Strategy and socio-economic modelling

The objective of OBSERVE-ASSESS-DECIDE is to establish municipal and regional best practices for strategic planning and management of ageing. This is achieved by developing accurate socio-economic modelling tools based on rigorous design of information and processes.

The demographic model will enable the analysis and prediction of demographic change, and the socio-economic model, based on ageing information and process design, is sensitive and specific in particular concerning variables related to demographic change.

The service form, where OBSERVE-ASSESS-DECIDE can be used is home care, adult day care centres, residential (24h) care, nursing homes and/or wards.

The OBSERVE-ASSESS-DECIDE approach to socio-economic modelling based strategic planning is both customer-centric with respect to information and process design as well as care-centric with respect to care management.

Decision-making and resource planning

The lack of regional strategies together with scattered and unstructured guidelines for prevention, detection and intervention related to older persons decline in cognitive and functional capabilities is the most serious threats against a sustainable development of supportive environments for the elderly. Further, the lack of well-structured guidelines and well-organized utility of assessment and, in particular, rigorous assessment based decision-making and care provisioning, leads to overlaps and inefficiency, and even worse, to subjective decision-making and care processes that cannot be measured nor evaluated.

Socio-economic modelling of the social welfare effect due to demographic change is therefore utmost important, on the one hand, for municipality resource planning and objective decision making, and on the other hand, for enabling required accuracy of business models as used by public and private actors in the social sector.

Assessment scales by service and profession

The service/profession matrix of OBSERVE-ASSESS-DECIDE is connected with the condition dimension of states of health.

The minimal set of geriatric assessment scales is usually some ADL scales combined with suitable cognitive scales. Combination scales, like the CDR for ADL/DEMENTIA, are also widely used. Non-cognitive signs are captured e.g. by NPI, CMAI and BEHAVE-AD. NPI is particularly useful in home care. Depression is usually captured in its own right, where e.g GDS is widely used in home care. Depression is known to accelerate cognitive decline. Nutrition scales are important, like also scales for social conditions, and so on and so forth.

The selection of assessment scales to be used is of utmost importance and must be optimized with respect to professional resources available in the particular service where OBSERVE-ASSESS-DECIDE is to be installed and used.

The OAD extension to fall risk assessment has a focus on providing information management support for fall preventions, as part of the European Innovation Partnership for Active and Healthy Ageing (EIP AHA).

OAD for assessment scale integration, policy making and orchestration of eServices

OBSERVE-ASSESS-DECIDE is a framework for assessment scale integration, including modules for regional and municipal decision and policy making.

OBSERVE-ASSESS-DECIDE supports regional development of guidelines and manuals for both socio-Economic modeling based on OAD's socio-economic model merging demographic data with information and process data included in the Service/Profession/Condition matrix, as well as for strategic planning of elderly care.

In addition to these guidelines and manuals, OAD supports the orchestration of eServices, relevant in elderly care, including analysis and planning toolkits, institutional aspects, organizational-technical model set-up, and concrete funding options of regional programmes.

OAD at IAGG

OBSERVE-ASSESS-DECIDE, poster presentation at IAGG 2009, and oral presentation at IAGG 2013, the World Congress of Gerontology and Geriatrics.