Multiprofessional medication evaluation

Background
Name of your initiative: 
Multiprofessional medication evaluation
Short name (acronym): 
Website title and address: 
http://www.fimea.fi/kehittaminen/moniammatillinen_verkosto
Which organization is submitting this initiative?: 
Eastern Savonia Central Hospital
Please specify in which regions/provinces: 
SUOMI / FINLANDMANNER-SUOMIPohjois- ja Itä-SuomiEtelä-Savo
City: 
Enonkoski, Rantasalmi, Savonlinna, Sulkava, Juva and Puumala
Where is this organization located?: 
Finland
Please enter the name of the contact person for this initiative: 
Hannele Häkkinen
Please enter the email of the contact for this initiative: 
hannele.hakkinen@aflra.fi
Part of larger strategy or programme: 
No
If you answered "other", please specify: 
Please provide us with more details of this programme or strategy: 
The status of the initiative: 
Completed
Please give a summary of your initiative (in English): 
The initiative was set in Eastern Savonia area (around 45 500 inhabitants) and involved several municipalities. It was a cooperation between primary health care and home care. Personal and household services refers to domestic activities and care. This pilot project run from 2003 to 2014 targeting service users receiving personal and household services. The profile of the average service user involved in the project was the one of a woman aged 86 receiving 17,7 different medicines. The medication evaluation is also ongoing in primary health care and hospital wards. From 2015,every home care team will use the method. A polyvalent team (nurse, doctor and pharmacist) evaluates the medication of service users. It is very important that nurses know the care recipient well. All team members have access to client/patient data and to their own specialized on-line-databases of each profession. How does it work? Nurses collect individual medical data and check actual current medication. Pharmacists check indications, dosages and times of administration and assess risk of side effects and interactions. Then all team members evaluate the medication and decide if changes are needed. if necessary, GPs make new prescription and change it in the electronic client/patient records and electronic prescription centre of Finland. In addition, GPs explain to nurses how to evaluate effects of medication changes. Nurses inform the care plan, service user, family members and practical nurses. They also takes care of the changes in medication at home.
The geographical scope: 
Regional
Type of initiative: 
Public
Environment or setting of the initiative: 
Rural
The economic environment or setting of the initiative: 
Poor
The most important source of funding for your initiative: 
Local funding
If other, please specify your source of funding: 
What triggered this initiative?: 
Finland has the most rapidly ageing population in Europe. Age correlates with morbidity and there is heterogeneity among elderly people in clinical, functional, and social impairment. Our aim is to make sure old people will not suffer from harmful drug interactions or side effects and they get all medication they need. The other point is to develop team work so that each social or health professional can do what he/she is best at.
Objectives
What are the main objectives of your initiative? Choose a maximum of 3 objectives.: 
Housing: increase the number of older people living independently
Please describe any subgoals of your initiative: 
Health: improving the well-being of older people receiving personal and household services, enhance safety for the service user by preventing over-medication at home & prevent unnecessary hospitalisation. Public spending: reduce the use of medication
Target group
Does your initiative target people with a specific impairment or disease?: 
How many people have you reached or do you expect to reach with your initiative?: 
250 - 1000
Does your initiative target a specific age group?: 
65 - 7980+
Does your initiative target men or women?: 
Approach
Please indicate what best describes your initiative: 
Policy
What type of intervention strategy is used in your initiative?: 
Living lab/pilot
Please indicate the Technology Readiness Level (TRL) of your initiative: 
Not applicable
Who executes the initiative: 
Primary health care providersGeneral practitionerPrimary health care providersNursePrimary health care providersOther
What is the relevant physical scale of your initiative?: 
Regional levelRoomIn a residential setting
Please indicate how you think your initiative could be scaled up (made to reach more people): 
Please indicate the type of stakeholders concerned with your initiative.: 
Health service contractersOtherHealth service contractersPublic authorityPrimary health care providersGeneral practitionerPrimary health care providersNursePrimary health care providersOtherProvider of ambulatory health careProvider of medical goodsProvider of social service
Please describe how you think your initiative could be transferred to other regions or contexts: 
A clinical trial provided the platform for transferring the initiative but it is dependent on the availability of the appropriate professionals.
Is your initiative economically sustainable and does it contribute to economic development?: 
If you selected "other" neighbourhood, please specify:: 
Impact & outcome
Will you collect or have you collected outcome data for this initiative?: 
Yes
What do you consider the key success factors of your initiative? If your initiative has not yet started, please indicate what you expect the key success factors to be: 
Integration of social and health care and integraton of primary care and specialized health care will be one of the most important features of the social and health care reform in Finland (which is ongoing).
What do you consider the main barriers to overcome in your initiative? If your initiative has not yet started, please indicate what you expect the main barriers to be.: 
What instruments will you use/have used to collect data?: 
Other, namely
If you selected "other" instrument to collect data, please specify: 
If yes, how will you/have you collected those data?: 
Qualitative evaluation
Will you collect or have collected socio-economic impact data for this initiative?: 
No
Will or are the collected data in the initiative publicly available?: 
No