A model to improve the appropriateness in the management of acute poly-pathological patients: the Acute Complex Care Model

Improved care for acute diseases has increased mean age and the proportion of people affected by multiple chronic diseases, while mutated socioeconomic conditions augmented the number of elderly and socially frail subjects. Multi-morbid patients who require a global approach not-fragmented-care interventions and a close connection between health and social services are progressively growing. Acute Complex Care Model (ACCM) is a model of integrated management of the frail patients when they need acute hospital care. The name of our model - ACCM - just recalls the chronic care model (CCM), designed for the de-hospitalization of chronic patients by preventing acute exacerbations, representing the hospital counterpart of the CCM. The target population is made up of acutely ill complex and poly-pathological patients (AICPPs), admitted to hospital and requiring high technological resources and continuous monitoring; the mission is to improve the management of medical admissions through pre-defined intra-hospital tracks and a global, multidisciplinary, patient-centered approach. Nowadays, multiple uncoordinated specialists care for AICPPs who move from one ward to another, with dangerous loss of information and continuity. ACCM tries to overcome these problems by putting the internal medicine specialist as the only referent for that patient and the coordinator of the care team. According to a model of future hospital organized with different intensity settings, the Internal Medicine Wards, caring for AICPPS, are organized in High Dependency Areas and Ordinary Areas. For both we present organizational and personnel standards that are lacking in daily practice. The epidemiological transition leading to a progressive increase in AICPPs requiring frequent hospitalization enhances the role of hospital internal medicine specialist in the coordination and delivery of care. The ACCM represents a practical response to this epochal change of roles. Medical and nursing staff standards and competencies have to be reviewed to ensure adequate care for these patients. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Francesco Orlandini [verfasserIn] Filomena Pietrantonio [verfasserIn] Luca Moriconi [verfasserIn] Micaela La Regina [verfasserIn] Antonino Mazzone [verfasserIn] Mauro Campanini [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Acute care polypathological patients internal medicine medical ward comorbidities.

Übergeordnetes Werk:	In: Italian Journal of Medicine - PAGEPress Publications, 2015, 11(2016), 1, Seite 7
Übergeordnetes Werk:	volume:11 ; year:2016 ; number:1 ; pages:7

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4081/itjm.2016.697

Katalog-ID:	DOAJ035719397

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spelling	10.4081/itjm.2016.697 doi (DE-627)DOAJ035719397 (DE-599)DOAJe3d71f29dd5e4db8ad71cb3587471c44 DE-627 ger DE-627 rakwb eng Francesco Orlandini verfasserin aut A model to improve the appropriateness in the management of acute poly-pathological patients: the Acute Complex Care Model 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Improved care for acute diseases has increased mean age and the proportion of people affected by multiple chronic diseases, while mutated socioeconomic conditions augmented the number of elderly and socially frail subjects. Multi-morbid patients who require a global approach not-fragmented-care interventions and a close connection between health and social services are progressively growing. Acute Complex Care Model (ACCM) is a model of integrated management of the frail patients when they need acute hospital care. The name of our model - ACCM - just recalls the chronic care model (CCM), designed for the de-hospitalization of chronic patients by preventing acute exacerbations, representing the hospital counterpart of the CCM. The target population is made up of acutely ill complex and poly-pathological patients (AICPPs), admitted to hospital and requiring high technological resources and continuous monitoring; the mission is to improve the management of medical admissions through pre-defined intra-hospital tracks and a global, multidisciplinary, patient-centered approach. Nowadays, multiple uncoordinated specialists care for AICPPs who move from one ward to another, with dangerous loss of information and continuity. ACCM tries to overcome these problems by putting the internal medicine specialist as the only referent for that patient and the coordinator of the care team. According to a model of future hospital organized with different intensity settings, the Internal Medicine Wards, caring for AICPPS, are organized in High Dependency Areas and Ordinary Areas. For both we present organizational and personnel standards that are lacking in daily practice. The epidemiological transition leading to a progressive increase in AICPPs requiring frequent hospitalization enhances the role of hospital internal medicine specialist in the coordination and delivery of care. The ACCM represents a practical response to this epochal change of roles. Medical and nursing staff standards and competencies have to be reviewed to ensure adequate care for these patients. Acute care polypathological patients internal medicine medical ward comorbidities. Medicine R Filomena Pietrantonio verfasserin aut Luca Moriconi verfasserin aut Micaela La Regina verfasserin aut Antonino Mazzone verfasserin aut Mauro Campanini verfasserin aut In Italian Journal of Medicine PAGEPress Publications, 2015 11(2016), 1, Seite 7 (DE-627)609404636 (DE-600)2515650-0 18779352 nnns volume:11 year:2016 number:1 pages:7 https://doi.org/10.4081/itjm.2016.697 kostenfrei https://doaj.org/article/e3d71f29dd5e4db8ad71cb3587471c44 kostenfrei http://www.italjmed.org/index.php/ijm/article/view/697 kostenfrei https://doaj.org/toc/1877-9344 Journal toc kostenfrei https://doaj.org/toc/1877-9352 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2016 1 7
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allfieldsGer	10.4081/itjm.2016.697 doi (DE-627)DOAJ035719397 (DE-599)DOAJe3d71f29dd5e4db8ad71cb3587471c44 DE-627 ger DE-627 rakwb eng Francesco Orlandini verfasserin aut A model to improve the appropriateness in the management of acute poly-pathological patients: the Acute Complex Care Model 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Improved care for acute diseases has increased mean age and the proportion of people affected by multiple chronic diseases, while mutated socioeconomic conditions augmented the number of elderly and socially frail subjects. Multi-morbid patients who require a global approach not-fragmented-care interventions and a close connection between health and social services are progressively growing. Acute Complex Care Model (ACCM) is a model of integrated management of the frail patients when they need acute hospital care. The name of our model - ACCM - just recalls the chronic care model (CCM), designed for the de-hospitalization of chronic patients by preventing acute exacerbations, representing the hospital counterpart of the CCM. The target population is made up of acutely ill complex and poly-pathological patients (AICPPs), admitted to hospital and requiring high technological resources and continuous monitoring; the mission is to improve the management of medical admissions through pre-defined intra-hospital tracks and a global, multidisciplinary, patient-centered approach. Nowadays, multiple uncoordinated specialists care for AICPPs who move from one ward to another, with dangerous loss of information and continuity. ACCM tries to overcome these problems by putting the internal medicine specialist as the only referent for that patient and the coordinator of the care team. According to a model of future hospital organized with different intensity settings, the Internal Medicine Wards, caring for AICPPS, are organized in High Dependency Areas and Ordinary Areas. For both we present organizational and personnel standards that are lacking in daily practice. The epidemiological transition leading to a progressive increase in AICPPs requiring frequent hospitalization enhances the role of hospital internal medicine specialist in the coordination and delivery of care. The ACCM represents a practical response to this epochal change of roles. Medical and nursing staff standards and competencies have to be reviewed to ensure adequate care for these patients. Acute care polypathological patients internal medicine medical ward comorbidities. Medicine R Filomena Pietrantonio verfasserin aut Luca Moriconi verfasserin aut Micaela La Regina verfasserin aut Antonino Mazzone verfasserin aut Mauro Campanini verfasserin aut In Italian Journal of Medicine PAGEPress Publications, 2015 11(2016), 1, Seite 7 (DE-627)609404636 (DE-600)2515650-0 18779352 nnns volume:11 year:2016 number:1 pages:7 https://doi.org/10.4081/itjm.2016.697 kostenfrei https://doaj.org/article/e3d71f29dd5e4db8ad71cb3587471c44 kostenfrei http://www.italjmed.org/index.php/ijm/article/view/697 kostenfrei https://doaj.org/toc/1877-9344 Journal toc kostenfrei https://doaj.org/toc/1877-9352 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2016 1 7
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title	A model to improve the appropriateness in the management of acute poly-pathological patients: the Acute Complex Care Model
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author_browse	Francesco Orlandini Filomena Pietrantonio Luca Moriconi Micaela La Regina Antonino Mazzone Mauro Campanini
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author-letter	Francesco Orlandini
doi_str_mv	10.4081/itjm.2016.697
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title_sort	model to improve the appropriateness in the management of acute poly-pathological patients: the acute complex care model
title_auth	A model to improve the appropriateness in the management of acute poly-pathological patients: the Acute Complex Care Model
abstract	Improved care for acute diseases has increased mean age and the proportion of people affected by multiple chronic diseases, while mutated socioeconomic conditions augmented the number of elderly and socially frail subjects. Multi-morbid patients who require a global approach not-fragmented-care interventions and a close connection between health and social services are progressively growing. Acute Complex Care Model (ACCM) is a model of integrated management of the frail patients when they need acute hospital care. The name of our model - ACCM - just recalls the chronic care model (CCM), designed for the de-hospitalization of chronic patients by preventing acute exacerbations, representing the hospital counterpart of the CCM. The target population is made up of acutely ill complex and poly-pathological patients (AICPPs), admitted to hospital and requiring high technological resources and continuous monitoring; the mission is to improve the management of medical admissions through pre-defined intra-hospital tracks and a global, multidisciplinary, patient-centered approach. Nowadays, multiple uncoordinated specialists care for AICPPs who move from one ward to another, with dangerous loss of information and continuity. ACCM tries to overcome these problems by putting the internal medicine specialist as the only referent for that patient and the coordinator of the care team. According to a model of future hospital organized with different intensity settings, the Internal Medicine Wards, caring for AICPPS, are organized in High Dependency Areas and Ordinary Areas. For both we present organizational and personnel standards that are lacking in daily practice. The epidemiological transition leading to a progressive increase in AICPPs requiring frequent hospitalization enhances the role of hospital internal medicine specialist in the coordination and delivery of care. The ACCM represents a practical response to this epochal change of roles. Medical and nursing staff standards and competencies have to be reviewed to ensure adequate care for these patients.
abstractGer	Improved care for acute diseases has increased mean age and the proportion of people affected by multiple chronic diseases, while mutated socioeconomic conditions augmented the number of elderly and socially frail subjects. Multi-morbid patients who require a global approach not-fragmented-care interventions and a close connection between health and social services are progressively growing. Acute Complex Care Model (ACCM) is a model of integrated management of the frail patients when they need acute hospital care. The name of our model - ACCM - just recalls the chronic care model (CCM), designed for the de-hospitalization of chronic patients by preventing acute exacerbations, representing the hospital counterpart of the CCM. The target population is made up of acutely ill complex and poly-pathological patients (AICPPs), admitted to hospital and requiring high technological resources and continuous monitoring; the mission is to improve the management of medical admissions through pre-defined intra-hospital tracks and a global, multidisciplinary, patient-centered approach. Nowadays, multiple uncoordinated specialists care for AICPPs who move from one ward to another, with dangerous loss of information and continuity. ACCM tries to overcome these problems by putting the internal medicine specialist as the only referent for that patient and the coordinator of the care team. According to a model of future hospital organized with different intensity settings, the Internal Medicine Wards, caring for AICPPS, are organized in High Dependency Areas and Ordinary Areas. For both we present organizational and personnel standards that are lacking in daily practice. The epidemiological transition leading to a progressive increase in AICPPs requiring frequent hospitalization enhances the role of hospital internal medicine specialist in the coordination and delivery of care. The ACCM represents a practical response to this epochal change of roles. Medical and nursing staff standards and competencies have to be reviewed to ensure adequate care for these patients.
abstract_unstemmed	Improved care for acute diseases has increased mean age and the proportion of people affected by multiple chronic diseases, while mutated socioeconomic conditions augmented the number of elderly and socially frail subjects. Multi-morbid patients who require a global approach not-fragmented-care interventions and a close connection between health and social services are progressively growing. Acute Complex Care Model (ACCM) is a model of integrated management of the frail patients when they need acute hospital care. The name of our model - ACCM - just recalls the chronic care model (CCM), designed for the de-hospitalization of chronic patients by preventing acute exacerbations, representing the hospital counterpart of the CCM. The target population is made up of acutely ill complex and poly-pathological patients (AICPPs), admitted to hospital and requiring high technological resources and continuous monitoring; the mission is to improve the management of medical admissions through pre-defined intra-hospital tracks and a global, multidisciplinary, patient-centered approach. Nowadays, multiple uncoordinated specialists care for AICPPs who move from one ward to another, with dangerous loss of information and continuity. ACCM tries to overcome these problems by putting the internal medicine specialist as the only referent for that patient and the coordinator of the care team. According to a model of future hospital organized with different intensity settings, the Internal Medicine Wards, caring for AICPPS, are organized in High Dependency Areas and Ordinary Areas. For both we present organizational and personnel standards that are lacking in daily practice. The epidemiological transition leading to a progressive increase in AICPPs requiring frequent hospitalization enhances the role of hospital internal medicine specialist in the coordination and delivery of care. The ACCM represents a practical response to this epochal change of roles. Medical and nursing staff standards and competencies have to be reviewed to ensure adequate care for these patients.
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title_short	A model to improve the appropriateness in the management of acute poly-pathological patients: the Acute Complex Care Model
url	https://doi.org/10.4081/itjm.2016.697 https://doaj.org/article/e3d71f29dd5e4db8ad71cb3587471c44 http://www.italjmed.org/index.php/ijm/article/view/697 https://doaj.org/toc/1877-9344 https://doaj.org/toc/1877-9352
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author2	Filomena Pietrantonio Luca Moriconi Micaela La Regina Antonino Mazzone Mauro Campanini
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