Description of the current short Sample Clauses

Description of the current short term care pathway delivery process Valencia-La Fe Health Department includes one hospital: Hospital La Fe, one of the biggest hospitals in Spain. The Health Department contains 16 Primary Health Areas including eight Primary Care Centres and eight Auxiliary Medical Offices. The Valencia Health Plan 2010-2013 is the instrument of planning and programming of the health system in Valencia. Conscious of its strategic importance, the Regional Ministry of Health, by means of the Valencia Health Agency (AVS), made a firm commitment to improve the health information systems, with a significant investment effort in this area. Thus, the Health Information System of the Generalitat Valenciana (SISAN) has a strong integrative approach that considers homogeneously all aspects of such a complex organisation: • Primary care (Abucasis). • Hospital care (ORION). • Extra-hospital emergency care (XXXXXX). • Central Services and Public Health. The integrated care at home programme (which exists already today) provides patients and informal care givers with comprehensive care at home, favouring transition from hospitalisation to home care. The programme includes several services particularly valuable for the older population: specific home based training for patients and caregivers, to empower patient’s self-management and increase adherence to treatment; a specific score for the stratification of the risk of falls, and a set of intervention guidelines to prevent the occurrence of falls; mental health and cognitive decline assessment test for early diagnosis and prevention; multidisciplinary integrated care teams supporting patients and informal care givers at home. The service includes specific ICT support: home monitoring devices, electronic health and social care records both in primary care and hospital, and mobility support for professionals while doing home visits. The programme was started in the Health Department in 1990, together with three other locations. Since then, it has been extended to another 20 locations within the Region, by the transfer of best practices coming from the initial units. The programme is coordinated by the home hospitalisation unit (UHD) of the Hospital La Fe of Valencia, but includes health and social care professionals in the team, thus providing a combination of health and social services within an integrated care path for citizens. The activities of the unit have been improving along the years, including new innovations, and consolidating ...
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