Posted Jul 22, 2022, 4:50 PMUpdated on Jul 22, 2022 at 5:23 PM
New front for Orpea. The Regional Health Agency (ARS) of Bourgogne-Franche-Comté announced this week the suspension of the authorization granted to a clinic of the group specializing in the care of the elderly after having noted “breaches of quality and to the safety of care”. A rare decision with serious consequences.
Orpea has been in turmoil since the book “Les Fossoyeurs” published in January denounced the group’s management leading to the mistreatment of residents in retirement homes. The government decided to take legal action in March after state inspectors revealed “significant dysfunctions” in the management of these houses and “alleged irregular practices” in the use of public funds.
Located in Yonne, the “Le Petit Pien” establishment targeted by the suspension of the ARS Bourgogne-Franche-Comté is not, however, one of these accommodation establishments for dependent elderly people (Ehpad) which have focused the attention and for which the government has launched a campaign of checks over two years.
This is a clinic specializing in follow-up and rehabilitation care (SSR) managed by Clinéa, the subsidiary of Orpea dedicated to this activity of taking care of people in convalescence, in particular following hospitalization. . Clinéa manages nearly 70 clinics of this type in France, including “Le Petit Pien” intervening in particular in geriatric medicine.
In February, the ARS decided to include the establishment in a control plan following reports. At the end of a “contradictory procedure” with the establishment, she finally decided to temporarily suspend her authorization, pointing out “staff instability” and “the mismatch between the care needs of patients and the number of staff in post.
Two months to react
The agency also deplores a “lack of prevention against abuse” and a “lack of treatment, analysis and reporting of serious adverse events”. Finally, it notes “inaccuracies concerning the organization of rehabilitation care or the training required for the entire multidisciplinary team”.
The clinic has two months to raise the bar. Failing this, the withdrawal from the care activity may be pronounced definitively. In the meantime, it is up to the clinic to transfer patients to the place of their choice within two weeks. An operation that is all the more difficult to carry out today as health establishments suffer from a shortage of caregivers.
“Staff remain fully mobilized in the service of patients to guarantee the continuity of care and their safety until their transfer”, indicates the Orpea group. Just under 70 patients were still in the premises at the end of the week when 15 had already left.
The decision of the ARS goes badly with Orpea, which says it has received with this specific case its first notification of suspension of activity. At the beginning of the week, the group indicated that it wanted to initiate an urgent appeal before the administrative court of Dijon. “Out of a set of 14 injunctions served, 7 have already been lifted”. In addition, “the last points complained of do not fall under opposable criteria”, assures Orpea.
How to deal with the rise of uncertainties?
Inflation, rising interest rates, Ukraine and now political uncertainty, the shocks are multiplying. To evolve in an increasingly complex environment, the editorial expertise of Les Echos is invaluable. Every day, our surveys, analyses, columns and editorials accompany our subscribers, help them understand the changes that are transforming our world and prepare them to make the best decisions.
I discover the offers