How to Scale Up Quality and Safety Program with the Home Care Accreditation

Introduction: The growing number of older people and the increasing burden of non-communicable diseases highlight the need for the integration between social and health services. To ensure high quality home care, common and consistent standards are essential. Our aim is to develop a validated accred...

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Main Authors: Laura Brunelli, Vittorio Cristofori, Claudio Battistella, Anna Paola Agnoletto, Anna Catelani, Cristina De Sarno, Bruna Odasmini, Simone Pauletto, Paola Stenico, Corrado Tosetto, Silvio Brusaferro
Format: Article
Language:English
Published: Ubiquity Press 2022-03-01
Series:International Journal of Integrated Care
Subjects:
Online Access:https://www.ijic.org/articles/5698
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author Laura Brunelli
Vittorio Cristofori
Claudio Battistella
Anna Paola Agnoletto
Anna Catelani
Cristina De Sarno
Bruna Odasmini
Simone Pauletto
Paola Stenico
Corrado Tosetto
Silvio Brusaferro
author_facet Laura Brunelli
Vittorio Cristofori
Claudio Battistella
Anna Paola Agnoletto
Anna Catelani
Cristina De Sarno
Bruna Odasmini
Simone Pauletto
Paola Stenico
Corrado Tosetto
Silvio Brusaferro
author_sort Laura Brunelli
collection DOAJ
description Introduction: The growing number of older people and the increasing burden of non-communicable diseases highlight the need for the integration between social and health services. To ensure high quality home care, common and consistent standards are essential. Our aim is to develop a validated accreditation tool for home care. Description: An integrated home care accreditation tool was developed including 26 standards and 144 items divided into six domains: Organization&Governance, Patient Safety&Risk Management, Professionals knowledge, Skills&Competences, Information&Communication, Care Integration, and Improvement&Innovation. Expert evaluation was conducted between August and November 2019; relevance and feasibility (RF) and expert agreement were analyzed. Discussion: A total of 21 experts participated in the validation process, with a response rate of 53%. A good RF score and agreement were obtained for 70% of the items and 65% of the standards. The best scores were obtained forIndividualized care project(RF 8.4, agreement 100%),Integrated care pathways(RF 7.5, agreement 81%),Access to the integrated health and social care system(RF 8.1, agreement 86%), andMultidimensional assessment of needs(RF 8.1, agreement 86%). Conclusion: The existence of an integrated health and social care accreditation tool would help to improve the quality of home care, and make patients’ quality of life better and safer.
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spelling doaj.art-adceb1feb7434c24bd69337da751ad002022-12-22T02:06:15ZengUbiquity PressInternational Journal of Integrated Care1568-41562022-03-0122110.5334/ijic.56985595How to Scale Up Quality and Safety Program with the Home Care AccreditationLaura Brunelli0Vittorio Cristofori1Claudio Battistella2Anna Paola Agnoletto3Anna Catelani4Cristina De Sarno5Bruna Odasmini6Simone Pauletto7Paola Stenico8Corrado Tosetto9Silvio Brusaferro10Dipartimento di Area Medica, Università degli Studi di Udine, Udine; SOC Accreditamento e Qualità, Azienda Sanitaria Universitaria Friuli Centrale, UdineDipartimento di Area Medica, Università degli Studi di Udine, UdineDipartimento di Area Medica, Università degli Studi di Udine, Udine; Present address: Direzione Sanitaria, AULSS n.4 Veneto Orientale, PortogruaroDistretto di Cividale, Azienda Sanitaria Universitaria Friuli Centrale, UdineServizio Sociale dei Comuni del Medio Friuli, ASP “Daniele Moro”, CodroipoDistretto di Cividale, Azienda Sanitaria Universitaria Friuli Centrale, UdineDistretto di Tarcento, Azienda Sanitaria Universitaria Friuli Centrale, UdineDistretto 2 Alto Vicentino, AULSS7 Pedemontana, ThieneServizio Territoriale Azienda Provinciale per i Servizi Sanitari di Trento, TrentoProfessioni Sanitarie della Riabilitazione, Azienda Sanitaria Universitaria Friuli Centrale, UdineDipartimento di Area Medica, Università degli Studi di Udine, UdineIntroduction: The growing number of older people and the increasing burden of non-communicable diseases highlight the need for the integration between social and health services. To ensure high quality home care, common and consistent standards are essential. Our aim is to develop a validated accreditation tool for home care. Description: An integrated home care accreditation tool was developed including 26 standards and 144 items divided into six domains: Organization&Governance, Patient Safety&Risk Management, Professionals knowledge, Skills&Competences, Information&Communication, Care Integration, and Improvement&Innovation. Expert evaluation was conducted between August and November 2019; relevance and feasibility (RF) and expert agreement were analyzed. Discussion: A total of 21 experts participated in the validation process, with a response rate of 53%. A good RF score and agreement were obtained for 70% of the items and 65% of the standards. The best scores were obtained forIndividualized care project(RF 8.4, agreement 100%),Integrated care pathways(RF 7.5, agreement 81%),Access to the integrated health and social care system(RF 8.1, agreement 86%), andMultidimensional assessment of needs(RF 8.1, agreement 86%). Conclusion: The existence of an integrated health and social care accreditation tool would help to improve the quality of home care, and make patients’ quality of life better and safer.https://www.ijic.org/articles/5698primary careaccreditation: quality improvementpatient safetyhealthcare quality improvement
spellingShingle Laura Brunelli
Vittorio Cristofori
Claudio Battistella
Anna Paola Agnoletto
Anna Catelani
Cristina De Sarno
Bruna Odasmini
Simone Pauletto
Paola Stenico
Corrado Tosetto
Silvio Brusaferro
How to Scale Up Quality and Safety Program with the Home Care Accreditation
International Journal of Integrated Care
primary care
accreditation: quality improvement
patient safety
healthcare quality improvement
title How to Scale Up Quality and Safety Program with the Home Care Accreditation
title_full How to Scale Up Quality and Safety Program with the Home Care Accreditation
title_fullStr How to Scale Up Quality and Safety Program with the Home Care Accreditation
title_full_unstemmed How to Scale Up Quality and Safety Program with the Home Care Accreditation
title_short How to Scale Up Quality and Safety Program with the Home Care Accreditation
title_sort how to scale up quality and safety program with the home care accreditation
topic primary care
accreditation: quality improvement
patient safety
healthcare quality improvement
url https://www.ijic.org/articles/5698
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