Ludo Glimmerveen: integrated care for people with dementia in the Netherlands
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Ludo Glimmerveen, Lecturer at the University of Amsterdam, explains how the Dutch organisation Geriant provides an integrated set of care services for people with dementia in the community. Since 2000, Geriant has offered a community-based service to people diagnosed with dementia, 24 hours a day, 7 days a week. The teams include case managers, social geriatricians, psychiatrists, clinical psychologists, dementia consultants, and specialised home care nurses. Case managers act as the focal point for the client and his or her informal caregivers, co-ordinating services from the team and from other network partners including GPs, hospitals, home care and welfare organisations.
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Ludo Glimmerveen: integrated care for people with dementia in the Netherlands
- 1. INTEGRATED COMMUNITY CARE FOR PEOPLE WITH DEMENTIA IN THE NETHERLANDS LUDO GLIMMERVEEN - VU UNIVERSITY AMSTERDAM The King’s Fund Integrated Care Summit Making integrated care happen at scale and pace Wednesday, 8 May 2013
- 2. Faculty of Social Sciences GERIANT - FOUNDING HISTORY 2 Independent organization (2004) Joint program (2000) The King's Fund Integrated Care Summit Before 2000…
- 3. Faculty of Social Sciences GERIANT - CARE MODEL 3 GP referral • Diagnosis • Treatment • Case management CARE HOME CLIENT DECEASES SERVICES FOR CLIENTS & INFORMAL CARERS The King's Fund Integrated Care Summit
- 4. Faculty of Social Sciences Social Geriatrician Psychiatrist Clinical Psychologist Specialized home care nurse GERIANT - CARE MODEL 4 Clinical case manager Case management & providing treatment… …as part of multidisciplinary team Short-stay Clinic The King's Fund Integrated Care Summit
- 5. Faculty of Social Sciences Social Geriatrician Psychiatrist Clinical Psychologist Specialized home care nurse CARE NETWORK 5 Clinical case manager NETWORK PARTNERS Home care – Welfare – GP – Hospital – Nursing Homes Short-stay Clinic The King's Fund Integrated Care Summit
- 6. Faculty of Social Sciences Social Geriatrician Psychiatrist Clinical Psychologist Specialized home care nurse VARIOUS FORMS OF INTEGRATION 6 Clinical case manager NETWORK PARTNERS Home care – Welfare – GP – Hospital – Nursing Homes 6-MONTHLY PHONE CALLShort-stay Clinic The King's Fund Integrated Care Summit
- 7. Faculty of Social Sciences Social Geriatrician Psychiatrist Clinical Psychologist Specialized home care nurse VARIOUS FORMS OF INTEGRATION 7 Clinical case manager NETWORK PARTNERS Home care – Welfare – GP – Hospital – Nursing Homes MULTIDISCIPLINARY MEETINGS / JOINT VISITS Short-stay Clinic The King's Fund Integrated Care Summit
- 8. Faculty of Social Sciences Social Geriatrician Psychiatrist Clinical Psychologist Specialized home care nurse VARIOUS FORMS OF INTEGRATION 8 Clinical case manager NETWORK PARTNERS Home care – Welfare – GP – Hospital – Nursing Homes ARRANGE / INSTRUCT / ALIGN CARE WITH NETWORK PARNERS Short-stay Clinic The King's Fund Integrated Care Summit
- 9. Faculty of Social Sciences Social Geriatrician Psychiatrist Clinical Psychologist Specialized home care nurse VARIOUS FORMS OF INTEGRATION 9 Clinical case manager NETWORK PARTNERS Home care – Welfare – GP – Hospital – Nursing Homes INTERORGANIZATIONAL PLATFORMS FOR INDIVIDUAL CLIENTS Short-stay Clinic ‘DEMENTIA HOME TEAM’ The King's Fund Integrated Care Summit
- 10. Faculty of Social Sciences Social Geriatrician Psychiatrist Clinical Psychologist Specialized home care nurse VARIOUS FORMS OF INTEGRATION 10 Clinical case manager NETWORK PARTNERS Home care – Welfare – GP – Hospital – Nursing Homes Short-stay Clinic The King's Fund Integrated Care Summit
- 11. Faculty of Social Sciences ORGANIZATIONAL CONTEXT 11 The King's Fund Integrated Care Summit
- 12. Faculty of Social Sciences MEASURING RESULTS Routine Outcome Measuring 12 The King's Fund Integrated Care Summit Satisfaction surveys: + + +
- 13. Faculty of Social Sciences EVIDENCE FOR COST SAVING SUBSTITUTION 13 The King's Fund Integrated Care Summit 102,961euro 54,540euro REGULAR LTC REGULAR LTC + GERIANT (a.o.) 47% less • 8 Euro / client / day
- 14. Faculty of Social Sciences RECAP MAIN FEATURES 14 The King's Fund Integrated Care Summit •Various mechanisms of integration can be present… …acting at various levels in the care model • Fluid structures for integration follow the client’s condition… …instead of the client following the structures • Flat organizational structure and small teams… ... facilitating collaboration and creative search for solutions
- 15. Faculty of Social Sciences CORRESPONDENCE Ludo Glimmerveen Department of Organization Sciences l.m.glimmerveen@vu.nl 15 The King's Fund Integrated Care Summit