Implementation of Geriatric Assessment and Decision Support as part of a Multidisciplinary Integrated Care Model in Residential Care Homes

BACKGROUND Prerequisites of successful introduction versus maintenance of care innovations are not well understood and may depend on interplay of contextual issues such as type of care setting, type of innovation, and personal involvement. In this study the facilitating and impeding factors were studied of both initial and maintaining implementation of a multidisciplinary integrated care approach comprising monitoring and decision support with the inter RAI Long Term Care Facility Instrument (inter RAI-LTCF) in ten Dutch residential care homes aimed to improve quality of care.