Model Component | Description |
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Model Component 1: Collaboration and Integration | The organization and scheduling of planned care amongst various providers in health and community sectors to ensure effective intervention and care. Care is coordinated across healthcare and community settings |
i) Multidisciplinary Care Roles | The involvement of healthcare providers from various disciplines in the delivery of care and the assignment of key roles among team members |
ii) Team-Based Care | Providers working collaboratively as a team with defined tasks and responsibilities to provide effective care |
iii) Community Linkages | How a model of care connects with community programs and services, and the partnerships formed with community organizations to deliver care and support |
Model Component 2: Organization of Geriatric Care | The structures, procedures and policies of the healthcare system in which a geriatric model of care takes place |
i) Staffing Models | The organization of healthcare professionals within a model of care |
ii) Access and Referrals | How individuals living with HIV can access geriatric and specialized care, and the referral process to be seen by care providers |
iii) Implementation of Evidence-Based Screening | The use of validated screening instruments to inform high-quality care |
Model Component 3: Support of Holistic Care | How a model of care meets physical, spiritual, mental and social needs |
i) Comprehensive Geriatric Assessment | All activities involved in the Comprehensive Geriatric Assessment of an older adult, that includes identifying medical, social and functional needs, and the development of an integrated care plan to meet those needs |
ii) Supporting Self-Management | Any activities or strategies that help older adults living with HIV manage their own health concerns and be actively involved in their care |