State of the art (1) 
    • Peer review 2000: 103/160 geriatric units
       –13 admissions/bed/year (median)
       –50% admissions from private home
       –46% home discharge
       –median age = 82 yrs
       –length of stay 22 days
       –median occupation rate 90%
       –multidisciplinary team
                      J.P.Baeyens et al. BVGG 2000
    State of the art (2)
   • 21 formation centers
   • 37 fellow places available
    http://www.health.fgov.be/AGP/fr/professions/medecins/maitre_de_stage/specialites/geria.htm
  College ’s projects
  • 2000: peer review 
  • 2001: nutrition 
  • 2002: continence, emergency, radiotherapy
  • 2003: BMDS, AGGIR, ...
  • collaborations with the Colleges for:
   –radiotherapy
   –nephrology
   –emergency medicine
           OUTCOMES OF CONTINUOUS PROCESS 
      IMPROVEMENT OF NUTRITIONAL CARE PROGRAM 
           AMONG GERIATRIC UNITS IN BELGIUM
                     Nutrition program 2001
    Methodology: 2 phases
    Observation                    Intervention
    • comprehensive                • comprehensive 
       geriatric assessment          geriatric assessment 
       and MNA                       and MNA
    • routine nutrition            • « Flow Chart»
                                   • « Meals on Wheels » 
                                     approach
            0                                    3                                           6 
            months
                           Nutrition program 2001