Relentless indictment, the result of the survey conducted by the General Finance Inspections (IGF) and Social Affairs (IGAS) has a machine to generate profits to the point of neglecting the well-being and health of the residents of EHPAD.
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“We scratch and scratch every day!”: A framework of ORPEA is for email in 2018 to some EHPAD directors of the private group. The word of order, cited in the report of the General Finance Inspections (IGF) and Social Affairs (IGAS) made public, Tuesday, April 5, by the Ministry of Autonomy, summarizes the document alone. An implacable 524-page indictment that demonstrates how the world rank, listed company, has become a machine to save money and to identify profits to the point of neglecting the well-being and health of seniors who reside there. .
The six chapters of the Government’s Administrative Survey “February, after the release of the book of Victor Castanet, the graves (FAYARD, 400 pages, 22.90 euros), Confirm the facts updated by the author of the book to demonstrate the existence of a “cost optimization system” at all levels. The IGF / IGAS report contains the ANPEA responses in annex. Despite the density of objections, they have little influence – or at the margin – the first provisional conclusions, which are almost as severe in the final report.
The ministry, in the name of business secrecy, has obscured some figures and enterprise names in the published Tuesday. But the document, even redacted, provides specific details on “drifts” in the use of public money, the management of the 14,500 employees or the management of the 27,392 residents in the Group’s 228 EHPAD.
“Overcover”
Financial performance is a cardinal rule at Orpea. According to the report, it governs all floors. To begin with that of the directors, sutted to comply with their hierarchy but also encouraged to submit it by premiums. The more EHPAD releases margins on its budget, the more the bonus is important for its leader. Between 2018 and 2021, some directors received a gratification of 250 euros, others of 24,200 euros. “The Executive Compensation Policy such as the management of their career” encourage “to survive the financial objectives in relation to the quality objectives”, reports the IGF / IGAS report.
It is also in the name of the maximization of the revenues that the directors are encouraged to accommodate more residents than the number authorized by the guardianship. The report sets up that 11% of EHPADs in 2019 had a “recurring overflow of their authorized capacity”, about twenty of about 228 establishments. The IGF and IGAS cite internal notes of the group that encourage directors not to replace vacancies, while their establishment is “in a maximum occupancy situation” or even “Overcoming”.
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