Up in the revised salary compensation plus long-term care?

2008 December 26th, day of government agency work supplying, the social security conference nursing presentation expense sub-panel was opened, next term nursing remuneration reform plan was reported at speed of exceptional case.I this day, am to go to hearing, but the mass communications of course the general court gallery almost with the full house ardor munmun.Counting roughly, they are number of people of the extent which the general hearing person compares and when with 150 or more, in the past, hearing, does not become the thing.You can ask the height of the interest for the latest reform.That hearing person was tilted while everyone, it turns the thick data the ri, taking memo, the ear enthusiastically in exchanging in the sub-panel.

As for allowance rise with rise reform only part?

The eyeball of the latest nursing remuneration reform is for the first time reform “of 3% rise” after the nursing insurance introducing.You think that this was reported from early on, the one which you know was more.As basic thought of reform, most it can put out “the talent guaranty treatment improvement of the nursing work person” in the eye, “”staff guaranty to big business of burden such as night shift technicality of appraisal” “nursing work person, the carrier we have assumed that it takes a second look the monovalent setting every of appraisal” regional division”.

But when you look at contents concretely, this time the reform with the addition establishment which does not accompany system amendment.compensation for part of the body has not been up almost, place of business is real it is not possible to add, no compensation will be almost up.

unit price for each area classification also reward, and b in the land a special ward has been up, because there was a review of the percentage of labor costs at the same time, percentage labor costs60%from45%day care services has been changed to, specific life care facility residents, communal life support care, etc. type dementia, special districts, instep area specialized, party a in the land, unit price will be lower as a result of reward. from these things, of care workers2salary of ten thousand yen up realization of the, it remains in some businesses. really sorry.

also, additions also take place of business, it has been said and turned to the salary that would not necessarily add minutes. heisei20years12was conducted in may your one vote but i do not think would be used to improve treatment accounted for half of respondents said was. conference sessions on this day, mr. masako tanaka of the honorary chairman of japan caregivers only to be turned up even if the reward is salary1/3there are about, some members were told, and then turned to the repair facility. i want you to consider the system to monitor whether the salary is up i also got the opinion that.

this is the ministry of health, labour and welfare, verification of the results and revised by the revision, including improved treatment care compensation, has been revised and basic data of long – term care benefits survey of nursing care business management how to do conduct a review of the implementation of the commission survey (tentative name) you are installing the. no revision of this subcommittee chairman omori remaining a lot of homework we talk with, heisei21at the same time as the report of the revised fiscal year heisei24got the impression examination for the revision of the year as if to start.

i’m sorry, compensation up to improve treatment of this, may not immediately lead. but, we would like the nursing staff to improve the treatment of this revised, sub-committee that must be connected, the strong will of the ministry of health, labour and welfare felt.

just what it says, we performed a validation of the revised properly, i want to improve treatment is working well.

>> next page is, about the point of revision

miyashita guide has been revised point of attention

in the revision of this, as previously described, adding a large number of founded, subcommittee of the committee from the insurer increase in the clerical burden on insurance went up some suggestion. post a question of time is required to respond to increased administrative burden, i think it was an early report.

in this revision, point i have noted are as follows:.

• review of the system by over-diminishing number of care managers in charge of
• the business of the person involved in the creation of added responsibility of visiting care service delivery
• creation of a separate evaluation of rehabilitation-short time
• addition to the creation of facilities that allocate a large number of care workers
• to support the creation of the addition of dementia in facilities, etc.

diminishing control review of nursing care managers remuneration

reward system of care by diminishing the number of over-charge, the problem was scream was rising from the place of business, especially home care support independent. this is now, was to be changed as follows (both monthly) .

charge number40if fewer than
need for long-term care1-2 1000unit
need for long-term care3~5 1300unit both the current street

charge number40more than60if fewer than (so far 21from fiscal year)
need for long-term care1-2 600unit 500unit
need for long-term care3~5 780unit 650unit
scope of application all cases 40more than60only a portion of the fewer than

charge number60if more than (so far 21from fiscal year)
need for long-term care1-2 400unit 300unit
need for long-term care3~5 520unit 390unit
scope of application all cases 40only a portion of the more than

for home care support is, regardless of the level of care required, compensation should be and the same i got out of the opinion that, as the ministry of health, labour and welfare care managers1average number per person is responsible for27appropriate to be over there are not many cases of. also, please understand that you want to change so as to diminishing the number of part only in charge of the over-even if the applicable and that. but that minute, of diminishing width increases, 40half of the reward exceeds the, or1/3i have become. but well, for example,50if the charge of, you can claim up to this3what was tens of thousands, 4ten thousand4500because the unit, it may be said to have been improved.

with respect to home care support is, in addition to adding place-discharge regression=400or600unit/month add dementia=150unit/month elderly people living alone added=150unit/month cooperation adding a small multi-functional office-home long-term care=300unit addition, such as has been established. revision of these, mr. ryuji kimura of japan long-term care support specialist association president i think i get to evaluate the efforts of the care manager was taken in a positive and.

everyone of the field, what do you think?
it was founded on the work keamane is adding more than one, of course, evaluation of field service and i think the burden is greater. but, rather than a partial assessment of these, i think i wanted to set compensation on the business case shows the model home care support that can be independently operated as has been said before. it is an exercise for the next revision, why such that.

>> next page is, summary assessment of the person responsible for the business service delivery

summary assessment of the person responsible for the business service delivery

this time, as having been finally evaluated, there is a business service representative office of the person responsible for care visit. responsible service provider, to conduct operations like the following has been determined.

1. visiting nursing care plan is created
2. adjustment related to the use of nursing application visit
3. understanding of intention about the service and periodic changes in the state of the user
4. cooperation with home care support businesses and others to attend the meeting due to service personnel
5. aid targets and the instructions on the contents of concrete assistance for employees visiting nursing care, transfer information about the status of user
6. understanding of the status of implementation of the business of a nursing visit
7. business management was based on the ability of the employee and hope care visit
8. training for employees visiting nursing care, technical guidance
9. business need for content management and other services

from previous, has been said is responsible for providing services and operations and is responsible for a wide range of heavy responsibility and helper in the field is completely different. despite, because there was no set remuneration, salary of the person responsible for the service provider for operators who are faced with the harsh operating, was brought out, so to speak. this time, can be calculated when the person responsible for the service provider to conduct the visit and accompanied by the user helper responsible for the first time first addition=200unit/month , can be calculated if the emergency visit was not in the home service plan adding an emergency care visit=100unit/time that was founded is, what is not being rewarded for some.

with respect to a person is also responsible for service delivery, relaxes the requirement of full-time ever, while the basic and full-time staff, to allow a certain degree that the appointment of part-time staff and, criteria has been revised. in this regard, between the committee evaluate it is undesirable to part-time opinion was divided and. can not appoint a person of excellent part-time and full-time limited to that, opinion of the committee, but can also understand the beauty and part-time, i think it is desirable from the contents and full-time business. these requirements and to mitigate, deviates from the intent of the relaxation time gradually, reduced levels of the person responsible service concern that is not it lead to reduced levels of service does not wipe away.

for nursing visits, there was a reward of up nursing a short visit.
nursing care and body (30less than a minute) 231unit/time 254unit/time
aid and life (30minutes or more1less than an hour) 208unit/time 229unit/time

this time, however, also, of life are in demand assistance from the user2time frame is not set, also, minute extension of the physical care care compensation is still83leave the unit was. for this area, i think i wanted to consider more.

also, in the course of the discussion, leaders of nursing visits72%be a non-regular employment is, 50over generations54%has become, what i leave this the current situation the most important home services have been supported by an unstable employment elderly in long-term care insurance, there was pointed out that. and at this time to improve the treatment of, are evaluated in the number of qualified personnel and full-time rate, etc., there was also the voice of that question for these farmers has not been the subject of evaluation. the future, in consideration of the special nature of the industry and different from other care workers, we probably need go study on how to improve the treatment. in order to ensure the veteran leaders of helper retired after.

the next article evaluated in the expertise of nursing care workers compensation? in,

• creation of a separate evaluation of rehabilitation-short time
• addition to the creation of facilities that allocate a large number of care workers
• to support the creation of the addition of dementia in facilities, etc.

consider.

(related article)
heisei21care about revised remuneration in fiscal2th
evaluated in the expertise of nursing care workers compensation?
(related sites)
subcommittee nursing care payment, social security council(of63time)material (heisei21revised fiscal reward for nursing care)

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