Financial magistrates have controlled fifty-seven institutions including nineteen private lucrative – but none of ORPEA. Conclusion: The quality of management is not linked “to the public or private nature but to the efficiency of the frame”.
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From beds at 6 pm Even at 4 pm, dinners served at the time of the tea, toilets that last ten-seven minutes, an overconsumption of psychotropic … The current model of the elderly accommodation institutions for the elderly Dependent (EHPAD) is “out of breath”, considers the Court of Auditors, in a report made public, on 28 February, on “the medical care of the elderly” in these structures. The financial magistrates draw up the list of abuse that derive from the chronic lack of caregivers and doctors. In support of this assessment, they controlled fifty-seven institutions including nineteen private lucrative.
Chance wants no EHPAD from Orpea to appear in the sample. The controls were conducted in 2020 and beginning 2021 or before the release of the book of Victor Castanet the graduates (Fayard, 22.90 euros) which denounces “the cost optimization system” of the private commercial group.
Cambon Street argues that its photograph is no less a reflection of reality since “public EHPADs are not especially better managed than lucrative private EHPADs,” said Pierre Moscovici by reporting on the conclusions of This work, Wednesday, February 23, in the Senate. The quality of management is not linked “to the public or private nature [of the EHPAD] but to the efficiency of the management of the triptych director-nurse coordinator”, “he explained before the Committee on Social Affairs, Report Sponsor.
Despite public credits up 30% since 2011, which exceeds 14 billion euros, these increased expenditures “are not enough to meet the needs of an increasingly fragile population,” says the Court of the Court. accounts. The growing share of residents in high dependence, 54%, or reached cognitive disorders, 57%, requires a significant reinforcement of caregivers, doctors, nurses, psychomotricians, psychologists, animators … the first Action to reinforce EHPAD’s workforce consists, according to the Court, to review the way in which Regional Health Agencies (ARS) allocate them allocations.
administrative heaviness
The ARS applies an outdated needs assessment grid because it does not take sufficiently into account the time necessary for the prevention of the great dependence and the accompaniment of residents with cognitive disorders. Called “Pathos”, this grid has been rebounded by the ministry in 2015. However, the new version is still not in application … its implementation would allow an increase in the staffing rate for a cost that would be between 638 million and 1.2 billion euros per year. However, the Court does not specify how many additional caregivers would be recruited.
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