• Welcome Home - Institutional Services in the Community

    Background

    Ninety percent of older adults in Israel who require long-term care live in the community. Older adults and their families prefer home care. Policymakers also support living within the community due to the high costs of long-term nursing care within institutions, which exceeds the costs of home care.

    Current home care services do not meet all the needs of older adults' reliant on long-term nursing care, forcing many families to resort to sending their loved ones to institutions to receive the care they need. The inclusion of a basket of services within the community would be sufficient for many older adults to remain living at home, and for those who live in institutions, to return home.

    Need

    There is a need for a greater basket of long-term care nursing services in the community that will allow more older adults to remain within the community for a longer period of their lives.

    Program

    This program supports individuals aged 65-94 who have been hospitalized in a nursing home for a period of up to 6 months. These individuals would be able to return home if they had a sufficient support network (a foreign caregiver, a family member) and could receive the right services.

    The Health Bureau, program staff, or family members identify potential clients for the program. A professional committee, including a physician, a nurse and a representative of the Health Bureau, will then determine the applicant's suitability for the program, by assessing the suitability of the home for the patient's return home and his/her specific needs.

    If deemed appropriate for the program, a basket of services will be created and adapted to the needs of the patient and his/her family. This will include 24/7 medical/emergency response, volunteers for social/cultural experiences, doctor home visits, laboratory tests, pulse and respiration monitoring and a supply of absorption products and medications, all within the home. In addition, a support network comprising of therapists, doctors, nurse social workers, physiotherapists, occupational therapists, dietitians, and speech therapists will be available for the client.

    Outcomes

    • Ability to remain in the community
    • Preserve physical and cognitive functioning
    • Feels secure due to presence of support network
    • Maintain positive relationships with others, with an emphasis on family members
    • Enable family members to support and care for the older adult in the community
    • Tools and skills for professionals for providing care in the community
    • Mechanisms for coordination and cooperation between community systems
    • Policy changes that promote continued care in the community
    • Cost savings for the health system

    Contract dates

    2017 - 31/12/2020

    Partners

    National Insurance Institute, Ministry of Welfare, Ministry of Health, CDI Negev