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APPropriate CARE paths for frail elderly patients

Azienda ULSS n.2 Marca Trevigiana

The Azienda ULSS n.2 Marca Trevigiana is a local health authority in Veneto Region, providing health and social services to 37 municipalities covering more than 400.000 inhabitants. LHA9 delivers also clinical and basic research activities, thanks to the presence of academic departments within the facility. In the last 10 years, Veneto Region has invested heavily in achieving interoperability among eHealth applications implemented by its 23 Local Health Authorities (LHAs) and Hospital Trusts (HTs). For this purpose, many interoperable eHealth services are implemented in many LHAs, at local or regional level on many fields: ePrescription, telecounselling in emergency situations, home based telemonitoring of chronic patients and digitalization of clinical reports. Some of these services are now daily used from a good part of citizens and health professionals of Veneto Region. All eHealth services implemented are a coordinated action with the objective to realize the regional e-health system under the name “Fascicolo Sanitario Elettronico Regionale (FSEr)” (i.e. Regional Electronic Health record).

According to the regional health system, LHA9 is the most important actor in healthcare and in social affairs at local level. LHA9 is composed by 2 hospitals, 2 Territorial districts, 1 Prevention Department. The Geriatric Department of Treviso Hospital has 88 beds and is one of the largest in Italy. The Department has developed an experience towards a new pathway for the geriatric patients, with the short term hospital observation for >75. Through an integrated assistance model based on n. 2 territorial districts, LHA9 provides social services with health relevance, aiming to support people whose health conditions are influenced by disability or exclusion. Moreover, LHA9 works in strict collaboration with municipalities’ social departments. In recent years, LHA9 has strongly developed homecare solutions to reach “complex patient” (non autonomous, co-morbid, vulnerable patients, etc.), to give them global and concrete answers to their needs. The new regional health and social programme 2012-2014 encourages the increase of health and social integration level, to grant a global care of a person, and to re-establish the physical, psychological, social well-being of patients, through the involvement of all social actors. It also points out the importance of maintaining not self-sufficient old people in their family context through the extension of homecare innovative solutions. These objectives are included in LHA9 operative programme.

In the past 10 years, LHA9 has participated and coordinated (directly or on behalf of Veneto Region) different EU funded projects, such as research projects under the 7th Framework Programme and HEALTH Programme (PNS – Euronet, EuRoBoNet, Rarecare, EUROSARC – still open) and innovation and telemedicine projects under the former E-TEN programme and the current CIP programme (Health Optimum, Health Optimum Initial Deployment, Renewing Health), in the INTERREG Programme (coordination of “Fall prevention in the elderly: interventions and strategies” project and partner in “Regional Telemedicine Forum (RTF)” project, aimed to the establishment of a transnational Forum focusing on regional policies assuring wider implementation and deployment of telemedicine services at regional level). Currently we are partner in MASTERMIND – Management of mental health diSorders Through advanced technology and seRvices – teleHealth for the MIND, a pilot project under CIP programme.

According to the Regional Law establishing a reorganization of local health authorities, from January 2017 Local Health Authority n.9 has incorporated to 2 other LHAs based in Treviso area , changing its legal name into Azienda ULSS n.2 Marca Trevigiana.

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Registration is open for the APPCARE Final Event to be held in Brussels on May 23rd 2019!

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D 5.1 APPCARE model is now available for consultation!

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Deliverable D4.1 Eu Synthesis Report published

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Issue: November 9, 2015 Marjolein Lugtenberg, Elena Procaccini, Elisa Valia, Choni Doñate, Tamara Alhambra, Francesco Mattace Raso, Rob van Staveren, Carmen Franse, Amy van Grieken, Hein Raat (editors) Erasmus MC – University Medical Center Rotterdam, The Netherlands, Azienda ULSS n.9 Treviso, Italy, Polibienestar, Spain.

The APPCARE project

4 November 2015

APPropriate CARE paths for frail elderly patients – which involves three countries: Italy, Spain and The Netherlands is on line!

European Union

This publication is part of the project / joint action ‘664689 / APPCARE’ which has received funding from the European Union’s Health Programme (2014-2020).

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