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Table 1 Differences between the prevention and reactivation care program and two other hospitals in The Netherlands

From: Situational awareness, relational coordination and integrated care delivery to hospitalized elderly in The Netherlands: a comparison between hospitals

  Hospital A - prevention and reactivation care program Hospital B Hospital C
Hospital care Identification of vulnerable older patient within 48 h Start reactivation treatment after discharge Start reactivation path after discharge
Assessment of risk factors for functional decline
Start reactivation treatment within 48 h Medication safety project Medication safety project
Clinical geriatrician Clinical geriatrician (consultation two days a week)
Geriatric nurses
Electronic patient record including targeted consultation (consult dietitian based on SNAQ scores)
Central intake prior to admission including screening frail elderly and development individualized care plan
Multidisciplinary approach Weekly multidisciplinary team meeting Key professional is responsible for treatment and interdisciplinary consults Key professional is responsible for treatment and interdisciplinary consults
Treatment and care focused on medical condition
and functioning in six domains (i.e. physical, mental, social, financial, home, and care)
Discussion and coordination focused on medical condition Discussion and coordination focused on medical condition
Goal-orientated approach
Patient Patient orientated integrated treatment plan Separate treatment plans Separate treatment plans
Discussion treatment with patient during entire treatment path Treatment coherence determined by patient Treatment coherence determined by patient
  Problem solving