STH - Stay@Home – Treat@Home: Developing a telemedically supported transsectoral cooperation network from neighborhood assistance to emergency care for outpatient care recipients
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Motivation
In Berlin, around 35,000 outpatient care recipients were already recorded in 2017. These require active and regular medical care. Often, an acute need for treatment occurs at "unfavorable" times in this group of persons, with the consequence of a high number of unplanned, but partly avoidable inpatient admissions via emergency departments. Especially for elderly care recipients with cognitive impairments, such as dementia, this dramatically worsens the prognosis in terms of mortality, hospital length of stay, and short-term readmission to the hospital.
Aims and Procedure
The aim of the project is to develop and evaluate a new transsectoral network supported by innovative telemedical and standardized digital communication structures (digital health diary) for seamless 24/7 care of outpatients in Berlin (and prospectively also Brandenburg).
This network is intended to
(1) quickly detect and communicate an emerging acute deterioration of the health condition of outpatient care recipients;
(2) enable early intervention in a coordinated system while still in the home environment, thus avoiding unplanned hospital admissions;
(3) maintain/improve quality of life; and
(4) use necessary resources effectively and efficiently.
The project is funded as a new form of care under the Innovation Fund. The consortium management is carried out in cooperation with the Central Emergency Department (ZNA) of the Charité-Universitätsmedizin Berlin under the direction of Prof. Dr. Rajan Somasundaram.
Project leadership
Deputy Director FGG, Head of Department: Digitization and Nursing Research
