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[...] The challenge is broad and concerns, for example, the quality of care, the management of the payroll, the scope or the predictive management of employment and skills. The contracts can be subject to adjustments and modifications, and each CPOM presents adaptations to allow contextual adjustments according to the evolution of needs and available funding. However, there are also risks associated with CPOM, such as the relatively complex negotiation and uncertainty about the firms of the tariffing authorities in the long term. The CPOM was established by law n°2002-2. [...]
[...] What impacts has the CPOM had on work and management of managers? What consequences for employees? Numerical data on absenteeism at work in medical-social establishments In 2020, the absenteeism rate in the health sector, including medical-social establishments such as MAS, EHPAD, and FAM, was 8.26%, an increase of 30% compared to 2019. This significant increase had deep roots in the health crisis caused by the threat of the coronavirus. The incidence was particularly high among employees of these establishments; in fact of them suffered at least one absence during the year, an increase of 17 percentage points. [...]
[...] The difficult return is frequent for absent employees, with emotions of guilt, marginalization or even financial losses. The CPOM The Contrats Pluriannuels d'Objectifs et de Moyens (CPOM) are defined by agreements made between the management associations of social and medico-social establishments and the tariffing authorities. They allow for the implementation of multi-annual budgeting over maximum durations of five years. Their purpose is to ensure better financial foresight and resource management over several years. The signatories are held to achieve objectives, allocated amounts, and annual amendments. [...]
[...] Other reasons include accidents or occupational diseases, and personal or demotivation reasons with 13% and respectively. In addition, the health crisis has affected the mental health and engagement of employees. On this subject of respondents indicated a deterioration of their mental state over the past year; 26% believe they were less involved in work. In April-May 2022, the FHF conducted a survey that revealed that absenteeism in public health and medical-social establishments ESMS remains high and stable compared to other years. [...]
[...] In addition, CPOMs promote financial transparency - without any specific transparency costs, they establish multi-year funding contracts, which can last from two to five years. Financial stability allows for more coherent resource management, to predict needs, and, as a result - this means having greater self-determination in daily management. In addition, in their desire to promote innovation, CPOMs encourage their institutions to focus solely on the most necessary and/or original projects, directly promoted by public authorities. Furthermore, CPOMs also encourage research and innovation internally. [...]
