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Where is Büsum?
- North of Germany on the north-sea coast
- Inhabitants 4,904 (2016) and tourists over
160,000 per year
- Distance to Hamburg 123 km
Mult ltiprofessional health center Bsum PD Dr. K. Gtz & M. - - PowerPoint PPT Presentation
Mult ltiprofessional health center Bsum PD Dr. K. Gtz & M. - - PowerPoint PPT Presentation
Mult ltiprofessional health center Bsum PD Dr. K. Gtz & M. Jnemann, MD, MBA Porto 26.09.2017 Workshop PORT health centers: shaping the future of primary and long- term care in Germany Where is Bsum? North of Germany on the
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Aim of our project
- Long-term assurance and strengthening of the healthcare location
Büsum
- Supporting healthcare staff for pleasant working condition
- Investigation in community-based care
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Project content
- Implementation of case management supported by telemedicine applications
- Development of multiprofessional care paths
- Use of volunteers for comprehensive patient care
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Health center in local sponsorship advantage: municipal institutions
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Preparation for the project
- Evaluation of structure and process of care organization
- Evaluation of patient perspective of care
- Evaluation of mobility and accessibility of the practice
- Team development within the pracitce (workshop activities)
- Regular exchange of the steering group
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Work packages
1) Implementation of case management for chronic conditions 2) Use of telemedicine applications 3) Implementation of a training system 4) Support through volunteers 5) Extension of clinical pathways and of a inter-professional quality management system
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Productive Interactions
Chronic Care-Model
Prepared, proactive practice team Informed, activated patient
nach Wagner et. al, 2001; German adaption by Gensichen, Knieps, Schlette 2006
Community Organization of health care
CM: self-management support Training concepts: strengthening of self-responsibility („Empowerment“) Volunteers Delivery system design Inter-professional treatment pathways: task sharing within the practice team CM: regular monitoring Decision support Cooperation, clinical pathways, quality management: Evidence based guidelines for physicians from different diciplines and patients Clinical information system TM: Patient register, recall service, individualized treatment plan, electronic patient record
Health care for the future
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PATIENT
Case Manager Nurse Practice assistant Exercise
- ffering
Training program Nutrition counseling Volunteers Physical therapist Pharmacy Physicians Hospital
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Realization of CCM
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