[Surveillance of Supervised Flat-Sharing Communities Requiring Intensive Home Care: Results and Conclusions].

BACKGROUND: Patients with intensive care and long-term mechanical ventilation needs are increasingly cared for in supervised flat-sharing communities. The municipal public health and environment department of Munich audited nursing services between April 2015 and August 2016.
METHODS: The structural analysis of the nursing services was conducted using standardised checklists, and statistical analysis was performed. In agreement with the residents and providers of the nursing service, flats were inspected.
RESULTS: 20 of the 43 supervised flat-sharing communities in Munich were designed for intensive care patients. Nine nursing services took care of them. Monitoring of organizational structures and hygiene management were found to be positive. There was room for improvement in practical implementation of hygiene standards. Requirements for personal qualifications and for emergencies such as electrical power outages have to be regulated.
CONCLUSION: It was shown that regular consulting, instructions and auditing by the municipal public health and environment department have a positive effect on hygiene and emergency management. National and binding agreements still need to be worked out. © Georg Thieme Verlag KG Stuttgart · New York.