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College of geriatrics Greet Lambert Thierry Pepersack

College of geriatrics Greet Lambert Thierry Pepersack. College of geriatrics. when. what. why. who. where. College of doctors KB 15-02-1999 - purpose : better quality of medical service - tools : internal and external control. hospital. college.

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College of geriatrics Greet Lambert Thierry Pepersack

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  1. College of geriatrics Greet Lambert Thierry Pepersack

  2. College of geriatrics when what why who where

  3. College of doctors KB 15-02-1999 - purpose : better quality of medical service - tools : internal and external control hospital college • indicators of quality and evaluationcriteria • visitation and control • national report; provides information

  4. College of geriatrics what? define evaluate quality promote how? describe evaluate ad hoc situation improve  propositions

  5. Belgian Minimum Data Setfor Comprehensive Geriatric Assessment College of Geriatrics

  6. introduction • continuous registration of quality variables is an obligation • the Ministry intends to ask this registration  College & BVGG : choose it ourselves !

  7. BMDS study : aims • analyze the tools routinely used by the Belgian geriatric teams • ask propositions for "Belgian Minimum Data Set" ~ comprehensive geriatric assessment feasible approved by geriatricians

  8. BMDS : methods • Questionnaire sent by e-mail; surface mail, downloadable (www.geriatrie.be) • used and proposed scales for minimal geriatric assessment • domains : ADL; I-ADL; falls; cognition; depression; social; nutrition; pain; QOL

  9. results • 59 questionnaires • acute and subacute G beds

  10. hospital characteristics (N=59)

  11. staff characteristics (per 24 beds)

  12. comprehensive geriatric assessment • ADL • IADL • RISK of FALLING • COGNITION • DEPRESSION • SOCIAL • NUTRITION • PAIN • QOL already used proposed for BMDS

  13. ADLused 92% proposed 92%

  14. IADLused 56% proposed 58%

  15. risk of fallingused 59% proposed 68%

  16. cognitionused 52% proposed 51%

  17. depressionused 39% proposed 45%

  18. social assessmentused 51% proposed 56%

  19. nutritionused 36% proposed 40%

  20. painused 49% proposed 54%

  21. quality of lifeused 2% proposed 27%

  22. conclusions • response rate • geriatricians : interested in CGA • transparency of geriatric units quality of questionnaire not enough CGA lack of uniformity CGA ~ no consensus

  23. perspectives working groups to propose “minimal” CGA • specific, sensitive, validated • feasible • screening tools • a basis for further algorithms

  24. perspectives working groups to propose “minimal” CGA • specific, sensitive, validated • feasible • screening tools • a basis for further algorithms Consensus conference May 7th, 2004

  25. acknowledgements • College: President :T Pepersack; JP Baeyens; H Daniels; M Lambert; A Pepinster; J Pétermans; C Swine; N Vandennoortgate • B Kennes, BVVG-SBGG • G Dargent, P Hellinckx , Ministery Social Affairs • external experts & participants : P Devriendt, C Sachem, A Velghe and YOU

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