The home help has to do its job under increasing time pressure and must also account for it. In the tenders, institutions have committed themselves to offer care at a low rate. Providing care by the cheapest provider can lead to major problems.
The care provider comes to your home because it is cheap, while the quality is second. That can make you feel uncomfortable. The employees do have a heart for the client but must also account for themselves to their manager. Therefore, it would be better if the tender was done not only on price but also on quality.
This indicates, in fact, a large improvement in enrollment. The invoice shall be accounted for per minute, otherwise, it cannot be submitted. Happily, science has a remedy. And this is a beneficial result with certain detrimental outcomes. Home helpers are sent to register with PDAs and should not spend too much time. This technical advancement would certainly not have begun so rapidly had there not been the tariff burden. Home nursing is ahead of most care services in this regard.
Moreover, due to the increasing accountability of the care provided in order to be able to send an invoice, it suddenly becomes clear which care has been provided. For example, how long it takes on average to shower a patient. This information can be used to make a good agreement about the contract price. The costs of a home help per hour are known so that the required rate can be calculated quickly. This development would never have taken place as quickly as possible if the pressure on rates had not risen so much. You could even consider a tendering procedure in which the contract price is more or less fixed, and the offer is assessed on quality. The institution receives a cost-effective rate, and the client a motivated home help who can better deliver quality.
However, these cost-effective rates are subject to discussion in all sectors. For example, Minister Ab Klink (CDA) of public health within Mental Health Care (GGZ) wants to reduce the rates by 3.5%. According to the minister, this measure is necessary because it would have exceeded the budget by 185 million euros. Does not agree with this and wants to bring summary proceedings against the minister. According to, there are no hard figures to substantiate a rate reduction. The institutions would purely provide the care purchased by the health insurers and should not be punished for providing the requested care.
It is interesting to see that states that any incentive to work more efficiently and effectively in the sector will disappear with this measure by Klink. The inventiveness to organize care differently and better should get off the ground (regardless of who is right). The DBC system is the first step but is still under development in practice. This system is not based on the inventiveness of the institutions but is imposed by the government. This safety net does not stimulate the institutions to get the registration in order, and the employees feel no effect of the registration being delayed. They only feel the burden of registering. Only when the liquidity of the institution becomes a problem will individual employees feel the consequences.
The technological innovation that has been implemented in-home care could offer a solution here. How high must the need become within the mental health care institutions before the mental health care system starts taking innovative steps? Let the different care sectors learn from each other!
Fatma Koser Kaya sits on behalf of D66 in the Lower House, responsible for social affairs, youth & family, public health, finance, development cooperation, and emancipation. To get the best mental health care, contact Kentucky mental health care. They have the best therapists in Louisville KY.