Table 1
Domains and standards of the home care accreditation tool proposal.
| DOMAIN | STANDARD |
|---|---|
| 1. Organization and governance | 1.1 Healthcare and social care planning and implementation 1.2 Healthcare network development 1.3 Responsibilities attribution 1.4 Quality of healthcare and social services evaluation 1.5 Prevention of service disruption and incident reporting management |
| 2. Patient safety and risk management | 2.1 Building suitability and safe home access 2.2 Technical equipment management 2.3 Drug and food management 2.4 Risk assessment and management in care processes 2.5 Incident reporting system |
| 3. Professionals knowledge, skills and competences | 3.1 Job description 3.2 Training program planning and evaluation 3.3 New employee training and support 3.4 Promoting self-care empowerment |
| 4. Information and communication | 4.1 Information management 4.2 Clinical and social handover 4.3 Communication between care providers 4.4 Information and communication with citizens 4.5 Caregiver participation in care project |
| 5. Care integration | 5.1 Access to the integrated health and social care system 5.2 Multidimensional assessment of needs 5.3 Individualized care project 5.4 Integrated care pathways |
| 6. Improvement and innovation | 6.1 Improvement projects 6.2 New technology evaluation and implementation 6.3 Technical, professional and organizational innovation |
Table 2
The evaluation of domains, standards and single items expressed by mean RF score, standard deviation, mode of RF score, and agreement among experts.
| DOMAIN/STANDARD/ITEM | MEAN | ST. DEV. | MODE | AGREEMENT |
|---|---|---|---|---|
| 1. ORGANIZATION AND GOVERNANCE | 7.6 | 1.2 | 8 | 76% |
| 1.1 Healthcare and social care planning and implementation | 7.6 | 1.1 | 8 | 86% |
| PLAN1 | 7.2 | 1.3 | 8 | 67% |
| PLAN2 | 7.8 | 0.9 | 8 | 90% |
| DO | 8.0 | 0.8 | 8 | 95% |
| CHECK | 7.7 | 1.0 | 8 | 86% |
| ACT | 7.5 | 1.4 | 7 | 90% |
| 1.2 Healthcare network development | 7.7 | 1.2 | 8 | 76% |
| PLAN1 | 7.5 | 1.4 | 8 | 71% |
| PLAN2 | 7.8 | 1.2 | 8 | 76% |
| PLAN3 | 7.4 | 1.4 | 8 | 76% |
| PLAN4 | 7.8 | 1.2 | 9 | 86% |
| PLAN5 | 7.6 | 1.5 | 9 | 76% |
| DO | 7.8 | 0.9 | 8 | 95% |
| CHECK | 7.7 | 1.2 | 7 | 86% |
| ACT | 8.0 | 0.8 | 7 | 100% |
| 1.3 Responsibilities attribution | 7.8 | 1.0 | 8 | 90% |
| PLAN1 | 8.2 | 0.8 | 9 | 100% |
| PLAN2 | 7.8 | 1.0 | 9 | 90% |
| DO | 7.8 | 1.0 | 8 | 90% |
| CHECK | 7.7 | 1.0 | 8 | 86% |
| ACT | 7.5 | 0.9 | 8 | 86% |
| 1.4 Quality of healthcare and social services evaluation | 7.3 | 1.1 | 7 | 71% |
| PLAN | 7.4 | 1.1 | 7 | 81% |
| DO | 7.4 | 1.2 | 7 | 76% |
| CHECK | 7.1 | 1.0 | 7 | 71% |
| ACT | 7.2 | 1.2 | 8 | 71% |
| 1.5 Prevention of service disruption and incident reporting management | 7.4 | 1.4 | 8 | 71% |
| PLAN | 7.1 | 1.8 | 9 | 71% |
| DO1 | 7.7 | 1.3 | 8 | 86% |
| DO2 | 7.0 | 1.3 | 8 | 76% |
| DO3 | 7.3 | 1.4 | 8 | 81% |
| CHECK | 7.2 | 1.3 | 8 | 76% |
| ACT | 7.7 | 1.4 | 9 | 76% |
| 2 PATIENT SAFETY AND RISK MANAGEMENT | 7.4 | 1.8 | 8 | 71% |
| 2.1 Building suitability and safe home access | 7.3 | 1.7 | 8 | 76% |
| PLAN1 | 7.9 | 1.5 | 8 | 90% |
| PLAN2 | 7.4 | 1.7 | 8 | 81% |
| DO1 | 7.7 | 1.5 | 8 | 90% |
| DO2 | 7.7 | 1.7 | 8 | 86% |
| CHECK | 6.9 | 1.6 | 8 | 67% |
| ACT | 6.6 | 1.9 | 8 | 62% |
| 2.2. Technical equipment management | 7.6 | 1.2 | 8 | 74% |
| PLAN1 | 7.4 | 1.1 | 8 | 74% |
| PLAN2 | 7.7 | 1.1 | 8 | 78% |
| DO1 | 7.8 | 1.1 | 9 | 84% |
| DO2 | 7.9 | 1.2 | 9 | 83% |
| DO3 | 7.9 | 1.2 | 8 | 84% |
| DO4 | 7.5 | 1.3 | 9 | 79% |
| CHECK | 7.2 | 1.1 | 7 | 72% |
| ACT | 7.2 | 1.2 | 6 | 67% |
| 2.3 Drug and food management | 6.7 | 2.2 | 9 | 50% |
| PLAN1 | 8.0 | 1.7 | 9 | 90% |
| PLAN2 | 7.1 | 2.5 | 9 | 63% |
| DO1 | 7.7 | 1.8 | 9 | 84% |
| DO2 | 6.2 | 2.3 | 9 | 45% |
| DO3 | 5.8 | 2.1 | 5 | 40% |
| DO4 | 6.1 | 2.5 | 9 | 50% |
| CHECK1 | 6.4 | 2.0 | 8 | 50% |
| CHECK2 | 6.4 | 2.0 | 8 | 50% |
| ACT | 6.2 | 2.2 | 9 | 45% |
| 2.4 Risk assessment and management in care processes | 7.8 | 1.6 | 9 | 81% |
| PLAN1 | 8.3 | 1.2 | 9 | 95% |
| PLAN2 | 7.9 | 1.6 | 9 | 80% |
| DO1 | 7.8 | 1.2 | 8 | 90% |
| DO2 | 8.0 | 1.3 | 9 | 90% |
| DO3 | 7.7 | 1.3 | 8 | 90% |
| CHECK | 7.4 | 2.0 | 8 | 86% |
| ACT | 7.2 | 2.1 | 8 | 86% |
| 2.5 Incident reporting system | 7.7 | 1.6 | 8 | 81% |
| PLAN1 | 7.8 | 1.6 | 8 | 90% |
| PLAN2 | 7.9 | 1.6 | 8 | 95% |
| DO1 | 7.7 | 1.7 | 8 | 90% |
| DO2 | 7.6 | 1.7 | 8 | 86% |
| CHECK | 7.5 | 1.7 | 8 | 81% |
| ACT | 7.6 | 1.7 | 8 | 86% |
| 3 PROFESSIONALS KNOWLEDGE, SKILLS AND COMPETENCES | 7.0 | 1.7 | 7 | 48% |
| 3.1 Job description | 7.0 | 1.5 | 8 | 52% |
| PLAN | 7.6 | 1.4 | 9 | 76% |
| DO | 7.0 | 1.3 | 7 | 71% |
| CHECK | 6.8 | 1.5 | 8 | 52% |
| ACT | 6.5 | 1.6 | 6 | 43% |
| 3.2 Training program planning and evaluation | 7.4 | 1.6 | 9 | 67% |
| PLAN1 | 8.4 | 0.7 | 9 | 100% |
| PLAN2 | 8.2 | 0.8 | 9 | 100% |
| DO | 6.7 | 2.1 | 9 | 52% |
| CHECK | 7.0 | 1.5 | 7 | 62% |
| ACT | 6.6 | 1.6 | 7 | 62% |
| 3.3 New employment training and support | 7.1 | 1.8 | 7 | 67% |
| PLAN | 7.3 | 1.6 | 7 | 86% |
| DO | 7.1 | 1.8 | 9 | 71% |
| CHECK | 7.1 | 1.9 | 8 | 81% |
| ACT | 6.7 | 1.9 | 7 | 62% |
| 3.4 Promoting self-care empowerment | 6.6 | 1.9 | 4 | 52% |
| PLAN | 6.8 | 1.9 | 7 | 67% |
| DO | 6.7 | 2.0 | 9 | 62% |
| CHECK | 6.4 | 1.9 | 4 | 45% |
| ACT | 6.5 | 1.9 | 4 | 57% |
| 4 INFORMATION AND COMMUNICATION | 7.5 | 1.5 | 8 | 76% |
| 4.1 Information management | 7.8 | 1.1 | 9 | 86% |
| PLAN1 | 7.1 | 1.4 | 6 | 57% |
| PLAN2 | 8.1 | 0.9 | 8 | 95% |
| DO1 | 7.9 | 1.1 | 9 | 90% |
| DO2 | 7.9 | 1.0 | 8 | 95% |
| DO3 | 8.1 | 0.8 | 8 | 100% |
| DO4 | 8.1 | 1.3 | 9 | 95% |
| DO5 | 8.0 | 0.9 | 8 | 95% |
| CHECK | 7.6 | 1.0 | 7 | 90% |
| ACT | 7.3 | 1.3 | 7 | 81% |
| 4.2 Clinical and social handover | 8.0 | 1.4 | 9 | 86% |
| PLAN | 8.1 | 0.9 | 8 | 95% |
| DO1 | 7.9 | 2.0 | 9 | 86% |
| DO2 | 8.2 | 1.5 | 9 | 90% |
| CHECK | 8.0 | 1.1 | 9 | 90% |
| ACT | 7.9 | 1.2 | 9 | 86% |
| 4.3 Communication between care providers | 7.4 | 1.3 | 8 | 81% |
| PLAN | 7.3 | 1.4 | 8 | 86% |
| DO | 7.7 | 1.4 | 8 | 90% |
| CHECK | 7.2 | 1.4 | 8 | 81% |
| ACT | 7.3 | 1.4 | 8 | 85% |
| 4.4 Information and communication with citizens | 6.6 | 2.0 | 7 | 52% |
| PLAN | 6.4 | 2.3 | 7 | 67% |
| DO1 | 7.0 | 1.7 | 7 | 67% |
| DO2 | 7.4 | 1.3 | 8 | 81% |
| CHECK | 5.9 | 2.0 | 7 | 43% |
| ACT | 6.0 | 2.1 | 7 | 48% |
| 4.5 Caregiver participation in care project | 7.8 | 1.5 | 8 | 86% |
| PLAN | 8.5 | 0.7 | 9 | 100% |
| DO | 8.0 | 1.1 | 9 | 90% |
| CHECK | 7.6 | 1.7 | 8 | 90% |
| ACT | 7.0 | 1.9 | 8 | 76% |
| 5 CARE INTEGRATION | 8.0 | 1.4 | 8 | 86% |
| 5.1 Access to the integrated health and social care system | 8.1 | 1.5 | 9 | 86% |
| PLAN | 8.0 | 1.6 | 9 | 81% |
| DO | 8.2 | 1.5 | 9 | 86% |
| CHECK | 8.1 | 1.5 | 9 | 86% |
| ACT | 8.0 | 1.5 | 9 | 86% |
| 5.2 Multidimensional assessment of needs | 8.1 | 1.3 | 9 | 86% |
| PLAN1 | 8.4 | 1.0 | 9 | 95% |
| PLAN2 | 8.2 | 1.4 | 9 | 86% |
| DO1 | 8.5 | 1.0 | 9 | 95% |
| DO2 | 8.1 | 1.4 | 9 | 86% |
| CHECK | 7.6 | 1.6 | 8 | 76% |
| ACT | 7.7 | 1.3 | 9 | 86% |
| 5.3 Individualized care project | 8.4 | 0.7 | 9 | 100% |
| PLAN | 8.5 | 0.7 | 9 | 100% |
| DO | 8.6 | 0.7 | 9 | 100% |
| CHECK | 8.3 | 0.7 | 9 | 100% |
| ACT | 8.3 | 0.7 | 9 | 100% |
| 5.4 Integrated care pathways | 7.5 | 1.6 | 9 | 81% |
| PLAN1 | 7.8 | 1.3 | 9 | 86% |
| PLAN2 | 7.4 | 1.7 | 8 | 81% |
| DO | 7.9 | 1.0 | 8 | 90% |
| CHECK | 7.1 | 1.8 | 7 | 81% |
| ACT | 7.3 | 1.7 | 8 | 86% |
| 6 IMPROVEMENT AND INNOVATION | 6.5 | 1.6 | 7 | 53% |
| 6.1 Improvement projects | 6.7 | 1.2 | 7 | 55% |
| PLAN1 | 6.6 | 1.5 | 7 | 60% |
| PLAN2 | 7.0 | 1.1 | 8 | 60% |
| DO | 6.8 | 1.2 | 7 | 65% |
| CHECK1 | 6.8 | 1.2 | 7 | 65% |
| CHECK2 | 6.6 | 1.2 | 7 | 58% |
| ACT | 6.7 | 1.2 | 7 | 60% |
| 6.2 New technology evaluation and implementation | 6.4 | 1.6 | 7 | 48% |
| PLAN1 | 6.3 | 1.8 | 7 | 57% |
| PLAN2 | 6.5 | 1.6 | 5 | 52% |
| DO | 6.4 | 1.7 | 7 | 52% |
| CHECK | 6.4 | 1.6 | 7 | 52% |
| ACT | 6.1 | 1.7 | 7 | 48% |
| 6.3 Technical, professional and organizational innovation | 6.4 | 1.9 | 6 | 43% |
| PLAN | 6.9 | 1.3 | 6 | 48% |
| DO1 | 6.6 | 1.7 | 6 | 52% |
| DO2 | 6.6 | 1.7 | 6 | 48% |
| DO3 | 6.3 | 2.1 | 9 | 45% |
| CHECK | 6.0 | 2.2 | 9 | 43% |
| ACT | 6.2 | 2.1 | 9 | 43% |