Page 79 - 2024 Taiwan Health and Welfare Report

05 ｜ Long-Term Care Services

(3) Improving Service Quality and Keep Up 3. Program for Attaining Service Excellence at Long-
Management: term Care Institutions
A. Appropriately utilize the long-term care To address the uneven quality of residential service
payment audit system declaration data: institutions and the issue of limited availability, the
Local governments are urged to regularly Program for Attaining Service Excellence at Long-
compare the declaration data with the service term Care Institutions has been implemented since
records of long-term care institutions and 2020. It focuses on five types of residential service
the registration status of long-term care institutions: elderly welfare institutions (excluding
personnel. In addition, proactive investigations nursing beds), accommodation institutions
and assessments should be conducted for persons with disabilities (excluding early
regarding any abnormal declarations, with intervention), general nursing homes, psychiatric
the aim of understanding the situation and nursing homes, and residential long-term care
providing guidance for improvement. institutions established under the Long-term Care
B. response to the linkage of long-term care Services Act. Four categories of quality indicators
services, it is necessary to establish case have been established, including "compliance with
management quality assessment and reporting system data," "improvement of public
management mechanisms. This includes safety," "provision of adequate daily living spaces,"
incorporating management assessment and "enhancement of care quality." Institutions
mechanisms and abnormal indicator that achieve all indicators in a given year are
investigations into health administration rewarded. In 2023, a total of 1,479 institutions were
evaluation indicators to supervise and guide participated.
county and city governments in actively 4. Residential Institution Infection Control Enhancement
implementing supportive management Incentive Program
measures. To implement institutional infection control
C. Evaluation indicators guide the refinement operations, infection control indicators have been
of service quality: The health administration established, and comprehensive emergency
evaluation indicators have incorporated preparedness plans and related drills for residential
"home care quality management" and "adult institutions have been developed. Institutions are
foster care quality management mechanisms awarded annual incentives ranging from NTD
of local government". Community-based 180,000 to NTD 760,000 based on their bed
long-term care institutions are guided to capacity and achievement of indicators. In 2023,
provide extended care and other diverse 1,308 institutions participated in this program.
services. Regularly selected cases were
visited and assessed to understand the
service situation, maintaining detailed
records. Analytical assessments, reviews, and
improvement strategies were proposed based
on the examination results and any anomalies
detected. In 2023, all 22 counties and cities
established quality management mechanisms
according to evaluation indicators.

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