tc[5]Navigator lines up legal/IDC supports.
¶ 185 · tbl[1] / tr[7] / tc[6]Navigator verifies handovers happened.
¶ 186 · tbl[1] / tr[7] / tc[7]Public update without identities (TEMPLATE S-8).
¶ 187 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 188 · tbl[1] / tr[8] / tc[2]Privacy respected; case key used.
¶ 189 · tbl[1] / tr[8] / tc[3]Guardrails block identity leaks.
¶ 190 · tbl[1] / tr[8] / tc[4]Tiles show times and adjustments.
¶ 191 · tbl[1] / tr[8] / tc[5]E-receipts for supports as needed.
¶ 192 · tbl[1] / tr[8] / tc[6]Exceptions watched.
¶ 193 · tbl[1] / tr[8] / tc[7]Learning improves future practice.
¶ 196Flow - Swimlane (DETAILED)
¶ 197 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 198 · tbl[2] / tr[1] / tc[2]Contact & Consent
¶ 199 · tbl[2] / tr[1] / tc[3]Diversion vs Detain
¶ 200 · tbl[2] / tr[1] / tc[4]Custody Care Plan & Communication
¶ 201 · tbl[2] / tr[1] / tc[5]Interview & Notices
¶ 202 · tbl[2] / tr[1] / tc[6]Transfer/Release & Warm Handover
¶ 203 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 204 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 205 · tbl[2] / tr[2] / tc[2]Share will & preferences; choose supporter; consent and privacy choices (TEMPLATE K-3; TEMPLATES N).
¶ 206 · tbl[2] / tr[2] / tc[3]Health-led alternatives explained; you can ask for a second look (TEMPLATES L; TEMPLATES M).
¶ 207 · tbl[2] / tr[2] / tc[4]Custody care needs stated (meds, sensory, breaks, interpreter/Auslan/AAC) (TEMPLATES AN; TEMPLATES N).
¶ 208 · tbl[2] / tr[2] / tc[5]Accessible interview supports (visuals, breaks, simple language); plain notices (TEMPLATES AN; TEMPLATES L).
¶ 209 · tbl[2] / tr[2] / tc[6]On release/transfer, receive a plain-English summary, dates and contacts (TEMPLATES L).
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 210–223
¶ 210 · tbl[2] / tr[2] / tc[7]Ask for review or complaint; de-identified publication (TEMPLATE S-8).
¶ 211 · tbl[2] / tr[3] / tc[1]Police (Frontline/Investigations)
¶ 212 · tbl[2] / tr[3] / tc[2]Calm, person-first approach; record comms needs; interpreter/Auslan/AAC (TEMPLATES N; TEMPLATES L).
¶ 213 · tbl[2] / tr[3] / tc[3]Apply least-restrictive options; divert to health/housing where safe (TEMPLATES AB).
¶ 214 · tbl[2] / tr[3] / tc[4]Custody care plan initiated with access needs; meds list captured (TEMPLATES AN; TEMPLATE D-2).
¶ 215 · tbl[2] / tr[3] / tc[5]Interview supports used; reasons documented with alternatives and tests (TEMPLATES AN; TEMPLATES M).
¶ 216 · tbl[2] / tr[3] / tc[6]Plain-language notice of charge and conditions; warm handover to court/health/housing (TEMPLATES L; TEMPLATES N).
¶ 217 · tbl[2] / tr[3] / tc[7]Participate in reviews; de-identified learning to publication (TEMPLATE S-8).
¶ 218 · tbl[2] / tr[4] / tc[1]Custody/Watchhouse
¶ 219 · tbl[2] / tr[4] / tc[2]Receive access flags and consent; supporter arrangements (TEMPLATES N).
¶ 220 · tbl[2] / tr[4] / tc[3]Health screening; diversion to ED if needed (TEMPLATES L).
¶ 221 · tbl[2] / tr[4] / tc[4]Custody Care Plan (AN hook): comms mode, meds schedule, quiet space, breaks, nutrition (TEMPLATES AN; TEMPLATE D-2).
¶ 222 · tbl[2] / tr[4] / tc[5]Interview room adjustments; visual aids; recording of reasons (TEMPLATES AN; TEMPLATES L).
¶ 223 · tbl[2] / tr[4] / tc[6]Pack for transfer/release: meds, property, contacts; plain-English conditions if bail (TEMPLATES L).
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 224–241
¶ 224 · tbl[2] / tr[4] / tc[7]Incident and restraint audit; publish learning de-identified (TEMPLATE S-8).
¶ 225 · tbl[2] / tr[5] / tc[1]ED / GP / Forensic Medical
¶ 226 · tbl[2] / tr[5] / tc[2]Consent & comms mode recorded; supporter present where lawful (TEMPLATES L; TEMPLATES N).
¶ 227 · tbl[2] / tr[5] / tc[3]Injury/illness assessment; diversion decision support (TEMPLATES L).
¶ 228 · tbl[2] / tr[5] / tc[4]Medication reconciliation within 72h if changes; safe storage guidance (TEMPLATE D-2).
¶ 229 · tbl[2] / tr[5] / tc[5]Forensic processes explained simply; alternatives and breaks (TEMPLATES L).
¶ 230 · tbl[2] / tr[5] / tc[6]Plain summary to custody/courts; follow-ups booked (TEMPLATES L).
¶ 231 · tbl[2] / tr[5] / tc[7]Join reviews if restraint/sedation occurred (TEMPLATE B-1).
¶ 232 · tbl[2] / tr[6] / tc[1]Legal Aid / Courts
¶ 233 · tbl[2] / tr[6] / tc[2]Interpreter/Auslan/AAC and special measures arranged (TEMPLATES N; TEMPLATES AN).
¶ 234 · tbl[2] / tr[6] / tc[3]Alternatives to custody explained; accessible bail conditions (TEMPLATES L).
¶ 235 · tbl[2] / tr[6] / tc[4]Accessible interview/court materials verified (TEMPLATES AN).
¶ 236 · tbl[2] / tr[6] / tc[5]Plain-language reasons documented and co-signed (TEMPLATES L; TEMPLATES M).
¶ 237 · tbl[2] / tr[6] / tc[6]Warm handover to Navigator/IDC; conditions explained simply (TEMPLATES N).
¶ 238 · tbl[2] / tr[6] / tc[7]De-identified outcomes in visible change log (TEMPLATE S-8).
¶ 239 · tbl[2] / tr[7] / tc[1]Navigator (Access)
¶ 240 · tbl[2] / tr[7] / tc[2]Access receipt; safe contact; brokerage if First Nations/CALD (TEMPLATE N-1; TEMPLATES O).
¶ 241 · tbl[2] / tr[7] / tc[3]Arrange communication supports and transport (TEMPLATES N).
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 242–256
¶ 242 · tbl[2] / tr[7] / tc[4]Check custody care plan completeness (AN hook) and artefact inventory (TEMPLATES AN; TEMPLATES N).
¶ 243 · tbl[2] / tr[7] / tc[5]Ensure interview supports and plain notices provided (TEMPLATES AN; TEMPLATES L).
¶ 244 · tbl[2] / tr[7] / tc[6]Confirm warm handovers to court/health/housing; track promise-kept ratio (TEMPLATES T).
¶ 245 · tbl[2] / tr[7] / tc[7]Prepare public-safe update; visible change log (TEMPLATE S-8).
¶ 246 · tbl[2] / tr[8] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 247 · tbl[2] / tr[8] / tc[2]Trigger: contested facts, restraint/sedation, repeated re-contacts (TEMPLATES M).
¶ 248 · tbl[2] / tr[8] / tc[3]File-vs-field; contradiction matrix; comms support quality audit (TEMPLATES N).
¶ 249 · tbl[2] / tr[8] / tc[4]Calibrate AN hooks and artefacts; ensure alternatives matrix complete (TEMPLATES AN; TEMPLATES M).
¶ 250 · tbl[2] / tr[8] / tc[5]Verify D-2 compliance; small-cell suppression (TEMPLATE D-2; TEMPLATE S-8).
¶ 251 · tbl[2] / tr[8] / tc[6]Exception queue ageing; coach police/custody on guardrails (TEMPLATES T).
¶ 252 · tbl[2] / tr[8] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 253 · tbl[2] / tr[9] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 254 · tbl[2] / tr[9] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
¶ 255 · tbl[2] / tr[9] / tc[3]Capture: time-to-approach, time-to-quiet, custody risk screen, interview supports used (TEMPLATES T).
¶ 256 · tbl[2] / tr[9] / tc[4]Artefact inventory: AN custody plan, interview support checklist, plain notices, health summaries (TEMPLATES AN; TEMPLATES T).
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 257–272
¶ 257 · tbl[2] / tr[9] / tc[5]Tiles: containment_minutes; time_to_privacy; navigator_coverage; error_half_life (TEMPLATES T).
¶ 258 · tbl[2] / tr[9] / tc[6]Promise_kept_ratio; exception age; publication pack (TEMPLATES T; TEMPLATE S-8).
¶ 259 · tbl[2] / tr[9] / tc[7]Visible change log maintained (TEMPLATE S-8).
¶ 261How we measure ourselves (published quarterly)
¶ 262We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some are minutes or per-1,000 custody events; others are percentages.
¶ 263Access & Calm Response
¶ 264• Communication supports used where indicated - Latest: [ - ] █ (needed vs used) (TEMPLATES N).
¶ 265• Time-to-quiet (minutes; lower is better) - Latest: [ - ] █ (arrival to calm).
¶ 266• Supporter present by choice (where lawful) - Latest: [ - ] █.
¶ 267Custody Care & Safety
¶ 268• Custody Care Plan completed (AN hook) - Latest: [ - ] █ (% in-custody cases) (TEMPLATES AN).
¶ 269• Restraint/sedation minutes per 1,000 custody events - Latest: [ - ] █ (lower is better).
¶ 270• Medication reconciliation ≤72h after change - Latest: [ - ] █ (TEMPLATE D-2).
¶ 271Interview & Legal
¶ 272• Accessible interview supports used - Latest: [ - ] █ (% interviews) (TEMPLATES AN).
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 273–293
¶ 273• Plain-language notices/conditions provided - Latest: [ - ] █.
¶ 274• Diversion to health/housing where safe - Latest: [ - ] █ (% eligible).
¶ 275Learning & Review
¶ 276• 72-hour reviews after restraint/sedation - Latest: [ - ] █ (TEMPLATE B-1).
¶ 277• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 278ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 282Example - What real results look like (illustrative)
¶ 283Replace with your numbers.
¶ 284Access & Calm Response (example)
¶ 285• Communication supports used....................... [ 85% ] ████████████████████████████
¶ 286• Time-to-quiet (minutes; lower)................... [ 9 ] █████
¶ 287• Supporter present by choice...................... [ 72% ] ██████████████████████
¶ 288 Custody Care & Safety (example)
¶ 289• Custody Care Plan completed...................... [ 88% ] █████████████████████████████
¶ 290• Restraint/sedation minutes per 1,000............. [ 17 ] ████████
¶ 291• Medication reconciliation ≤72h.................... [ 94% ] ██████████████████████████████████
¶ 292 Interview & Legal (example)
¶ 293• Accessible interview supports used................ [ 81% ] ██████████████████████████
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 294–355
¶ 294• Plain-language notices provided.................. [ 90% ] ███████████████████████████████
¶ 295• Diversion to health/housing...................... [ 39% ] ██████████
¶ 296 Learning & Review (example)
¶ 297• 72-hour reviews after restraint/sedation......... [ 92% ] █████████████████████████████████
¶ 298• Promise-kept ratio................................ [0.88 ] ████████████████████████
¶ 300Example Metrics Table (replace with your actuals)
¶ 301 · tbl[3] / tr[1] / tc[1]Tile
¶ 302 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 303 · tbl[3] / tr[1] / tc[3]Target
¶ 304 · tbl[3] / tr[1] / tc[4]Current
¶ 305 · tbl[3] / tr[1] / tc[5]Trend
¶ 306 · tbl[3] / tr[2] / tc[1]Comms supports used
¶ 307 · tbl[3] / tr[2] / tc[2]% indicated cases with supports used
¶ 308 · tbl[3] / tr[2] / tc[3]≥95%
¶ 309 · tbl[3] / tr[2] / tc[4]85%
¶ 310 · tbl[3] / tr[2] / tc[5]↑
¶ 311 · tbl[3] / tr[3] / tc[1]Time-to-quiet (min)
¶ 312 · tbl[3] / tr[3] / tc[2]Median minutes arrival→calm (lower better)
¶ 313 · tbl[3] / tr[3] / tc[3]≤6
¶ 314 · tbl[3] / tr[3] / tc[4]9
¶ 315 · tbl[3] / tr[3] / tc[5]↓
¶ 316 · tbl[3] / tr[4] / tc[1]Supporter present by choice
¶ 317 · tbl[3] / tr[4] / tc[2]% where supporter present if wanted
¶ 318 · tbl[3] / tr[4] / tc[3]≥90%
¶ 319 · tbl[3] / tr[4] / tc[4]72%
¶ 320 · tbl[3] / tr[4] / tc[5]↑
¶ 321 · tbl[3] / tr[5] / tc[1]Custody Care Plan completed
¶ 322 · tbl[3] / tr[5] / tc[2]% custody cases with AN care plan
¶ 323 · tbl[3] / tr[5] / tc[3]=100%
¶ 324 · tbl[3] / tr[5] / tc[4]88%
¶ 325 · tbl[3] / tr[5] / tc[5]↑
¶ 326 · tbl[3] / tr[6] / tc[1]Restraint min/1,000
¶ 327 · tbl[3] / tr[6] / tc[2]Minutes per 1,000 custody events (lower)
¶ 328 · tbl[3] / tr[6] / tc[3]↓ q/q
¶ 329 · tbl[3] / tr[6] / tc[4]17
¶ 330 · tbl[3] / tr[6] / tc[5]↓
¶ 331 · tbl[3] / tr[7] / tc[1]Med reconciliation ≤72h
¶ 332 · tbl[3] / tr[7] / tc[2]% med changes reconciled within 72h
¶ 333 · tbl[3] / tr[7] / tc[3]≥95%
¶ 334 · tbl[3] / tr[7] / tc[4]94%
¶ 335 · tbl[3] / tr[7] / tc[5]→
¶ 336 · tbl[3] / tr[8] / tc[1]Accessible interview supports
¶ 337 · tbl[3] / tr[8] / tc[2]% interviews using AN supports
¶ 338 · tbl[3] / tr[8] / tc[3]≥95%
¶ 339 · tbl[3] / tr[8] / tc[4]81%
¶ 340 · tbl[3] / tr[8] / tc[5]↑
¶ 341 · tbl[3] / tr[9] / tc[1]Plain-language notices
¶ 342 · tbl[3] / tr[9] / tc[2]% charges/bail with plain notice provided
¶ 343 · tbl[3] / tr[9] / tc[3]=100%
¶ 344 · tbl[3] / tr[9] / tc[4]90%
¶ 345 · tbl[3] / tr[9] / tc[5]↑
¶ 346 · tbl[3] / tr[10] / tc[1]Diversion to health/housing
¶ 347 · tbl[3] / tr[10] / tc[2]% eligible contacts diverted
¶ 348 · tbl[3] / tr[10] / tc[3]↑ q/q
¶ 349 · tbl[3] / tr[10] / tc[4]39%
¶ 350 · tbl[3] / tr[10] / tc[5]↑
¶ 351 · tbl[3] / tr[11] / tc[1]72h reviews completed
¶ 352 · tbl[3] / tr[11] / tc[2]% restraint/sedation cases with ≤72h review
¶ 353 · tbl[3] / tr[11] / tc[3]=100%
¶ 354 · tbl[3] / tr[11] / tc[4]92%
¶ 355 · tbl[3] / tr[11] / tc[5]→
AA-C12 · Police & Custody Interface (AN-hooks) · paragraphs 356–362
¶ 356 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 357 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 358 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 359 · tbl[3] / tr[12] / tc[4]0.88
¶ 360 · tbl[3] / tr[12] / tc[5]↑
¶ 362Owner: __________ Data source(s): Police RMS/CAD; Custody logs; AN custody care plans; Interview support checklists; Interpreter/Auslan/AAC logs; Court lists; ED/GP summaries; Navigator/IDC logs; E-receipts; Roster↔Claim
AA-C13 · Mental-Health Triage & Crisis Co-response
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C13_Mental-Health_Triage_&_Crisis_Co-response_v1.docx
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AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 1–7
¶ 1 - Document control - Template ID: AA-C13 - Mental-Health Triage & Crisis Co-response Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C13 - Mental-Health Triage & Crisis Co-response
¶ 3What this title means (in plain words) When someone is in acute distress, crisis lines, community mental-health teams, ambulance and police should respond together in a way that lowers risk and stress. We prioritise calm, health-led approaches, communication access, alternatives to hospital when safe, and warm handovers so the person isn’t left to manage alone. This time can be frightening; done properly, it doesn’t need to be.
¶ 4What this means for the person and supporters
¶ 5You choose how we communicate (Auslan/interpreter/AAC/Yes-No/Easy Read) and who is involved (supporter/peer worker/advocate).
¶ 6Clear reasons and real options are explained at every step - staying at home with a plan, Safe Haven/crisis respite, GP follow-up, or hospital when needed - in plain English.
¶ 7Least-restrictive first. Sensory adjustments, time, de-escalation and supporter involvement are tried before any restraint or sedation.
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 8–15
¶ 8If you go to hospital or stay at home, follow-ups are booked & kept (GP/psychiatry/peer support/Navigator). Medicines are reconciled within 72 hours if anything changes.
¶ 9Your rights and preferences (advance statement, nominated person, cultural/faith needs) are recorded and respected.
¶ 10Privacy is protected. Only necessary information is shared; no person-level data is published.
¶ 11What services must do (so the person doesn’t have to)
¶ 12Access first, from the first call. Offer interpreter/Auslan/AAC/Yes-No; use teach-back; record preferred contact method and quiet/sensory needs (TEMPLATES N; TEMPLATES L).
¶ 13Run a joint triage. Crisis line ↔ community MH team ↔ ambulance/police agree on lead, risks (suicide/self-harm, harm to others, medical look-alikes), and the least-restrictive plan.
¶ 14Test safe alternatives to hospital. Safe Haven/short-stay/crisis respite/peer support; home with a written safety plan and same-day or next-day review - document options and why chosen.
¶ 15If hospital is needed: explain why, keep communication supports, and ensure a warm handover to ED/psychiatry with a named steward and time booked & kept (SBAR).
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 16–24
¶ 16Use Two-Key for consequential restrictions. Involuntary hold, chemical restraint or seclusion-like decisions require independent co-sign and a one-page Reasons & Weighting with contradictions resolved (Appendix K/H/I).
¶ 17Time-keep and minimise any restraint/sedation. Record start/stop, dose and trigger; treat as exceptional; notify family/representative per consent.
¶ 18Close the learning loop. Any restraint/PRN-as-RP or critical incident triggers a 72-hour review with updates to safety plan and supports (Appendix B-C).
¶ 19Book follow-ups before leaving. GP within 48 hours where possible, MH team/peer support within 7 days, meds med-rec ≤72 h after changes (Appendix D); check appointments were kept.
¶ 20Guard privacy & publication. Minimum necessary data, small-cell suppression for any reporting, provenance/hash in audit log (Appendix R/S/AL/T).
¶ 21Helpful artefacts (where to find them)
¶ 22Communication access & Easy Read blocks: TEMPLATES N; TEMPLATES L
¶ 23Warm Handover bundle (SBAR + steward + booked/kept proof): Appendix D / AO-6N
¶ 24Safety Plan & Crisis Options one-pager (home / Safe Haven / respite): TEMPLATES M
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 25–48
¶ 25Reasons & Weighting + Contradiction Matrix + Two-Key short form: Appendix H / Appendix I / Appendix K
¶ 26Medication reconciliation (≤72 h): Appendix D
¶ 2772-Hour Review & Fade-Plan inserts: Appendix B-C
¶ 28Privacy/suppression & provenance checks: Appendix R/S/AL/T
¶ 29Police & Custody interface (if needed): AA-C12; AN-templates
¶ 30Plain-language promise “We’ll keep the response calm and health-led, use the way you communicate, explain choices in plain words (including staying at home with a plan), book and keep your follow-ups, protect your privacy, and - if any force or sedation is used - review it within 72 hours so care keeps getting safer.”
¶ 32Mental-health crisis (at a glance)
¶ 33 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 34 · tbl[1] / tr[1] / tc[2]Ask for help
¶ 35 · tbl[1] / tr[1] / tc[3]Calm contact & assess
¶ 36 · tbl[1] / tr[1] / tc[4]Go/no-go: mobile visit
¶ 37 · tbl[1] / tr[1] / tc[5]Decision: stay or go
¶ 38 · tbl[1] / tr[1] / tc[6]Warm handover
¶ 39 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 40 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 41 · tbl[1] / tr[2] / tc[2]You or a supporter contacts the crisis line or 000.
¶ 42 · tbl[1] / tr[2] / tc[3]You choose your communication mode and a supporter.
¶ 43 · tbl[1] / tr[2] / tc[4]You and your supporter say what helps.
¶ 44 · tbl[1] / tr[2] / tc[5]Decision with reasons: stay at home or go to ED.
¶ 45 · tbl[1] / tr[2] / tc[6]You leave with clear next steps.
¶ 46 · tbl[1] / tr[2] / tc[7]You can ask for a review or feedback.
¶ 47 · tbl[1] / tr[3] / tc[1]Crisis Line / MH Triage
¶ 48 · tbl[1] / tr[3] / tc[2]Triage notes access needs; interpreter/Auslan/AAC if needed.
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 49–79
¶ 49 · tbl[1] / tr[3] / tc[3]De-escalation, coping supports and options discussed.
¶ 50 · tbl[1] / tr[3] / tc[4]Triage records reasons/alternatives plainly.
¶ 51 · tbl[1] / tr[3] / tc[5]Crisis plan agreed; written in plain English.
¶ 52 · tbl[1] / tr[3] / tc[6]Triage confirms follow-ups and safety net.
¶ 53 · tbl[1] / tr[3] / tc[7]Triage audits access prompts.
¶ 54 · tbl[1] / tr[4] / tc[1]Mobile Crisis Team (MH clinician)
¶ 55 · tbl[1] / tr[4] / tc[2]Mobile MH team placed on standby.
¶ 56 · tbl[1] / tr[4] / tc[3]Mobile team dispatched if helpful and safe.
¶ 57 · tbl[1] / tr[4] / tc[4]On scene: quiet space; communication supports used.
¶ 58 · tbl[1] / tr[4] / tc[5]If going to ED: handover begins en route.
¶ 59 · tbl[1] / tr[4] / tc[6]Mobile team hands over to ED/GP/Navigator.
¶ 60 · tbl[1] / tr[4] / tc[7]Mobile team reviews adverse events.
¶ 61 · tbl[1] / tr[5] / tc[1]Ambulance
¶ 62 · tbl[1] / tr[5] / tc[2]Ambulance updated if medical risk.
¶ 63 · tbl[1] / tr[5] / tc[3]Ambulance attends if medical checks needed.
¶ 64 · tbl[1] / tr[5] / tc[4]Ambulance supports health-led plan.
¶ 65 · tbl[1] / tr[5] / tc[5]Medicines and risks explained plainly.
¶ 66 · tbl[1] / tr[5] / tc[6]Ambulance completes ISBAR + access cues.
¶ 67 · tbl[1] / tr[5] / tc[7]Ambulance adds learning into review.
¶ 68 · tbl[1] / tr[6] / tc[1]Police (if required)
¶ 69 · tbl[1] / tr[6] / tc[2]Police only if safety risk and health-led response insufficient.
¶ 70 · tbl[1] / tr[6] / tc[3]Police stand-by or attend calmly if needed.
¶ 71 · tbl[1] / tr[6] / tc[4]Police support least-restrictive options.
¶ 72 · tbl[1] / tr[6] / tc[5]Police de-escalation; respectful presence.
¶ 73 · tbl[1] / tr[6] / tc[6]Police outcomes recorded lawfully.
¶ 74 · tbl[1] / tr[6] / tc[7]Police review reduces future re-contact.
¶ 75 · tbl[1] / tr[7] / tc[1]ED / GP
¶ 76 · tbl[1] / tr[7] / tc[2]ED/GP alerted if transfer likely.
¶ 77 · tbl[1] / tr[7] / tc[3]ED prepares if transfer likely.
¶ 78 · tbl[1] / tr[7] / tc[4]GP consult possible if safe to stay.
¶ 79 · tbl[1] / tr[7] / tc[5]ED receives clinical and access details.
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 80–112
¶ 80 · tbl[1] / tr[7] / tc[6]ED continues plan; GP notified.
¶ 81 · tbl[1] / tr[7] / tc[7]GP/ED join reviews as required.
¶ 82 · tbl[1] / tr[8] / tc[1]Navigator (Access)
¶ 83 · tbl[1] / tr[8] / tc[2]Navigator can be called for warm handover.
¶ 84 · tbl[1] / tr[8] / tc[3]Navigator checks consent preferences.
¶ 85 · tbl[1] / tr[8] / tc[4]Navigator lines up follow-ups.
¶ 86 · tbl[1] / tr[8] / tc[5]GP/IDC booking if staying home.
¶ 87 · tbl[1] / tr[8] / tc[6]Navigator verifies warm handover occurred.
¶ 88 · tbl[1] / tr[8] / tc[7]Public update de-identified (TEMPLATE S-8).
¶ 89 · tbl[1] / tr[9] / tc[1]Data & Integrity
¶ 90 · tbl[1] / tr[9] / tc[2]Privacy-safe case key created.
¶ 91 · tbl[1] / tr[9] / tc[3]Guardrails block identity leaks.
¶ 92 · tbl[1] / tr[9] / tc[4]Tiles show key times and access.
¶ 93 · tbl[1] / tr[9] / tc[5]E-receipts ready for supports.
¶ 94 · tbl[1] / tr[9] / tc[6]Exceptions watched.
¶ 95 · tbl[1] / tr[9] / tc[7]Learning improves next responses.
¶ 99Flow - Swimlane (DETAILED)
¶ 100 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 101 · tbl[2] / tr[1] / tc[2]Request & Consent
¶ 102 · tbl[2] / tr[1] / tc[3]Calm Contact & Assessment
¶ 103 · tbl[2] / tr[1] / tc[4]On-Scene Support & Alternatives
¶ 104 · tbl[2] / tr[1] / tc[5]Decision & Medicines
¶ 105 · tbl[2] / tr[1] / tc[6]Warm Handover & Transport
¶ 106 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 107 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 108 · tbl[2] / tr[2] / tc[2]Share will & preferences; choose supporter; consent and privacy choices (TEMPLATE K-3; TEMPLATES N).
¶ 109 · tbl[2] / tr[2] / tc[3]Select communication mode (AAC/Auslan/interpreter); Easy Read options (TEMPLATES N; TEMPLATES L).
¶ 110 · tbl[2] / tr[2] / tc[4]Say what helps; agree alternatives like quiet space, support person, safety plan (TEMPLATES M).
¶ 111 · tbl[2] / tr[2] / tc[5]Discuss medicine options and risks; D-2 used if changes (TEMPLATE D-2).
¶ 112 · tbl[2] / tr[2] / tc[6]Receive written plan and reasons; GP/IDC bookings confirmed (TEMPLATES L; TEMPLATES N).
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 113–130
¶ 113 · tbl[2] / tr[2] / tc[7]Ask for review; de-identified publication (TEMPLATE S-8).
¶ 114 · tbl[2] / tr[3] / tc[1]MH Triage / Crisis Line
¶ 115 · tbl[2] / tr[3] / tc[2]Record access needs; trigger interpreter/Auslan; safe contact (TEMPLATES N).
¶ 116 · tbl[2] / tr[3] / tc[3]Calm script; risk assessment; reasons and alternatives recorded (TEMPLATES M).
¶ 117 · tbl[2] / tr[3] / tc[4]Dispatch mobile team if helpful and safe; liaise with ambulance/police as required.
¶ 118 · tbl[2] / tr[3] / tc[5]If medicines considered, follow protocol; D-2 flag if initiated (TEMPLATE D-2).
¶ 119 · tbl[2] / tr[3] / tc[6]Warm handover to ED/GP/Navigator or community MH (TEMPLATES N).
¶ 120 · tbl[2] / tr[3] / tc[7]Quality audit for access prompts and times; learning to S-8.
¶ 121 · tbl[2] / tr[4] / tc[1]Mobile Crisis Team (MH clinician)
¶ 122 · tbl[2] / tr[4] / tc[2]Prepare with access flags; supporter arrangements (TEMPLATES N).
¶ 123 · tbl[2] / tr[4] / tc[3]On scene: calm approach, sensory adjustments, supporter present (TEMPLATES L).
¶ 124 · tbl[2] / tr[4] / tc[4]Alternatives to ED: treat-in-place, next-day clinic, crisis respite; document reasons (TEMPLATES M).
¶ 125 · tbl[2] / tr[4] / tc[5]If sedation/meds, least-restrictive; start 72h review (TEMPLATE B-1; TEMPLATE D-2).
¶ 126 · tbl[2] / tr[4] / tc[6]ISBAR + access handover to ED/GP; update Navigator (TEMPLATES N).
¶ 127 · tbl[2] / tr[4] / tc[7]Submit Right-to-Reasons: Facts → Tests → Alternatives → Review; publish learning (TEMPLATE S-8).
¶ 128 · tbl[2] / tr[5] / tc[1]Ambulance
¶ 129 · tbl[2] / tr[5] / tc[2]Receive access prompts; calm arrival (TEMPLATES L).
¶ 130 · tbl[2] / tr[5] / tc[3]Communication supports; supporter participation (TEMPLATES N).
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 131–151
¶ 131 · tbl[2] / tr[5] / tc[4]Work with MH team; alternatives documented (TEMPLATES M).
¶ 132 · tbl[2] / tr[5] / tc[5]Medicines per protocol; 72h review timer if used (TEMPLATE B-1; TEMPLATE D-2).
¶ 133 · tbl[2] / tr[5] / tc[6]Handover to ED/GP/Navigator (TEMPLATES N).
¶ 134 · tbl[2] / tr[5] / tc[7]Learning review participation; de-identified publication (TEMPLATE S-8).
¶ 135 · tbl[2] / tr[6] / tc[1]Police (as applicable)
¶ 136 · tbl[2] / tr[6] / tc[2]Attend only if safety risk; person-first stance; record comms needs (TEMPLATES AB; TEMPLATES N).
¶ 137 · tbl[2] / tr[6] / tc[3]Support health-led response; avoid charge-first (TEMPLATES AB).
¶ 138 · tbl[2] / tr[6] / tc[4]Assist safe environment or transport if needed.
¶ 139 · tbl[2] / tr[6] / tc[5]Plain-language explanations of any conditions; least-restrictive checks (TEMPLATES AB).
¶ 140 · tbl[2] / tr[6] / tc[6]Handover to ED/GP/Navigator as needed.
¶ 141 · tbl[2] / tr[6] / tc[7]Outcomes to visible change log (TEMPLATE S-8).
¶ 142 · tbl[2] / tr[7] / tc[1]ED / GP / Community MH
¶ 143 · tbl[2] / tr[7] / tc[2]Receive pre-alert and access notes; prepare calm space (TEMPLATES L).
¶ 144 · tbl[2] / tr[7] / tc[3]Interpreter/Auslan/AAC ready; supporter welcomed (TEMPLATES N).
¶ 145 · tbl[2] / tr[7] / tc[4]Continue tests or alternatives as agreed (TEMPLATES M).
¶ 146 · tbl[2] / tr[7] / tc[5]Medication reconciliation ≤72h (TEMPLATE D-2).
¶ 147 · tbl[2] / tr[7] / tc[6]Plan follow-ups; community presence where possible (TEMPLATES L).
¶ 148 · tbl[2] / tr[7] / tc[7]Join 72h review if triggered (TEMPLATE B-1).
¶ 149 · tbl[2] / tr[8] / tc[1]Navigator (Access)
¶ 150 · tbl[2] / tr[8] / tc[2]Access receipt; safe contact; privacy-safe IDs (TEMPLATE N-1; TEMPLATE K-3).
¶ 151 · tbl[2] / tr[8] / tc[3]Arrange communication supports and transport (TEMPLATES N).
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 152–178
¶ 152 · tbl[2] / tr[8] / tc[4]Warm handover meeting booked; artefact inventory (TEMPLATES N).
¶ 153 · tbl[2] / tr[8] / tc[5]Ensure D-2 pathway if meds changed (TEMPLATE D-2).
¶ 154 · tbl[2] / tr[8] / tc[6]Confirm GP/IDC bookings occurred; promise-kept ratio (TEMPLATES T).
¶ 155 · tbl[2] / tr[8] / tc[7]Public-safe update prepared; visible change log (TEMPLATE S-8).
¶ 156 · tbl[2] / tr[9] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 157 · tbl[2] / tr[9] / tc[2]Trigger: restraint/sedation; re-contact within 72h; contested facts (TEMPLATES M).
¶ 158 · tbl[2] / tr[9] / tc[3]File-vs-field; contradiction matrix; comms support audit (TEMPLATES N).
¶ 159 · tbl[2] / tr[9] / tc[4]Calibrate alternatives; fairness tests (TEMPLATES M).
¶ 160 · tbl[2] / tr[9] / tc[5]Verify D-2 compliance; small-cell suppression (TEMPLATE D-2; TEMPLATE S-8).
¶ 161 · tbl[2] / tr[9] / tc[6]Exception ageing; coach triage/MH teams (TEMPLATES T).
¶ 162 · tbl[2] / tr[9] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 163 · tbl[2] / tr[10] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 164 · tbl[2] / tr[10] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
¶ 165 · tbl[2] / tr[10] / tc[3]Capture times: call receipt, dispatch, arrival, time-to-quiet, decision, handover (TEMPLATES T).
¶ 166 · tbl[2] / tr[10] / tc[4]Artefact inventory: consent, access cues, crisis plan, discharge summary (TEMPLATES T).
¶ 167 · tbl[2] / tr[10] / tc[5]Tiles: time_to_privacy; containment_minutes; navigator_coverage; error_half_life (TEMPLATES T).
¶ 168 · tbl[2] / tr[10] / tc[6]Exception queue; promise_kept_ratio (TEMPLATES T).
¶ 169 · tbl[2] / tr[10] / tc[7]DPIA and publication pack; visible change log (TEMPLATE S-8).
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 179–194
¶ 179How we measure ourselves (published quarterly)
¶ 180We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some are minutes or per-1,000 contacts; others are percentages.
¶ 181Access & Calm Response
¶ 182• Communication supports used where indicated - Latest: [ - ] █ (needed vs used) (TEMPLATES N).
¶ 183• Time-to-quiet (minutes; lower better) - Latest: [ - ] █ (arrival to calm).
¶ 184• Supporter present by choice - Latest: [ - ] █ (% who wanted a supporter and had one).
¶ 185Alternatives & Safety
¶ 186• Treated-in-place with follow-up - Latest: [ - ] █ (% eligible contacts).
¶ 187• Restraint/sedation minutes per 1,000 contacts - Latest: [ - ] █ (lower is better).
¶ 188• Medication reconciliation ≤72h after change - Latest: [ - ] █ (TEMPLATE D-2).
¶ 189Timeliness & Handover
¶ 190• Warm handover completed to ED/GP/IDC - Latest: [ - ] █ (% with warm handover).
¶ 191• GP/IDC follow-up booked ≤48-72h - Latest: [ - ] █.
¶ 192• Re-contact within 7 days (per 100; lower better) - Latest: [ - ] █.
¶ 193Learning & Review
¶ 194• 72-hour reviews after restraint/sedation - Latest: [ - ] █ (TEMPLATE B-1).
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 195–214
¶ 195• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 196ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 200Example - What real results look like (illustrative)
¶ 201Replace with your numbers.
¶ 202Access & Calm Response (example)
¶ 203• Communication supports used....................... [ 88% ] █████████████████████████████
¶ 204• Time-to-quiet (minutes; lower)................... [ 8 ] █████
¶ 205• Supporter present by choice...................... [ 77% ] █████████████████████████
¶ 206 Alternatives & Safety (example)
¶ 207• Treated-in-place with follow-up.................. [ 41% ] ███████████
¶ 208• Restraint/sedation minutes per 1,000............. [ 12 ] ███████
¶ 209• Medication reconciliation ≤72h.................... [ 95% ] █████████████████████████████████████
¶ 210 Timeliness & Handover (example)
¶ 211• Warm handover to ED/GP/IDC....................... [ 89% ] ███████████████████████████████
¶ 212• GP/IDC follow-up booked ≤48-72h.................. [ 87% ] █████████████████████████████
¶ 213• Re-contact within 7 days (/100; lower)........... [ 13 ] ███████
¶ 214 Learning & Review (example)
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 215–280
¶ 215• 72-hour reviews after restraint/sedation......... [ 93% ] ███████████████████████████████████
¶ 216• Promise-kept ratio................................ [0.90 ] █████████████████████████████████
¶ 219Example Metrics Table (replace with your actuals)
¶ 220 · tbl[3] / tr[1] / tc[1]Tile
¶ 221 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 222 · tbl[3] / tr[1] / tc[3]Target
¶ 223 · tbl[3] / tr[1] / tc[4]Current
¶ 224 · tbl[3] / tr[1] / tc[5]Trend
¶ 225 · tbl[3] / tr[2] / tc[1]Comms supports used
¶ 226 · tbl[3] / tr[2] / tc[2]% indicated contacts using supports
¶ 227 · tbl[3] / tr[2] / tc[3]≥95%
¶ 228 · tbl[3] / tr[2] / tc[4]88%
¶ 229 · tbl[3] / tr[2] / tc[5]↑
¶ 230 · tbl[3] / tr[3] / tc[1]Time-to-quiet (min)
¶ 231 · tbl[3] / tr[3] / tc[2]Median minutes arrival→calm (lower)
¶ 232 · tbl[3] / tr[3] / tc[3]≤6
¶ 233 · tbl[3] / tr[3] / tc[4]8
¶ 234 · tbl[3] / tr[3] / tc[5]↓
¶ 235 · tbl[3] / tr[4] / tc[1]Supporter present by choice
¶ 236 · tbl[3] / tr[4] / tc[2]% contacts with supporter if wanted
¶ 237 · tbl[3] / tr[4] / tc[3]≥90%
¶ 238 · tbl[3] / tr[4] / tc[4]77%
¶ 239 · tbl[3] / tr[4] / tc[5]↑
¶ 240 · tbl[3] / tr[5] / tc[1]Treated-in-place with follow-up
¶ 241 · tbl[3] / tr[5] / tc[2]% eligible contacts treated in place
¶ 242 · tbl[3] / tr[5] / tc[3]↑ q/q
¶ 243 · tbl[3] / tr[5] / tc[4]41%
¶ 244 · tbl[3] / tr[5] / tc[5]↑
¶ 245 · tbl[3] / tr[6] / tc[1]Restraint min/1,000
¶ 246 · tbl[3] / tr[6] / tc[2]Minutes per 1,000 contacts (lower)
¶ 247 · tbl[3] / tr[6] / tc[3]↓ q/q
¶ 248 · tbl[3] / tr[6] / tc[4]12
¶ 249 · tbl[3] / tr[6] / tc[5]↓
¶ 250 · tbl[3] / tr[7] / tc[1]Med reconciliation ≤72h
¶ 251 · tbl[3] / tr[7] / tc[2]% med changes reconciled ≤72h
¶ 252 · tbl[3] / tr[7] / tc[3]≥95%
¶ 253 · tbl[3] / tr[7] / tc[4]95%
¶ 254 · tbl[3] / tr[7] / tc[5]→
¶ 255 · tbl[3] / tr[8] / tc[1]Warm handover completed
¶ 256 · tbl[3] / tr[8] / tc[2]% contacts with documented warm handover
¶ 257 · tbl[3] / tr[8] / tc[3]≥95%
¶ 258 · tbl[3] / tr[8] / tc[4]89%
¶ 259 · tbl[3] / tr[8] / tc[5]→
¶ 260 · tbl[3] / tr[9] / tc[1]GP/IDC follow-up ≤48-72h
¶ 261 · tbl[3] / tr[9] / tc[2]% contacts with follow-up booking
¶ 262 · tbl[3] / tr[9] / tc[3]≥95%
¶ 263 · tbl[3] / tr[9] / tc[4]87%
¶ 264 · tbl[3] / tr[9] / tc[5]↑
¶ 265 · tbl[3] / tr[10] / tc[1]Re-contact within 7 days (/100)
¶ 266 · tbl[3] / tr[10] / tc[2]Per 100 contacts (lower better)
¶ 267 · tbl[3] / tr[10] / tc[3]↓ q/q
¶ 268 · tbl[3] / tr[10] / tc[4]13
¶ 269 · tbl[3] / tr[10] / tc[5]↓
¶ 270 · tbl[3] / tr[11] / tc[1]72h reviews completed
¶ 271 · tbl[3] / tr[11] / tc[2]% restraint/sedation incidents with ≤72h review
¶ 272 · tbl[3] / tr[11] / tc[3]=100%
¶ 273 · tbl[3] / tr[11] / tc[4]93%
¶ 274 · tbl[3] / tr[11] / tc[5]→
¶ 275 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 276 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 277 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 278 · tbl[3] / tr[12] / tc[4]0.90
¶ 279 · tbl[3] / tr[12] / tc[5]→
AA-C13 · Mental-Health Triage & Crisis Co-response · paragraphs 281–281
¶ 281Owner: __________ Data source(s): Crisis line/MH triage; Mobile crisis team notes; 000 CAD/dispatch; Paramedic ePCR; Police RMS; ED/GP records; Navigator/IDC logs; E-receipts; Roster↔Claim
AA-C14 · Outpatients & Planned-Care Handover
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C14_Outpatients_&_Planned-Care_Handover_v1.docx
Member SHA-256: 4680ff3d5c36ed6a6a888086ccc5f8915c418216282e6828d0582baf5f908c4c
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 1–6
¶ 1 - Document control - Template ID: AA-C14 - Outpatients / Planned-Care Handover Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C14 - Outpatients / Planned-Care Handover
¶ 3What this title means (in plain words) Planned care should feel clear and joined-up. This crosswalk sets how outpatient clinics and planned-care services welcome a person with cognitive disability and hand over to GP, community supports and providers so plans turn into real life. We use Easy Read, accessible bookings, reasonable adjustments, and warm handovers with a named steward. Done well, appointments are calmer, safer and actually lead to the help promised.
¶ 4What this means for the person and supporters
¶ 5You choose how we communicate and who comes with you. We offer Auslan/interpreter/AAC/Yes-No and Easy Read letters, forms and results (TEMPLATES N; TEMPLATES L).
¶ 6Before/after the appointment, tests, procedures, medicines and alternatives are explained in plain English; you can ask for time, breaks, or a second look (TEMPLATES L; TEMPLATES M).
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 7–14
¶ 7Next steps are booked & kept for you - scripts, community supports, therapy, transport, and follow-ups - so you’re not left to organise everything (TEMPLATES N).
¶ 8Your safety plans travel with you (mealtime/IDDSI, seizure, medication list, PBS, communication profile) and are used in the clinic.
¶ 9Privacy is protected. Only what’s needed is shared; you get accessible copies of decisions and reasons.
¶ 10What services must do (so the person doesn’t have to)
¶ 11Access first. Offer interpreter/Auslan/AAC/Easy Read from referral to results; capture preferred contact method and sensory needs; use teach-back (TEMPLATES N; TEMPLATES L).
¶ 12Bookings that work. Provide multiple booking channels (SMS/online/phone); send Easy Read appointment info (where, when, who, how long, what to bring).
¶ 13Reasonable adjustments. Quiet waiting option, longer slots, consistent staff where possible, visual supports, and supporter involvement if the person wants it.
¶ 14Explain choices and risks. Use one-page Reasons & Weighting for consequential decisions (e.g., surgery, medicine change) and record Two-Key co-sign where indicated (Appendix H/I/K).
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 15–25
¶ 15Match medicines to life. If medicines change, provide a plain plan and ensure medication reconciliation ≤72 h with GP/pharmacy; update the person’s list (Appendix D).
¶ 16Warm handover every time. SBAR to GP/community provider/Navigator with a named steward and time booked & kept; include communication needs and safety plans (TEMPLATES N).
¶ 17Close the loop. Confirm first community appointments occurred; call the person/representative for a quick “what to tweak” check; log fixes.
¶ 18Guard privacy & publication. Minimum data, small-cell suppression for any reporting, provenance/hash in audit log (Appendix R/S/AL/T).
¶ 19Helpful artefacts (where to find them)
¶ 20Accessible bookings & comms kit (letters/SMS/scripts): TEMPLATES N; TEMPLATES L
¶ 21Choice & consent aids / Easy Read results: TEMPLATES L; TEMPLATES M
¶ 22Warm Handover bundle (SBAR + steward + booked/kept proof): Appendix D / AO-6N
¶ 23Safety artefacts (mealtime/IDDSI, seizure, PBS, med list): Appendix Z / Appendix D / Appendix AB
¶ 24Two-Key short form + Reasons & Matrix: Appendix K / Appendix H / Appendix I
¶ 25Privacy/suppression & provenance checks: Appendix R/S/AL/T
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 26–52
¶ 26Plain-language promise “We’ll use the way you communicate, make the clinic calmer with the adjustments you need, explain tests and medicines in plain words, book and keep your follow-ups and supports, match medicines with your GP/pharmacy within 72 hours, protect your privacy, and write reasons you can read when big decisions are made.”
¶ 28Outpatients / Planned care (at a glance)
¶ 29 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 30 · tbl[1] / tr[1] / tc[2]Book & prepare
¶ 31 · tbl[1] / tr[1] / tc[3]Arrive & communicate
¶ 32 · tbl[1] / tr[1] / tc[4]See the team
¶ 33 · tbl[1] / tr[1] / tc[5]Decide & plan
¶ 34 · tbl[1] / tr[1] / tc[6]Warm handover
¶ 35 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 36 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 37 · tbl[1] / tr[2] / tc[2]You receive an Easy Read letter/SMS; choose supporter and adjustments.
¶ 38 · tbl[1] / tr[2] / tc[3]You arrive; supporter welcomed; breaks available.
¶ 39 · tbl[1] / tr[2] / tc[4]You tell us what helps and what you want.
¶ 40 · tbl[1] / tr[2] / tc[5]Decision with reasons and alternatives.
¶ 41 · tbl[1] / tr[2] / tc[6]You leave with a plan in plain English.
¶ 42 · tbl[1] / tr[2] / tc[7]You can ask for review/feedback.
¶ 43 · tbl[1] / tr[3] / tc[1]Clinic Booking
¶ 44 · tbl[1] / tr[3] / tc[2]Booking captures access needs; interpreter/Auslan/AAC arranged (TEMPLATES N).
¶ 45 · tbl[1] / tr[3] / tc[3]Reception confirms adjustments and consent preferences (TEMPLATE K-3).
¶ 46 · tbl[1] / tr[3] / tc[4]History reviewed accessibly.
¶ 47 · tbl[1] / tr[3] / tc[5]Plain summary drafted with you.
¶ 48 · tbl[1] / tr[3] / tc[6]Summary sent to you and your GP.
¶ 49 · tbl[1] / tr[3] / tc[7]Booking audits access prompts.
¶ 50 · tbl[1] / tr[4] / tc[1]Clinic Team
¶ 51 · tbl[1] / tr[4] / tc[2]Clinic prepares visual aids and quiet space.
¶ 52 · tbl[1] / tr[4] / tc[3]Team introduces selves; plain language.
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 53–92
¶ 53 · tbl[1] / tr[4] / tc[4]Examination/tests done with visual consent aids.
¶ 54 · tbl[1] / tr[4] / tc[5]Scripts/orders prepared; risks explained.
¶ 55 · tbl[1] / tr[4] / tc[6]Clinic contacts if results change plan.
¶ 56 · tbl[1] / tr[4] / tc[7]Team reviews adverse events plainly.
¶ 57 · tbl[1] / tr[5] / tc[1]Imaging/Path/Allied Health
¶ 58 · tbl[1] / tr[5] / tc[2]Imaging/Path bookings lined up if needed.
¶ 59 · tbl[1] / tr[5] / tc[3]Tests explained simply.
¶ 60 · tbl[1] / tr[5] / tc[4]Allied health engaged as needed.
¶ 61 · tbl[1] / tr[5] / tc[5]Path/imaging slots reserved.
¶ 62 · tbl[1] / tr[5] / tc[6]Allied health starts within timeframes.
¶ 63 · tbl[1] / tr[5] / tc[7]Allied health learning fed back.
¶ 64 · tbl[1] / tr[6] / tc[1]GP / IDC / Provider
¶ 65 · tbl[1] / tr[6] / tc[2]GP/IDC flagged for handover.
¶ 66 · tbl[1] / tr[6] / tc[3]GP/IDC pre-alerted where helpful.
¶ 67 · tbl[1] / tr[6] / tc[4]IDC/Provider input on practical supports.
¶ 68 · tbl[1] / tr[6] / tc[5]GP/IDC agree roles and timeframes.
¶ 69 · tbl[1] / tr[6] / tc[6]IDC/Provider starts presence plan.
¶ 70 · tbl[1] / tr[6] / tc[7]GP/IDC confirm actions done.
¶ 71 · tbl[1] / tr[7] / tc[1]Navigator (Access)
¶ 72 · tbl[1] / tr[7] / tc[2]Navigator on standby for logistics.
¶ 73 · tbl[1] / tr[7] / tc[3]Transport/childcare/housing checked.
¶ 74 · tbl[1] / tr[7] / tc[4]Navigator books next steps.
¶ 75 · tbl[1] / tr[7] / tc[5]Transport and equipment arranged.
¶ 76 · tbl[1] / tr[7] / tc[6]Navigator verifies warm handover happened.
¶ 77 · tbl[1] / tr[7] / tc[7]Public update (TEMPLATE S-8).
¶ 78 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 79 · tbl[1] / tr[8] / tc[2]Privacy-safe case key used.
¶ 80 · tbl[1] / tr[8] / tc[3]Guardrails block identity leaks.
¶ 81 · tbl[1] / tr[8] / tc[4]Tiles show time-to-privacy, time-to-plan.
¶ 82 · tbl[1] / tr[8] / tc[5]E-receipts enabled for supports.
¶ 83 · tbl[1] / tr[8] / tc[6]Exceptions watched.
¶ 84 · tbl[1] / tr[8] / tc[7]Learning improves next clinics.
¶ 87Flow - Swimlane (DETAILED)
¶ 88 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 89 · tbl[2] / tr[1] / tc[2]Consent & Adjustments
¶ 90 · tbl[2] / tr[1] / tc[3]Communication & Preparation
¶ 91 · tbl[2] / tr[1] / tc[4]Assessment & Alternatives
¶ 92 · tbl[2] / tr[1] / tc[5]Medicines & Orders
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 93–111
¶ 93 · tbl[2] / tr[1] / tc[6]Handover & Logistics
¶ 94 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 95 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 96 · tbl[2] / tr[2] / tc[2]Consent and privacy choices; supporter name; cultural needs (TEMPLATE K-3; TEMPLATES O).
¶ 97 · tbl[2] / tr[2] / tc[3]Choose communication mode (AAC/Auslan/interpreter); Easy Read pack (TEMPLATES N; TEMPLATES L).
¶ 98 · tbl[2] / tr[2] / tc[4]Share goals and what helps; alternatives discussed (TEMPLATES M).
¶ 99 · tbl[2] / tr[2] / tc[5]Understand medicines, allergies and risks; D-2 if changes (TEMPLATE D-2).
¶ 100 · tbl[2] / tr[2] / tc[6]Agree roles and times with GP/IDC; get plain summary (TEMPLATES L; TEMPLATES N).
¶ 101 · tbl[2] / tr[2] / tc[7]Ask for review; de-identified publication (TEMPLATE S-8).
¶ 102 · tbl[2] / tr[3] / tc[1]Clinic Booking / Reception
¶ 103 · tbl[2] / tr[3] / tc[2]Capture access needs and consent; book interpreter/Auslan/AAC (TEMPLATES N).
¶ 104 · tbl[2] / tr[3] / tc[3]Prepare visual aids; quiet time slots; patient-held record location (TEMPLATES L).
¶ 105 · tbl[2] / tr[3] / tc[4]Check pre-tests; send Easy Read instructions (TEMPLATES L).
¶ 106 · tbl[2] / tr[3] / tc[5]If new meds, trigger D-2 pathway; allergy checks (TEMPLATE D-2).
¶ 107 · tbl[2] / tr[3] / tc[6]Send summary to GP/IDC; confirm contact points (TEMPLATES N).
¶ 108 · tbl[2] / tr[3] / tc[7]Audit access prompts and missed appointments; publish learning de-identified (TEMPLATE S-8).
¶ 109 · tbl[2] / tr[4] / tc[1]Clinic Team (Nurse/Doctor)
¶ 110 · tbl[2] / tr[4] / tc[2]Introduce self; confirm consent and supporter; person-first language (TEMPLATES L).
¶ 111 · tbl[2] / tr[4] / tc[3]Use communication supports; pain/comfort noted (TEMPLATES N).
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 112–130
¶ 112 · tbl[2] / tr[4] / tc[4]Explain facts→tests→alternatives→review; visual consent aids (TEMPLATES M; TEMPLATES L).
¶ 113 · tbl[2] / tr[4] / tc[5]Start/stop/change meds with plain reasons; 72h reconciliation set (TEMPLATE D-2).
¶ 114 · tbl[2] / tr[4] / tc[6]Write plain summary; book handovers; scripts/orders placed (TEMPLATES L; TEMPLATES N).
¶ 115 · tbl[2] / tr[4] / tc[7]Participate in reviews; learning to publication (TEMPLATE S-8).
¶ 116 · tbl[2] / tr[5] / tc[1]Imaging / Path / Allied Health
¶ 117 · tbl[2] / tr[5] / tc[2]Receive access flags; consent verified (TEMPLATES N).
¶ 118 · tbl[2] / tr[5] / tc[3]Accessible prep instructions; quiet waiting (TEMPLATES L).
¶ 119 · tbl[2] / tr[5] / tc[4]Perform tests/therapy with supports; allow breaks (TEMPLATES L).
¶ 120 · tbl[2] / tr[5] / tc[5]Report results quickly; flag med interactions (TEMPLATE D-2).
¶ 121 · tbl[2] / tr[5] / tc[6]Handover outcomes and bookings back to clinic/GP/IDC (TEMPLATES N).
¶ 122 · tbl[2] / tr[5] / tc[7]Contribute to learning review (TEMPLATE S-8).
¶ 123 · tbl[2] / tr[6] / tc[1]GP / IDC / Provider
¶ 124 · tbl[2] / tr[6] / tc[2]Receive summary; plan community presence/supports (TEMPLATES L).
¶ 125 · tbl[2] / tr[6] / tc[3]Ensure comms supports available at home/day program (TEMPLATES N).
¶ 126 · tbl[2] / tr[6] / tc[4]Deliver supports; alternatives maintained; escalate if plan failing (TEMPLATES M).
¶ 127 · tbl[2] / tr[6] / tc[5]Medication reconciliation ≤72h; texture-safe forms if needed (TEMPLATE D-2).
¶ 128 · tbl[2] / tr[6] / tc[6]Confirm actions done; promise-kept ratio tracked (TEMPLATES T).
¶ 129 · tbl[2] / tr[6] / tc[7]Join reviews as needed; S-8 visible change log.
¶ 130 · tbl[2] / tr[7] / tc[1]Navigator (Access)
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 131–147
¶ 131 · tbl[2] / tr[7] / tc[2]Access receipt; safe contact; privacy-safe IDs (TEMPLATE N-1; TEMPLATE K-3).
¶ 132 · tbl[2] / tr[7] / tc[3]Arrange transport, interpreters, support workers, equipment (TEMPLATES N).
¶ 133 · tbl[2] / tr[7] / tc[4]Warm handover meeting and artefact inventory (TEMPLATES N).
¶ 134 · tbl[2] / tr[7] / tc[5]Check D-2 pathway if meds changed; set 72h review where needed (TEMPLATE D-2; TEMPLATE B-1).
¶ 135 · tbl[2] / tr[7] / tc[6]Verify bookings happened; remove blockers; track promise-kept ratio (TEMPLATES T).
¶ 136 · tbl[2] / tr[7] / tc[7]Prepare public-safe update; visible change log (TEMPLATE S-8).
¶ 137 · tbl[2] / tr[8] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 138 · tbl[2] / tr[8] / tc[2]Trigger: repeated DNAs, contested facts, or failures to handover (TEMPLATES M).
¶ 139 · tbl[2] / tr[8] / tc[3]File-vs-field; contradiction matrix; access audit (TEMPLATES N).
¶ 140 · tbl[2] / tr[8] / tc[4]Calibrate alternatives matrix; fairness tests (TEMPLATES M).
¶ 141 · tbl[2] / tr[8] / tc[5]Verify D-2 compliance; small-cell suppression (TEMPLATE D-2; TEMPLATE S-8).
¶ 142 · tbl[2] / tr[8] / tc[6]Exception queue ageing; coach clinic partners (TEMPLATES T).
¶ 143 · tbl[2] / tr[8] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 144 · tbl[2] / tr[9] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 145 · tbl[2] / tr[9] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
¶ 146 · tbl[2] / tr[9] / tc[3]Capture times: booking→visit, arrival→privacy, decision→handover (TEMPLATES T).
¶ 147 · tbl[2] / tr[9] / tc[4]Artefact inventory: Easy Read letters, consent, summaries, orders, bookings (TEMPLATES T).
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 148–165
¶ 148 · tbl[2] / tr[9] / tc[5]Tiles: time_to_privacy; navigator_coverage; promise_kept_ratio; error_half_life (TEMPLATES T).
¶ 149 · tbl[2] / tr[9] / tc[6]Exception age; DPIA; publication pack (TEMPLATE S-8).
¶ 150 · tbl[2] / tr[9] / tc[7]Visible change log maintained (TEMPLATE S-8).
¶ 152How we measure ourselves (published quarterly)
¶ 153We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some are days or minutes; others are percentages.
¶ 154Access & Communication
¶ 155• Easy Read/communication supports provided - Latest: [ - ] █ (needed vs provided) (TEMPLATES N; TEMPLATES L).
¶ 156• Time-to-privacy (minutes; lower better) - Latest: [ - ] █.
¶ 157• Supporter present by choice - Latest: [ - ] █.
¶ 158Quality & Safety
¶ 159• Plain-English summary issued same/next day - Latest: [ - ] █ (% eligible).
¶ 160• Medication reconciliation ≤72h after change - Latest: [ - ] █ (TEMPLATE D-2).
¶ 161• Adverse events explained plainly - Latest: [ - ] █ (% with plain explanation).
¶ 162Timeliness & Handover
¶ 163• Warm handover completed to GP/IDC/Allied Health - Latest: [ - ] █.
¶ 164• Booked actions completed by due date - Latest: [ - ] █.
¶ 165• Re-contact within 30 days due to gaps (per 100; lower) - Latest: [ - ] █.
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 166–185
¶ 166Learning & Review
¶ 167• 72-hour reviews after med/start/stop incidents - Latest: [ - ] █ (TEMPLATE B-1).
¶ 168• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 169ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 173Example - What real results look like (illustrative)
¶ 174Replace with your numbers.
¶ 175Access & Communication (example)
¶ 176• Easy Read/communication supports provided.......... [ 91% ] ███████████████████████████████
¶ 177• Time-to-privacy (minutes; lower better)........... [ 7 ] █████
¶ 178• Supporter present by choice....................... [ 82% ] ██████████████████████████
¶ 179 Quality & Safety (example)
¶ 180• Plain-English summary same/next day............... [ 94% ] ██████████████████████████████████
¶ 181• Medication reconciliation ≤72h.................... [ 96% ] ██████████████████████████████████████
¶ 182• Adverse events explained plainly.................. [ 92% ] █████████████████████████████████
¶ 183 Timeliness & Handover (example)
¶ 184• Warm handover completed........................... [ 90% ] ███████████████████████████████
¶ 185• Booked actions completed by due date.............. [ 88% ] █████████████████████████████
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 186–252
¶ 186• Re-contact within 30 days (/100; lower)........... [ 9 ] ██████
¶ 187 Learning & Review (example)
¶ 188• 72-hour reviews after med/start/stop incidents.... [ 93% ] █████████████████████████████████
¶ 189• Promise-kept ratio................................ [0.92 ] ███████████████████████████████████
¶ 191Example Metrics Table (replace with your actuals)
¶ 192 · tbl[3] / tr[1] / tc[1]Tile
¶ 193 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 194 · tbl[3] / tr[1] / tc[3]Target
¶ 195 · tbl[3] / tr[1] / tc[4]Current
¶ 196 · tbl[3] / tr[1] / tc[5]Trend
¶ 197 · tbl[3] / tr[2] / tc[1]Comms supports provided
¶ 198 · tbl[3] / tr[2] / tc[2]% attendances with needed supports provided
¶ 199 · tbl[3] / tr[2] / tc[3]≥95%
¶ 200 · tbl[3] / tr[2] / tc[4]91%
¶ 201 · tbl[3] / tr[2] / tc[5]↑
¶ 202 · tbl[3] / tr[3] / tc[1]Time-to-privacy (min)
¶ 203 · tbl[3] / tr[3] / tc[2]Median minutes arrival→privacy (lower better)
¶ 204 · tbl[3] / tr[3] / tc[3]≤6
¶ 205 · tbl[3] / tr[3] / tc[4]7
¶ 206 · tbl[3] / tr[3] / tc[5]↓
¶ 207 · tbl[3] / tr[4] / tc[1]Supporter present by choice
¶ 208 · tbl[3] / tr[4] / tc[2]% attendances with supporter if wanted
¶ 209 · tbl[3] / tr[4] / tc[3]≥90%
¶ 210 · tbl[3] / tr[4] / tc[4]82%
¶ 211 · tbl[3] / tr[4] / tc[5]↑
¶ 212 · tbl[3] / tr[5] / tc[1]Plain summary same/next day
¶ 213 · tbl[3] / tr[5] / tc[2]% eligible with plain-English summary
¶ 214 · tbl[3] / tr[5] / tc[3]≥95%
¶ 215 · tbl[3] / tr[5] / tc[4]94%
¶ 216 · tbl[3] / tr[5] / tc[5]→
¶ 217 · tbl[3] / tr[6] / tc[1]Med reconciliation ≤72h
¶ 218 · tbl[3] / tr[6] / tc[2]% med changes reconciled within 72h
¶ 219 · tbl[3] / tr[6] / tc[3]≥95%
¶ 220 · tbl[3] / tr[6] / tc[4]96%
¶ 221 · tbl[3] / tr[6] / tc[5]→
¶ 222 · tbl[3] / tr[7] / tc[1]Adverse events explained
¶ 223 · tbl[3] / tr[7] / tc[2]% with plain-language explanation
¶ 224 · tbl[3] / tr[7] / tc[3]=100%
¶ 225 · tbl[3] / tr[7] / tc[4]92%
¶ 226 · tbl[3] / tr[7] / tc[5]↑
¶ 227 · tbl[3] / tr[8] / tc[1]Warm handover completed
¶ 228 · tbl[3] / tr[8] / tc[2]% with documented warm handover
¶ 229 · tbl[3] / tr[8] / tc[3]≥95%
¶ 230 · tbl[3] / tr[8] / tc[4]90%
¶ 231 · tbl[3] / tr[8] / tc[5]↑
¶ 232 · tbl[3] / tr[9] / tc[1]Booked actions on time
¶ 233 · tbl[3] / tr[9] / tc[2]% actions completed by due date
¶ 234 · tbl[3] / tr[9] / tc[3]≥95%
¶ 235 · tbl[3] / tr[9] / tc[4]88%
¶ 236 · tbl[3] / tr[9] / tc[5]↑
¶ 237 · tbl[3] / tr[10] / tc[1]Re-contact within 30 days (/100)
¶ 238 · tbl[3] / tr[10] / tc[2]Per 100 due to gaps (lower)
¶ 239 · tbl[3] / tr[10] / tc[3]↓ q/q
¶ 240 · tbl[3] / tr[10] / tc[4]9
¶ 241 · tbl[3] / tr[10] / tc[5]↓
¶ 242 · tbl[3] / tr[11] / tc[1]72h reviews completed
¶ 243 · tbl[3] / tr[11] / tc[2]% qualifying incidents with ≤72h review
¶ 244 · tbl[3] / tr[11] / tc[3]=100%
¶ 245 · tbl[3] / tr[11] / tc[4]93%
¶ 246 · tbl[3] / tr[11] / tc[5]→
¶ 247 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 248 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 249 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 250 · tbl[3] / tr[12] / tc[4]0.92
¶ 251 · tbl[3] / tr[12] / tc[5]→
AA-C14 · Outpatients & Planned-Care Handover · paragraphs 253–253
¶ 253Owner: __________ Data source(s): Booking & clinic systems; Interpreter/Auslan/AAC logs; Clinic letters/summaries; Imaging/Path/Allied Health systems; GP/IDC confirmations; Medication reconciliation; Navigator/IDC logs; E-receipts; Roster↔Claim
AA-C15 · Inpatient Admission & Discharge Bridge
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C15_Inpatient_Admission_&_Discharge_Bridge_v1.docx
Member SHA-256: 41bdf01eb87613f3c325a2631af125c12d6657f21131d09506cc82b03a74d57a
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 1–7
¶ 1 - Document control - Template ID: AA-C15 - Inpatient Admission & Discharge Bridge Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C15 - Inpatient Admission & Discharge Bridge
¶ 3What this title means (in plain words) When a person with cognitive disability is admitted to a ward, care should stay calm, clear and connected - from arrival to going home. This crosswalk sets out how wards welcome the person, keep communication person-first, protect mealtime/IDDSI and medication safety, and build a warm bridge back to GP, IDC/Navigator and community supports. Hospital can be stressful; done properly, it doesn’t need to be.
¶ 4What this means for the person and supporters
¶ 5You choose how we communicate (Auslan/interpreter/AAC/Yes-No/Easy Read) and who may stay or visit to support you (TEMPLATES N; TEMPLATES L).
¶ 6What will happen is explained plainly - tests, procedures, pain relief, and alternatives; you can ask for time, breaks or a second look (TEMPLATES L; TEMPLATES M).
¶ 7Your everyday safety plans travel with you (mealtime/IDDSI, seizure plan, medication list, PBS strategies, communication profile) and are used on the ward.
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 8–14
¶ 8When you leave, next steps are booked & kept - scripts, GP review, therapy, transport, equipment and home supports - so you are not left to organise everything (TEMPLATES N).
¶ 9Privacy is protected. Only what’s needed is shared; you receive accessible copies of decisions and reasons.
¶ 10What services must do (so the person doesn’t have to)
¶ 11Arrival & access first. From ED/clinic handover, confirm preferred communication; arrange interpreter/Auslan/AAC; note quiet/sensory needs and supporter details (TEMPLATES N).
¶ 12Admission bundle loaded, not rewritten. Import mealtime/IDDSI, seizure plan, PBS and medication list; if anything changes, document why and tell the person/representative.
¶ 13Mealtime & IDDSI safety. Use the plan; perform flow/fork-drip checks; seat and pace per plan; no texture downgrades to “easy junk food.” (Mealtime crosswalk & Appendix Z).
¶ 14Medication safety. Complete medication reconciliation within 24 hours of admission and again ≤72 hours post-discharge; avoid crushing unless authorised; provide accessible med charts on discharge (Appendix D).
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 15–21
¶ 15Explain consequential decisions with reasons. Use a one-page Reasons & Weighting; apply Two-Key for high-impact restrictions (NBM orders, specialing, chemical restraint, seclusion-like controls) and record independence (Appendix H/I/K).
¶ 16Least-restrictive first. Prefer environmental adjustments, familiar items, supporter presence and de-escalation; time-keep any restraint/sedation; trigger 72-hour learning review if used (Appendix B-C).
¶ 17Discharge planning from Day 1. Set a named discharge steward; draft the Bridge Plan: scripts/equipment, community appointments, transport, contact numbers, and who does what by when.
¶ 18Warm handovers, not “refer & hope.” SBAR to GP, IDC/Navigator and community providers with booked & kept times; confirm first two post-discharge contacts occurred.
¶ 19Cognition-aware consent. Offer supported decision-making/teach-back; record will and preferences; provide Easy Read summaries of tests, procedures and results.
¶ 20Guard privacy & publication. Minimum necessary data; small-cell suppression for any reporting; provenance/hash in the audit log (Appendix R/S/AL/T).
¶ 21Helpful artefacts (where to find them)
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 22–42
¶ 22Communication access kit & Easy Read blocks: TEMPLATES N; TEMPLATES L
¶ 23Mealtime & IDDSI plan + photo plate: Appendix Z
¶ 24Medication reconciliation checklists (admit/discharge ≤72 h): Appendix D
¶ 25Reasons & Weighting + Contradiction Matrix + Two-Key short form: Appendix H / Appendix I / Appendix K
¶ 2672-Hour Review & Fade-Plan inserts: Appendix B-C
¶ 27Warm Handover bundle (SBAR + steward + booked/kept proof): Appendix D / AO-6N
¶ 28Privacy/suppression & provenance checks: Appendix R/S/AL/T
¶ 29Plain-language promise “We’ll make the ward calmer and clearer: use the way you communicate, follow your mealtime and medication plans, explain big decisions in plain words with two independent sign-offs when needed, book and keep your GP and community follow-ups, match medicines within 72 hours, protect your privacy, and review any incident so your next day is safer.”
¶ 31Inpatient admission → discharge bridge (at a glance)
¶ 32 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 33 · tbl[1] / tr[1] / tc[2]Arrive & settle
¶ 34 · tbl[1] / tr[1] / tc[3]Assess & plan
¶ 35 · tbl[1] / tr[1] / tc[4]Treat & support
¶ 36 · tbl[1] / tr[1] / tc[5]Decide to discharge
¶ 37 · tbl[1] / tr[1] / tc[6]Warm handover
¶ 38 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 39 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 40 · tbl[1] / tr[2] / tc[2]You arrive; supporter welcomed; quiet space sought.
¶ 41 · tbl[1] / tr[2] / tc[3]You choose communication mode (Auslan/interpreter/AAC; Easy Read).
¶ 42 · tbl[1] / tr[2] / tc[4]You receive care with breaks and explanations.
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 43–72
¶ 43 · tbl[1] / tr[2] / tc[5]Decision to discharge with reasons.
¶ 44 · tbl[1] / tr[2] / tc[6]You leave with clear next steps and contacts.
¶ 45 · tbl[1] / tr[2] / tc[7]You can ask for a review or feedback.
¶ 46 · tbl[1] / tr[3] / tc[1]ED / Admission Desk
¶ 47 · tbl[1] / tr[3] / tc[2]Admission records access needs and consent preferences (TEMPLATE K-3).
¶ 48 · tbl[1] / tr[3] / tc[3]Arrival to privacy and time-to-quiet minimised.
¶ 49 · tbl[1] / tr[3] / tc[4]Tests explained plainly with alternatives.
¶ 50 · tbl[1] / tr[3] / tc[5]Plain discharge summary drafted with you.
¶ 51 · tbl[1] / tr[3] / tc[6]Summary to you and your GP/IDC.
¶ 52 · tbl[1] / tr[3] / tc[7]Admission process audited for access prompts.
¶ 53 · tbl[1] / tr[4] / tc[1]Ward Team (Nurse/Doctor)
¶ 54 · tbl[1] / tr[4] / tc[2]Ward prepares calm approach and visual aids.
¶ 55 · tbl[1] / tr[4] / tc[3]Plan co-authored with you; supporter included.
¶ 56 · tbl[1] / tr[4] / tc[4]Daily goals are in plain English.
¶ 57 · tbl[1] / tr[4] / tc[5]Scripts, aids, and teaching provided.
¶ 58 · tbl[1] / tr[4] / tc[6]Ward calls to check arrivals if needed.
¶ 59 · tbl[1] / tr[4] / tc[7]Ward reviews adverse events plainly.
¶ 60 · tbl[1] / tr[5] / tc[1]Allied Health / Mealtime Safety
¶ 61 · tbl[1] / tr[5] / tc[2]Mealtime/IDDSI check and safe seating.
¶ 62 · tbl[1] / tr[5] / tc[3]Allied health needs identified (SP, OT, Physio).
¶ 63 · tbl[1] / tr[5] / tc[4]IDDSI and oral care delivered; hydration prompts.
¶ 64 · tbl[1] / tr[5] / tc[5]Mealtime plan ready; skill checks done.
¶ 65 · tbl[1] / tr[5] / tc[6]Allied health starts on time.
¶ 66 · tbl[1] / tr[5] / tc[7]Mealtime incidents and learning published.
¶ 67 · tbl[1] / tr[6] / tc[1]Pharmacy
¶ 68 · tbl[1] / tr[6] / tc[2]Pharmacy lists current medicines.
¶ 69 · tbl[1] / tr[6] / tc[3]Meds reconciled on admission.
¶ 70 · tbl[1] / tr[6] / tc[4]Pharmacy checks interactions and texture safety.
¶ 71 · tbl[1] / tr[6] / tc[5]Med packs prepared; D-2 pathway set.
¶ 72 · tbl[1] / tr[6] / tc[6]Pharmacy confirms med packs delivered.
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 73–108
¶ 73 · tbl[1] / tr[6] / tc[7]Medicine changes reconciled ≤72h (TEMPLATE D-2).
¶ 74 · tbl[1] / tr[7] / tc[1]GP / IDC / Provider
¶ 75 · tbl[1] / tr[7] / tc[2]GP/IDC alerted for later handover.
¶ 76 · tbl[1] / tr[7] / tc[3]IDC/Provider consulted on daily supports.
¶ 77 · tbl[1] / tr[7] / tc[4]Community presence kept where possible.
¶ 78 · tbl[1] / tr[7] / tc[5]GP/IDC bookings made; provider roster ready.
¶ 79 · tbl[1] / tr[7] / tc[6]IDC/Provider commence presence plan.
¶ 80 · tbl[1] / tr[7] / tc[7]GP/IDC confirm actions done.
¶ 81 · tbl[1] / tr[8] / tc[1]Navigator (Access)
¶ 82 · tbl[1] / tr[8] / tc[2]Navigator can be called early.
¶ 83 · tbl[1] / tr[8] / tc[3]Transport/home setup noted for discharge.
¶ 84 · tbl[1] / tr[8] / tc[4]Navigator lines up equipment and appointments.
¶ 85 · tbl[1] / tr[8] / tc[5]Transport confirmed; home ready.
¶ 86 · tbl[1] / tr[8] / tc[6]Navigator verifies warm handover occurred.
¶ 87 · tbl[1] / tr[8] / tc[7]Public update de-identified (TEMPLATE S-8).
¶ 88 · tbl[1] / tr[9] / tc[1]Data & Integrity
¶ 89 · tbl[1] / tr[9] / tc[2]Privacy-safe case key used.
¶ 90 · tbl[1] / tr[9] / tc[3]Guardrails block identity leaks.
¶ 91 · tbl[1] / tr[9] / tc[4]Tiles show key times and safety.
¶ 92 · tbl[1] / tr[9] / tc[5]E-receipts enabled for supports.
¶ 93 · tbl[1] / tr[9] / tc[6]Exceptions watched.
¶ 94 · tbl[1] / tr[9] / tc[7]Learning improves next admissions.
¶ 98Flow - Swimlane (DETAILED)
¶ 99 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 100 · tbl[2] / tr[1] / tc[2]Consent & Adjustments
¶ 101 · tbl[2] / tr[1] / tc[3]Assessment & Alternatives
¶ 102 · tbl[2] / tr[1] / tc[4]Daily Care & Teaching
¶ 103 · tbl[2] / tr[1] / tc[5]Medicines & Mealtime Safety
¶ 104 · tbl[2] / tr[1] / tc[6]Discharge Planning & Logistics
¶ 105 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 106 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 107 · tbl[2] / tr[2] / tc[2]Consent & privacy choices; supporter access; cultural needs (TEMPLATE K-3; TEMPLATES O).
¶ 108 · tbl[2] / tr[2] / tc[3]Agree tests and alternatives; ask for visual aids and breaks (TEMPLATES M; TEMPLATES L).
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 109–125
¶ 109 · tbl[2] / tr[2] / tc[4]Co-author daily goals; practise new skills with coaching (TEMPLATES L).
¶ 110 · tbl[2] / tr[2] / tc[5]Understand medicines, IDDSI/mealtime plan and risks; D-2 if changes (TEMPLATE D-2).
¶ 111 · tbl[2] / tr[2] / tc[6]Agree date/time for discharge; transport and home setup confirmed (TEMPLATES N).
¶ 112 · tbl[2] / tr[2] / tc[7]Ask for review; de-identified publication (TEMPLATE S-8).
¶ 113 · tbl[2] / tr[3] / tc[1]Admission / Bed Management
¶ 114 · tbl[2] / tr[3] / tc[2]Capture access needs at point of bed offer; interpreter/Auslan/AAC arranged (TEMPLATES N).
¶ 115 · tbl[2] / tr[3] / tc[3]Arrival to privacy KPI; allocate quieter bed where possible (TEMPLATES L).
¶ 116 · tbl[2] / tr[3] / tc[4]Ensure bedside communication boards/Easy Read pack (TEMPLATES L).
¶ 117 · tbl[2] / tr[3] / tc[5]Flag med reconciliation on admission and prior to discharge (TEMPLATE D-2).
¶ 118 · tbl[2] / tr[3] / tc[6]Coordinate transport/equipment and carer accommodation.
¶ 119 · tbl[2] / tr[3] / tc[7]Audit access prompts & times; publish learning (TEMPLATE S-8).
¶ 120 · tbl[2] / tr[4] / tc[1]Ward Team (Nurse/Doctor)
¶ 121 · tbl[2] / tr[4] / tc[2]Introduce self; confirm consent & supporter; person-first language (TEMPLATES L).
¶ 122 · tbl[2] / tr[4] / tc[3]Explain facts→tests→alternatives→review (TEMPLATES M).
¶ 123 · tbl[2] / tr[4] / tc[4]Daily care plan with supporter; teach-back recorded (TEMPLATES L).
¶ 124 · tbl[2] / tr[4] / tc[5]If sedation/restraint occurs: least-restrictive; start 72h review (TEMPLATE B-1).
¶ 125 · tbl[2] / tr[4] / tc[6]Write discharge summary in plain English; book GP/IDC follow-ups (TEMPLATES L; TEMPLATES N).
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 126–144
¶ 126 · tbl[2] / tr[4] / tc[7]Participate in reviews; learning to publication (TEMPLATE S-8).
¶ 127 · tbl[2] / tr[5] / tc[1]Allied Health (SP/OT/Physio) & Mealtime
¶ 128 · tbl[2] / tr[5] / tc[2]Assess communication and mealtime safety; set IDDSI levels (TEMPLATES L).
¶ 129 · tbl[2] / tr[5] / tc[3]Alternatives to inpatient where safe; community therapy plan (TEMPLATES M).
¶ 130 · tbl[2] / tr[5] / tc[4]Skill coaching; carer training and sign-off; oral care and hydration prompts.
¶ 131 · tbl[2] / tr[5] / tc[5]Mealtime plan with photos; equipment list; competence checks.
¶ 132 · tbl[2] / tr[5] / tc[6]Handover packs to home/day program; first appointments booked (TEMPLATES N).
¶ 133 · tbl[2] / tr[5] / tc[7]Contribute to learning review; publish de-identified (TEMPLATE S-8).
¶ 134 · tbl[2] / tr[6] / tc[1]Pharmacy
¶ 135 · tbl[2] / tr[6] / tc[2]Admission: best-possible medicine history; allergy check (TEMPLATE D-2).
¶ 136 · tbl[2] / tr[6] / tc[3]Alternatives for texture/IDDSI safety; plain explanations (TEMPLATES L).
¶ 137 · tbl[2] / tr[6] / tc[4]Med packs, calendars, and teach-back with person/supporter.
¶ 138 · tbl[2] / tr[6] / tc[5]Reconciliation prior to discharge; 72h post-discharge check (TEMPLATE D-2).
¶ 139 · tbl[2] / tr[6] / tc[6]Warm handover to GP/community pharmacy; scripts supplied (TEMPLATES N).
¶ 140 · tbl[2] / tr[6] / tc[7]Medication incidents reviewed; S-8 publication.
¶ 141 · tbl[2] / tr[7] / tc[1]GP / IDC / Provider
¶ 142 · tbl[2] / tr[7] / tc[2]Receive pre-alert; prepare community presence (TEMPLATES L).
¶ 143 · tbl[2] / tr[7] / tc[3]Agree alternatives and timing for supports (TEMPLATES M).
¶ 144 · tbl[2] / tr[7] / tc[4]Attend bedside handover if helpful; arrange home supports.
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 145–163
¶ 145 · tbl[2] / tr[7] / tc[5]Reconcile medicines ≤72h; texture-safe forms (TEMPLATE D-2).
¶ 146 · tbl[2] / tr[7] / tc[6]Confirm actions done; track promise-kept ratio (TEMPLATES T).
¶ 147 · tbl[2] / tr[7] / tc[7]Join reviews as needed; visible change log (TEMPLATE S-8).
¶ 148 · tbl[2] / tr[8] / tc[1]Navigator (Access)
¶ 149 · tbl[2] / tr[8] / tc[2]Access receipt; privacy-safe IDs; safe contacts (TEMPLATE N-1; TEMPLATE K-3).
¶ 150 · tbl[2] / tr[8] / tc[3]Arrange interpreters, equipment, transport (TEMPLATES N).
¶ 151 · tbl[2] / tr[8] / tc[4]Coordinate artefact inventory and warm handover meeting (TEMPLATES N).
¶ 152 · tbl[2] / tr[8] / tc[5]Set 72h review if meds changed/restriction used (TEMPLATE D-2; TEMPLATE B-1).
¶ 153 · tbl[2] / tr[8] / tc[6]Verify supports started; remove blockers; promise-kept ratio (TEMPLATES T).
¶ 154 · tbl[2] / tr[8] / tc[7]Prepare public-safe update; visible change log (TEMPLATE S-8).
¶ 155 · tbl[2] / tr[9] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 156 · tbl[2] / tr[9] / tc[2]Trigger: restraint/sedation; re-admission <30d; contested facts (TEMPLATES M).
¶ 157 · tbl[2] / tr[9] / tc[3]File-vs-field; contradiction matrix; access audit (TEMPLATES N).
¶ 158 · tbl[2] / tr[9] / tc[4]Calibrate alternatives; fairness tests (TEMPLATES M).
¶ 159 · tbl[2] / tr[9] / tc[5]Verify D-2 compliance; small-cell suppression (TEMPLATE D-2; TEMPLATE S-8).
¶ 160 · tbl[2] / tr[9] / tc[6]Exception ageing; coach ward/team (TEMPLATES T).
¶ 161 · tbl[2] / tr[9] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 162 · tbl[2] / tr[10] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 163 · tbl[2] / tr[10] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 164–187
¶ 164 · tbl[2] / tr[10] / tc[3]Capture: arrival→privacy, time-to-quiet, med rec times, discharge readiness (TEMPLATES T).
¶ 165 · tbl[2] / tr[10] / tc[4]Artefact inventory: consent, Easy Read, IDDSI plan, discharge summary, bookings (TEMPLATES T).
¶ 166 · tbl[2] / tr[10] / tc[5]Tiles: time_to_privacy; containment_minutes; navigator_coverage; promise_kept_ratio (TEMPLATES T).
¶ 167 · tbl[2] / tr[10] / tc[6]Exception queue age; DPIA; publication pack (TEMPLATE S-8).
¶ 168 · tbl[2] / tr[10] / tc[7]Visible change log maintained (TEMPLATE S-8).
¶ 177How we measure ourselves (published quarterly)
¶ 178We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some are minutes/days; others are percentages.
¶ 179Access & Communication
¶ 180• Time-to-privacy on admission (minutes; lower) - Latest: [ - ] █.
¶ 181• Communication/Easy Read provided - Latest: [ - ] █ (needed vs provided) (TEMPLATES N; TEMPLATES L).
¶ 182• Supporter presence by choice - Latest: [ - ] █.
¶ 183Safety & Mealtime
¶ 184• Medication reconciliation within 24h of admission - Latest: [ - ] █ (TEMPLATE D-2).
¶ 185• IDDSI/mealtime compliance on the ward - Latest: [ - ] █ (% observed meals).
¶ 186• Restraint/sedation minutes per 1,000 bed-days - Latest: [ - ] █ (lower better).
¶ 187Discharge & Handover
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 188–208
¶ 188• Plain discharge summary provided - Latest: [ - ] █ (% eligible).
¶ 189• GP/IDC follow-up booked ≤48-72h - Latest: [ - ] █.
¶ 190• Re-admission within 30 days (per 100; lower) - Latest: [ - ] █.
¶ 191Learning & Review
¶ 192• 72-hour reviews after restraint/med changes - Latest: [ - ] █ (TEMPLATE B-1).
¶ 193• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 194ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 199Example - What real results look like (illustrative)
¶ 200Access & Communication (example)
¶ 201• Time-to-privacy on admission (min; lower)......... [ 9 ] █████
¶ 202• Comms/Easy Read provided.......................... [ 92% ] ███████████████████████████████
¶ 203• Supporter presence by choice...................... [ 85% ] ███████████████████████████
¶ 204 Safety & Mealtime (example)
¶ 205• Med reconciliation within 24h..................... [ 95% ] █████████████████████████████████████
¶ 206• IDDSI/mealtime compliance on the ward............. [ 91% ] ████████████████████████████████
¶ 207• Restraint/sedation minutes per 1,000 bed-days..... [ 14 ] ████████
¶ 208 Discharge & Handover (example)
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 209–264
¶ 209• Plain discharge summary provided.................. [ 93% ] █████████████████████████████████
¶ 210• GP/IDC follow-up booked ≤48-72h.................. [ 90% ] ███████████████████████████████
¶ 211• Re-admission within 30 days (/100; lower)......... [ 8.6 ] ██████
¶ 212 Learning & Review (example)
¶ 213• 72-hour reviews after restriction/med changes..... [ 92% ] █████████████████████████████████
¶ 214• Promise-kept ratio................................ [0.91 ] ██████████████████████████████████
¶ 218Example Metrics Table (replace with your actuals)
¶ 219 · tbl[3] / tr[1] / tc[1]Tile
¶ 220 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 221 · tbl[3] / tr[1] / tc[3]Target
¶ 222 · tbl[3] / tr[1] / tc[4]Current
¶ 223 · tbl[3] / tr[1] / tc[5]Trend
¶ 224 · tbl[3] / tr[2] / tc[1]Time-to-privacy (min)
¶ 225 · tbl[3] / tr[2] / tc[2]Median minutes arrival→privacy (lower)
¶ 226 · tbl[3] / tr[2] / tc[3]≤6
¶ 227 · tbl[3] / tr[2] / tc[4]9
¶ 228 · tbl[3] / tr[2] / tc[5]↓
¶ 229 · tbl[3] / tr[3] / tc[1]Comms/Easy Read provided
¶ 230 · tbl[3] / tr[3] / tc[2]% inpatients with needed supports provided
¶ 231 · tbl[3] / tr[3] / tc[3]≥95%
¶ 232 · tbl[3] / tr[3] / tc[4]92%
¶ 233 · tbl[3] / tr[3] / tc[5]→
¶ 234 · tbl[3] / tr[4] / tc[1]Supporter presence by choice
¶ 235 · tbl[3] / tr[4] / tc[2]% who wanted a supporter and had one
¶ 236 · tbl[3] / tr[4] / tc[3]≥90%
¶ 237 · tbl[3] / tr[4] / tc[4]85%
¶ 238 · tbl[3] / tr[4] / tc[5]↑
¶ 239 · tbl[3] / tr[5] / tc[1]Med reconciliation within 24h
¶ 240 · tbl[3] / tr[5] / tc[2]% with BPMH & reconciliation ≤24h
¶ 241 · tbl[3] / tr[5] / tc[3]=100%
¶ 242 · tbl[3] / tr[5] / tc[4]95%
¶ 243 · tbl[3] / tr[5] / tc[5]↑
¶ 244 · tbl[3] / tr[6] / tc[1]IDDSI/mealtime compliance
¶ 245 · tbl[3] / tr[6] / tc[2]% observed meals compliant
¶ 246 · tbl[3] / tr[6] / tc[3]≥95%
¶ 247 · tbl[3] / tr[6] / tc[4]91%
¶ 248 · tbl[3] / tr[6] / tc[5]↑
¶ 249 · tbl[3] / tr[7] / tc[1]Restraint min/1,000 bed-days
¶ 250 · tbl[3] / tr[7] / tc[2]Minutes per 1,000 bed-days (lower)
¶ 251 · tbl[3] / tr[7] / tc[3]↓ q/q
¶ 252 · tbl[3] / tr[7] / tc[4]14
¶ 253 · tbl[3] / tr[7] / tc[5]↓
¶ 254 · tbl[3] / tr[8] / tc[1]Plain discharge summary
¶ 255 · tbl[3] / tr[8] / tc[2]% eligible with plain-English summary
¶ 256 · tbl[3] / tr[8] / tc[3]=100%
¶ 257 · tbl[3] / tr[8] / tc[4]93%
¶ 258 · tbl[3] / tr[8] / tc[5]→
¶ 259 · tbl[3] / tr[9] / tc[1]GP/IDC follow-up ≤48-72h
¶ 260 · tbl[3] / tr[9] / tc[2]% discharges with booking
¶ 261 · tbl[3] / tr[9] / tc[3]≥95%
¶ 262 · tbl[3] / tr[9] / tc[4]90%
¶ 263 · tbl[3] / tr[9] / tc[5]↑
¶ 264 · tbl[3] / tr[10] / tc[1]Re-admission within 30 days (/100)
AA-C15 · Inpatient Admission & Discharge Bridge · paragraphs 265–280
¶ 265 · tbl[3] / tr[10] / tc[2]Per 100 discharges (lower)
¶ 266 · tbl[3] / tr[10] / tc[3]↓ q/q
¶ 267 · tbl[3] / tr[10] / tc[4]8.6
¶ 268 · tbl[3] / tr[10] / tc[5]↓
¶ 269 · tbl[3] / tr[11] / tc[1]72h reviews completed
¶ 270 · tbl[3] / tr[11] / tc[2]% qualifying cases with ≤72h review
¶ 271 · tbl[3] / tr[11] / tc[3]=100%
¶ 272 · tbl[3] / tr[11] / tc[4]92%
¶ 273 · tbl[3] / tr[11] / tc[5]→
¶ 274 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 275 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 276 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 277 · tbl[3] / tr[12] / tc[4]0.91
¶ 278 · tbl[3] / tr[12] / tc[5]→
¶ 280Owner: __________ Data source(s): Admission/EHR; Interpreter/Auslan/AAC logs; Ward rounding notes; IDDSI/mealtime observations; Pharmacy reconciliation; Discharge summaries; GP/IDC confirmations; Navigator logs; E-receipts; Roster↔Claim
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level)
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AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 1–7
¶ 1 - Document control - Template ID: AA-C16 - Residential & Day-Program Mealtime Readiness (site-level) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C16 - Residential & Day-Program Mealtime Readiness (site-level)
¶ 3What this title means (in plain words) Homes and day programs must make mealtimes safe, enjoyable and ordinary every day - not just on paper. This crosswalk sets the site-level readiness: kitchens and equipment that meet IDDSI, clear personal plans where staff can see them, trained workers checked in practice, healthy-by-default menus, and warm handovers with hospitals, families and schools so what’s written matches what actually happens.
¶ 4What this means for the person and supporters
¶ 5Your plan is visible and personal. It shows what you like and what is safe (IDDSI levels), with photos/Easy Read you can recognise (TEMPLATES L).
¶ 6Meals are healthy by default. Real food, hydration and culture-fit options - texture-modified without turning into junk.
¶ 7Staff do it the right way. They are trained and checked preparing textures and drinks, seating you well, pacing and watching for signs of trouble (TEMPLATES L; TEMPLATES M).
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 8–16
¶ 8Changes travel quickly. If hospital or clinic updates your plan, we update fast and tell everyone - home, day program, school, family, GP and pharmacy (TEMPLATES N).
¶ 9If something goes wrong. We act, tell you/your representative, and run a 72-hour learning review so the next meal is safer.
¶ 10What services must do (so the person doesn’t have to)
¶ 11Access first. Offer Easy Read, pictures, yes/no cards, interpreter/Auslan/AAC for mealtime teaching and consent; capture cultural/faith food rules (TEMPLATES N; TEMPLATES L).
¶ 12Make the kitchen IDDSI-ready.
¶ 13Tools: accurate scales, jugs, timers, labelled thickeners, thermometers, blenders, sieves, adaptive cutlery.
¶ 14Checks every time: IDDSI flow test (liquids) and fork-drip/spoon-tilt (foods); record the check on a simple log.
¶ 15Storage & labels: date/IDDSI icons on prepared foods; allergy separation; photo-plate guides at prep station.
¶ 16Write and keep a clear Mealtime Plan (per person). Positioning, supervision level, pacing prompts, stop rules, choking signs, escalation pathway, cultural preferences, medication form that matches the plan.
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 17–24
¶ 17Healthy-by-default menus. Plan against national guidelines and IDDSI levels; water always available; sugary drinks limited; snacks list with safe options. Rule: texture-modified ≠ nuggets/ice-cream by default.
¶ 18Train and verify. Induction + refreshers; OSCE-style observations for safe prep/serving/seating/documentation; buddy checks for new staff before solo work.
¶ 19Match medicines to the plan. Avoid crushing unless authorised; pharmacy-approved alternatives; medication reconciliation ≤72 h after any change (Appendix D).
¶ 20Seat, pace, protect airways. Follow positioning; one-to-one where required; post-meal upright time and oral care recorded.
¶ 21Warm handovers. When settings change (home ↔ day program ↔ hospital), send the plan, photo plate, and last check logs; confirm the first meal back is supervised (TEMPLATES N).
¶ 22Audit & improve. Monthly spot-checks of documentation integrity; small drills for choking/aspiration; publish site tiles (safety/competence) using suppression rules (Appendix S/AL).
¶ 23Guard privacy. Minimum data in logs; no person-level publication; provenance and audit-log events for updates (Appendix R/S/T).
¶ 24Helpful artefacts (where to find them)
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 25–45
¶ 25Mealtime & IDDSI plan shell, photo-plate, kitchen checklist: Appendix Z
¶ 26Easy Read teaching & consent blocks: TEMPLATES L
¶ 27Communication access kit (interpreter/Auslan/AAC, yes/no): TEMPLATES N
¶ 28Medication reconciliation checklist (≤72 h): Appendix D
¶ 29Choking/aspiration drill & 72-hour review checklist: Appendix B-C (with A7/A8 station checks)
¶ 30Two-Key short form + Reasons & Matrix (for consequential changes): Appendix K / H / I
¶ 31Dashboard & suppression rules; audit log hooks: Appendix S/AL / Appendix T
¶ 32Plain-language promise “We’ll keep meals safe and ordinary with the right textures and drinks, healthy food by default, clear photos and plans you recognise, trained staff checked in practice, medicines that match your plan, quick updates after hospital, warm handovers between services, and a 72-hour review if anything goes wrong - so the next meal is safer.”
¶ 34Site readiness (at a glance)
¶ 35 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 36 · tbl[1] / tr[1] / tc[2]Know the plan
¶ 37 · tbl[1] / tr[1] / tc[3]Get the kitchen ready
¶ 38 · tbl[1] / tr[1] / tc[4]Eat & enjoy safely
¶ 39 · tbl[1] / tr[1] / tc[5]If something changes
¶ 40 · tbl[1] / tr[1] / tc[6]Warm handover
¶ 41 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 42 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 43 · tbl[1] / tr[2] / tc[2]You help design the plan; photos and Easy Read available.
¶ 44 · tbl[1] / tr[2] / tc[3]You choose pace, seating and who helps.
¶ 45 · tbl[1] / tr[2] / tc[4]You eat at your pace with support.
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 46–74
¶ 46 · tbl[1] / tr[2] / tc[5]If coughing/choking or appetite drops - say it.
¶ 47 · tbl[1] / tr[2] / tc[6]You help decide changes to the plan.
¶ 48 · tbl[1] / tr[2] / tc[7]You can ask for a review anytime.
¶ 49 · tbl[1] / tr[3] / tc[1]Home/Day-Program Staff
¶ 50 · tbl[1] / tr[3] / tc[2]Staff read/understand the plan; sign-off current.
¶ 51 · tbl[1] / tr[3] / tc[3]Staff roster allows supervision; oral care prompts ready.
¶ 52 · tbl[1] / tr[3] / tc[4]Staff supervise; mouth checks; right posture.
¶ 53 · tbl[1] / tr[3] / tc[5]Staff stop, apply plan & call for help as needed.
¶ 54 · tbl[1] / tr[3] / tc[6]Staff training refreshed on the job.
¶ 55 · tbl[1] / tr[3] / tc[7]Staff file observations and alerts.
¶ 56 · tbl[1] / tr[4] / tc[1]Kitchen / Purchasing
¶ 57 · tbl[1] / tr[4] / tc[2]Kitchen stores thickener; utensils and IDDSI test tools on hand.
¶ 58 · tbl[1] / tr[4] / tc[3]Purchasing keeps safe supplies in stock.
¶ 59 · tbl[1] / tr[4] / tc[4]Kitchen prepares correct textures/thickness.
¶ 60 · tbl[1] / tr[4] / tc[5]Kitchen flags shortages or equipment faults.
¶ 61 · tbl[1] / tr[4] / tc[6]Purchasing updates stock lists and budgets.
¶ 62 · tbl[1] / tr[4] / tc[7]Kitchen audits temperature/IDDSI tools.
¶ 63 · tbl[1] / tr[5] / tc[1]Speech Pathology
¶ 64 · tbl[1] / tr[5] / tc[2]SP sets IDDSI levels and strategies.
¶ 65 · tbl[1] / tr[5] / tc[3]SP provides photos/videos and Easy Read (if wanted).
¶ 66 · tbl[1] / tr[5] / tc[4]SP monitors first meals after change.
¶ 67 · tbl[1] / tr[5] / tc[5]SP reviews swallow; updates IDDSI level.
¶ 68 · tbl[1] / tr[5] / tc[6]SP provides competence checks and sign-off.
¶ 69 · tbl[1] / tr[5] / tc[7]SP reviews at least annually or sooner.
¶ 70 · tbl[1] / tr[6] / tc[1]Dietitian
¶ 71 · tbl[1] / tr[6] / tc[2]Dietitian aligns nutrition and preferences.
¶ 72 · tbl[1] / tr[6] / tc[3]Dietitian checks weight/hydration goals.
¶ 73 · tbl[1] / tr[6] / tc[4]Dietitian checks intake and hydration.
¶ 74 · tbl[1] / tr[6] / tc[5]Dietitian revises nutrition targets.
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 75–107
¶ 75 · tbl[1] / tr[6] / tc[6]Dietitian updates menus and supplements.
¶ 76 · tbl[1] / tr[6] / tc[7]Dietitian monitors weight/hydration.
¶ 77 · tbl[1] / tr[7] / tc[1]GP / Hospital / Pharmacy
¶ 78 · tbl[1] / tr[7] / tc[2]GP/hospital/pharmacy aware of texture needs.
¶ 79 · tbl[1] / tr[7] / tc[3]Pharmacy checks texture-safe medicine forms.
¶ 80 · tbl[1] / tr[7] / tc[4]GP/hospital share changes on discharge.
¶ 81 · tbl[1] / tr[7] / tc[5]Pharmacy confirms med texture changes.
¶ 82 · tbl[1] / tr[7] / tc[6]Scripts updated; community pharmacy aligned.
¶ 83 · tbl[1] / tr[7] / tc[7]Hospital letters accessible; med rec ≤72h.
¶ 84 · tbl[1] / tr[8] / tc[1]Provider (IDC-led)
¶ 85 · tbl[1] / tr[8] / tc[2]IDC coaches and checks practice at mealtimes.
¶ 86 · tbl[1] / tr[8] / tc[3]IDC logs presence; prompts and supports.
¶ 87 · tbl[1] / tr[8] / tc[4]IDC captures learning and fixes problems.
¶ 88 · tbl[1] / tr[8] / tc[5]IDC ramps coaching and checks competence.
¶ 89 · tbl[1] / tr[8] / tc[6]IDC fades prompts as skills grow.
¶ 90 · tbl[1] / tr[8] / tc[7]IDC contributes to learning review.
¶ 91 · tbl[1] / tr[9] / tc[1]Navigator (Access)
¶ 92 · tbl[1] / tr[9] / tc[2]Navigator ensures the plan is shared across settings.
¶ 93 · tbl[1] / tr[9] / tc[3]Interpreter/Auslan/AAC arranged if needed.
¶ 94 · tbl[1] / tr[9] / tc[4]Navigator books follow-ups.
¶ 95 · tbl[1] / tr[9] / tc[5]Navigator confirms warm handovers to partners.
¶ 96 · tbl[1] / tr[9] / tc[6]Navigator checks promises kept.
¶ 97 · tbl[1] / tr[9] / tc[7]Navigator ensures cross-setting continuity.
¶ 98 · tbl[1] / tr[10] / tc[1]Data & Integrity
¶ 99 · tbl[1] / tr[10] / tc[2]Privacy respected; updates visible.
¶ 100 · tbl[1] / tr[10] / tc[3]Guardrails stop non-compliant orders/claims.
¶ 101 · tbl[1] / tr[10] / tc[4]Tiles show compliance & incidents.
¶ 102 · tbl[1] / tr[10] / tc[5]Exceptions queue watched.
¶ 103 · tbl[1] / tr[10] / tc[6]De-identified updates published (TEMPLATE S-8).
¶ 104 · tbl[1] / tr[10] / tc[7]Learning improves practice next quarter.
¶ 106Flow - Swimlane (DETAILED)
¶ 107 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 108–126
¶ 108 · tbl[2] / tr[1] / tc[2]Consent & Preferences
¶ 109 · tbl[2] / tr[1] / tc[3]Assessment & Plan (IDDSI)
¶ 110 · tbl[2] / tr[1] / tc[4]Preparation & Equipment
¶ 111 · tbl[2] / tr[1] / tc[5]Delivery, Seating & Supervision
¶ 112 · tbl[2] / tr[1] / tc[6]Medicines & Changes
¶ 113 · tbl[2] / tr[1] / tc[7]Warm Handover & Review
¶ 114 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 115 · tbl[2] / tr[2] / tc[2]Will & preferences; cultural foods; consent & privacy choices (TEMPLATE K-3; TEMPLATES O).
¶ 116 · tbl[2] / tr[2] / tc[3]Agree to assessment; choose communication mode (AAC/Auslan/interpreter; Easy Read) (TEMPLATES N; TEMPLATES L).
¶ 117 · tbl[2] / tr[2] / tc[4]Approve photos/videos in plan; equipment choices (cups, straws) (TEMPLATES L).
¶ 118 · tbl[2] / tr[2] / tc[5]Eat in upright posture; pacing; mouth checks as preferred.
¶ 119 · tbl[2] / tr[2] / tc[6]Understand medicine texture/thickened fluids; ask questions (TEMPLATE D-2).
¶ 120 · tbl[2] / tr[2] / tc[7]Attend reviews; request alternatives and second looks; S-8 updates.
¶ 121 · tbl[2] / tr[3] / tc[1]Home/Day-Program Staff (Kitchen/Support)
¶ 122 · tbl[2] / tr[3] / tc[2]Intake shows where plan lives; staff read & sign (TEMPLATES N).
¶ 123 · tbl[2] / tr[3] / tc[3]Follow SP assessment; confirm IDDSI level(s); photos at prep stations (TEMPLATES L).
¶ 124 · tbl[2] / tr[3] / tc[4]Prepare foods/drinks to IDDSI; thickeners measured; utensil checks; IDDSI testing (fork/drip/syringe).
¶ 125 · tbl[2] / tr[3] / tc[5]Seat and supervise; small amounts; stop if coughing; hydration prompts.
¶ 126 · tbl[2] / tr[3] / tc[6]Record med texture; crush/dispense per chart; D-2 check if changes (TEMPLATE D-2).
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 127–147
¶ 127 · tbl[2] / tr[3] / tc[7]Shift handover includes mealtime notes; incidents escalated; warm handover on setting changes (TEMPLATES N).
¶ 128 · tbl[2] / tr[4] / tc[1]Kitchen / Purchasing
¶ 129 · tbl[2] / tr[4] / tc[2]Stock lists include thickeners, IDDSI tools, safe cups/utensils.
¶ 130 · tbl[2] / tr[4] / tc[3]Procurement cadence maintains shelf life and budget.
¶ 131 · tbl[2] / tr[4] / tc[4]Appliance maintenance schedule; temperature logs.
¶ 132 · tbl[2] / tr[4] / tc[5]Waste checks; sample trays for testing IDDSI levels.
¶ 133 · tbl[2] / tr[4] / tc[6]Texture-safe medicine carriers; pharmacy liaison (TEMPLATE D-2).
¶ 134 · tbl[2] / tr[4] / tc[7]Quarterly audit metrics submitted to Data/Integrity.
¶ 135 · tbl[2] / tr[5] / tc[1]Speech Pathology
¶ 136 · tbl[2] / tr[5] / tc[2]Swallow history; risks; what the person enjoys (TEMPLATES L).
¶ 137 · tbl[2] / tr[5] / tc[3]Assessment; set IDDSI levels for food/liquid; strategies; photos/videos.
¶ 138 · tbl[2] / tr[5] / tc[4]Specify equipment; environmental cues; IDDSI testing guide.
¶ 139 · tbl[2] / tr[5] / tc[5]First-meal supervision after changes; competence sign-off; refreshers.
¶ 140 · tbl[2] / tr[5] / tc[6]Align medicine forms with IDDSI; liaise with GP/pharmacy (TEMPLATE D-2).
¶ 141 · tbl[2] / tr[5] / tc[7]Review triggers: cough/choke/weight loss; publish learning (TEMPLATE S-8).
¶ 142 · tbl[2] / tr[6] / tc[1]Dietitian
¶ 143 · tbl[2] / tr[6] / tc[2]Nutrition goals; allergies; preferences; cultural food options (TEMPLATES O).
¶ 144 · tbl[2] / tr[6] / tc[3]Menu meets IDDSI and nutrition targets; supplements choice.
¶ 145 · tbl[2] / tr[6] / tc[4]Shopping lists; thickener stock; hydration plan.
¶ 146 · tbl[2] / tr[6] / tc[5]Monitor intake/weight; constipation/dehydration checks.
¶ 147 · tbl[2] / tr[6] / tc[6]Med-food interactions; schedules around meals.
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 148–165
¶ 148 · tbl[2] / tr[6] / tc[7]Review and adjust after hospital/GP changes; public-safe updates.
¶ 149 · tbl[2] / tr[7] / tc[1]GP / Hospital / Pharmacy
¶ 150 · tbl[2] / tr[7] / tc[2]Care plan and comms mode recorded; supporter allowed (TEMPLATES L; TEMPLATES N).
¶ 151 · tbl[2] / tr[7] / tc[3]Bedside swallow screen or SP referral; avoid NBM unless necessary.
¶ 152 · tbl[2] / tr[7] / tc[4]Hospital kitchen follows IDDSI; bedside IDDSI cards/boards.
¶ 153 · tbl[2] / tr[7] / tc[5]Discharge includes IDDSI level(s) & strategies; Easy Read summary (TEMPLATES L).
¶ 154 · tbl[2] / tr[7] / tc[6]Medication changes reconciled within 72h; texture-safe forms (TEMPLATE D-2).
¶ 155 · tbl[2] / tr[7] / tc[7]Warm handover to home/program; GP review booked; S-8 publication.
¶ 156 · tbl[2] / tr[8] / tc[1]Provider (IDC-led)
¶ 157 · tbl[2] / tr[8] / tc[2]Single intake; preferences; weekly presence plan (TEMPLATE D-3).
¶ 158 · tbl[2] / tr[8] / tc[3]Skill coaching at mealtimes; record competence; interpreter/AAC as needed (TEMPLATES N).
¶ 159 · tbl[2] / tr[8] / tc[4]E-receipts on; roster↔claim checks; observation audits (TEMPLATES T).
¶ 160 · tbl[2] / tr[8] / tc[5]Deliver supports; prompt hydration/oral care; neighbour/community meals (ordinary places).
¶ 161 · tbl[2] / tr[8] / tc[6]Exception queue: choking/near misses; start 72h review (TEMPLATE B-1).
¶ 162 · tbl[2] / tr[8] / tc[7]Fade prompts as skills grow; contribute to learning review (TEMPLATE S-8).
¶ 163 · tbl[2] / tr[9] / tc[1]Navigator (Access)
¶ 164 · tbl[2] / tr[9] / tc[2]Access receipt; ensure plan accessible across settings (TEMPLATE N-1).
¶ 165 · tbl[2] / tr[9] / tc[3]Interpreter/Auslan/AAC bookings; Easy Read pack delivery (TEMPLATES N; TEMPLATES L).
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 166–182
¶ 166 · tbl[2] / tr[9] / tc[4]Warm handover bookings across home/day program/hospital (TEMPLATES N).
¶ 167 · tbl[2] / tr[9] / tc[5]Check D-2 pathway if meds changed (TEMPLATE D-2).
¶ 168 · tbl[2] / tr[9] / tc[6]Confirm promises kept; fix barriers (TEMPLATES T).
¶ 169 · tbl[2] / tr[9] / tc[7]Prepare de-identified publication pack; visible change log (TEMPLATE S-8).
¶ 170 · tbl[2] / tr[10] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 171 · tbl[2] / tr[10] / tc[2]Trigger: choking/aspiration pneumonia; weight loss; repeated non-compliance (TEMPLATES M).
¶ 172 · tbl[2] / tr[10] / tc[3]File-vs-field checks; contradiction matrix; training currency audit.
¶ 173 · tbl[2] / tr[10] / tc[4]Calibrate plan artefacts; alternatives completeness; fairness tests (TEMPLATES M).
¶ 174 · tbl[2] / tr[10] / tc[5]Verify D-2 compliance; small-cell suppression in learning (TEMPLATE D-2; TEMPLATE S-8).
¶ 175 · tbl[2] / tr[10] / tc[6]Exception ageing; coach teams on guardrails (TEMPLATES T).
¶ 176 · tbl[2] / tr[10] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 177 · tbl[2] / tr[11] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 178 · tbl[2] / tr[11] / tc[2]Case key; privacy-safe IDs; start e-receipt ledger (TEMPLATES T).
¶ 179 · tbl[2] / tr[11] / tc[3]Capture: IDDSI compliance checks, competence sign-offs, incidents (TEMPLATES T).
¶ 180 · tbl[2] / tr[11] / tc[4]Artefact inventory: plan, photos, tests, med charts, discharge letters (TEMPLATES T).
¶ 181 · tbl[2] / tr[11] / tc[5]Tiles: mealtime/IDDSI compliance; med texture compliance; incident rate (TEMPLATES T).
¶ 182 · tbl[2] / tr[11] / tc[6]Promise_kept_ratio; training currency; exception age (TEMPLATES T).
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 183–204
¶ 183 · tbl[2] / tr[11] / tc[7]DPIA; publication pack; visible change log (TEMPLATE S-8).
¶ 189How we measure ourselves (published quarterly)
¶ 190We publish simple results for each site (home or day program). Brackets show the latest result and the bar gives a quick view. Mix of percentages, counts per 1,000 meals and days.
¶ 191Readiness & Access
¶ 192• Mealtime plans current & accessible - Latest: [ - ] █ (% people with in-date plan).
¶ 193• Staff competence sign-offs current - Latest: [ - ] █ (% relevant staff).
¶ 194• Equipment & stock ready - Latest: [ - ] █ (% checks passed).
¶ 195Safety & Compliance
¶ 196• IDDSI compliance (observed meals) - Latest: [ - ] █ (% meals compliant).
¶ 197• Medication texture compliance - Latest: [ - ] █ (% doses texture-safe) (TEMPLATE D-2).
¶ 198• Choking/aspiration per 1,000 meals (lower) - Latest: [ - ] █.
¶ 199Nutrition & Hydration
¶ 200• Hydration prompts achieved - Latest: [ - ] █ (% planned prompts delivered).
¶ 201• Weight within target range - Latest: [ - ] █ (% people on target).
¶ 202• Oral care completed daily - Latest: [ - ] █ (% days delivered).
¶ 203Learning & Handover
¶ 204• Hospital→home plan updated ≤5 days - Latest: [ - ] █ (median days; lower).
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 205–222
¶ 205• 72-hour reviews after choking/near miss - Latest: [ - ] █ (TEMPLATE B-1).
¶ 206• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 207ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 210Example - What real results look like (illustrative)
¶ 211Replace with your numbers.
¶ 212Readiness & Access (example)
¶ 213• Mealtime plans current & accessible............... [ 92% ] █████████████████████████████████
¶ 214• Staff competence sign-offs current............... [ 86% ] ████████████████████████████
¶ 215• Equipment & stock ready.......................... [ 94% ] ███████████████████████████████████
¶ 216 Safety & Compliance (example)
¶ 217• IDDSI compliance (observed meals)................ [ 93% ] █████████████████████████████████
¶ 218• Medication texture compliance.................... [ 97% ] ██████████████████████████████████████
¶ 219• Choking per 1,000 meals (lower).................. [ 0.6 ] █
¶ 220 Nutrition & Hydration (example)
¶ 221• Hydration prompts achieved........................ [ 89% ] ██████████████████████████████
¶ 222• Weight within target range........................ [ 78% ] ██████████████████████████
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 223–286
¶ 223• Oral care completed daily......................... [ 84% ] ████████████████████████████
¶ 224 Learning & Handover (example)
¶ 225• Hospital→home plan updated ≤5 days............... [ 4 ] ████
¶ 226• 72-hour reviews after choking/near miss.......... [ 95% ] █████████████████████████████████████
¶ 227• Promise-kept ratio................................ [0.93 ] ████████████████████████████████████
¶ 230Example Metrics Table (replace with your actuals)
¶ 231 · tbl[3] / tr[1] / tc[1]Tile
¶ 232 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 233 · tbl[3] / tr[1] / tc[3]Target
¶ 234 · tbl[3] / tr[1] / tc[4]Current
¶ 235 · tbl[3] / tr[1] / tc[5]Trend
¶ 236 · tbl[3] / tr[2] / tc[1]Plans current & accessible
¶ 237 · tbl[3] / tr[2] / tc[2]% people with in-date plan at site
¶ 238 · tbl[3] / tr[2] / tc[3]≥95%
¶ 239 · tbl[3] / tr[2] / tc[4]92%
¶ 240 · tbl[3] / tr[2] / tc[5]→
¶ 241 · tbl[3] / tr[3] / tc[1]Staff competence current
¶ 242 · tbl[3] / tr[3] / tc[2]% relevant staff with current sign-off
¶ 243 · tbl[3] / tr[3] / tc[3]≥95%
¶ 244 · tbl[3] / tr[3] / tc[4]86%
¶ 245 · tbl[3] / tr[3] / tc[5]↑
¶ 246 · tbl[3] / tr[4] / tc[1]Equipment & stock ready
¶ 247 · tbl[3] / tr[4] / tc[2]% readiness checks passed
¶ 248 · tbl[3] / tr[4] / tc[3]≥98%
¶ 249 · tbl[3] / tr[4] / tc[4]94%
¶ 250 · tbl[3] / tr[4] / tc[5]↑
¶ 251 · tbl[3] / tr[5] / tc[1]IDDSI compliance (meals)
¶ 252 · tbl[3] / tr[5] / tc[2]% observed meals compliant
¶ 253 · tbl[3] / tr[5] / tc[3]≥95%
¶ 254 · tbl[3] / tr[5] / tc[4]93%
¶ 255 · tbl[3] / tr[5] / tc[5]↑
¶ 256 · tbl[3] / tr[6] / tc[1]Med texture compliance
¶ 257 · tbl[3] / tr[6] / tc[2]% doses texture-safe
¶ 258 · tbl[3] / tr[6] / tc[3]≥98%
¶ 259 · tbl[3] / tr[6] / tc[4]97%
¶ 260 · tbl[3] / tr[6] / tc[5]→
¶ 261 · tbl[3] / tr[7] / tc[1]Choking per 1,000 meals
¶ 262 · tbl[3] / tr[7] / tc[2]Incidents per 1,000 meals (lower)
¶ 263 · tbl[3] / tr[7] / tc[3]↓ q/q
¶ 264 · tbl[3] / tr[7] / tc[4]0.6
¶ 265 · tbl[3] / tr[7] / tc[5]→
¶ 266 · tbl[3] / tr[8] / tc[1]Hydration prompts achieved
¶ 267 · tbl[3] / tr[8] / tc[2]% scheduled prompts delivered
¶ 268 · tbl[3] / tr[8] / tc[3]≥95%
¶ 269 · tbl[3] / tr[8] / tc[4]89%
¶ 270 · tbl[3] / tr[8] / tc[5]↑
¶ 271 · tbl[3] / tr[9] / tc[1]Weight within target
¶ 272 · tbl[3] / tr[9] / tc[2]% people within agreed weight range
¶ 273 · tbl[3] / tr[9] / tc[3]≥85%
¶ 274 · tbl[3] / tr[9] / tc[4]78%
¶ 275 · tbl[3] / tr[9] / tc[5]↑
¶ 276 · tbl[3] / tr[10] / tc[1]Oral care completed daily
¶ 277 · tbl[3] / tr[10] / tc[2]% days oral care delivered
¶ 278 · tbl[3] / tr[10] / tc[3]≥95%
¶ 279 · tbl[3] / tr[10] / tc[4]84%
¶ 280 · tbl[3] / tr[10] / tc[5]↑
¶ 281 · tbl[3] / tr[11] / tc[1]Hospital→home update ≤5d
¶ 282 · tbl[3] / tr[11] / tc[2]Median days to update plan post-discharge
¶ 283 · tbl[3] / tr[11] / tc[3]≤5
¶ 284 · tbl[3] / tr[11] / tc[4]4
¶ 285 · tbl[3] / tr[11] / tc[5]→
¶ 286 · tbl[3] / tr[12] / tc[1]72h reviews after choking
AA-C16 · Residential & Day-Program Mealtime Readiness (site-level) · paragraphs 287–297
¶ 287 · tbl[3] / tr[12] / tc[2]% incidents with ≤72h review
¶ 288 · tbl[3] / tr[12] / tc[3]=100%
¶ 289 · tbl[3] / tr[12] / tc[4]95%
¶ 290 · tbl[3] / tr[12] / tc[5]→
¶ 291 · tbl[3] / tr[13] / tc[1]Promise-kept ratio
¶ 292 · tbl[3] / tr[13] / tc[2]Kept ÷ made (0-1)
¶ 293 · tbl[3] / tr[13] / tc[3]≥0.90
¶ 294 · tbl[3] / tr[13] / tc[4]0.93
¶ 295 · tbl[3] / tr[13] / tc[5]→
¶ 297Owner: __________ Data source(s): Mealtime plans; Observation audits; IDDSI testing records; Training/competence register; Kitchen logs; Medication charts; GP/ED discharge letters; Weight/hydration logs; Oral care records; Navigator/IDC logs; E-receipts; Roster↔Claim
AA-C17 · Education & School Interface
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C17_Education_&_School_Interface_v1.docx
Member SHA-256: 5366a95a41171a443154f2ab27fbfaa11aec4031d5ecb1cf4249be97c70f1227
Original source discrepancy: this Education crosswalk is AA-C17 by archive member and index, but its document-control paragraph 1 says “AA-C07”. The text below preserves that error; it has not been silently corrected.
AA-C17 · Education & School Interface · paragraphs 1–7
¶ 1 - Document control - Template ID: AA-C07 - Education & School Interface Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C17 - Education & School Interface
¶ 3What this title means (in plain words) Learning should be safe, welcoming and joined-up across home, school and services. This crosswalk shows how schools make reasonable adjustments, provide communication access, keep transport safe, and run warm handovers at enrolment, during the year, and when students change classes, schools or post-school pathways. The goal is mainstream inclusion with support, not gatekeeping.
¶ 4What this means for students and families
¶ 5Your communication and learning preferences are recorded once (e.g., Auslan/interpreter/AAC, Easy Read, sensory needs) and shared with consent so every teacher knows what helps (TEMPLATES N; TEMPLATE K-3).
¶ 6Adjustments start quickly - before funding is finalised - so school feels safe and doable (visual schedules, quiet space, predictable routines, supported transitions) (TEMPLATES L).
¶ 7Safety plans travel with you (seizure, mealtime/IDDSI, medication, PBS strategies) and are used in class, excursions and sport.
AA-C17 · Education & School Interface · paragraphs 8–14
¶ 8When you change year levels or schools, the handover is warm with clear reasons, dates and named contacts so you are not left to chase it.
¶ 9Your voice matters. Goals, interests and preferred supports are written in plain English/Easy Read; you can have a supporter/advocate in meetings.
¶ 10What services must do (so students and families don’t have to)
¶ 11Access first, at enrolment. Offer interpreter/Auslan/AAC; collect communication/learning preferences; record cultural/First Nations brokerage if requested (TEMPLATES N).
¶ 12Start adjustments now. Put early supports in place (visuals, task chunking, movement breaks, reduced noise, safe transport cues) while funding decisions catch up; document what’s in place (TEMPLATES L).
¶ 13Write a simple, living plan. One-page Learner Profile + IEP: strengths, goals, adjustments, triggers/helps, crisis plan, and who to call. Link any PBS, seizure or mealtime/IDDSI plan.
¶ 14Keep transport safe. Handover between home ↔ bus/taxi ↔ school uses SBAR cards (who/what/meds/contacts), with clear pick-up/return rules and escalation (TEMPLATES N).
AA-C17 · Education & School Interface · paragraphs 15–24
¶ 15Prevent restrictive practices. Use least-restrictive strategies; any suspension, reduced timetable, or seclusion-like control requires Two-Key with a one-page Reasons & Weighting and a time-limited fade plan (Appendix K/H/I; Appendix B-C).
¶ 16Coordinate with health and community. Warm handovers to therapy/IDC/Navigator and after-school programs; appointments are booked & kept with named stewards.
¶ 17Explain decisions plainly. Meeting notes and letters in plain English/Easy Read; student and family get copies the same/next day (TEMPLATES L).
¶ 18Check and improve. First fortnight check-in; once-per-term review with the student/family; update plans; log what changed and why.
¶ 19Guard privacy. Minimum necessary data shared on a need-to-know basis; small-cell suppression for any public reporting; provenance/audit-log entries for plan changes (Appendix R/S/AL/T).
¶ 20Helpful artefacts (where to find them)
¶ 21Communication access & consent kit: TEMPLATES N; TEMPLATE K-3
¶ 22Plain-language/Easy Read letters & meeting notes: TEMPLATES L
¶ 23Learner Profile + IEP shells; PBS/behaviour ladder: TEMPLATES M
¶ 24Safety packs: seizure/mealtime/medication (Appendix D / Appendix Z)
AA-C17 · Education & School Interface · paragraphs 25–47
¶ 25Two-Key short form + Reasons & Matrix (for restrictive decisions): Appendix K / Appendix H / Appendix I
¶ 26Warm Handover cards (home↔transport↔school; school↔services): TEMPLATES N
¶ 2772-Hour Review & Fade-Plan (if restraint/PRN used): Appendix B-C
¶ 28Privacy, suppression & provenance: Appendix R/S/AL/T
¶ 29Plain-language promise “We’ll use the way you communicate, start adjustments now (not after the paperwork), keep transport and school days predictable and safe, explain decisions in plain words, book and keep handovers when you change classes or schools, protect your privacy, and only use restrictive options with two independent sign-offs, clear reasons and a plan to fade them out.”
¶ 31School interface (at a glance)
¶ 32 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 33 · tbl[1] / tr[1] / tc[2]Enrol/return
¶ 34 · tbl[1] / tr[1] / tc[3]Adjustments & access
¶ 35 · tbl[1] / tr[1] / tc[4]Learning plan
¶ 36 · tbl[1] / tr[1] / tc[5]Everyday supports
¶ 37 · tbl[1] / tr[1] / tc[6]If things wobble
¶ 38 · tbl[1] / tr[1] / tc[7]Transitions & review
¶ 39 · tbl[1] / tr[2] / tc[1]Student & Family
¶ 40 · tbl[1] / tr[2] / tc[2]Enrol or return from absence; supporter welcome.
¶ 41 · tbl[1] / tr[2] / tc[3]You choose communication mode (Auslan/AAC/Easy Read).
¶ 42 · tbl[1] / tr[2] / tc[4]You help set goals that matter to you.
¶ 43 · tbl[1] / tr[2] / tc[5]Support happens in class and around school.
¶ 44 · tbl[1] / tr[2] / tc[6]Say when something isn’t working.
¶ 45 · tbl[1] / tr[2] / tc[7]Warm handover on move/transition.
¶ 46 · tbl[1] / tr[3] / tc[1]School (Teacher/Wellbeing)
¶ 47 · tbl[1] / tr[3] / tc[2]Teacher/Wellbeing capture initial needs.
AA-C17 · Education & School Interface · paragraphs 48–78
¶ 48 · tbl[1] / tr[3] / tc[3]Immediate adjustments start (no wait for forms).
¶ 49 · tbl[1] / tr[3] / tc[4]Learning plan (IEP) drafted quickly.
¶ 50 · tbl[1] / tr[3] / tc[5]Teacher adjusts sensory/environmental factors.
¶ 51 · tbl[1] / tr[3] / tc[6]School convenes problem-solving.
¶ 52 · tbl[1] / tr[3] / tc[7]Teacher/Wellbeing summarises progress plainly.
¶ 53 · tbl[1] / tr[4] / tc[1]Navigator (Access)
¶ 54 · tbl[1] / tr[4] / tc[2]Navigator collects consent and context.
¶ 55 · tbl[1] / tr[4] / tc[3]Interpreter/bookings as needed (TEMPLATES N).
¶ 56 · tbl[1] / tr[4] / tc[4]Navigator books warm handover meeting.
¶ 57 · tbl[1] / tr[4] / tc[5]Navigator checks attendance barriers.
¶ 58 · tbl[1] / tr[4] / tc[6]Navigator steps up transport/aid links.
¶ 59 · tbl[1] / tr[4] / tc[7]Navigator books next school handover.
¶ 60 · tbl[1] / tr[5] / tc[1]Health (GP/ED/CAMHS)
¶ 61 · tbl[1] / tr[5] / tc[2]GP/CAMHS info (with consent) to shape plan.
¶ 62 · tbl[1] / tr[5] / tc[3]Health info for safety/meds (consented).
¶ 63 · tbl[1] / tr[5] / tc[4]Care plan for meds/seizures/allergies.
¶ 64 · tbl[1] / tr[5] / tc[5]Health reviews side-effects/sleep links.
¶ 65 · tbl[1] / tr[5] / tc[6]CAMHS/GP input on stress/anxiety.
¶ 66 · tbl[1] / tr[5] / tc[7]Health plan shared if relevant.
¶ 67 · tbl[1] / tr[6] / tc[1]Provider (IDC-led)
¶ 68 · tbl[1] / tr[6] / tc[2]IDC meets student; observes strengths.
¶ 69 · tbl[1] / tr[6] / tc[3]IDC designs supports in ordinary school life.
¶ 70 · tbl[1] / tr[6] / tc[4]Provider sets community presence times.
¶ 71 · tbl[1] / tr[6] / tc[5]IDC logs sessions; coach teachers/carers.
¶ 72 · tbl[1] / tr[6] / tc[6]IDC ramps support; daily routines.
¶ 73 · tbl[1] / tr[6] / tc[7]IDC updates plan and fades supports when ready.
¶ 74 · tbl[1] / tr[7] / tc[1]Dept/Authority
¶ 75 · tbl[1] / tr[7] / tc[2]Dept confirms transport/funding pathways.
¶ 76 · tbl[1] / tr[7] / tc[3]Policies confirm reasonable adjustments.
¶ 77 · tbl[1] / tr[7] / tc[4]Dept checks compliance and transport.
¶ 78 · tbl[1] / tr[7] / tc[5]Dept monitors suspensions/adjustments.
AA-C17 · Education & School Interface · paragraphs 79–106
¶ 79 · tbl[1] / tr[7] / tc[6]Dept oversight; avoid exclusion-first.
¶ 80 · tbl[1] / tr[7] / tc[7]Dept confirms transport/adjustments continue.
¶ 81 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 82 · tbl[1] / tr[8] / tc[2]Privacy respected; progress visible.
¶ 83 · tbl[1] / tr[8] / tc[3]Guardrails block double-claiming.
¶ 84 · tbl[1] / tr[8] / tc[4]Tiles show timeliness and coverage.
¶ 85 · tbl[1] / tr[8] / tc[5]Exceptions queue triggers coaching.
¶ 86 · tbl[1] / tr[8] / tc[6]Learning captured, names removed.
¶ 87 · tbl[1] / tr[8] / tc[7]Public update without identities (TEMPLATE S-8).
¶ 89Flow - Swimlane (DETAILED)
¶ 90 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 91 · tbl[2] / tr[1] / tc[2]Enrolment & Consent
¶ 92 · tbl[2] / tr[1] / tc[3]Communication & Adjustments
¶ 93 · tbl[2] / tr[1] / tc[4]Warm Handover Artefacts
¶ 94 · tbl[2] / tr[1] / tc[5]Health & Safety Plans
¶ 95 · tbl[2] / tr[1] / tc[6]Delivery & Guardrails
¶ 96 · tbl[2] / tr[1] / tc[7]Transitions, Review & Publication
¶ 97 · tbl[2] / tr[2] / tc[1]Student & Family/Carer
¶ 98 · tbl[2] / tr[2] / tc[2]Provide will & preferences; consent; cultural needs (TEMPLATE K-3; TEMPLATES O).
¶ 99 · tbl[2] / tr[2] / tc[3]Choose communication mode (AAC/Auslan/interpreter); Easy Read (TEMPLATES N; TEMPLATES L).
¶ 100 · tbl[2] / tr[2] / tc[4]Approve who joins IEP; artefacts list (reports, adjustments) (TEMPLATES N).
¶ 101 · tbl[2] / tr[2] / tc[5]Share health/safety needs; meds consent (TEMPLATES L; TEMPLATE D-2).
¶ 102 · tbl[2] / tr[2] / tc[6]Feedback on supports; request adjustments; attendance choices.
¶ 103 · tbl[2] / tr[2] / tc[7]Review meetings; transition passport; S-8 updates.
¶ 104 · tbl[2] / tr[3] / tc[1]School (Teacher/Wellbeing/Principal)
¶ 105 · tbl[2] / tr[3] / tc[2]Enrolment; provisional adjustments start Day 1; no wait for funding (TEMPLATES L).
¶ 106 · tbl[2] / tr[3] / tc[3]Record communication supports; interpreter/AAC booked (TEMPLATES N).
AA-C17 · Education & School Interface · paragraphs 107–124
¶ 107 · tbl[2] / tr[3] / tc[4]IEP drafting ≤10 school days; schedule warm handover (TEMPLATES N).
¶ 108 · tbl[2] / tr[3] / tc[5]Health/Safety plans (seizure/asthma/anaphylaxis) aligned (TEMPLATE D-2).
¶ 109 · tbl[2] / tr[3] / tc[6]Implement reasonable adjustments; monitor suspensions/exclusions (TEMPLATES L).
¶ 110 · tbl[2] / tr[3] / tc[7]Prepare transition summary; ensure continuity to next setting (TEMPLATES L).
¶ 111 · tbl[2] / tr[4] / tc[1]Navigator (NDIS, LAC/Partner)
¶ 112 · tbl[2] / tr[4] / tc[2]Access receipt; transport options; brokerage if First Nations/CALD (TEMPLATE N-1; TEMPLATES O).
¶ 113 · tbl[2] / tr[4] / tc[3]Interpreter/Auslan bookings; AAC resources (TEMPLATES N).
¶ 114 · tbl[2] / tr[4] / tc[4]Warm handover: School↔IDC↔Health; artefact inventory (TEMPLATES N).
¶ 115 · tbl[2] / tr[4] / tc[5]Ensure D-2 booked if med changes; caregiver training links (TEMPLATE D-2).
¶ 116 · tbl[2] / tr[4] / tc[6]Check navigator_coverage; fix barriers (TEMPLATES T).
¶ 117 · tbl[2] / tr[4] / tc[7]Confirm reviews complete; prepare public-safe update (TEMPLATE S-8).
¶ 118 · tbl[2] / tr[5] / tc[1]Health (GP/ED/CAMHS/Dental)
¶ 119 · tbl[2] / tr[5] / tc[2]Consent; comms mode; share relevant info (TEMPLATES L; TEMPLATE K-3).
¶ 120 · tbl[2] / tr[5] / tc[3]Clinical adjustments guidance; interpreter/AAC (TEMPLATES N).
¶ 121 · tbl[2] / tr[5] / tc[4]Care plan to school/IDC; therapy goals align to IEP (TEMPLATES L).
¶ 122 · tbl[2] / tr[5] / tc[5]Medication reconciliation after changes; emergency meds (TEMPLATE D-2).
¶ 123 · tbl[2] / tr[5] / tc[6]Therapy occurs in ordinary school settings where possible (TEMPLATES M).
¶ 124 · tbl[2] / tr[5] / tc[7]Join reviews; update plans; plain-language letters (TEMPLATES L).
AA-C17 · Education & School Interface · paragraphs 125–143
¶ 125 · tbl[2] / tr[6] / tc[1]Provider Intake (Support/IDC-led)
¶ 126 · tbl[2] / tr[6] / tc[2]Single intake; weekly community presence plan (TEMPLATE D-3).
¶ 127 · tbl[2] / tr[6] / tc[3]Communication supports; transport to/from school (TEMPLATES N).
¶ 128 · tbl[2] / tr[6] / tc[4]Artefacts collated; e-receipts; roster↔claim checks (TEMPLATES T).
¶ 129 · tbl[2] / tr[6] / tc[5]Deliver in-class/yard/home routines; meds tasks tracked (TEMPLATE D-2).
¶ 130 · tbl[2] / tr[6] / tc[6]Step-up during wobble; coaching for staff/parents (TEMPLATES M).
¶ 131 · tbl[2] / tr[6] / tc[7]Fade plan as skills grow; transition passport built (TEMPLATES L).
¶ 132 · tbl[2] / tr[7] / tc[1]Dept/Authority (Transport/Policies)
¶ 133 · tbl[2] / tr[7] / tc[2]Transport approval; funding pathways; policy advice.
¶ 134 · tbl[2] / tr[7] / tc[3]Special provisions for assessments; interpreter policy (TEMPLATES N).
¶ 135 · tbl[2] / tr[7] / tc[4]Oversight for IEP timeliness and quality.
¶ 136 · tbl[2] / tr[7] / tc[5]Assure health/safety compliance; audit D-2 usage (TEMPLATE D-2).
¶ 137 · tbl[2] / tr[7] / tc[6]Monitor suspensions/exclusions; support alternatives (TEMPLATES L).
¶ 138 · tbl[2] / tr[7] / tc[7]Assure transfers/records continuity; publish de-identified outcomes (TEMPLATE S-8).
¶ 139 · tbl[2] / tr[8] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 140 · tbl[2] / tr[8] / tc[2]Trigger: parity drift/contested facts; repeated exclusions (TEMPLATES M).
¶ 141 · tbl[2] / tr[8] / tc[3]File-vs-field; contradiction matrix; comms support quality audit (TEMPLATES N).
¶ 142 · tbl[2] / tr[8] / tc[4]Calibrate IEP artefacts; ensure alternatives matrix complete (TEMPLATES M).
¶ 143 · tbl[2] / tr[8] / tc[5]Fairness tests; D-2 verification if meds (TEMPLATES L; TEMPLATE D-2).
AA-C17 · Education & School Interface · paragraphs 144–164
¶ 144 · tbl[2] / tr[8] / tc[6]Exception queue ageing; coach school/IDC on guardrails (TEMPLATES T).
¶ 145 · tbl[2] / tr[8] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 146 · tbl[2] / tr[9] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 147 · tbl[2] / tr[9] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
¶ 148 · tbl[2] / tr[9] / tc[3]Roster↔claim rules; attendance and transport capture (TEMPLATES T).
¶ 149 · tbl[2] / tr[9] / tc[4]Artefact inventory: IEP, adjustments log, safety plans (TEMPLATES T).
¶ 150 · tbl[2] / tr[9] / tc[5]Tiles: IEP ≤10 days; adjustments coverage; suspensions (TEMPLATES T).
¶ 151 · tbl[2] / tr[9] / tc[6]Promise_kept_ratio; exception age; transport reliability (TEMPLATES T).
¶ 152 · tbl[2] / tr[9] / tc[7]DPIA; publication pack; visible change log (TEMPLATE S-8).
¶ 157How we measure ourselves (published quarterly)
¶ 158We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some items are percentages, some are days or per‑100 student rates.
¶ 159Access & Adjustments
¶ 160• IEP issued within 10 school days - Latest: [ - ] █ (eligible enrolments vs on-time IEPs).
¶ 161• Communication supports in place Day 1 - Latest: [ - ] █ (needed vs provided) (TEMPLATES N).
¶ 162• Transport arrangements working by Week 2 - Latest: [ - ] █ (eligible vs working).
¶ 163Participation & Safety
¶ 164• Attendance continuity (days attended/possible) - Latest: [ - ] █.
AA-C17 · Education & School Interface · paragraphs 165–187
¶ 165• Suspension/exclusion rate (per 100; lower better) - Latest: [ - ] █.
¶ 166• Health/safety plans current - Latest: [ - ] █ (required vs in-date).
¶ 167Learning & Transitions
¶ 168• Goals achieved this term - Latest: [ - ] █ (% targets met).
¶ 169• Warm handover on school move - Latest: [ - ] █ (moves with handover).
¶ 170• 72-hour reviews after incidents - Latest: [ - ] █ (required vs completed) (TEMPLATE B-1).
¶ 171ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 178Example - What real results look like (illustrative)
¶ 179Replace with your own numbers.
¶ 180Access & Adjustments (example)
¶ 181• IEP issued within 10 school days.................. [ 82% ] ███████████████████████████
¶ 182• Communication supports in place Day 1............ [ 91% ] ████████████████████████████████
¶ 183• Transport working by Week 2...................... [ 88% ] ██████████████████████████████
¶ 185Participation & Safety (example)
¶ 186• Attendance continuity............................ [ 87% ] █████████████████████████████
¶ 187• Suspension/exclusion rate (/100; lower).......... [ 6.4 ] ██████
AA-C17 · Education & School Interface · paragraphs 188–250
¶ 188• Health/safety plans current...................... [ 94% ] ███████████████████████████████████
¶ 189 Learning & Transitions (example)
¶ 190• Goals achieved this term......................... [ 69% ] ███████████████████████
¶ 191• Warm handover on school move..................... [ 93% ] ███████████████████████████████████
¶ 192• 72-hour reviews after incidents.................. [ 92% ] ██████████████████████████████████
¶ 199Example Metrics Table (replace with your actuals)
¶ 200 · tbl[3] / tr[1] / tc[1]Tile
¶ 201 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 202 · tbl[3] / tr[1] / tc[3]Target
¶ 203 · tbl[3] / tr[1] / tc[4]Current
¶ 204 · tbl[3] / tr[1] / tc[5]Trend
¶ 205 · tbl[3] / tr[2] / tc[1]IEP ≤10 school days
¶ 206 · tbl[3] / tr[2] / tc[2]% eligible enrolments with IEP ≤10 days
¶ 207 · tbl[3] / tr[2] / tc[3]≥90%
¶ 208 · tbl[3] / tr[2] / tc[4]82%
¶ 209 · tbl[3] / tr[2] / tc[5]↑
¶ 210 · tbl[3] / tr[3] / tc[1]Day 1 comms supports
¶ 211 · tbl[3] / tr[3] / tc[2]% required cases with AAC/Auslan/interpreter Day 1
¶ 212 · tbl[3] / tr[3] / tc[3]≥95%
¶ 213 · tbl[3] / tr[3] / tc[4]91%
¶ 214 · tbl[3] / tr[3] / tc[5]→
¶ 215 · tbl[3] / tr[4] / tc[1]Transport working by Wk2
¶ 216 · tbl[3] / tr[4] / tc[2]% eligible students with transport operating by Week 2
¶ 217 · tbl[3] / tr[4] / tc[3]≥95%
¶ 218 · tbl[3] / tr[4] / tc[4]88%
¶ 219 · tbl[3] / tr[4] / tc[5]↑
¶ 220 · tbl[3] / tr[5] / tc[1]Attendance continuity
¶ 221 · tbl[3] / tr[5] / tc[2]% days attended of possible days
¶ 222 · tbl[3] / tr[5] / tc[3]≥90%
¶ 223 · tbl[3] / tr[5] / tc[4]87%
¶ 224 · tbl[3] / tr[5] / tc[5]↑
¶ 225 · tbl[3] / tr[6] / tc[1]Suspension rate (/100)
¶ 226 · tbl[3] / tr[6] / tc[2]Suspensions per 100 students (lower better)
¶ 227 · tbl[3] / tr[6] / tc[3]↓ q/q
¶ 228 · tbl[3] / tr[6] / tc[4]6.4
¶ 229 · tbl[3] / tr[6] / tc[5]↓
¶ 230 · tbl[3] / tr[7] / tc[1]Health/safety plans current
¶ 231 · tbl[3] / tr[7] / tc[2]% required plans in-date
¶ 232 · tbl[3] / tr[7] / tc[3]≥95%
¶ 233 · tbl[3] / tr[7] / tc[4]94%
¶ 234 · tbl[3] / tr[7] / tc[5]→
¶ 235 · tbl[3] / tr[8] / tc[1]Goals achieved this term
¶ 236 · tbl[3] / tr[8] / tc[2]% IEP targets met
¶ 237 · tbl[3] / tr[8] / tc[3]≥75%
¶ 238 · tbl[3] / tr[8] / tc[4]69%
¶ 239 · tbl[3] / tr[8] / tc[5]↑
¶ 240 · tbl[3] / tr[9] / tc[1]Warm handover on move
¶ 241 · tbl[3] / tr[9] / tc[2]% moves with documented warm handover
¶ 242 · tbl[3] / tr[9] / tc[3]≥95%
¶ 243 · tbl[3] / tr[9] / tc[4]93%
¶ 244 · tbl[3] / tr[9] / tc[5]→
¶ 245 · tbl[3] / tr[10] / tc[1]72h reviews after incidents
¶ 246 · tbl[3] / tr[10] / tc[2]% incidents with ≤72h review
¶ 247 · tbl[3] / tr[10] / tc[3]≥95%
¶ 248 · tbl[3] / tr[10] / tc[4]92%
¶ 249 · tbl[3] / tr[10] / tc[5]→
AA-C17 · Education & School Interface · paragraphs 251–251
¶ 251Owner: __________ Data source(s): Enrolment & IEP register; Interpreter/Auslan/AAC bookings; Transport system; Attendance records; Suspension data; Health/safety plans; Navigator/IDC logs; E-receipts; Roster↔Claim
AA-C18 · GP & Primary-Care (specific)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C18_GP_&_Primary-Care_(specific)_v1.docx
Member SHA-256: 5017a80d6996b75b726e0f08cdd8d7245434379e161d1861aece7773914cc065
AA-C18 · GP & Primary-Care (specific) · paragraphs 1–6
¶ 1 - Document control - Template ID: AA-C18 - GP & Primary-Care (specific) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C18 - GP & Primary-Care (specific)
¶ 3What this title means (in plain words) General practice should feel calm, clear and joined-up. This crosswalk sets how GPs and primary-care teams welcome a person with cognitive disability, explain options in plain words, prescribe and review medicines with IDDSI/mealtime needs in mind, offer longer appointments and reasonable adjustments, and make warm handovers to specialists, ED and community supports so care actually happens. Done well, visits are safer, easier and lead to the help promised.
¶ 4What this means for the person and supporters
¶ 5You choose how we communicate and who comes with you. We offer Auslan/interpreter/AAC/Yes-No and Easy Read letters, results and care plans (TEMPLATES N; TEMPLATES L).
¶ 6Tests, diagnoses and medicines are explained plainly before and after your visit; you can ask for time, breaks, or a second look (TEMPLATES L; TEMPLATES M).
AA-C18 · GP & Primary-Care (specific) · paragraphs 7–14
¶ 7Medicines match real life. We check swallowing/mealtime (IDDSI) and give options (liquid, dispersible, patch) instead of crushing by default.
¶ 8Next steps are booked & kept - scripts, referrals, community supports, transport - so you’re not left to organise everything alone (TEMPLATES N).
¶ 9Your privacy is respected. Only necessary information is shared; you receive accessible copies of reasons and plans.
¶ 10What services must do (so the person doesn’t have to)
¶ 11Access first. Offer interpreter/Auslan/AAC from booking to results; note preferred contact, sensory needs and supporter; use teach-back (TEMPLATES N; TEMPLATES L).
¶ 12Make time. Offer longer appointments and predictable slots; allow a quiet waiting option or car-to-consult call-in.
¶ 13IDDSI-aware prescribing. Check mealtime plan; avoid crushing unless authorised; choose safe formulations; record the decision and why; share with pharmacy and providers (Appendix Z; Appendix D).
¶ 14Medication safety. Run medication reconciliation after hospital/ED changes and at annual review; provide a plain-language medication list; check interactions and duplication (Appendix D).
AA-C18 · GP & Primary-Care (specific) · paragraphs 15–22
¶ 15Psychotropic stewardship. For PRN/behaviour-related prescribing, use least-restrictive first, time-limit, review aim, and data plan; co-sign via Two-Key when practice-restricting (Appendix AB; Appendix K/H/I).
¶ 16Preventive care that fits. Offer supported health checks, vaccination, cervical/bowel screening with adjustments (longer time, visuals, desensitisation).
¶ 17Explain consequential decisions with reasons. Use one-page Reasons & Weighting when risks/restrictions increase or treatments change; resolve contradictions on record (Appendix H/I).
¶ 18Warm handovers, not “refer & hope.” SBAR to specialists, ED, Navigator/IDC and community providers with a named steward and time booked & kept; include communication needs, IDDSI and safety plans (TEMPLATES N; AA-C02).
¶ 19Follow up proactively. Recall for results/monitoring; check that first community appointments occurred; ask “what should we tweak?” and action it.
¶ 20Guard privacy & publication. Minimum necessary data; small-cell suppression for any reporting; provenance/hash logged (Appendix R/S/AL/T).
¶ 21Helpful artefacts (where to find them)
¶ 22Accessible booking & comms kit: TEMPLATES N; TEMPLATES L
AA-C18 · GP & Primary-Care (specific) · paragraphs 23–44
¶ 23Choice/consent aids & Easy Read results: TEMPLATES L; TEMPLATES M
¶ 24Mealtime/IDDSI plan + photo plate: Appendix Z
¶ 25Medication reconciliation & shared med list: Appendix D
¶ 26Psychotropic stewardship & PRN gate: Appendix AB
¶ 27Reasons & Weighting + Contradiction Matrix + Two-Key short form: Appendix H / Appendix I / Appendix K
¶ 28Warm Handover bundle (SBAR + steward + booked/kept proof): AA-C02 / AO-6N
¶ 29Privacy/suppression & provenance checks: Appendix R/S/AL/T
¶ 30Plain-language promise “We’ll use the way you communicate, give you more time when you need it, make medicines and tests match your daily life (including mealtime and swallowing needs), explain choices in plain words, book and keep your referrals and supports, protect your privacy, and write reasons you can read when big decisions are made.”
¶ 32GP & Primary care (at a glance)
¶ 33 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 34 · tbl[1] / tr[1] / tc[2]Book & prepare
¶ 35 · tbl[1] / tr[1] / tc[3]Arrive & communicate
¶ 36 · tbl[1] / tr[1] / tc[4]See the GP/Nurse
¶ 37 · tbl[1] / tr[1] / tc[5]Decide & prescribe
¶ 38 · tbl[1] / tr[1] / tc[6]Warm handover
¶ 39 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 40 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 41 · tbl[1] / tr[2] / tc[2]You receive Easy Read/SMS; choose supporter and adjustments.
¶ 42 · tbl[1] / tr[2] / tc[3]You arrive; supporter welcomed; quiet waiting where possible.
¶ 43 · tbl[1] / tr[2] / tc[4]You share goals; what helps; concerns.
¶ 44 · tbl[1] / tr[2] / tc[5]Decision with reasons and alternatives.
AA-C18 · GP & Primary-Care (specific) · paragraphs 45–74
¶ 45 · tbl[1] / tr[2] / tc[6]You leave with a plan in plain English.
¶ 46 · tbl[1] / tr[2] / tc[7]You can ask for review/feedback.
¶ 47 · tbl[1] / tr[3] / tc[1]Reception / Booking
¶ 48 · tbl[1] / tr[3] / tc[2]Booking captures access needs; interpreter/Auslan/AAC arranged (TEMPLATES N).
¶ 49 · tbl[1] / tr[3] / tc[3]Reception confirms adjustments and consent (TEMPLATE K-3).
¶ 50 · tbl[1] / tr[3] / tc[4]History taken accessibly; health check prompts.
¶ 51 · tbl[1] / tr[3] / tc[5]Plain summary prepared with you.
¶ 52 · tbl[1] / tr[3] / tc[6]Summary to you and (if consented) supporters.
¶ 53 · tbl[1] / tr[3] / tc[7]Reception audits access prompts and DNA rates.
¶ 54 · tbl[1] / tr[4] / tc[1]GP / Nurse
¶ 55 · tbl[1] / tr[4] / tc[2]Longer appointment offered if helpful.
¶ 56 · tbl[1] / tr[4] / tc[3]GP/Nurse uses person-first language; visual aids.
¶ 57 · tbl[1] / tr[4] / tc[4]Exam/tests done with visual consent aids.
¶ 58 · tbl[1] / tr[4] / tc[5]Scripts/orders created; risks explained.
¶ 59 · tbl[1] / tr[4] / tc[6]GP/Nurse calls if results change the plan.
¶ 60 · tbl[1] / tr[4] / tc[7]Clinical team reviews adverse events plainly.
¶ 61 · tbl[1] / tr[5] / tc[1]Pharmacy
¶ 62 · tbl[1] / tr[5] / tc[2]Pharmacy on file for med pack needs.
¶ 63 · tbl[1] / tr[5] / tc[3]Pharmacy checks scripts & texture needs.
¶ 64 · tbl[1] / tr[5] / tc[4]Pharmacy checks interactions and IDDSI safety.
¶ 65 · tbl[1] / tr[5] / tc[5]Med packs/texture-safe forms arranged.
¶ 66 · tbl[1] / tr[5] / tc[6]Pharmacy delivers med packs as needed.
¶ 67 · tbl[1] / tr[5] / tc[7]Pharmacy confirms med reconciliation ≤72h.
¶ 68 · tbl[1] / tr[6] / tc[1]Allied Health / Community
¶ 69 · tbl[1] / tr[6] / tc[2]Allied health referrals prepped if likely.
¶ 70 · tbl[1] / tr[6] / tc[3]Allied health receives access cues as needed.
¶ 71 · tbl[1] / tr[6] / tc[4]Community options reviewed (e.g., therapy, respite).
¶ 72 · tbl[1] / tr[6] / tc[5]Allied health bookings made.
¶ 73 · tbl[1] / tr[6] / tc[6]Allied health commences within timeframes.
¶ 74 · tbl[1] / tr[6] / tc[7]Allied health feedback loop.
AA-C18 · GP & Primary-Care (specific) · paragraphs 75–108
¶ 75 · tbl[1] / tr[7] / tc[1]Navigator (Access)
¶ 76 · tbl[1] / tr[7] / tc[2]Navigator on standby for transport/coordination.
¶ 77 · tbl[1] / tr[7] / tc[3]Navigator checks logistics and funding.
¶ 78 · tbl[1] / tr[7] / tc[4]Navigator books next steps.
¶ 79 · tbl[1] / tr[7] / tc[5]Transport/equipment arranged.
¶ 80 · tbl[1] / tr[7] / tc[6]Navigator verifies warm handover occurred.
¶ 81 · tbl[1] / tr[7] / tc[7]Public update de-identified (TEMPLATE S-8).
¶ 82 · tbl[1] / tr[8] / tc[1]Specialist / ED (as required)
¶ 83 · tbl[1] / tr[8] / tc[2]Specialists/ED notified only if consented.
¶ 84 · tbl[1] / tr[8] / tc[3]Specialist/ED linked if escalation likely.
¶ 85 · tbl[1] / tr[8] / tc[4]If ED needed, handover begins early.
¶ 86 · tbl[1] / tr[8] / tc[5]Specialist/ED referral warm handover.
¶ 87 · tbl[1] / tr[8] / tc[6]Specialist/ED receives access notes.
¶ 88 · tbl[1] / tr[8] / tc[7]Specialist/ED outcomes captured for learning.
¶ 89 · tbl[1] / tr[9] / tc[1]Data & Integrity
¶ 90 · tbl[1] / tr[9] / tc[2]Privacy-safe case key used.
¶ 91 · tbl[1] / tr[9] / tc[3]Guardrails block identity leaks.
¶ 92 · tbl[1] / tr[9] / tc[4]Tiles show key times and actions.
¶ 93 · tbl[1] / tr[9] / tc[5]E-receipts enabled for supports.
¶ 94 · tbl[1] / tr[9] / tc[6]Exceptions watched.
¶ 95 · tbl[1] / tr[9] / tc[7]Learning improves next visits.
¶ 97Flow - Swimlane (DETAILED)
¶ 98 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 99 · tbl[2] / tr[1] / tc[2]Consent & Adjustments
¶ 100 · tbl[2] / tr[1] / tc[3]Communication & Preparation
¶ 101 · tbl[2] / tr[1] / tc[4]Assessment & Alternatives
¶ 102 · tbl[2] / tr[1] / tc[5]Medicines & Safety
¶ 103 · tbl[2] / tr[1] / tc[6]Handover & Logistics
¶ 104 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 105 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 106 · tbl[2] / tr[2] / tc[2]Consent & privacy choices; supporter name; cultural needs (TEMPLATE K-3; TEMPLATES O).
¶ 107 · tbl[2] / tr[2] / tc[3]Choose communication mode (AAC/Auslan/interpreter); Easy Read pack (TEMPLATES N; TEMPLATES L).
¶ 108 · tbl[2] / tr[2] / tc[4]Share goals; agree facts→tests→alternatives→review (TEMPLATES M).
AA-C18 · GP & Primary-Care (specific) · paragraphs 109–127
¶ 109 · tbl[2] / tr[2] / tc[5]Understand medicines and IDDSI safety; D-2 if changes (TEMPLATE D-2).
¶ 110 · tbl[2] / tr[2] / tc[6]Plain summary and next steps agreed; bookings confirmed (TEMPLATES L; TEMPLATES N).
¶ 111 · tbl[2] / tr[2] / tc[7]Ask for review; de-identified publication (TEMPLATE S-8).
¶ 112 · tbl[2] / tr[3] / tc[1]Reception / Booking
¶ 113 · tbl[2] / tr[3] / tc[2]Capture access needs and consent; book interpreter/Auslan/AAC (TEMPLATES N).
¶ 114 · tbl[2] / tr[3] / tc[3]Offer longer appointments; quiet waiting; Easy Read pre-visit info (TEMPLATES L).
¶ 115 · tbl[2] / tr[3] / tc[4]Health check prompts; recall systems.
¶ 116 · tbl[2] / tr[3] / tc[5]Flag D-2 pathway when medicine started/changed (TEMPLATE D-2).
¶ 117 · tbl[2] / tr[3] / tc[6]Coordinate referrals and contact points (TEMPLATES N).
¶ 118 · tbl[2] / tr[3] / tc[7]Audit access prompts and DNA; publish learning de-identified (TEMPLATE S-8).
¶ 119 · tbl[2] / tr[4] / tc[1]GP / Nurse
¶ 120 · tbl[2] / tr[4] / tc[2]Introduce self; confirm consent and supporter; person-first language (TEMPLATES L).
¶ 121 · tbl[2] / tr[4] / tc[3]Use comms supports; clinical history with visual aids (TEMPLATES N).
¶ 122 · tbl[2] / tr[4] / tc[4]Explain options and tests plainly; record reasons & alternatives (TEMPLATES M).
¶ 123 · tbl[2] / tr[4] / tc[5]Prescribe with IDDSI/texture safety; start med rec timer (TEMPLATE D-2).
¶ 124 · tbl[2] / tr[4] / tc[6]Write plain summary; handovers to Pharmacy/Allied Health/ED/Specialist (TEMPLATES L; TEMPLATES N).
¶ 125 · tbl[2] / tr[4] / tc[7]Join reviews; learning to publication (TEMPLATE S-8).
¶ 126 · tbl[2] / tr[5] / tc[1]Pharmacy
¶ 127 · tbl[2] / tr[5] / tc[2]Receive consent and access cues (TEMPLATES N).
AA-C18 · GP & Primary-Care (specific) · paragraphs 128–147
¶ 128 · tbl[2] / tr[5] / tc[3]Provide Easy Read labels where available; teach-back.
¶ 129 · tbl[2] / tr[5] / tc[4]Check interactions and texture/IDDSI safety; alternatives offered (TEMPLATE D-2).
¶ 130 · tbl[2] / tr[5] / tc[5]Reconcile changes ≤72h; notify GP of issues (TEMPLATE D-2).
¶ 131 · tbl[2] / tr[5] / tc[6]Warm handover to community providers/IDC (TEMPLATES N).
¶ 132 · tbl[2] / tr[5] / tc[7]Contribute to 72h reviews and learning (TEMPLATE S-8).
¶ 133 · tbl[2] / tr[6] / tc[1]Allied Health / Community
¶ 134 · tbl[2] / tr[6] / tc[2]Receive summary and access needs (TEMPLATES N).
¶ 135 · tbl[2] / tr[6] / tc[3]Prepare accessible instructions; adjust environment (TEMPLATES L).
¶ 136 · tbl[2] / tr[6] / tc[4]Deliver therapy/supports; escalate if plan failing (TEMPLATES M).
¶ 137 · tbl[2] / tr[6] / tc[5]Check med-food interactions and mealtime safety (TEMPLATE D-2; IDDSI).
¶ 138 · tbl[2] / tr[6] / tc[6]Confirm bookings done; community presence plan (TEMPLATE D-3).
¶ 139 · tbl[2] / tr[6] / tc[7]Join reviews; visible change log (TEMPLATE S-8).
¶ 140 · tbl[2] / tr[7] / tc[1]Navigator (Access)
¶ 141 · tbl[2] / tr[7] / tc[2]Access receipt; privacy-safe IDs; safe contact (TEMPLATE N-1; TEMPLATE K-3).
¶ 142 · tbl[2] / tr[7] / tc[3]Arrange interpreters, transport, equipment (TEMPLATES N).
¶ 143 · tbl[2] / tr[7] / tc[4]Warm handover meeting; artefact inventory (TEMPLATES N).
¶ 144 · tbl[2] / tr[7] / tc[5]Ensure D-2 pathway if medicines changed; set 72h review where needed (TEMPLATE D-2; TEMPLATE B-1).
¶ 145 · tbl[2] / tr[7] / tc[6]Verify actions completed; remove blockers; promise-kept ratio (TEMPLATES T).
¶ 146 · tbl[2] / tr[7] / tc[7]Prepare public-safe update; visible change log (TEMPLATE S-8).
¶ 147 · tbl[2] / tr[8] / tc[1]Specialist / ED
AA-C18 · GP & Primary-Care (specific) · paragraphs 148–165
¶ 148 · tbl[2] / tr[8] / tc[2]Receive referral with access cues; supporter welcomed (TEMPLATES N).
¶ 149 · tbl[2] / tr[8] / tc[3]Coordinate tests and alternatives; calm space (TEMPLATES L; TEMPLATES M).
¶ 150 · tbl[2] / tr[8] / tc[4]Feedback loop to GP and community providers (TEMPLATES N).
¶ 151 · tbl[2] / tr[8] / tc[5]Ensure medicine changes reconciled; IDDSI safety (TEMPLATE D-2).
¶ 152 · tbl[2] / tr[8] / tc[6]Hand back with clear plan; GP continuity maintained.
¶ 153 · tbl[2] / tr[8] / tc[7]Participate in reviews; public-safe learning (TEMPLATE S-8).
¶ 154 · tbl[2] / tr[9] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 155 · tbl[2] / tr[9] / tc[2]Trigger: repeated DNAs; contested facts; unsafe prescribing (TEMPLATES M).
¶ 156 · tbl[2] / tr[9] / tc[3]File-vs-field; contradiction matrix; access audit (TEMPLATES N).
¶ 157 · tbl[2] / tr[9] / tc[4]Calibrate alternatives matrix; fairness tests (TEMPLATES M).
¶ 158 · tbl[2] / tr[9] / tc[5]Verify D-2 compliance; small-cell suppression (TEMPLATE D-2; TEMPLATE S-8).
¶ 159 · tbl[2] / tr[9] / tc[6]Exception queue ageing; coach clinic partners (TEMPLATES T).
¶ 160 · tbl[2] / tr[9] / tc[7]Close-out memo; lessons to publication (TEMPLATE S-8).
¶ 161 · tbl[2] / tr[10] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 162 · tbl[2] / tr[10] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
¶ 163 · tbl[2] / tr[10] / tc[3]Capture times: booking→visit, arrival→privacy, decision→handover (TEMPLATES T).
¶ 164 · tbl[2] / tr[10] / tc[4]Artefact inventory: Easy Read letters, consent, summaries, orders, bookings (TEMPLATES T).
¶ 165 · tbl[2] / tr[10] / tc[5]Tiles: time_to_privacy; navigator_coverage; promise_kept_ratio; error_half_life (TEMPLATES T).
AA-C18 · GP & Primary-Care (specific) · paragraphs 166–183
¶ 166 · tbl[2] / tr[10] / tc[6]Exception age; DPIA; publication pack (TEMPLATE S-8).
¶ 167 · tbl[2] / tr[10] / tc[7]Visible change log maintained (TEMPLATE S-8).
¶ 169How we measure ourselves (published quarterly)
¶ 170We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Some are minutes or days; others are percentages.
¶ 171Access & Communication
¶ 172• Easy Read/communication supports provided - Latest: [ - ] █ (needed vs provided) (TEMPLATES N; TEMPLATES L).
¶ 173• Time-to-privacy (minutes; lower better) - Latest: [ - ] █.
¶ 174• Longer appointment offered when needed - Latest: [ - ] █ (% eligible).
¶ 175Quality & Safety
¶ 176• Medication reconciliation ≤72h after change - Latest: [ - ] █ (TEMPLATE D-2).
¶ 177• IDDSI-aware prescribing / med texture safety - Latest: [ - ] █ (% relevant scripts).
¶ 178• Adverse events explained plainly - Latest: [ - ] █ (% with plain explanation).
¶ 179Timeliness & Handover
¶ 180• Warm handover completed to Pharmacy/Allied/ED/Specialist - Latest: [ - ] █.
¶ 181• Booked actions completed by due date - Latest: [ - ] █.
¶ 182• Avoidable ED attendances within 30 days (per 100; lower) - Latest: [ - ] █.
¶ 183Learning & Review
AA-C18 · GP & Primary-Care (specific) · paragraphs 184–202
¶ 184• 72-hour reviews after med start/stop - Latest: [ - ] █ (TEMPLATE B-1).
¶ 185• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 186ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 190Example - What real results look like (illustrative)
¶ 191Replace with your numbers.
¶ 192Access & Communication (example)
¶ 193• Easy Read/communication supports provided.......... [ 90% ] ██████████████████████████████
¶ 194• Time-to-privacy (minutes; lower better)........... [ 6 ] █████
¶ 195• Longer appointment offered when needed............ [ 83% ] █████████████████████████
¶ 196 Quality & Safety (example)
¶ 197• Medication reconciliation ≤72h.................... [ 95% ] █████████████████████████████████████
¶ 198• IDDSI-aware prescribing.......................... [ 93% ] ████████████████████████████████
¶ 199• Adverse events explained plainly.................. [ 91% ] ███████████████████████████████
¶ 200 Timeliness & Handover (example)
¶ 201• Warm handover completed........................... [ 88% ] █████████████████████████████
¶ 202• Booked actions completed by due date.............. [ 86% ] ████████████████████████████
AA-C18 · GP & Primary-Care (specific) · paragraphs 203–270
¶ 203• Avoidable ED attendances within 30 days (/100).... [ 7 ] █████
¶ 204 Learning & Review (example)
¶ 205• 72-hour reviews after med start/stop.............. [ 92% ] █████████████████████████████████
¶ 206• Promise-kept ratio................................ [0.91 ] ██████████████████████████████████
¶ 209Example Metrics Table (replace with your actuals)
¶ 210 · tbl[3] / tr[1] / tc[1]Tile
¶ 211 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 212 · tbl[3] / tr[1] / tc[3]Target
¶ 213 · tbl[3] / tr[1] / tc[4]Current
¶ 214 · tbl[3] / tr[1] / tc[5]Trend
¶ 215 · tbl[3] / tr[2] / tc[1]Comms supports provided
¶ 216 · tbl[3] / tr[2] / tc[2]% attendances with needed supports provided
¶ 217 · tbl[3] / tr[2] / tc[3]≥95%
¶ 218 · tbl[3] / tr[2] / tc[4]90%
¶ 219 · tbl[3] / tr[2] / tc[5]↑
¶ 220 · tbl[3] / tr[3] / tc[1]Time-to-privacy (min)
¶ 221 · tbl[3] / tr[3] / tc[2]Median minutes arrival→privacy (lower)
¶ 222 · tbl[3] / tr[3] / tc[3]≤6
¶ 223 · tbl[3] / tr[3] / tc[4]6
¶ 224 · tbl[3] / tr[3] / tc[5]→
¶ 225 · tbl[3] / tr[4] / tc[1]Longer appt offered
¶ 226 · tbl[3] / tr[4] / tc[2]% eligible with longer appointment
¶ 227 · tbl[3] / tr[4] / tc[3]≥90%
¶ 228 · tbl[3] / tr[4] / tc[4]83%
¶ 229 · tbl[3] / tr[4] / tc[5]↑
¶ 230 · tbl[3] / tr[5] / tc[1]Med reconciliation ≤72h
¶ 231 · tbl[3] / tr[5] / tc[2]% med changes reconciled within 72h
¶ 232 · tbl[3] / tr[5] / tc[3]=100%
¶ 233 · tbl[3] / tr[5] / tc[4]95%
¶ 234 · tbl[3] / tr[5] / tc[5]→
¶ 235 · tbl[3] / tr[6] / tc[1]IDDSI-aware prescribing
¶ 236 · tbl[3] / tr[6] / tc[2]% relevant scripts with texture-safe form
¶ 237 · tbl[3] / tr[6] / tc[3]≥95%
¶ 238 · tbl[3] / tr[6] / tc[4]93%
¶ 239 · tbl[3] / tr[6] / tc[5]↑
¶ 240 · tbl[3] / tr[7] / tc[1]Adverse events explained
¶ 241 · tbl[3] / tr[7] / tc[2]% with plain-language explanation
¶ 242 · tbl[3] / tr[7] / tc[3]=100%
¶ 243 · tbl[3] / tr[7] / tc[4]91%
¶ 244 · tbl[3] / tr[7] / tc[5]↑
¶ 245 · tbl[3] / tr[8] / tc[1]Warm handover completed
¶ 246 · tbl[3] / tr[8] / tc[2]% with documented warm handover
¶ 247 · tbl[3] / tr[8] / tc[3]≥95%
¶ 248 · tbl[3] / tr[8] / tc[4]88%
¶ 249 · tbl[3] / tr[8] / tc[5]↑
¶ 250 · tbl[3] / tr[9] / tc[1]Booked actions on time
¶ 251 · tbl[3] / tr[9] / tc[2]% actions completed by due date
¶ 252 · tbl[3] / tr[9] / tc[3]≥95%
¶ 253 · tbl[3] / tr[9] / tc[4]86%
¶ 254 · tbl[3] / tr[9] / tc[5]↑
¶ 255 · tbl[3] / tr[10] / tc[1]Avoidable ED within 30d (/100)
¶ 256 · tbl[3] / tr[10] / tc[2]Per 100 patients (lower better)
¶ 257 · tbl[3] / tr[10] / tc[3]↓ q/q
¶ 258 · tbl[3] / tr[10] / tc[4]7
¶ 259 · tbl[3] / tr[10] / tc[5]↓
¶ 260 · tbl[3] / tr[11] / tc[1]72h reviews completed
¶ 261 · tbl[3] / tr[11] / tc[2]% qualifying starts/stops with ≤72h review
¶ 262 · tbl[3] / tr[11] / tc[3]=100%
¶ 263 · tbl[3] / tr[11] / tc[4]92%
¶ 264 · tbl[3] / tr[11] / tc[5]→
¶ 265 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 266 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 267 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 268 · tbl[3] / tr[12] / tc[4]0.91
¶ 269 · tbl[3] / tr[12] / tc[5]→
AA-C18 · GP & Primary-Care (specific) · paragraphs 271–271
¶ 271Owner: __________ Data source(s): Practice management system; Interpreter/Auslan/AAC logs; GP/nurse notes; Pharmacy reconciliation; Allied health confirmations; Specialist/ED correspondence; Navigator/IDC logs; E-receipts; Roster↔Claim
AA-C19 · Transport & Travel (AE-hooks)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C19_Transport_&_Travel_(AE-hooks)_v1.docx
Member SHA-256: 95664e5d78893603b1d5cb082f57125182abfd2a05b3efac491565da60581c0e
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 1–7
¶ 1 - Document control - Template ID: AA-C19 - Transport & Travel (links to AE- TEMPLATES) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C19 - Transport & Travel (links to AE- TEMPLATES)
¶ 3What this title means (in plain words) Getting from home → school/work → health → community should be simple, safe and on time. This crosswalk sets how rides, public transport and provider vehicles are booked and delivered for a person with cognitive disability. We use easy bookings, reliable pick-ups, clear reasons for any change, and warm handovers at each end. AE-TEMPLATES add accessible booking forms, route cards, risk checks, securement guides and travel-training steps so travel becomes ordinary.
¶ 4What this means for the person and supporters
¶ 5You choose the mode - own travel, taxi, rideshare, provider vehicle or public transport - and how we communicate (Auslan/interpreter/AAC/Yes-No, Easy Read).
¶ 6Costs, timing and options are explained in plain words; you can bring a supporter if you want to.
¶ 7Pick-ups are reliable; if plans change, we tell you early, offer options and make sure you still arrive safely and on time.
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 8–14
¶ 8Safety and comfort are built in: the right vehicle/securement, quiet routes if preferred, and a simple way to ask for a distress stop.
¶ 9Privacy is respected. Only necessary trip details are shared; no person-level info is published.
¶ 10What services must do (so the person doesn’t have to)
¶ 11Access first, at booking. Offer Easy Read, interpreter/Auslan/AAC; capture preferred contact, mobility/securement needs, sensory preferences and “who can receive me” at the destination. (TEMPLATES N; TEMPLATES L)
¶ 12Book clearly. Send a one-page trip card (who/when/where/who meets, backup plan, contact). Confirm the named steward for each end and log booked & kept. (AE-route card)
¶ 13Right vehicle, right setup. Seatbelts/harnesses/anchor points used correctly; wheelchair tie-downs per standard; luggage/oxygen secured; no transport without securement when required. (AE-risk & securement check)
¶ 14Least-restrictive support. Use cueing/visuals/travel training in preference to restraints; if restrictive equipment is required, apply Two-Key with reasons and a fade plan. (Appendix K/H/I; AE-risk form)
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 15–22
¶ 15Contingency ready. If the driver is late/breaks down or the person is distressed, implement Plan B (alternate vehicle, wait-safe location, supporter call) and notify early with options.
¶ 16Warm handovers. On arrival/departure, exchange SBAR: who received, any issues, next pickup time; record names & times. (TEMPLATES N)
¶ 17Health hooks. Follow mealtime/IDDSI, seizure and medication timing in trip plans; document any PRN given and book a 72-hour review if used. (Appendix Z/D/B-C)
¶ 18Travel training. For people wanting more independence, deliver a stepwise program (route rehearsal, visual map, tap-on/off practice, asking for help) and record progress. (AE-travel-training)
¶ 19Explain changes with reasons. Cancellations, route edits or cost shifts require a plain note + alternative; keep the person’s appointment priority in mind. (TEMPLATES L)
¶ 20Guard privacy & publication. Minimum necessary data; coarse location only in public tiles; small-cell suppression; audit-log hooks for bookings/changes. (Appendix R/S/AL/T)
¶ 21Helpful artefacts (where to find them)
¶ 22AE-TEMPLATES: accessible booking form; route card (SBAR + contacts); risk & securement check; contingency plan; travel-training steps.
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 23–45
¶ 23Communication & Easy Read: TEMPLATES N; TEMPLATES L
¶ 24Two-Key + Reasons & Matrix (for restrictive equipment/escort): Appendix K / Appendix H / Appendix I
¶ 25Mealtime/IDDSI, seizure, medication timing: Appendix Z / Appendix D
¶ 2672-Hour Review (after PRN or restraint): Appendix B-C
¶ 27Dashboard & suppression; audit log: Appendix S/AL / Appendix T
¶ 28Plain-language promise “We’ll book travel in ways you understand, arrive on time, set up the vehicle safely, explain any changes in plain words with options, hand you to a named person at each end, and build your independence with travel-training - while protecting your privacy and reviewing any incident so the next trip is safer.”
¶ 30Transport & travel (at a glance)
¶ 31 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 32 · tbl[1] / tr[1] / tc[2]Plan & book
¶ 33 · tbl[1] / tr[1] / tc[3]Pick-up & travel
¶ 34 · tbl[1] / tr[1] / tc[4]Arrive & handover
¶ 35 · tbl[1] / tr[1] / tc[5]Return or onward trip
¶ 36 · tbl[1] / tr[1] / tc[6]Exceptions & fixes
¶ 37 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 38 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 39 · tbl[1] / tr[2] / tc[2]You choose times, mode and supporter; Easy Read route card available.
¶ 40 · tbl[1] / tr[2] / tc[3]You are picked up on time; supporter welcome.
¶ 41 · tbl[1] / tr[2] / tc[4]You arrive safely; handover in plain language.
¶ 42 · tbl[1] / tr[2] / tc[5]You continue your day or take the return trip.
¶ 43 · tbl[1] / tr[2] / tc[6]You can change plans; reasons explained plainly.
¶ 44 · tbl[1] / tr[2] / tc[7]You can give feedback anytime.
¶ 45 · tbl[1] / tr[3] / tc[1]Booking / Dispatch (AE hook)
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 46–73
¶ 46 · tbl[1] / tr[3] / tc[2]Booking captures access needs; AE accessible booking used (TEMPLATES AE).
¶ 47 · tbl[1] / tr[3] / tc[3]Dispatch tracks ETA; delays messaged early.
¶ 48 · tbl[1] / tr[3] / tc[4]Booking closed with time/place stamp.
¶ 49 · tbl[1] / tr[3] / tc[5]Return leg confirmed automatically.
¶ 50 · tbl[1] / tr[3] / tc[6]No-show/late pickup triggers alternatives.
¶ 51 · tbl[1] / tr[3] / tc[7]Dispatch audits cancellations and delays.
¶ 52 · tbl[1] / tr[4] / tc[1]Transport Provider / Driver
¶ 53 · tbl[1] / tr[4] / tc[2]Driver receives access cues and route; vehicle suitability checked.
¶ 54 · tbl[1] / tr[4] / tc[3]Calm driving; communication supports if needed.
¶ 55 · tbl[1] / tr[4] / tc[4]Driver confirms no issues; receipts sent.
¶ 56 · tbl[1] / tr[4] / tc[5]Driver aligns pick-up point and time.
¶ 57 · tbl[1] / tr[4] / tc[6]Incident or near miss recorded and supported.
¶ 58 · tbl[1] / tr[4] / tc[7]Provider reviews safety and training needs.
¶ 59 · tbl[1] / tr[5] / tc[1]Support Worker / Provider (IDC-led)
¶ 60 · tbl[1] / tr[5] / tc[2]Support worker aligns roster and meets you as planned.
¶ 61 · tbl[1] / tr[5] / tc[3]Support worker prompts hydration/meds if required.
¶ 62 · tbl[1] / tr[5] / tc[4]Support worker confirms safe arrival.
¶ 63 · tbl[1] / tr[5] / tc[5]Support worker meets you for return.
¶ 64 · tbl[1] / tr[5] / tc[6]Provider arranges back‑up vehicle/worker.
¶ 65 · tbl[1] / tr[5] / tc[7]Support worker learning loop.
¶ 66 · tbl[1] / tr[6] / tc[1]Destination (School/Work/Health/Community)
¶ 67 · tbl[1] / tr[6] / tc[2]Destination ready for handover at gate/reception.
¶ 68 · tbl[1] / tr[6] / tc[3]Destination prepares a safe arrival point.
¶ 69 · tbl[1] / tr[6] / tc[4]Destination signs-in and notes adjustments.
¶ 70 · tbl[1] / tr[6] / tc[5]Destination release coordinated.
¶ 71 · tbl[1] / tr[6] / tc[6]Destination alerted to changes.
¶ 72 · tbl[1] / tr[6] / tc[7]Destinations report barriers (kerb/wayfinding).
¶ 73 · tbl[1] / tr[7] / tc[1]Navigator (Access)
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 74–103
¶ 74 · tbl[1] / tr[7] / tc[2]Navigator helps with complex trips or funding rules.
¶ 75 · tbl[1] / tr[7] / tc[3]Navigator solves route or access problems.
¶ 76 · tbl[1] / tr[7] / tc[4]Navigator checks promises kept.
¶ 77 · tbl[1] / tr[7] / tc[5]Navigator verifies back-home arrival.
¶ 78 · tbl[1] / tr[7] / tc[6]Navigator resolves disputes rapidly.
¶ 79 · tbl[1] / tr[7] / tc[7]Public update de‑identified (TEMPLATE S-8).
¶ 80 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 81 · tbl[1] / tr[8] / tc[2]Privacy‑safe case key used.
¶ 82 · tbl[1] / tr[8] / tc[3]Guardrails stop double‑claiming.
¶ 83 · tbl[1] / tr[8] / tc[4]Tiles show punctuality and safety.
¶ 84 · tbl[1] / tr[8] / tc[5]E‑receipts reconcile roster↔claim.
¶ 85 · tbl[1] / tr[8] / tc[6]Exceptions queue monitored.
¶ 86 · tbl[1] / tr[8] / tc[7]Learning improves reliability next quarter.
¶ 88Flow - Swimlane (DETAILED)
¶ 89 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 90 · tbl[2] / tr[1] / tc[2]Consent & Access Cues
¶ 91 · tbl[2] / tr[1] / tc[3]Plan & Route Artefacts
¶ 92 · tbl[2] / tr[1] / tc[4]Pick‑up & Travel
¶ 93 · tbl[2] / tr[1] / tc[5]Arrival & Handover
¶ 94 · tbl[2] / tr[1] / tc[6]Return/Onward Trip
¶ 95 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 96 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 97 · tbl[2] / tr[2] / tc[2]Consent & privacy choices; supporter and equipment noted (TEMPLATE K-3; TEMPLATES O).
¶ 98 · tbl[2] / tr[2] / tc[3]Choose mode; approve route card/Easy Read; cost/time explained (TEMPLATES L; TEMPLATES AE).
¶ 99 · tbl[2] / tr[2] / tc[4]Wait point agreed; communication mode (AAC/Auslan/interpreter) if needed (TEMPLATES N).
¶ 100 · tbl[2] / tr[2] / tc[5]Plain handover at destination; contact points saved (TEMPLATES L).
¶ 101 · tbl[2] / tr[2] / tc[6]Return or onward trip confirmed in simple steps.
¶ 102 · tbl[2] / tr[2] / tc[7]Ask for review; de‑identified publication (TEMPLATE S-8).
¶ 103 · tbl[2] / tr[3] / tc[1]Booking / Dispatch (AE accessible booking)
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 104–120
¶ 104 · tbl[2] / tr[3] / tc[2]Capture access cues (mobility aids, communication, sensory needs) (TEMPLATES AE; TEMPLATES N).
¶ 105 · tbl[2] / tr[3] / tc[3]Create route card; vehicle suitability; time windows; alternatives matrix (TEMPLATES AE; TEMPLATES M).
¶ 106 · tbl[2] / tr[3] / tc[4]ETA updates; driver/app prompts for plain greetings; safety checks.
¶ 107 · tbl[2] / tr[3] / tc[5]Time/place stamps; destination alert; e‑receipt start (TEMPLATES T).
¶ 108 · tbl[2] / tr[3] / tc[6]Auto‑confirm return leg; contingency plan if delay/no‑show.
¶ 109 · tbl[2] / tr[3] / tc[7]Delay and cancellation audits; publish learning (TEMPLATE S-8).
¶ 110 · tbl[2] / tr[4] / tc[1]Transport Provider / Driver
¶ 111 · tbl[2] / tr[4] / tc[2]Receives access cues; confirms licence/clearances; supports supporter ride‑along.
¶ 112 · tbl[2] / tr[4] / tc[3]Vehicle fit‑for‑purpose; restraint/anchoring checks; wayfinding test route (TEMPLATES AE).
¶ 113 · tbl[2] / tr[4] / tc[4]Calm driving; seatbelt guidance; hydration/comfort prompts if needed.
¶ 114 · tbl[2] / tr[4] / tc[5]Plain handover; photo‑sign or code if used; respectful goodbye.
¶ 115 · tbl[2] / tr[4] / tc[6]Aligns with return pick‑up; incident reporting if issues.
¶ 116 · tbl[2] / tr[4] / tc[7]Contribute to learning review; training refreshers.
¶ 117 · tbl[2] / tr[5] / tc[1]Support Worker / Provider (IDC-led)
¶ 118 · tbl[2] / tr[5] / tc[2]Rosters aligned; consent to accompany; cultural needs respected (TEMPLATES O).
¶ 119 · tbl[2] / tr[5] / tc[3]Presence plan includes travel coaching; ordinary places focus (TEMPLATE D-3).
¶ 120 · tbl[2] / tr[5] / tc[4]Support during travel as needed (money/tickets/wayfinding).
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 121–138
¶ 121 · tbl[2] / tr[5] / tc[5]Warm handover at destination; photos or notes only if consented (TEMPLATES N).
¶ 122 · tbl[2] / tr[5] / tc[6]Return trip readiness; backup plan enacted if delays.
¶ 123 · tbl[2] / tr[5] / tc[7]Promise‑kept ratio tracked; feedback into training (TEMPLATES T).
¶ 124 · tbl[2] / tr[6] / tc[1]Destination (School/Work/Health/Community)
¶ 125 · tbl[2] / tr[6] / tc[2]Receive access cues and ETA; identify safe meeting points.
¶ 126 · tbl[2] / tr[6] / tc[3]Wayfinding cues and contact points visible; reception aware.
¶ 127 · tbl[2] / tr[6] / tc[4]Meet at agreed spot; calm arrival; sign‑in.
¶ 128 · tbl[2] / tr[6] / tc[5]Handover returned items/meds; confirm next pick‑up time.
¶ 129 · tbl[2] / tr[6] / tc[6]Release process coordinated; late changes communicated fast.
¶ 130 · tbl[2] / tr[6] / tc[7]Report barriers (kerbs, signage, lifts) for improvement.
¶ 131 · tbl[2] / tr[7] / tc[1]Navigator (Access)
¶ 132 · tbl[2] / tr[7] / tc[2]Access receipt; privacy‑safe IDs; funding rules explained (TEMPLATE N-1; TEMPLATES T).
¶ 133 · tbl[2] / tr[7] / tc[3]Arrange interpreters/equipment; travel training brokerage (TEMPLATES AE; TEMPLATES N).
¶ 134 · tbl[2] / tr[7] / tc[4]Check backup options; artefact inventory: route cards, consent, contacts (TEMPLATES AE; TEMPLATES T).
¶ 135 · tbl[2] / tr[7] / tc[5]Verify handovers; exceptions triage; transport credits if service failure (TEMPLATES T).
¶ 136 · tbl[2] / tr[7] / tc[6]Confirm safe return; remove barriers; community presence focus (TEMPLATE D-3).
¶ 137 · tbl[2] / tr[7] / tc[7]Prepare public‑safe update; visible change log (TEMPLATE S-8).
¶ 138 · tbl[2] / tr[8] / tc[1]Decision Support Consultant (DSC) [triggered]
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 139–163
¶ 139 · tbl[2] / tr[8] / tc[2]Trigger: repeated no‑shows/late pickups; contested charges; safety incident (TEMPLATES M).
¶ 140 · tbl[2] / tr[8] / tc[3]File‑vs‑field; contradiction matrix; fairness tests for alternatives (TEMPLATES M).
¶ 141 · tbl[2] / tr[8] / tc[4]Calibrate AE artefacts; driver compliance audit (TEMPLATES AE).
¶ 142 · tbl[2] / tr[8] / tc[5]Small‑cell suppression in learning; reasons pack check (TEMPLATE S-8; TEMPLATES L).
¶ 143 · tbl[2] / tr[8] / tc[6]Exception ageing; coach dispatch/providers (TEMPLATES T).
¶ 144 · tbl[2] / tr[8] / tc[7]Close‑out memo; lessons to publication (TEMPLATE S-8).
¶ 145 · tbl[2] / tr[9] / tc[1]Data/Integrity (E‑receipt, Roster↔Claim)
¶ 146 · tbl[2] / tr[9] / tc[2]Case key; privacy‑safe IDs; e‑receipt ledger (TEMPLATES T).
¶ 147 · tbl[2] / tr[9] / tc[3]Capture: on‑time pickup, trip fulfilment, wait time, cancellations, incidents (TEMPLATES T).
¶ 148 · tbl[2] / tr[9] / tc[4]Artefact inventory: route cards, consent, handover confirmations (TEMPLATES AE; TEMPLATES T).
¶ 149 · tbl[2] / tr[9] / tc[5]Tiles: punctuality; fulfilment; incident rate; promise_kept_ratio (TEMPLATES T).
¶ 150 · tbl[2] / tr[9] / tc[6]Exception queue age; DPIA; publication pack (TEMPLATE S-8).
¶ 151 · tbl[2] / tr[9] / tc[7]Visible change log maintained (TEMPLATE S-8).
¶ 161How we measure ourselves (published quarterly)
¶ 162We publish simple results using counts. Brackets show the latest result and the bar gives a quick view. Mix of minutes, per‑100 or per‑10,000 km rates, and percentages.
¶ 163Access & Reliability
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 164–184
¶ 164• On‑time pick‑ups - Latest: [ - ] █ (% within agreed window).
¶ 165• Trip fulfilment - Latest: [ - ] █ (% booked trips completed).
¶ 166• Wait time at pick‑up (minutes; lower) - Latest: [ - ] █.
¶ 167Safety & Respect
¶ 168• Reported incidents per 10,000 km (lower) - Latest: [ - ] █.
¶ 169• Supporter ride‑along when wanted - Latest: [ - ] █ (% requests met).
¶ 170• Accessible vehicle available when needed - Latest: [ - ] █ (% met).
¶ 171Handover & Continuity
¶ 172• Warm handover at destination - Latest: [ - ] █ (% with confirmation).
¶ 173• Return/onward trip confirmed - Latest: [ - ] █ (% booked).
¶ 174• Mis‑charge disputes resolved ≤7 days - Latest: [ - ] █.
¶ 175Learning & Repair
¶ 176• No‑show/late pickup with alternative provided - Latest: [ - ] █ (% with workable alternative).
¶ 177• Promise‑kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 178ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 181Example - What real results look like (illustrative)
¶ 182Replace with your numbers.
¶ 183Access & Reliability (example)
¶ 184• On‑time pick‑ups................................. [ 91% ] ███████████████████████████████
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 185–215
¶ 185• Trip fulfilment.................................. [ 95% ] █████████████████████████████████████
¶ 186• Wait time at pick‑up (min; lower)................ [ 7 ] █████
¶ 187 Safety & Respect (example)
¶ 188• Incidents per 10,000 km (lower).................. [ 0.8 ] █
¶ 189• Supporter ride‑along when wanted.................. [ 87% ] █████████████████████████████
¶ 190• Accessible vehicle available..................... [ 92% ] ███████████████████████████████
¶ 191 Handover & Continuity (example)
¶ 192• Warm handover at destination..................... [ 90% ] ███████████████████████████████
¶ 193• Return/onward trip confirmed..................... [ 93% ] █████████████████████████████████
¶ 194• Mis‑charge disputes resolved ≤7 days............. [ 88% ] █████████████████████████████
¶ 195 Learning & Repair (example)
¶ 196• No‑show/late pickup with alternative............. [ 81% ] ██████████████████████████
¶ 197• Promise‑kept ratio................................ [0.92 ] ███████████████████████████████████
¶ 200Example Metrics Table (replace with your actuals)
¶ 201 · tbl[3] / tr[1] / tc[1]Tile
¶ 202 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 203 · tbl[3] / tr[1] / tc[3]Target
¶ 204 · tbl[3] / tr[1] / tc[4]Current
¶ 205 · tbl[3] / tr[1] / tc[5]Trend
¶ 206 · tbl[3] / tr[2] / tc[1]On‑time pick‑ups
¶ 207 · tbl[3] / tr[2] / tc[2]% trips picked up within agreed window
¶ 208 · tbl[3] / tr[2] / tc[3]≥95%
¶ 209 · tbl[3] / tr[2] / tc[4]91%
¶ 210 · tbl[3] / tr[2] / tc[5]↑
¶ 211 · tbl[3] / tr[3] / tc[1]Trip fulfilment
¶ 212 · tbl[3] / tr[3] / tc[2]% booked trips completed
¶ 213 · tbl[3] / tr[3] / tc[3]≥98%
¶ 214 · tbl[3] / tr[3] / tc[4]95%
¶ 215 · tbl[3] / tr[3] / tc[5]↑
AA-C19 · Transport & Travel (AE-hooks) · paragraphs 216–262
¶ 216 · tbl[3] / tr[4] / tc[1]Wait time at pick‑up (min)
¶ 217 · tbl[3] / tr[4] / tc[2]Median minutes wait at pick‑up (lower)
¶ 218 · tbl[3] / tr[4] / tc[3]≤5
¶ 219 · tbl[3] / tr[4] / tc[4]7
¶ 220 · tbl[3] / tr[4] / tc[5]↓
¶ 221 · tbl[3] / tr[5] / tc[1]Incidents per 10,000 km
¶ 222 · tbl[3] / tr[5] / tc[2]Reported incidents per 10,000 km (lower)
¶ 223 · tbl[3] / tr[5] / tc[3]↓ q/q
¶ 224 · tbl[3] / tr[5] / tc[4]0.8
¶ 225 · tbl[3] / tr[5] / tc[5]→
¶ 226 · tbl[3] / tr[6] / tc[1]Supporter ride‑along met
¶ 227 · tbl[3] / tr[6] / tc[2]% requests granted
¶ 228 · tbl[3] / tr[6] / tc[3]≥95%
¶ 229 · tbl[3] / tr[6] / tc[4]87%
¶ 230 · tbl[3] / tr[6] / tc[5]↑
¶ 231 · tbl[3] / tr[7] / tc[1]Accessible vehicle available
¶ 232 · tbl[3] / tr[7] / tc[2]% trips needing accessible vehicle met
¶ 233 · tbl[3] / tr[7] / tc[3]≥98%
¶ 234 · tbl[3] / tr[7] / tc[4]92%
¶ 235 · tbl[3] / tr[7] / tc[5]↑
¶ 236 · tbl[3] / tr[8] / tc[1]Warm handover at destination
¶ 237 · tbl[3] / tr[8] / tc[2]% trips with documented handover
¶ 238 · tbl[3] / tr[8] / tc[3]≥95%
¶ 239 · tbl[3] / tr[8] / tc[4]90%
¶ 240 · tbl[3] / tr[8] / tc[5]↑
¶ 241 · tbl[3] / tr[9] / tc[1]Return/onward trip confirmed
¶ 242 · tbl[3] / tr[9] / tc[2]% trips with confirmed return/onward
¶ 243 · tbl[3] / tr[9] / tc[3]≥95%
¶ 244 · tbl[3] / tr[9] / tc[4]93%
¶ 245 · tbl[3] / tr[9] / tc[5]→
¶ 246 · tbl[3] / tr[10] / tc[1]Mis‑charge resolved ≤7d
¶ 247 · tbl[3] / tr[10] / tc[2]% disputes resolved within 7 days
¶ 248 · tbl[3] / tr[10] / tc[3]≥95%
¶ 249 · tbl[3] / tr[10] / tc[4]88%
¶ 250 · tbl[3] / tr[10] / tc[5]↑
¶ 251 · tbl[3] / tr[11] / tc[1]No‑show alt provided
¶ 252 · tbl[3] / tr[11] / tc[2]% no‑show/late pickups with alternative
¶ 253 · tbl[3] / tr[11] / tc[3]=100%
¶ 254 · tbl[3] / tr[11] / tc[4]81%
¶ 255 · tbl[3] / tr[11] / tc[5]↑
¶ 256 · tbl[3] / tr[12] / tc[1]Promise‑kept ratio
¶ 257 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 258 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 259 · tbl[3] / tr[12] / tc[4]0.92
¶ 260 · tbl[3] / tr[12] / tc[5]→
¶ 262Owner: __________ Data source(s): AE accessible booking/dispatch; Provider rosters; GPS/telematics; Driver safety logs; E‑receipts; Roster↔Claim; Destination sign‑in; Navigator logs; Dispute records
AA-C20 · First Nations Partnership Crosswalk (O-hooks)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C20_First_Nations_Partnership_Crosswalk_(O-hooks)_v1.docx
Member SHA-256: f98c9a88174454081058fe30031b1c7e7b2c36393ef733718b28fb539ad6e620
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 1–7
¶ 1 - Document control - Template ID: AA-C20 - First Nations Partnership Crosswalk (O- TEMPLATES hooks) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C20 - First Nations Partnership Crosswalk (O- TEMPLATES hooks)
¶ 3What this title means (in plain words) Services must work with Aboriginal and Torres Strait Islander peoples, families, Elders and community-controlled organisations (ACCHOs). That means choice of provider, cultural brokerage, local decision-making, and co-release of information. We use yarning and on-Country options, respect Sorry Business, Men’s/Women’s Business and language, and protect community privacy (small-cell suppression). O-TEMPLATES provide brokerage requests, protocol guides, shared-governance MOUs and language-access tools.
¶ 4What this means for the person and supporters
¶ 5You choose who is involved - Elders, family, Aboriginal Health Worker, cultural broker - and where we meet (on-Country, ACCHO, home, clinic).
¶ 6Reasons are explained plainly and, where possible, in language; you see options and say what fits your life.
¶ 7Information is shared with you first and then co-released with the community partners you nominate.
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 8–15
¶ 8Cultural practices are respected (Sorry Business, Men’s/Women’s Business, kinship responsibilities, cultural leave).
¶ 9Privacy is protected - no identifying small numbers for remote communities; only necessary details are shared.
¶ 10What services must do (so the person doesn’t have to)
¶ 11Offer partnership up front. Ask about Country, language, kin, and preferred ACCHO/broker; log consent to involve them. Book a cultural broker early (O-TEMPLATES).
¶ 12Use the right way to talk. Yarning methodology, plain English/Easy Read, NAATI-certified interpreters or local language workers; allow time and pauses; confirm understanding with teach-back (TEMPLATES L/N).
¶ 13Share decisions, don’t just consult. For consequential calls (restrictive practices, moves, medication changes), use Two-Key with a culturally independent key and record Reasons & Weighting (Appendix K/H/I).
¶ 14Plan on-Country when possible. Appointments, rehab, respite and ceremonies scheduled with community input; avoid clashes with Sorry Business.
¶ 15Employ and pay cultural labour. Pay brokers/Elders; recognise expertise; include them in follow-ups and reviews.
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 16–24
¶ 16Warm handovers via ACCHOs. Use SBAR to ACCHO/Aboriginal Health Worker with a named steward and booked & kept times; include language needs and transport (TEMPLATES N).
¶ 17Protect community privacy. Apply small-cell suppression, coarse geography in public tiles, and provenance/audit-log hooks for all releases (Appendix R/S/AL/T).
¶ 18Shared governance. Use an MOU with the local ACCHO/community group: decision scope, dispute path, data rules, publication/ co-release, and review cadence (O-TEMPLATES).
¶ 19First Nations-specific checks at discharge/switch. Ensure meds/IDDSI plans, transport, housing and school/work links are culturally safe and active within 7 days.
¶ 20Measure and learn. Track interpreter fulfilment, time-to-broker, on-Country access, and co-release rate; run 72-hour reviews for any restraint/PRN-as-RP with cultural input (Appendix B-C).
¶ 21Helpful artefacts (where to find them)
¶ 22O-TEMPLATES: Cultural brokerage request; Protocol & Welcome to Country guide; Shared-governance MOU; Co-release script; Language-access plan.
¶ 23Plain-language & Easy Read blocks (incl. yarning prompts): TEMPLATES L
¶ 24Navigation & warm handover sheets (SBAR, steward, booked/kept): TEMPLATES N
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 25–45
¶ 25Two-Key short form + Reasons & Matrix: Appendix K / Appendix H / Appendix I
¶ 26Privacy/suppression & provenance: Appendix R/S/AL/T
¶ 27Mealtime/IDDSI, medication, transport add-ons (if relevant): Appendix Z / Appendix D / AE-TEMPLATES
¶ 28Plain-language promise “We’ll work with you, your family, Elders and your ACCHO. We’ll yarn in the way you choose, use interpreters or language workers when needed, explain options in plain words and in language, make decisions with a culturally independent second sign-off when they’re big, hand you to a named person at the next service, and protect your community’s privacy - co-releasing information only with your say.”
¶ 30First Nations partnership (at a glance)
¶ 31 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 32 · tbl[1] / tr[1] / tc[2]Invite & welcome
¶ 33 · tbl[1] / tr[1] / tc[3]Decide together
¶ 34 · tbl[1] / tr[1] / tc[4]Plan & deliver
¶ 35 · tbl[1] / tr[1] / tc[5]Co-release & handover
¶ 36 · tbl[1] / tr[1] / tc[6]Follow-up & repair
¶ 37 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 38 · tbl[1] / tr[2] / tc[1]Person, Family & Elders
¶ 39 · tbl[1] / tr[2] / tc[2]You choose place/time; Country is acknowledged; family/Elders invited.
¶ 40 · tbl[1] / tr[2] / tc[3]You tell us what matters; how decisions should be made.
¶ 41 · tbl[1] / tr[2] / tc[4]You agree the plan and who does what.
¶ 42 · tbl[1] / tr[2] / tc[5]You receive information first; co-release agreed.
¶ 43 · tbl[1] / tr[2] / tc[6]You are contacted to check how it went.
¶ 44 · tbl[1] / tr[2] / tc[7]You can give feedback anytime; safe channel provided.
¶ 45 · tbl[1] / tr[3] / tc[1]First Nations Brokerage (O hook)
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 46–72
¶ 46 · tbl[1] / tr[3] / tc[2]Brokerage arranges cultural protocols and travel (TEMPLATES O).
¶ 47 · tbl[1] / tr[3] / tc[3]Broker frames choices in plain language; local resources mapped.
¶ 48 · tbl[1] / tr[3] / tc[4]Broker aligns roles and funding.
¶ 49 · tbl[1] / tr[3] / tc[5]Broker shares with ACCHO/family per your decision.
¶ 50 · tbl[1] / tr[3] / tc[6]Broker arranges repairs if something went wrong.
¶ 51 · tbl[1] / tr[3] / tc[7]Brokerage collates themes to improve.
¶ 52 · tbl[1] / tr[4] / tc[1]Mainstream Service / Provider
¶ 53 · tbl[1] / tr[4] / tc[2]Service offers options and supports; listens first.
¶ 54 · tbl[1] / tr[4] / tc[3]Mainstream team explains tests and alternatives plainly.
¶ 55 · tbl[1] / tr[4] / tc[4]Provider delivers supports in ordinary places.
¶ 56 · tbl[1] / tr[4] / tc[5]Provider handover to ACCHO/GP in plain English.
¶ 57 · tbl[1] / tr[4] / tc[6]Provider fixes barriers; apologises where needed.
¶ 58 · tbl[1] / tr[4] / tc[7]Service learns and changes practice.
¶ 59 · tbl[1] / tr[5] / tc[1]Aboriginal Community-Controlled Organisation (ACCHO)
¶ 60 · tbl[1] / tr[5] / tc[2]ACCHO contact made early if you choose.
¶ 61 · tbl[1] / tr[5] / tc[3]ACCHO confirms culturally safe care pathways.
¶ 62 · tbl[1] / tr[5] / tc[4]ACCHO provides clinical/community care as chosen.
¶ 63 · tbl[1] / tr[5] / tc[5]ACCHO confirms continuity and cultural safety.
¶ 64 · tbl[1] / tr[5] / tc[6]ACCHO supports repairs and follow-ups.
¶ 65 · tbl[1] / tr[5] / tc[7]ACCHO and service review together.
¶ 66 · tbl[1] / tr[6] / tc[1]Interpreter / Auslan / AAC
¶ 67 · tbl[1] / tr[6] / tc[2]Interpreter/Auslan/AAC offered.
¶ 68 · tbl[1] / tr[6] / tc[3]Language support provided throughout.
¶ 69 · tbl[1] / tr[6] / tc[4]Interpreter services confirmed for bookings.
¶ 70 · tbl[1] / tr[6] / tc[5]Language services used for summaries.
¶ 71 · tbl[1] / tr[6] / tc[6]Interpreter/Auslan/AAC available again.
¶ 72 · tbl[1] / tr[6] / tc[7]Interpreting data informs access planning.
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 73–103
¶ 73 · tbl[1] / tr[7] / tc[1]Navigator (Access)
¶ 74 · tbl[1] / tr[7] / tc[2]Navigator sets up warm handovers.
¶ 75 · tbl[1] / tr[7] / tc[3]Navigator checks consent preferences.
¶ 76 · tbl[1] / tr[7] / tc[4]Navigator books next steps and transport.
¶ 77 · tbl[1] / tr[7] / tc[5]Navigator verifies warm handovers.
¶ 78 · tbl[1] / tr[7] / tc[6]Navigator closes the loop; promises kept.
¶ 79 · tbl[1] / tr[7] / tc[7]Public update de-identified (TEMPLATE S-8).
¶ 80 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 81 · tbl[1] / tr[8] / tc[2]Privacy-safe case key used.
¶ 82 · tbl[1] / tr[8] / tc[3]Guardrails block identity leaks.
¶ 83 · tbl[1] / tr[8] / tc[4]Tiles show access and timeliness.
¶ 84 · tbl[1] / tr[8] / tc[5]E-receipts reconcile roster↔claim.
¶ 85 · tbl[1] / tr[8] / tc[6]Exceptions watched.
¶ 86 · tbl[1] / tr[8] / tc[7]Learning improves partnerships next quarter.
¶ 88Flow - Swimlane (DETAILED)
¶ 89 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 90 · tbl[2] / tr[1] / tc[2]Consent & Protocols
¶ 91 · tbl[2] / tr[1] / tc[3]Shared Assessment & Alternatives
¶ 92 · tbl[2] / tr[1] / tc[4]Plan & Roles
¶ 93 · tbl[2] / tr[1] / tc[5]Co-release & Governance
¶ 94 · tbl[2] / tr[1] / tc[6]Handover & Follow-up
¶ 95 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 96 · tbl[2] / tr[2] / tc[1]Person, Family & Elders
¶ 97 · tbl[2] / tr[2] / tc[2]Consent & privacy choices; who speaks; where we meet; Country and protocols (TEMPLATES O; TEMPLATE K-3).
¶ 98 · tbl[2] / tr[2] / tc[3]Facts → tests → alternatives → review in plain English and/or language (TEMPLATES L; TEMPLATES M).
¶ 99 · tbl[2] / tr[2] / tc[4]Decide roles for ACCHO/provider/family; transport and costs understood (TEMPLATES O).
¶ 100 · tbl[2] / tr[2] / tc[5]You receive information first; decide on co-release list (TEMPLATES O).
¶ 101 · tbl[2] / tr[2] / tc[6]Follow-ups booked; phone/SMS preference captured (TEMPLATES N).
¶ 102 · tbl[2] / tr[2] / tc[7]Ask for review; de-identified publication (TEMPLATE S-8).
¶ 103 · tbl[2] / tr[3] / tc[1]First Nations Brokerage (O)
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 104–120
¶ 104 · tbl[2] / tr[3] / tc[2]Cultural brokerage engaged; protocol brief for all parties; safe contact set (TEMPLATES O).
¶ 105 · tbl[2] / tr[3] / tc[3]Shared assessment with ACCHO and service; language support organised (TEMPLATES O; TEMPLATES N).
¶ 106 · tbl[2] / tr[3] / tc[4]Alternatives mapped (mainstream vs ACCHO vs hybrid); funding braided (TEMPLATES M).
¶ 107 · tbl[2] / tr[3] / tc[5]Co-release rules; shared governance group; visible change log (TEMPLATE S-8).
¶ 108 · tbl[2] / tr[3] / tc[6]Warm handovers arranged; transport/escorts organised (TEMPLATES N).
¶ 109 · tbl[2] / tr[3] / tc[7]Quarterly partnership review; public-safe updates (TEMPLATE S-8).
¶ 110 · tbl[2] / tr[4] / tc[1]Mainstream Service / Provider
¶ 111 · tbl[2] / tr[4] / tc[2]Acknowledge Country; person-first language; accessible booking (TEMPLATES L; TEMPLATES N).
¶ 112 · tbl[2] / tr[4] / tc[3]Offer tests/services with plain reasons; accept alternatives (TEMPLATES M).
¶ 113 · tbl[2] / tr[4] / tc[4]Plan includes cultural leave/ceremony; staff roles clear.
¶ 114 · tbl[2] / tr[4] / tc[5]Co-release to person + ACCHO per consent; small-cell suppression (TEMPLATE S-8).
¶ 115 · tbl[2] / tr[4] / tc[6]Warm handover to ACCHO/GP/IDC; e-receipts and artefacts shared (TEMPLATES T).
¶ 116 · tbl[2] / tr[4] / tc[7]Participate in partnership review; adjust practice.
¶ 117 · tbl[2] / tr[5] / tc[1]ACCHO / Aboriginal Health Worker
¶ 118 · tbl[2] / tr[5] / tc[2]Provide cultural and clinical leadership; bring local resources.
¶ 119 · tbl[2] / tr[5] / tc[3]Shared assessment; alternatives including on-Country care.
¶ 120 · tbl[2] / tr[5] / tc[4]Deliver care as chosen; support mainstream team in cultural safety.
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 121–140
¶ 121 · tbl[2] / tr[5] / tc[5]Co-governance meeting; joint statements; community update.
¶ 122 · tbl[2] / tr[5] / tc[6]Follow-ups; family inclusion; brokerage support as needed.
¶ 123 · tbl[2] / tr[5] / tc[7]Contribute to learning review; public-safe update.
¶ 124 · tbl[2] / tr[6] / tc[1]Interpreter / Auslan / AAC
¶ 125 · tbl[2] / tr[6] / tc[2]Language and modality set early; availability confirmed (TEMPLATES N).
¶ 126 · tbl[2] / tr[6] / tc[3]Interpret for assessment and planning; Easy Read where helpful (TEMPLATES L).
¶ 127 · tbl[2] / tr[6] / tc[4]Provide visual/audio translations for ongoing plan (TEMPLATES L).
¶ 128 · tbl[2] / tr[6] / tc[5]Support co-release with person’s permission (TEMPLATES O).
¶ 129 · tbl[2] / tr[6] / tc[6]Assist follow-ups and feedback.
¶ 130 · tbl[2] / tr[6] / tc[7]Data informs access planning and improvement.
¶ 131 · tbl[2] / tr[7] / tc[1]Navigator (Access)
¶ 132 · tbl[2] / tr[7] / tc[2]Access receipt; privacy-safe IDs; brokerage referral (TEMPLATE N-1; TEMPLATES O).
¶ 133 · tbl[2] / tr[7] / tc[3]Arrange travel/venue; ensure cultural safety cues (TEMPLATES O).
¶ 134 · tbl[2] / tr[7] / tc[4]Artefact inventory: consent, protocol brief, plan, co-release list (TEMPLATES T).
¶ 135 · tbl[2] / tr[7] / tc[5]Verify handovers; track promise-kept ratio (TEMPLATES T).
¶ 136 · tbl[2] / tr[7] / tc[6]Remove blockers; ensure actions completed on time.
¶ 137 · tbl[2] / tr[7] / tc[7]Prepare public-safe update; visible change log (TEMPLATE S-8).
¶ 138 · tbl[2] / tr[8] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 139 · tbl[2] / tr[8] / tc[2]Trigger: contested facts, poor cultural safety, refusal to co-release (TEMPLATES M).
¶ 140 · tbl[2] / tr[8] / tc[3]File-vs-field; contradiction matrix; cultural safety audit (TEMPLATES O).
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 141–163
¶ 141 · tbl[2] / tr[8] / tc[4]Calibrate alternatives; fairness tests (TEMPLATES M).
¶ 142 · tbl[2] / tr[8] / tc[5]Small-cell suppression; right-to-reasons pack (TEMPLATE S-8; TEMPLATES L).
¶ 143 · tbl[2] / tr[8] / tc[6]Exception ageing; coach teams; braid funding (TEMPLATES T).
¶ 144 · tbl[2] / tr[8] / tc[7]Close-out memo; joint public update.
¶ 145 · tbl[2] / tr[9] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 146 · tbl[2] / tr[9] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
¶ 147 · tbl[2] / tr[9] / tc[3]Capture: brokerage use, language access, co-release timeliness (TEMPLATES T).
¶ 148 · tbl[2] / tr[9] / tc[4]Artefact inventory: protocol brief, consent, co-release, plain summaries (TEMPLATES T).
¶ 149 · tbl[2] / tr[9] / tc[5]Tiles: navigator_coverage; promise_kept_ratio; time_to_privacy (TEMPLATES T).
¶ 150 · tbl[2] / tr[9] / tc[6]Exception queue age; DPIA; publication pack (TEMPLATE S-8).
¶ 151 · tbl[2] / tr[9] / tc[7]Visible change log maintained (TEMPLATE S-8).
¶ 156How we measure ourselves (published quarterly)
¶ 157We publish simple results using counts. Mix of percentages and days; brackets show the latest result and the bar gives a quick view.
¶ 158Access & Cultural Safety
¶ 159• Brokerage engaged when requested - Latest: [ - ] █ (% requests met).
¶ 160• Language access provided - Latest: [ - ] █ (% indicated contacts with interpreter/Auslan/AAC).
¶ 161• Meeting place chosen by person - Latest: [ - ] █ (% contacts at chosen place).
¶ 163Shared Decisions & Co-release
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 164–184
¶ 164• Right-to-reasons given in plain English - Latest: [ - ] █ (% contacts).
¶ 165• Co-release within 5 days - Latest: [ - ] █ (% with on-time co-release).
¶ 166• ACCHO involvement when chosen - Latest: [ - ] █ (% contacts).
¶ 167Timeliness & Continuity
¶ 168• Warm handovers completed - Latest: [ - ] █ (% contacts).
¶ 169• Actions completed by due date - Latest: [ - ] █ (%).
¶ 170• Re-contact within 30 days due to gaps (per 100; lower) - Latest: [ - ] █.
¶ 171Learning & Respect
¶ 172• Complaints repaired within 14 days - Latest: [ - ] █ (% repaired on time).
¶ 173• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 174ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 178Example - What real results look like (illustrative)
¶ 179Replace with your numbers.
¶ 180Access & Cultural Safety (example)
¶ 181• Brokerage engaged when requested................... [ 89% ] █████████████████████████████
¶ 182• Language access provided.......................... [ 93% ] █████████████████████████████████
¶ 183• Meeting place chosen by person.................... [ 77% ] █████████████████████████
¶ 184 Shared Decisions & Co-release (example)
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 185–222
¶ 185• Right-to-reasons given............................ [ 91% ] ███████████████████████████████
¶ 186• Co-release within 5 days.......................... [ 86% ] ████████████████████████████
¶ 187• ACCHO involvement when chosen..................... [ 72% ] ██████████████████████
¶ 188 Timeliness & Continuity (example)
¶ 189• Warm handovers completed.......................... [ 90% ] ███████████████████████████████
¶ 190• Actions completed by due date..................... [ 88% ] █████████████████████████████
¶ 191• Re-contact within 30 days (/100; lower)........... [ 8 ] █████
¶ 192 Learning & Respect (example)
¶ 193• Complaints repaired within 14 days................ [ 84% ] ███████████████████████████
¶ 194• Promise-kept ratio................................ [0.92 ] ███████████████████████████████████
¶ 196Example Metrics Table (replace with your actuals)
¶ 197 · tbl[3] / tr[1] / tc[1]Tile
¶ 198 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 199 · tbl[3] / tr[1] / tc[3]Target
¶ 200 · tbl[3] / tr[1] / tc[4]Current
¶ 201 · tbl[3] / tr[1] / tc[5]Trend
¶ 202 · tbl[3] / tr[2] / tc[1]Brokerage engaged when requested
¶ 203 · tbl[3] / tr[2] / tc[2]% requests met
¶ 204 · tbl[3] / tr[2] / tc[3]=100%
¶ 205 · tbl[3] / tr[2] / tc[4]89%
¶ 206 · tbl[3] / tr[2] / tc[5]↑
¶ 207 · tbl[3] / tr[3] / tc[1]Language access provided
¶ 208 · tbl[3] / tr[3] / tc[2]% indicated contacts with language support
¶ 209 · tbl[3] / tr[3] / tc[3]≥95%
¶ 210 · tbl[3] / tr[3] / tc[4]93%
¶ 211 · tbl[3] / tr[3] / tc[5]↑
¶ 212 · tbl[3] / tr[4] / tc[1]Meeting place chosen by person
¶ 213 · tbl[3] / tr[4] / tc[2]% contacts at chosen place
¶ 214 · tbl[3] / tr[4] / tc[3]≥90%
¶ 215 · tbl[3] / tr[4] / tc[4]77%
¶ 216 · tbl[3] / tr[4] / tc[5]↑
¶ 217 · tbl[3] / tr[5] / tc[1]Right-to-reasons given
¶ 218 · tbl[3] / tr[5] / tc[2]% contacts with plain-English reasons
¶ 219 · tbl[3] / tr[5] / tc[3]=100%
¶ 220 · tbl[3] / tr[5] / tc[4]91%
¶ 221 · tbl[3] / tr[5] / tc[5]→
¶ 222 · tbl[3] / tr[6] / tc[1]Co-release within 5 days
AA-C20 · First Nations Partnership Crosswalk (O-hooks) · paragraphs 223–258
¶ 223 · tbl[3] / tr[6] / tc[2]% co-releases done on time
¶ 224 · tbl[3] / tr[6] / tc[3]≥95%
¶ 225 · tbl[3] / tr[6] / tc[4]86%
¶ 226 · tbl[3] / tr[6] / tc[5]↑
¶ 227 · tbl[3] / tr[7] / tc[1]ACCHO involvement when chosen
¶ 228 · tbl[3] / tr[7] / tc[2]% contacts with ACCHO involved
¶ 229 · tbl[3] / tr[7] / tc[3]↑ q/q
¶ 230 · tbl[3] / tr[7] / tc[4]72%
¶ 231 · tbl[3] / tr[7] / tc[5]↑
¶ 232 · tbl[3] / tr[8] / tc[1]Warm handovers completed
¶ 233 · tbl[3] / tr[8] / tc[2]% contacts with warm handover
¶ 234 · tbl[3] / tr[8] / tc[3]≥95%
¶ 235 · tbl[3] / tr[8] / tc[4]90%
¶ 236 · tbl[3] / tr[8] / tc[5]↑
¶ 237 · tbl[3] / tr[9] / tc[1]Actions completed by due date
¶ 238 · tbl[3] / tr[9] / tc[2]% actions completed on time
¶ 239 · tbl[3] / tr[9] / tc[3]≥95%
¶ 240 · tbl[3] / tr[9] / tc[4]88%
¶ 241 · tbl[3] / tr[9] / tc[5]↑
¶ 242 · tbl[3] / tr[10] / tc[1]Re-contact within 30 days (/100)
¶ 243 · tbl[3] / tr[10] / tc[2]Per 100 contacts (lower better)
¶ 244 · tbl[3] / tr[10] / tc[3]↓ q/q
¶ 245 · tbl[3] / tr[10] / tc[4]8
¶ 246 · tbl[3] / tr[10] / tc[5]↓
¶ 247 · tbl[3] / tr[11] / tc[1]Complaints repaired ≤14 days
¶ 248 · tbl[3] / tr[11] / tc[2]% complaints repaired on time
¶ 249 · tbl[3] / tr[11] / tc[3]≥95%
¶ 250 · tbl[3] / tr[11] / tc[4]84%
¶ 251 · tbl[3] / tr[11] / tc[5]↑
¶ 252 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 253 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 254 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 255 · tbl[3] / tr[12] / tc[4]0.92
¶ 256 · tbl[3] / tr[12] / tc[5]→
¶ 258Owner: __________ Data source(s): Brokerage records; ACCHO partnership logs; Interpreter/Auslan/AAC bookings; Co-release register; Plain-language summaries; Navigator logs; E-receipts; Roster↔Claim; Complaints system
AA-C21 · Interpreter Auslan AAC Operations (N-Templates)
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AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 1–6
¶ 1 - Document control - Template ID: AA-C21 - Interpreter / Auslan / AAC Operations (N- TEMPLATES) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C21 - Interpreter / Auslan / AAC Operations (N- TEMPLATES)
¶ 3What this title means (in plain words) Communication access is not optional. This crosswalk sets how services offer, book, deliver and pay for language/communication supports - interpreters (spoken languages), Auslan, AAC devices/boards, Easy Read - so conversations are accurate, respectful and on time. We use simple bookings, person-first etiquette, longer time allowances, and warm handovers so support continues across home, school, health and justice.
¶ 4What this means for the person and supporters
¶ 5You choose how we communicate - Interpreter (language), Auslan, AAC device/board, Yes/No cards, Easy Read - and who supports you (family/advocate) (TEMPLATES N; TEMPLATES L).
¶ 6People arrive prepared (names, roles, purpose) and speak to you, not over you; reasons and choices are explained in plain words or in your language/mode (TEMPLATES L; TEMPLATES M).
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 7–18
¶ 7Bookings and receipts are simple. You can see who was booked, when they arrived, and how long they stayed; if plans change, you’re told early with options (TEMPLATES N).
¶ 8Your privacy is respected. Interpreters follow confidentiality; only what’s needed is shared.
¶ 9What services must do (so the person doesn’t have to)
¶ 10Offer access up front (default-on). At first contact and every appointment change: “Do you want an interpreter, Auslan, AAC or Easy Read?” Record contact preferences (SMS/email/voice), language, modality, and any named interpreter requests.
¶ 11Book properly.
¶ 12Use approved panels (NAATI for spoken languages, qualified Auslan) or verified community providers.
¶ 13Allow time: longer slots, setup time for devices, and breaks; book two interpreters for long/complex sessions.
¶ 14Send a purpose brief (topic, jargon to expect, safety cues), never private clinical notes.
¶ 15Run the room right (etiquette).
¶ 16Face the person; one speaker at a time; speak in short, plain sentences; confirm meaning via teach-back.
¶ 17For AAC: position device/board, check battery/volume, model vocabulary, accept typed/written/gestural replies.
¶ 18Never ask a child/minor to interpret.
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 19–26
¶ 19Proof and pay with e-receipts. Capture two-party e-receipts (who/when/duration/modality) so payment matches what happened; share a plain copy on request (Appendix E; N-TEMPLATES).
¶ 20Warm handovers. If communication support will be needed at the next service (GP, court, school), book & keep with names/times; pass forward mode/vocab notes, not personal content (TEMPLATES N).
¶ 21Manage changes. Cancellations, no-shows, or switch to tele-mode: notify early, rebook quickly, and record clear reasons; never default to “family interpret.”
¶ 22Safeguards for consequential decisions. When communication is central to a high-impact decision, record Two-Key + Reasons & Weighting, citing the access provided (Appendix K/H).
¶ 23Privacy & publication. Minimum necessary data; small-cell suppression in any reporting; audit-log entries for bookings/changes (Appendix R/S/AL/T).
¶ 24Simple examples (show & tell)
¶ 25Health: “Gallbladder ultrasound. We booked Arabic interpreter for 10:30-11:30, sent Easy Read prep, and confirmed with you by SMS yesterday.”
¶ 26Justice: “Caution/rights read in Auslan with two interpreters; breaks every 20 minutes; fit-for-interview note filed.”
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 27–44
¶ 27School: “IEP meeting with AAC device - charger checked, vocabulary added (‘excursion’, ‘buddy’); minutes shared in Easy Read.”
¶ 28Helpful artefacts (where to find them)
¶ 29N-TEMPLATES: access offer & booking form; contact-preference sheet; warm-handover notes; interpreter/Auslan/AAC receipt; tele-mode guide.
¶ 30TEMPLATES L / M: Easy Read letters & results; choice/consent aids; teach-back scripts.
¶ 31Appendix K/H/I: Two-Key short form; Reasons & Weighting; Contradiction Matrix (for contested decisions).
¶ 32Appendix R/S/AL/T: Privacy/DPIA; suppression and dashboard tiles; publication/provenance; audit log.
¶ 33Appendix Z / D: Mealtime/IDDSI and medication lists (if comms relate to these).
¶ 34Plain-language promise “We will use the way you communicate, book qualified interpreters or set up your AAC without you chasing it, allow enough time and breaks, talk to you in plain words or in your language, give you simple receipts, book and keep the next interpreter if needed, and protect your privacy.”
¶ 36Interpreter / Auslan / AAC (at a glance)
¶ 37 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 38 · tbl[1] / tr[1] / tc[2]Offer & book
¶ 39 · tbl[1] / tr[1] / tc[3]Prepare & arrive
¶ 40 · tbl[1] / tr[1] / tc[4]Communicate well
¶ 41 · tbl[1] / tr[1] / tc[5]Close & handover
¶ 42 · tbl[1] / tr[1] / tc[6]Pay & receipt
¶ 43 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 44 · tbl[1] / tr[2] / tc[1]Person & Supporter
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 45–69
¶ 45 · tbl[1] / tr[2] / tc[2]You choose Interpreter/Auslan/AAC; Easy Read invite sent.
¶ 46 · tbl[1] / tr[2] / tc[3]You arrive; supporter welcomed.
¶ 47 · tbl[1] / tr[2] / tc[4]You speak/sign/type; everyone pauses for accuracy.
¶ 48 · tbl[1] / tr[2] / tc[5]You agree next steps and who does what.
¶ 49 · tbl[1] / tr[2] / tc[6]You receive confirmations and receipts.
¶ 50 · tbl[1] / tr[2] / tc[7]You can give feedback anytime.
¶ 51 · tbl[1] / tr[3] / tc[1]Booking / Reception (N hook)
¶ 52 · tbl[1] / tr[3] / tc[2]Booking captures language, dialect, gender preference, modality (TEMPLATES N).
¶ 53 · tbl[1] / tr[3] / tc[3]Reception confirms preferences; contact points set (TEMPLATE K-3).
¶ 54 · tbl[1] / tr[3] / tc[4]Booking covers breaks and turn-taking cues.
¶ 55 · tbl[1] / tr[3] / tc[5]Booking extended if needed; follow-ups scheduled.
¶ 56 · tbl[1] / tr[3] / tc[6]No-show/cancellation rules explained plainly.
¶ 57 · tbl[1] / tr[3] / tc[7]Reception audits offer-and-book rates.
¶ 58 · tbl[1] / tr[4] / tc[1]Interpreter / Auslan / AAC
¶ 59 · tbl[1] / tr[4] / tc[2]Interpreter/Auslan/booked; AAC device prep supported.
¶ 60 · tbl[1] / tr[4] / tc[3]Interpreter/Auslan/AAC ready; introductions and roles.
¶ 61 · tbl[1] / tr[4] / tc[4]Interpreter follows code of ethics; cultural mediators used as needed.
¶ 62 · tbl[1] / tr[4] / tc[5]Interpreter helps to close with clear summary.
¶ 63 · tbl[1] / tr[4] / tc[6]Interpreter/teacher invoices; travel claims fair.
¶ 64 · tbl[1] / tr[4] / tc[7]Interpreter practice review and training.
¶ 65 · tbl[1] / tr[5] / tc[1]Clinician / Worker / Teacher
¶ 66 · tbl[1] / tr[5] / tc[2]Clinician/worker blocks longer time and quiet space.
¶ 67 · tbl[1] / tr[5] / tc[3]Clinician uses person-first etiquette and plain language.
¶ 68 · tbl[1] / tr[5] / tc[4]Clinician confirms understanding via teach-back.
¶ 69 · tbl[1] / tr[5] / tc[5]Clinician prepares plain-English summary (TEMPLATES L).
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 70–101
¶ 70 · tbl[1] / tr[5] / tc[6]Clinician files summary and outcomes.
¶ 71 · tbl[1] / tr[5] / tc[7]Service learning closes gaps.
¶ 72 · tbl[1] / tr[6] / tc[1]Navigator (Access)
¶ 73 · tbl[1] / tr[6] / tc[2]Navigator available if complex/funded travel.
¶ 74 · tbl[1] / tr[6] / tc[3]Navigator solves logistics barriers.
¶ 75 · tbl[1] / tr[6] / tc[4]Navigator helps with forms and e-consents.
¶ 76 · tbl[1] / tr[6] / tc[5]Navigator books further support and transport.
¶ 77 · tbl[1] / tr[6] / tc[6]Navigator checks promises kept.
¶ 78 · tbl[1] / tr[6] / tc[7]Public update de-identified (TEMPLATE S-8).
¶ 79 · tbl[1] / tr[7] / tc[1]Data & Integrity
¶ 80 · tbl[1] / tr[7] / tc[2]Privacy-safe case key used.
¶ 81 · tbl[1] / tr[7] / tc[3]Guardrails block identity leaks.
¶ 82 · tbl[1] / tr[7] / tc[4]Tiles show time-to-privacy and access use.
¶ 83 · tbl[1] / tr[7] / tc[5]E-receipts enabled for supports.
¶ 84 · tbl[1] / tr[7] / tc[6]Exceptions watched.
¶ 85 · tbl[1] / tr[7] / tc[7]Learning improves next quarter.
¶ 88Flow - Swimlane (DETAILED)
¶ 89 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 90 · tbl[2] / tr[1] / tc[2]Consent & Preferences
¶ 91 · tbl[2] / tr[1] / tc[3]Booking & Scheduling
¶ 92 · tbl[2] / tr[1] / tc[4]Session Delivery (etiquette)
¶ 93 · tbl[2] / tr[1] / tc[5]Closure & Artefacts
¶ 94 · tbl[2] / tr[1] / tc[6]Payment & Handover
¶ 95 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 96 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 97 · tbl[2] / tr[2] / tc[2]Consent & privacy choices; language/modality; who supports (TEMPLATE K-3; TEMPLATES N).
¶ 98 · tbl[2] / tr[2] / tc[3]Receive Easy Read prep; confirm goals; provide vocabulary for AAC (TEMPLATES L; TEMPLATES N).
¶ 99 · tbl[2] / tr[2] / tc[4]Speak/sign/type at your pace; request breaks; confirm understanding (teach-back).
¶ 100 · tbl[2] / tr[2] / tc[5]Agree next steps; get plain-English summary and how to rebook (TEMPLATES L).
¶ 101 · tbl[2] / tr[2] / tc[6]Receive receipts/credits; travel support if eligible (TEMPLATES N).
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 102–120
¶ 102 · tbl[2] / tr[2] / tc[7]Ask for review; de-identified publication (TEMPLATE S-8).
¶ 103 · tbl[2] / tr[3] / tc[1]Booking / Reception (N)
¶ 104 · tbl[2] / tr[3] / tc[2]Offer access by default; record preferences; gender/dialect; contact and consent (TEMPLATES N).
¶ 105 · tbl[2] / tr[3] / tc[3]Book qualified interpreter/Auslan; schedule longer slot; quiet room (TEMPLATES N).
¶ 106 · tbl[2] / tr[3] / tc[4]Provide etiquette brief to staff; device charging and seating (TEMPLATES L).
¶ 107 · tbl[2] / tr[3] / tc[5]Close session logistics; summaries and follow-ups (TEMPLATES L; TEMPLATES N).
¶ 108 · tbl[2] / tr[3] / tc[6]Trigger e-receipt; fair cancellation rules; travel claims (TEMPLATES T).
¶ 109 · tbl[2] / tr[3] / tc[7]Audit offer-and-book rates; visible change log (TEMPLATE S-8).
¶ 110 · tbl[2] / tr[4] / tc[1]Interpreter / Auslan / AAC
¶ 111 · tbl[2] / tr[4] / tc[2]Accept job with scope; check conflicts; ethics acknowledged.
¶ 112 · tbl[2] / tr[4] / tc[3]Arrive early; set up seating/lighting; device pairing.
¶ 113 · tbl[2] / tr[4] / tc[4]Follow turn-taking; accuracy; cultural mediation within role.
¶ 114 · tbl[2] / tr[4] / tc[5]End with agreed summary; clarify limits of role.
¶ 115 · tbl[2] / tr[4] / tc[6]Invoice and travel claim; confirm time stamps; e-receipt.
¶ 116 · tbl[2] / tr[4] / tc[7]Peer review; training needs; public-safe learning.
¶ 117 · tbl[2] / tr[5] / tc[1]Clinician / Worker / Teacher
¶ 118 · tbl[2] / tr[5] / tc[2]Read brief; person-first language; avoid side-conversations (TEMPLATES L).
¶ 119 · tbl[2] / tr[5] / tc[3]Plan content in plain English; allow time for interpretation.
¶ 120 · tbl[2] / tr[5] / tc[4]Address the person directly; avoid jargon; confirm consent throughout.
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 121–139
¶ 121 · tbl[2] / tr[5] / tc[5]Prepare plain summary and actions; book follow-ups (TEMPLATES L; TEMPLATES N).
¶ 122 · tbl[2] / tr[5] / tc[6]Sign off time; attach artefacts to record; handover to Navigator if needed.
¶ 123 · tbl[2] / tr[5] / tc[7]Join reviews; update etiquette training.
¶ 124 · tbl[2] / tr[6] / tc[1]Navigator (Access)
¶ 125 · tbl[2] / tr[6] / tc[2]Access receipt; privacy-safe IDs; funding rules explained (TEMPLATE N-1; TEMPLATES T).
¶ 126 · tbl[2] / tr[6] / tc[3]Arrange bookings/equipment; transport as needed (TEMPLATES N).
¶ 127 · tbl[2] / tr[6] / tc[4]Artefact inventory: consent, brief, session notes, summary (TEMPLATES T).
¶ 128 · tbl[2] / tr[6] / tc[5]Verify warm handovers; check next appointments.
¶ 129 · tbl[2] / tr[6] / tc[6]Track promise-kept ratio; resolve payment barriers (TEMPLATES T).
¶ 130 · tbl[2] / tr[6] / tc[7]Prepare public-safe update; visible change log (TEMPLATE S-8).
¶ 131 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 132 · tbl[2] / tr[7] / tc[2]Trigger: repeated failures to offer book; contested charges; etiquette breaches (TEMPLATES M).
¶ 133 · tbl[2] / tr[7] / tc[3]File-vs-field; contradiction matrix; fairness tests (TEMPLATES M).
¶ 134 · tbl[2] / tr[7] / tc[4]Calibrate N artefacts; trainer coaching; small-cell suppression (TEMPLATES N; TEMPLATE S-8).
¶ 135 · tbl[2] / tr[7] / tc[5]Repair plan agreed with person; publish learning (TEMPLATE S-8).
¶ 136 · tbl[2] / tr[7] / tc[6]Exception ageing; coach partners (TEMPLATES T).
¶ 137 · tbl[2] / tr[7] / tc[7]Close-out memo; lessons to publication.
¶ 138 · tbl[2] / tr[8] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 139 · tbl[2] / tr[8] / tc[2]Case key; privacy-safe IDs; e-receipt ledger (TEMPLATES T).
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 140–159
¶ 140 · tbl[2] / tr[8] / tc[3]Capture: offers, bookings, fulfilment, time-to-privacy, cancellations (TEMPLATES T).
¶ 141 · tbl[2] / tr[8] / tc[4]Artefact inventory: Easy Read, consent, etiquette brief, summary (TEMPLATES T).
¶ 142 · tbl[2] / tr[8] / tc[5]Tiles: offer rate; booking fulfilment; cancellation rate; promise_kept_ratio (TEMPLATES T).
¶ 143 · tbl[2] / tr[8] / tc[6]Exception queue age; DPIA; publication pack (TEMPLATE S-8).
¶ 144 · tbl[2] / tr[8] / tc[7]Visible change log maintained (TEMPLATE S-8).
¶ 147How we measure ourselves (published quarterly)
¶ 148We publish simple results using counts. Mix of percentages and minutes; brackets show the latest result and the bar gives a quick view.
¶ 149Access & Offer
¶ 150• Offer rate - Latest: [ - ] █ (% contacts where access was offered).
¶ 151• Booking success - Latest: [ - ] █ (% requested bookings fulfilled).
¶ 152• Time-to-privacy (minutes; lower) - Latest: [ - ] █.
¶ 153Quality & Etiquette
¶ 154• Teach-back used - Latest: [ - ] █ (% eligible sessions).
¶ 155• Side-conversation breaches - Latest: [ - ] █ (per 100 sessions; lower).
¶ 156• AAC device readiness - Latest: [ - ] █ (% sessions ready with vocab/charge).
¶ 157Timeliness & Handover
¶ 158• Plain summary issued same/next day - Latest: [ - ] █ (%).
¶ 159• Warm handover completed - Latest: [ - ] █ (%).
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 160–178
¶ 160• Cancellation with fair alternative - Latest: [ - ] █ (% cancellations with workable option).
¶ 161Learning & Fair Payment
¶ 162• Invoices paid ≤14 days - Latest: [ - ] █ (%).
¶ 163• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 164ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 167Example - What real results look like (illustrative)
¶ 168Replace with your numbers.
¶ 169Access & Offer (example)
¶ 170• Offer rate....................................... [ 92% ] █████████████████████████████████
¶ 171• Booking success.................................. [ 89% ] █████████████████████████████
¶ 172• Time-to-privacy (min; lower)..................... [ 6 ] █████
¶ 173 Quality & Etiquette (example)
¶ 174• Teach-back used.................................. [ 87% ] ████████████████████████████
¶ 175• Side-conversation breaches (/100; lower)......... [ 1.2 ] █
¶ 176• AAC device readiness............................. [ 90% ] ██████████████████████████████
¶ 177 Timeliness & Handover (example)
¶ 178• Plain summary same/next day...................... [ 93% ] █████████████████████████████████
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 179–240
¶ 179• Warm handover completed.......................... [ 90% ] ███████████████████████████████
¶ 180• Cancellation with fair alternative............... [ 84% ] ███████████████████████████
¶ 181 Learning & Fair Payment (example)
¶ 182• Invoices paid ≤14 days........................... [ 88% ] █████████████████████████████
¶ 183• Promise-kept ratio................................ [0.91 ] ██████████████████████████████████
¶ 185Example Metrics Table (replace with your actuals)
¶ 186 · tbl[3] / tr[1] / tc[1]Tile
¶ 187 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 188 · tbl[3] / tr[1] / tc[3]Target
¶ 189 · tbl[3] / tr[1] / tc[4]Current
¶ 190 · tbl[3] / tr[1] / tc[5]Trend
¶ 191 · tbl[3] / tr[2] / tc[1]Offer rate
¶ 192 · tbl[3] / tr[2] / tc[2]% contacts where access was offered
¶ 193 · tbl[3] / tr[2] / tc[3]=100%
¶ 194 · tbl[3] / tr[2] / tc[4]92%
¶ 195 · tbl[3] / tr[2] / tc[5]↑
¶ 196 · tbl[3] / tr[3] / tc[1]Booking success
¶ 197 · tbl[3] / tr[3] / tc[2]% requested bookings fulfilled
¶ 198 · tbl[3] / tr[3] / tc[3]≥95%
¶ 199 · tbl[3] / tr[3] / tc[4]89%
¶ 200 · tbl[3] / tr[3] / tc[5]↑
¶ 201 · tbl[3] / tr[4] / tc[1]Time-to-privacy (min)
¶ 202 · tbl[3] / tr[4] / tc[2]Median minutes arrival→privacy (lower)
¶ 203 · tbl[3] / tr[4] / tc[3]≤6
¶ 204 · tbl[3] / tr[4] / tc[4]6
¶ 205 · tbl[3] / tr[4] / tc[5]→
¶ 206 · tbl[3] / tr[5] / tc[1]Teach-back used
¶ 207 · tbl[3] / tr[5] / tc[2]% eligible sessions with teach-back
¶ 208 · tbl[3] / tr[5] / tc[3]≥95%
¶ 209 · tbl[3] / tr[5] / tc[4]87%
¶ 210 · tbl[3] / tr[5] / tc[5]↑
¶ 211 · tbl[3] / tr[6] / tc[1]Side-conversation breaches (/100)
¶ 212 · tbl[3] / tr[6] / tc[2]Per 100 sessions (lower better)
¶ 213 · tbl[3] / tr[6] / tc[3]0
¶ 214 · tbl[3] / tr[6] / tc[4]1.2
¶ 215 · tbl[3] / tr[6] / tc[5]↓
¶ 216 · tbl[3] / tr[7] / tc[1]AAC device readiness
¶ 217 · tbl[3] / tr[7] / tc[2]% sessions with device/vocab/charge ready
¶ 218 · tbl[3] / tr[7] / tc[3]≥95%
¶ 219 · tbl[3] / tr[7] / tc[4]90%
¶ 220 · tbl[3] / tr[7] / tc[5]↑
¶ 221 · tbl[3] / tr[8] / tc[1]Plain summary same/next day
¶ 222 · tbl[3] / tr[8] / tc[2]% eligible with plain-English summary
¶ 223 · tbl[3] / tr[8] / tc[3]≥95%
¶ 224 · tbl[3] / tr[8] / tc[4]93%
¶ 225 · tbl[3] / tr[8] / tc[5]→
¶ 226 · tbl[3] / tr[9] / tc[1]Warm handover completed
¶ 227 · tbl[3] / tr[9] / tc[2]% sessions with documented handover
¶ 228 · tbl[3] / tr[9] / tc[3]≥95%
¶ 229 · tbl[3] / tr[9] / tc[4]90%
¶ 230 · tbl[3] / tr[9] / tc[5]↑
¶ 231 · tbl[3] / tr[10] / tc[1]Cancellation fair alternative
¶ 232 · tbl[3] / tr[10] / tc[2]% cancellations with workable option
¶ 233 · tbl[3] / tr[10] / tc[3]=100%
¶ 234 · tbl[3] / tr[10] / tc[4]84%
¶ 235 · tbl[3] / tr[10] / tc[5]↑
¶ 236 · tbl[3] / tr[11] / tc[1]Invoices paid ≤14 days
¶ 237 · tbl[3] / tr[11] / tc[2]% invoices paid within 14 days
¶ 238 · tbl[3] / tr[11] / tc[3]≥95%
¶ 239 · tbl[3] / tr[11] / tc[4]88%
¶ 240 · tbl[3] / tr[11] / tc[5]↑
AA-C21 · Interpreter Auslan AAC Operations (N-Templates) · paragraphs 241–247
¶ 241 · tbl[3] / tr[12] / tc[1]Promise-kept ratio
¶ 242 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 243 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 244 · tbl[3] / tr[12] / tc[4]0.91
¶ 245 · tbl[3] / tr[12] / tc[5]→
¶ 247Owner: __________ Data source(s): Interpreter/Auslan rosters; AAC device support logs; Booking/reception system; Easy Read & etiquette briefs; Session notes and summaries; E-receipts; Roster↔Claim; Navigator logs; Invoicing
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8)
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AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 1–6
¶ 1 - Document control - Template ID: AA-C22 - Privacy / DPIA & Publication Hooks (R- TEMPLATES ↔ S-8) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C22 - Privacy / DPIA & Publication Hooks (R- TEMPLATES ↔ S-8)
¶ 3What this title means (in plain words) Privacy isn’t a banner - it's a workflow. This crosswalk shows how services minimise data, record clear consent, run Data Protection Impact Assessments (DPIAs) before new or risky data flows, and publish information safely. When we change a rule, field or denominator, we leave a visible S-8 change note so people can see what changed and why. Tiles and reports are de-identified with small-cell suppression and a provenance hash so numbers can be checked without exposing anyone.
¶ 4What this means for the person and supporters
¶ 5You choose how your information is used and shared. We capture your consent and contact preferences in plain English/Easy Read and respect them at every step (TEMPLATES R; TEMPLATES L).
¶ 6You can see what changed and why. Releases include a short, public S-8 change note; you can ask for a review or correction and receive a clear response path (TEMPLATES R; S-8).
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 7–16
¶ 7Publications will not identify you. We de-identify, use coarse geography, and suppress small cells - we never publish anything that could out you or your community (S-8; Appendix S/AL).
¶ 8What services must do (so the person doesn’t have to)
¶ 9Minimise by default. Collect only what’s needed for care, safety or law; avoid open text where a code will do; store names separately from operational keys; rotate IP hashes.
¶ 10Consent you can read. Use plain-language/Easy Read consent with options (share with GP, school, Navigator, ACCHO, etc.), expiry dates, and a simple revoke pathway (TEMPLATES R; TEMPLATES L).
¶ 11DPIA before risky change. Any new field/link/reporting flow triggers a DPIA (purpose, lawful basis, risks, mitigations, retention, suppression plan) and logs an audit-trail event; high-risk items require a privacy gatekeeper sign-off (Appendix R/T).
¶ 12Safe publication rules (Appendix S/AL).
¶ 13Apply small-cell suppression (<5) and coarse geographies.
¶ 14Show denominators, windows and methods in plain words.
¶ 15Attach a provenance hash and dataset version to each release.
¶ 16File an S-8 change note for denominator or rule changes.
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 17–25
¶ 17Proactive rights handling. Provide access and correction within policy timeframes; issue an erasure certificate where law allows; log every request in the audit log (Appendix T; TEMPLATES R).
¶ 18Breach response. Detect → contain → assess harm → notify per law → publish a short S-8 incident note (non-PII) with fixes; run a 72-hour learning review for root causes.
¶ 19Role-based access & retention. Need-to-know permissions, MFA for consoles; default retention by class (e.g., auth logs shorter, serious incidents longer); tombstone deletes with erasure events (Appendix T).
¶ 20Family & First Nations safeguards. Honour cultural protocols, co-release where consented, and apply community privacy (extra suppression) for small/remote cohorts.
¶ 21Helpful artefacts (where to find them)
¶ 22R-TEMPLATES: Plain-language consent & revoke; DPIA form; access/correction request; breach log; publication checklist; small-cell decision tree.
¶ 23S-8: Visible change-note shell (what changed, why, when, who approved, datasets & hashes).
¶ 24Appendix S/AL: Tile definitions, suppression/rounding rules, data dictionary, publication cadence.
¶ 25Appendix T: Audit-log schema (provenance hashes, anchors, read-logging).
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 26–48
¶ 26TEMPLATES L/N: Easy Read blocks; communication/booking forms to capture preferences.
¶ 27Plain-language promise “We’ll only collect what’s needed, explain why in words you can read, let you set and change your sharing choices, show our working with public change notes, and publish numbers that cannot identify you - with a fingerprint (hash) anyone can check. If something goes wrong, we’ll tell you what happened and how we fixed it.”
¶ 29Privacy / DPIA & Publication (at a glance)
¶ 30 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 31 · tbl[1] / tr[1] / tc[2]Collect & consent
¶ 32 · tbl[1] / tr[1] / tc[3]Use & protect
¶ 33 · tbl[1] / tr[1] / tc[4]Share & handover
¶ 34 · tbl[1] / tr[1] / tc[5]Publish safely
¶ 35 · tbl[1] / tr[1] / tc[6]Repair & review
¶ 36 · tbl[1] / tr[1] / tc[7]Improve & assure
¶ 37 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 38 · tbl[1] / tr[2] / tc[2]You set preferences and what we may share (TEMPLATE K-3).
¶ 39 · tbl[1] / tr[2] / tc[3]You see reasons for any ask; you can say no.
¶ 40 · tbl[1] / tr[2] / tc[4]You approve who sees what; you can change your mind.
¶ 41 · tbl[1] / tr[2] / tc[5]You receive plain results first; then community update.
¶ 42 · tbl[1] / tr[2] / tc[6]You can challenge accuracy or complain safely.
¶ 43 · tbl[1] / tr[2] / tc[7]You can ask for a review anytime.
¶ 44 · tbl[1] / tr[3] / tc[1]Service / Provider Team
¶ 45 · tbl[1] / tr[3] / tc[2]Team collects only what’s needed; Easy Read consent (TEMPLATES R; TEMPLATES L).
¶ 46 · tbl[1] / tr[3] / tc[3]Least-privilege access; logs enabled; timeout locks.
¶ 47 · tbl[1] / tr[3] / tc[4]Handover artefacts contain only the necessary fields.
¶ 48 · tbl[1] / tr[3] / tc[5]Team removes names/addresses; checks rare-small cells.
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 49–75
¶ 49 · tbl[1] / tr[3] / tc[6]Team repairs within 14 days and apologises.
¶ 50 · tbl[1] / tr[3] / tc[7]Service audits access; revoke dormant accounts.
¶ 51 · tbl[1] / tr[4] / tc[1]Data & Security
¶ 52 · tbl[1] / tr[4] / tc[2]Security basics in place; privacy-safe IDs started.
¶ 53 · tbl[1] / tr[4] / tc[3]Encryption in transit/at rest; breach drill ready.
¶ 54 · tbl[1] / tr[4] / tc[4]E-receipts use privacy-safe IDs; no raw notes in claims.
¶ 55 · tbl[1] / tr[4] / tc[5]Data/Integrity signs off DPIA & suppression rules.
¶ 56 · tbl[1] / tr[4] / tc[6]Breach protocol activated if needed; notify you first.
¶ 57 · tbl[1] / tr[4] / tc[7]Pen-tests, backups, recovery tests run.
¶ 58 · tbl[1] / tr[5] / tc[1]Interpreter/Auslan/AAC & Partners
¶ 59 · tbl[1] / tr[5] / tc[2]Partners receive only access cues they need.
¶ 60 · tbl[1] / tr[5] / tc[3]Interpreter/Auslan/AAC given brief without identity extras.
¶ 61 · tbl[1] / tr[5] / tc[4]Partners confirm deletion after use where agreed.
¶ 62 · tbl[1] / tr[5] / tc[5]Partners approve wording if involved.
¶ 63 · tbl[1] / tr[5] / tc[6]Partners help fix and prevent repeat.
¶ 64 · tbl[1] / tr[5] / tc[7]Training refreshers; etiquette for privacy.
¶ 65 · tbl[1] / tr[6] / tc[1]Navigator (Access)
¶ 66 · tbl[1] / tr[6] / tc[2]Navigator confirms consent and safe contacts.
¶ 67 · tbl[1] / tr[6] / tc[3]Navigator checks data minimisation in handovers.
¶ 68 · tbl[1] / tr[6] / tc[4]Navigator verifies warm handovers happened.
¶ 69 · tbl[1] / tr[6] / tc[5]Navigator checks consent list again before release.
¶ 70 · tbl[1] / tr[6] / tc[6]Navigator closes loop with you.
¶ 71 · tbl[1] / tr[6] / tc[7]Navigator reports learning themes.
¶ 72 · tbl[1] / tr[7] / tc[1]Publication & Governance
¶ 73 · tbl[1] / tr[7] / tc[2]Governance records the DPIA and visible change log (S-8).
¶ 74 · tbl[1] / tr[7] / tc[3]Publish plan uses small-cell suppression (S-8).
¶ 75 · tbl[1] / tr[7] / tc[4]Pre-publication check for re-identification risk.
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 76–102
¶ 76 · tbl[1] / tr[7] / tc[5]Publish de-identified numbers + change log (S-8).
¶ 77 · tbl[1] / tr[7] / tc[6]Visible change log updated (S-8).
¶ 78 · tbl[1] / tr[7] / tc[7]Governance reviews DPIA annually and after incidents.
¶ 81Flow - Swimlane (DETAILED)
¶ 82 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 83 · tbl[2] / tr[1] / tc[2]Consent & Minimisation (R)
¶ 84 · tbl[2] / tr[1] / tc[3]Use & Access Controls
¶ 85 · tbl[2] / tr[1] / tc[4]Handover & Receipts
¶ 86 · tbl[2] / tr[1] / tc[5]Publication Safety (S-8)
¶ 87 · tbl[2] / tr[1] / tc[6]Repair & Redress
¶ 88 · tbl[2] / tr[1] / tc[7]Assurance & DPIA
¶ 89 · tbl[2] / tr[1] / tc[8]Escalation & Learning
¶ 90 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 91 · tbl[2] / tr[2] / tc[2]Consent preferences; purpose-specific consent; ability to withdraw (TEMPLATES R; TEMPLATE K-3).
¶ 92 · tbl[2] / tr[2] / tc[3]Right to reasons for data use; plain language (TEMPLATES L).
¶ 93 · tbl[2] / tr[2] / tc[4]Approve sharing lists; e-receipt opt-in/out (TEMPLATES R).
¶ 94 · tbl[2] / tr[2] / tc[5]See what will be published; request suppression where risk (TEMPLATE S-8).
¶ 95 · tbl[2] / tr[2] / tc[6]Access correction/complaint channels; track repair (TEMPLATE S-8).
¶ 96 · tbl[2] / tr[2] / tc[7]You can nominate reviewer or advocate; annual check-in.
¶ 97 · tbl[2] / tr[2] / tc[8]Trigger DSC if facts are contested or risks persist (TEMPLATES M).
¶ 98 · tbl[2] / tr[3] / tc[1]Service / Provider Team
¶ 99 · tbl[2] / tr[3] / tc[2]Collect minimum data; classify sensitivity; avoid free-text identities (TEMPLATES R).
¶ 100 · tbl[2] / tr[3] / tc[3]Role-based access; MFA; audit logs; timed sessions.
¶ 101 · tbl[2] / tr[3] / tc[4]Handover templates strip identifiers; privacy-safe IDs in e-receipts (TEMPLATES T).
¶ 102 · tbl[2] / tr[3] / tc[5]Apply small-cell suppression; k-anonymity checks; narrative review (TEMPLATE S-8).
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 103–122
¶ 103 · tbl[2] / tr[3] / tc[6]Repair within 14 days; apology patterns; root-cause fixes.
¶ 104 · tbl[2] / tr[3] / tc[7]Maintain registry of processing activities; DPIA updates (TEMPLATES R).
¶ 105 · tbl[2] / tr[3] / tc[8]Call DSC for contradiction matrix; fairness tests (TEMPLATES M).
¶ 106 · tbl[2] / tr[4] / tc[1]Data/Integrity & Security
¶ 107 · tbl[2] / tr[4] / tc[2]Data maps; retention & deletion schedules; backup scope (TEMPLATES R).
¶ 108 · tbl[2] / tr[4] / tc[3]Encryption, key rotation, endpoint hardening; vendor due diligence.
¶ 109 · tbl[2] / tr[4] / tc[4]Receipt/claim reconciliation without raw notes; exception queue age (TEMPLATES T).
¶ 110 · tbl[2] / tr[4] / tc[5]Re-identification risk tests pre-publication; small-cell thresholds (TEMPLATE S-8).
¶ 111 · tbl[2] / tr[4] / tc[6]Breach response plan; notify person first; regulator if required.
¶ 112 · tbl[2] / tr[4] / tc[7]Annual DPIA; after-change DPIA; publish high-level summaries.
¶ 113 · tbl[2] / tr[4] / tc[8]DSC support with data contradictions; publication risk board.
¶ 114 · tbl[2] / tr[5] / tc[1]Interpreter/Auslan/AAC & Partners
¶ 115 · tbl[2] / tr[5] / tc[2]Receive only access cues; delete or return after use (TEMPLATES N).
¶ 116 · tbl[2] / tr[5] / tc[3]Confidentiality & ethics reaffirmed; etiquette for documents (TEMPLATES L).
¶ 117 · tbl[2] / tr[5] / tc[4]Confirm handover artefacts received then minimised.
¶ 118 · tbl[2] / tr[5] / tc[5]Approve wording for joint statements when involved (TEMPLATE S-8).
¶ 119 · tbl[2] / tr[5] / tc[6]Participate in repairs; update training.
¶ 120 · tbl[2] / tr[5] / tc[7]Confirm partner DPIA alignment or use safe alternatives.
¶ 121 · tbl[2] / tr[5] / tc[8]Escalate concerns to DSC pathway.
¶ 122 · tbl[2] / tr[6] / tc[1]Navigator (Access)
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 123–141
¶ 123 · tbl[2] / tr[6] / tc[2]Access receipt; privacy-safe IDs; consent refresher (TEMPLATE N-1; TEMPLATES R).
¶ 124 · tbl[2] / tr[6] / tc[3]Check minimisation in logistics; remove barriers.
¶ 125 · tbl[2] / tr[6] / tc[4]Artefact inventory: consent, DPIA, suppression rules, receipts (TEMPLATES T).
¶ 126 · tbl[2] / tr[6] / tc[5]Verify publication pack; person-first summaries (TEMPLATE S-8).
¶ 127 · tbl[2] / tr[6] / tc[6]Close repair loops; promise-kept ratio (TEMPLATES T).
¶ 128 · tbl[2] / tr[6] / tc[7]Quarterly assurance checks; publish de-identified learning.
¶ 129 · tbl[2] / tr[6] / tc[8]Escalate to DSC on stalled repairs.
¶ 130 · tbl[2] / tr[7] / tc[1]Publication & Governance
¶ 131 · tbl[2] / tr[7] / tc[2]Register of decisions; permissions to process; lawful bases (TEMPLATES R).
¶ 132 · tbl[2] / tr[7] / tc[3]Access reviews; third-party risk; training currency.
¶ 133 · tbl[2] / tr[7] / tc[4]Publication plan + retention; S-8 visible change log maintained.
¶ 134 · tbl[2] / tr[7] / tc[5]Small-cell thresholds agreed; community review when appropriate (TEMPLATE S-8).
¶ 135 · tbl[2] / tr[7] / tc[6]Complaints dashboard; response SLAs; regulator interface.
¶ 136 · tbl[2] / tr[7] / tc[7]DPIA cycle; Board reporting; public summaries.
¶ 137 · tbl[2] / tr[7] / tc[8]DSC panel convened for hard cases; publish lessons.
¶ 138 · tbl[2] / tr[8] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 139 · tbl[2] / tr[8] / tc[2]Trigger: breach, re-identification risk, contested facts, or refusal to repair (TEMPLATES M).
¶ 140 · tbl[2] / tr[8] / tc[3]Contradiction matrix; file‑vs‑field; fairness tests; risk appetite check.
¶ 141 · tbl[2] / tr[8] / tc[4]Calibrate R artefacts and S-8 pack; small-cell & narrative safety.
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 142–164
¶ 142 · tbl[2] / tr[8] / tc[5]Agree repair order; time-box; donor sunlight where applicable.
¶ 143 · tbl[2] / tr[8] / tc[6]Close-out memo; public-safe update.
¶ 144 · tbl[2] / tr[8] / tc[7]
¶ 145 · tbl[2] / tr[8] / tc[8]
¶ 148How we measure ourselves (published quarterly)
¶ 149We publish simple results using counts. Mix of percentages and days; brackets show the latest result and the bar gives a quick view.
¶ 150Access & Minimisation
¶ 151• Purpose-specific consent recorded - Latest: [ - ] █ (% new contacts).
¶ 152• Data minimised in handovers - Latest: [ - ] █ (% artefacts passing check).
¶ 153• Time-to-privacy (minutes; lower) - Latest: [ - ] █.
¶ 154Security & Safety
¶ 155• MFA coverage - Latest: [ - ] █ (% active users).
¶ 156• Access review currency - Latest: [ - ] █ (% accounts reviewed quarterly).
¶ 157• Breaches per 10,000 contacts (lower) - Latest: [ - ] █.
¶ 158Publication & Transparency
¶ 159• Small-cell suppression applied - Latest: [ - ] █ (% eligible reports).
¶ 160• Visible change log current - Latest: [ - ] █ (% programs with S-8 up-to-date).
¶ 161• Right-to-reasons issued before publish - Latest: [ - ] █ (% reports).
¶ 162Learning & Redress
¶ 163• Complaints repaired ≤14 days - Latest: [ - ] █ (%).
¶ 164• DPIA reviews on schedule - Latest: [ - ] █ (% completed on time).
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 165–183
¶ 165• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 166ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 169Example - What real results look like (illustrative)
¶ 170Replace with your numbers.
¶ 171Access & Minimisation (example)
¶ 172• Purpose-specific consent recorded.................. [ 91% ] ███████████████████████████████
¶ 173• Data minimised in handovers....................... [ 95% ] █████████████████████████████████████
¶ 174• Time-to-privacy (min; lower)...................... [ 6 ] █████
¶ 175 Security & Safety (example)
¶ 176• MFA coverage...................................... [ 94% ] █████████████████████████████████
¶ 177• Access review currency............................ [ 88% ] █████████████████████████████
¶ 178• Breaches per 10,000 contacts (lower).............. [ 0.2 ] █
¶ 179 Publication & Transparency (example)
¶ 180• Small-cell suppression applied.................... [ 100% ] ██████████████████████████████████████
¶ 181• Visible change log current........................ [ 86% ] ████████████████████████████
¶ 182• Right-to-reasons issued before publish............ [ 92% ] ███████████████████████████████
¶ 183 Learning & Redress (example)
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 184–254
¶ 184• Complaints repaired ≤14 days...................... [ 85% ] ███████████████████████████
¶ 185• DPIA reviews on schedule.......................... [ 93% ] █████████████████████████████████
¶ 186• Promise-kept ratio................................ [0.91 ] ██████████████████████████████████
¶ 188Example Metrics Table (replace with your actuals)
¶ 189 · tbl[3] / tr[1] / tc[1]Tile
¶ 190 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 191 · tbl[3] / tr[1] / tc[3]Target
¶ 192 · tbl[3] / tr[1] / tc[4]Current
¶ 193 · tbl[3] / tr[1] / tc[5]Trend
¶ 194 · tbl[3] / tr[2] / tc[1]Consent recorded
¶ 195 · tbl[3] / tr[2] / tc[2]% new contacts with purpose-specific consent
¶ 196 · tbl[3] / tr[2] / tc[3]=100%
¶ 197 · tbl[3] / tr[2] / tc[4]91%
¶ 198 · tbl[3] / tr[2] / tc[5]↑
¶ 199 · tbl[3] / tr[3] / tc[1]Minimised handovers
¶ 200 · tbl[3] / tr[3] / tc[2]% artefacts passing minimisation check
¶ 201 · tbl[3] / tr[3] / tc[3]≥98%
¶ 202 · tbl[3] / tr[3] / tc[4]95%
¶ 203 · tbl[3] / tr[3] / tc[5]↑
¶ 204 · tbl[3] / tr[4] / tc[1]Time-to-privacy (min)
¶ 205 · tbl[3] / tr[4] / tc[2]Median minutes arrival→privacy (lower)
¶ 206 · tbl[3] / tr[4] / tc[3]≤6
¶ 207 · tbl[3] / tr[4] / tc[4]6
¶ 208 · tbl[3] / tr[4] / tc[5]→
¶ 209 · tbl[3] / tr[5] / tc[1]MFA coverage
¶ 210 · tbl[3] / tr[5] / tc[2]% active users with MFA
¶ 211 · tbl[3] / tr[5] / tc[3]=100%
¶ 212 · tbl[3] / tr[5] / tc[4]94%
¶ 213 · tbl[3] / tr[5] / tc[5]↑
¶ 214 · tbl[3] / tr[6] / tc[1]Access review currency
¶ 215 · tbl[3] / tr[6] / tc[2]% accounts reviewed quarterly
¶ 216 · tbl[3] / tr[6] / tc[3]≥95%
¶ 217 · tbl[3] / tr[6] / tc[4]88%
¶ 218 · tbl[3] / tr[6] / tc[5]↑
¶ 219 · tbl[3] / tr[7] / tc[1]Breaches per 10,000
¶ 220 · tbl[3] / tr[7] / tc[2]Number per 10k contacts (lower)
¶ 221 · tbl[3] / tr[7] / tc[3]0
¶ 222 · tbl[3] / tr[7] / tc[4]0.2
¶ 223 · tbl[3] / tr[7] / tc[5]↓
¶ 224 · tbl[3] / tr[8] / tc[1]Suppression applied
¶ 225 · tbl[3] / tr[8] / tc[2]% eligible reports with small-cell suppression
¶ 226 · tbl[3] / tr[8] / tc[3]=100%
¶ 227 · tbl[3] / tr[8] / tc[4]100%
¶ 228 · tbl[3] / tr[8] / tc[5]→
¶ 229 · tbl[3] / tr[9] / tc[1]Visible change log current
¶ 230 · tbl[3] / tr[9] / tc[2]% programs with up-to-date S-8
¶ 231 · tbl[3] / tr[9] / tc[3]≥95%
¶ 232 · tbl[3] / tr[9] / tc[4]86%
¶ 233 · tbl[3] / tr[9] / tc[5]↑
¶ 234 · tbl[3] / tr[10] / tc[1]Right-to-reasons before publish
¶ 235 · tbl[3] / tr[10] / tc[2]% reports with reasons pack issued
¶ 236 · tbl[3] / tr[10] / tc[3]=100%
¶ 237 · tbl[3] / tr[10] / tc[4]92%
¶ 238 · tbl[3] / tr[10] / tc[5]→
¶ 239 · tbl[3] / tr[11] / tc[1]Complaints repaired ≤14d
¶ 240 · tbl[3] / tr[11] / tc[2]% complaints repaired within 14 days
¶ 241 · tbl[3] / tr[11] / tc[3]≥95%
¶ 242 · tbl[3] / tr[11] / tc[4]85%
¶ 243 · tbl[3] / tr[11] / tc[5]↑
¶ 244 · tbl[3] / tr[12] / tc[1]DPIA on schedule
¶ 245 · tbl[3] / tr[12] / tc[2]% DPIA completed on plan
¶ 246 · tbl[3] / tr[12] / tc[3]=100%
¶ 247 · tbl[3] / tr[12] / tc[4]93%
¶ 248 · tbl[3] / tr[12] / tc[5]→
¶ 249 · tbl[3] / tr[13] / tc[1]Promise-kept ratio
¶ 250 · tbl[3] / tr[13] / tc[2]Kept ÷ made (0-1)
¶ 251 · tbl[3] / tr[13] / tc[3]≥0.90
¶ 252 · tbl[3] / tr[13] / tc[4]0.91
¶ 253 · tbl[3] / tr[13] / tc[5]→
AA-C22 · Privacy DPIA & Publication Hooks (RΓåöS-8) · paragraphs 255–255
¶ 255Owner: __________ Data source(s): Consent registry; Access logs; Booking/handovers; E-receipts; Security tooling; DPIA register; Publication/S-8 change logs; Complaints system; Navigator logs
AA-C23 · Red-Team & Incident Learning Loop (U-Templates)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C23_Red-Team_&_Incident_Learning_Loop_(U-Templates)_v1.docx
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AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 1–6
¶ 1 - Document control - Template ID: AA-C23 - Red-Team & Incident Learning Loop (U- TEMPLATES) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C23 - Red-Team & Incident Learning Loop (U- TEMPLATES)
¶ 3What this title means (in plain words) When things go wrong - or could go wrong - we own it, learn fast, and repair in public (without exposing anyone’s identity). A red-team actively looks for weak spots, runs micro-drills, checks that big calls have clear reasons, and proves fixes worked. Incidents trigger a 72-hour learning review, medicine changes are reconciled, and any rule/number change shows a visible S-8 note so people can see what changed and why.
¶ 4What this means for the person and supporters
¶ 5You get a plain explanation of what happened, why it happened, and what will change - with options to ask for a second look or an independent check.
¶ 6Reviews happen quickly (within 72 hours where required) and include you or your nominated person in a way that works for you (interpreter/Auslan/AAC/Easy Read).
AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 7–17
¶ 7Repairs are visible and safer next time. We publish de-identified learning and a short S-8 change note when we change a rule, field, pathway or denominator - never naming a person.
¶ 8What services must do (so the person doesn’t have to)
¶ 9Triage and time-box. Log the event, classify risk, and start the 72-hour review clock immediately (U-TEMPLATES; B-1).
¶ 10Access first. Offer interpreter/Auslan/AAC; provide an Easy Read summary and invite a supporter/advocate (TEMPLATES N/L).
¶ 11Run the learning loop, not the blame loop.
¶ 12Facts table + Reasons & Weighting; resolve conflicts in a Contradiction Matrix (H/I).
¶ 13Check Two-Key was used for high-impact decisions; if not, fix forward and re-decide with reasons (K/H/I).
¶ 14Medicine reconciliation within 72h after any ED/ward change or PRN-as-RP use (D-2).
¶ 15Update IDDSI/mealtime plans and safety prompts if relevant (Z).
¶ 16Red-team probes. Re-run the scenario as a micro-drill (what failed, what must happen, who does it, how fast). Capture gaps → bridging modules and re-OSCE if needed (AO/ Q).
¶ 17Promise tracking. Convert actions into dated tasks with owners; show booked & kept proof for handovers; log to Audit (T) with a provenance hash.
AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 18–31
¶ 18Publication safety. If tiles/rules change, file an S-8 visible change note; apply small-cell suppression and coarse geography (R/S/AL).
¶ 19Close the loop. Verify fixes worked (spot check/file-vs-field), share a short learning brief internally, and let the person know the outcome in plain words.
¶ 20Helpful artefacts (where to find them)
¶ 21U-TEMPLATES: Incident triage card; 72-hour learning review shell; micro-drill script; fix-forward tracker; verification checklist.
¶ 22B-1 / C: 72-Hour Review & Fade Plan.
¶ 23D-2: Medication reconciliation.
¶ 24H / I / K: Reasons & Weighting; Contradiction Matrix; Two-Key short form.
¶ 25Q / AO / V: OSCE rubrics, bridging modules, calibration.
¶ 26R / S / AL / T / S-8: DPIA & privacy; tiles & suppression; publication schema; audit log; visible change note.
¶ 27N / L: Communication access & Easy Read packs.
¶ 28Plain-language promise “If something goes wrong, we will tell you what happened, fix it, and show our working - in words you can read. We’ll include you (and your supporter if you want), make changes that are visible and privacy-safe, and check the fix worked so the same problem is less likely to happen again.”
¶ 30Red-team & incident learning (at a glance)
¶ 31 · tbl[1] / tr[1] / tc[1]Swimlane
AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 32–58
¶ 32 · tbl[1] / tr[1] / tc[2]Signal & support
¶ 33 · tbl[1] / tr[1] / tc[3]Stabilise & record
¶ 34 · tbl[1] / tr[1] / tc[4]Review & decide
¶ 35 · tbl[1] / tr[1] / tc[5]Repair & handover
¶ 36 · tbl[1] / tr[1] / tc[6]Publish learning
¶ 37 · tbl[1] / tr[1] / tc[7]Assure & improve
¶ 38 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 39 · tbl[1] / tr[2] / tc[2]You or a supporter raise a concern safely; immediate support offered.
¶ 40 · tbl[1] / tr[2] / tc[3]You are kept informed in plain English and can name a contact.
¶ 41 · tbl[1] / tr[2] / tc[4]You can bring a supporter to the review.
¶ 42 · tbl[1] / tr[2] / tc[5]You receive the repair plan and who will do what, by when.
¶ 43 · tbl[1] / tr[2] / tc[6]You see the learning first; then community update.
¶ 44 · tbl[1] / tr[2] / tc[7]You can ask for another look if not satisfied.
¶ 45 · tbl[1] / tr[3] / tc[1]Frontline Team
¶ 46 · tbl[1] / tr[3] / tc[2]Frontline makes the situation safe; notifies on-call; preserves notes/evidence.
¶ 47 · tbl[1] / tr[3] / tc[3]Frontline records facts and times; avoids blame language (TEMPLATES L).
¶ 48 · tbl[1] / tr[3] / tc[4]Frontline participates openly; suggests fixes.
¶ 49 · tbl[1] / tr[3] / tc[5]Frontline implements fixes and training refreshers.
¶ 50 · tbl[1] / tr[3] / tc[6]Frontline debriefs; what to do next time.
¶ 51 · tbl[1] / tr[3] / tc[7]Frontline audit trend; manager feedback.
¶ 52 · tbl[1] / tr[4] / tc[1]Red-Team (U)
¶ 53 · tbl[1] / tr[4] / tc[2]Red-team paged for significant incidents (triggers in U- TEMPLATES).
¶ 54 · tbl[1] / tr[4] / tc[3]Red-team triages severity; sets 72‑hour review where required (B‑1).
¶ 55 · tbl[1] / tr[4] / tc[4]Red-team runs contradiction matrix & right‑to‑reasons tests (TEMPLATES M).
¶ 56 · tbl[1] / tr[4] / tc[5]Red-team verifies repairs; sets promise‑kept ratio tracking (TEMPLATES T).
¶ 57 · tbl[1] / tr[4] / tc[6]Red-team runs drills based on incident theme.
¶ 58 · tbl[1] / tr[4] / tc[7]Red-team updates playbooks; tests again later.
AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 59–84
¶ 59 · tbl[1] / tr[5] / tc[1]Clinical / Specialist
¶ 60 · tbl[1] / tr[5] / tc[2]Clinical input requested where needed (e.g., med changes, IDDSI).
¶ 61 · tbl[1] / tr[5] / tc[3]Clinical assesses risks; sets immediate safeguards.
¶ 62 · tbl[1] / tr[5] / tc[4]Clinical validates alternatives; fairness tests applied.
¶ 63 · tbl[1] / tr[5] / tc[5]Clinical confirms med/IDDSI changes via D‑2 pathway.
¶ 64 · tbl[1] / tr[5] / tc[6]Clinical morbidity/mortality or case review (as applicable).
¶ 65 · tbl[1] / tr[5] / tc[7]Clinical guideline updates escalated.
¶ 66 · tbl[1] / tr[6] / tc[1]Navigator (Access)
¶ 67 · tbl[1] / tr[6] / tc[2]Navigator checks consent and arranges contact points.
¶ 68 · tbl[1] / tr[6] / tc[3]Navigator lines up supports and transport.
¶ 69 · tbl[1] / tr[6] / tc[4]Navigator ensures warm handovers across services.
¶ 70 · tbl[1] / tr[6] / tc[5]Navigator closes loops and books follow‑ups.
¶ 71 · tbl[1] / tr[6] / tc[6]Navigator checks outcomes with you after 30 days.
¶ 72 · tbl[1] / tr[6] / tc[7]Navigator collects themes for improvement.
¶ 73 · tbl[1] / tr[7] / tc[1]Publication & Governance
¶ 74 · tbl[1] / tr[7] / tc[2]Governance logs incident and provisional DPIA check.
¶ 75 · tbl[1] / tr[7] / tc[3]Governance starts visible change log (S‑8).
¶ 76 · tbl[1] / tr[7] / tc[4]Publication plan drafted with small‑cell suppression (S‑8).
¶ 77 · tbl[1] / tr[7] / tc[5]Governance approves public‑safe learning.
¶ 78 · tbl[1] / tr[7] / tc[6]Publish S‑8: what changed and why (de‑identified).
¶ 79 · tbl[1] / tr[7] / tc[7]Governance checks DPIA & training currency.
¶ 80 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 81 · tbl[1] / tr[8] / tc[2]Privacy-safe IDs started; receipts paused if appropriate.
¶ 82 · tbl[1] / tr[8] / tc[3]Data integrity snapshot taken; access locked if needed.
¶ 83 · tbl[1] / tr[8] / tc[4]Metrics and exceptions updated.
¶ 84 · tbl[1] / tr[8] / tc[5]E‑receipts reconciled; claims corrected if required.
AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 85–115
¶ 85 · tbl[1] / tr[8] / tc[6]Tiles show time-to-review and repair speed.
¶ 86 · tbl[1] / tr[8] / tc[7]Data/Integrity assures metrics and suppression.
¶ 90Flow - Swimlane (DETAILED)
¶ 91 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 92 · tbl[2] / tr[1] / tc[2]Signal & Safety
¶ 93 · tbl[2] / tr[1] / tc[3]Triage & Facts
¶ 94 · tbl[2] / tr[1] / tc[4]72‑hour Review & Reasons
¶ 95 · tbl[2] / tr[1] / tc[5]Repairs & Alternatives
¶ 96 · tbl[2] / tr[1] / tc[6]Handover & Promises
¶ 97 · tbl[2] / tr[1] / tc[7]Publication & Privacy
¶ 98 · tbl[2] / tr[1] / tc[8]Assurance & Metrics
¶ 99 · tbl[2] / tr[1] / tc[9]Escalation & Close‑out
¶ 100 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 101 · tbl[2] / tr[2] / tc[2]Safe disclosure; contact preference; cultural needs (TEMPLATES O; TEMPLATE K‑3).
¶ 102 · tbl[2] / tr[2] / tc[3]Plain recording of what happened in your words (TEMPLATES L).
¶ 103 · tbl[2] / tr[2] / tc[4]Attend review; Facts → tests → alternatives → review (TEMPLATES M).
¶ 104 · tbl[2] / tr[2] / tc[5]Agree repair plan; ability to withdraw consent for publication (S‑8).
¶ 105 · tbl[2] / tr[2] / tc[6]Warm handovers arranged; who to call if issues persist (TEMPLATES N).
¶ 106 · tbl[2] / tr[2] / tc[7]See de‑identified learning first; request corrections (S‑8).
¶ 107 · tbl[2] / tr[2] / tc[8]Escalate to DSC if unsatisfied or facts contested (TEMPLATES M).
¶ 108 · tbl[2] / tr[2] / tc[9]
¶ 109 · tbl[2] / tr[3] / tc[1]Frontline / Site Lead
¶ 110 · tbl[2] / tr[3] / tc[2]Stabilise; notify; initial incident form; preserve evidence.
¶ 111 · tbl[2] / tr[3] / tc[3]Severity triage; time stamps; witnesses; environment factors.
¶ 112 · tbl[2] / tr[3] / tc[4]Participate in 72‑hour review (B‑1) when triggered; openness rules.
¶ 113 · tbl[2] / tr[3] / tc[5]Implement fixes, training, environment changes; verify competence.
¶ 114 · tbl[2] / tr[3] / tc[6]Complete handovers (IDDSI, D‑2, care plans).
¶ 115 · tbl[2] / tr[3] / tc[7]Contribute to S‑8 pack; avoid re‑identification in narratives.
AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 116–137
¶ 116 · tbl[2] / tr[3] / tc[8]Update metrics; exception queue age managed.
¶ 117 · tbl[2] / tr[3] / tc[9]Call DSC if corrections stall or fairness at risk.
¶ 118 · tbl[2] / tr[4] / tc[1]Red-Team (U)
¶ 119 · tbl[2] / tr[4] / tc[2]On‑call rotation; activation criteria; safe channel.
¶ 120 · tbl[2] / tr[4] / tc[3]Contradiction matrix; file‑vs‑field; parity of reasons (TEMPLATES M).
¶ 121 · tbl[2] / tr[4] / tc[4]Right‑to‑reasons tests; alternatives completeness; sovereignty/abstention checks.
¶ 122 · tbl[2] / tr[4] / tc[5]Set repair order; owners and due dates; promise‑kept ratio (T).
¶ 123 · tbl[2] / tr[4] / tc[6]Verify warm handovers; remove blockers; fade prompts later.
¶ 124 · tbl[2] / tr[4] / tc[7]Approve S‑8 small‑cell thresholds; DPIA cross‑check (R).
¶ 125 · tbl[2] / tr[4] / tc[8]Define tiles: time_to_review; repair_half‑life; recurrence rate (T).
¶ 126 · tbl[2] / tr[4] / tc[9]Close‑out memo; coaching; schedule re‑test.
¶ 127 · tbl[2] / tr[5] / tc[1]Clinical / Pharmacy / SP
¶ 128 · tbl[2] / tr[5] / tc[2]Immediate clinical risk controls.
¶ 129 · tbl[2] / tr[5] / tc[3]Root‑cause with clinical lens; med/IDDSI implications.
¶ 130 · tbl[2] / tr[5] / tc[4]If medicine change/restriction: start B‑1 and D‑2 pathways.
¶ 131 · tbl[2] / tr[5] / tc[5]Confirm alternatives and competence sign‑offs.
¶ 132 · tbl[2] / tr[5] / tc[6]Handover scripts/IDDSI plans; GP/Provider bookings (TEMPLATES N).
¶ 133 · tbl[2] / tr[5] / tc[7]Plain clinical explanation for S‑8 pack (TEMPLATES L).
¶ 134 · tbl[2] / tr[5] / tc[8]Clinical metrics: med rec ≤72h; IDDSI compliance.
¶ 135 · tbl[2] / tr[5] / tc[9]Escalate to DSC for contested clinical facts.
¶ 136 · tbl[2] / tr[6] / tc[1]Navigator (Access)
¶ 137 · tbl[2] / tr[6] / tc[2]Access receipt; privacy‑safe IDs; travel & interpreter (TEMPLATE N‑1; TEMPLATES N).
AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 138–161
¶ 138 · tbl[2] / tr[6] / tc[3]Collect artefacts; ensure person-first contact routine.
¶ 139 · tbl[2] / tr[6] / tc[4]Arrange review time and supports; second looks if requested.
¶ 140 · tbl[2] / tr[6] / tc[5]Track repairs and bookings; confirm completions.
¶ 141 · tbl[2] / tr[6] / tc[6]Verify warm handovers; fix barriers; community presence focus (D‑3).
¶ 142 · tbl[2] / tr[6] / tc[7]Prepare publication notes and permissions (S‑8).
¶ 143 · tbl[2] / tr[6] / tc[8]Promise‑kept ratio; exception queue age (T).
¶ 144 · tbl[2] / tr[6] / tc[9]Escalate unresolved items to DSC.
¶ 145 · tbl[2] / tr[7] / tc[1]Publication & Governance (S-8)
¶ 146 · tbl[2] / tr[7] / tc[2]Register incident; appoint publication lead.
¶ 147 · tbl[2] / tr[7] / tc[3]Check lawful basis; privacy/minimisation (R).
¶ 148 · tbl[2] / tr[7] / tc[4]Assemble reasons pack; person reviews before publish (L).
¶ 149 · tbl[2] / tr[7] / tc[5]Apply small‑cell suppression; narrative risk checks (S‑8).
¶ 150 · tbl[2] / tr[7] / tc[6]Publish de‑identified change log; complaint channels.
¶ 151 · tbl[2] / tr[7] / tc[7]Quarterly assurance to Board/community.
¶ 152 · tbl[2] / tr[7] / tc[8]Audit metrics and drill cadence.
¶ 153 · tbl[2] / tr[7] / tc[9]Invite DSC for hard cases; publish lessons.
¶ 154 · tbl[2] / tr[8] / tc[1]Data/Integrity (T)
¶ 155 · tbl[2] / tr[8] / tc[2]Snapshot data; freeze window if required.
¶ 156 · tbl[2] / tr[8] / tc[3]Reconcile roster↔claim; remove raw free‑text from claims.
¶ 157 · tbl[2] / tr[8] / tc[4]Build tiles: time_to_signal, time_to_review, repair_half‑life, recurrence.
¶ 158 · tbl[2] / tr[8] / tc[5]Archive S‑8 artefacts; retention and deletion schedules (R).
¶ 159 · tbl[2] / tr[8] / tc[6]Breach response; regulator reporting support.
¶ 160 · tbl[2] / tr[8] / tc[7]DPIA updates; partner assurance evidence.
¶ 161 · tbl[2] / tr[8] / tc[8]Metrics published de‑identified; small‑cell policing (S‑8).
AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 162–192
¶ 162 · tbl[2] / tr[8] / tc[9]Close-out; trend analysis to red-team backlog.
¶ 163 · tbl[2] / tr[9] / tc[1]Decision Support Consultant (DSC) [as needed]
¶ 164 · tbl[2] / tr[9] / tc[2]Escalation path for contested facts or fairness worries (M).
¶ 165 · tbl[2] / tr[9] / tc[3]Independent reasons review; contradiction matrix.
¶ 166 · tbl[2] / tr[9] / tc[4]Calibrate templates U/L/M/R/S‑8/D‑2/B‑1 as needed.
¶ 167 · tbl[2] / tr[9] / tc[5]Confirm repairs and publication safety; close with memo.
¶ 168 · tbl[2] / tr[9] / tc[6]
¶ 169 · tbl[2] / tr[9] / tc[7]
¶ 170 · tbl[2] / tr[9] / tc[8]
¶ 171 · tbl[2] / tr[9] / tc[9]
¶ 179How we measure ourselves (published quarterly)
¶ 180We publish simple results using counts. Mix of minutes/days and percentages; brackets show the latest result and the bar gives a quick view.
¶ 181Signals & Speed
¶ 182• Time-to-signal acknowledged (minutes; lower) - Latest: [ - ] █.
¶ 183• Time-to-review (hours; lower) - Latest: [ - ] █ (triggered cases).
¶ 184• 72-hour reviews on time - Latest: [ - ] █ (% qualifying).
¶ 185Repairs & Handover
¶ 186• Repair actions completed by due date - Latest: [ - ] █ (%).
¶ 187• Warm handovers completed - Latest: [ - ] █ (% incidents).
¶ 188• Recurrence within 30 days (per 100; lower) - Latest: [ - ] █.
¶ 189Publication & Trust
¶ 190• Right‑to‑reasons issued within 7 days - Latest: [ - ] █ (%).
¶ 191• S‑8 publication completed - Latest: [ - ] █ (% eligible).
¶ 192• Promise‑kept ratio - Latest: [ - ] █ (kept ÷ made).
AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 193–231
¶ 193ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 201Example - What real results look like (illustrative)
¶ 202Signals & Speed (example)
¶ 203• Time-to-signal acknowledged (min; lower).......... [ 8 ] █████
¶ 204• Time-to-review (hours; lower)..................... [ 21 ] █████████
¶ 205• 72-hour reviews on time........................... [ 93% ] █████████████████████████████████
¶ 206 Repairs & Handover (example)
¶ 207• Repair actions completed by due date.............. [ 88% ] █████████████████████████████
¶ 208• Warm handovers completed.......................... [ 91% ] ███████████████████████████████
¶ 209• Recurrence within 30 days (/100; lower)........... [ 6 ] █████
¶ 210 Publication & Trust (example)
¶ 211• Right‑to‑reasons issued within 7 days............. [ 89% ] █████████████████████████████
¶ 212• S‑8 publication completed......................... [ 86% ] ████████████████████████████
¶ 213• Promise‑kept ratio................................ [0.90 ] ████████████████████████████████
¶ 221Example Metrics Table (replace with your actuals)
¶ 222 · tbl[3] / tr[1] / tc[1]Tile
¶ 223 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 224 · tbl[3] / tr[1] / tc[3]Target
¶ 225 · tbl[3] / tr[1] / tc[4]Current
¶ 226 · tbl[3] / tr[1] / tc[5]Trend
¶ 227 · tbl[3] / tr[2] / tc[1]Time-to-signal (min)
¶ 228 · tbl[3] / tr[2] / tc[2]Median minutes to acknowledge signal (lower)
¶ 229 · tbl[3] / tr[2] / tc[3]≤5
¶ 230 · tbl[3] / tr[2] / tc[4]8
¶ 231 · tbl[3] / tr[2] / tc[5]↓
AA-C23 · Red-Team & Incident Learning Loop (U-Templates) · paragraphs 232–273
¶ 232 · tbl[3] / tr[3] / tc[1]Time-to-review (hours)
¶ 233 · tbl[3] / tr[3] / tc[2]Median hours to first formal review (lower)
¶ 234 · tbl[3] / tr[3] / tc[3]≤12
¶ 235 · tbl[3] / tr[3] / tc[4]21
¶ 236 · tbl[3] / tr[3] / tc[5]↓
¶ 237 · tbl[3] / tr[4] / tc[1]72h reviews on time
¶ 238 · tbl[3] / tr[4] / tc[2]% qualifying incidents reviewed ≤72h
¶ 239 · tbl[3] / tr[4] / tc[3]=100%
¶ 240 · tbl[3] / tr[4] / tc[4]93%
¶ 241 · tbl[3] / tr[4] / tc[5]→
¶ 242 · tbl[3] / tr[5] / tc[1]Repairs on time
¶ 243 · tbl[3] / tr[5] / tc[2]% repair actions completed by due date
¶ 244 · tbl[3] / tr[5] / tc[3]≥95%
¶ 245 · tbl[3] / tr[5] / tc[4]88%
¶ 246 · tbl[3] / tr[5] / tc[5]↑
¶ 247 · tbl[3] / tr[6] / tc[1]Warm handovers done
¶ 248 · tbl[3] / tr[6] / tc[2]% incidents with documented handover
¶ 249 · tbl[3] / tr[6] / tc[3]≥95%
¶ 250 · tbl[3] / tr[6] / tc[4]91%
¶ 251 · tbl[3] / tr[6] / tc[5]↑
¶ 252 · tbl[3] / tr[7] / tc[1]Recurrence within 30d (/100)
¶ 253 · tbl[3] / tr[7] / tc[2]Per 100 incidents (lower)
¶ 254 · tbl[3] / tr[7] / tc[3]↓ q/q
¶ 255 · tbl[3] / tr[7] / tc[4]6
¶ 256 · tbl[3] / tr[7] / tc[5]↓
¶ 257 · tbl[3] / tr[8] / tc[1]Right‑to‑reasons ≤7d
¶ 258 · tbl[3] / tr[8] / tc[2]% incidents with reasons issued ≤7 days
¶ 259 · tbl[3] / tr[8] / tc[3]=100%
¶ 260 · tbl[3] / tr[8] / tc[4]89%
¶ 261 · tbl[3] / tr[8] / tc[5]↑
¶ 262 · tbl[3] / tr[9] / tc[1]S‑8 publication complete
¶ 263 · tbl[3] / tr[9] / tc[2]% eligible incidents published de‑identified
¶ 264 · tbl[3] / tr[9] / tc[3]≥95%
¶ 265 · tbl[3] / tr[9] / tc[4]86%
¶ 266 · tbl[3] / tr[9] / tc[5]↑
¶ 267 · tbl[3] / tr[10] / tc[1]Promise‑kept ratio
¶ 268 · tbl[3] / tr[10] / tc[2]Kept ÷ made (0-1)
¶ 269 · tbl[3] / tr[10] / tc[3]≥0.90
¶ 270 · tbl[3] / tr[10] / tc[4]0.90
¶ 271 · tbl[3] / tr[10] / tc[5]→
¶ 273Owner: __________ Data source(s): Incident system; On‑call logs; Clinical records; Pharmacy/IDDSI artefacts; Navigator logs; E‑receipts; Roster↔Claim; DPIA register; S‑8 publication log; Training & drills register
AA-C24 · Switching Justice & Housing Variant
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C24_Switching_Justice_&_Housing_Variant_v1.docx
Member SHA-256: 80444f2a9e0b78cb974c7c0d485c1d6d2b838b1aaf4c3afdcf80e526e17bf19b
AA-C24 · Switching Justice & Housing Variant · paragraphs 1–8
¶ 1 - Document control - Template ID: AA-C24 - Switching: Justice / Housing Variant Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C24 - Switching: Justice / Housing Variant
¶ 3What this title means (in plain words) Sometimes a provider change happens while justice or housing issues are in play - leaving custody, bail/bond, moving house, tenancy transfer, or crisis accommodation. This crosswalk makes the switch safe, lawful and calm: plain consent, warm handovers, reversible decisions, and clean billing/records. It joins the police/custody, housing, health and disability pieces so supports don’t stop and rights are protected.
¶ 4What this means for the person and supporters
¶ 5You can change providers without penalty, even during court, bail, or a housing move.
¶ 6Reasons and alternatives are explained in plain words (Easy Read available). Supports continue during the switch so life doesn’t stop.
¶ 7Money and records are tidy and privacy-safe. You choose who gets updates and what is shared.
¶ 8Named people meet you at each step (custody exit, court day, tenancy sign-over, first visit) so you are never left to manage it alone.
AA-C24 · Switching Justice & Housing Variant · paragraphs 9–19
¶ 9What services must do (so the person doesn’t have to)
¶ 10Access & consent first. Offer interpreter/Auslan/AAC; capture switching consent & preferences (who to inform, safe contacts, disclosure limits). (TEMPLATE K-3; TEMPLATES N/L)
¶ 11Two-Key for consequential calls. Housing placement, bail support conditions, medication/PRN as RP, or restrictive transport equipment use Two-Key with Reasons & Weighting and Matrix recorded. (Appendix K/H/I)
¶ 12Warm handovers at justice & housing edges.
¶ 13Custody exit / court: AN-pack SBAR to GP/IDC/Navigator + housing contact; confirm booked & kept times.
¶ 14Housing: H-pack SBAR to tenancy/crisis provider; confirm keys/NDIS items/utilities/transport.
¶ 15Continuity of supports. Keep current rosters until the new team is ready (same worker if possible). Never “refer & hope.”
¶ 16Clean finance & records. Use two-party e-receipts; run roster↔claim cross-checks; close old authorisations on last day; open new on first day - no overlap, no gap. (Appendix E/F)
¶ 17Safety hooks.
¶ 18Medication reconciliation ≤72h after ED/ward changes or custody medicines. (Appendix D)
¶ 19IDDSI/mealtime plan travels; site checks readiness before first meal. (Appendix Z)
AA-C24 · Switching Justice & Housing Variant · paragraphs 20–30
¶ 20Any restraint/sedation → 72-hour learning review with fade steps. (Appendix B-C)
¶ 21Housing/legal paperwork that fits life. Plain tenancy letters, DV safety arrangements, quiet hours/visitor expectations in Easy Read; bail address proof included. (TEMPLATES L/M; H-pack)
¶ 22Privacy & publication. Minimum necessary sharing; small-cell suppression on releases; record a visible S-8 note if any tile/denominator rule changes; log provenance in the audit. (Appendix R/S/AL/T; S-8)
¶ 23Helpful artefacts (where to find them)
¶ 24Consent & preferences: TEMPLATE K-3; TEMPLATES N (navigation/handovers) / L (plain letters) / M (choice & teach-back).
¶ 25Justice interface: AN-TEMPLATES (custody care plan, rights card, reasons record).
¶ 26Housing & homelessness: H-TEMPLATES (placement SBAR, crisis→tenancy bridge).
¶ 27Finance & integrity: E-receipts (Appx E); Roster↔Claim cross-checks (Appx F).
¶ 28Decision quality: Two-Key (Appx K); R&W (Appx H); Matrix (Appx I).
¶ 29Safety: 72-Hour Review (B-1); Med-rec (D-2); IDDSI (Z).
¶ 30Privacy & proof: DPIA/consent & suppression (Appx R/S/AL) + Audit log (Appx T); S-8 change notes.
AA-C24 · Switching Justice & Housing Variant · paragraphs 31–53
¶ 31Plain-language promise “We’ll switch you safely and on your terms - with plain consent, a named person at each step, and no gaps in support or housing. We’ll explain options, keep money and records tidy, protect your privacy, and use a two-person sign-off for big decisions. If anything changes, we’ll tell you early and show what we fixed.”
¶ 33Switching (Justice / Housing) - at a glance
¶ 34 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 35 · tbl[1] / tr[1] / tc[2]Decide & notify
¶ 36 · tbl[1] / tr[1] / tc[3]Safety & continuity
¶ 37 · tbl[1] / tr[1] / tc[4]Warm handover
¶ 38 · tbl[1] / tr[1] / tc[5]Housing/Justice steps
¶ 39 · tbl[1] / tr[1] / tc[6]Start with confidence
¶ 40 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 41 · tbl[1] / tr[2] / tc[1]Person & Allies
¶ 42 · tbl[1] / tr[2] / tc[2]You choose to switch and who is told; Easy Read reasons pack provided (L/M).
¶ 43 · tbl[1] / tr[2] / tc[3]You keep essential supports; no penalties for leaving.
¶ 44 · tbl[1] / tr[2] / tc[4]You attend a warm handover meeting (with supporter).
¶ 45 · tbl[1] / tr[2] / tc[5]You choose preferred housing/justice steps order.
¶ 46 · tbl[1] / tr[2] / tc[6]You start with the new provider with supports present.
¶ 47 · tbl[1] / tr[2] / tc[7]You give feedback; changes made quickly.
¶ 48 · tbl[1] / tr[3] / tc[1]Current Provider
¶ 49 · tbl[1] / tr[3] / tc[2]Current provider acknowledges in 2 business days; safety check started.
¶ 50 · tbl[1] / tr[3] / tc[3]Current provider keeps roster stable until handover time.
¶ 51 · tbl[1] / tr[3] / tc[4]Current provider shares plan artefacts you consent to.
¶ 52 · tbl[1] / tr[3] / tc[5]Current provider returns equipment and funds promptly.
¶ 53 · tbl[1] / tr[3] / tc[6]Current provider exits gracefully; complaints channel open.
AA-C24 · Switching Justice & Housing Variant · paragraphs 54–76
¶ 54 · tbl[1] / tr[3] / tc[7]Current provider closes file; refunds/credits finalised.
¶ 55 · tbl[1] / tr[4] / tc[1]New Provider
¶ 56 · tbl[1] / tr[4] / tc[2]New provider confirms capacity; books meet‑and‑greet.
¶ 57 · tbl[1] / tr[4] / tc[3]New provider preps roster and training.
¶ 58 · tbl[1] / tr[4] / tc[4]New provider listens first; confirms alternatives and risks.
¶ 59 · tbl[1] / tr[4] / tc[5]New provider completes right‑to‑reasons pack; start date set.
¶ 60 · tbl[1] / tr[4] / tc[6]New provider confirms first‑week review booking.
¶ 61 · tbl[1] / tr[4] / tc[7]New provider updates plan and training.
¶ 62 · tbl[1] / tr[5] / tc[1]Justice / Police / Courts (as applicable)
¶ 63 · tbl[1] / tr[5] / tc[2]Justice contact (custody, court order) noted if relevant (AN hooks).
¶ 64 · tbl[1] / tr[5] / tc[3]Justice bail/conditions checked; ID verified safely.
¶ 65 · tbl[1] / tr[5] / tc[4]Police/custody liaison joins if relevant (AN templates).
¶ 66 · tbl[1] / tr[5] / tc[5]Court/justice conditions documented accessibly.
¶ 67 · tbl[1] / tr[5] / tc[6]Justice contacts updated; police aware of new support points.
¶ 68 · tbl[1] / tr[5] / tc[7]Justice liaison confirms no breaches occurred.
¶ 69 · tbl[1] / tr[6] / tc[1]Housing / Tenancy / Crisis Accommodation
¶ 70 · tbl[1] / tr[6] / tc[2]Housing/tenancy context captured; crisis options if needed.
¶ 71 · tbl[1] / tr[6] / tc[3]Keys, fobs, access codes and bond status documented.
¶ 72 · tbl[1] / tr[6] / tc[4]Housing provider attends to align tenancy duties.
¶ 73 · tbl[1] / tr[6] / tc[5]Tenancy/room readiness checks (safety, IDDSI kitchen if relevant).
¶ 74 · tbl[1] / tr[6] / tc[6]Housing contact list shared; repairs/escalations known.
¶ 75 · tbl[1] / tr[6] / tc[7]Housing outcomes stable; no evictions due to switch.
¶ 76 · tbl[1] / tr[7] / tc[1]Navigator (Access)
AA-C24 · Switching Justice & Housing Variant · paragraphs 77–108
¶ 77 · tbl[1] / tr[7] / tc[2]Navigator coordinates dates, transport and equipment.
¶ 78 · tbl[1] / tr[7] / tc[3]Navigator sets escalation contacts.
¶ 79 · tbl[1] / tr[7] / tc[4]Navigator records promises and due dates.
¶ 80 · tbl[1] / tr[7] / tc[5]Navigator verifies bookings and transport.
¶ 81 · tbl[1] / tr[7] / tc[6]Navigator checks promises kept at 7 & 30 days.
¶ 82 · tbl[1] / tr[7] / tc[7]Navigator publishes de‑identified learning (S‑8).
¶ 83 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 84 · tbl[1] / tr[8] / tc[2]Privacy-safe IDs & e‑receipt guardrails enabled (T).
¶ 85 · tbl[1] / tr[8] / tc[3]Claims split cleanly by date/time (T).
¶ 86 · tbl[1] / tr[8] / tc[4]Tiles show coverage and exceptions.
¶ 87 · tbl[1] / tr[8] / tc[5]Roster↔claim checks lock in.
¶ 88 · tbl[1] / tr[8] / tc[6]Exceptions queue monitored; publication ready (S‑8).
¶ 89 · tbl[1] / tr[8] / tc[7]Metrics inform improvement next quarter.
¶ 92Flow - Swimlane (DETAILED)
¶ 93 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 94 · tbl[2] / tr[1] / tc[2]Consent & Reasons
¶ 95 · tbl[2] / tr[1] / tc[3]Continuity & Artefacts
¶ 96 · tbl[2] / tr[1] / tc[4]Start-up & Alternatives
¶ 97 · tbl[2] / tr[1] / tc[5]Justice Hooks (AN)
¶ 98 · tbl[2] / tr[1] / tc[6]Housing Hooks (H)
¶ 99 · tbl[2] / tr[1] / tc[7]Handover & Review
¶ 100 · tbl[2] / tr[1] / tc[8]Escalation & Fairness
¶ 101 · tbl[2] / tr[1] / tc[9]Billing & Publication
¶ 102 · tbl[2] / tr[2] / tc[1]Person & Allies
¶ 103 · tbl[2] / tr[2] / tc[2]Consent & privacy choices; who is told; right‑to‑reasons requested (L/M; K‑3).
¶ 104 · tbl[2] / tr[2] / tc[3]Keep supports; name risks; nominate supporter/contact.
¶ 105 · tbl[2] / tr[2] / tc[4]Choose start date; approve alternatives matrix (M).
¶ 106 · tbl[2] / tr[2] / tc[5]If justice involved: consent to liaison; bail/conditions explained (AN).
¶ 107 · tbl[2] / tr[2] / tc[6]If housing involved: tenancy options, crisis/bridging accommodation (H).
¶ 108 · tbl[2] / tr[2] / tc[7]7‑ & 30‑day reviews; request publication summary (S‑8).
AA-C24 · Switching Justice & Housing Variant · paragraphs 109–127
¶ 109 · tbl[2] / tr[2] / tc[8]Call DSC if fairness contested or delays harmful (M).
¶ 110 · tbl[2] / tr[2] / tc[9]Receipts visible; no overlap billing; small‑cell suppression on publish (T; S‑8).
¶ 111 · tbl[2] / tr[3] / tc[1]Current Provider
¶ 112 · tbl[2] / tr[3] / tc[2]Acknowledge switch; provide plain reasons & alternatives pack (L/M).
¶ 113 · tbl[2] / tr[3] / tc[3]Maintain continuity until agreed; no penalties; return equipment/funds.
¶ 114 · tbl[2] / tr[3] / tc[4]Deliver artefacts: plans, training currency, risks, contacts (with consent).
¶ 115 · tbl[2] / tr[3] / tc[5]If justice: share contact for custody/police only what’s needed (AN; R).
¶ 116 · tbl[2] / tr[3] / tc[6]If housing: exit inspection & keys; bond/repairs status (H).
¶ 117 · tbl[2] / tr[3] / tc[7]Join warm handover; confirm close‑out actions and dates.
¶ 118 · tbl[2] / tr[3] / tc[8]If disputes: independent check by DSC pathway (M).
¶ 119 · tbl[2] / tr[3] / tc[9]Finalise claims to last minute of service; e‑receipt trail clean (T).
¶ 120 · tbl[2] / tr[4] / tc[1]New Provider
¶ 121 · tbl[2] / tr[4] / tc[2]Capacity check; conflicts; intake receipt; interpreter/Auslan/AAC as needed (N).
¶ 122 · tbl[2] / tr[4] / tc[3]Shadowing/overlap if helpful; competence sign‑offs; risk mitigations.
¶ 123 · tbl[2] / tr[4] / tc[4]Alternatives matrix and start‑up plan; right‑to‑reasons summary (L/M).
¶ 124 · tbl[2] / tr[4] / tc[5]Justice liaison contact; safety plan around orders (AN).
¶ 125 · tbl[2] / tr[4] / tc[6]Housing readiness: tenancy duties; maintenance and safety checks (H).
¶ 126 · tbl[2] / tr[4] / tc[7]7‑day check; 30‑day review; publish de‑identified learning (S‑8).
¶ 127 · tbl[2] / tr[4] / tc[8]Invite DSC if delays or contradictions arise (M).
AA-C24 · Switching Justice & Housing Variant · paragraphs 128–157
¶ 128 · tbl[2] / tr[4] / tc[9]Start e‑receipts; roster↔claim guardrails; promises tracked (T).
¶ 129 · tbl[2] / tr[5] / tc[1]Justice / Police / Courts
¶ 130 · tbl[2] / tr[5] / tc[2]Person‑first engagement; advocate welcome.
¶ 131 · tbl[2] / tr[5] / tc[3]Confirm orders/conditions; schedule changes shared with consent (AN).
¶ 132 · tbl[2] / tr[5] / tc[4]Support reasonable adjustments and continuity.
¶ 133 · tbl[2] / tr[5] / tc[5]Share only necessary data; DPIA alignment (R).
¶ 134 · tbl[2] / tr[5] / tc[6]Escalation point if safety risks; record outcomes.
¶ 135 · tbl[2] / tr[5] / tc[7]
¶ 136 · tbl[2] / tr[5] / tc[8]
¶ 137 · tbl[2] / tr[5] / tc[9]
¶ 138 · tbl[2] / tr[6] / tc[1]Housing / Tenancy / Crisis
¶ 139 · tbl[2] / tr[6] / tc[2]Identify tenancy type and status; repairs backlog noted (H).
¶ 140 · tbl[2] / tr[6] / tc[3]Coordinate move‑in/move‑out; key/FOB/aids inventory.
¶ 141 · tbl[2] / tr[6] / tc[4]Crisis or bridging accommodation if gap risk.
¶ 142 · tbl[2] / tr[6] / tc[5]Home safety: smoke alarms, IDDSI kitchen, fridge/temp logs as needed.
¶ 143 · tbl[2] / tr[6] / tc[6]Confirm contact list; after‑hours escalation.
¶ 144 · tbl[2] / tr[6] / tc[7]
¶ 145 · tbl[2] / tr[6] / tc[8]
¶ 146 · tbl[2] / tr[6] / tc[9]
¶ 147 · tbl[2] / tr[7] / tc[1]Navigator (Access)
¶ 148 · tbl[2] / tr[7] / tc[2]Access receipt; privacy‑safe IDs; broker bookings (N‑1).
¶ 149 · tbl[2] / tr[7] / tc[3]Artefact inventory: consent, plans, training, orders, tenancy docs (T).
¶ 150 · tbl[2] / tr[7] / tc[4]Warm handover meeting facilitation; transport; interpreters (N).
¶ 151 · tbl[2] / tr[7] / tc[5]Promise‑kept ratio; remove blockers; confirm alternatives executed (T).
¶ 152 · tbl[2] / tr[7] / tc[6]Set 7‑ & 30‑day follow‑ups; prepare S‑8 pack.
¶ 153 · tbl[2] / tr[7] / tc[7]Close loop with person; publish de‑identified change log (S‑8).
¶ 154 · tbl[2] / tr[7] / tc[8]
¶ 155 · tbl[2] / tr[7] / tc[9]
¶ 156 · tbl[2] / tr[8] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 157 · tbl[2] / tr[8] / tc[2]Trigger: contested facts, unfair penalties, safety risk or delay (M).
AA-C24 · Switching Justice & Housing Variant · paragraphs 158–186
¶ 158 · tbl[2] / tr[8] / tc[3]Contradiction matrix; fairness tests; sovereign abstention checks.
¶ 159 · tbl[2] / tr[8] / tc[4]Order repairs; time‑box; donor sunlight where appropriate.
¶ 160 · tbl[2] / tr[8] / tc[5]Close‑out memo; lessons to publication.
¶ 161 · tbl[2] / tr[8] / tc[6]
¶ 162 · tbl[2] / tr[8] / tc[7]
¶ 163 · tbl[2] / tr[8] / tc[8]
¶ 164 · tbl[2] / tr[8] / tc[9]
¶ 165 · tbl[2] / tr[9] / tc[1]Data/Integrity (E‑receipt, Roster↔Claim)
¶ 166 · tbl[2] / tr[9] / tc[2]Case key; privacy‑safe IDs; freeze window if disputes (T).
¶ 167 · tbl[2] / tr[9] / tc[3]Reconcile roster↔claim: no overlap, no ghost shifts (T).
¶ 168 · tbl[2] / tr[9] / tc[4]Metrics: time‑to‑switch; handover completeness; exception age (T).
¶ 169 · tbl[2] / tr[9] / tc[5]DPIA; small‑cell suppression; S‑8 publication archive (R/S‑8).
¶ 170 · tbl[2] / tr[9] / tc[6]
¶ 171 · tbl[2] / tr[9] / tc[7]
¶ 172 · tbl[2] / tr[9] / tc[8]
¶ 173 · tbl[2] / tr[9] / tc[9]
¶ 176How we measure ourselves (published quarterly)
¶ 177We publish simple results using counts. Mix of days and percentages; brackets show the latest result and the bar gives a quick view.
¶ 178Access & Continuity
¶ 179• Time-to-switch (days; lower) - Latest: [ - ] █ (notice→start).
¶ 180• Continuity maintained - Latest: [ - ] █ (% with no missed essential supports).
¶ 181• Warm handover completeness score (0-10) - Latest: [ - ] █.
¶ 182Justice & Housing Hooks
¶ 183• Justice conditions captured - Latest: [ - ] █ (% cases needing it).
¶ 184• Housing readiness on day 1 - Latest: [ - ] █ (% with keys/FOBs/utilities).
¶ 185• Crisis gap bridged when needed - Latest: [ - ] █ (% needing bridge who received it).
¶ 186Fairness & Clean Exit
AA-C24 · Switching Justice & Housing Variant · paragraphs 187–205
¶ 187• No penalty exit - Latest: [ - ] █ (% exits no fees/retaliation).
¶ 188• Complaints repaired ≤14 days - Latest: [ - ] █ (%).
¶ 189• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 190ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 194Example - What real results look like (illustrative)
¶ 195Access & Continuity (example)
¶ 196• Time-to-switch (days; lower)...................... [ 9 ] █████████
¶ 197• Continuity maintained............................. [ 91% ] ███████████████████████████████
¶ 198• Handover completeness (0-10)...................... [ 8.5 ] ██████████
¶ 199 Justice & Housing Hooks (example)
¶ 200• Justice conditions captured........................ [ 88% ] █████████████████████████████
¶ 201• Housing readiness on day 1......................... [ 86% ] ████████████████████████████
¶ 202• Crisis gap bridged when needed..................... [ 79% ] ████████████████████████
¶ 203 Fairness & Clean Exit (example)
¶ 204• No penalty exit................................... [ 95% ] █████████████████████████████████████
¶ 205• Complaints repaired ≤14 days...................... [ 84% ] ███████████████████████████
AA-C24 · Switching Justice & Housing Variant · paragraphs 206–259
¶ 206• Promise-kept ratio................................ [0.93 ] ███████████████████████████████████
¶ 208Example Metrics Table (replace with your actuals)
¶ 209 · tbl[3] / tr[1] / tc[1]Tile
¶ 210 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 211 · tbl[3] / tr[1] / tc[3]Target
¶ 212 · tbl[3] / tr[1] / tc[4]Current
¶ 213 · tbl[3] / tr[1] / tc[5]Trend
¶ 214 · tbl[3] / tr[2] / tc[1]Time-to-switch (days)
¶ 215 · tbl[3] / tr[2] / tc[2]Median days notice→start (lower)
¶ 216 · tbl[3] / tr[2] / tc[3]≤7
¶ 217 · tbl[3] / tr[2] / tc[4]9
¶ 218 · tbl[3] / tr[2] / tc[5]↓
¶ 219 · tbl[3] / tr[3] / tc[1]Continuity maintained
¶ 220 · tbl[3] / tr[3] / tc[2]% with no missed essential supports
¶ 221 · tbl[3] / tr[3] / tc[3]=100%
¶ 222 · tbl[3] / tr[3] / tc[4]91%
¶ 223 · tbl[3] / tr[3] / tc[5]→
¶ 224 · tbl[3] / tr[4] / tc[1]Handover completeness (0-10)
¶ 225 · tbl[3] / tr[4] / tc[2]Composite score of artefacts received
¶ 226 · tbl[3] / tr[4] / tc[3]≥9
¶ 227 · tbl[3] / tr[4] / tc[4]8.5
¶ 228 · tbl[3] / tr[4] / tc[5]↑
¶ 229 · tbl[3] / tr[5] / tc[1]Justice conditions captured
¶ 230 · tbl[3] / tr[5] / tc[2]% cases with orders/conditions documented
¶ 231 · tbl[3] / tr[5] / tc[3]=100%
¶ 232 · tbl[3] / tr[5] / tc[4]88%
¶ 233 · tbl[3] / tr[5] / tc[5]↑
¶ 234 · tbl[3] / tr[6] / tc[1]Housing readiness day 1
¶ 235 · tbl[3] / tr[6] / tc[2]% with keys/FOBs/utilities & safety checks
¶ 236 · tbl[3] / tr[6] / tc[3]≥95%
¶ 237 · tbl[3] / tr[6] / tc[4]86%
¶ 238 · tbl[3] / tr[6] / tc[5]↑
¶ 239 · tbl[3] / tr[7] / tc[1]Crisis gap bridged
¶ 240 · tbl[3] / tr[7] / tc[2]% needing bridge who received it
¶ 241 · tbl[3] / tr[7] / tc[3]=100%
¶ 242 · tbl[3] / tr[7] / tc[4]79%
¶ 243 · tbl[3] / tr[7] / tc[5]↑
¶ 244 · tbl[3] / tr[8] / tc[1]No penalty exit
¶ 245 · tbl[3] / tr[8] / tc[2]% exits with zero fees/retaliation
¶ 246 · tbl[3] / tr[8] / tc[3]=100%
¶ 247 · tbl[3] / tr[8] / tc[4]95%
¶ 248 · tbl[3] / tr[8] / tc[5]→
¶ 249 · tbl[3] / tr[9] / tc[1]Complaints repaired ≤14d
¶ 250 · tbl[3] / tr[9] / tc[2]% complaints repaired within 14 days
¶ 251 · tbl[3] / tr[9] / tc[3]≥95%
¶ 252 · tbl[3] / tr[9] / tc[4]84%
¶ 253 · tbl[3] / tr[9] / tc[5]↑
¶ 254 · tbl[3] / tr[10] / tc[1]Promise-kept ratio
¶ 255 · tbl[3] / tr[10] / tc[2]Kept ÷ made (0-1)
¶ 256 · tbl[3] / tr[10] / tc[3]≥0.90
¶ 257 · tbl[3] / tr[10] / tc[4]0.93
¶ 258 · tbl[3] / tr[10] / tc[5]→
¶ 259 Owner: __________ Data source(s): Consent & reasons packs; AN justice liaison notes; Housing tenancy/crisis records; Provider rosters; Warm handover artefacts; Navigator logs; E‑receipts; Roster↔Claim; Complaints system; S‑8 publication log
AA-C25 · Psychotropic Stewardship in Community (AB-Templates)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C25_Psychotropic_Stewardship_in_Community_(AB-Templates)_v1.docx
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AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 1–12
¶ 1 - Document control - Template ID: AA-C25 - Psychotropic Stewardship in Community (AB- TEMPLATES) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C25 - Psychotropic Stewardship in Community (AB- TEMPLATES)
¶ 4What this title means (in plain words)
¶ 5Psychotropic medicines (e.g., antipsychotics, mood stabilisers, sedatives) are not behaviour-control tools. They are used only for the person’s health needs, after clear non-medicine supports are tried, with time limits, side-effect checks, and a step-down (deprescribing) plan. This crosswalk centres shared decisions, least-restrictive practice, and real-life monitoring (home, day program, work). AB-TEMPLATES supply shared-decision aids, monitoring charts, PRN governance, and deprescribing plans; hooks connect to D-2 (medicine reconciliation), B-1 (72-hour reviews when risk), IDDSI (mealtime safety), and S-8 (de-identified learning).
¶ 7This crosswalk is one of the most important pieces of information the white paper carries.
¶ 11Words we use (to avoid confusion)
¶ 12Medicine = a drug used for health benefit (preferred term).
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 13–22
¶ 13PRN = “as needed” medicine. If used primarily to control behaviour, it is chemical restraint and triggers a 72-hour learning review.
¶ 14Deprescribing = planned, supported reduction/cessation.
¶ 15Chemical restraint = giving a medicine mainly to restrict movement or control behaviour, not to treat a diagnosed condition.
¶ 19“Two Questions for the Psychiatrist” (person-first, least-restrictive)
¶ 20Why this exists. Psychology and psychiatry use different lenses; the best outcomes come when they’re combined. These two questions reliably surface non-medicine options and keep any medicine time-limited and purposeful.
¶ 21When to use. Any case conference, clinic review, ward round, or case note where a psychotropic is being started, continued, changed, or questioned. (Links: AB Stewardship; D-2 Med-Reconciliation; B-1 72-Hour Review; K/H/I Two-Key + R&W + Contradiction Matrix.)
¶ 22Ask every time
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 23–26
¶ 23“If we didn’t use this medicine, what specific behavioural, environmental, or communication supports would you prescribe instead - and what result would tell us they’re working?” • Log the non-medicine plan (AAC/communication; sensory adjustments; sleep/pain work-up; PBS strategies; participation goals). • Assign owners and dates; book a check-in.
¶ 25“If we do use this medicine, what’s the clear indication, target change, time-limit, and step-down plan - and which side-effects will we watch for first?” • Capture indication → measurable target (e.g., night panic <2×/week); review date; maximum duration without re-authorisation; deprescribing ladder; monitoring set (metabolic/falls/sedation/movement as indicated).
¶ 26Optional quick probes (use sparingly) Dose & duration • PRN thresholds (and 72-hour trigger) • Swallow/IDDSI & constipation risks • Which non-medicine steps, how long to judge effect • Capacity/consent (plain English/Auslan/AAC).
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 27–35
¶ 27Documentation & safety hooks Record in AB Stewardship Plan + R&W table; apply Two-Key for consequential calls; run D-2 ≤72h after changes; PRN-as-restraint → Tier-0 + B-1 review; update IDDSI plan; pharmacist home review; publish de-identified learning with small-cell suppression and S-8 change notes.
¶ 29What this means for the person and supporters
¶ 30Medicines are a last resort. You see reasons and options in plain words, can say no, and can bring a supporter.
¶ 31If a medicine is used, you get a simple plan: benefits hoped for, side-effects to watch, dose & time limits, and how we step down.
¶ 32Reviews are regular and coordinated with your GP, pharmacist, psychiatrist and supporters; changes are explained early and safely.
¶ 33What services must do (so the person doesn’t have to)
¶ 34Access & consent first. Offer interpreter/Auslan/AAC; use Easy Read choice sheets; record will & preferences/advance statement. (TEMPLATES L/M/N)
¶ 35Start with supports, not scripts. Prioritise communication access, sensory/environment tweaks, PBS plans, sleep/nutrition/structure, and pain/health checks. Document alternatives tried and results.
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 36–40
¶ 36Two-Key for consequential calls. Initiating/continuing psychotropics that affect liberty or function uses Two-Key with R&W and a Contradiction Matrix if accounts differ. (Appx K/H/I)
¶ 37Write a stewardship plan (AB). • Indication & goal (what will change; how measured) • Dose range & time-box (review/stop dates; max duration without re-authorisation) • Monitoring set (weight/BP, falls, sedation, movement; metabolic labs as indicated; anticholinergic burden; ECG only when clinically indicated) • PRN rules (clear thresholds; max in 24h/7d; not for staff convenience; Tier-0 alert if used as restraint) • Deprescribing ladder (what to reduce first, pace, who to call)
¶ 38If PRN acts like restraint → learn fast. PRN used primarily to control behaviour = 72-hour learning review + fade plan; strengthen alternatives. (B-1)
¶ 39Mealtime & IDDSI safety. Watch for dry mouth, swallow changes, constipation, dehydration; update mealtime plan and brief carers. (Appx Z)
¶ 40Medicine reconciliation at every transition. After ED/ward changes or provider switches, complete D-2 ≤72h; give a plain list to the person/family.
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 41–51
¶ 41Pharmacist co-pilot. Schedule a home medicine review; check interactions/duplication; co-sign deprescribing steps.
¶ 42Publish learning, protect privacy. Share aggregated improvements (PRN-as-RP ↓, deprescribing ↑) with small-cell suppression and S-8 notes. (Appx S/AL/R; S-8)
¶ 43No stockpiles, no autopilot. Lock PRNs in governance; track expiry; auto-prompts for review/step-down; never continue “because it’s on the chart.”
¶ 44Helpful artefacts (where to find them)
¶ 45AB-TEMPLATES: Shared-decision aid; PRN governance card; side-effect & benefit tracker; deprescribing plan; review scheduler.
¶ 46D-2: Medicine reconciliation pack. • B-1: 72-Hour Review & Fade Plan.
¶ 47K/H/I: Two-Key short form; Reasons & Weighting; Contradiction Matrix.
¶ 48Z: Mealtime/IDDSI prompts.
¶ 49R/S/AL/T & S-8: Privacy/DPIA; publication tiles & suppression; audit log & change notes.
¶ 50N/L/M: Communication access; Easy Read reasons; choice & teach-back scripts.
¶ 51Plain-language promise
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 52–74
¶ 52“We will try non-medicine options first, explain why a medicine is (or isn’t) needed in words you can read, set time limits and check for side-effects, and plan how to step down. If a quick-use medicine is ever used like restraint, we will review within 72 hours, strengthen alternatives, and show what changed - without identifying you.”
¶ 54Psychotropic stewardship (at a glance)
¶ 55 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 56 · tbl[1] / tr[1] / tc[2]Assess & decide
¶ 57 · tbl[1] / tr[1] / tc[3]Plan & start (if needed)
¶ 58 · tbl[1] / tr[1] / tc[4]Monitor & support
¶ 59 · tbl[1] / tr[1] / tc[5]Review & step down
¶ 60 · tbl[1] / tr[1] / tc[6]Handover & safety
¶ 61 · tbl[1] / tr[1] / tc[7]Learn & improve
¶ 62 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 63 · tbl[1] / tr[2] / tc[2]You share goals and what helps; supporters welcome; Easy Read used.
¶ 64 · tbl[1] / tr[2] / tc[3]You decide together; medicine only if needed and time-limited.
¶ 65 · tbl[1] / tr[2] / tc[4]You tell us how it’s going; side-effects checked.
¶ 66 · tbl[1] / tr[2] / tc[5]You can choose to step down; plan agreed.
¶ 67 · tbl[1] / tr[2] / tc[6]You receive conclusions in plain English and who to call.
¶ 68 · tbl[1] / tr[2] / tc[7]You can ask for another look anytime.
¶ 69 · tbl[1] / tr[3] / tc[1]GP / Prescriber
¶ 70 · tbl[1] / tr[3] / tc[2]GP checks physical health, triggers, trauma, environment; alternatives first (AB).
¶ 71 · tbl[1] / tr[3] / tc[3]Start plan: dose, reasons, side-effects, review date; communication plan (AB).
¶ 72 · tbl[1] / tr[3] / tc[4]GP/nurse check vitals; labs if indicated; dose holds allowed.
¶ 73 · tbl[1] / tr[3] / tc[5]GP schedules taper; reasons recorded; stop date targeted (AB).
¶ 74 · tbl[1] / tr[3] / tc[6]Handover to GP/ED if risks; safety net plan.
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 75–101
¶ 75 · tbl[1] / tr[3] / tc[7]GP audits prescribing; deprescribing attempts logged.
¶ 76 · tbl[1] / tr[4] / tc[1]Psychiatry (as needed)
¶ 77 · tbl[1] / tr[4] / tc[2]Psychiatry advice if complex/high risk.
¶ 78 · tbl[1] / tr[4] / tc[3]Second opinion if unsure; safeguards documented.
¶ 79 · tbl[1] / tr[4] / tc[4]Psychiatry telehealth as needed; risk checks.
¶ 80 · tbl[1] / tr[4] / tc[5]Psychiatry supports complex step‑downs.
¶ 81 · tbl[1] / tr[4] / tc[6]Specialist letters in plain language.
¶ 82 · tbl[1] / tr[4] / tc[7]Psychiatry/referrer debriefs themes.
¶ 83 · tbl[1] / tr[5] / tc[1]Pharmacy
¶ 84 · tbl[1] / tr[5] / tc[2]Pharmacy reviews interactions; texture-safe options if needed (IDDSI).
¶ 85 · tbl[1] / tr[5] / tc[3]D-2 med reconciliation started; supply arranged.
¶ 86 · tbl[1] / tr[5] / tc[4]Pharmacy packs/labels; teach‑back; interactions monitored.
¶ 87 · tbl[1] / tr[5] / tc[5]Pharmacy adjusts supply; disposal advice.
¶ 88 · tbl[1] / tr[5] / tc[6]Med list updated across providers (D-2).
¶ 89 · tbl[1] / tr[5] / tc[7]Pharmacy incident/side-effect learning.
¶ 90 · tbl[1] / tr[6] / tc[1]Allied Health / Behaviour Support
¶ 91 · tbl[1] / tr[6] / tc[2]Therapy/behaviour supports offered; daily routines checked.
¶ 92 · tbl[1] / tr[6] / tc[3]Environment/routine changes put in place.
¶ 93 · tbl[1] / tr[6] / tc[4]Allied health supports skills/participation; crisis plan.
¶ 94 · tbl[1] / tr[6] / tc[5]Therapy supports alternatives increased.
¶ 95 · tbl[1] / tr[6] / tc[6]Behaviour plan updated; mealtime/IDDSI noted.
¶ 96 · tbl[1] / tr[6] / tc[7]Allied health outcomes tracked.
¶ 97 · tbl[1] / tr[7] / tc[1]Provider / Support Worker
¶ 98 · tbl[1] / tr[7] / tc[2]Support workers log observations respectfully.
¶ 99 · tbl[1] / tr[7] / tc[3]Support workers briefed; what to watch; who to call.
¶ 100 · tbl[1] / tr[7] / tc[4]Support workers document outcomes without blame language.
¶ 101 · tbl[1] / tr[7] / tc[5]Support workers help with routines and monitoring.
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 102–134
¶ 102 · tbl[1] / tr[7] / tc[6]Work/education/community informed with consent.
¶ 103 · tbl[1] / tr[7] / tc[7]Provider training refreshers.
¶ 104 · tbl[1] / tr[8] / tc[1]Navigator (Access)
¶ 105 · tbl[1] / tr[8] / tc[2]Navigator arranges access and bookings.
¶ 106 · tbl[1] / tr[8] / tc[3]Navigator confirms transport/equipment.
¶ 107 · tbl[1] / tr[8] / tc[4]Navigator keeps reviews on time.
¶ 108 · tbl[1] / tr[8] / tc[5]Navigator closes loops; appointments met.
¶ 109 · tbl[1] / tr[8] / tc[6]Navigator checks promises kept.
¶ 110 · tbl[1] / tr[8] / tc[7]Navigator publishes de-identified update (S-8).
¶ 111 · tbl[1] / tr[9] / tc[1]Data & Integrity
¶ 112 · tbl[1] / tr[9] / tc[2]Privacy-safe IDs and e-receipts ready.
¶ 113 · tbl[1] / tr[9] / tc[3]Metrics and exceptions set up.
¶ 114 · tbl[1] / tr[9] / tc[4]Tiles show benefits vs harms indicators.
¶ 115 · tbl[1] / tr[9] / tc[5]Exceptions reviewed; learning shared safely.
¶ 116 · tbl[1] / tr[9] / tc[6]E-receipts reconcile roster↔claim.
¶ 117 · tbl[1] / tr[9] / tc[7]Data integrity assures small-cell suppression.
¶ 119Flow - Swimlane (DETAILED)
¶ 120 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 121 · tbl[2] / tr[1] / tc[2]Consent & Alternatives (AB)
¶ 122 · tbl[2] / tr[1] / tc[3]Start Plan & Safeguards
¶ 123 · tbl[2] / tr[1] / tc[4]Monitoring & Side‑effects
¶ 124 · tbl[2] / tr[1] / tc[5]Step‑down & Deprescribing
¶ 125 · tbl[2] / tr[1] / tc[6]Handover & Safety Nets
¶ 126 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 127 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 128 · tbl[2] / tr[2] / tc[2]Consent & privacy choices; what matters; alternatives tried first (AB; L/M; K-3).
¶ 129 · tbl[2] / tr[2] / tc[3]Understand reasons, benefits, harms, time‑limits; agree start plan (AB).
¶ 130 · tbl[2] / tr[2] / tc[4]Side‑effects diary; share outcomes; ask for pauses/holds.
¶ 131 · tbl[2] / tr[2] / tc[5]Choose step‑down pace; agree stop rules (AB).
¶ 132 · tbl[2] / tr[2] / tc[6]Plain summary; who to call; emergency plan.
¶ 133 · tbl[2] / tr[2] / tc[7]See de‑identified learning; ask for review (S-8).
¶ 134 · tbl[2] / tr[3] / tc[1]GP / Prescriber
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 135–153
¶ 135 · tbl[2] / tr[3] / tc[2]Clinical assessment; physical health baseline; contraindications; alternatives matrix (AB).
¶ 136 · tbl[2] / tr[3] / tc[3]Start plan incl. indication, target, maximum time, review date, labs; consent recorded (AB).
¶ 137 · tbl[2] / tr[3] / tc[4]Monitor vitals/labs; adjust dose; trigger B-1 for high‑risk changes; D-2 med rec. ≤72h.
¶ 138 · tbl[2] / tr[3] / tc[5]Deprescribing/taper plan; shared letter in plain English; safety net.
¶ 139 · tbl[2] / tr[3] / tc[6]Handover to pharmacy/psychiatry/ED/GP as needed; IDDSI if relevant.
¶ 140 · tbl[2] / tr[3] / tc[7]Audit prescribing; publish de‑identified changes (S-8).
¶ 141 · tbl[2] / tr[4] / tc[1]Psychiatry
¶ 142 · tbl[2] / tr[4] / tc[2]Consult for complex cases; trauma/behaviour context; capacity/consent support.
¶ 143 · tbl[2] / tr[4] / tc[3]Start safeguards for high‑risk meds; second opinion; risk appetite logged.
¶ 144 · tbl[2] / tr[4] / tc[4]Specialist monitoring guidance; side‑effect thresholds; QTc, weight, metabolic as relevant.
¶ 145 · tbl[2] / tr[4] / tc[5]Deprescribing/taper assistance; alternatives boosted.
¶ 146 · tbl[2] / tr[4] / tc[6]Specialist handover to GP/community supports.
¶ 147 · tbl[2] / tr[4] / tc[7]Case review themes to learning & training.
¶ 148 · tbl[2] / tr[5] / tc[1]Pharmacy
¶ 149 · tbl[2] / tr[5] / tc[2]Interactions; duplication; IDDSI/texture safety; adherence options.
¶ 150 · tbl[2] / tr[5] / tc[3]Supply with clear labels; teach‑back; blister/DAA packs as needed.
¶ 151 · tbl[2] / tr[5] / tc[4]D-2 med reconciliation ≤72h after changes; adverse reaction flag.
¶ 152 · tbl[2] / tr[5] / tc[5]Step‑down supply; disposal advice; monitoring reminders.
¶ 153 · tbl[2] / tr[5] / tc[6]Handover of updated med list; support worker brief as appropriate.
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 154–174
¶ 154 · tbl[2] / tr[5] / tc[7]Medication safety learning; publication-safe stats.
¶ 155 · tbl[2] / tr[6] / tc[1]Allied Health / Behaviour Support
¶ 156 · tbl[2] / tr[6] / tc[2]Prioritise non-pharma supports; environment/routine changes; skill building (AB).
¶ 157 · tbl[2] / tr[6] / tc[3]Document trials of alternatives; capacity building; carer coaching.
¶ 158 · tbl[2] / tr[6] / tc[4]Observe outcomes; ABC or equivalent logs; reduce restraint reliance.
¶ 159 · tbl[2] / tr[6] / tc[5]Boost alternatives during taper; relapse plan.
¶ 160 · tbl[2] / tr[6] / tc[6]Handover to GP/Provider; Easy Read summaries (L).
¶ 161 · tbl[2] / tr[6] / tc[7]Practice improvement; visible change log (S-8).
¶ 162 · tbl[2] / tr[7] / tc[1]Provider / Support Worker
¶ 163 · tbl[2] / tr[7] / tc[2]Receive accessible plan; competencies signed off; mealtime/IDDSI safety.
¶ 164 · tbl[2] / tr[7] / tc[3]Implement routines; trigger alerts on red flags; respectful notes (no blame).
¶ 165 · tbl[2] / tr[7] / tc[4]Track side‑effects and benefits; attend reviews; share examples.
¶ 166 · tbl[2] / tr[7] / tc[5]Assist step‑down; monitor wellbeing; community presence maintained.
¶ 167 · tbl[2] / tr[7] / tc[6]Confirm handovers; transport; interpreter as needed (N).
¶ 168 · tbl[2] / tr[7] / tc[7]Team debrief; update training and rosters.
¶ 169 · tbl[2] / tr[8] / tc[1]Navigator (Access)
¶ 170 · tbl[2] / tr[8] / tc[2]Access receipt; privacy-safe IDs; schedule reviews (T; N-1).
¶ 171 · tbl[2] / tr[8] / tc[3]Artefact inventory: consent, start plan, alternatives, handovers (T).
¶ 172 · tbl[2] / tr[8] / tc[4]Ensure labs/monitoring booked; remove barriers; promise‑kept ratio (T).
¶ 173 · tbl[2] / tr[8] / tc[5]Coordinate step‑down logistics; confirm follow-ups.
¶ 174 · tbl[2] / tr[8] / tc[6]Check safety nets; publish de‑identified update (S-8).
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 175–200
¶ 175 · tbl[2] / tr[8] / tc[7]Close loop with person; exception queue ageing.
¶ 176 · tbl[2] / tr[9] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 177 · tbl[2] / tr[9] / tc[2]Trigger: polypharmacy, off‑label without reasons, prolonged use without review, contested facts (M).
¶ 178 · tbl[2] / tr[9] / tc[3]Contradiction matrix; fairness tests; independent reasons review (M).
¶ 179 · tbl[2] / tr[9] / tc[4]Order repairs; deprescribing timetable; donor sunlight as needed.
¶ 180 · tbl[2] / tr[9] / tc[5]Close-out memo; lessons to publication (S-8).
¶ 181 · tbl[2] / tr[9] / tc[6]
¶ 182 · tbl[2] / tr[9] / tc[7]
¶ 183 · tbl[2] / tr[10] / tc[1]Data/Integrity (D-2, T, S-8)
¶ 184 · tbl[2] / tr[10] / tc[2]Case key; privacy-safe IDs; remove raw free‑text from claims (T).
¶ 185 · tbl[2] / tr[10] / tc[3]Tiles: med_rec_72h; review_on_time; adverse_event_rate; promise_kept_ratio (T).
¶ 186 · tbl[2] / tr[10] / tc[4]Reconcile roster↔claim; avoid duplicate billing; archive S-8 pack.
¶ 187 · tbl[2] / tr[10] / tc[5]DPIA alignment; small‑cell suppression in publications (R; S-8).
¶ 188 · tbl[2] / tr[10] / tc[6]
¶ 189 · tbl[2] / tr[10] / tc[7]
¶ 194How we measure ourselves (published quarterly)
¶ 195We publish simple results using counts. Mix of percentages, per‑100 contacts and days; brackets show the latest result and the bar gives a quick view.
¶ 196Access & Alternatives First
¶ 197• Alternatives tried before start - Latest: [ - ] █ (% starts with documented alternatives).
¶ 198• Right‑to‑reasons issued - Latest: [ - ] █ (% starts).
¶ 199• Time-to-privacy at review (minutes; lower) - Latest: [ - ] █.
¶ 200Safe Use & Monitoring
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 201–222
¶ 201• Medicine reconciliation ≤72h - Latest: [ - ] █ (% changes).
¶ 202• Monitoring on plan (labs/vitals) - Latest: [ - ] █ (% cycles).
¶ 203• Adverse effects explained in plain English - Latest: [ - ] █ (% with explanation).
¶ 204Deprescribing & Outcomes
¶ 205• Reviews on time - Latest: [ - ] █ (% due).
¶ 206• Step‑downs achieved as planned - Latest: [ - ] █ (%).
¶ 207• Restrictive practices minutes per 1,000 (lower) - Latest: [ - ] █.
¶ 208Learning & Trust
¶ 209• Complaints repaired ≤14 days - Latest: [ - ] █ (%).
¶ 210• Promise‑kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 211ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 216Example - What real results look like (illustrative)
¶ 217Access & Alternatives First (example)
¶ 218• Alternatives tried before start.................... [ 82% ] ██████████████████████████
¶ 219• Right‑to‑reasons issued........................... [ 91% ] ███████████████████████████████
¶ 220• Time-to-privacy at review (min; lower)............ [ 7 ] █████
¶ 221 Safe Use & Monitoring (example)
¶ 222• Medicine reconciliation ≤72h...................... [ 94% ] █████████████████████████████████
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 223–265
¶ 223• Monitoring on plan................................ [ 88% ] █████████████████████████████
¶ 224• Adverse effects explained......................... [ 90% ] ██████████████████████████████
¶ 225 Deprescribing & Outcomes (example)
¶ 226• Reviews on time................................... [ 86% ] ████████████████████████████
¶ 227• Step‑downs achieved as planned.................... [ 74% ] █████████████████████
¶ 228• Restrictive practices min/1,000 (lower)........... [ 21 ] ███████
¶ 229 Learning & Trust (example)
¶ 230• Complaints repaired ≤14 days...................... [ 85% ] ███████████████████████████
¶ 231• Promise‑kept ratio................................ [0.92 ] ███████████████████████████████████
¶ 234Example Metrics Table (replace with your actuals)
¶ 235 · tbl[3] / tr[1] / tc[1]Tile
¶ 236 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 237 · tbl[3] / tr[1] / tc[3]Target
¶ 238 · tbl[3] / tr[1] / tc[4]Current
¶ 239 · tbl[3] / tr[1] / tc[5]Trend
¶ 240 · tbl[3] / tr[2] / tc[1]Alternatives before start
¶ 241 · tbl[3] / tr[2] / tc[2]% starts with documented alternatives
¶ 242 · tbl[3] / tr[2] / tc[3]=100%
¶ 243 · tbl[3] / tr[2] / tc[4]82%
¶ 244 · tbl[3] / tr[2] / tc[5]↑
¶ 245 · tbl[3] / tr[3] / tc[1]Right‑to‑reasons issued
¶ 246 · tbl[3] / tr[3] / tc[2]% starts with plain-English reasons
¶ 247 · tbl[3] / tr[3] / tc[3]=100%
¶ 248 · tbl[3] / tr[3] / tc[4]91%
¶ 249 · tbl[3] / tr[3] / tc[5]→
¶ 250 · tbl[3] / tr[4] / tc[1]Time-to-privacy at review (min)
¶ 251 · tbl[3] / tr[4] / tc[2]Median minutes arrival→privacy (lower)
¶ 252 · tbl[3] / tr[4] / tc[3]≤6
¶ 253 · tbl[3] / tr[4] / tc[4]7
¶ 254 · tbl[3] / tr[4] / tc[5]↓
¶ 255 · tbl[3] / tr[5] / tc[1]Med reconciliation ≤72h
¶ 256 · tbl[3] / tr[5] / tc[2]% changes reconciled within 72h
¶ 257 · tbl[3] / tr[5] / tc[3]=100%
¶ 258 · tbl[3] / tr[5] / tc[4]94%
¶ 259 · tbl[3] / tr[5] / tc[5]→
¶ 260 · tbl[3] / tr[6] / tc[1]Monitoring on plan
¶ 261 · tbl[3] / tr[6] / tc[2]% cycles with required labs/vitals
¶ 262 · tbl[3] / tr[6] / tc[3]≥95%
¶ 263 · tbl[3] / tr[6] / tc[4]88%
¶ 264 · tbl[3] / tr[6] / tc[5]↑
¶ 265 · tbl[3] / tr[7] / tc[1]Adverse effects explained
AA-C25 · Psychotropic Stewardship in Community (AB-Templates) · paragraphs 266–296
¶ 266 · tbl[3] / tr[7] / tc[2]% contacts with plain explanation
¶ 267 · tbl[3] / tr[7] / tc[3]=100%
¶ 268 · tbl[3] / tr[7] / tc[4]90%
¶ 269 · tbl[3] / tr[7] / tc[5]↑
¶ 270 · tbl[3] / tr[8] / tc[1]Reviews on time
¶ 271 · tbl[3] / tr[8] / tc[2]% due reviews completed on schedule
¶ 272 · tbl[3] / tr[8] / tc[3]≥95%
¶ 273 · tbl[3] / tr[8] / tc[4]86%
¶ 274 · tbl[3] / tr[8] / tc[5]↑
¶ 275 · tbl[3] / tr[9] / tc[1]Step‑downs achieved
¶ 276 · tbl[3] / tr[9] / tc[2]% planned step‑downs delivered
¶ 277 · tbl[3] / tr[9] / tc[3]≥90%
¶ 278 · tbl[3] / tr[9] / tc[4]74%
¶ 279 · tbl[3] / tr[9] / tc[5]↑
¶ 280 · tbl[3] / tr[10] / tc[1]Restrictive practices min/1,000
¶ 281 · tbl[3] / tr[10] / tc[2]Minutes per 1,000 attendances (lower)
¶ 282 · tbl[3] / tr[10] / tc[3]↓ q/q
¶ 283 · tbl[3] / tr[10] / tc[4]21
¶ 284 · tbl[3] / tr[10] / tc[5]↓
¶ 285 · tbl[3] / tr[11] / tc[1]Complaints repaired ≤14d
¶ 286 · tbl[3] / tr[11] / tc[2]% complaints repaired on time
¶ 287 · tbl[3] / tr[11] / tc[3]≥95%
¶ 288 · tbl[3] / tr[11] / tc[4]85%
¶ 289 · tbl[3] / tr[11] / tc[5]↑
¶ 290 · tbl[3] / tr[12] / tc[1]Promise‑kept ratio
¶ 291 · tbl[3] / tr[12] / tc[2]Kept ÷ made (0-1)
¶ 292 · tbl[3] / tr[12] / tc[3]≥0.90
¶ 293 · tbl[3] / tr[12] / tc[4]0.92
¶ 294 · tbl[3] / tr[12] / tc[5]→
¶ 296Owner: __________ Data source(s): GP records; Psychiatry letters; Pharmacy reconciliation; Behaviour support plans; Provider notes; Navigator logs; E‑receipts; Roster↔Claim; Complaints system; S‑8 publication log
AA-C26 · Dental Desensitisation Pathway (AC-Templates)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C26_Dental_Desensitisation_Pathway_(AC-Templates)_v1.docx
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AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 1–6
¶ 1 - Document control - Template ID: AA-C26 - Dental Desensitisation Pathway (AC- TEMPLATES) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C26 - Dental Desensitisation Pathway (AC- TEMPLATES)
¶ 3What this title means (in plain words)
¶ 4Going to the dentist can be loud, bright and unpredictable. Desensitisation means we break the visit into small, safe steps (look → touch → sit in chair → clean → treatment), practise them first, and move at the person’s pace. We plan sensory supports, communication access, and breaks. If treatment needs more support, we escalate safely from community clinic to hospital dental with sedation/GA only when necessary and with clear reasons, checks and a step-down plan. AC-TEMPLATES include pre-visit planning, visual stories, stepwise exposure plans, sensory accommodations, and escalation checklists. Hooks: N (Interpreter/Auslan/AAC), L/M (plain reasons & alternatives), D-2 (medicine checks), R/S-8 (privacy & publication).
¶ 5What this means for the person and supporters
¶ 6You choose the pace and the steps. We agree a small next step and practise it; you can pause or go back.
AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 7–14
¶ 7Your sensory and communication needs are planned. Quiet room, dim lights, headphones, weighted items, visual schedule, interpreter/Auslan/AAC.
¶ 8Sedation or GA is a last resort. Used only when safer and after trying simpler steps; reasons and alternatives are explained in plain English/Easy Read, and a step-down plan is set.
¶ 9What services must do (so the person doesn’t have to)
¶ 10Access first. Offer interpreter/Auslan/AAC; prepare Easy Read/visual story of the visit; confirm consent preferences. (TEMPLATES N/L)
¶ 11Pre-visit planning. Use AC-P1 Desensitisation Planner to set goals, cues (sounds, smells, touch), practice items (mirror, toothbrush), and one next step.
¶ 12Stepwise exposure in clinic. Follow AC-S1 Step Ladder; log pass/try-again; allow flexible appointment length; schedule short, frequent visits rather than one long one.
¶ 13Sensory accommodations. Book quiet times; dim light; reduce smells; allow own music/headphones; use hand signals/Yes-No cards. (AC-A1 Sensory Checklist)
¶ 14Pain & health checks. Screen for pain, reflux, constipation, bruxism, trauma; adjust the plan; refer GP/SLP as needed.
AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 15–26
¶ 15Medicine safety. If considering anxiolytics/sedation/GA, complete D-2 Med Reconciliation, indication/target/time-limit, swallow/IDDSI risks, and post-sedation supports. Two-Key for consequential calls.
¶ 16Escalation ladder. Community clinic → Community clinic with short-acting anxiolytic → Hospital dental day case → Hospital dental with GA. Use AC-E1 Escalation Checklist; record reasons & alternatives (TEMPLATES L/M).
¶ 17Warm handovers. Share plain-language notes with GP, school/day program and supporters so the same cues are used everywhere. (TEMPLATES N)
¶ 18After-care. Send Easy Read after-care with pictures; book the next practice step within 2-4 weeks; update the desensitisation plan.
¶ 19Helpful artefacts (where to find them)
¶ 20AC-P1 Desensitisation Planner (goals, triggers, step ladder)
¶ 21AC-S1 Step Ladder & Visual Story (look → touch → sit → clean → treat)
¶ 22AC-A1 Sensory Checklist & Appointment Setup (lights, smells, sound, breaks)
¶ 23AC-E1 Escalation Checklist (community → hospital dental → GA)
¶ 24N Communication Access pack (interpreter/Auslan/AAC)
¶ 25L/M Plain reasons & alternatives; teach-back scripts
¶ 26D-2 Medicine reconciliation; sedation/GA safety hooks
AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 27–50
¶ 27R/S-8 Privacy/DPIA and publication (de-identified learning; small-cell suppression)
¶ 28Plain-language promise
¶ 29“We will move at your pace, explain every step in plain words and pictures, and make the room feel right for you. If stronger support (like sedation) is needed, we’ll explain why, set time limits and safety checks, and plan how to step back down. Your supporters are welcome.”
¶ 31Dental desensitisation (at a glance)
¶ 32 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 33 · tbl[1] / tr[1] / tc[2]Invite & prepare
¶ 34 · tbl[1] / tr[1] / tc[3]Practise & visit
¶ 35 · tbl[1] / tr[1] / tc[4]Assess & adjust
¶ 36 · tbl[1] / tr[1] / tc[5]Treat or step-up
¶ 37 · tbl[1] / tr[1] / tc[6]Handover & support
¶ 38 · tbl[1] / tr[1] / tc[7]Review & improve
¶ 39 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 40 · tbl[1] / tr[2] / tc[2]You choose goals; Easy Read/visual story sent; practice items listed (AC; L).
¶ 41 · tbl[1] / tr[2] / tc[3]You practise steps (home → clinic foyer → room). Supporter attends.
¶ 42 · tbl[1] / tr[2] / tc[4]You tell us what helped; adjustments made; no rush.
¶ 43 · tbl[1] / tr[2] / tc[5]You complete cleaning/treatment OR choose step-up path.
¶ 44 · tbl[1] / tr[2] / tc[6]You get plain summary and home-care steps.
¶ 45 · tbl[1] / tr[2] / tc[7]You can ask for changes anytime.
¶ 46 · tbl[1] / tr[3] / tc[1]Dental Clinic / Community Dentist
¶ 47 · tbl[1] / tr[3] / tc[2]Clinic books longer, quieter time; staff briefed on cues (AC; N).
¶ 48 · tbl[1] / tr[3] / tc[3]Clinic welcomes; same clinician where possible; short wins logged.
¶ 49 · tbl[1] / tr[3] / tc[4]Exam attempted; stop signal agreed; sensory kit available.
¶ 50 · tbl[1] / tr[3] / tc[5]Clinic performs simple treatment; or refers to hospital dental.
AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 51–76
¶ 51 · tbl[1] / tr[3] / tc[6]Clinic sends photos/simple instructions with consent.
¶ 52 · tbl[1] / tr[3] / tc[7]Clinic adjusts booking patterns and training.
¶ 53 · tbl[1] / tr[4] / tc[1]Allied Health (OT/SLT/Behaviour)
¶ 54 · tbl[1] / tr[4] / tc[2]OT/SLT advise sensory & communication supports; practice plan built.
¶ 55 · tbl[1] / tr[4] / tc[3]Allied health models coaching and breaks; AAC/Auslan used (N).
¶ 56 · tbl[1] / tr[4] / tc[4]Desensitisation step advanced if safe; or step back.
¶ 57 · tbl[1] / tr[4] / tc[5]Allied health prepares hospital cues if step-up.
¶ 58 · tbl[1] / tr[4] / tc[6]Allied health supports routines (brushing/floss).
¶ 59 · tbl[1] / tr[4] / tc[7]Allied health updates practice plan.
¶ 60 · tbl[1] / tr[5] / tc[1]GP / Pharmacy (as needed)
¶ 61 · tbl[1] / tr[5] / tc[2]GP/pharmacy check meds & allergy risks if likely sedation (D-2).
¶ 62 · tbl[1] / tr[5] / tc[3]Medication plan considered if needed (topical anaesthetic, pre-med).
¶ 63 · tbl[1] / tr[5] / tc[4]Risk check; emergency plan; consent refreshed.
¶ 64 · tbl[1] / tr[5] / tc[5]GP/pharmacy align pre-med/GA checklist and fasting (D-2).
¶ 65 · tbl[1] / tr[5] / tc[6]GP/pharmacy monitor any med effects.
¶ 66 · tbl[1] / tr[5] / tc[7]GP/pharmacy debrief if sedation used.
¶ 67 · tbl[1] / tr[6] / tc[1]Navigator (Access)
¶ 68 · tbl[1] / tr[6] / tc[2]Navigator helps with transport and funding (N-1).
¶ 69 · tbl[1] / tr[6] / tc[3]Navigator lines up next visits; reminders in chosen channel.
¶ 70 · tbl[1] / tr[6] / tc[4]Navigator checks consent & contacts current.
¶ 71 · tbl[1] / tr[6] / tc[5]Navigator books transport and follow-up.
¶ 72 · tbl[1] / tr[6] / tc[6]Navigator checks promises kept.
¶ 73 · tbl[1] / tr[6] / tc[7]Navigator publishes de-identified update (S-8).
¶ 74 · tbl[1] / tr[7] / tc[1]Data & Integrity
¶ 75 · tbl[1] / tr[7] / tc[2]Privacy-safe case key started.
¶ 76 · tbl[1] / tr[7] / tc[3]Tiles show practice and completion.
AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 77–103
¶ 77 · tbl[1] / tr[7] / tc[4]Exceptions queue monitored.
¶ 78 · tbl[1] / tr[7] / tc[5]E-receipts reconcile roster↔claim.
¶ 79 · tbl[1] / tr[7] / tc[6]Publication-safe learning prepared (S-8).
¶ 80 · tbl[1] / tr[7] / tc[7]Metrics inform next quarter.
¶ 84Flow - Swimlane (DETAILED)
¶ 85 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 86 · tbl[2] / tr[1] / tc[2]Consent & Visual Story (AC)
¶ 87 · tbl[2] / tr[1] / tc[3]Practice & Environment
¶ 88 · tbl[2] / tr[1] / tc[4]Session Delivery & Safety
¶ 89 · tbl[2] / tr[1] / tc[5]Step-up (Hospital Dental/GA)
¶ 90 · tbl[2] / tr[1] / tc[6]Handover & Home-Care
¶ 91 · tbl[2] / tr[1] / tc[7]Review, Learning & Publication
¶ 92 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 93 · tbl[2] / tr[2] / tc[2]Consent & preferences; who attends; stop signal; communication mode (K-3; N; AC).
¶ 94 · tbl[2] / tr[2] / tc[3]Home/community practice using visual story and kit (mirror, gloves, chair sounds) (AC).
¶ 95 · tbl[2] / tr[2] / tc[4]Session paced by you; breaks; teach-back of after-care (L).
¶ 96 · tbl[2] / tr[2] / tc[5]If step-up chosen: consent refreshed; reasons and alternatives recorded (M; AC).
¶ 97 · tbl[2] / tr[2] / tc[6]Receive Easy Read summary; daily routine plan for oral care (L; AC).
¶ 98 · tbl[2] / tr[2] / tc[7]Ask for review; de-identified publication (S-8).
¶ 99 · tbl[2] / tr[3] / tc[1]Dental Clinic / Community Dentist
¶ 100 · tbl[2] / tr[3] / tc[2]Prepare environment: quiet slot, dim lights, same staff; sensory kit; AAC board (N; AC).
¶ 101 · tbl[2] / tr[3] / tc[3]Graded exposure checklist; small wins; abandon rule without penalty (AC).
¶ 102 · tbl[2] / tr[3] / tc[4]Safety: infection control, aspiration risk, chair tolerance; emergency plan.
¶ 103 · tbl[2] / tr[3] / tc[5]Referral to hospital dental with clear reasons; pre-op checklist (D-2).
AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 104–123
¶ 104 · tbl[2] / tr[3] / tc[6]Provide photos/simple instructions; consented photo use only (R).
¶ 105 · tbl[2] / tr[3] / tc[7]Public-safe learning themes and training refreshers (S-8).
¶ 106 · tbl[2] / tr[4] / tc[1]Allied Health (OT/SLT/Behaviour)
¶ 107 · tbl[2] / tr[4] / tc[2]Assess sensory profile and communication; build visual story (AC).
¶ 108 · tbl[2] / tr[4] / tc[3]Coach carers/staff for practice; brushing routines; reinforcement schedules.
¶ 109 · tbl[2] / tr[4] / tc[4]In-session coaching; alternative positions; desensitisation ladder (AC).
¶ 110 · tbl[2] / tr[4] / tc[5]Prepare person/family for hospital path; recovery plan and cues.
¶ 111 · tbl[2] / tr[4] / tc[6]Home-care scripts; monitor skill generalisation.
¶ 112 · tbl[2] / tr[4] / tc[7]Publish learning (de-identified) and update kits.
¶ 113 · tbl[2] / tr[5] / tc[1]GP / Pharmacy
¶ 114 · tbl[2] / tr[5] / tc[2]Review medical risks; drug interactions; consent capacity support.
¶ 115 · tbl[2] / tr[5] / tc[3]Pre-med options; analgesia plans; IDDSI/mealtime if swallowing risk (D-2).
¶ 116 · tbl[2] / tr[5] / tc[4]Monitor vitals/adverse effects; document contraindications.
¶ 117 · tbl[2] / tr[5] / tc[5]GA pathway coordination with hospital dental; fasting and escort checklist (D-2).
¶ 118 · tbl[2] / tr[5] / tc[6]Handover back to community clinician; medication reconciliation.
¶ 119 · tbl[2] / tr[5] / tc[7]Contribute to publication-safe learning.
¶ 120 · tbl[2] / tr[6] / tc[1]Navigator (Access)
¶ 121 · tbl[2] / tr[6] / tc[2]Access receipt; privacy-safe IDs; transport and funding (N-1; T).
¶ 122 · tbl[2] / tr[6] / tc[3]Artefact inventory: consent, visual story, practice logs, checklists (T).
¶ 123 · tbl[2] / tr[6] / tc[4]Bookings; interpreters/Auslan/AAC as needed (N).
AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 124–149
¶ 124 · tbl[2] / tr[6] / tc[5]Coordinate hospital step-up logistics if used; confirm follow-ups.
¶ 125 · tbl[2] / tr[6] / tc[6]Promise-kept ratio; close loops; complaints repaired ≤14 days.
¶ 126 · tbl[2] / tr[6] / tc[7]Prepare public-safe update; visible change log (S-8).
¶ 127 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 128 · tbl[2] / tr[7] / tc[2]Trigger: repeated failed access, coercive practices, contested consent (M).
¶ 129 · tbl[2] / tr[7] / tc[3]Contradiction matrix; fairness tests; alternatives completeness (M; AC).
¶ 130 · tbl[2] / tr[7] / tc[4]Order repairs; time-box; donor sunlight where appropriate.
¶ 131 · tbl[2] / tr[7] / tc[5]Close-out memo; lessons to publication (S-8).
¶ 132 · tbl[2] / tr[7] / tc[6]
¶ 133 · tbl[2] / tr[7] / tc[7]
¶ 134 · tbl[2] / tr[8] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 135 · tbl[2] / tr[8] / tc[2]Case key; privacy-safe IDs; e-receipts ledger (T).
¶ 136 · tbl[2] / tr[8] / tc[3]Tiles: practice_steps_completed; successful_visit_rate; step-up_rate; promise_kept_ratio (T).
¶ 137 · tbl[2] / tr[8] / tc[4]Roster↔claim reconciliation; remove raw free-text from claims (T).
¶ 138 · tbl[2] / tr[8] / tc[5]DPIA; small-cell suppression in publications (R; S-8).
¶ 139 · tbl[2] / tr[8] / tc[6]
¶ 140 · tbl[2] / tr[8] / tc[7]
¶ 145How we measure ourselves (published quarterly)
¶ 146We publish simple results using counts. Mix of percentages and per-100 attendances; brackets show the latest result and the bar gives a quick view.
¶ 147Access & Preparation
¶ 148• Visual story provided - Latest: [ - ] █ (% eligible).
¶ 149• Practice steps completed - Latest: [ - ] █ (% with ≥3 steps practised).
AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 150–172
¶ 150• Time-to-privacy (minutes; lower) - Latest: [ - ] █.
¶ 151Session Delivery & Outcomes
¶ 152• Successful community visit - Latest: [ - ] █ (% visits achieving planned step).
¶ 153• Step-up to hospital dental - Latest: [ - ] █ (per 100 pathways; lower is better if avoidable).
¶ 154• Sedation/GA adverse events - Latest: [ - ] █ (per 100 step-ups; lower).
¶ 155Handover & Home-Care
¶ 156• Easy Read after-care issued - Latest: [ - ] █ (% visits).
¶ 157• Home brushing routine followed - Latest: [ - ] █ (% month with ≥5 days/week).
¶ 158• Complaints repaired ≤14 days - Latest: [ - ] █ (%).
¶ 159Learning & Trust
¶ 160• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 161ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 167Example - What real results look like (illustrative)
¶ 168Access & Preparation (example)
¶ 169• Visual story provided.............................. [ 93% ] █████████████████████████████████
¶ 170• Practice steps completed.......................... [ 78% ] ████████████████████████
¶ 171• Time-to-privacy (min; lower)...................... [ 7 ] █████
¶ 172 Session Delivery & Outcomes (example)
AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 173–219
¶ 173• Successful community visit......................... [ 71% ] █████████████████████
¶ 174• Step-up to hospital dental (/100; lower)........... [ 18 ] ██████████
¶ 175• Sedation/GA adverse events (/100; lower)........... [ 2 ] █
¶ 176 Handover & Home-Care (example)
¶ 177• Easy Read after-care issued........................ [ 92% ] ████████████████████████████████
¶ 178• Home brushing routine followed..................... [ 64% ] █████████████████
¶ 179• Complaints repaired ≤14 days....................... [ 86% ] ████████████████████████████
¶ 180 Learning & Trust (example)
¶ 181• Promise-kept ratio................................ [0.91 ] ██████████████████████████████████
¶ 184Example Metrics Table (replace with your actuals)
¶ 185 · tbl[3] / tr[1] / tc[1]Tile
¶ 186 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 187 · tbl[3] / tr[1] / tc[3]Target
¶ 188 · tbl[3] / tr[1] / tc[4]Current
¶ 189 · tbl[3] / tr[1] / tc[5]Trend
¶ 190 · tbl[3] / tr[2] / tc[1]Visual story provided
¶ 191 · tbl[3] / tr[2] / tc[2]% eligible contacts receiving a visual story
¶ 192 · tbl[3] / tr[2] / tc[3]=100%
¶ 193 · tbl[3] / tr[2] / tc[4]93%
¶ 194 · tbl[3] / tr[2] / tc[5]→
¶ 195 · tbl[3] / tr[3] / tc[1]Practice steps completed
¶ 196 · tbl[3] / tr[3] / tc[2]% with ≥3 practice steps before clinic
¶ 197 · tbl[3] / tr[3] / tc[3]≥90%
¶ 198 · tbl[3] / tr[3] / tc[4]78%
¶ 199 · tbl[3] / tr[3] / tc[5]↑
¶ 200 · tbl[3] / tr[4] / tc[1]Time-to-privacy (min)
¶ 201 · tbl[3] / tr[4] / tc[2]Median minutes arrival→privacy (lower)
¶ 202 · tbl[3] / tr[4] / tc[3]≤6
¶ 203 · tbl[3] / tr[4] / tc[4]7
¶ 204 · tbl[3] / tr[4] / tc[5]↓
¶ 205 · tbl[3] / tr[5] / tc[1]Successful community visit
¶ 206 · tbl[3] / tr[5] / tc[2]% visits achieving planned step
¶ 207 · tbl[3] / tr[5] / tc[3]≥85%
¶ 208 · tbl[3] / tr[5] / tc[4]71%
¶ 209 · tbl[3] / tr[5] / tc[5]↑
¶ 210 · tbl[3] / tr[6] / tc[1]Step-up to hospital dental (/100)
¶ 211 · tbl[3] / tr[6] / tc[2]Per 100 pathways (lower better if avoidable)
¶ 212 · tbl[3] / tr[6] / tc[3]↓ q/q
¶ 213 · tbl[3] / tr[6] / tc[4]18
¶ 214 · tbl[3] / tr[6] / tc[5]↓
¶ 215 · tbl[3] / tr[7] / tc[1]Sedation/GA adverse events (/100)
¶ 216 · tbl[3] / tr[7] / tc[2]Per 100 step-ups (lower)
¶ 217 · tbl[3] / tr[7] / tc[3]0
¶ 218 · tbl[3] / tr[7] / tc[4]2
¶ 219 · tbl[3] / tr[7] / tc[5]↓
AA-C26 · Dental Desensitisation Pathway (AC-Templates) · paragraphs 220–241
¶ 220 · tbl[3] / tr[8] / tc[1]Easy Read after-care issued
¶ 221 · tbl[3] / tr[8] / tc[2]% visits with after-care summary
¶ 222 · tbl[3] / tr[8] / tc[3]=100%
¶ 223 · tbl[3] / tr[8] / tc[4]92%
¶ 224 · tbl[3] / tr[8] / tc[5]→
¶ 225 · tbl[3] / tr[9] / tc[1]Home brushing routine followed
¶ 226 · tbl[3] / tr[9] / tc[2]% month with ≥5 days/week brushing
¶ 227 · tbl[3] / tr[9] / tc[3]↑ q/q
¶ 228 · tbl[3] / tr[9] / tc[4]64%
¶ 229 · tbl[3] / tr[9] / tc[5]↑
¶ 230 · tbl[3] / tr[10] / tc[1]Complaints repaired ≤14d
¶ 231 · tbl[3] / tr[10] / tc[2]% complaints repaired within 14 days
¶ 232 · tbl[3] / tr[10] / tc[3]≥95%
¶ 233 · tbl[3] / tr[10] / tc[4]86%
¶ 234 · tbl[3] / tr[10] / tc[5]↑
¶ 235 · tbl[3] / tr[11] / tc[1]Promise-kept ratio
¶ 236 · tbl[3] / tr[11] / tc[2]Kept ÷ made (0-1)
¶ 237 · tbl[3] / tr[11] / tc[3]≥0.90
¶ 238 · tbl[3] / tr[11] / tc[4]0.91
¶ 239 · tbl[3] / tr[11] / tc[5]→
¶ 241Owner: __________ Data source(s): Visual stories; Practice logs; Dental clinic bookings; OT/SLT notes; GP/pharmacy checks; Navigator logs; E-receipts; Roster↔Claim; Complaints system; S-8 publication log
AA-C27 · Financial Safety (AH-interface)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C27_Financial_Safety_(AH-interface)_v1.docx
Member SHA-256: ed2db83655c81d5d36db3eadcc889ff19dcf5b58ca7653feb678f00e396c8b3f
AA-C27 · Financial Safety (AH-interface) · paragraphs 1–6
¶ 1 - Document control - Template ID: AA-C27 - Financial Safety (AH- TEMPLATES interface) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C27 - Financial Safety (AH- TEMPLATES interface)
¶ 3What this title means (in plain words)
¶ 4Financial safety means your money, belongings and bills are handled the way you want, with clear consent, simple receipts, and fast fixes when things go wrong. It covers everyday cash, petty cash, purchasing, transport/meal money, rent and utilities, device plans, and claims. We prefer tap-and-trace over cash, and we match rosters ↔ e-receipts ↔ claims so numbers tell the same story. AH-TEMPLATES give step-by-step prompts for consent & limits, safe purchasing, petty-cash controls, travel/meal handling, rent/utilities/device plan rules, exception follow-up, and repayment. Hooks: K-3 (consent & preferences), L/M (plain reasons & fairness/alternatives), T (e-receipts & roster↔claim cross-checks), R (privacy/DPIA), S-8 (visible change notes).
¶ 5What this means for the person and supporters
¶ 6Your choices first. You set how money is handled (tap/card/cash), limits, who can help, and how you want updates.
AA-C27 · Financial Safety (AH-interface) · paragraphs 7–15
¶ 7Simple proof. You get easy-to-read receipts and balances you (or a nominee) can check anytime.
¶ 8Fast fixes. If something looks wrong, we pause, check, repay if needed, and tell you what changed. You can ask for a second look.
¶ 9What services must do (so the person doesn’t have to)
¶ 10Consent & limits up front. Record method (tap/card/cash), spend caps, supporters to notify, and how often to send summaries. (TEMPLATES K-3, AH-1)
¶ 11Prefer tap-and-trace. Use card/app with two-party e-receipts linked to roster and claim. Cash only when justified; log reason and reconciliation plan. (Appx T, AH-2)
¶ 12Clean petty-cash. Lock box + float ledger; two signatures for adds/withdrawals; receipt photo within 24-48h; weekly reconcile. (AH-3)
¶ 13Purchasing rules. Product list agreed; compare options; show price & warranty plainly; no staff personal accounts. (AH-4; TEMPLATES L/M)
¶ 14Transport & meals. Clear who pays for what; keep per-trip e-receipts; no rounding up; split rules applied. (AH-5, T)
¶ 15Rent, utilities, device plans. Written agreements in plain English/Easy Read; show total cost, exit options, and what happens if plans change. (AH-6; L/M)
AA-C27 · Financial Safety (AH-interface) · paragraphs 16–28
¶ 16Roster↔receipt↔claim match. Run weekly cross-checks; chase exceptions inside SLA; publish safe tiles (match-rate %, exception closure %). (Appx S, T)
¶ 17Two-Key for consequential changes. Any change that reduces supports, shifts who controls money, or introduces a new fee uses Two-Key with Reasons & Weighting and Contradiction Matrix if accounts differ. (Appendix K/H/I)
¶ 18Privacy first. Show summaries without names or full card numbers; apply small-cell suppression in public reporting. (Appendix R/S)
¶ 19Fix-forward + repay. If harm occurs: stop the pattern, repay, notify the person/nominee, log a visible S-8 change note, and review controls. (AH-7; S-8)
¶ 20Helpful artefacts (where to find them)
¶ 21AH-1 Consent & Limits sheet (who/what/how much/how often).
¶ 22AH-2 Tap-and-Trace setup + Cash-only justification form.
¶ 23AH-3 Petty-Cash Ledger & Weekly Reconciliation checklist.
¶ 24AH-4 Purchasing & Warranty checklist (with plain-price comparison).
¶ 25AH-5 Transport/Meal split rules + per-trip receipt prompt.
¶ 26AH-6 Rent/Utilities/Device Plan agreement (Easy Read).
¶ 27AH-7 Exception→Repayment flow (pause→verify→repay→change note).
¶ 28T Two-party e-receipt; roster↔claim cross-check; audit log hooks.
AA-C27 · Financial Safety (AH-interface) · paragraphs 29–53
¶ 29L/M Right-to-reasons & fairness alternatives (plain letters).
¶ 30R/S/S-8 Privacy/DPIA, suppression, and visible change notes.
¶ 31Plain-language promise
¶ 32“We will ask first, keep simple receipts, and match your time, receipts and claims. If something goes wrong, we will pause, fix and repay, and show what changed - in words you can read. Your money, your call.”
¶ 34Financial safety (at a glance)
¶ 35 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 36 · tbl[1] / tr[1] / tc[2]Agree & set up
¶ 37 · tbl[1] / tr[1] / tc[3]Spend & record
¶ 38 · tbl[1] / tr[1] / tc[4]Check & reconcile
¶ 39 · tbl[1] / tr[1] / tc[5]Repair & redress
¶ 40 · tbl[1] / tr[1] / tc[6]Publish & improve
¶ 41 · tbl[1] / tr[1] / tc[7]Assure & prevent
¶ 42 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 43 · tbl[1] / tr[2] / tc[2]You choose how money is handled (card/cash/app) and who can help (K-3; AH).
¶ 44 · tbl[1] / tr[2] / tc[3]You see prices and approve purchases in plain English.
¶ 45 · tbl[1] / tr[2] / tc[4]You or supporter can check balances anytime.
¶ 46 · tbl[1] / tr[2] / tc[5]You are repaid quickly if you are out of pocket; apology offered.
¶ 47 · tbl[1] / tr[2] / tc[6]You see a simple quarterly summary in plain English/ Easy Read.
¶ 48 · tbl[1] / tr[2] / tc[7]You can ask for another look anytime.
¶ 49 · tbl[1] / tr[3] / tc[1]Provider / Site Lead
¶ 50 · tbl[1] / tr[3] / tc[2]Site lead enables safe method (pre-paid card, spending limits, two-person checks) (AH; T).
¶ 51 · tbl[1] / tr[3] / tc[3]Provider authorises larger items in writing; petty cash signed out.
¶ 52 · tbl[1] / tr[3] / tc[4]Site lead reconciles weekly; exceptions queue opened (T).
¶ 53 · tbl[1] / tr[3] / tc[5]Provider fixes process and retrains; notifies OPA/Trustee if needed.
AA-C27 · Financial Safety (AH-interface) · paragraphs 54–75
¶ 54 · tbl[1] / tr[3] / tc[6]Provider publishes de-identified learning (S-8).
¶ 55 · tbl[1] / tr[3] / tc[7]Site lead runs spot checks and coaching.
¶ 56 · tbl[1] / tr[4] / tc[1]Worker / Support Team
¶ 57 · tbl[1] / tr[4] / tc[2]Workers briefed on receipts, photos, and daily limits (L).
¶ 58 · tbl[1] / tr[4] / tc[3]Worker pays; captures receipt/e-receipt; records who/what/why (T).
¶ 59 · tbl[1] / tr[4] / tc[4]Worker explains gaps; repairs begun where error found.
¶ 60 · tbl[1] / tr[4] / tc[5]Worker supported/coached; misconduct escalated per policy.
¶ 61 · tbl[1] / tr[4] / tc[6]Workers briefed on patterns and improvements.
¶ 62 · tbl[1] / tr[4] / tc[7]Workers rotate duties; no lone cash handling for large sums.
¶ 63 · tbl[1] / tr[5] / tc[1]Bank / Card / Wallet (as applicable)
¶ 64 · tbl[1] / tr[5] / tc[2]Card/app configured with alerts; cash tin sealed/numbered where used.
¶ 65 · tbl[1] / tr[5] / tc[3]Tap and trace preferred; cash only if necessary with duplicate records.
¶ 66 · tbl[1] / tr[5] / tc[4]Bank/app feed used to cross-check; missing receipts chased.
¶ 67 · tbl[1] / tr[5] / tc[5]Bank/app cards locked if risk; new limits applied.
¶ 68 · tbl[1] / tr[5] / tc[6]Bank/app settings tuned to reduce risk again.
¶ 69 · tbl[1] / tr[5] / tc[7]Bank/app audit logs retained; alerts tested.
¶ 70 · tbl[1] / tr[6] / tc[1]Navigator (Access)
¶ 71 · tbl[1] / tr[6] / tc[2]Navigator confirms transport/meal allowances and funding rules.
¶ 72 · tbl[1] / tr[6] / tc[3]Navigator helps with price comparisons and alternatives (M).
¶ 73 · tbl[1] / tr[6] / tc[4]Navigator audits high-risk items (devices, travel, subscriptions).
¶ 74 · tbl[1] / tr[6] / tc[5]Navigator verifies all handovers complete; rights explained (L).
¶ 75 · tbl[1] / tr[6] / tc[6]Navigator collects feedback; complaints channels open.
AA-C27 · Financial Safety (AH-interface) · paragraphs 76–103
¶ 76 · tbl[1] / tr[6] / tc[7]Navigator ensures fairness in repayments and repairs.
¶ 77 · tbl[1] / tr[7] / tc[1]Data & Integrity
¶ 78 · tbl[1] / tr[7] / tc[2]Privacy-safe IDs; e-receipts ledger started (T).
¶ 79 · tbl[1] / tr[7] / tc[3]Ledger entries created; duplicates flagged automatically.
¶ 80 · tbl[1] / tr[7] / tc[4]Roster↔claim reconciliation for billed supports (T).
¶ 81 · tbl[1] / tr[7] / tc[5]DPIA updated; S-8 visible change log prepared.
¶ 82 · tbl[1] / tr[7] / tc[6]Metrics reported; small-cell suppression guaranteed.
¶ 83 · tbl[1] / tr[7] / tc[7]Data/Integrity monitors exceptions ageing and trends.
¶ 87Flow - Swimlane (DETAILED)
¶ 88 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 89 · tbl[2] / tr[1] / tc[2]Consent & Setup (AH)
¶ 90 · tbl[2] / tr[1] / tc[3]Spending Rules & Evidence
¶ 91 · tbl[2] / tr[1] / tc[4]Reconciliation & Exceptions
¶ 92 · tbl[2] / tr[1] / tc[5]Redress & Notification
¶ 93 · tbl[2] / tr[1] / tc[6]Publication & Training (S-8)
¶ 94 · tbl[2] / tr[1] / tc[7]Escalation & Fairness (M)
¶ 95 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 96 · tbl[2] / tr[2] / tc[2]Consent preferences; weekly limits; who can authorise; contact method for checks (K-3; AH).
¶ 97 · tbl[2] / tr[2] / tc[3]Approve purchases; receive plain-English e-receipts; choose tap-and-trace where possible (L; T).
¶ 98 · tbl[2] / tr[2] / tc[4]See balances and exceptions; request explanations; safe complaint channel.
¶ 99 · tbl[2] / tr[2] / tc[5]If harmed: immediate repayment; apology; ability to seek independent review (M).
¶ 100 · tbl[2] / tr[2] / tc[6]Quarterly plain summary; small-cell safe publication (S-8).
¶ 101 · tbl[2] / tr[2] / tc[7]Escalate to DSC if fairness contested or delays harmful (M).
¶ 102 · tbl[2] / tr[3] / tc[1]Provider / Site Lead
¶ 103 · tbl[2] / tr[3] / tc[2]Enable preferred method (pre-paid card, wallet app, minimal cash); DPIA (R).
AA-C27 · Financial Safety (AH-interface) · paragraphs 104–119
¶ 104 · tbl[2] / tr[3] / tc[3]Rules: two-person checks over threshold; photo receipts; itemised purpose; fuel/transport logs; no personal accounts.
¶ 105 · tbl[2] / tr[3] / tc[4]Weekly reconciliation; exception queue with clock; roster↔claim cross-check (T).
¶ 106 · tbl[2] / tr[3] / tc[5]Redress: repay person within 5 business days; staff support/discipline; notify OPA/Trustee/regulator as required.
¶ 107 · tbl[2] / tr[3] / tc[6]Publish de-identified themes & fixes; refresh training; change forms (S-8).
¶ 108 · tbl[2] / tr[3] / tc[7]Invite DSC for contradiction matrix and fairness tests on hard cases (M).
¶ 109 · tbl[2] / tr[4] / tc[1]Worker / Support Team
¶ 110 · tbl[2] / tr[4] / tc[2]Follow etiquette; discuss choices and prices; never pressure.
¶ 111 · tbl[2] / tr[4] / tc[3]Capture receipts/e-receipts; write who/what/why; no cash kept overnight except secured petty cash.
¶ 112 · tbl[2] / tr[4] / tc[4]Submit daily; respond to exceptions quickly; coaching on errors.
¶ 113 · tbl[2] / tr[4] / tc[5]Assist repayments and apologies; confirm person satisfied.
¶ 114 · tbl[2] / tr[4] / tc[6]Attend refreshers; learn from publication themes.
¶ 115 · tbl[2] / tr[4] / tc[7]Raise concerns to DSC route if blocked.
¶ 116 · tbl[2] / tr[5] / tc[1]Bank/App/Card / Cash Handling
¶ 117 · tbl[2] / tr[5] / tc[2]Set spend limits; merchant blocks as needed; alerts to site lead and person where chosen.
¶ 118 · tbl[2] / tr[5] / tc[3]Prefer tap-and-trace; if cash used: log, dual sign-out, sealed tins, count-back routine.
¶ 119 · tbl[2] / tr[5] / tc[4]Provide feeds for reconciliation; lock card on risk; audit trail retained.
AA-C27 · Financial Safety (AH-interface) · paragraphs 120–140
¶ 120 · tbl[2] / tr[5] / tc[5]Chargebacks/disputes where applicable; fraud notifications.
¶ 121 · tbl[2] / tr[5] / tc[6]Provide statements for S-8 pack; remove personal identifiers before publish.
¶ 122 · tbl[2] / tr[5] / tc[7]Independent audit access for DSC if required.
¶ 123 · tbl[2] / tr[6] / tc[1]Navigator (Access)
¶ 124 · tbl[2] / tr[6] / tc[2]Access receipt; privacy-safe IDs; explain benefits and risks (N-1; T).
¶ 125 · tbl[2] / tr[6] / tc[3]Artefact inventory: consent, limits, receipts, logs, reconciliations (T).
¶ 126 · tbl[2] / tr[6] / tc[4]Assist comparisons for big purchases; ensure alternatives considered (M).
¶ 127 · tbl[2] / tr[6] / tc[5]Verify redress completed and on time; promise-kept ratio (T).
¶ 128 · tbl[2] / tr[6] / tc[6]Prepare plain public update; visible change log (S-8).
¶ 129 · tbl[2] / tr[6] / tc[7]Escalate unresolved items to DSC.
¶ 130 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 131 · tbl[2] / tr[7] / tc[2]Trigger: repeated losses, contested facts, refusal to repay, or systemic risk (M).
¶ 132 · tbl[2] / tr[7] / tc[3]Contradiction matrix; fairness tests; independence checks.
¶ 133 · tbl[2] / tr[7] / tc[4]Order repairs with time boxes; donor sunlight as appropriate.
¶ 134 · tbl[2] / tr[7] / tc[5]Close-out memo; lessons to publication.
¶ 135 · tbl[2] / tr[7] / tc[6]
¶ 136 · tbl[2] / tr[7] / tc[7]
¶ 137 · tbl[2] / tr[8] / tc[1]Data/Integrity (E-receipt, Roster↔Claim)
¶ 138 · tbl[2] / tr[8] / tc[2]Case key; privacy-safe IDs; e-receipt ledger; no raw free-text in claims (T).
¶ 139 · tbl[2] / tr[8] / tc[3]Tiles: offer_tap_and_trace; receipt_completion; reconciliation_on_time; exception_age; promise_kept_ratio (T).
¶ 140 · tbl[2] / tr[8] / tc[4]Roster↔claim reconciliation; detect duplicates/overlaps (T).
AA-C27 · Financial Safety (AH-interface) · paragraphs 141–168
¶ 141 · tbl[2] / tr[8] / tc[5]DPIA & small-cell suppression; S-8 archive and access logs (R; S-8).
¶ 142 · tbl[2] / tr[8] / tc[6]
¶ 143 · tbl[2] / tr[8] / tc[7]
¶ 149How we measure ourselves (published quarterly)
¶ 150We publish simple results using counts. Mix of percentages and days; brackets show the latest result and the bar gives a quick view.
¶ 151Access & Setup
¶ 152• Tap-and-trace offered - Latest: [ - ] █ (% new contacts).
¶ 153• Person-set limits in place - Latest: [ - ] █ (% contacts).
¶ 154• Time-to-privacy for first spend (minutes; lower) - Latest: [ - ] █.
¶ 155Evidence & Reconciliation
¶ 156• Receipt completion rate - Latest: [ - ] █ (% spends with valid receipt/e-receipt).
¶ 157• Reconciliations on time - Latest: [ - ] █ (% weeks).
¶ 158• Exception queue ageing (days; lower) - Latest: [ - ] █.
¶ 159Redress & Trust
¶ 160• Repayments within 5 business days - Latest: [ - ] █ (% cases).
¶ 161• Complaints repaired ≤14 days - Latest: [ - ] █ (%).
¶ 162• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 163ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 167Example - What real results look like (illustrative)
¶ 168Access & Setup (example)
AA-C27 · Financial Safety (AH-interface) · paragraphs 169–202
¶ 169• Tap-and-trace offered.............................. [ 96% ] ███████████████████████████████████
¶ 170• Person-set limits in place........................ [ 88% ] █████████████████████████████
¶ 171• Time-to-privacy first spend (min; lower).......... [ 5 ] █████
¶ 172 Evidence & Reconciliation (example)
¶ 173• Receipt completion rate........................... [ 93% ] █████████████████████████████████
¶ 174• Reconciliations on time........................... [ 90% ] ███████████████████████████████
¶ 175• Exception queue ageing (days; lower).............. [ 6 ] █████
¶ 176 Redress & Trust (example)
¶ 177• Repayments within 5 business days................. [ 89% ] █████████████████████████████
¶ 178• Complaints repaired ≤14 days...................... [ 86% ] ████████████████████████████
¶ 179• Promise-kept ratio................................ [0.92 ] ███████████████████████████████████
¶ 181Example Metrics Table (replace with your actuals)
¶ 182 · tbl[3] / tr[1] / tc[1]Tile
¶ 183 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 184 · tbl[3] / tr[1] / tc[3]Target
¶ 185 · tbl[3] / tr[1] / tc[4]Current
¶ 186 · tbl[3] / tr[1] / tc[5]Trend
¶ 187 · tbl[3] / tr[2] / tc[1]Tap-and-trace offered
¶ 188 · tbl[3] / tr[2] / tc[2]% new contacts where offered
¶ 189 · tbl[3] / tr[2] / tc[3]=100%
¶ 190 · tbl[3] / tr[2] / tc[4]96%
¶ 191 · tbl[3] / tr[2] / tc[5]→
¶ 192 · tbl[3] / tr[3] / tc[1]Person-set limits in place
¶ 193 · tbl[3] / tr[3] / tc[2]% contacts with limits configured
¶ 194 · tbl[3] / tr[3] / tc[3]=100%
¶ 195 · tbl[3] / tr[3] / tc[4]88%
¶ 196 · tbl[3] / tr[3] / tc[5]↑
¶ 197 · tbl[3] / tr[4] / tc[1]Time-to-privacy first spend (min)
¶ 198 · tbl[3] / tr[4] / tc[2]Median minutes (lower)
¶ 199 · tbl[3] / tr[4] / tc[3]≤6
¶ 200 · tbl[3] / tr[4] / tc[4]5
¶ 201 · tbl[3] / tr[4] / tc[5]→
¶ 202 · tbl[3] / tr[5] / tc[1]Receipt completion
AA-C27 · Financial Safety (AH-interface) · paragraphs 203–233
¶ 203 · tbl[3] / tr[5] / tc[2]% spends with valid receipt/e-receipt
¶ 204 · tbl[3] / tr[5] / tc[3]=100%
¶ 205 · tbl[3] / tr[5] / tc[4]93%
¶ 206 · tbl[3] / tr[5] / tc[5]→
¶ 207 · tbl[3] / tr[6] / tc[1]Reconciliations on time
¶ 208 · tbl[3] / tr[6] / tc[2]% weekly reconciliations completed on time
¶ 209 · tbl[3] / tr[6] / tc[3]≥95%
¶ 210 · tbl[3] / tr[6] / tc[4]90%
¶ 211 · tbl[3] / tr[6] / tc[5]↑
¶ 212 · tbl[3] / tr[7] / tc[1]Exception ageing (days)
¶ 213 · tbl[3] / tr[7] / tc[2]Median days cases remain open (lower)
¶ 214 · tbl[3] / tr[7] / tc[3]≤3
¶ 215 · tbl[3] / tr[7] / tc[4]6
¶ 216 · tbl[3] / tr[7] / tc[5]↓
¶ 217 · tbl[3] / tr[8] / tc[1]Repay ≤5 business days
¶ 218 · tbl[3] / tr[8] / tc[2]% repayments within 5 business days
¶ 219 · tbl[3] / tr[8] / tc[3]=100%
¶ 220 · tbl[3] / tr[8] / tc[4]89%
¶ 221 · tbl[3] / tr[8] / tc[5]↑
¶ 222 · tbl[3] / tr[9] / tc[1]Complaints repaired ≤14d
¶ 223 · tbl[3] / tr[9] / tc[2]% complaints repaired on time
¶ 224 · tbl[3] / tr[9] / tc[3]≥95%
¶ 225 · tbl[3] / tr[9] / tc[4]86%
¶ 226 · tbl[3] / tr[9] / tc[5]↑
¶ 227 · tbl[3] / tr[10] / tc[1]Promise-kept ratio
¶ 228 · tbl[3] / tr[10] / tc[2]Kept ÷ made (0-1)
¶ 229 · tbl[3] / tr[10] / tc[3]≥0.90
¶ 230 · tbl[3] / tr[10] / tc[4]0.92
¶ 231 · tbl[3] / tr[10] / tc[5]→
¶ 233Owner: __________ Data source(s): Consent/limits (AH); Cards/apps logs; Petty cash books; E-receipts; Roster↔Claim; Weekly reconciliation reports; Navigator audits; Complaints system; S-8 publication log; DPIA register
AA-C28 · Research & Evaluation Access (W-Templates)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C28_Research_&_Evaluation_Access_(W-Templates)_v1.docx
Member SHA-256: 08f84bc120b49e3db9a09be5033de898c5aacfc0ac4b0876c151cbb91d1f3e52
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 1–7
¶ 1 - Document control - Template ID: AA-C28 - Research & Evaluation Access (W- TEMPLATES) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C28 - Research & Evaluation Access (W- TEMPLATES)
¶ 3What this title means (in plain words)
¶ 4Research & evaluation access means people with cognitive disability can choose to take part in studies and service reviews safely: clear purpose, plain choices, opt-in only, the right to stop anytime, and results returned in words people can read. W-TEMPLATES provide consent/assent forms, supporter consent where lawful, Easy Read briefs, data-minimisation checklists, withdrawal scripts, and plain-language result sheets. Hooks: K-3 (consent & preferences), N (Interpreter/Auslan/AAC), L/M (reasons & alternatives), R (Privacy/DPIA), S-8 (small-cell publication & change notes).
¶ 5What this means for the person and supporters
¶ 6Your choice, your pace. You decide whether to join, what to share, and how we contact you. You can stop at any time - no penalties.
¶ 7Plain reasons. We explain why the study matters, what happens, risks/benefits, and alternatives in plain English/Easy Read (and in language/Auslan/AAC).
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 8–16
¶ 8Respect & return. Your identity is protected; you receive a simple summary of findings and what changed because of the study.
¶ 9What services must do (so the person doesn’t have to)
¶ 10Opt-in only. No automatic enrolment. Use W-1 Easy Read invitation + teach-back to confirm understanding. (W; L/M)
¶ 11Access first. Offer interpreter/Auslan/AAC; allow a supporter; provide multiple formats (text/audio/pictures). (N; W)
¶ 12Consent & assent. Record will/preferences; where substitute decision-making is lawful, use supported decision-making first and document the person’s own view. (K-3; W-2 Consent/Assent)
¶ 13Data minimisation. Collect the least data needed; avoid free-text identifiers; set retention & deletion dates. (R; W-3 DPIA mini-check)
¶ 14Small-cell safety. Suppress tiny groups; use coarse geography; publish de-identified aggregates only with S-8 change notes. (R/S-8)
¶ 15Withdrawal is easy. A one-step “stop now” option; delete or keep data per the person’s choice; confirm in writing. (W-4)
¶ 16Fair recognition. Offer reimbursement/thank-you that is fair but not coercive; explain it plainly. (W)
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 17–34
¶ 17Results back. Send a plain summary and “what changed” note to participants; log the public, de-identified release. (W-5; S-8)
¶ 18Two-Key for higher-risk decisions. Any protocol that could burden participants (extra visits, linking admin datasets) uses Two-Key with a short R&W note. (K; H)
¶ 19Complaints path. Provide an easy contact to raise concerns; respond in set timeframes; record fixes. (W; AG)
¶ 20Helpful artefacts (where to find them)
¶ 21W-1 Easy Read Invitation & Study Brief (with teach-back prompts)
¶ 22W-2 Consent & Assent Pack (person + supporter/guardian where lawful)
¶ 23W-3 DPIA Mini-Checklist (data minimisation & small-cell scan)
¶ 24W-4 One-Click Withdrawal Script & Confirmation note
¶ 25W-5 Plain-Language Results Sheet & “What changed” insert
¶ 26K-3 Preferences & contact rules · N Interpreter/Auslan/AAC booking
¶ 27L/M Reasons & alternatives letters · R/S-8 Privacy & publication safety
¶ 28Plain-language promise
¶ 29“We will ask first, explain why and what happens in words you can read (with interpreter/Auslan/AAC if you want), collect the least data, let you stop anytime, and send results back - without identifying you.”
¶ 31Research & evaluation access (at a glance)
¶ 32 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 33 · tbl[1] / tr[1] / tc[2]Invite & explain
¶ 34 · tbl[1] / tr[1] / tc[3]Consent & prepare
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 35–57
¶ 35 · tbl[1] / tr[1] / tc[4]Collect & protect
¶ 36 · tbl[1] / tr[1] / tc[5]Share back & handover
¶ 37 · tbl[1] / tr[1] / tc[6]Publish safely
¶ 38 · tbl[1] / tr[1] / tc[7]Improve & assure
¶ 39 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 40 · tbl[1] / tr[2] / tc[2]You receive an Easy Read invite; you can say yes, no or later (W; L).
¶ 41 · tbl[1] / tr[2] / tc[3]You set preferences: what to share, how to contact, who can be present (K-3).
¶ 42 · tbl[1] / tr[2] / tc[4]You choose where and how to take part (home, clinic, phone, online).
¶ 43 · tbl[1] / tr[2] / tc[5]You receive a simple summary first; then community update.
¶ 44 · tbl[1] / tr[2] / tc[6]Your identity remains protected; you can ask for removal if feasible.
¶ 45 · tbl[1] / tr[2] / tc[7]You can join future studies or opt out of invites.
¶ 46 · tbl[1] / tr[3] / tc[1]Researcher / Evaluator
¶ 47 · tbl[1] / tr[3] / tc[2]Researcher explains purpose, risks, alternatives, payments (if any).
¶ 48 · tbl[1] / tr[3] / tc[3]Consent/assent taken in plain language; you can withdraw anytime (W).
¶ 49 · tbl[1] / tr[3] / tc[4]Researcher collects only what’s needed; allows breaks; no pressure.
¶ 50 · tbl[1] / tr[3] / tc[5]Researcher closes loop and offers Q&A; interpreters used as needed.
¶ 51 · tbl[1] / tr[3] / tc[6]Researcher publishes de-identified results and methods (S-8).
¶ 52 · tbl[1] / tr[3] / tc[7]Researcher updates tools from feedback.
¶ 53 · tbl[1] / tr[4] / tc[1]Service / Site Lead
¶ 54 · tbl[1] / tr[4] / tc[2]Site lead checks independence and conflicts; safe space organised.
¶ 55 · tbl[1] / tr[4] / tc[3]Site lead coordinates rooms and timing; small thank-you if in policy.
¶ 56 · tbl[1] / tr[4] / tc[4]Site lead ensures right-to-reasons and safety support available (L).
¶ 57 · tbl[1] / tr[4] / tc[5]Site lead checks that actions are fed back into services.
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 58–85
¶ 58 · tbl[1] / tr[4] / tc[6]Service uses findings to improve; shares what changed.
¶ 59 · tbl[1] / tr[4] / tc[7]Service updates training and templates (W).
¶ 60 · tbl[1] / tr[5] / tc[1]Navigator (Access)
¶ 61 · tbl[1] / tr[5] / tc[2]Navigator offers interpreter/Auslan/AAC; transport options (N).
¶ 62 · tbl[1] / tr[5] / tc[3]Navigator removes barriers; reimbursements handled fairly.
¶ 63 · tbl[1] / tr[5] / tc[4]Navigator ensures access; supports if distress occurs.
¶ 64 · tbl[1] / tr[5] / tc[5]Navigator ensures warm handovers where findings affect care.
¶ 65 · tbl[1] / tr[5] / tc[6]Navigator supports complaints or second looks.
¶ 66 · tbl[1] / tr[5] / tc[7]Navigator tracks promise-kept ratio.
¶ 67 · tbl[1] / tr[6] / tc[1]Ethics / Governance
¶ 68 · tbl[1] / tr[6] / tc[2]Ethics/Governance confirm approvals and DPIA (R).
¶ 69 · tbl[1] / tr[6] / tc[3]Ethics notes any special conditions; community involvement.
¶ 70 · tbl[1] / tr[6] / tc[4]Ethics available if concerns; complaints path clear.
¶ 71 · tbl[1] / tr[6] / tc[5]Ethics approves de-identified publication with visible change log (S-8).
¶ 72 · tbl[1] / tr[6] / tc[6]Ethics/Governance report to Board/community.
¶ 73 · tbl[1] / tr[6] / tc[7]Ethics reviews consent patterns and fairness.
¶ 74 · tbl[1] / tr[7] / tc[1]Data & Integrity
¶ 75 · tbl[1] / tr[7] / tc[2]Data/Integrity sets privacy-safe IDs and storage rules.
¶ 76 · tbl[1] / tr[7] / tc[3]Data minimised; no raw identifiers in notes/claims.
¶ 77 · tbl[1] / tr[7] / tc[4]Data encrypted; small-cell suppression plan ready (S-8).
¶ 78 · tbl[1] / tr[7] / tc[5]Data/Integrity archives safely; access logs retained.
¶ 79 · tbl[1] / tr[7] / tc[6]Data/Integrity audits re-identification risk; DPIA refreshed.
¶ 80 · tbl[1] / tr[7] / tc[7]Metrics inform improvement next quarter.
¶ 84Flow - Swimlane (DETAILED)
¶ 85 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 86–107
¶ 86 · tbl[2] / tr[1] / tc[2]Invite & Consent (W; L/M)
¶ 87 · tbl[2] / tr[1] / tc[3]Participation & Support
¶ 88 · tbl[2] / tr[1] / tc[4]Data Handling & Security (R)
¶ 89 · tbl[2] / tr[1] / tc[5]Share-back & Action
¶ 90 · tbl[2] / tr[1] / tc[6]Publication (S-8)
¶ 91 · tbl[2] / tr[1] / tc[7]Escalation & Fairness (M)
¶ 92 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 93 · tbl[2] / tr[2] / tc[2]Receive Easy Read invite; choose yes/no/later; set contact preferences; support person welcome (W; K-3).
¶ 94 · tbl[2] / tr[2] / tc[3]Choose mode/place; interpreter/Auslan/AAC arranged if preferred (N).
¶ 95 · tbl[2] / tr[2] / tc[4]Review plain reasons and alternatives; can withdraw without penalty (L/M; W).
¶ 96 · tbl[2] / tr[2] / tc[5]Receive results summary; ask questions; see what changed (S-8).
¶ 97 · tbl[2] / tr[2] / tc[6]Request correction or removal where feasible; complaint path open.
¶ 98 · tbl[2] / tr[2] / tc[7]Escalate to DSC if fairness contested or promises not kept (M).
¶ 99 · tbl[2] / tr[3] / tc[1]Researcher / Evaluator
¶ 100 · tbl[2] / tr[3] / tc[2]Prepare participant materials (Easy Read, Auslan/AAC ready); consent/assent pack (W; L).
¶ 101 · tbl[2] / tr[3] / tc[3]Run respectful sessions; allow breaks; avoid leading questions; reimburse fairly where allowed.
¶ 102 · tbl[2] / tr[3] / tc[4]Minimise data; no raw identifiers; encryption & access logs (R).
¶ 103 · tbl[2] / tr[3] / tc[5]Share back early; co-interpret results with person/community.
¶ 104 · tbl[2] / tr[3] / tc[6]Publish de-identified methods, limits and change log (S-8).
¶ 105 · tbl[2] / tr[3] / tc[7]Invite DSC if conflicts or contested facts arise (M).
¶ 106 · tbl[2] / tr[4] / tc[1]Service / Site Lead
¶ 107 · tbl[2] / tr[4] / tc[2]Check independence and conflicts; ensure safe spaces and privacy.
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 108–127
¶ 108 · tbl[2] / tr[4] / tc[3]Support staff briefed; do not pressure participation; availability planned.
¶ 109 · tbl[2] / tr[4] / tc[4]DPIA alignment and vendor checks; retention/deletion schedules (R).
¶ 110 · tbl[2] / tr[4] / tc[5]Action tracker created; owners and due dates set.
¶ 111 · tbl[2] / tr[4] / tc[6]Approve publication pack; small-cell thresholds confirmed (S-8).
¶ 112 · tbl[2] / tr[4] / tc[7]DSC route available for hard cases; publish learning.
¶ 113 · tbl[2] / tr[5] / tc[1]Navigator (Access)
¶ 114 · tbl[2] / tr[5] / tc[2]Access receipt; privacy-safe IDs; transport and scheduling (N-1; T).
¶ 115 · tbl[2] / tr[5] / tc[3]Artefact inventory: consents, topic guides, data maps, results summaries (T).
¶ 116 · tbl[2] / tr[5] / tc[4]Remove barriers; supports during and after sessions; duty of care.
¶ 117 · tbl[2] / tr[5] / tc[5]Warm handovers if findings affect care; promise-kept ratio (T).
¶ 118 · tbl[2] / tr[5] / tc[6]Prepare public-safe update; visible change log (S-8).
¶ 119 · tbl[2] / tr[5] / tc[7]Escalate unresolved concerns to DSC.
¶ 120 · tbl[2] / tr[6] / tc[1]Ethics / Governance
¶ 121 · tbl[2] / tr[6] / tc[2]Ethics approval and conditions; lawful basis documented (R).
¶ 122 · tbl[2] / tr[6] / tc[3]Monitor complaints and adverse events; stop powers where needed.
¶ 123 · tbl[2] / tr[6] / tc[4]Audit data handling; third-party risk checks; breach drills.
¶ 124 · tbl[2] / tr[6] / tc[5]Require share-back before publication; community review where appropriate.
¶ 125 · tbl[2] / tr[6] / tc[6]Maintain S-8 log and small-cell suppression policies (S-8).
¶ 126 · tbl[2] / tr[6] / tc[7]Invite DSC for independence or fairness concerns.
¶ 127 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 128–151
¶ 128 · tbl[2] / tr[7] / tc[2]Trigger: pressured consent, re-identification risk, conflicts of interest, contested results (M).
¶ 129 · tbl[2] / tr[7] / tc[3]Contradiction matrix; fairness tests; independence checks.
¶ 130 · tbl[2] / tr[7] / tc[4]Order repairs; time-box; donor sunlight when appropriate.
¶ 131 · tbl[2] / tr[7] / tc[5]Close-out memo; lessons to publication (S-8).
¶ 132 · tbl[2] / tr[7] / tc[6]
¶ 133 · tbl[2] / tr[7] / tc[7]
¶ 134 · tbl[2] / tr[8] / tc[1]Data/Integrity (DPIA, S-8, T)
¶ 135 · tbl[2] / tr[8] / tc[2]Case key; privacy-safe IDs; e-receipts for reimbursements (T).
¶ 136 · tbl[2] / tr[8] / tc[3]Metrics tiles: consent_quality; withdrawal_rate; shareback_on_time; complaints_repaired; promise_kept_ratio (T).
¶ 137 · tbl[2] / tr[8] / tc[4]Archive datasets with retention rules; remove direct identifiers (R).
¶ 138 · tbl[2] / tr[8] / tc[5]Publication archive; visible change log maintenance (S-8).
¶ 139 · tbl[2] / tr[8] / tc[6]
¶ 140 · tbl[2] / tr[8] / tc[7]
¶ 143How we measure ourselves (published quarterly)
¶ 144We publish simple results using counts. Mix of percentages and days; brackets show the latest result and the bar gives a quick view.
¶ 145Access & Consent
¶ 146• Easy Read consent used - Latest: [ - ] █ (% participants).
¶ 147• Interpreter/Auslan/AAC provided - Latest: [ - ] █ (% who asked).
¶ 148• Withdrawal without penalty - Latest: [ - ] █ (% who withdrew and reported no penalty).
¶ 149Share-back & Publication
¶ 150• Share-back within 30 days - Latest: [ - ] █ (% studies).
¶ 151• S-8 publication complete - Latest: [ - ] █ (% eligible).
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 152–169
¶ 152• Small-cell suppression applied - Latest: [ - ] █ (% reports).
¶ 153Safety & Fairness
¶ 154• Complaints repaired ≤14 days - Latest: [ - ] █ (%).
¶ 155• Re-identification incidents - Latest: [ - ] █ (per 10,000; lower).
¶ 156• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 157ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 160Example - What real results look like (illustrative)
¶ 161Access & Consent (example)
¶ 162• Easy Read consent used............................. [ 95% ] ███████████████████████████████████
¶ 163• Interpreter/Auslan/AAC provided................... [ 91% ] ███████████████████████████████
¶ 164• Withdrawal without penalty........................ [ 100% ] ██████████████████████████████████████
¶ 165 Share-back & Publication (example)
¶ 166• Share-back within 30 days......................... [ 86% ] ████████████████████████████
¶ 167• S-8 publication complete.......................... [ 88% ] █████████████████████████████
¶ 168• Small-cell suppression applied.................... [ 100% ] ██████████████████████████████████████
¶ 169 Safety & Fairness (example)
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 170–226
¶ 170• Complaints repaired ≤14 days...................... [ 87% ] ████████████████████████████
¶ 171• Re-identification incidents (/10k; lower)......... [ 0.0 ] █
¶ 172• Promise-kept ratio................................ [0.93 ] ███████████████████████████████████
¶ 175Example Metrics Table (replace with your actuals)
¶ 176 · tbl[3] / tr[1] / tc[1]Tile
¶ 177 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 178 · tbl[3] / tr[1] / tc[3]Target
¶ 179 · tbl[3] / tr[1] / tc[4]Current
¶ 180 · tbl[3] / tr[1] / tc[5]Trend
¶ 181 · tbl[3] / tr[2] / tc[1]Easy Read consent
¶ 182 · tbl[3] / tr[2] / tc[2]% participants with Easy Read consent/assent
¶ 183 · tbl[3] / tr[2] / tc[3]=100%
¶ 184 · tbl[3] / tr[2] / tc[4]95%
¶ 185 · tbl[3] / tr[2] / tc[5]→
¶ 186 · tbl[3] / tr[3] / tc[1]Interpreter/Auslan/AAC
¶ 187 · tbl[3] / tr[3] / tc[2]% who asked and received communication support
¶ 188 · tbl[3] / tr[3] / tc[3]=100%
¶ 189 · tbl[3] / tr[3] / tc[4]91%
¶ 190 · tbl[3] / tr[3] / tc[5]↑
¶ 191 · tbl[3] / tr[4] / tc[1]Withdrawal w/o penalty
¶ 192 · tbl[3] / tr[4] / tc[2]% withdrawals reporting no penalty
¶ 193 · tbl[3] / tr[4] / tc[3]=100%
¶ 194 · tbl[3] / tr[4] / tc[4]100%
¶ 195 · tbl[3] / tr[4] / tc[5]→
¶ 196 · tbl[3] / tr[5] / tc[1]Share-back ≤30 days
¶ 197 · tbl[3] / tr[5] / tc[2]% studies shared back within 30 days
¶ 198 · tbl[3] / tr[5] / tc[3]=100%
¶ 199 · tbl[3] / tr[5] / tc[4]86%
¶ 200 · tbl[3] / tr[5] / tc[5]↑
¶ 201 · tbl[3] / tr[6] / tc[1]S-8 publication complete
¶ 202 · tbl[3] / tr[6] / tc[2]% eligible studies published de-identified
¶ 203 · tbl[3] / tr[6] / tc[3]=100%
¶ 204 · tbl[3] / tr[6] / tc[4]88%
¶ 205 · tbl[3] / tr[6] / tc[5]↑
¶ 206 · tbl[3] / tr[7] / tc[1]Small-cell suppression
¶ 207 · tbl[3] / tr[7] / tc[2]% reports applying small-cell suppression
¶ 208 · tbl[3] / tr[7] / tc[3]=100%
¶ 209 · tbl[3] / tr[7] / tc[4]100%
¶ 210 · tbl[3] / tr[7] / tc[5]→
¶ 211 · tbl[3] / tr[8] / tc[1]Complaints repaired ≤14d
¶ 212 · tbl[3] / tr[8] / tc[2]% complaints repaired within 14 days
¶ 213 · tbl[3] / tr[8] / tc[3]≥95%
¶ 214 · tbl[3] / tr[8] / tc[4]87%
¶ 215 · tbl[3] / tr[8] / tc[5]↑
¶ 216 · tbl[3] / tr[9] / tc[1]Re-identification incidents
¶ 217 · tbl[3] / tr[9] / tc[2]Per 10k participants (lower)
¶ 218 · tbl[3] / tr[9] / tc[3]0
¶ 219 · tbl[3] / tr[9] / tc[4]0.0
¶ 220 · tbl[3] / tr[9] / tc[5]→
¶ 221 · tbl[3] / tr[10] / tc[1]Promise-kept ratio
¶ 222 · tbl[3] / tr[10] / tc[2]Kept ÷ made (0-1)
¶ 223 · tbl[3] / tr[10] / tc[3]≥0.90
¶ 224 · tbl[3] / tr[10] / tc[4]0.93
¶ 225 · tbl[3] / tr[10] / tc[5]→
AA-C28 · Research & Evaluation Access (W-Templates) · paragraphs 227–227
¶ 227Owner: __________ Data source(s): Consent/assent packs (W); Ethics/Governance approvals; Research logs; Easy Read materials; Interpreter/AAC bookings; Share-back summaries; Publication (S-8) archive; DPIA register; Complaints system; Navigator logs
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C29_Tele-OSCE_&_Rural_Micro-Hub_(P-Templates)_v1.docx
Member SHA-256: b09c8d7d785da7b9e5d2e33b4b2ad96ed1ad87f76d9fece66f4ba69a5c862dcd
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 1–12
¶ 1 - Document control - Template ID: AA-C29 - Tele-OSCE & Rural Micro-Hub (P- TEMPLATES) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C29 - Tele-OSCE & Rural Micro-Hub (P- TEMPLATES)
¶ 3What this title means (in plain words)
¶ 4Tele-OSCE means practising real safety skills on video with an examiner (e.g., mealtime/IDDSI, de-escalation, seizure response, safe transfers, right-to-reasons conversation).
¶ 5Tele-OSCE - definition (plain words) A Tele-OSCE (tele-objective structured clinical examination) is a live, video-based skills check. A worker performs a short, scripted scenario (e.g., safe mealtime/IDDSI, seizure response, de-escalation, right-to-reasons talk) while an examiner observes on video using a standard checklist and pass criteria.
¶ 6What it includes
¶ 7Real-time practice: timed stations (5-12 min) with prompts and role-players.
¶ 8Standard scoring: rubrics with critical errors and minimum pass marks.
¶ 9Feedback & re-try: immediate coaching, with re-assessment if needed.
¶ 10Access built in: interpreter/Auslan/AAC allowed; plain-language reasoning required.
¶ 11Privacy: no person-identifiers; recordings only if consented and DPIA-cleared.
¶ 12Why it’s used
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 13–20
¶ 13Brings fair, repeatable competence checks to rural/remote teams.
¶ 14Tests what workers do, not just what they say - before solo practice.
¶ 15Links directly to safety stations (IDDSI, seizure, medication handover) and renewal cycles.
¶ 16Minimum setup Stable video, timer, station scripts, checklists/rubrics, trained examiner, consent/privacy guardrails, and a currency tracker so no one works with an expired station.
¶ 17 Rural micro-hubs are small local rooms with the gear to practise, be observed, and keep skills current - so people don’t have to travel to the city. P-TEMPLATES provide scenario scripts, checklists, pass criteria, coaching notes, booking sheets, and currency trackers. Hooks: N (Interpreter/Auslan/AAC), D-2 (medicine checks), T (training e-receipt/roster match), R/S-8 (privacy & small-cell publication), U (red-team drills).
¶ 18What this means for the person and supporters
¶ 19Skills that matter to you. Your local team practises the exact supports you need; you can watch, give feedback, and nominate priorities.
¶ 20Fair checks, no surprises. Competence is checked against clear standards with plain-language results; retraining happens before problems occur.
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 21–31
¶ 21Closer to home. Micro-hubs cut travel; interpreters/AAC are offered for you and for staff where needed.
¶ 22What services must do (so the person doesn’t have to)
¶ 23Build a hub that works. Quiet room, stable video, timer, practice kit (thickener & IDDSI tools, transfer belt, seizure manikin/timer, PPE, AAC boards). (P)
¶ 24Practice the real case. Use your actual plans: mealtime level, seizure protocol, de-escalation cues, medication/hand-over steps. (P; D-2)
¶ 25Book & track currency. Each worker’s required stations, last pass date, next-due date; no solo work on an expired station. (P)
¶ 26Coach with access. Offer Interpreter/Auslan/AAC during coached conversations; practise “plain reasons & choices”. (N; L/M)
¶ 27Record without PII. Store results as scores + initials/IDs; publish only de-identified tiles with small-cell suppression. (R/S-8)
¶ 28Pay and roster cleanly. Log training via e-receipts; cross-check with roster; show time spent on safety skills. (T)
¶ 29Drill, then fix. Run red-team micro-scenarios after incidents; retrain and re-check within 30 days. (U)
¶ 30Helpful artefacts (where to find them)
¶ 31P-1 Scenario & Station Pack (IDDSI, seizure, transfer, de-escalation, right-to-reasons)
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 32–59
¶ 32P-2 Tele-OSCE Booking Sheet & Tech Check
¶ 33P-3 Pass/Fail Rubrics & Critical-error lists
¶ 34P-4 Currency Tracker (per worker/per station)
¶ 35P-5 Coaching Notes & Feedback script (with teach-back)
¶ 36P-6 Privacy Mini-DPIA & Small-cell check (R/S-8)
¶ 37P-7 Training e-Receipt & Roster Cross-check (T)
¶ 38P-8 Red-Team Drill Card (U)
¶ 39Plain-language promise
¶ 40“We will practise the skills that matter to you, check them fairly, and fix gaps quickly - close to home and with interpreters/AAC when needed. Your privacy is protected; only safe, de-identified results are shared.”
¶ 42Tele‑OSCE & micro‑hub (at a glance)
¶ 43 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 44 · tbl[1] / tr[1] / tc[2]Pick skills & book
¶ 45 · tbl[1] / tr[1] / tc[3]Set up & practise
¶ 46 · tbl[1] / tr[1] / tc[4]Assess & coach
¶ 47 · tbl[1] / tr[1] / tc[5]Certify & roster
¶ 48 · tbl[1] / tr[1] / tc[6]Share back & handover
¶ 49 · tbl[1] / tr[1] / tc[7]Improve & assure
¶ 50 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 51 · tbl[1] / tr[2] / tc[2]You tell us the skills that matter (e.g., seizures, IDDSI, communication).
¶ 52 · tbl[1] / tr[2] / tc[3]You can join or nominate a supporter to observe.
¶ 53 · tbl[1] / tr[2] / tc[4]You see the test and coach’s feedback in plain language.
¶ 54 · tbl[1] / tr[2] / tc[5]You confirm priorities for next month/quarter.
¶ 55 · tbl[1] / tr[2] / tc[6]You receive a simple summary of what improved.
¶ 56 · tbl[1] / tr[2] / tc[7]You can ask for different focus any time.
¶ 57 · tbl[1] / tr[3] / tc[1]Local Team / Micro‑Hub
¶ 58 · tbl[1] / tr[3] / tc[2]Micro‑hub books a session; kits checked; privacy & consent set (R; K‑3).
¶ 59 · tbl[1] / tr[3] / tc[3]Warm‑up practice; simulate local environment; equipment ready.
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 60–83
¶ 60 · tbl[1] / tr[3] / tc[4]Team performs OSCE; roles rotate; debrief after each station.
¶ 61 · tbl[1] / tr[3] / tc[5]Team repeats practice; closes gaps with buddying.
¶ 62 · tbl[1] / tr[3] / tc[6]Team receives certificates and expiry dates (P).
¶ 63 · tbl[1] / tr[3] / tc[7]Team refreshers scheduled before expiry.
¶ 64 · tbl[1] / tr[4] / tc[1]Remote Coach / Assessor
¶ 65 · tbl[1] / tr[4] / tc[2]Coach prepares Tele‑OSCE case & checklist (P).
¶ 66 · tbl[1] / tr[4] / tc[3]Coach connects by video; expectations explained plainly.
¶ 67 · tbl[1] / tr[4] / tc[4]Assessor marks checklist; gives tips; flags gaps (P).
¶ 68 · tbl[1] / tr[4] / tc[5]Assessor verifies competence; issues currency window.
¶ 69 · tbl[1] / tr[4] / tc[6]Coach offers group learning session if themes appear.
¶ 70 · tbl[1] / tr[4] / tc[7]Coach rotates cases; fairness checks.
¶ 71 · tbl[1] / tr[5] / tc[1]Service / Site Lead
¶ 72 · tbl[1] / tr[5] / tc[2]Site lead schedules staff and backfill; roster cost recorded (T).
¶ 73 · tbl[1] / tr[5] / tc[3]Lead ensures safe space; no blame; learning focus.
¶ 74 · tbl[1] / tr[5] / tc[4]Lead records provisional results; plans coaching time.
¶ 75 · tbl[1] / tr[5] / tc[5]Lead updates roster so only competent staff are assigned.
¶ 76 · tbl[1] / tr[5] / tc[6]Lead aligns training with incidents and complaints (U).
¶ 77 · tbl[1] / tr[5] / tc[7]Lead audits roster vs currency; fixes fast (T).
¶ 78 · tbl[1] / tr[6] / tc[1]Navigator (Access)
¶ 79 · tbl[1] / tr[6] / tc[2]Navigator arranges transport/tech and interpreters/AAC (N).
¶ 80 · tbl[1] / tr[6] / tc[3]Navigator removes barriers and logs issues.
¶ 81 · tbl[1] / tr[6] / tc[4]Navigator books follow‑ups if gaps affect current supports.
¶ 82 · tbl[1] / tr[6] / tc[5]Navigator completes warm handovers to GP/ED/Provider as needed.
¶ 83 · tbl[1] / tr[6] / tc[6]Navigator checks promises kept and confidence gained.
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 84–113
¶ 84 · tbl[1] / tr[6] / tc[7]Navigator collects community feedback.
¶ 85 · tbl[1] / tr[7] / tc[1]Data & Integrity
¶ 86 · tbl[1] / tr[7] / tc[2]Data/Integrity starts privacy‑safe IDs; recording rules stated (R).
¶ 87 · tbl[1] / tr[7] / tc[3]Tiles prime: competence_currency; exception_age.
¶ 88 · tbl[1] / tr[7] / tc[4]Metrics updated; exceptions queue opened.
¶ 89 · tbl[1] / tr[7] / tc[5]Publication‑safe learning prepared (S‑8).
¶ 90 · tbl[1] / tr[7] / tc[6]Quarterly metrics published de‑identified (S‑8).
¶ 91 · tbl[1] / tr[7] / tc[7]Data/Integrity assures small‑cell suppression.
¶ 94Flow - Swimlane (DETAILED)
¶ 95 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 96 · tbl[2] / tr[1] / tc[2]Consent & Focus (P)
¶ 97 · tbl[2] / tr[1] / tc[3]Set‑up & Simulation
¶ 98 · tbl[2] / tr[1] / tc[4]OSCE Stations & Marking
¶ 99 · tbl[2] / tr[1] / tc[5]Certification & Roster
¶ 100 · tbl[2] / tr[1] / tc[6]Handover & Share‑back
¶ 101 · tbl[2] / tr[1] / tc[7]Escalation & Fairness
¶ 102 · tbl[2] / tr[1] / tc[8]Assurance & Publication
¶ 103 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 104 · tbl[2] / tr[2] / tc[2]Consent & preferences; skills priority list; interpreter/Auslan/AAC if needed (K‑3; N; P).
¶ 105 · tbl[2] / tr[2] / tc[3]Local cues provided (photos, routines); agree if session is recorded for learning (R).
¶ 106 · tbl[2] / tr[2] / tc[4]Observe OSCE; feedback invited; right‑to‑reasons for results (L).
¶ 107 · tbl[2] / tr[2] / tc[5]See certificate summary; ask for second look if not satisfied (M).
¶ 108 · tbl[2] / tr[2] / tc[6]Receive plain summary of improvements and contact for help (S‑8).
¶ 109 · tbl[2] / tr[2] / tc[7]Escalate to DSC for fairness concerns (M).
¶ 110 · tbl[2] / tr[2] / tc[8]
¶ 111 · tbl[2] / tr[3] / tc[1]Local Team / Micro‑Hub
¶ 112 · tbl[2] / tr[3] / tc[2]Room, bandwidth, devices tested; kits ready (seizure, IDDSI, transfer, de‑escalation).
¶ 113 · tbl[2] / tr[3] / tc[3]Sim scenario brief; roles and safety officer assigned; privacy notices displayed (R; P).
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 114–135
¶ 114 · tbl[2] / tr[3] / tc[4]Run stations; mark local checklists; debrief; action plan for gaps.
¶ 115 · tbl[2] / tr[3] / tc[5]Submit evidence to coach; receive currency window (e.g., 6-12 months by skill).
¶ 116 · tbl[2] / tr[3] / tc[6]Create handover notes to roster/training; book refreshers before expiry.
¶ 117 · tbl[2] / tr[3] / tc[7]Call DSC if marking disputed or barriers persist (M).
¶ 118 · tbl[2] / tr[3] / tc[8]
¶ 119 · tbl[2] / tr[4] / tc[1]Remote Coach / Assessor
¶ 120 · tbl[2] / tr[4] / tc[2]Prepare OSCE scripts and checklists; calibrate with site lead (P).
¶ 121 · tbl[2] / tr[4] / tc[3]Observe via video; ensure accessibility; avoid bias; record (where consented).
¶ 122 · tbl[2] / tr[4] / tc[4]Mark objectively; feedback using strengths‑first style; set clear next steps.
¶ 123 · tbl[2] / tr[4] / tc[5]Confirm certification and expiry dates by skill; note conditional pass if needed (P).
¶ 124 · tbl[2] / tr[4] / tc[6]Provide plain‑English report for share‑back and S‑8.
¶ 125 · tbl[2] / tr[4] / tc[7]Refer disputes to DSC; run fairness checks.
¶ 126 · tbl[2] / tr[4] / tc[8]
¶ 127 · tbl[2] / tr[5] / tc[1]Service / Site Lead
¶ 128 · tbl[2] / tr[5] / tc[2]Select staff; provide backfill; ensure psychological safety.
¶ 129 · tbl[2] / tr[5] / tc[3]Align OSCE focus with incidents/complaints; include U red‑team learnings.
¶ 130 · tbl[2] / tr[5] / tc[4]Accept/contest marks with evidence; plan coaching time.
¶ 131 · tbl[2] / tr[5] / tc[5]Update roster to assign only certified staff; lock until currency regained (T).
¶ 132 · tbl[2] / tr[5] / tc[6]Trigger handovers (e.g., ED/GP, mealtime, seizure plans) if competence affects care.
¶ 133 · tbl[2] / tr[5] / tc[7]Invite DSC for contradiction matrix if disputes remain.
¶ 134 · tbl[2] / tr[5] / tc[8]
¶ 135 · tbl[2] / tr[6] / tc[1]Navigator (Access)
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 136–164
¶ 136 · tbl[2] / tr[6] / tc[2]Access receipt; privacy‑safe IDs; travel/tech support (N‑1; T).
¶ 137 · tbl[2] / tr[6] / tc[3]Artefact inventory: checklists, marks, certificates, expiry dates (T).
¶ 138 · tbl[2] / tr[6] / tc[4]Remove barriers; ensure interpreters/AAC present (N).
¶ 139 · tbl[2] / tr[6] / tc[5]Promise‑kept ratio; confirm coaching delivered; collect feedback.
¶ 140 · tbl[2] / tr[6] / tc[6]Prepare public‑safe update and change log (S‑8).
¶ 141 · tbl[2] / tr[6] / tc[7]Escalate unresolved items to DSC.
¶ 142 · tbl[2] / tr[6] / tc[8]
¶ 143 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 144 · tbl[2] / tr[7] / tc[2]Trigger: inconsistent marks, bias, unsafe conditions, or blocked repairs (M).
¶ 145 · tbl[2] / tr[7] / tc[3]Contradiction matrix; fairness tests; independence checks.
¶ 146 · tbl[2] / tr[7] / tc[4]Order repairs and re‑test; time‑box; donor sunlight as appropriate.
¶ 147 · tbl[2] / tr[7] / tc[5]Close‑out memo; lessons to publication (S‑8).
¶ 148 · tbl[2] / tr[7] / tc[6]
¶ 149 · tbl[2] / tr[7] / tc[7]
¶ 150 · tbl[2] / tr[7] / tc[8]
¶ 151 · tbl[2] / tr[8] / tc[1]Data/Integrity (T, R, S‑8)
¶ 152 · tbl[2] / tr[8] / tc[2]Case key; privacy‑safe IDs; e‑receipts for training time; roster↔claim checks (T).
¶ 153 · tbl[2] / tr[8] / tc[3]Tiles: competence_currency; on_time_refresh; exception_age; promise_kept_ratio (T).
¶ 154 · tbl[2] / tr[8] / tc[4]DPIA; secure storage of recordings; delete on schedule (R).
¶ 155 · tbl[2] / tr[8] / tc[5]S‑8 archive and visible change log; small‑cell suppression (S‑8).
¶ 156 · tbl[2] / tr[8] / tc[6]
¶ 157 · tbl[2] / tr[8] / tc[7]
¶ 158 · tbl[2] / tr[8] / tc[8]
¶ 162How we measure ourselves (published quarterly)
¶ 163We publish simple results using counts. Mix of percentages and days; brackets show the latest result and the bar gives a quick view.
¶ 164Access & Setup
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 165–184
¶ 165• Sessions delivered as booked - Latest: [ - ] █ (% booked completed).
¶ 166• Interpreter/AAC included - Latest: [ - ] █ (% who asked).
¶ 167• Time-to-setup (minutes; lower) - Latest: [ - ] █.
¶ 168Competence & Currency
¶ 169• Staff current for required skills - Latest: [ - ] █ (% rostered staff).
¶ 170• On-time refresh before expiry - Latest: [ - ] █ (% due).
¶ 171• Conditional passes cleared ≤30 days - Latest: [ - ] █ (%).
¶ 172Safety, Handover & Trust
¶ 173• Incidents during OSCE (per 1,000; lower) - Latest: [ - ] █.
¶ 174• Handover completed to roster/teams - Latest: [ - ] █ (% sessions).
¶ 175• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 176ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 179Example - What real results look like (illustrative)
¶ 180Access & Setup (example)
¶ 181• Sessions delivered as booked....................... [ 92% ] █████████████████████████████
¶ 182• Interpreter/AAC included.......................... [ 90% ] █████████████████████████████
¶ 183• Time-to-setup (min; lower)....................... [ 11 ] ███████
¶ 184 Competence & Currency (example)
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 185–236
¶ 185• Staff current for required skills................ [ 87% ] ███████████████████████████
¶ 186• On-time refresh before expiry.................... [ 82% ] ██████████████████████████
¶ 187• Conditional passes cleared ≤30 days.............. [ 76% ] ██████████████████████
¶ 188 Safety, Handover & Trust (example)
¶ 189• Incidents during OSCE (/1,000; lower)............ [ 2 ] █
¶ 190• Handover completed to roster/teams............... [ 93% ] ████████████████████████████████
¶ 191• Promise-kept ratio............................... [0.91 ] ██████████████████████████████████
¶ 194Example Metrics Table (replace with your actuals)
¶ 195 · tbl[3] / tr[1] / tc[1]Tile
¶ 196 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 197 · tbl[3] / tr[1] / tc[3]Target
¶ 198 · tbl[3] / tr[1] / tc[4]Current
¶ 199 · tbl[3] / tr[1] / tc[5]Trend
¶ 200 · tbl[3] / tr[2] / tc[1]Sessions delivered
¶ 201 · tbl[3] / tr[2] / tc[2]% booked Tele‑OSCE completed
¶ 202 · tbl[3] / tr[2] / tc[3]≥95%
¶ 203 · tbl[3] / tr[2] / tc[4]92%
¶ 204 · tbl[3] / tr[2] / tc[5]↑
¶ 205 · tbl[3] / tr[3] / tc[1]Interpreter/AAC included
¶ 206 · tbl[3] / tr[3] / tc[2]% who asked and received support
¶ 207 · tbl[3] / tr[3] / tc[3]=100%
¶ 208 · tbl[3] / tr[3] / tc[4]90%
¶ 209 · tbl[3] / tr[3] / tc[5]↑
¶ 210 · tbl[3] / tr[4] / tc[1]Time-to-setup (min)
¶ 211 · tbl[3] / tr[4] / tc[2]Median minutes to ready-to-run (lower)
¶ 212 · tbl[3] / tr[4] / tc[3]≤10
¶ 213 · tbl[3] / tr[4] / tc[4]11
¶ 214 · tbl[3] / tr[4] / tc[5]↓
¶ 215 · tbl[3] / tr[5] / tc[1]Staff current for skills
¶ 216 · tbl[3] / tr[5] / tc[2]% rostered staff with unexpired certificates
¶ 217 · tbl[3] / tr[5] / tc[3]=100%
¶ 218 · tbl[3] / tr[5] / tc[4]87%
¶ 219 · tbl[3] / tr[5] / tc[5]↑
¶ 220 · tbl[3] / tr[6] / tc[1]On-time refresh before expiry
¶ 221 · tbl[3] / tr[6] / tc[2]% certificates refreshed before expiry
¶ 222 · tbl[3] / tr[6] / tc[3]≥95%
¶ 223 · tbl[3] / tr[6] / tc[4]82%
¶ 224 · tbl[3] / tr[6] / tc[5]↑
¶ 225 · tbl[3] / tr[7] / tc[1]Conditional passes cleared ≤30d
¶ 226 · tbl[3] / tr[7] / tc[2]% cleared within 30 days
¶ 227 · tbl[3] / tr[7] / tc[3]≥95%
¶ 228 · tbl[3] / tr[7] / tc[4]76%
¶ 229 · tbl[3] / tr[7] / tc[5]↑
¶ 230 · tbl[3] / tr[8] / tc[1]Incidents during OSCE (/1k)
¶ 231 · tbl[3] / tr[8] / tc[2]Per 1,000 sessions (lower)
¶ 232 · tbl[3] / tr[8] / tc[3]0
¶ 233 · tbl[3] / tr[8] / tc[4]2
¶ 234 · tbl[3] / tr[8] / tc[5]↓
¶ 235 · tbl[3] / tr[9] / tc[1]Handover completed
¶ 236 · tbl[3] / tr[9] / tc[2]% sessions with roster/training updated
AA-C29 · Tele-OSCE & Rural Micro-Hub (P-Templates) · paragraphs 237–246
¶ 237 · tbl[3] / tr[9] / tc[3]=100%
¶ 238 · tbl[3] / tr[9] / tc[4]93%
¶ 239 · tbl[3] / tr[9] / tc[5]→
¶ 240 · tbl[3] / tr[10] / tc[1]Promise-kept ratio
¶ 241 · tbl[3] / tr[10] / tc[2]Kept ÷ made (0-1)
¶ 242 · tbl[3] / tr[10] / tc[3]≥0.90
¶ 243 · tbl[3] / tr[10] / tc[4]0.91
¶ 244 · tbl[3] / tr[10] / tc[5]→
¶ 246 Owner: __________ Data source(s): Tele‑OSCE checklists (P); Certificates & expiry list; Roster system; Training records; Navigator logs; Interpreter/AAC bookings; E‑receipts; Roster↔Claim; Incidents/complaints; S‑8 publication log; DPIA register
AA-C30 · IDC Curriculum Interfaces (Q-Templates)
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AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 1–8
¶ 1 - Document control - Template ID: AA-C30 - IDC Curriculum Interfaces (Q- TEMPLATES) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C30 - IDC Curriculum Interfaces (Q- TEMPLATES)
¶ 3What this title means (in plain words) The IDC curriculum is the bridge between training and real life. It shows what skills matter, how staff prove them (fairly), and how results flow to the person, partners (GP, school, housing, justice) and regulators. Q-TEMPLATES define modules, micro-credentials and assessments that plug into Tele-OSCEs (P), mealtime/IDDSI (Z/D-2), psychotropic stewardship (AB), red-team/incident learning (U/B-1), interpreter/Auslan/AAC (N), privacy/DPIA (R) and publication safety (S-8).
¶ 4What this means for the person and supporters
¶ 5Training follows your priorities. Skills are practiced on real scenarios you care about and re-checked before they expire.
¶ 6You can see what a worker is certified to do, in plain English (and ask for a different worker if the fit isn’t right).
¶ 7When things go wrong, learning loops feed back into the curriculum quickly so the fix shows up in practice - not just on paper.
¶ 8What services must do (so the person doesn’t have to)
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 9–16
¶ 9Map every role to required micro-credentials; book Tele-OSCEs or on-site OSCEs; refresh before expiry (Q/P).
¶ 10Build “access first” into every assessment: interpreters/Auslan/AAC and Easy Read used when indicated (N/L).
¶ 11Link training to care: mealtime/IDDSI, seizure response, de-escalation, med-reconciliation, PBS fidelity (Z, D-2, A/B, AB).
¶ 12Close the loop: when U/B-1 reviews find an issue, update the module within 30 days and re-assess affected staff (U/B-1→Q).
¶ 13Publish privacy-safe tiles so families and regulators can see uplift without exposing individuals (S/AL with S-8 suppression).
¶ 15Required / Recommended tiles (IDC Curriculum) - with explanations for leaders, partners and regulators
¶ 16Skill coverage (%) - Shifts where the required micro-credential is current. Why it matters: Shows whether people are supported by staff who are actually certified for the tasks on that shift (e.g., IDDSI, seizure response). Feeds: Q↔Roster; S. Decision hook: roster lockouts when coverage < threshold.
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 17–20
¶ 17Currency on time (%) - Credentials renewed before expiry. Why it matters: Expired skills create silent risk (e.g., mealtime safety drift). Leaders can see who needs refresh and by when. Feeds: Q; P; S. Decision hook: automated reminders → escalation via Owner Matrix (Y).
¶ 18OSCE pass rate & retakes (n) - By station (de-escalation, IDDSI, D-2, AAC, seizure response). Why it matters: Separates general competence from safety-critical stations. Regulators can sample video for calibration (V). Feeds: P; Q; V. Decision hook: mandatory re-OSCE after incident mode-match.
¶ 19Learning-loop timeliness (%) - Module updated ≤30 days after U/B-1 finding. Why it matters: Proves incident learning turns into curriculum change fast (not next year). Feeds: U; B-1; Q. Decision hook: CAP if late; publish S-8 change note.
¶ 20External observation rate (%) - Assessments with an independent observer or double-mark. Why it matters: Counters in-house bias; gives tribunals/DSC confidence in results. Feeds: P; V. Decision hook: set a floor (e.g., ≥20%) for high-risk stations.
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 21–24
¶ 21Calibration κ (target ≥0.6) - Inter-rater agreement across OSCE stations. Why it matters: A pass should mean the same thing across sites. κ<0.6 → urgent calibration day. Feeds: P; V. Decision hook: freeze solo practice on that station until κ recovers.
¶ 22Two-Key scope compliance (%) - Consequential scope changes verified with Two-Key + R&W IDs. Why it matters: No single actor expands or restricts scope alone (safety/restrictive practice/funding consequences). Feeds: K; H/I; T. Decision hook: non-compliance → sanctions ladder (G).
¶ 23Access-first in training (%) - OSCEs run with interpreter/Auslan/AAC when indicated. Why it matters: Practice the way we should perform - communication access is not optional. Feeds: N; P. Decision hook: fail the station if access cues are ignored.
¶ 24Mealtime/IDDSI audit pass (%) - Site readiness + worker station pass for mealtime safety. Why it matters: Ties kitchen readiness to staff competence; prevents aspiration events. Feeds: Z; P. Decision hook: stop-go for service start; red-team micro-scenario if fail.
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 25–29
¶ 25Med-rec after transition (%) - D-2 completed ≤72h post ED/ward/provider change. Why it matters: Prevents “chart drift” and duplicate meds; links hospital to home. Feeds: D-2. Decision hook: triggers owner escalation if overdue.
¶ 26Post-training participation lift (Δ) - Median CPI sessions/person pre→post module (28-day window). Why it matters: Training should change life, not just scores - shows real participation gains. Feeds: L; S. Decision hook: revisit module content if no lift.
¶ 2772-hour review chair coverage (%) - Qualified chair (IDC-3/4) on required reviews. Why it matters: Ensures learning reviews are led by someone competent to fade restrictions. Feeds: B-1; Q. Decision hook: coverage gap → assign interim chair.
¶ 28Red-flag remediation on time (%) - Remedial coaching + re-OSCE completed by due date. Why it matters: Faster fixes prevent repeat harm. Feeds: U; Q. Decision hook: pause solo practice if overdue.
¶ 29Rural parity (Tele-OSCE utilisation %) - Assessments delivered via micro-hub/tele where relevant. Why it matters: Regions can’t be left behind; parity tracked explicitly. Feeds: P. Decision hook: deploy mobile examiners/micro-hubs if low.
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 30–49
¶ 30Privacy note for all tiles Publish only at safe aggregation levels with S-8 small-cell suppression (no person-level data). Include method notes, period end, and a provenance hash (R; S; T). Family view can show a person’s own history privately.
¶ 32Helpful artefacts (where to find them)
¶ 33Q-TEMPLATES: module spec, micro-credential map, OSCE booking & rubrics, currency tracker, CAP hooks.
¶ 34P: Tele-OSCE playbook & calibration kit (double-marking).
¶ 35Z / D-2 / AB: IDDSI & med-reconciliation; psychotropic stewardship modules.
¶ 36U / B-1: red-team drill builder; 72-hour review chair prompts.
¶ 37N / L / M: interpreter/Auslan/AAC and plain-language reasons & alternatives.
¶ 38R / S / AL / T: DPIA, publication tiles & suppression, audit-log & change notes.
¶ 39Plain-language promise “We train and check the skills that matter to you, refresh them before they lapse, and show the results in simple tiles - without exposing your identity. When something goes wrong, we change the training fast and re-check the people who support you.”
¶ 41IDC curriculum interfaces (at a glance)
¶ 42 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 43 · tbl[1] / tr[1] / tc[2]Set priorities
¶ 44 · tbl[1] / tr[1] / tc[3]Design & align
¶ 45 · tbl[1] / tr[1] / tc[4]Deliver & support
¶ 46 · tbl[1] / tr[1] / tc[5]Assess & credential
¶ 47 · tbl[1] / tr[1] / tc[6]Publish & handover
¶ 48 · tbl[1] / tr[1] / tc[7]Improve & assure
¶ 49 · tbl[1] / tr[2] / tc[1]Person & Supporter
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 50–71
¶ 50 · tbl[1] / tr[2] / tc[2]You tell us the skills that matter; Easy Read options to choose modules (Q; L).
¶ 51 · tbl[1] / tr[2] / tc[3]You can sit in or review materials; give feedback.
¶ 52 · tbl[1] / tr[2] / tc[4]You see what’s being taught; raise concerns or ideas.
¶ 53 · tbl[1] / tr[2] / tc[5]You can see who is certified for what, in plain English.
¶ 54 · tbl[1] / tr[2] / tc[6]You get a simple ‘what changed’ update.
¶ 55 · tbl[1] / tr[2] / tc[7]You can suggest new topics any time.
¶ 56 · tbl[1] / tr[3] / tc[1]IDC Curriculum Team
¶ 57 · tbl[1] / tr[3] / tc[2]Curriculum team maps modules to standards & templates; equity built-in (Q; O/N).
¶ 58 · tbl[1] / tr[3] / tc[3]Modules drafted with plain language and filmed demos; DPIA done (R).
¶ 59 · tbl[1] / tr[3] / tc[4]Blended delivery: micro-hub/tele, on-the-job, and e-learning (P).
¶ 60 · tbl[1] / tr[3] / tc[5]Curriculum updates certificates with expiry windows (P; Q).
¶ 61 · tbl[1] / tr[3] / tc[6]Curriculum adds new modules from red-team learnings (U).
¶ 62 · tbl[1] / tr[3] / tc[7]Curriculum review cycle held twice yearly (Q).
¶ 63 · tbl[1] / tr[4] / tc[1]Service / Provider
¶ 64 · tbl[1] / tr[4] / tc[2]Provider names roles and numbers; releases staff time (T).
¶ 65 · tbl[1] / tr[4] / tc[3]Service checks alignment with incidents/complaints (U).
¶ 66 · tbl[1] / tr[4] / tc[4]Managers coach and create practice opportunities.
¶ 67 · tbl[1] / tr[4] / tc[5]Service only rosters certified staff to specific tasks (T).
¶ 68 · tbl[1] / tr[4] / tc[6]Service updates training plans and budgets.
¶ 69 · tbl[1] / tr[4] / tc[7]Service audits roster vs currency; fixes fast (T).
¶ 70 · tbl[1] / tr[5] / tc[1]Education Partner (TAFE/Uni/College)
¶ 71 · tbl[1] / tr[5] / tc[2]Partner allocates educators; sets OSCE/assessment dates (P).
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 72–102
¶ 72 · tbl[1] / tr[5] / tc[3]Partner quality-checks; micro-credential pathways defined.
¶ 73 · tbl[1] / tr[5] / tc[4]Partner runs assessments (OSCE/portfolio/quiz) accessibly (N).
¶ 74 · tbl[1] / tr[5] / tc[5]Partner issues micro-credentials and records to transcript.
¶ 75 · tbl[1] / tr[5] / tc[6]Partner reports completion and outcomes to community.
¶ 76 · tbl[1] / tr[5] / tc[7]Partner refreshes assessments to stay fair.
¶ 77 · tbl[1] / tr[6] / tc[1]Navigator (Access)
¶ 78 · tbl[1] / tr[6] / tc[2]Navigator removes barriers (transport, interpreters/AAC) (N).
¶ 79 · tbl[1] / tr[6] / tc[3]Navigator schedules cohorts and reminders.
¶ 80 · tbl[1] / tr[6] / tc[4]Navigator monitors participation; fixes barriers quickly.
¶ 81 · tbl[1] / tr[6] / tc[5]Navigator handovers updates to GP/ED/Provider where relevant.
¶ 82 · tbl[1] / tr[6] / tc[6]Navigator checks promises kept and satisfaction.
¶ 83 · tbl[1] / tr[6] / tc[7]Navigator collects feedback from rural & equity groups (O/N).
¶ 84 · tbl[1] / tr[7] / tc[1]Data & Integrity
¶ 85 · tbl[1] / tr[7] / tc[2]Data/Integrity checks privacy and storage (R).
¶ 86 · tbl[1] / tr[7] / tc[3]Metrics tiles created: completion, currency, equity access (T).
¶ 87 · tbl[1] / tr[7] / tc[4]Data reconciles roster↔training claims; attendance e-receipts (T).
¶ 88 · tbl[1] / tr[7] / tc[5]Publication-safe learning prepared (S-8).
¶ 89 · tbl[1] / tr[7] / tc[6]Quarterly metrics published, small-cell safe (S-8).
¶ 90 · tbl[1] / tr[7] / tc[7]Data/Integrity audits re-identification risk and retention (R).
¶ 94Flow - Swimlane (DETAILED)
¶ 95 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 96 · tbl[2] / tr[1] / tc[2]Needs & Equity Inputs (Q)
¶ 97 · tbl[2] / tr[1] / tc[3]Module Design & DPIA
¶ 98 · tbl[2] / tr[1] / tc[4]Delivery & OSCE (P)
¶ 99 · tbl[2] / tr[1] / tc[5]Credential & Roster
¶ 100 · tbl[2] / tr[1] / tc[6]Share-back & Improvement
¶ 101 · tbl[2] / tr[1] / tc[7]Escalation & Fairness
¶ 102 · tbl[2] / tr[1] / tc[8]Assurance & Publication
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 103–121
¶ 103 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 104 · tbl[2] / tr[2] / tc[2]Co-design sessions; First Nations & CALD input; Easy Read surveys (O; N; Q).
¶ 105 · tbl[2] / tr[2] / tc[3]Review draft materials; nominate priorities; accessibility checks (L).
¶ 106 · tbl[2] / tr[2] / tc[4]Observe Tele-OSCE where appropriate; feedback invited (P).
¶ 107 · tbl[2] / tr[2] / tc[5]See who is qualified for tasks that matter to you; request changes.
¶ 108 · tbl[2] / tr[2] / tc[6]Receive plain summary of improvements; complaint path open (S-8).
¶ 109 · tbl[2] / tr[2] / tc[7]Escalate to DSC if fairness contested or promises not kept (M).
¶ 110 · tbl[2] / tr[2] / tc[8]Publication-safe updates with small-cell suppression (S-8).
¶ 111 · tbl[2] / tr[3] / tc[1]IDC Curriculum Team
¶ 112 · tbl[2] / tr[3] / tc[2]Gather incidents/complaints themes (U); map to modules; equity guardrails.
¶ 113 · tbl[2] / tr[3] / tc[3]Design learning outcomes, checklists and assessments; DPIA and licensing (R).
¶ 114 · tbl[2] / tr[3] / tc[4]Blend delivery (micro-hub, e-learning, on-the-job); align with Q templates.
¶ 115 · tbl[2] / tr[3] / tc[5]Define currency windows; issue certificates with expiry; API to roster (T).
¶ 116 · tbl[2] / tr[3] / tc[6]Integrate share-back and change log; update next release (S-8).
¶ 117 · tbl[2] / tr[3] / tc[7]Invite DSC where marking/participation concerns arise (M).
¶ 118 · tbl[2] / tr[3] / tc[8]Archive artefacts; ensure re-identification risk is low (R).
¶ 119 · tbl[2] / tr[4] / tc[1]Service / Provider (Managers & Frontline)
¶ 120 · tbl[2] / tr[4] / tc[2]Nominate cohorts; set backfill; rural micro-hub access (P).
¶ 121 · tbl[2] / tr[4] / tc[3]Approve modules; align with role descriptions and safe staffing.
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 122–141
¶ 122 · tbl[2] / tr[4] / tc[4]Release staff; provide supervision/coaching; record attendance (T).
¶ 123 · tbl[2] / tr[4] / tc[5]Only roster certified staff; stop-gap buddying; track expiries (T).
¶ 124 · tbl[2] / tr[4] / tc[6]Action tracker: owners, dates, verification; community share-back.
¶ 125 · tbl[2] / tr[4] / tc[7]Call DSC if bias or barrier persists; contradiction matrix (M).
¶ 126 · tbl[2] / tr[4] / tc[8]Provide evidence for publication pack; small-cell checks (S-8).
¶ 127 · tbl[2] / tr[5] / tc[1]Education Partner (TAFE/Uni/College)
¶ 128 · tbl[2] / tr[5] / tc[2]Map modules to accredited units where possible; RPL rules.
¶ 129 · tbl[2] / tr[5] / tc[3]Quality assurance of materials; accessibility and cultural safety checks (N; O).
¶ 130 · tbl[2] / tr[5] / tc[4]Run OSCEs/assessments; ensure assessor calibration (P).
¶ 131 · tbl[2] / tr[5] / tc[5]Issue micro-credentials; maintain secure transcript.
¶ 132 · tbl[2] / tr[5] / tc[6]Report completion and outcomes; involve consumers in review.
¶ 133 · tbl[2] / tr[5] / tc[7]Independent appeal route; invite DSC if disputes remain (M).
¶ 134 · tbl[2] / tr[5] / tc[8]Contribute to S-8 publication with methods and limits.
¶ 135 · tbl[2] / tr[6] / tc[1]Navigator (Access)
¶ 136 · tbl[2] / tr[6] / tc[2]Access receipt; privacy-safe IDs; transport/tech support (N-1; T).
¶ 137 · tbl[2] / tr[6] / tc[3]Artefact inventory: learning outcomes, checklists, certificates, expiries (T).
¶ 138 · tbl[2] / tr[6] / tc[4]Remove barriers; interpreters/AAC; reimburse fairly (N).
¶ 139 · tbl[2] / tr[6] / tc[5]Promise-kept ratio; verify handovers; collect satisfaction.
¶ 140 · tbl[2] / tr[6] / tc[6]Prepare public-safe update and change log (S-8).
¶ 141 · tbl[2] / tr[6] / tc[7]Escalate unresolved items to DSC.
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 142–169
¶ 142 · tbl[2] / tr[6] / tc[8]Maintain archive and deletion schedules (R).
¶ 143 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 144 · tbl[2] / tr[7] / tc[2]Trigger: inequitable access, biased marking, blocked rostering, or unsafe practice (M).
¶ 145 · tbl[2] / tr[7] / tc[3]Contradiction matrix; fairness tests; independence checks; donor sunlight.
¶ 146 · tbl[2] / tr[7] / tc[4]Order repairs and re-test; time-box; confirm publication of changes (S-8).
¶ 147 · tbl[2] / tr[7] / tc[5]
¶ 148 · tbl[2] / tr[7] / tc[6]
¶ 149 · tbl[2] / tr[7] / tc[7]
¶ 150 · tbl[2] / tr[7] / tc[8]
¶ 151 · tbl[2] / tr[8] / tc[1]Data/Integrity (T, R, S-8)
¶ 152 · tbl[2] / tr[8] / tc[2]Case key; privacy-safe IDs; e-receipts for training; roster↔claim checks (T).
¶ 153 · tbl[2] / tr[8] / tc[3]Tiles: completion_rate; competence_currency; equity_access; on_time_refresh; promise_kept_ratio (T).
¶ 154 · tbl[2] / tr[8] / tc[4]DPIA for platforms; secure storage of recordings; delete on schedule (R).
¶ 155 · tbl[2] / tr[8] / tc[5]S-8 archive and visible change log; small-cell suppression (S-8).
¶ 156 · tbl[2] / tr[8] / tc[6]
¶ 157 · tbl[2] / tr[8] / tc[7]
¶ 158 · tbl[2] / tr[8] / tc[8]
¶ 163How we measure ourselves (published quarterly)
¶ 164We publish simple results using counts. Mix of percentages and days; brackets show the latest result and the bar gives a quick view.
¶ 165Access & Equity
¶ 166• Rural/remote participation - Latest: [ - ] █ (% of learners outside major cities).
¶ 167• Interpreter/AAC provided - Latest: [ - ] █ (% who asked).
¶ 168• First Nations co-design sessions held - Latest: [ - ] █ (per quarter).
¶ 169Completion & Currency
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 170–189
¶ 170• Module completion rate - Latest: [ - ] █ (% enrolled).
¶ 171• On-time refresh before expiry - Latest: [ - ] █ (% due).
¶ 172• Roster coverage by certified staff - Latest: [ - ] █ (% shifts needing certification).
¶ 173Assessment Quality & Impact
¶ 174• Assessor calibration reliability - Latest: [ - ] █ (κ or % agreement).
¶ 175• Competence gain score - Latest: [ - ] █ (pre/post %).
¶ 176• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 177ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 181Example - What real results look like (illustrative)
¶ 182Access & Equity (example)
¶ 183• Rural/remote participation........................ [ 39% ] ██████████████████████
¶ 184• Interpreter/AAC provided.......................... [ 92% ] ███████████████████████████████
¶ 185• First Nations co-design sessions.................. [ 6 ] ███████████
¶ 186 Completion & Currency (example)
¶ 187• Module completion rate............................ [ 88% ] █████████████████████████████
¶ 188• On-time refresh before expiry.................... [ 81% ] █████████████████████████
¶ 189• Roster coverage by certified staff............... [ 90% ] ███████████████████████████████
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 190–247
¶ 190 Assessment Quality & Impact (example)
¶ 191• Assessor calibration reliability.................. [ 0.84 ] ████████████████████████████
¶ 192• Competence gain score............................. [ +28% ] ██████████████████
¶ 193• Promise-kept ratio................................ [ 0.93 ] ███████████████████████████████████
¶ 196Example Metrics Table (replace with your actuals)
¶ 197 · tbl[3] / tr[1] / tc[1]Tile
¶ 198 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 199 · tbl[3] / tr[1] / tc[3]Target
¶ 200 · tbl[3] / tr[1] / tc[4]Current
¶ 201 · tbl[3] / tr[1] / tc[5]Trend
¶ 202 · tbl[3] / tr[2] / tc[1]Rural/remote participation
¶ 203 · tbl[3] / tr[2] / tc[2]% learners outside major cities
¶ 204 · tbl[3] / tr[2] / tc[3]↑ q/q
¶ 205 · tbl[3] / tr[2] / tc[4]39%
¶ 206 · tbl[3] / tr[2] / tc[5]↑
¶ 207 · tbl[3] / tr[3] / tc[1]Interpreter/AAC provided
¶ 208 · tbl[3] / tr[3] / tc[2]% who asked and received support
¶ 209 · tbl[3] / tr[3] / tc[3]=100%
¶ 210 · tbl[3] / tr[3] / tc[4]92%
¶ 211 · tbl[3] / tr[3] / tc[5]→
¶ 212 · tbl[3] / tr[4] / tc[1]First Nations co-design sessions
¶ 213 · tbl[3] / tr[4] / tc[2]Number per quarter
¶ 214 · tbl[3] / tr[4] / tc[3]≥4
¶ 215 · tbl[3] / tr[4] / tc[4]6
¶ 216 · tbl[3] / tr[4] / tc[5]→
¶ 217 · tbl[3] / tr[5] / tc[1]Module completion
¶ 218 · tbl[3] / tr[5] / tc[2]% enrolled who complete
¶ 219 · tbl[3] / tr[5] / tc[3]≥95%
¶ 220 · tbl[3] / tr[5] / tc[4]88%
¶ 221 · tbl[3] / tr[5] / tc[5]↑
¶ 222 · tbl[3] / tr[6] / tc[1]On-time refresh
¶ 223 · tbl[3] / tr[6] / tc[2]% certificates refreshed before expiry
¶ 224 · tbl[3] / tr[6] / tc[3]≥95%
¶ 225 · tbl[3] / tr[6] / tc[4]81%
¶ 226 · tbl[3] / tr[6] / tc[5]↑
¶ 227 · tbl[3] / tr[7] / tc[1]Roster coverage certified
¶ 228 · tbl[3] / tr[7] / tc[2]% shifts requiring certification covered
¶ 229 · tbl[3] / tr[7] / tc[3]=100%
¶ 230 · tbl[3] / tr[7] / tc[4]90%
¶ 231 · tbl[3] / tr[7] / tc[5]→
¶ 232 · tbl[3] / tr[8] / tc[1]Assessor reliability (κ)
¶ 233 · tbl[3] / tr[8] / tc[2]Inter-rater agreement (0-1)
¶ 234 · tbl[3] / tr[8] / tc[3]≥0.80
¶ 235 · tbl[3] / tr[8] / tc[4]0.84
¶ 236 · tbl[3] / tr[8] / tc[5]→
¶ 237 · tbl[3] / tr[9] / tc[1]Competence gain
¶ 238 · tbl[3] / tr[9] / tc[2]Average % improvement pre→post
¶ 239 · tbl[3] / tr[9] / tc[3]≥20%
¶ 240 · tbl[3] / tr[9] / tc[4]28%
¶ 241 · tbl[3] / tr[9] / tc[5]→
¶ 242 · tbl[3] / tr[10] / tc[1]Promise-kept ratio
¶ 243 · tbl[3] / tr[10] / tc[2]Kept ÷ made (0-1)
¶ 244 · tbl[3] / tr[10] / tc[3]≥0.90
¶ 245 · tbl[3] / tr[10] / tc[4]0.93
¶ 246 · tbl[3] / tr[10] / tc[5]→
AA-C30 · IDC Curriculum Interfaces (Q-Templates) · paragraphs 248–248
¶ 248Owner: __________ Data source(s): Q templates & module registry; Tele-OSCE checklists; Certificates & expiry list; Roster system; LMS/e-learning; Navigator logs; Interpreter/AAC bookings; E-receipts; Roster↔Claim; Complaints/incidents; S-8 publication log; DPIA register
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C31_Owner_Matrix_&_Escalation_(Y-Templates_bridge)_v1.docx
Member SHA-256: cada3601acbe006f3745bb86f239ca870894613f8180b3b00201d614d20f172b
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 1–7
¶ 1 - Document control - Template ID: AA-C31 - Owner Matrix & Escalation (Y- TEMPLATES bridge) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C31 - Owner Matrix & Escalation (Y- TEMPLATES bridge)
¶ 3What this title means (in plain words)
¶ 4This crosswalk makes responsibility visible and timed. For every live promise or problem there is a named lead contact (the person accountable for progress), a backup contact, a clear due date, and a simple way to reach them. If time slips, a step-up path moves the matter to a more senior contact with new timeframes - automatically, fairly, and with a short reason recorded. Y-TEMPLATES provide the register, RACI views (Who does / who signs / who’s consulted / who’s informed), promise clocks, step-up rules, and safe-publication hooks. Bridges to N (Interpreter/Auslan/AAC), M (reasons & alternatives), T (e-receipts / roster↔claim evidence), and R/S-8 (privacy & small-cell publication).
¶ 6What this means for the person and supporters
¶ 7You receive the name, role and direct contact of the lead contact for your matter, plus a backup if they are away.
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 8–16
¶ 8You are told when the next update is due, and you don’t need to chase. If a date is missed, the matter steps up to a more senior contact automatically and you are told what changed and why.
¶ 9You can ask for a second look if you disagree, without penalty. Reasons and alternatives are explained in plain words (Easy Read on request).
¶ 10Progress is summarised in de-identified updates so you can see that fixes are real, not promises.
¶ 12What services must do (so the person doesn’t have to)
¶ 13Keep a Responsibility Register (Y-1). One row per live item with: lead contact (name/role), backup, due date/time, contact preferences, R/A/C/I roles, and the evidence link (receipt, review note, order, audit log ID).
¶ 14Run promise clocks (Y-2). Standard timeboxes (e.g., acknowledge ≤2 business days; update ≤5; close ≤10 unless agreed). Pauses require a plain-language reason and a new date.
¶ 15Apply step-up rules (Y-3). If a clock expires, the system notifies the next tier and the person; a new lead contact is named with a fresh clock.
¶ 16Tier 0: Frontline lead → Tier 1: Team Lead → Tier 2: Service/Clinic Manager → Tier 3: Governance/Quality → Tier 4: Executive/Board.
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 17–26
¶ 17External step-ups when required: Ombudsman/Tribunal/DSC using the AG pack (same evidence set).
¶ 18Access first (Y-4). Every contact offer includes interpreter/Auslan/AAC and Easy Read options (N/L).
¶ 19Two-Key for consequential calls (Y-5). Decisions that limit supports/spend or extend restriction must record two signers plus Reasons & Weighting/Matrix IDs (K/H/I/AB).
¶ 20Evidence, not opinion (Y-6). Each closure cites the artefact that proves it (e-receipt, 72-hour review, D-2 med-rec, mealtime audit) and writes a one-line change note; all actions are audit-logged (T).
¶ 21Publish safely (Y-7). Roll up to tiles with S-8 small-cell suppression, method notes, period end, and a provenance hash (R/S/T). No person-level detail on public pages.
¶ 23How the bridge works (start→finish)
¶ 24Start & assign → Create Y-row, set RACI, start the clock, send a plain acknowledgement: what we are doing, who is leading, how to reach them, and the next update date.
¶ 25Do & show → Lead contact completes steps; attaches evidence; sends a teach-back update (“we did X by Y; here’s how you can check”).
¶ 26If time slips → System triggers step-up; new lead contact is introduced with a short why and a new clock.
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 27–44
¶ 27Second look → Person requests a review; a different lead contact handles it with its own clock; consequential changes use Two-Key.
¶ 28Close & learn → Closure note in plain words; if systemic, file an S-8 visible change note and update training/module (Q/U).
¶ 30Helpful artefacts (where to find them)
¶ 31Y-1 Responsibility Register (CSV/sheet) with RACI, contacts, clocks.
¶ 32Y-2 Clock & message templates (acknowledge, update, step-up, close; SMS/email).
¶ 33Y-3 Step-up ladder (tiers, triggers, fairness checks).
¶ 34Y-4 Second-Look form (no-penalty review request; Easy Read).
¶ 35Y-5 Two-Key short form (co-signers + R&W/Matrix IDs).
¶ 36Y-6 Publication hooks (tile mapping + S-8 change-note stub).
¶ 38Required/Recommended tiles (dashboard wiring)
¶ 39Updates on time (%) - items with updates before clock expiry. (Y; S)
¶ 40Closures on time (%) - items closed inside standard. (Y; S)
¶ 41Step-up rate (%) - items that needed escalation (hotspot signal). (Y; S)
¶ 42Second-look use & uphold (%) - fairness signal, published de-identified. (Y; L/M; S-8)
¶ 43Evidence-linked closures (%) - closures with an artefact link/audit ID. (T)
¶ 44Access-ready contacts (%) - updates sent with interpreter/Auslan/AAC offers. (N; S)
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 45–67
¶ 45Privacy: publish only at safe aggregation with S-8 suppression; include method notes and provenance hash. No person-level data (R/S/T).
¶ 47Plain-language promise
¶ 48“We will name a lead contact and a backup, tell you when the next update is due, and make it easy to reach us. If time slips, your matter steps up to a more senior contact automatically. You’ll get reasons in words you can read, options if you disagree, and a short note about what changed - without exposing your private information.”
¶ 50Owner matrix & escalation (at a glance)
¶ 51 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 52 · tbl[1] / tr[1] / tc[2]Log & acknowledge
¶ 53 · tbl[1] / tr[1] / tc[3]Own & act
¶ 54 · tbl[1] / tr[1] / tc[4]Escalate & support
¶ 55 · tbl[1] / tr[1] / tc[5]Decide & repair
¶ 56 · tbl[1] / tr[1] / tc[6]Publish & learn
¶ 57 · tbl[1] / tr[1] / tc[7]Assure & prevent
¶ 58 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 59 · tbl[1] / tr[2] / tc[2]You raise an issue in your preferred way (phone, SMS, Easy Read). You receive a receipt with a time window (Y; N).
¶ 60 · tbl[1] / tr[2] / tc[3]You see the plan and who is doing what; you can change your preferred contact.
¶ 61 · tbl[1] / tr[2] / tc[4]You get a simple ‘what changed’ note when done.
¶ 62 · tbl[1] / tr[2] / tc[5]You can ask for another look any time.
¶ 63 · tbl[1] / tr[2] / tc[6]You can opt‑out of publications; privacy held.
¶ 64 · tbl[1] / tr[2] / tc[7]
¶ 65 · tbl[1] / tr[3] / tc[1]Frontline Owner
¶ 66 · tbl[1] / tr[3] / tc[2]Frontline owner is named; acknowledges within 2 business days; sets due date and next check‑in (Y).
¶ 67 · tbl[1] / tr[3] / tc[3]Owner completes actions; logs evidence (T).
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 68–96
¶ 68 · tbl[1] / tr[3] / tc[4]Owner closes the loop; confirms satisfaction or routes to DSC.
¶ 69 · tbl[1] / tr[3] / tc[5]Owner re‑opens if new info; no penalty.
¶ 70 · tbl[1] / tr[3] / tc[6]Owner confirms deletion schedules (R).
¶ 71 · tbl[1] / tr[3] / tc[7]
¶ 72 · tbl[1] / tr[4] / tc[1]Site/Service Lead
¶ 73 · tbl[1] / tr[4] / tc[2]Lead sees the clock; checks risk; adds resources if needed.
¶ 74 · tbl[1] / tr[4] / tc[3]Lead checks progress at 7 days; triggers escalation if off‑track.
¶ 75 · tbl[1] / tr[4] / tc[4]Lead reviews theme; adds to training and roster fixes.
¶ 76 · tbl[1] / tr[4] / tc[5]Lead keeps risk view; connects red‑team learnings (U).
¶ 77 · tbl[1] / tr[4] / tc[6]Lead reports improvements to community.
¶ 78 · tbl[1] / tr[4] / tc[7]
¶ 79 · tbl[1] / tr[5] / tc[1]Navigator (Access)
¶ 80 · tbl[1] / tr[5] / tc[2]Navigator removes barriers; books interpreters; checks fairness (N; M).
¶ 81 · tbl[1] / tr[5] / tc[3]Navigator tracks promises and sets follow‑ups.
¶ 82 · tbl[1] / tr[5] / tc[4]Navigator checks handovers complete (GP/ED/provider).
¶ 83 · tbl[1] / tr[5] / tc[5]Navigator supports compensation where due.
¶ 84 · tbl[1] / tr[5] / tc[6]Navigator gathers satisfaction; equity lens.
¶ 85 · tbl[1] / tr[5] / tc[7]
¶ 86 · tbl[1] / tr[6] / tc[1]Specialist/DSC (as triggered)
¶ 87 · tbl[1] / tr[6] / tc[2]DSC joins if contested facts, risk or delay (M).
¶ 88 · tbl[1] / tr[6] / tc[3]DSC runs contradiction/fairness checks; orders repairs (M).
¶ 89 · tbl[1] / tr[6] / tc[4]DSC documents learning and visible change log (S-8).
¶ 90 · tbl[1] / tr[6] / tc[5]DSC closes with reasons and alternatives summary (L/M).
¶ 91 · tbl[1] / tr[6] / tc[6]DSC recommends system repairs to Board.
¶ 92 · tbl[1] / tr[6] / tc[7]
¶ 93 · tbl[1] / tr[7] / tc[1]Executive / Board
¶ 94 · tbl[1] / tr[7] / tc[2]Executive/Board view shows ageing and patterns.
¶ 95 · tbl[1] / tr[7] / tc[3]Exec removes blockers; sets service‑wide fixes.
¶ 96 · tbl[1] / tr[7] / tc[4]Exec/Board see de‑identified trends quarterly.
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 97–126
¶ 97 · tbl[1] / tr[7] / tc[5]Exec audits promise‑kept ratio; adjusts budgets.
¶ 98 · tbl[1] / tr[7] / tc[6]Exec sponsors changes; monitors results.
¶ 99 · tbl[1] / tr[7] / tc[7]
¶ 100 · tbl[1] / tr[8] / tc[1]Data & Integrity
¶ 101 · tbl[1] / tr[8] / tc[2]Data/Integrity starts case key and privacy‑safe IDs (T; R).
¶ 102 · tbl[1] / tr[8] / tc[3]Metrics update automatically; exception age clock runs.
¶ 103 · tbl[1] / tr[8] / tc[4]Publication pack archived with small‑cell suppression (S-8).
¶ 104 · tbl[1] / tr[8] / tc[5]Assurance: roster↔claim and e‑receipt checks (T).
¶ 105 · tbl[1] / tr[8] / tc[6]Data/Integrity maintains archive and audits re‑ID risk.
¶ 106 · tbl[1] / tr[8] / tc[7]
¶ 109Flow - Swimlane (DETAILED)
¶ 110 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 111 · tbl[2] / tr[1] / tc[2]Receipt & Clock (Y)
¶ 112 · tbl[2] / tr[1] / tc[3]Action & Evidence
¶ 113 · tbl[2] / tr[1] / tc[4]Lead Check & Escalation Ladder
¶ 114 · tbl[2] / tr[1] / tc[5]Fairness & Support
¶ 115 · tbl[2] / tr[1] / tc[6]Independent Review (M)
¶ 116 · tbl[2] / tr[1] / tc[7]Governance & Oversight
¶ 117 · tbl[2] / tr[1] / tc[8]Assurance & Publication
¶ 118 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 119 · tbl[2] / tr[2] / tc[2]Log via phone/SMS/e-form; choose contact mode; interpreter/AAC if wanted (N).
¶ 120 · tbl[2] / tr[2] / tc[3]Provide facts; see alternatives; approve plan; change preferences any time (L; K-3).
¶ 121 · tbl[2] / tr[2] / tc[4]If no update by the due time, you are told who it is escalating to (Y).
¶ 122 · tbl[2] / tr[2] / tc[5]Navigator supports access, equity and transport; helps with evidence.
¶ 123 · tbl[2] / tr[2] / tc[6]Ask DSC for a second look if fairness contested (M).
¶ 124 · tbl[2] / tr[2] / tc[7]Receive closure letter in plain language; publication option (S-8).
¶ 125 · tbl[2] / tr[2] / tc[8]Your data is protected; deletion schedules followed (R).
¶ 126 · tbl[2] / tr[3] / tc[1]Frontline Owner (RACI: R)
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 127–146
¶ 127 · tbl[2] / tr[3] / tc[2]Owns the issue; acknowledges ≤2 business days; sets due date and check‑ins (Y).
¶ 128 · tbl[2] / tr[3] / tc[3]Acts and records e‑receipts, photos, notes (T).
¶ 129 · tbl[2] / tr[3] / tc[4]If blocked: escalates to Lead at 7 days or sooner by risk.
¶ 130 · tbl[2] / tr[3] / tc[5]Works with Navigator to remove barriers; keeps the person updated.
¶ 131 · tbl[2] / tr[3] / tc[6]If fairness concerns: invites DSC; prepares contradiction matrix (M).
¶ 132 · tbl[2] / tr[3] / tc[7]Reports outcome to Exec dashboard; learns and updates practice (U).
¶ 133 · tbl[2] / tr[3] / tc[8]Shares publication‑safe summary with Data/Integrity (S-8).
¶ 134 · tbl[2] / tr[4] / tc[1]Site/Service Lead (RACI: A)
¶ 135 · tbl[2] / tr[4] / tc[2]Sees all ageing issues; allocates resources; sets escalation ladder.
¶ 136 · tbl[2] / tr[4] / tc[3]Confirms evidence standard; aligns with policy and templates.
¶ 137 · tbl[2] / tr[4] / tc[4]If off‑track: escalates to Exec; opens risk register item.
¶ 138 · tbl[2] / tr[4] / tc[5]Ensures Navigator support; checks equity and communication access (N).
¶ 139 · tbl[2] / tr[4] / tc[6]Requests DSC independence where needed (M).
¶ 140 · tbl[2] / tr[4] / tc[7]Quarterly review with Board; thematic actions.
¶ 141 · tbl[2] / tr[4] / tc[8]Approves S-8 pack; small‑cell suppression confirmed.
¶ 142 · tbl[2] / tr[5] / tc[1]Navigator (RACI: C)
¶ 143 · tbl[2] / tr[5] / tc[2]Access receipt; privacy‑safe IDs; who-to-call card sent (T).
¶ 144 · tbl[2] / tr[5] / tc[3]Artefact inventory; appointments and interpreters (N); transport.
¶ 145 · tbl[2] / tr[5] / tc[4]Promise‑kept ratio monitoring; reminds owners before deadlines (Y).
¶ 146 · tbl[2] / tr[5] / tc[5]Supports compensation if due; duty of care.
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 147–176
¶ 147 · tbl[2] / tr[5] / tc[6]Assists DSC review; ensures reasons & alternatives are recorded (L/M).
¶ 148 · tbl[2] / tr[5] / tc[7]Share-back to person and community; training hooks.
¶ 149 · tbl[2] / tr[5] / tc[8]Maintain archive and deletion schedules (R).
¶ 150 · tbl[2] / tr[6] / tc[1]Decision Support Consultant (DSC) (RACI: C/R when triggered)
¶ 151 · tbl[2] / tr[6] / tc[2]Trigger: contested facts, harm risk, repeated delay, or refusal to repair (M).
¶ 152 · tbl[2] / tr[6] / tc[3]Run contradiction matrix; fairness tests; independence checks.
¶ 153 · tbl[2] / tr[6] / tc[4]Order repairs with time boxes; donor sunlight where appropriate.
¶ 154 · tbl[2] / tr[6] / tc[5]Close-out memo; visible change log and learning (S-8).
¶ 155 · tbl[2] / tr[6] / tc[6]Report systemic issues to Exec/Board.
¶ 156 · tbl[2] / tr[6] / tc[7]
¶ 157 · tbl[2] / tr[6] / tc[8]
¶ 158 · tbl[2] / tr[7] / tc[1]Executive / Board (RACI: I/A)
¶ 159 · tbl[2] / tr[7] / tc[2]Oversight of ageing and patterns; budget and staffing fixes.
¶ 160 · tbl[2] / tr[7] / tc[3]Hold Leads to account; approve policy updates.
¶ 161 · tbl[2] / tr[7] / tc[4]Ensure escalation ladder works; publish de‑identified results (S-8).
¶ 162 · tbl[2] / tr[7] / tc[5]Engage with community; commit to timelines.
¶ 163 · tbl[2] / tr[7] / tc[6]Check DPIA and privacy risks (R).
¶ 164 · tbl[2] / tr[7] / tc[7]
¶ 165 · tbl[2] / tr[7] / tc[8]
¶ 166 · tbl[2] / tr[8] / tc[1]Data/Integrity (T, R, S-8)
¶ 167 · tbl[2] / tr[8] / tc[2]Case key; privacy‑safe IDs; e‑receipt and roster↔claim checks (T).
¶ 168 · tbl[2] / tr[8] / tc[3]Tiles: acknowledge_on_time; on_time_repair; exception_age; escalation_rate; promise_kept_ratio (T).
¶ 169 · tbl[2] / tr[8] / tc[4]Publication archive; small‑cell suppression; access logs (S-8).
¶ 170 · tbl[2] / tr[8] / tc[5]Retention & deletion schedules; breach drills (R).
¶ 171 · tbl[2] / tr[8] / tc[6]
¶ 172 · tbl[2] / tr[8] / tc[7]
¶ 173 · tbl[2] / tr[8] / tc[8]
¶ 176How we measure ourselves (published quarterly)
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 177–197
¶ 177We publish simple results using counts. Mix of percentages and days; brackets show the latest result and the bar gives a quick view.
¶ 178Access & Acknowledgement
¶ 179• Acknowledged ≤2 business days - Latest: [ - ] █ (% logged issues).
¶ 180• Contact preferences honoured - Latest: [ - ] █ (%).
¶ 181• Interpreter/AAC provided when asked - Latest: [ - ] █ (%).
¶ 182Repair & Escalation
¶ 183• Repairs completed on time - Latest: [ - ] █ (%).
¶ 184• Exception age (days; lower) - Latest: [ - ] █.
¶ 185• Escalation rate - Latest: [ - ] █ (% cases requiring next level).
¶ 186Fairness & Trust
¶ 187• Second looks honoured - Latest: [ - ] █ (% requests granted).
¶ 188• Complaints repaired ≤14 days - Latest: [ - ] █ (%).
¶ 189• Promise‑kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 190ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 194Example - What real results look like (illustrative)
¶ 195Access & Acknowledgement (example)
¶ 196• Acknowledged ≤2 business days..................... [ 93% ] ████████████████████████████████
¶ 197• Contact preferences honoured...................... [ 90% ] █████████████████████████████
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 198–245
¶ 198• Interpreter/AAC provided when asked............... [ 95% ] ███████████████████████████████████
¶ 199 Repair & Escalation (example)
¶ 200• Repairs completed on time......................... [ 84% ] ███████████████████████████
¶ 201• Exception age (days; lower)....................... [ 7 ] █████
¶ 202• Escalation rate................................... [ 18% ] ██████████
¶ 203 Fairness & Trust (example)
¶ 204• Second looks honoured............................. [ 88% ] █████████████████████████████
¶ 205• Complaints repaired ≤14 days...................... [ 86% ] ████████████████████████████
¶ 206• Promise‑kept ratio................................ [0.92 ] ███████████████████████████████████
¶ 209Example Metrics Table (replace with your actuals)
¶ 210 · tbl[3] / tr[1] / tc[1]Tile
¶ 211 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 212 · tbl[3] / tr[1] / tc[3]Target
¶ 213 · tbl[3] / tr[1] / tc[4]Current
¶ 214 · tbl[3] / tr[1] / tc[5]Trend
¶ 215 · tbl[3] / tr[2] / tc[1]Acknowledged ≤2 business days
¶ 216 · tbl[3] / tr[2] / tc[2]% logged issues acknowledged on time
¶ 217 · tbl[3] / tr[2] / tc[3]=100%
¶ 218 · tbl[3] / tr[2] / tc[4]93%
¶ 219 · tbl[3] / tr[2] / tc[5]→
¶ 220 · tbl[3] / tr[3] / tc[1]Contact preferences honoured
¶ 221 · tbl[3] / tr[3] / tc[2]% issues with preferred contact used
¶ 222 · tbl[3] / tr[3] / tc[3]=100%
¶ 223 · tbl[3] / tr[3] / tc[4]90%
¶ 224 · tbl[3] / tr[3] / tc[5]↑
¶ 225 · tbl[3] / tr[4] / tc[1]Interpreter/AAC provided
¶ 226 · tbl[3] / tr[4] / tc[2]% who asked and received support
¶ 227 · tbl[3] / tr[4] / tc[3]=100%
¶ 228 · tbl[3] / tr[4] / tc[4]95%
¶ 229 · tbl[3] / tr[4] / tc[5]→
¶ 230 · tbl[3] / tr[5] / tc[1]Repairs completed on time
¶ 231 · tbl[3] / tr[5] / tc[2]% issues closed by due date
¶ 232 · tbl[3] / tr[5] / tc[3]≥95%
¶ 233 · tbl[3] / tr[5] / tc[4]84%
¶ 234 · tbl[3] / tr[5] / tc[5]↑
¶ 235 · tbl[3] / tr[6] / tc[1]Exception age (days)
¶ 236 · tbl[3] / tr[6] / tc[2]Median days open (lower)
¶ 237 · tbl[3] / tr[6] / tc[3]≤3
¶ 238 · tbl[3] / tr[6] / tc[4]7
¶ 239 · tbl[3] / tr[6] / tc[5]↓
¶ 240 · tbl[3] / tr[7] / tc[1]Escalation rate
¶ 241 · tbl[3] / tr[7] / tc[2]% requiring next‑level escalation
¶ 242 · tbl[3] / tr[7] / tc[3]↓ q/q
¶ 243 · tbl[3] / tr[7] / tc[4]18%
¶ 244 · tbl[3] / tr[7] / tc[5]↓
¶ 245 · tbl[3] / tr[8] / tc[1]Second looks honoured
AA-C31 · Owner Matrix & Escalation (Y-Templates bridge) · paragraphs 246–261
¶ 246 · tbl[3] / tr[8] / tc[2]% requests granted/processed
¶ 247 · tbl[3] / tr[8] / tc[3]=100%
¶ 248 · tbl[3] / tr[8] / tc[4]88%
¶ 249 · tbl[3] / tr[8] / tc[5]↑
¶ 250 · tbl[3] / tr[9] / tc[1]Complaints repaired ≤14d
¶ 251 · tbl[3] / tr[9] / tc[2]% repaired within 14 days
¶ 252 · tbl[3] / tr[9] / tc[3]≥95%
¶ 253 · tbl[3] / tr[9] / tc[4]86%
¶ 254 · tbl[3] / tr[9] / tc[5]↑
¶ 255 · tbl[3] / tr[10] / tc[1]Promise‑kept ratio
¶ 256 · tbl[3] / tr[10] / tc[2]Kept ÷ made (0-1)
¶ 257 · tbl[3] / tr[10] / tc[3]≥0.90
¶ 258 · tbl[3] / tr[10] / tc[4]0.92
¶ 259 · tbl[3] / tr[10] / tc[5]→
¶ 261Owner: __________ Data source(s): Y owner registry; RACI views; Issue tracker; Navigator logs; Interpreter/AAC bookings; E‑receipts; Roster↔Claim; DSC decisions; Complaints system; S‑8 publication log; DPIA register
AA-C32 · Publication & Dashboard Release (AL-S-Templates)
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C32_Publication_&_Dashboard_Release_(AL-S-Templates)_v1.docx
Member SHA-256: 9a96d331c27a6abf06d2e0461825d43bb41725b5f7b541f58a5734069fa676fb
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 1–10
¶ 1 - Document control - Template ID: AA-C32 - Publication & Dashboard Release (AL/S- TEMPLATES) Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C32 - Publication & Dashboard Release (AL/S- TEMPLATES)
¶ 3What this title means (in plain words)
¶ 4This crosswalk explains how numbers leave the back room and appear on websites and dashboards in ways people can trust and understand. Every release has a method note, privacy checks, and a visible change log. If something is wrong, there is a simple correction path.
¶ 5AL-TEMPLATES: build the dataset, accessibility conversions, provenance/hash bundle.
¶ 6S-TEMPLATES: small-cell suppression, rounding/windows, and the S-8 visible change note for corrections or rule updates. Hooks: R (DPIA/privacy), N (Interpreter/Auslan/AAC), T (e-receipts & roster↔claim evidence), L (plain-English right-to-reasons).
¶ 8What this means for the person and supporters
¶ 9You can see results in plain language (with Easy Read, large print, audio/Auslan on request) and what changed since last time.
¶ 10Your privacy is protected by design (small-cell suppression, minimal data, de-identification, safe rounding/windows).
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 11–18
¶ 11Releases happen on a known clock (e.g., monthly on the 7th; some weekly tiles) and corrections are visible with date, reason and who approved.
¶ 12There’s a one-click way to query a number or ask for a correction; you get an answer with reasons.
¶ 14What services must do (so the person doesn’t have to)
¶ 15Build once, publish safely (AL-1). Use the AL dataset recipe: source refs, denominators, rolling windows, rounding rules, notes fields, and a provenance hash for each release bundle.
¶ 16Run privacy first (R-1/S-1). Complete/refresh a DPIA; apply small-cell suppression (counts <5 hidden; derived rates from <5 events hidden), safe rounding and coarse geography. No person-level streams on public pages.
¶ 17Make it readable (L/N-1). Attach a method note in plain English (what it is, how calculated, what it’s not), provide Easy Read and interpreter/Auslan/AAC options, and include a short “How we read this” caption.
¶ 18Clock it (AL-2). Publish on a fixed cadence; show “period end” and “next update due”. Late releases require a short reason on the page.
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 19–29
¶ 19Show change (S-8). Any correction, rule change, denominator/window change, or backfill posts an S-8 visible change note (date, reason, effect) and links to the prior hash.
¶ 20Wire to evidence (T-link). Tiles must point to the upstream evidence class (e-receipts, cross-checks, review logs) - not person records - so auditors can reproduce the number.
¶ 21Offer corrections (AL-3). Provide a Query/Correct button with a simple form. Track SLA (ack ≤2bd; outcome ≤10bd) and publish de-identified correction stats.
¶ 22Guard accessibility & language (N-2). Title, labels and notes available in accessible formats; avoid jargon; provide a glossary link.
¶ 23Keep ownership clear. Each tile shows a tile owner (team/function), contact channel and last verifier.
¶ 24Audit everything (T-1). Release, correction and S-8 entries write to the audit log with event IDs and hashes.
¶ 26Helpful artefacts (where to find them)
¶ 27AL-Pack: dataset recipe (fields, windows, rounding), accessibility export scripts, provenance hash manifest.
¶ 28S-Pack: suppression decision tree, rounding table, S-8 change-note shell, safe retraction workflow.
¶ 29R-DPIA short form for recurring releases.
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 30–50
¶ 30L/N: Plain-English tile glossary, Easy Read templates, interpreter/Auslan booking hooks.
¶ 31T: Audit-log export recipe and release checklist.
¶ 33Required/Recommended tiles (Publication governance)
¶ 34Release on time (%) - releases met cadence. (AL; S)
¶ 35Suppression applied correctly (%) - random sample passes S-rules. (S; R)
¶ 36Corrections within SLA (%) - acknowledge/resolve on time; show count & reasons. (AL; S-8)
¶ 37Provenance complete (%) - releases with hash + source refs. (AL; T)
¶ 38Accessibility coverage (%) - tiles/pages with Easy Read/Auslan/audio variants. (N; L)
¶ 39Method stability - number of rule changes/backfills (with S-8 notes). (S-8)
¶ 40Privacy note: publish only at safe aggregation, enforce small-cell suppression, and include a provenance hash on each page. No person-level data.
¶ 42Plain-language promise
¶ 43“We will publish numbers you can read and check, on a regular schedule, with a clear note of what changed and why. Your identity stays private by design. If something looks wrong, you can ask for a correction and see the result in the visible change log.”
¶ 45Publication & dashboard release (at a glance)
¶ 46 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 47 · tbl[1] / tr[1] / tc[2]Prepare & explain
¶ 48 · tbl[1] / tr[1] / tc[3]Build & test
¶ 49 · tbl[1] / tr[1] / tc[4]Review & protect
¶ 50 · tbl[1] / tr[1] / tc[5]Release & share-back
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 51–77
¶ 51 · tbl[1] / tr[1] / tc[6]Monitor & correct
¶ 52 · tbl[1] / tr[1] / tc[7]Improve & assure
¶ 53 · tbl[1] / tr[2] / tc[1]Person & Community
¶ 54 · tbl[1] / tr[2] / tc[2]People choose topics; Easy Read outline published; right‑to‑reasons (L).
¶ 55 · tbl[1] / tr[2] / tc[3]Community reviewers preview visual designs.
¶ 56 · tbl[1] / tr[2] / tc[4]People can ask questions before release.
¶ 57 · tbl[1] / tr[2] / tc[5]Public release on site and dashboard; plain summary first.
¶ 58 · tbl[1] / tr[2] / tc[6]People report issues; see fixes listed openly.
¶ 59 · tbl[1] / tr[2] / tc[7]Community proposes next topics.
¶ 60 · tbl[1] / tr[3] / tc[1]Publication Team (AL)
¶ 61 · tbl[1] / tr[3] / tc[2]AL pack started: scope, definitions, templates, mock‑ups.
¶ 62 · tbl[1] / tr[3] / tc[3]Build data extracts & measures; create dashboard tiles.
¶ 63 · tbl[1] / tr[3] / tc[4]Accessibility conversion (Easy Read, captions, alt text).
¶ 64 · tbl[1] / tr[3] / tc[5]AL pack, data dictionary and methods posted.
¶ 65 · tbl[1] / tr[3] / tc[6]Hotfixes and corrections applied with notes.
¶ 66 · tbl[1] / tr[3] / tc[7]Templates improved; components reused (AL).
¶ 67 · tbl[1] / tr[4] / tc[1]Data Engineering
¶ 68 · tbl[1] / tr[4] / tc[2]Data pipeline mapped; refresh clock set; test data created.
¶ 69 · tbl[1] / tr[4] / tc[3]Unit tests & validation; provenance chain recorded (AL).
¶ 70 · tbl[1] / tr[4] / tc[4]Final data freeze; version tag; checksum stored.
¶ 71 · tbl[1] / tr[4] / tc[5]Pipelines switch to live refresh; monitoring on.
¶ 72 · tbl[1] / tr[4] / tc[6]Latency & uptime monitored; alerts actioned.
¶ 73 · tbl[1] / tr[4] / tc[7]Provenance chain archived; retention timers set.
¶ 74 · tbl[1] / tr[5] / tc[1]Service / Site Lead
¶ 75 · tbl[1] / tr[5] / tc[2]Lead nominates owners; confirms plain-English narrative.
¶ 76 · tbl[1] / tr[5] / tc[3]Lead checks fairness and context; add caveats.
¶ 77 · tbl[1] / tr[5] / tc[4]Approve release & timing; embargo set if needed.
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 78–108
¶ 78 · tbl[1] / tr[5] / tc[5]Lead hosts Q&A and community briefings.
¶ 79 · tbl[1] / tr[5] / tc[6]Lead re-checks fairness after changes.
¶ 80 · tbl[1] / tr[5] / tc[7]Themes fed into service improvement.
¶ 81 · tbl[1] / tr[6] / tc[1]Navigator (Access)
¶ 82 · tbl[1] / tr[6] / tc[2]Navigator lines up interpreters/Auslan/AAC & formats (N).
¶ 83 · tbl[1] / tr[6] / tc[3]Navigator prepares share‑back sessions and FAQs.
¶ 84 · tbl[1] / tr[6] / tc[4]Navigator confirms where/when to find it.
¶ 85 · tbl[1] / tr[6] / tc[5]Navigator runs share‑back sessions; collects feedback.
¶ 86 · tbl[1] / tr[6] / tc[6]Navigator tracks promise‑kept ratio.
¶ 87 · tbl[1] / tr[6] / tc[7]Navigator reports satisfaction & access barriers.
¶ 88 · tbl[1] / tr[7] / tc[1]Ethics / Privacy (R)
¶ 89 · tbl[1] / tr[7] / tc[2]DPIA refreshed; risks logged (R).
¶ 90 · tbl[1] / tr[7] / tc[3]Privacy checks; row suppression simulation (R).
¶ 91 · tbl[1] / tr[7] / tc[4]Final small‑cell pass; sign‑off recorded (R).
¶ 92 · tbl[1] / tr[7] / tc[5]Ethics/Privacy watch for incidents; complaints route clear.
¶ 93 · tbl[1] / tr[7] / tc[6]Breach drills if required; de‑identification re‑tested.
¶ 94 · tbl[1] / tr[7] / tc[7]DPIA review cycle; small‑cell policy tuned.
¶ 95 · tbl[1] / tr[8] / tc[1]Data & Integrity (S-8)
¶ 96 · tbl[1] / tr[8] / tc[2]S‑8 change log opened; small‑cell thresholds set.
¶ 97 · tbl[1] / tr[8] / tc[3]S‑8 pre‑release entry added; retraction/correction path primed.
¶ 98 · tbl[1] / tr[8] / tc[4]Publish change log; release note draft complete (S‑8).
¶ 99 · tbl[1] / tr[8] / tc[5]S‑8 change log visible; version stamp on pages.
¶ 100 · tbl[1] / tr[8] / tc[6]Change log updated with timestamps and diffs.
¶ 101 · tbl[1] / tr[8] / tc[7]Quarterly publication report posted (S‑8).
¶ 104Flow - Swimlane (DETAILED)
¶ 105 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 106 · tbl[2] / tr[1] / tc[2]Scoping & Co‑design
¶ 107 · tbl[2] / tr[1] / tc[3]Build & Validate (AL)
¶ 108 · tbl[2] / tr[1] / tc[4]DPIA & Small‑Cell (R)
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 109–131
¶ 109 · tbl[2] / tr[1] / tc[5]Release & Communications
¶ 110 · tbl[2] / tr[1] / tc[6]Corrections & Change Log (S‑8)
¶ 111 · tbl[2] / tr[1] / tc[7]Assurance & Provenance
¶ 112 · tbl[2] / tr[1] / tc[8]Archive & Review
¶ 113 · tbl[2] / tr[2] / tc[1]Person & Community
¶ 114 · tbl[2] / tr[2] / tc[2]Nominate questions; co‑design accessible displays; First Nations & CALD voices included (O; N).
¶ 115 · tbl[2] / tr[2] / tc[3]Preview drafts; test understanding; right‑to‑reasons honoured (L).
¶ 116 · tbl[2] / tr[2] / tc[4]Choose what is safe to publish from case examples; consent respected.
¶ 117 · tbl[2] / tr[2] / tc[5]Receive plain release notes and how to use the dashboard.
¶ 118 · tbl[2] / tr[2] / tc[6]Report issues; request corrections; see them logged (S‑8).
¶ 119 · tbl[2] / tr[2] / tc[7]See provenance summary and who is accountable (Y).
¶ 120 · tbl[2] / tr[2] / tc[8]Quarterly review: what changed and what is next.
¶ 121 · tbl[2] / tr[3] / tc[1]Publication Team (AL)
¶ 122 · tbl[2] / tr[3] / tc[2]Define tiles/measures; align to templates; mock‑ups and narratives (AL).
¶ 123 · tbl[2] / tr[3] / tc[3]Data dictionary; code lists; build export queries; unit tests.
¶ 124 · tbl[2] / tr[3] / tc[4]Coordinate DPIA; set small‑cell rules and exceptions with Ethics (R).
¶ 125 · tbl[2] / tr[3] / tc[5]Prepare Easy Read, alt‑text, captions and AUSLAN inserts (N).
¶ 126 · tbl[2] / tr[3] / tc[6]Publish change log entries with diffs and reasons (S‑8).
¶ 127 · tbl[2] / tr[3] / tc[7]Maintain provenance chain: dataset→ETL→tile→page; checksums; version tags.
¶ 128 · tbl[2] / tr[3] / tc[8]Archive release pack; retention and deletion schedules (R).
¶ 129 · tbl[2] / tr[4] / tc[1]Data Engineering / Analysts
¶ 130 · tbl[2] / tr[4] / tc[2]Design pipelines; set refresh clocks; monitoring and alerting.
¶ 131 · tbl[2] / tr[4] / tc[3]Validate counts vs source; simulate outages; fail‑safe states.
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 132–155
¶ 132 · tbl[2] / tr[4] / tc[4]Automate small‑cell suppression; post‑aggregation privacy checks (R).
¶ 133 · tbl[2] / tr[4] / tc[5]Cutover to live; rollback plan prepared.
¶ 134 · tbl[2] / tr[4] / tc[6]Hotfix pipeline with gated approvals; change log updates.
¶ 135 · tbl[2] / tr[4] / tc[7]Uptime, latency and error budgets reported; e‑receipts for work (T).
¶ 136 · tbl[2] / tr[4] / tc[8]Store code & configs; reproducible builds secured.
¶ 137 · tbl[2] / tr[5] / tc[1]Service / Site Lead
¶ 138 · tbl[2] / tr[5] / tc[2]Provide context and caveats; verify fairness of story.
¶ 139 · tbl[2] / tr[5] / tc[3]Approve definitions; align to service priorities.
¶ 140 · tbl[2] / tr[5] / tc[4]Sign‑off privacy and publication conditions (R).
¶ 141 · tbl[2] / tr[5] / tc[5]Fronts community briefings; Q&A and share‑back.
¶ 142 · tbl[2] / tr[5] / tc[6]Own correction notices affecting services; training updates.
¶ 143 · tbl[2] / tr[5] / tc[7]Accountable for promise‑kept ratio and action trackers (Y).
¶ 144 · tbl[2] / tr[5] / tc[8]Contribute to quarterly publication report.
¶ 145 · tbl[2] / tr[6] / tc[1]Navigator (Access)
¶ 146 · tbl[2] / tr[6] / tc[2]Access receipt; privacy‑safe IDs; schedule interpreters/AAC (N).
¶ 147 · tbl[2] / tr[6] / tc[3]Artefact inventory: dictionary, tiles, DPIs, S‑8 entries (T).
¶ 148 · tbl[2] / tr[6] / tc[4]User help and tutorials; collect barrier reports.
¶ 149 · tbl[2] / tr[6] / tc[5]Run share‑back sessions; plain-English guides.
¶ 150 · tbl[2] / tr[6] / tc[6]Track requests for correction; check people hear back.
¶ 151 · tbl[2] / tr[6] / tc[7]Publish community summary; visible change log.
¶ 152 · tbl[2] / tr[6] / tc[8]Archive and make it easy to find old versions.
¶ 153 · tbl[2] / tr[7] / tc[1]Ethics / Privacy (R)
¶ 154 · tbl[2] / tr[7] / tc[2]Lawful basis; risks; vendor checks; breach drills (R).
¶ 155 · tbl[2] / tr[7] / tc[3]Independence review of code lists and redaction rules.
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 156–176
¶ 156 · tbl[2] / tr[7] / tc[4]Small‑cell enforcement; re‑identification tests.
¶ 157 · tbl[2] / tr[7] / tc[5]Approve release timing; embargo or deferral if needed.
¶ 158 · tbl[2] / tr[7] / tc[6]Audit correction process; ensure fairness (M).
¶ 159 · tbl[2] / tr[7] / tc[7]Annual DPIA refresh and policy updates (R).
¶ 160 · tbl[2] / tr[7] / tc[8]Report to Board and community on privacy posture.
¶ 161 · tbl[2] / tr[8] / tc[1]Data/Integrity (S‑8, T)
¶ 162 · tbl[2] / tr[8] / tc[2]Case key; privacy‑safe IDs; e‑receipts and roster↔claim checks for publication tasks (T).
¶ 163 · tbl[2] / tr[8] / tc[3]Tiles: release_on_time; shareback_on_time; uptime; data_latency; correction_cycle_time; promise_kept_ratio.
¶ 164 · tbl[2] / tr[8] / tc[4]S‑8 archive; visible change log; access logs; small‑cell checks.
¶ 165 · tbl[2] / tr[8] / tc[5]Provenance registry maintained; reproducibility audits.
¶ 166 · tbl[2] / tr[8] / tc[6]Quarterly publication report; lessons to curriculum (Q).
¶ 167 · tbl[2] / tr[8] / tc[7]Retention & deletion schedules followed; backups tested.
¶ 168 · tbl[2] / tr[8] / tc[8]Open dataset catalogue and methods index maintained.
¶ 170How we measure ourselves (published quarterly)
¶ 171We publish simple results using counts. Mix of percentages, days and uptime; brackets show the latest result and the bar gives a quick view.
¶ 172Timeliness & Access
¶ 173• Releases on time - Latest: [ - ] █ (% planned releases).
¶ 174• Share‑back sessions held ≤30 days - Latest: [ - ] █ (% releases).
¶ 175• Dashboard uptime - Latest: [ - ] █ (% of time).
¶ 176Privacy & Safety
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 177–196
¶ 177• Small‑cell suppression applied - Latest: [ - ] █ (% reports).
¶ 178• Data latency (days; lower) - Latest: [ - ] █.
¶ 179• Re‑identification incidents - Latest: [ - ] █ (per 10,000; lower).
¶ 180Corrections & Trust
¶ 181• Correction cycle time (days; lower) - Latest: [ - ] █.
¶ 182• Change log completeness - Latest: [ - ] █ (% entries with diffs & reasons).
¶ 183• Promise‑kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 184ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
¶ 187Example - What real results look like (illustrative)
¶ 188Timeliness & Access (example)
¶ 189• Releases on time................................. [ 91% ] ██████████████████████████████
¶ 190• Share‑back sessions ≤30 days.................... [ 88% ] █████████████████████████████
¶ 191• Dashboard uptime............................... [99.5%] █████████████████████████████████████
¶ 192 Privacy & Safety (example)
¶ 193• Small‑cell suppression applied.................. [100% ] ██████████████████████████████████████
¶ 194• Data latency (days; lower)..................... [ 3 ] ████
¶ 195• Re‑identification incidents (/10k; lower)...... [ 0.0 ] █
¶ 196 Corrections & Trust (example)
AA-C32 · Publication & Dashboard Release (AL-S-Templates) · paragraphs 197–253
¶ 197• Correction cycle time (days; lower)............ [ 6 ] █████
¶ 198• Change log completeness........................ [ 92% ] ███████████████████████████████
¶ 199• Promise‑kept ratio............................. [0.94 ] █████████████████████████████████████
¶ 201Example Metrics Table (replace with your actuals)
¶ 202 · tbl[3] / tr[1] / tc[1]Tile
¶ 203 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 204 · tbl[3] / tr[1] / tc[3]Target
¶ 205 · tbl[3] / tr[1] / tc[4]Current
¶ 206 · tbl[3] / tr[1] / tc[5]Trend
¶ 207 · tbl[3] / tr[2] / tc[1]Releases on time
¶ 208 · tbl[3] / tr[2] / tc[2]% planned releases published on schedule
¶ 209 · tbl[3] / tr[2] / tc[3]=100%
¶ 210 · tbl[3] / tr[2] / tc[4]91%
¶ 211 · tbl[3] / tr[2] / tc[5]↑
¶ 212 · tbl[3] / tr[3] / tc[1]Share‑back ≤30 days
¶ 213 · tbl[3] / tr[3] / tc[2]% releases with share‑back session within 30 days
¶ 214 · tbl[3] / tr[3] / tc[3]=100%
¶ 215 · tbl[3] / tr[3] / tc[4]88%
¶ 216 · tbl[3] / tr[3] / tc[5]↑
¶ 217 · tbl[3] / tr[4] / tc[1]Dashboard uptime
¶ 218 · tbl[3] / tr[4] / tc[2]% time available
¶ 219 · tbl[3] / tr[4] / tc[3]≥99.9%
¶ 220 · tbl[3] / tr[4] / tc[4]99.5%
¶ 221 · tbl[3] / tr[4] / tc[5]→
¶ 222 · tbl[3] / tr[5] / tc[1]Small‑cell suppression
¶ 223 · tbl[3] / tr[5] / tc[2]% reports with suppression applied
¶ 224 · tbl[3] / tr[5] / tc[3]=100%
¶ 225 · tbl[3] / tr[5] / tc[4]100%
¶ 226 · tbl[3] / tr[5] / tc[5]→
¶ 227 · tbl[3] / tr[6] / tc[1]Data latency (days)
¶ 228 · tbl[3] / tr[6] / tc[2]Median days from event→dashboard (lower)
¶ 229 · tbl[3] / tr[6] / tc[3]≤2
¶ 230 · tbl[3] / tr[6] / tc[4]3
¶ 231 · tbl[3] / tr[6] / tc[5]↓
¶ 232 · tbl[3] / tr[7] / tc[1]Re‑ID incidents (/10k)
¶ 233 · tbl[3] / tr[7] / tc[2]Per 10,000 users (lower)
¶ 234 · tbl[3] / tr[7] / tc[3]0
¶ 235 · tbl[3] / tr[7] / tc[4]0.0
¶ 236 · tbl[3] / tr[7] / tc[5]→
¶ 237 · tbl[3] / tr[8] / tc[1]Correction cycle time (days)
¶ 238 · tbl[3] / tr[8] / tc[2]Median days from report→fix (lower)
¶ 239 · tbl[3] / tr[8] / tc[3]≤3
¶ 240 · tbl[3] / tr[8] / tc[4]6
¶ 241 · tbl[3] / tr[8] / tc[5]↓
¶ 242 · tbl[3] / tr[9] / tc[1]Change log completeness
¶ 243 · tbl[3] / tr[9] / tc[2]% entries with diffs, reason, timestamp
¶ 244 · tbl[3] / tr[9] / tc[3]=100%
¶ 245 · tbl[3] / tr[9] / tc[4]92%
¶ 246 · tbl[3] / tr[9] / tc[5]→
¶ 247 · tbl[3] / tr[10] / tc[1]Promise‑kept ratio
¶ 248 · tbl[3] / tr[10] / tc[2]Kept ÷ made (0-1)
¶ 249 · tbl[3] / tr[10] / tc[3]≥0.90
¶ 250 · tbl[3] / tr[10] / tc[4]0.94
¶ 251 · tbl[3] / tr[10] / tc[5]→
¶ 253Owner: __________ Data source(s): AL publication packs; Data dictionaries; ETL logs; Dashboard monitoring; Web analytics; Navigator share‑back logs; S‑8 change log; DPIA register; Incident/complaints; E‑receipts; Roster↔Claim
AA-C33 · Rural Telehealth & Mobile Clinic
Original archive member: Service Crosswalk & Template Library/CROSSWALKS/AA-C33_Rural_Telehealth_&_Mobile_Clinic_v1.docx
Member SHA-256: d578deeb2cf787ba2e0e138da3b865e628316b191b279dd20f002818e18af0e3
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 1–9
¶ 1 - Document control - Template ID: AA-C33 - Rural Telehealth & Mobile Clinic Version: v1 Issue date: 21/09/2025 Next review: 20/12/2025
¶ 2CROSSWALK AA-C33 - Rural Telehealth & Mobile Clinic
¶ 3What this title means (in plain words)
¶ 4This crosswalk explains how rural and remote teams blend telehealth with a travelling mobile clinic so people get competent, person-first care closer to home. It covers how to choose the right mode (phone/video/in-person), how we bring the right skills and kit, and how we hand you on warmly when another service is needed. Hooks: N (Interpreter/Auslan/AAC), P (Tele-OSCE for staff skills), D-2 (medicine reconciliation & mealtime/IDDSI), R (privacy/DPIA), T (e-receipts; roster↔claim), U (red-team drills), S-8 (publication/change notes).
¶ 6What this means for the person and supporters
¶ 7Your choice of mode. Phone, video or a mobile clinic visit - you choose what feels safe and works best that day.
¶ 8Access built in. We arrange Auslan/interpreters/AAC and allow longer appointments where needed.
¶ 9Warm handovers. If another service is better (imaging, dental, ED, housing, NDIS), we book it with you and make sure transport and follow-ups are in place.
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 10–19
¶ 10Plain results, protected privacy. You get clear reasons, copies in Easy Read if you want, and your information is kept private by design.
¶ 12What services must do (so the person doesn’t have to)
¶ 13Start with access & consent (N; R). Offer interpreter/Auslan/AAC up front; confirm contact preferences (SMS/phone/home visit). Use the plain-language consent template and log it.
¶ 14Right mode, right time. Use the Mode Picker:
¶ 15Telehealth for reviews, planning, paperwork, medication checks, coaching.
¶ 16Mobile clinic for examinations, mealtime/IDDSI checks, assistive tech, wound care, seizure drills, equipment fit.
¶ 17Switch mid-contact if the chosen mode isn’t working; book the other immediately.
¶ 18Bring the kit. Mobile clinic carries: IDDSI test tools, BP/weight scales, glucometer, PPE, basic point-of-care tests, seizure drill timer, AAC boards/devices, Easy Read packs, transport cards, fridge for meds, sharps/disposal.
¶ 19Do the safety loops (D-2; U). After any hospital/ED change, complete D-2 medicine reconciliation ≤72h. Run 72-hour reviews for Tier-0 events; drill red-team scenarios quarterly (e.g., seizure, anaphylaxis, missing meds).
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 20–31
¶ 20Record & prove (T; R). Issue e-receipts with two-party attestation; keep audit-log events; apply privacy rules (no geo-precision beyond accepted coarse areas).
¶ 21Tele-OSCE for staff (P). Rural teams maintain skills via Tele-OSCE/micro-hub; no solo practice on safety stations until current.
¶ 22Equity & culture. Offer First Nations brokerage, choice of location (home, clinic, ACCHO), and co-wording for letters where requested.
¶ 23Warm handovers every time. Name + number of the next clinician, date/time booked, transport plan, and what to bring - not just a referral.
¶ 24Make it readable (L). Send plain-English/Easy Read summaries after each contact (what was decided, alternatives, next steps, who to call).
¶ 25Protect privacy (R; S-8). Use small-cell suppression for any published rural tiles; include an S-8 change note when methods or denominators change.
¶ 27Helpful artefacts (where to find them)
¶ 28N-Pack: interpreter/Auslan/AAC booking + comms preference sheet.
¶ 29P-Pack: Tele-OSCE scheduler, station checklists (IDDSI, seizure response, de-escalation, handover).
¶ 30D-2: medicine reconciliation + mealtime prompts.
¶ 31AL/S-8: publication recipe, suppression tree, visible change-note shell.
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 32–52
¶ 32T-Pack: e-receipt template, roster↔claim cross-check, audit log export.
¶ 33U-Pack: red-team drill scripts (rural variants).
¶ 34Tiles (wire this to dashboards)
¶ 35(Publish only at safe aggregation with S-8 suppression; no person-level data.)
¶ 36Access fulfilled (%) - rural contacts with interpreter/Auslan/AAC when indicated. (N)
¶ 37Right-mode match (%) - contacts where Mode Picker matched clinical need. (AL/T)
¶ 38Tele-OSCE utilisation (%) - assessments delivered via micro-hub/tele. (P)
¶ 39D-2 on time (%) - med-rec completed ≤72h after transition. (D-2)
¶ 40Warm handover completion (%) - named contact + date/time booked. (N; T)
¶ 41Travel saved (km/hrs) - estimated person travel avoided by tele/mobile. (AL)
¶ 42Incident drill currency (%) - rural red-team stations in date. (U; P)
¶ 44Plain-language promise
¶ 45“We’ll come to you - by video or road - with the right people and tools. We’ll speak in ways that work for you, set up the next steps so you’re not left to chase, and keep your information private. If the first plan isn’t working, we’ll switch fast and stay with you until the next service is ready.”
¶ 47Rural telehealth & mobile clinic (at a glance)
¶ 48 · tbl[1] / tr[1] / tc[1]Swimlane
¶ 49 · tbl[1] / tr[1] / tc[2]Refer & plan
¶ 50 · tbl[1] / tr[1] / tc[3]Book & prepare
¶ 51 · tbl[1] / tr[1] / tc[4]Consult & test
¶ 52 · tbl[1] / tr[1] / tc[5]Treat & handover
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 53–78
¶ 53 · tbl[1] / tr[1] / tc[6]Follow-up & share-back
¶ 54 · tbl[1] / tr[1] / tc[7]Improve & assure
¶ 55 · tbl[1] / tr[2] / tc[1]Person & Supporter
¶ 56 · tbl[1] / tr[2] / tc[2]You choose telehealth or mobile visit; set your communication preferences (N; K-3).
¶ 57 · tbl[1] / tr[2] / tc[3]Receive reminders in your chosen format; questions welcome.
¶ 58 · tbl[1] / tr[2] / tc[4]You get a plain summary and choices.
¶ 59 · tbl[1] / tr[2] / tc[5]You receive after-visit steps and contacts.
¶ 60 · tbl[1] / tr[2] / tc[6]You can ask for different mode next time.
¶ 61 · tbl[1] / tr[2] / tc[7]
¶ 62 · tbl[1] / tr[3] / tc[1]Local Hub / Outreach Coordinator
¶ 63 · tbl[1] / tr[3] / tc[2]Coordinator screens needs (IDDSI, seizure plan, meds); schedules mode(s).
¶ 64 · tbl[1] / tr[3] / tc[3]Book long/quiet slot; confirm location and access needs.
¶ 65 · tbl[1] / tr[3] / tc[4]Coordinator prints Easy Read plan; sends to GP/Provider as consented.
¶ 66 · tbl[1] / tr[3] / tc[5]Coordinator checks supplies and equipment restock.
¶ 67 · tbl[1] / tr[3] / tc[6]Coordinator updates scheduling patterns based on demand.
¶ 68 · tbl[1] / tr[3] / tc[7]
¶ 69 · tbl[1] / tr[4] / tc[1]Telehealth Clinician
¶ 70 · tbl[1] / tr[4] / tc[2]Clinician preps aids and plain-English plan; orders tests if needed.
¶ 71 · tbl[1] / tr[4] / tc[3]Telehealth consult; use carer’s observations and photos as agreed.
¶ 72 · tbl[1] / tr[4] / tc[4]Clinician orders meds/tests; warm-handover to ED/GP if necessary.
¶ 73 · tbl[1] / tr[4] / tc[5]Clinician reviews results; adjusts plan; communicates changes.
¶ 74 · tbl[1] / tr[4] / tc[6]Clinician schedules refreshers via Tele-OSCE (P).
¶ 75 · tbl[1] / tr[4] / tc[7]
¶ 76 · tbl[1] / tr[5] / tc[1]Mobile Clinic Team
¶ 77 · tbl[1] / tr[5] / tc[2]Mobile team plans route; checks equipment and emergency kit.
¶ 78 · tbl[1] / tr[5] / tc[3]Mobile clinic arrives; do checks (vitals, mealtime readiness).
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 79–111
¶ 79 · tbl[1] / tr[5] / tc[4]Mobile team does point-of-care tests; delivers simple treatments.
¶ 80 · tbl[1] / tr[5] / tc[5]Mobile team repairs equipment issues; logs incidents (U).
¶ 81 · tbl[1] / tr[5] / tc[6]Mobile team checks competence currency and vehicle checks.
¶ 82 · tbl[1] / tr[5] / tc[7]
¶ 83 · tbl[1] / tr[6] / tc[1]Navigator (Access)
¶ 84 · tbl[1] / tr[6] / tc[2]Navigator lines up transport, interpreters/Auslan/AAC, and consent.
¶ 85 · tbl[1] / tr[6] / tc[3]Navigator removes barriers; reschedules if needed.
¶ 86 · tbl[1] / tr[6] / tc[4]Navigator books follow-ups and transport.
¶ 87 · tbl[1] / tr[6] / tc[5]Navigator closes loops; complaints path open.
¶ 88 · tbl[1] / tr[6] / tc[6]Navigator verifies promises kept; satisfaction checks.
¶ 89 · tbl[1] / tr[6] / tc[7]
¶ 90 · tbl[1] / tr[7] / tc[1]Data & Integrity
¶ 91 · tbl[1] / tr[7] / tc[2]Privacy-safe IDs created; e-receipts on (T; R).
¶ 92 · tbl[1] / tr[7] / tc[3]Exceptions queue monitors missed/late visits.
¶ 93 · tbl[1] / tr[7] / tc[4]Tiles update: access, timeliness, promise kept.
¶ 94 · tbl[1] / tr[7] / tc[5]Publication-safe learning prepared (S-8).
¶ 95 · tbl[1] / tr[7] / tc[6]Quarterly metrics published de-identified.
¶ 96 · tbl[1] / tr[7] / tc[7]
¶ 99Flow - Swimlane (DETAILED)
¶ 100 · tbl[2] / tr[1] / tc[1]Swimlane (DETAILED)
¶ 101 · tbl[2] / tr[1] / tc[2]Consent & Mode Choice
¶ 102 · tbl[2] / tr[1] / tc[3]Pre-visit Setup
¶ 103 · tbl[2] / tr[1] / tc[4]Consult/Test
¶ 104 · tbl[2] / tr[1] / tc[5]Treatment & Handover
¶ 105 · tbl[2] / tr[1] / tc[6]Follow-up & Share-back
¶ 106 · tbl[2] / tr[1] / tc[7]Escalation & Fairness
¶ 107 · tbl[2] / tr[1] / tc[8]Assurance & Publication
¶ 108 · tbl[2] / tr[2] / tc[1]Person & Supporter
¶ 109 · tbl[2] / tr[2] / tc[2]Choose telehealth, mobile, or blended; interpreter/Auslan/AAC if preferred (N; K-3).
¶ 110 · tbl[2] / tr[2] / tc[3]Provide consent; upload photos/med lists if desired; privacy controls (R).
¶ 111 · tbl[2] / tr[2] / tc[4]Join consult; use stop signal and breaks; right-to-reasons (L).
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 112–132
¶ 112 · tbl[2] / tr[2] / tc[5]Agree handover preferences (GP/ED/Provider) and next steps.
¶ 113 · tbl[2] / tr[2] / tc[6]Rate the visit; request second look if needed (M).
¶ 114 · tbl[2] / tr[2] / tc[7]Escalate to DSC for fairness concerns or repeated failures (M).
¶ 115 · tbl[2] / tr[2] / tc[8]See public-safe update; opt-out of publications (S-8).
¶ 116 · tbl[2] / tr[3] / tc[1]Local Hub / Outreach Coordinator
¶ 117 · tbl[2] / tr[3] / tc[2]Triage needs (IDDSI, seizure risk, meds); choose mode; book long/quiet slots.
¶ 118 · tbl[2] / tr[3] / tc[3]Kit checklist; bandwidth/site check; consent artefacts ready; DPIA updated (R).
¶ 119 · tbl[2] / tr[3] / tc[4]Support tele set-up; confirm identity; test audio/AAC.
¶ 120 · tbl[2] / tr[3] / tc[5]Ensure on-the-day staffing; stock meds/consumables; emergency plan.
¶ 121 · tbl[2] / tr[3] / tc[6]Close loops; send Easy Read summary; book results review.
¶ 122 · tbl[2] / tr[3] / tc[7]Invite DSC if repeated cancellations or risk.
¶ 123 · tbl[2] / tr[3] / tc[8]Archive artefacts; retention & deletion schedules.
¶ 124 · tbl[2] / tr[4] / tc[1]Telehealth Clinician
¶ 125 · tbl[2] / tr[4] / tc[2]Review referral; pick tools (Easy Read, visuals); interpreter booking (N).
¶ 126 · tbl[2] / tr[4] / tc[3]Write plan; order at-home vitals where possible; consent for photos.
¶ 127 · tbl[2] / tr[4] / tc[4]Conduct consult; document reasons & alternatives; order tests/meds (D-2).
¶ 128 · tbl[2] / tr[4] / tc[5]Handover to mobile/GP/ED with clear safety net; medicines plan.
¶ 129 · tbl[2] / tr[4] / tc[6]Review results; adjust plan; contact person in preferred channel.
¶ 130 · tbl[2] / tr[4] / tc[7]Refer to DSC if fairness contested; contradiction matrix (M).
¶ 131 · tbl[2] / tr[4] / tc[8]Contribute to S-8 pack and metrics.
¶ 132 · tbl[2] / tr[5] / tc[1]Mobile Clinic Team
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 133–156
¶ 133 · tbl[2] / tr[5] / tc[2]Route planning; vehicle & equipment checks; cold chain if needed.
¶ 134 · tbl[2] / tr[5] / tc[3]Site safety check; accessibility; backup power; PPE.
¶ 135 · tbl[2] / tr[5] / tc[4]Point-of-care tests; observations; mealtime/IDDSI checks; seizure readiness.
¶ 136 · tbl[2] / tr[5] / tc[5]Treat simple issues; administer agreed meds; escalate when needed (D-2).
¶ 137 · tbl[2] / tr[5] / tc[6]Provide plain after-visit summary; restock; log incidents (U).
¶ 138 · tbl[2] / tr[5] / tc[7]Trigger DSC if unsafe or repeat harms; debrief.
¶ 139 · tbl[2] / tr[5] / tc[8]E-receipts; roster↔claim; vehicle logs; S-8 themes.
¶ 140 · tbl[2] / tr[6] / tc[1]Navigator (Access)
¶ 141 · tbl[2] / tr[6] / tc[2]Access receipt; privacy-safe IDs; transport; accommodation if needed (N-1; T).
¶ 142 · tbl[2] / tr[6] / tc[3]Artefact inventory: consents, checklists, plans, summaries, results (T).
¶ 143 · tbl[2] / tr[6] / tc[4]Remove barriers; book interpreters/AAC; reimburse fairly.
¶ 144 · tbl[2] / tr[6] / tc[5]Promise-kept ratio; warm handovers; complaints repaired ≤14 days.
¶ 145 · tbl[2] / tr[6] / tc[6]Prepare public-safe update; change log (S-8).
¶ 146 · tbl[2] / tr[6] / tc[7]Escalate unresolved items to DSC.
¶ 147 · tbl[2] / tr[6] / tc[8]Maintain archive and deletion schedules (R).
¶ 148 · tbl[2] / tr[7] / tc[1]Decision Support Consultant (DSC) [triggered]
¶ 149 · tbl[2] / tr[7] / tc[2]Trigger: access failure, repeated cancellations, contested reasons, safety incidents (M).
¶ 150 · tbl[2] / tr[7] / tc[3]Contradiction matrix; fairness tests; independence checks.
¶ 151 · tbl[2] / tr[7] / tc[4]Order repairs/time-box; donor sunlight where appropriate.
¶ 152 · tbl[2] / tr[7] / tc[5]Close-out memo; publication-safe learning.
¶ 153 · tbl[2] / tr[7] / tc[6]
¶ 154 · tbl[2] / tr[7] / tc[7]
¶ 155 · tbl[2] / tr[7] / tc[8]
¶ 156 · tbl[2] / tr[8] / tc[1]Data/Integrity (T, R, S-8)
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 157–183
¶ 157 · tbl[2] / tr[8] / tc[2]Case key; privacy-safe IDs; e-receipts; roster↔claim checks (T).
¶ 158 · tbl[2] / tr[8] / tc[3]Tiles: access_rate; on_time_visits; time_to_privacy; shareback_on_time; promise_kept_ratio (T).
¶ 159 · tbl[2] / tr[8] / tc[4]DPIA; mobile device security; small-cell suppression (R; S-8).
¶ 160 · tbl[2] / tr[8] / tc[5]Quarterly report; provenance archive; retention schedules.
¶ 161 · tbl[2] / tr[8] / tc[6]
¶ 162 · tbl[2] / tr[8] / tc[7]
¶ 163 · tbl[2] / tr[8] / tc[8]
¶ 167How we measure ourselves (published quarterly)
¶ 168We publish simple results using counts. Mix of percentages and minutes; brackets show the latest result and the bar gives a quick view.
¶ 169Access & Setup
¶ 170• Appointments delivered as booked - Latest: [ - ] █ (% tele/mobile).
¶ 171• Interpreter/Auslan/AAC provided - Latest: [ - ] █ (% who asked).
¶ 172• Time-to-privacy (minutes; lower) - Latest: [ - ] █.
¶ 173Quality & Outcomes
¶ 174• Handover completeness score (0-10) - Latest: [ - ] █.
¶ 175• Avoided travel (km per quarter) - Latest: [ - ] █.
¶ 176• ED diversions achieved - Latest: [ - ] █ (% cases).
¶ 177Trust & Learning
¶ 178• Share-back within 7 days - Latest: [ - ] █ (%).
¶ 179• Complaints repaired ≤14 days - Latest: [ - ] █ (%).
¶ 180• Promise-kept ratio - Latest: [ - ] █ (kept ÷ made).
¶ 181ASCII key: █ = unit step on a consistent scale. We explain the scale in each public release.
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 184–216
¶ 184Example - What real results look like (illustrative)
¶ 185Access & Setup (example)
¶ 186• Appointments delivered as booked.................. [ 91% ] ██████████████████████████████
¶ 187• Interpreter/Auslan/AAC provided.................. [ 93% ] █████████████████████████████████
¶ 188• Time-to-privacy (min; lower)..................... [ 9 ] ███████
¶ 189 Quality & Outcomes (example)
¶ 190• Handover completeness score (0-10)............... [ 8.4 ] ██████████████
¶ 191• Avoided travel (km/quarter)...................... [ 4,200 ] █████████████████
¶ 192• ED diversions achieved........................... [ 37% ] ████████████████
¶ 193 Trust & Learning (example)
¶ 194• Share-back within 7 days......................... [ 86% ] ████████████████████████████
¶ 195• Complaints repaired ≤14 days..................... [ 88% ] █████████████████████████████
¶ 196• Promise-kept ratio............................... [0.92 ] ███████████████████████████████████
¶ 199Example Metrics Table (replace with your actuals)
¶ 200 · tbl[3] / tr[1] / tc[1]Tile
¶ 201 · tbl[3] / tr[1] / tc[2]Definition / Unit
¶ 202 · tbl[3] / tr[1] / tc[3]Target
¶ 203 · tbl[3] / tr[1] / tc[4]Current
¶ 204 · tbl[3] / tr[1] / tc[5]Trend
¶ 205 · tbl[3] / tr[2] / tc[1]Appointments delivered
¶ 206 · tbl[3] / tr[2] / tc[2]% booked tele/mobile completed
¶ 207 · tbl[3] / tr[2] / tc[3]≥95%
¶ 208 · tbl[3] / tr[2] / tc[4]91%
¶ 209 · tbl[3] / tr[2] / tc[5]↑
¶ 210 · tbl[3] / tr[3] / tc[1]Interpreter/Auslan/AAC
¶ 211 · tbl[3] / tr[3] / tc[2]% who asked and received support
¶ 212 · tbl[3] / tr[3] / tc[3]=100%
¶ 213 · tbl[3] / tr[3] / tc[4]93%
¶ 214 · tbl[3] / tr[3] / tc[5]→
¶ 215 · tbl[3] / tr[4] / tc[1]Time-to-privacy (min)
¶ 216 · tbl[3] / tr[4] / tc[2]Median minutes to privacy (lower)
AA-C33 · Rural Telehealth & Mobile Clinic · paragraphs 217–251
¶ 217 · tbl[3] / tr[4] / tc[3]≤6
¶ 218 · tbl[3] / tr[4] / tc[4]9
¶ 219 · tbl[3] / tr[4] / tc[5]↓
¶ 220 · tbl[3] / tr[5] / tc[1]Handover completeness (0-10)
¶ 221 · tbl[3] / tr[5] / tc[2]Average score (0-10)
¶ 222 · tbl[3] / tr[5] / tc[3]≥9.0
¶ 223 · tbl[3] / tr[5] / tc[4]8.4
¶ 224 · tbl[3] / tr[5] / tc[5]↑
¶ 225 · tbl[3] / tr[6] / tc[1]Avoided travel (km/qtr)
¶ 226 · tbl[3] / tr[6] / tc[2]Estimated km not travelled
¶ 227 · tbl[3] / tr[6] / tc[3]↑ q/q
¶ 228 · tbl[3] / tr[6] / tc[4]4,200
¶ 229 · tbl[3] / tr[6] / tc[5]↑
¶ 230 · tbl[3] / tr[7] / tc[1]ED diversions achieved
¶ 231 · tbl[3] / tr[7] / tc[2]% cases diverted from ED safely
¶ 232 · tbl[3] / tr[7] / tc[3]↑ q/q
¶ 233 · tbl[3] / tr[7] / tc[4]37%
¶ 234 · tbl[3] / tr[7] / tc[5]↑
¶ 235 · tbl[3] / tr[8] / tc[1]Share-back ≤7 days
¶ 236 · tbl[3] / tr[8] / tc[2]% visits with summary sent ≤7 days
¶ 237 · tbl[3] / tr[8] / tc[3]=100%
¶ 238 · tbl[3] / tr[8] / tc[4]86%
¶ 239 · tbl[3] / tr[8] / tc[5]↑
¶ 240 · tbl[3] / tr[9] / tc[1]Complaints repaired ≤14d
¶ 241 · tbl[3] / tr[9] / tc[2]% repaired on time
¶ 242 · tbl[3] / tr[9] / tc[3]≥95%
¶ 243 · tbl[3] / tr[9] / tc[4]88%
¶ 244 · tbl[3] / tr[9] / tc[5]↑
¶ 245 · tbl[3] / tr[10] / tc[1]Promise-kept ratio
¶ 246 · tbl[3] / tr[10] / tc[2]Kept ÷ made (0-1)
¶ 247 · tbl[3] / tr[10] / tc[3]≥0.90
¶ 248 · tbl[3] / tr[10] / tc[4]0.92
¶ 249 · tbl[3] / tr[10] / tc[5]→
¶ 251Owner: __________ Data source(s): Scheduling; Tele platforms; Mobile clinic logs; GP/ED handovers; Point-of-care results; Navigator logs; Interpreter/AAC bookings; E-receipts; Roster↔Claim; Complaints; S-8 publication log; DPIA register
Every file in the v3 repository release
The complete public release has 21 files: 16 preserved historical files and five v3 additions. These links point to the repository originals. File names, sizes and recorded checksums were read from the public record on 27 October 2026; the core copy used here also matched the record’s size and MD5. This is not renewed professional validation.
Some historical file names use terms such as “implementation order”, “practice note” or “code”. They are author-proposed instruments, not issued orders or official rules. ZIP archives require a device that can open ZIP files. Third-party material retains its own notices.
- 00_Read_this_first_v3_2026-10-23.pdf
- 01_Currency_audit_and_addendum_v3_2026-10-23.html
- 02_Editable_review_sources_v3_2026-10-23.zip
- 03_Release_record_v3_2026-10-23.json
- 04_SHA256SUMS_v3_2026-10-23.txt
- A_DSC_IDC_Reform_Blueprint.pdf
- B_DSC_IDC_Policy_and_Legislative_Pack.pdf
- C_Audit_Information_Pack_Guardianship_OPA_Investigations.pdf
- Cognitive_Disability_Standards_Refresh_25-09-2025.pdf
- D_IMPLEMENTATION_ORDER.pdf
- E_DSC_IDC_Two-Key_Guardianship_Pack.pdf
- Easy_Read_Cognitive_Disability_Standards_Refresh_v1.pdf
- No_Surprises_Export_Pack.zip
- No_Surprises_Handbook.pdf
- repo-metadata.zip
- Service Crosswalk & Template Library.zip
- Two-Key ANNEX A - TRIBUNAL PRACTICE NOTE.pdf
- Two-Key ANNEX B - OPA:OPG INVESTIGATIONS CODE ADDENDUM.pdf
- Two-Key ANNEX C - PROCUREMENT DIRECTION & INDEPENDENT PAIRING POOL (IPP) SLA.pdf
- Two-Key ANNEX D - DASHBOARD TILE SPECIFICATIONS (TWO‑KEY GUARDIANSHIP).pdf
- Two-Key ANNEX E - TALKING POINTS & Q&A (TWO‑KEY GUARDIANSHIP).pdf
Source, attribution and limits
Source: Cognitive Disability Standards Refresh (ID/ABI) — v3: errata, currency audit and implementation addendum, DOI 10.5281/zenodo.23594319. Author: ZELEN, G. Repository licence: CC BY 4.0. Earlier edition: record 19199091. The unchanged core and crosswalks were carried forward into v3; the earlier source identifiers in extraction records remain historical provenance.
Care Continuity added navigation, source indexing, a plain HTML layout and extracted text views on 27 October 2026. The source prose has not been substantively updated in this reading copy. All 390 core pages produced non-empty extracted text; that does not prove perfect extraction. All 33 crosswalks have continuous paragraph indices with no conflicting duplicate paragraphs in the supplied index. Template documents and other historical packs remain available through the original downloads; this page does not convert every table or template into an interactive tool.
Corrections, including the three verified bibliography corrections and outstanding review findings, are in the v3 audit/addendum. Publication, AI retrieval, source availability and unchanged file checks are distinct from independent legal, clinical, economic, accessibility or disability-led validation. No private case records were used to build this public library.
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