Figures and audit results
Due to the Covid-19 pandemic, the care audits conducted by the Health Insurance Medical Service (MDK) were postponed from mid-March 2020 and only resumed in October 2020. In 2020, therefore, only the Schwabing ambulatory care service was audited and scored a rating of 1.3 (2019: 1.0), with 1.0 being the highest possible score.
The audit reports of the municipal Fachstelle für Pflege- und Behinderteneinrichtungen - Qualitätsentwicklung und Aufsicht der Landeshauptstadt München (FQA) are available in their full, unabridged versions in every MÜNCHENSTIFT residence and can be viewed online. All the audits carried out in 2020 were routine audits and, as in 2019, revealed no shortcomings.
Maintaining and developing high standards
The intensive development of internal quality controlling based on monthly risk potential assessments is an increasingly effective tool in improving the quality of the care and assistance provided by MÜNCHENSTIFT: a total of 17 risk potentials are regularly assessed in all residential units. Together with the quality department, our monitoring team then duly identifies where improvements should be made and measures initiated to minimise risks.
Thanks to the high level of commitment on the part of the management and those involved in the risk management process, the very good results of recent years have remained stable or were even surpassed despite the additional burden brought about by the Covid-19 pandemic.
- The proportion of residents who have suffered a fall in the past month, for instance, lies at an average of 17.9% (2019: 17.3%) and the proportion of residents whose BMI on the set monthly date is less than 18.5, viewed as an annual average, is 7.3% (2019: 7.8 %).
- Particularly gratifying is the stable rate of measures involving deprivation of liberty, which at 0.25% (2019: 0.03%) is significantly lower than the national average of 5.60% (see MDS care quality report of 12/2020), despite various quarantine orders.
Since 2018, MÜNCHENSTIFT has also been monitoring the administration of psychotropic drugs, which may assume a deprivation of liberty character. By comparing the set monthly amount of psychotropic drugs deemed necessary to those actually dispensed, conclusions can be drawn as to the extent to which dispensing was limited to the necessary minimum.
In the future, the previously collected key figures of the risk potentials will partly be reflected in the new indicator-based audit procedure of the MDK introduced on 1 November 2019.
"The new audit procedure marks a paradigmatic shift towards promoting professionalism in the care process, the individual responsibility of the care staff, and the quality of the results in terms of the people in care."
Project manager, indicator-based audit procedure
Passing on expertise, providing tools
As part of MÜNCHENSTIFT's extensive further training syllabus, multiplier courses are held regularly. Based on the relevant expert standard (for instance, pertaining to decubitus or fall prevention), carers, residential unit managers and their deputies are apprised of state-of-the-art expertise in those areas. Material is covered that the managers then use in compact training sessions in order to share this expertise with their fellow team members. The aim is to give all carers and assistants the confidence to perform their duties.
MÜNCHENSTIFT’s modern intranet solution makes it easy for everyone to access the relevant specialist information. Only care and assistance that is based on state-of-the-art standards can be successfully maintained at a high level, thus achieving the best possible quality of life for MÜNCHENSTIFT residents.
In order to focus our advice and support more strongly on the needs of our residences, since 2020 the quality department has been holding regular quality circle sessions, during which issues relating to the individual residences can be addressed and tackled more effectively.