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Digital Transformation in Aged Care: Securing Government Funding for Strategic IT Projects

Written by Dale Jenkins | 6 March 2025 12:33:24 AM

The Australian residential aged care sector stands at a pivotal juncture of transformation, with digital technology playing an increasingly critical role in improving care quality, operational efficiency, and regulatory compliance.

Following the Royal Commission into Aged Care Quality and Safety's recommendation for "universal adoption of the aged care sector of digital technology and My Health Record", the Australian Government has committed substantial funding to modernise the sector. With an overarching $18.3 billion five-year reform package and specific allocations like the $966.5 million Aged Care Capital Assistance Program, significant opportunities exist for aged care providers to secure funding for strategic IT initiatives.

This comprehensive guide provides a framework for residential aged care providers to develop, prioritise, and prepare technology projects that align with both organisational needs and government funding priorities, ensuring they are positioned for success when grant opportunities arise.

Understanding the Digital Transformation Landscape in Aged Care

The aged care sector is experiencing unprecedented change as digital reforms reshape service delivery models and regulatory frameworks. This transformation can no longer be considered optional but is increasingly mandatory as new compliance requirements emerge under the Aged Care Act 2024.

The Strategic Imperative for Digital Adoption

From July 1, 2025, significant digital system uplifts are required across the aged care sector in line with the new Aged Care Act 2024 and the Support at Home program. The Australian Department of Health's digital transformation agenda aims to modernise aged care by making it "better-connected, automated, sustainable and bringing person-centred care to the forefront". This transformation involves multiple interconnected initiatives, from improving digital literacy among older Australians to implementing sophisticated clinical care systems.

Recent research by the Aged Care Industry Information Technology Council (ACIITC) highlights both the challenges and opportunities associated with clinical care software adoption in residential facilities. Their report identifies barriers including "diversity of the current technology infrastructure in residential aged care facilities" and integration challenges with systems like My Health Record. At the same time, it emphasises opportunities for enhanced care planning and improved data collection through strategic technology investments.

Government Priorities and Funding Focus

The Commonwealth Government has clearly signaled its commitment to digital transformation through multiple funding streams. The Department of Health is currently implementing 23 specific actions and initiatives under the Aged Care Data and Digital Strategy, including developing aged care digital design standards, supporting virtual nursing, delivering e-prescribing services, and integrating aged care support plans with My Health Record.

Additionally, the Business to Government (B2G) project is working with aged care providers and software vendors to "develop, design and test improved aged care ICT platforms and systems that connect and integrate better". This initiative directly supports the Royal Commission's recommendations for government investment in technology systems.

Understanding these priorities is essential for developing IT projects that not only address organisational needs but also align with government funding focus areas, substantially increasing the likelihood of successful grant applications.

Aligning IT Projects with Organisational and Sector Strategy

For residential aged care providers, strategic alignment means ensuring technology investments simultaneously address operational needs, enhance care quality, and support compliance with evolving regulatory requirements.

Evaluating Current Technology Infrastructure

Before developing new IT project proposals, aged care providers should have (or conduct!) a comprehensive assessment of their existing technology landscape. The ACIITC's research highlights the "diversity of the current technology infrastructure in residential aged care facilities" as a significant factor affecting digital adoption. This assessment should evaluate:

  • Deployed site Infrastructure: Equipment age, supportability, resilience and available capacity.
  • Clinical care systems: Current capabilities, limitations, and integration points with other systems.
  • Data collection and reporting: Ability to capture, analyze, and report on required quality indicators and other compliance metrics.
  • My Health Record integration: Current capability to connect with national health information systems, a specific recommendation from the Royal Commission1.
  • Staff digital literacy: Technical capabilities and training needs of the care workforce.
  • Cybersecurity and data governance: Protocols for data protection, privacy, and secure information sharing.

This assessment provides the foundation for identifying gaps and opportunities that strategic IT investments can address.

Mapping Projects to Aged Care Reform Objectives

The next step is mapping potential IT projects to specific reform objectives prioritised by both the organisation and government funding bodies. The Department of Health has outlined several focus areas for digital transformation, including:

  • Promoting healthy aging, independence, and choice
  • Simplifying user experience
  • Maximising time for direct care
  • Strengthening care connections
  • Improving security and access control

IT projects that explicitly address these priorities demonstrate stronger alignment with government objectives. For example, a project implementing advanced medication management software could be positioned as supporting both "maximising time for direct care" by reducing administrative burden and "strengthening care connections" by improving communication between care staff and healthcare providers.

The Macquarie University research project "Transforming residential aged care through evidence-based informatics" highlights that "Digital systems in residential aged care (RAC) have enormous potential to improve medication management, reduce the workload of aged care staff, and support quality care". Projects that build on these established benefits will be particularly compelling.

Prioritising IT Projects for Grant Applications

With limited resources and multiple funding opportunities, residential aged care providers must employ a structured approach to prioritising technology initiatives - where internal resourcing is not available to progress applications in an appropriate manner, consideration must be given to acquiring per-grant consulting resources to ensure that applications are compliant, on-time and cover the required areas.

Aged Care-Specific Prioritisation Criteria

While standard prioritisation frameworks provide a useful starting point, the unique characteristics of the aged care sector require additional considerations:

  • Regulatory compliance impact: How does the project support compliance with Aged Care Quality Standards, the new Aged Care Act 2024, or other regulatory requirements?
  • Care quality improvement: What measurable impacts will the project have on resident care outcomes, safety, or quality of life?
  • Workforce efficiency: How will the project reduce administrative burden, support staff in providing direct care, or address workforce challenges?
  • Integration capabilities: Does the project enhance connectivity with other healthcare providers, My Health Record, or government reporting systems?
  • Resident and family engagement: How does the project improve communication with residents and their families or support their involvement in care decisions?

By July 2025, aged care providers will need to "update their digital interface" to meet new requirements under the Aged Care Act 2024. Projects that support this transition should receive higher priority, particularly if they address multiple compliance requirements simultaneously.

Balancing Immediate Needs with Strategic Transformation

The staged approach to digital transformation announced by the Department of Health suggests that providers should develop a portfolio of projects spanning different timeframes and complexity levels:

  1. Short-term compliance projects: Initiatives that address immediate requirements for July 2025, such as updating provider registration details, implementing new reporting mechanisms or replacing infrastructure items that enable future projects.
  2. Medium-term enhancement projects: Investments that improve existing systems, such as enhancing clinical care software or implementing integration with My Health Record.
  3. Long-term transformation projects: Strategic initiatives that fundamentally reshape care delivery, such as implementing virtual nursing, advanced analytics, or artificial intelligence solutions.

This balanced approach ensures providers can respond to immediate requirements while also positioning themselves for long-term competitive advantage and improved care delivery.

Making Aged Care IT Projects "Shovel-Ready"

The concept of "shovel-ready" is particularly relevant for aged care providers seeking government funding, as grant programs increasingly prioritise projects that can be implemented quickly and demonstrate rapid benefits.

Defining "Shovel-Ready" in the Aged Care Context

For IT projects in residential aged care, being "shovel-ready" means having completed all preliminary work necessary to begin implementation immediately upon receiving funding. This typically includes:

  • Detailed project planning: Comprehensive project plans with clearly defined scope, deliverables, timelines, resource requirements, and risk management strategies tailored to the aged care environment.
  • Technical specifications: Detailed requirements, architecture designs, and integration plans that consider the unique characteristics of aged care IT environments.
  • Vendor identification: Research on potential technology vendors with demonstrated experience in the aged care sector and capability to meet project requirements.
  • Stakeholder engagement: Evidence of consultation with key stakeholders, including care staff, residents and their families, and technology teams.
  • Regulatory compliance assessment: Analysis of how the project supports compliance with relevant aged care regulations and standards.
  • Implementation readiness: Clear plans for deployment, change management, training, and support specifically designed for aged care workforce needs.

Developing Compelling Business Cases for Aged Care IT Projects

Business cases for aged care IT projects must clearly articulate both the strategic value and practical benefits of the proposed investment. Key components include:

  • Problem statement: Clear articulation of the specific aged care challenges or opportunities the project addresses.
  • Strategic alignment: Explicit mapping to both organisational priorities and government reform objectives.
  • Benefits analysis: Quantifiable impacts on care quality, regulatory compliance, operational efficiency, and financial performance.
  • Implementation approach: Realistic timeline and resource requirements for successful deployment.
  • Risk assessment: Thorough analysis of implementation risks and mitigation strategies.
  • Evaluation framework: Clear metrics for measuring project success and ongoing performance.

For projects seeking government funding, business cases must directly address specific grant criteria. For example, the Aged Care Capital Assistance Program (ACCAP) prioritises maintaining or increasing access to quality aged care services in "thin market settings" and for specific populations including Aboriginal and Torres Strait Islander communities - such requirements need explicit language to ensure bid compliance!

Capturing Comprehensive Project Costs for Aged Care IT Initiatives

Accurate cost estimation is essential for both budget planning and grant applications. For residential aged care providers, comprehensive cost capture must consider the unique characteristics of the sector, expected project lifetime and appropriate contingencies.

Capital Expenditure in Aged Care IT Projects

Capital expenditure for aged care IT projects typically includes:

  • Hardware and infrastructure: Physical equipment, networking components, and facility modifications needed to support new technology.
  • Software licenses and implementation services: Costs for clinical care systems, resident management platforms, or specialised applications.
  • Integration services: Expenses related to connecting new systems with existing platforms or external services like My Health Record.
  • Data migration and validation: Costs associated with transferring resident information and care plans to new systems while ensuring accuracy and completeness.
  • Training and change management: Investments in workforce development and support during transition periods.

When applying for capital grants like the ACCAP, providers should clearly identify which costs fit within eligible categories. The ACCAP guidelines, for example, specify that grants can be used for "maintenance and efficiency upgrades" and "safety and amenity improvements", which could include technology infrastructure.

Operational Expenditure and Sustainability Planning

A critical consideration for aged care providers is the ongoing operational cost of new technology systems. These expenses typically include:

  • Software subscription or maintenance fees: Recurring costs for cloud-based services or support contracts.
  • Technical support resources: Staff or vendor services required to maintain systems and assist users.
  • Training and skills development: Ongoing education to ensure staff can effectively utilise technology.
  • Infrastructure maintenance: Costs related to maintaining hardware, networks, and facilities.
  • Compliance and reporting: Resources needed to meet evolving regulatory requirements.

Grant applications should clearly distinguish between one-time implementation costs (potentially covered by government funding) and ongoing operational expenses (typically borne by the provider). This transparency demonstrates financial sustainability and increases confidence in the project's long-term viability. Care must also be taken to ensure that mandatory "subscriptions" needed as part of the initial installation are identified and included within the Capital costs - renewals of such subscriptions in the years following deployment then fall into operational expenditure.

Identifying Efficiency Gains and Cost Offsets

A compelling component of financial planning for aged care IT projects is identifying efficiency gains and cost offsets. These might include:

  • Reduced administrative time: Quantifiable reductions in documentation time that can be redirected to direct care.
  • Improved resource utilisation: More efficient allocation of staff, supplies, or other resources.
  • Reduced adverse events: Fewer medication errors, falls, or other incidents that generate additional costs.
  • Enhanced compliance efficiency: Reduced time and resources required for regulatory reporting and audits.

The Business to Government (B2G) project explicitly aims to "reduce administrative burden for providers" through better technology connections. Projects that demonstrate alignment with this objective can highlight these efficiency benefits in funding applications.

Current Grant Opportunities for Aged Care IT Projects

As of early 2025, there are several grant programs specifically targeting aged care infrastructure and technology improvements. available to Australian providers. Understanding these opportunities can help providers align their strategic IT initiatives with available funding sources.

Aged Care Capital Assistance Program (ACCAP)

The ACCAP represents a significant funding opportunity for residential aged care providers, with $966.5 million allocated over four years to June 2028 and at least $161 million available annually thereafter. While traditionally focused on physical infrastructure, ACCAP grants can support technology projects that enhance care quality and service delivery.

The next ACCAP grant opportunity is anticipated to open in the first half of 2025, with a focus on projects that "maintain or improve access to quality residential-based aged care services" in regional, rural, and remote locations, as well as metropolitan locations serving Aboriginal and Torres Strait Islander people.

Providers interested in this funding should register with GrantConnect to receive notifications about upcoming opportunities and review the specific guidelines for each round, as eligibility criteria and priority areas may vary.

Digital Transformation Initiatives

Beyond capital infrastructure grants, providers should monitor funding opportunities related to the government's digital transformation agenda. The Department of Health is implementing numerous initiatives under the Aged Care Data and Digital Strategy, many of which involve collaboration with providers and technology vendors.

The Business to Government (B2G) project specifically aims to develop "improved aged care ICT platforms and systems" through collaboration with providers and software vendors. Engaging with these initiatives can provide valuable insights into government priorities and potential funding opportunities.

Strategic IT Project Development Checklist for Aged Care Providers

The following comprehensive checklist provides a framework for residential aged care providers developing strategic IT projects positioned for government grant funding:

Strategic Alignment

  • Evaluate current technology infrastructure against aged care quality standards and reform requirements

  • Identify gaps in clinical care systems, data collection, and reporting capabilities

  • Map proposed IT initiatives to specific aged care reform objectives

  • Align projects with recommendations from the Royal Commission into Aged Care Quality and Safety

  • Secure executive sponsorship and engagement from clinical leadership

Project Prioritisation

  • Develop prioritisation criteria addressing regulatory compliance, care quality, and workforce efficiency

  • Assess projects based on implementation complexity, risk profile, and resource requirements

  • Balance portfolio with immediate compliance needs and long-term transformation initiatives

  • Consider integration capabilities with existing systems and external platforms like My Health Record

  • Regularly review priorities as regulatory requirements and government funding focus areas evolve

Shovel-Readiness Preparation

  • Develop detailed project plans with implementation timelines aligned with funding cycles

  • Prepare technical specifications and integration requirements

  • Identify potential technology vendors with aged care sector experience

  • Engage stakeholders including care staff, residents, and families

  • Develop risk management strategies addressing aged care-specific implementation challenges

  • Create comprehensive change management and training plans for the care workforce

Comprehensive Cost Planning

  • Document all capital expenditure requirements eligible for grant funding

  • Calculate ongoing operational costs and identify funding sources

  • Quantify efficiency gains, cost offsets, and care quality improvements

  • Secure financial approval for both grant-funded and provider-funded components

  • Develop contingency plans for funding shortfalls or implementation challenges

Grant Application Readiness

  • Monitor upcoming aged care grant opportunities through GrantConnect

  • Prepare standardised project information aligned with common grant criteria

  • Develop relationships with relevant government agencies and industry bodies

  • Establish internal processes for rapid response to funding announcements

  • Build capability in grant writing with specific focus on aged care priorities

Conclusion

The digital transformation of Australia's residential aged care sector represents both a significant challenge and an unprecedented opportunity. With substantial government funding available through programs like the Aged Care Capital Assistance Program and various digital transformation initiatives, providers have a unique window to secure support for strategic technology investments.

The key to success lies in thorough preparation and strategic alignment. By developing a portfolio of "shovel-ready" IT projects that directly address both organisational needs and government priorities, residential aged care providers can position themselves to capitalise on funding opportunities as they arise. This proactive approach not only enhances the likelihood of securing external funding but also strengthens the organisation's capability to navigate the evolving regulatory landscape and deliver improved care outcomes.

As the July 2025 deadline for digital system uplifts approaches, the imperative for strategic action becomes increasingly urgent. Providers who invest in careful planning, comprehensive cost analysis, and detailed implementation preparation will find themselves ready to respond when funding opportunities arise, while others scramble to catch up.

By following the framework outlined in this article, residential aged care executives and IT leaders can ensure their organisations are well-positioned to leverage government funding for strategic IT initiatives that enhance care quality, improve operational efficiency, and support compliance with evolving regulatory requirements. This approach delivers lasting value not only to the organisation but, most importantly, to the older Australians who depend on these services for their care, dignity, and quality of life.