Sc26.03 Regional Implementation And Evaluation Of A New Medical Care Model In Residential Homes For The Elderly To Improve Quality Of Care - The Movit Project

A. J. Poot1, M. A. A. Caljouw1, C. S. de Waard2, M. Kruijt-de Ruijter3, A. W. Wind1, J. Gussekloo1;
1Leiden University Medical Centre, Leiden, Netherlands, 2Regionaal Bureau Gezondheidszorg Zuid-Holland Noord, Leiden, Netherlands, 3REOS, Leiden, Netherlands.
A. J. Poot
Public Health and Primary care
Phone: 0031 71 526 8444
Background: Inhabitants of Dutch residential homes for the elderly have become older and more care dependant while nursing staff has become fewer in number and lower in training level. The medical care in residential homes is usually provided by general practitioners (GPs) without specific training for this complicated group of patients. Various best practices have shown advantages of a new medical care model based on closer cooperation between care providers, a more proactive approach and using multidisciplinary care plans. Broad implementation has not been achieved yet.
Objectives: Regional implementation of MOVIT in 43 residential homes. Monitoring of care quality outcomes, satisfaction of patients, family and care providers and the progress of the implementation strategy
MOVIT will be performed according to a well considered strategy; all relevant parties are actively consulted and involved. MOVIT is using evidence based implementation and care models, evaluates the effects of the intervention and the progress of the implementation process. There is also a great deal of art and craft entailed in the form of designing, informing, involving, educating, marketing and problem solving.
One of the strategies was forming local working groups (LWG). Each LWG defines it?s own level of ambition and improvement targets. These LWG receive support and training from MOVIT.
Realising the implementation has meant involving 43 homes, GPs, nursing staff, pharmacists, and elderly care physicians, next to professional and financial organisations.
Monitoring is performed by interviewing a random sample of the 2600 residents using validated instruments and by questioning their informal care givers and the professional care providers at baseline and after at least 12 months.
42 of the 43 homes are included (98%), 20 LWGs have been formed and active. Finance has been achieved for GPs and nursing staff. Common multidisciplinary improvement themes have been defined, modules produced and training given to all involved professionals. In June 2012 we will present the results of the implementation and results of the baseline measurement.
Conclusion: MOVIT will generate and improve knowledge of the implementation process of a new model for the organisation of medical care in residential homes for elderly.
Regional implementation and evaluation of a new medical care model in residential homes for the elderly to improve quality of care - the MOVIT project