From: Development of the Korean framework for senior-friendly hospitals: a Delphi study
Healthcare organization accreditation standard | Feasible standard of senior-friendly hospitals |
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2.1 [Required] There is a management system for quality improvement and patient safety at the organization level. | 1.3.1 The healthcare organization has plans for quality improvement for Senior-Friendly Hospitals. |
1.3.3 The healthcare organization supports resources needed for quality improvement and patient safety activities. | |
2.4 The healthcare organization plans and implements indicator management at the organization level. | 1.3.4 The healthcare organization includes sex- and age-specific analysis in its measurements of quality, safety, and patient satisfaction whenever appropriate. These data are available to staff for evaluation. |
1.3.6 The healthcare organization manages elderly patients’ satisfaction. | |
1.3.7 Results of the reported patient satisfaction is reported to the leadership and shared with the associated staff. | |
3.2.2 The healthcare organization identifies the health care needs of inpatients, and carries out initial assessments or reassessments of the patients. | 2.1.1 The medical staff performs early initial assessment of patient’s needs for health promotion and disease prevention, including lifestyle, nutritional status, psycho-social-economic status, fall prevention, etc. |
2.1.4 The assessment is documented in the patients’ record. | |
3.1.5 The healthcare organization provides discharge, transfer, and referral services to maintain care continuity. | 2.3.1 A list of health and social care providers working in partnership with the healthcare organization is available. |
2.3.4 There is a written plan for collaboration with partners to improve the patients’ continuity of care. | |
2.3.5 There is an agreed upon procedure for information exchange practices between organizations for all relevant patient information. | |
2.3.6 Patients (and their families as appropriate) are given understandable follow-up instructions at out-patient consultation, referral, or discharge. | |
2.3.7 The receiving organization is given in a timely manner a written summary of the patient’s condition and health needs, and interventions provided by the referring organization. | |
4.1.1 The healthcare organization establishes and carries out care plans and goals in a timely manner to maintain appropriate patient care. | 2.2.2 Doctors re-establish care planning according to major changes in the patients’ conditions. |
2.2.3 The intervention and expected results are documented and evaluated in the records. | |
2.2.5 Information given to the patient (and caregiver) is recorded in the patient’s record. | |
2.2.7 Diagnostic investigations and procedures should accommodate age-related changes, tolerance, and ability. | |
3.1.4 The healthcare organization provides adequate information and involves the older persons and their families at all stages of care. | |
4.2.2 The healthcare organization provides high-quality medical care to patients who require cardiopulmonary resuscitation. | 2.4.1 The healthcare organization has processes to solicit and follow patients’ advance directives that address care planning issues beyond “Do Not Resuscitate” orders. |
7.1.2 The healthcare organization protects the rights and safety of vulnerable patients. | 1.1.1 The healthcare organization has policies and procedures for Senior-Friendly Hospitals. |
1.1.2 The healthcare organization develops a written age-friendly policy that values and promotes older persons’ health, dignity, and participation in care. | |
2.4.2 The healthcare organization has processes to deal with elder abuse issues when they are suspected or identified. | |
3.1.1 The healthcare organization staff speaks to older persons in a respectful manner using understandable language and words. | |
8.1 The leadership carries out reasonable decision-making and operates the healthcare organization under a systematic plan. | 1.1.3 The healthcare organization’s current quality and business plans identify age-friendliness as one of the priority issues. |
1.2.1 The healthcare organization identifies a budget for age-friendly services and materials. | |
9.2 The healthcare organization provides continuous education and training to the staff. | 1.2.5 All clinical staff who provide care to older persons receive basic training in core competences of elder care. |
11.1 The healthcare organization carries out safety management of the facility and environment. | 4.1.3 The facilities are equipped with good lighting, non-slip floor surfaces, stable furniture, and clear walkways. |
4.1.4 The toilet and bathing facilities and heads of the healthcare organization beds are equipped with an emergency alarm system. | |
4.1.5 The healthcare organization has barrier-free washrooms equipped with basic washing facilities. | |
4.1.6 There are hand railings on both sides of hallways. | |
4.1.7 Bed heights are appropriate for older persons. |