Building electronic forms for elderly program: integrated care model for high risk elders in Hong Kong.

Area of Science:

• Gerontology
• Healthcare Management
• Health Informatics

Background:

• Elderly patients in Hong Kong face high risks of unplanned hospital readmission post-discharge.
• The Integrated Care Model (ICM) program aims to mitigate this by providing continuous, coordinated care from hospital to community settings.

Purpose of the Study:

• To develop electronic forms to support the Integrated Care Model (ICM) program for high-risk elderly patients.
• To enhance service delivery, clinical documentation, and data analysis within the ICM framework.

Main Methods:

• A multidisciplinary working group was convened to define requirements for electronic forms.
• Six distinct electronic forms were developed to cater to the ICM program's needs.

Main Results:

• Successfully developed six electronic forms tailored for the Integrated Care Model (ICM).
• These forms facilitate seamless ICM service delivery for high-risk elders.
• The forms support comprehensive clinical documentation, statistical analysis, and efficient information sharing.

Conclusions:

• The developed electronic forms are crucial for the effective implementation of the Integrated Care Model (ICM) in Hong Kong.
• These tools are instrumental in preventing unplanned readmissions among high-risk elderly patients by ensuring continuity of care.
• The forms enhance data management capabilities, supporting both clinical practice and program evaluation.