European Geriatric Medicine - Supplement 1 - Volume 6 - September 2015

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Symposia / European Geriatric Medicine 6S1 (2015) S157 –S176 S169
the relationship between engagement levels and key demographic
and organizational factors. This first of its kind exploratory study
sets the stage for additional investigations that will more fully
explore the engagement/burnout continuum in the long term care
setting, its impact on a host of quality measures and resultant
policy implications.
4. Presenter: Jos M.G.A. Schols, MD, PhD (Professor of
Old Age Medicine, Department of Family Medicine and,
Department of Health Services Research, Caphri – School
for Public Health and Primary Care, Maastricht University;
, ,
). Title: Monitoring of basic quality of care; an
international prevalence measurement of care problems.
In many countries, the quality of basic care in nursing homes is
often point of discussion. Therefore, audits, defined as a monitor
of quality of care, are increasingly applied as a strategy to improve
both professional practice and quality and safety of care. A
prerequisite to enable a reliable international comparison of the
results of these audits is the use of identical instruments and
methodology.
LPZ-International meets this requirement. It involves an
internationally uniform audit of the prevalence of care problems
and related quality indicators in different healthcare sectors,
including hospitals, care homes and home care. The measurement
was originally developed and only performed in the Netherlands,
but currently also in Austria, Switzerland and New Zealand. For
each care problem (pressure ulcers, incontinence, malnutrition,
falls and restraints) relevant data are gathered on three levels:
at patient level, next to patient characteristics, data about the
prevalence, prevention and treatment of each care problem are
gathered. At ward/department level and also at institutional level,
specific structural quality indicators are measured. Participating
institutions enter their data into a web-based data-entry program
and shortly thereafter, they receive an overview of their own
results and the results at national level to enable a process of
benchmarking. This uniform way of measuring internationally is a
significant step forward in gaining insight into the quality of basic
care in different healthcare settings in different countries and may
lead to more awareness and care improvement programmes.
5. Presenter: Iva Holmerov´a, MD, PhD (on behalf of the SIG
NH LTC: Associate Professor – Charles University in Prague, Faculty
of Humanities, Centre of Expertise in Longevity and Long-term
Care (CELLO) and the Centre of Gerontology; Visiting Professor –
University of the West of Scotland, SHNM Alzheimer Scotland
Centre for Policy and Practice; .
Title: SIG on nursing home care: competences of physicians in
long-term care.
Most of the residents of different types of facilities that can be
defined as nursing homes are older persons – geriatric patients. The
numbers of persons who need and will need nursing home care
are increasing across Europe. This is caused mainly by demographic
changes and changing patterns of diseases and despite increasing
efforts in many countries to provide more integrated, community
based care. Data from many countries show also that the health
status of nursing homes residents has become more complex,
especially in the last decade. Whereas in previous times these
institutions also accommodated persons with mild or moderate
disabilities, most of the present residents suffer from severe
disabilities, caused by geriatric syndromes, most often dementia.
This development requires re-consideration of competences of
physicians who provide care to this very vulnerable group of
residents. European countries have (or have not) approached this
problem in different ways. The topic of this presentation is to
present the SIG LTC exploration of competences of physicians in
long-term care.
S-13
An international overview of nursing home research: EUGMS
and AMDA II
J. Schols
Dept. HSR – Maastricht University, Maastricht, Netherlands
EUGMS – The European Union Geriatric Medicine Society aims to
develop geriatric medicine in the member states of the European
Union as an independent specialty caring for all older people of
the European Union with age-related diseases. In addition EUGMS
promotes education and continuing professional development e.g.
by developing and implementing evidence-based guidelines for
the most efficacious preventive and treatment strategies for older
people in the European Union. The EUGMS has close links with
a variety of international networks including the UEMS Geriatric
Medicine, IAGG and the European Academy for Medicine and
Ageing (EAMA). More recently contacts have been laid with AMDA
in America.
AMDA – The Society for Post-Acute and Long-Term Care Medicine
(in the past: American Medical Directors Association) is dedicated
to excellence in patient care and provides education, advocacy,
information and professional development to promote the delivery
of quality post-acute and long-term care medicine. Already for a
long time AMDA is making a concerted effort to work with medical
professionals and practitioners around the globe.
During EUGMS Rotterdam 2014, after a meeting between
representatives of the board of AMDA (incl. e.g. Prof. D. Swagerty
and Prof. John Morley) and the board of EUGMS (incl. e.g. prof.
Timo Strandberg), the idea was born to organize a symposium on
nursing home care (research) as a collaborative activity between
EUGMS and AMDA during the next EUGMS congress in Oslo 2015.
EUGMS–AMDA symposium II (90 minutes). Contributions with
specific abstracts. Chair: prof. John Morley, Saint Louis University
School of Medicine St. Louis, USA.
5 presenters (each 18 minutes incl. time for 1–2 questions of the
audience)
1. Presenter: Finbarr C Martin, MD, FRCP (Consultant Geriatrician
and (Hon) Professor of Medical Gerontology, Guys & St
Thomas’s NHS Trust and King’s College London, London, UK;
. Title: NHS support for independent
sector nursing homes in the UK: what does happen? What should
happen? – Emerging results from the OPTIMAL study.
3–4% of age 65+ adults in UK live in care homes. Only 1% of
nursing homes are owned by the National Health Service (NHS)
but all nursing care and 65% of general care is funded publically.
All residents are entitled to free NHS services but most traditional
primary and community care is unsuitable for their needs. Many
local NHS organizations have attempted new models of care but
there is little evidence of what works best. Systematic reviews
gathering data from providers, care homes managers and residents
have provided some insights into potential key success factors.
The OPTIMAL study uses realist methodology to evaluate various
types of provision to ask: what works? in what context? with what
outcomes?
2. Presenter: Prof. Robert Bernabei (Professor of Geri-
atrics, Department of Geriatrics, Neurosciences and Ortho-
pedics, Universit `a Cattolica del Sacro Cuore, Rome, Italy;
also on behalf of G. Onder. Title:
Data from the SHELTER project on nursing homes in 8 EU
countries.
The Services and Health for Elderly in Long TERm care (SHELTER)
study, is a project funded by the European Union, aimed at
implementing the interRAI instrument for Long Term Care Facilities
(interRAI LTCF) as a tool to assess and gather uniform information
about nursing home (NH) residents across different health systems
in European countries. A 12 months prospective cohort study
was conducted in 57 NH in 7 EU countries (Czech Republic,