![]() Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. 404c-1 is intended to be met.ĢJ - Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.ĢK - Stock bonusCode section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contributions to the plan. 404c-1.ĢG - Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether. ![]() 2F - ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of. Trial registration, identifier: NCT04398797. Further, the study will increase our knowledge of barriers and facilitators to implementing algorithms and decision support in a community care setup. This may increase preventive measures in primary care and reduce use of secondary health care. Discussion This 'PATINA algorithm and decision support tool' is expected to positively influence the care for older community-dwelling citizens, by improving nurses' awareness of citizens at increased risk, and by supporting their clinical decision-making. Barriers and facilitators for community nurse's acceptance and use of the algorithm will be explored too. Secondary outcomes are readmissions, preventable admissions, death, and costs of health care utilization. Community nurses will use the decision support tool to systematically assess health related changes for citizens with increased risk of acute hospital admission. An algorithm based on home care use triggers an alert based on relative increase in home care use. The study population includes all home care receiving community-dwelling citizens aged 65 years and above (around 6500 citizens). The PATINA algorithm and decision support tool will be implemented in 20 individual area home care teams across three Danish municipalities (Kerteminde, Odense and Svendborg). Methods We use a stepped-wedge cluster randomized controlled trial (SW-RCT). This paper describes the methods, design and intervention of the study. We present the protocol for the PATINA study, which aims at assessing the effect of the 'PATINA algorithm and decision support tool', designed to alert community nurses of older citizens showing subtle signs of declining health and at increased risk of acute admission. Timely identification of older citizens at increased risk of acute admission is therefore needed. Yet, acute admission can be appropriate and lifesaving, but may also in itself lead to adverse health outcome, such as patient anxiety, functional loss and hospital-acquired infections. ![]() ![]() Hospital owners are concerned about the increasing number of acute admissions of older citizens and preventive measures such as integrated care models have been introduced in primary care. Abstract : Background The challenges imposed by ageing populations will confront health care systems in the years to come. ![]()
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