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 / FINLAND›MANNER-SUOMI›Pohjois- ja Itä-Suomi›Etelä-Savo
Enonkoski, Rantasalmi, Savonlinna, Sulkava, Juva and Puumala
Where is this organization located?:
Please enter the name of the contact person for this initiative:
Please enter the email of the contact for this initiative: email@example.com
Part of larger strategy or programme:
If you answered "other", please specify:
Please provide us with more details of this programme or strategy:
The status of the initiative:
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:
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:
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.