“Confirmation of Killing to Industry”: Geriatric Institutions Warn of Collapse

Geriatric hospitals and nursing homes have been at the forefront of the fight against the corona plague for two years. Ensuring the resilience and resilience of the institutions where the elderly are most vulnerable to the epidemic is of paramount importance. The geriatric institutions are the only ones where the government has imposed strict restrictions on the arrival of visitors, frequent checks and the like – a lesson from the previous waves of the epidemic.

But on the other hand, the Ministry of Health has been operating for years with blatant professional irresponsibility regarding the state’s share in the budgeting of these institutions.
The state of geriatric-nursing hospitalization and the purchase of these services by the state from geriatric hospitals – are conducted by virtue of the continuity of a tender that expired ten years ago.

Even prior to the 2012 tender, no professional and in-depth examination of the hospitalization rates paid by the Ministry of Health was carried out, and thus the entire industry has been rolling for a decade by inertia according to hospitalization rates dictated by the Ministry of Health. For some reason, the publication of the replacement tender, which was supposed to be published as early as 2016, has been repeatedly postponed for years.

Improper or reasonable conduct in an industry that embodies a government expenditure of billions of shekels and deals with the lives of vulnerable seniors. The practical implication is a gnawing collapse in the financial stability of geriatric institutions, which retaliates against the elderly and their families in the level of service and availability.

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Nursing Home (Photo: Anna Kaplan, Flash 90)


The Geriatrics Association of Israel, which represents dozens of geriatric hospitals with thousands of hospital beds, has submitted to the Ministry of Health the comprehensive opinion of an international accounting firm, which proves that geriatric hospitalization rates currently paid by the state are loss rates. In response, the Ministry of Health informed the association that it had hired the services of an external expert to examine the rate of state participation in nursing hospitalization, and even announced that a professional discussion would be held with the geriatric hospitals themselves after years of “lowering” rates.

But promises aside and reality aside. Despite the promises, a meeting with coordination and transparency has not yet taken place, and only this week the Ministry of Health published a draft order for the control of prices of goods and services, which determines the state’s budgeting in medical institutions, including geriatric institutions. The Nursing Homes Association, which represents hundreds of other institutions, fears that dozens of geriatric institutions will be in danger of closing as early as next year, and estimates that the cumulative damage to institutions is more than NIS 100 million a year.


“We were amazed to discover that a government boasting a social budget is turning its back on tens of thousands of elderly people in Israel, especially in the days of the struggle in Corona and in the shadow of the steep rise in prices,” said Yuli Gat, chairwoman of the Nursing Homes Association. And this is a confirmation of killing for the geriatric hospitalization industry. “


At the same time, the Association for Geriatrics in Israel announced in a letter to the management of the Ministry of Health that if no matter-of-fact and professional meeting is held with representatives of the organizations, which will coordinate a process to clarify and determine realistic hospitalization rates “ץ.

The Ministry of Health responded: “During December, a meeting was arranged for the beginning of January with representatives of the nursing homes, to discuss issues related to the tender for the nursing codes.”


Source: Maariv.co.il – בריאות by www.maariv.co.il.

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