How a Tertiary Hospital Implement the Principles of Age .... Ming-Yueh CHOU.pdf · How a Tertiary...
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How a Tertiary Hospital Implement the
Principles of Age-Friendly Health Care
Ming-Yueh Chou, MD
Geriatric Medicine Center, Kaohsiung Veterans General Hospital, Taiwan
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Health care of older people in Taiwan
People aged 50 and over used
- 42.8% of outpatient visits
- 52.5% of hospitalizations
People aged 65 or over
- >95% used outpatient services
- Annual outpatient visit: 27 visits
National Health Insurance in 2007
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Taiwan’s Framework of
Age-friendly Hospital
the WHO age-friendly principles
the WHO HPH model
the Vancouver Island Health Authority’s Elder-Friendly
Hospital Initiative
It consists of vision, values, missions,
and strategies on four dimensions
- management and policy
- communication and services
- processes of care
- physical environment
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Kaohsiung Veterans General Hospital
A tertiary medical center
1389 beds
Outpatient: 108,000 visits per month
65-y/o : 38.8%
ED: 7159 visits per month
65-y/o : 27.2%
Inpatient: 3375 per months
65-y/o : 42.6%
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Established in 2004
Core Value:
- Integrated Services、Team Work、Respect Life
Mission:
– Provide Good Quality Care
for Older Persons
– Develop a Good Team Work
– Be an Excellent Training Center
for Geriatric Medicine
Geriatric Medicine Center
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Taiwan’s Framework of
Age-friendly Hospital
Strategy 1: Management policy
1.1 Developing an age-friendly policy
1.2 Organizational support
1.3 Continuous monitoring and improvement
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Promote Geriatric
Medicine
Value the care for older
persons
Build up Geriatric
Medicine Building
Drive policy of
geriatric medicine
Expend Geriatric
Medicine
Age-Friendly Environment
Our Management Policy
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Taiwan’s Framework of
Age-friendly Hospital
Strategy 2:Communication and services
2.1 Communication
2.2 Services
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All healthcare professionals,
hospital staff and volunteers
Continuing Education Programs
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• More than 60 hours per year
• Including age-friendly principle, health promotion,
integrated services, gender, and so on.
• Should attend at least 2 hours per year
• Free for all healthcare staff outside our hospital
Continuing Education Programs
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Doctors Nurses health care staff Volunteers
To empathy older people
Older Persons Simulation
Experience
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Taiwan’s Framework of
Age-friendly Hospital
Strategy 3: Care processes
3.1 Patient assessment
3.2 Intervention and management
3.3 Community partnership and continuity of care
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To solve the problems
of frequent ED visits
and unnecessary stay
To cooperate with ED
CGA in the ED
Project in the Emergency Department
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Parking Area
Volunteers Reception for frail older persons
Special area for frail
passengers
Age-friendly Outpatient Service
Help to leave or go to cars
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Convenient
administrative
processes Comfortable
Waiting Area
Readable signage
Integrated
Electric System
Age-friendly Outpatient Service
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Fall
Clinics
(CGA)
Integrated Outpatient Services
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Sheets for
Summary of All
Medications
Medication
consultation
Medication review
by IC cards
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Medication review
before admissions
Pharmaceutical Care
in the Older Persons
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Drug boxes, Big Stickers
Pharmaceutical and Nutritional Care
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Blood Drawing Area Radiological
Examinations
good lighting, non-slip floor surfaces,
stable furniture and clear walkways
Area for
Wheelchair
Age-friendly Examination Area
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Walker Wheelchair hand railings
Award for the Best
Age-Friendly Environment, 2012
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Alarm System for Patients with
Dementia
Area 1
Area 2
Toilet
Alarm signal with music
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Clock and Calendar Light Therapy
Good Lighting in daytime
Well Orientation to Avoid
Complications
Onsite Rehabilitation Area
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Bladder
sonography
Accessible Toilet
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Hearing Aid
Glasses
Writing Board
Pictures
Reception of Nursing Station
Big Room Number
Devices for Communications
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Comprehensive Assessment for
Inpatients Nursing Assessment
基本資料
個人病史
日常生活
營養評估
身體評估
心理評估
環 境
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Multidisciplinary Team works
Records of MDT
meeting
MDT meeting every
week
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Doctors
Discharge Plan
Nurses
Discharge education
Intermediate Care for
disable patients
Discharge Plan and Intermediate Care
Community Services
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Taiwan’s Framework of
Age-friendly Hospital
Strategy 4: Physical environment
4.1 the common principles of Universal Design
4.2 transportation
4.3 Simple and easily readable signage
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Common Principles of Universal Design
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Project from Ministry of Health and Welfare, 2013
Help 15 hospitals to
provide integrated care for
older persons
• Age-Friendly Hospitals
• Integrated Outpatient
Services
• Team Care
Guidance for Integrated Care
Services for Older Persons
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Qualified as Age-Friendly Hospitals
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Thank You !