What is that than an innovative organization?
Setting up an innovative organization consists of implementing new organizational methods in the practices, operating methods or organization of the workplace, in particular in order to solve a problem, improve the efficiency of the organization or the quality of its services or to provide added value . In the example of IDE (State Registered Nurse) positions shared at night in EHPADs, this is a change in the organization (innovative mobilization in EHPADs of nursing skills to secure nursing care at night) with expected benefits on the quality and safety of care for residents, and from a medico-economic point of view (for example, avoiding unnecessary hospitalizations) .
Our ambition and our objectives
Promote and promote innovative organizations in geriatrics
Evaluate innovative or experimental systems in terms of organization and career paths
Carry out multidisciplinary assessments: medical, medico-economic, from the point of view of human and social sciences of ethics and uses
Our projects
Night IDE study in EHPAD
Context of the project : Since 2013, the ARS Ile-de-France has launched the IDE de nuit experiment consisting of the creation of a "mobile" night nurse position in an EHPAD with the aim of improving the continuity of care and reducing emergency hospitalizations of residents. These nurses, employed by a "bridgehead" EHPAD, are called upon to intervene in three EHPADs identified in each department.
This experiment aims to:
- Improve the orientation of residents during night hours by helping to better detect risky situations, encourage the use of the SAMU Center 15 if necessary and identify avoidable emergency admissions, within the framework of pre-established procedures and in partnership with the SAMU Center 15.
- Improve the management of residents returning from hospitalization.
- Improve the continuity of care in EHPADs, by securing the teams.
- Improve the training of night staff in nursing homes.
Purpose of the study : The medico-economic study launched in 2016 aims to assess the real impact of the experimental device for shared overnight FDI in EHPADs on improving the health care pathway for the elderly.
Main objective: Evaluate the real impact of the experimental device for shared overnight FDI in EHPADs on improving the health care pathway for the elderly.
Secondary objective : to assess the medico-economic relevance of this device (cost / utility ratio) in order to assess its interest in comparison with other modes of support at night (telephone on-call duty, telemedicine, HAD, etc. ).
Methodology : Controlled, non-randomized observational study, with prospective and retrospective components.
Duration of the research : The total duration of the study is 22 months (September 2016- June 2018)
Scientific officer : Pr Olivier HANON, AP-HP
Promoters : ARS Ile-de-France, Gérond'if
Funding: ARS Ile-de-France
