Grandstand. As hospitals and their professionals face the fifth wave of Covid-19, another wave is sweeping over them: that of certification by the High Authority for Health (HAS). With leap regularity, this mandatory procedure aims to “assessment of the level of quality and safety of care in health establishments, public and private”.
Is this the right time? Yes, without a doubt, for the HAS, the quality and safety of care has no temporality and applies in all circumstances. So what are we talking about when field caregivers warn about care in “degraded” mode, using the term used by hospital management; when, under the blows of Covid-19, patients are “deprogrammed”; when tens of thousands of nursing positions are vacant?
Quality of life at work at risk
What are we talking about when hospital services close their beds in unprecedented proportions, for lack of nurses or doctors; when emergency services – including pediatrics – close, either temporarily or until further notice; when absenteeism in hospitals has never been so high; when the resignations of nursing staff accumulate, when the regional health agencies favor the massive call for interim?
What are we talking about, finally, when three experts from the National Observatory of the quality of life at work (QVT) of caregivers resign and explain themselves [dans une tribune publiée sur le site de Franceinfo le 8 janvier] ? They express their fear that the Observatory and its mission for QVT will become “empty shells”, and specify that the QVT of caregivers is a fundamental determinant of the quality of care, relaying in this the findings of numerous reports and scientific studies.
Is this the correct method? Yes, without a doubt, for the HAS. “The new certification of health establishments for the quality of care, she says, is simplified, anchored in the practices of caregivers and centered on the results of care for the patient. » The “visiting experts”, who are authorized health professionals, visit the health establishments armed with the “certification reference system” structured in fifteen objectives, themselves divided into three chapters: the patient, the care teams and the establishment. . Finally, 131 criteria will be scrutinized, some “generic”, some “specific”, some “standard”, others “imperative”. At the end of the visit, the establishment is certified, or certified under conditions, or not certified.
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