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Experimental Program for Using the Tracer Method in the Supervision of Old Age Homes in Israel / תוכנית ניסיונית להפעלת שיטת המסמנים במערכת הפיקוח על המעונות לזקנים בארץ

רחל פליישמן, מרים בר-גיורא, ג'ני מנדלסון, אדריאן תומר, ראובן שוורץ, Rachel Fleishman, Miriam Bar-Giora, Jenny Mendelsohn, Adrian Tomer and Robert Schwartz
Social Security (Hebrew edition) / ביטחון סוציאלי
חוברת‎ 29 (חשון תשמ"ז, נובמבר 1986), pp. 91-105
Stable URL: http://www.jstor.org/stable/23268775
Page Count: 15
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Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Experimental Program for Using the Tracer Method in the Supervision of Old Age Homes in Israel / תוכנית ניסיונית להפעלת שיטת המסמנים במערכת הפיקוח על המעונות לזקנים בארץ
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Abstract

This proposal came about in response to a desire of the Service for the Aged to introduce improvements in long-term care and in response to the findings of a study on the quality of institutional care in Israel (Fleishman, Tomer, et al, 1985). The study successfully developed instruments for measuring the quality of care and also found serious deficiencies in the provision of care. A new system for the supervision of old-age homes is proposed, based on standarized and reliable instruments. This new system, in conjunction with new regulations being drafted by the Ministry of Labor and Social Affairs, aims to improve the quality of care in old-age homes, which is currently rated by national supervisors as poor in 10% of the homes and mediocre in another 30%. Supervision based on the tracer method will concentrate on the care provided for a limited number of medical, nursing and social problems called tracers. A problem can serve as a tracer only if it is highly prevalent and easy to diagnose and has a known treatment. In the tracer method, the care for each such problem will be surveyed by supervisors through structure, process and outcome measures. The experimental program will include the development of clear standards of care and suggested treatment procedures to be used in the facilities. In order to facilitate the inspection process, standardized supervisory instruments will be used. Through these supervisory instruments, supervisors will collect the relevant quality of care data which will be computerized. The computerized data bank will enable supervisors to follow-up changes and will provide an overall picture of trends in the quality of care. Every year, each facility will undergo a 12-week supervisory process including: receipt of basic informaton from the facility, inspection (checking information sent by facility, interviews with residents and staff, and reviewing records), report to national supervisors, computerization and analysis of data, and reporting to facility. The experimental program will be subject to ongoing evaluation to determine its effectiveness in discerning deficiencies in care and ensuring their correction. Successful implementation of the new supervisory system will require improvements in the record-keeping of the facilities and training of personnel.

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