http://kfsk.se/english/

http://www.skane.se/en/

http://is.jrc.ec.europa.eu/pages/TFS/SIMPHS3.html

http://webbutik.skl.se/sv/artiklar/aldreomsorg/index.html

•Preventative care- Senior Alert Register

•Good care in the final stages of life - Swedish Register of Palliative Care

•Good care for persons with dementia- SveDem & BPSD Register

•Good drug therapy -Inappropriate medication/Antipsychotics/NSAIDs

•Coordinated health and social care-Readmissions within 30 days/Avoidable admissions

•Mental health - MHFA Elderly (http://ki.se/en/nasp/instructor-training-mhfa-mental-health-first-aid)

The purpose of Swedish quality registers

”…systematically and och continuously improve and secure the quality of health care”

(Patientdatalagen kap 7/Patient Act ch. 7)

Target for Senior alert

Health promotion

in the general population

Care, treatment

and rehabilitation of injuries

Detect risks and prevent injuries

in the old population

Senior alert is aboutsimultaneous prevention of

Tunstallbloggen Blogspot.se

www.gp.se

Falls

Pressure

ulcers

Bad oral health

Malnutrition

Incontinence

The care preventive processof Senior alert

Care contact

RiskAssessmentregistrationPressure ulcerWeight registration

Team basedanalysis and interventionplanregistration

Preventive interventions

Team basedevaluation(incl. Pressure

ulcer + Weight)registration

Leaving thecaregiver – infoto next one?

Reflect on results and do improvement work

Every year (at least)

revision

Four interconnected processes

Register in a quality register

Work procedures

Improvement work

Reflect and analyze the

results

http://kvalitetsportal.se

https://www.youtube.com/watch?v=hXkG2ESDE1o

Margareta’s way

EIP-AHAEuropean Innovation Partnership on

Active and Healthy Ageing

https://webgate.ec.europa.eu/eipaha

Main goal & health objective by 2020+2 HEALTHY LIFE YEARS

Prevention, screening

& early diagnosis

Care & Cure Active ageing &

independent living

•Health literacy, patient

empowerment, ethics and

adherence

•Personal health

management

•Prevention, early

diagnosis of functional

and cognitive decline

•Guidelines for care,

workforce

(multimorbidity,

polypharmacy, frailty

and collaborative care)

•Multimorbidity and R&D

•Capacity building and

replicability of successful

integrated care systems

•Assisted daily living for

older people with

cognitive impairment

•Flexible and

interoperable ICT

solutions for active and

independent living

•Innovation improving

social inclusion of older

people

Vision / Foundation

•Focus on holistic and multidisciplinary approach

•Development of dynamic and sustainable care

systems of tomorrow

•New paradigm of ageing

•Innovation in service of the elderly people

•Regulatory and standardisation conditions

•Effective funding

•Evidence base, reference examples, repository for age-friendly

innovation

•Marketplace to facilitate cooperation among various stakeholders

Horizontal issues

Strategic reference framework

A2

A3

A1

B3

C2

D4 age-friendly environments

Skåne’s engagementis in both strands

Action Groups:

A1: Adherence to medicalplans

A2: Fall prevention

B3: Integrated care

Reference Site:

Better life for the most sick elderly

SIHA platform (Skåne Innovation Healthy Ageing)

Main achievements Breaking down silos: collaboration across and among triple helix stakeholders

Extensive repository of good practices

Scaling-up Assessment tools Classifying good practices Develop an integrated on-line database Low involvement of central and eastern EU countries

Challenges

Access to funds

Structural Funds INTERREGHorizon 2020Health programme