KV RegioMed Zentrum Templin
- Templin – Uckermark - Brandenburg
- Target group:
- Multimorbid patients aged 65+ and their informal carers
In response to massive demographic change in rural Brandenburg, in 2014 an innovative care concept for older patients has been put in place in the Uckermark district, situated in the Northeast of Brandenburg. Housed at a local hospital in the town of Templin (16,000 inhabitants (2011), 23% of whom are 65+), the innovative programme offers intensive outpatient geriatric coaching for older patients with complex needs. With its Complex Therapy programme, KV RegioMed Zentrum Templin follows a preventive and rehabilitative approach aimed at strengthening the patient’s own coping capabilities. For three weeks, patients visit the practice spezialized on elderly people
on a daily basis. While receiving care and supportive therapy, programme participants learn about their medication plan, fall prevention, and a healthy diet and lifestyle. For each patient a personal, tailored care plan is developed, and guidance to professional and voluntary services in the community is also provided. During their time in the programme, patients are supported by the “Agnes two” Case Manager (a specially trained practice assistant). However, a lot of patients do not get any support after having completed this 3 week programme.
The improvement project is a newly set-up Coordination and Consulting Centre (“Service Center”), which will be the central contact point regarding care issues for patients in the region. These services will not be exclusively for patients from the KV RegioMed Zentrum in Templin but are open and accessible to patients from other medical services in the region.