PCBF funding research
The Patient Care Based Funding (PCBF) model has served Alberta well for more than a decade. Still, CHAA’s research shows there is room to strengthen this funding model for the benefit of residents, staff, and contracted operators.
Our conclusions about PCBF
CHAA’s research shows the premise of PCBF is sound, but the inputs and assumptions may need to be adjusted via an overall funding model review.
Adapting PCBF to meet future needs
With most Albertans wanting to age in their own home — or in a smaller footprint care setting — we have some work to do on the funding model for contracted operators.
Hours of care
The number of care staff scheduled to work on any given day (and therefore spend with residents) is determined by funded care hours. Each care home receives provincial funding based on a complex formula involving the average health status (acuity) across all residents in the home, multiplied by a standard amount of care time per day. There are multiple other factors considered as well, such as the occupancy level of the care home.
A move to increase care hours
Several reports across Canada, including here in Alberta, suggest our continuing care system to fund more hours for resident care. Here is why.
Accommodation fees are the amount paid by the resident/family for the equivalent of ‘room and board’ in a care home cost. The government sets a maximum fee residents can be charged, and the rate is adjusted periodically based on inflation and other factors. There has been a movement under way to re-examine the fee structure in many jurisdictions, including here in Alberta.
Comparing Alberta's accommodation fees nationally
Alberta is unique in Canada for its flat-rate accommodation fee structure. Is it time to revisit?
Challenges of a flat-rate accommodation fee
A flat-rate fee means there may be inequities in how the fee affects different family structures. It’s worth a conversation.