Hospital Elder Life Program Integrated in Dutch Hospital Care: A Pilot

Hospital Elder Life Program: Systematic Review and Meta-analysis of Effectiveness

“…Cost-savings of the HELP program was examined directly in 9 studies (Caplan et al in Table 2 plus Table 3). 9,14,15,22,27,29,30,42,51 For all studies presented in this paper, costs are adjusted to 2018 US dollars. We summarize the impact of the HELP program on cost-savings in Table 4 with study description and a column detailing cost-savings calculations and methodology.…”

“…found that mean cumulative costs per patient 3 months after discharge were $11,979 (2018 US dollars) for the intervention group, compared with $14,743 for controls. 30…”

“…As described above, Bakker et al implemented HELP in the Netherlands, with good adherence – defined as adoption of 4 or more of the 6 HELP interventions; Bakker et al noted that training and integrating volunteers into daily work flow was the most challenging component. 30 One study examined adherence to HELP in long-term care. 31 Boockvar et al examined an adaptation of HELP (HELP-LTC), and demonstrated that the protocols could be delivered successfully with 75% adherence to 143 residents during and after an acute illness episode by nursing assistants.…”

Uniform presentation of process evaluation results facilitates the evaluation of complex interventions: development of a graph

“…We piloted the CareWell in Hospital programme [15] and conducted a before‐after study that included a mixed‐methods process evaluation. Figure shows the design and content of the programme based upon the figure published by Perera et al .…”

The carewell in hospital questionnaire: A measure of frail elderly inpatient experiences with individualized and integrated hospital care

“…Ideally, quality of care is assessed by measuring patient's experiences rather than patient satisfaction, as most patients are satisfied with the care they receive, even if the quality is poor . Within the study of the CareWell in Hospital (CWH) program—which aims to improve quality of care for frail inpatients age ≥70 years—we aimed to assess experiences using a questionnaire to determine the quality of hospital care from the perspective of elderly inpatients. This questionnaire should specifically address whether individualized, integrated care is delivered, with an emphasis on autonomy and maintaining patient independence as well as integrating well‐being into hospital care, all of which are aims of the CWH program.…”