DOI QR코드

DOI QR Code

해외 사례 고찰을 통한 지자체 노인요양시설 인증 체계 및 조사원 고도화 방안

A Study on the Advancement of Accreditation Systems and Surveyors' Expertise for Long-term Care Facilities: Focusing on Overseas Cases

  • 서윤정 (서울시복지재단 연구평가본부 평가인증팀) ;
  • 이순성 (서울시복지재단 연구평가본부 평가인증팀) ;
  • 서동민 (백석대학교 사회복지학부) ;
  • 윤주영 (서울대학교 간호대학.간호과학연구소) ;
  • 사공혜 (서울대학교 간호대학) ;
  • 김다은 (서울대학교 간호대학)
  • Seo, Yun Jeong (Evaluation.Accreditation Team, Seoul Welfare Foundation) ;
  • Lee, Soonsung (Evaluation.Accreditation Team, Seoul Welfare Foundation) ;
  • Seo, Dong-Min (Department of Social Welfare, Baekseok University) ;
  • Yoon, Ju Young (College of Nursing.The Research Institute of Nursing Science, Seoul National University) ;
  • Sagong, Hae (College of Nursing, Seoul National University) ;
  • Kim, Da Eun (College of Nursing, Seoul National University)
  • 투고 : 2018.08.30
  • 심사 : 2018.09.28
  • 발행 : 2018.10.31

초록

Purpose: This study aimed to suggest strategies for advancing local-government-based accreditation systems and surveyor training in long-term care facilities in Korea. Methods: A comprehensive review of the literature including research papers and official reports issued by governments from the United States, Australia, and Japan was conducted to explore domestic and international policies related to long-term care facility certification and accreditation systems. Results: The USA has two types of care quality assurance systems including mandatory certification (5-star rating system) by the Centers for Medicare and Medicaid Services and voluntary accreditation by the Joint Commission on Accreditation of Healthcare Organizations. Australia operates a government-based mandatory accreditation system for all long-term care facilities through the Australian Aged Care Quality Agency. Japan, particularly the Tokyo district, operates a third-party evaluation system that involves the voluntary participation of long-term care facilities. Conclusion: This study provides several strategies to enhance accreditation processes and surveyors'expertise. For instance, motivating facilities to voluntarily participate in accreditation is necessary by 1) providing sufficient and continuous consultations and feedback about how to improve care quality, 2) differentiating accreditation domains and indicators from the national health insurance certification system, and 3) actively utilizing accreditation results and providing incentives.

키워드

참고문헌

  1. National Health Insurance Service (KR). 2017 Long term care insurance statistical yearbook. Wonju: National Health Insurance Service; 2018 Aug. 683 p.
  2. Korea Institute for Health and Social Affairs. Improvement in evaluation and management system of long-term care quality in Korea. Seoul: Korea Institute for Health and Social Affairs; 2013 Nov. 279 p. Report No.: 2013-31-17.
  3. Long-term care insurance [Internet]. Wonju: National Health Insurance Service; c2011. 2018 nyeondo janggi yoyanggigwan (siseol geubyeo) jeonggi pyeongga gyehoeg gonggo mich pyeongga maenyueol annae [Announcement of 2018 longterm care facility periodic evaluation plan and evaluation manual]; 2018 Jan 19 [cited 2018 Feb 12]; [about 1 screen].
  4. Jeon SY. Research on the introduction of quality certification system for the service of elderly care facilities. Korean Balanced Dev Stud. 2013 Apr;4(1):47-70.
  5. Seoul Welfare Foundation. 2017 Guide for accreditation of long-term care facilities in Seoul. Seoul: Seoul Welfare Foundation; 2017 Apr.
  6. Online Archive of The Korean Academy of Long-Term Care [Internet]. Seoul: The Korean Academy of Long-Term Care. 2013 - . Record No. 95, The 1st Policy Seminar; [cited 2017 Sep 10]. Available from: http://www.kaltc.co.kr/bbs_shop/list.htm?page=1&board_code=sub4_2
  7. Weiss CH. Evaluation. 2nd ed. Upper Saddle River (NJ): Prentice Hall; 1998. 372 p. Cited by Choi JS, Lee SW. Service quality control for nursing homes in South Korea: regulation vs. evaluation?. Seoul Stud. 2014 Sep;15(3):127-45.
  8. Choi JS, Lee SW. Service quality control for nursing homes in South Korea: regulation vs. evaluation?. Seoul Stud. 2014 Sep;15(3):127-45.
  9. Centers for Medicare & Medicaid Services (US). Design for nursing home compare five-star quality rating system: technical users' guide [Internet]. Baltimore(MD): Centers for Medicare & Medicaid Services; 2017 Jan [cited 2017 Sep 14]. 25 p. Available from: https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/Downloads/usersguide.pdf
  10. Allen JE. Nursing home federal requirements: Guidelines to surveyors and survey protocols. 8th ed. New York: Springer Publishing Company; 2014. 672 p.
  11. The Joint Commision [Internet]. Oakbrook Terrace(IL): The Joint Commission; c2017 [cited 2017 Sep 22]. Available from: https://www.jointcommission.org
  12. The Joint Commission. Nursing care center overview guide [Internet]. Oakbrook Terrace (IL): The Joint Commission; c2017 [cited 2017 Sep 14]. 16 p. Available from: https://www.jointcommission.org/assets/1/6/NCC_Overview_Guide.pdf
  13. The Joint Commission [Internet]. Oakbrook Terrace(IL): The Joint Commission; c2017. Coming in 2018: Florida nursing home Medicaid reimbursement shifting to PPS. 2017 Jul 12 [cited 2017 Sep 24]. Available from: https://www.jointcommission.org/issues/article.aspx?Article=wRTIn0biUEDuT8FMFRxrz55oJIN%2BbZMB8wqD5wsTAc4%3D
  14. Australian Aged Care Quality Agency (AU) [Internet]. New South Wales: Australian Aged Care Quality Agency; [cited 2017 Sep 15]. Available from: https://www.aacqa.gov.au
  15. Australian Government. Quality of Care Principles 2014 [Internet]. Canberra: Australian Government; 2014 Jun 24 [cited 2017 Sep 08]. Available from: https://www.legislation.gov.au/Details/F2014L00830
  16. Australian Aged Care Quality Agency. Quality surveyor consumer experience report sampling factsheet [Internet]. New South Wales: Australian Aged Care Quality Agency; [cited 2017 Sep 15]. 7 p. Available from: https://www.aacqa.gov.au/publications/publications-providers-and-surveyors/QualitySurveyorCERSamplingFactsheet.pdf
  17. Ministry of Health, Labour and Welfare (JP) [Internet]. Tokyo: Ministry of Health, Labour and Welfare; [cited 2017 Sep 20]. Available from: http://www.mhlw.go.jp
  18. Tokyo Welfare Service Evaluation Agency. Tokyo welfare service the third party evaluation guidebook 2017 [Internet]. Tokyo: Tokyo Metropolitan Foundation for Social Welfare and Public Health; c2003 [cited 2017 Sep 25]. 359 p. Available from: http://www.fukunavi.or.jp/fukunavi/hyoka/document/guidebook2017.pdf
  19. Fuku Navi [Internet]. Tokyo: Tokyo Metropolitan Foundation for Social Welfare and Public Health; c2003 [cited 2017 Sep 25]. Available from: http://www.fukunavi.or.jp/fukunavi
  20. Centers for Medicare & Medicaid Services (US). Upcoming Online Training [Internet]. Baltimore(MD): Centers for Medicare & Medicaid Services; 2018 Feb 16 [cited 2018 Apr 10]. 6 p. Available from: https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Admin-Info-Letter-18-10-ALL-Revised.pdf
  21. Centers for Medicare & Medicaid Services. CMS manual system pub. 100-07 state operations provider certification [Internet]. Baltimore (MD): Centers for Medicare & Medicaid Services; 2017 Mar 8 [cited 2017 Sep 15]. 585 p. Available from: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R168SOMA.pdf
  22. Australian Aged Care Quality Agency. Quality surveyor handbook [Internet]. New South Wales: Australian Aged Care Quality Agency; 2017 Aug [cited 2017 Sep 15]. 81 p. Available from: https://www.aacqa.gov.au/publications/publications-providers-and-surveyors/QualitySurveyorHandbook.pdf
  23. Lee M, Choi JS, Lee S. Improving the quality management system of long-term care in Korea: Applying the stakeholder perspective. Soc Welf Policy. 2014 Dec;41(4):51-75.
  24. Yoon JY, Roberts T, Bowers BJ, Lee JY. A review of person-centered care in nursing homes. J Korean Gerontol Soc. 2012;32(3):729-45.