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When you individually, your department or institution considers the implementation of the INTERMED-methodology for your clinical practice or a research project, you or the members of your department should be trained. The best way to get this established is to contact the person who is responcible for the version of th INTERMED used in your country [see Tab 'Contacts'].

In the following some issues to be considered and frequently asked questions are shortly discussed:

How does the method fit the clinical practice?

In case of a clinical application, the place of the interview as well as the related team discussion of the results, specifically of those patients who are more complex, deserves consideration upfront. As the application implies a more structured inter-professional collaboration, it influences functions of the different participants in the care process. This is specifically true for the function of the higher trained nurses, who do the assessments, analyse patients’ risks and needs, plan a management strategy and share this information with the care team. Consequently adjustments of the clinical process need to be initiated as well as the way the collaboration with consultants is organized. It is recommendable to organize a team, which is responsible for such a change of care.


Complexity, consultants and financial support

  • As the team becomes more aware of the risks of patients, they will be better able to address the related needs
  • At the same time the team might have the need to consult their consultants in an early more preventive stage. This might increase the use of consultants. However as they get involved in an earlier phase, their tasks become more preventive.
  • As populations vary in the proportion of complex patients [Tab 'Home page' item “Complex patients”], it is important to have an estimate of the proportion of complex patients in the population at stake.  Therefore a baseline assessment is recommended. Such data are important in negotiations with health plans.


IT-support: the webservice

As the method does not work without visualisation and organized communicable information, an IT-model to support the IM-method is available in the form of a web-service [see Tab 'Web-service'].

How is the training organized?

Preferable the training takes 2 days and an additional 2 to 4 half days of follow-up. The first morning comprises the evaluation of the planned implementation process as well as getting acquainted with the IM-method and its support system; the web service. In the afternoon the participants score on computers 2 by 2 prepared cases, which are plenary discussed.  During the 2nd day participants train the interviews in role-play preferable derived from their own populations, score the collected data and plan the care plan. At the end of the course the implications for implementation are re-evaluated as well as goals for follow-up are formulated.

Can I be accredited for the training?

The IMF is in the process of developing a web based accreditation system.

What are the costs of training?

One trainer can train groups of 6-8 persons. Bigger groups need additional trainers. The average costs of a trainer equals € 1.000.- a day. In addition there is a € 250.- fee for the use of the web-service.

I only want to use the INTERMED-score for a research project. Is that possible?

In this case you should contact the representative for your language, discuss the project and get advice [See Tab 'Contact'].