| SHEET 2: AGENCY AND SERVICES INFORMATION | ||||||||||||
| Agency Name: | ||||||||||||
| Unit Cost Year: | 1 July 2000 to 30 June 2001 | |||||||||||
| HACC Services Provided | The Unit For Costing Your Service | Total Units of Service Delivered in the Unit Cost Year[1] | Number of Jobs | |||||||||
| 1. | Allied Health Care - Centre | Hours | ||||||||||
| 2. | Allied Health Care - Home | Hours | ||||||||||
| 3. | Assessment | Hours | ||||||||||
| 4. | Case Management | Hours | ||||||||||
| 5. | Case Plan, Review & Coord | Hours | ||||||||||
| 6. | Centre-based Day Care | Hours | ||||||||||
| 7. | Counselling/Info/Advocacy | Hours | ||||||||||
| 8. | Domestic Assistance | Hours | ||||||||||
| 9. | Formal Linen Service | Collections | ||||||||||
| 10. | Home Maintenance | Hours | ||||||||||
| 11. | Home Modification | $ | ||||||||||
| 12. | Meals - Centre | Meals | ||||||||||
| 13. | Meals - Home | Meals | ||||||||||
| 14. | Nursing Care - Centre | Hours | ||||||||||
| 15. | Nursing Care - Home | Hours | ||||||||||
| 16. | Other Food Services | Hours | ||||||||||
| 17. | Prov. Goods & Equipment | Pieces | ||||||||||
| 18. | Personal Care | Hours | ||||||||||
| 19. | Respite Care | Hours | ||||||||||
| 20. | Social Support | Hours | ||||||||||
| 21. | Transport | One way trips | ||||||||||