Abstract Body

Background and purpose. Multimorbidity (MM) burden requires a complex change in health care systems. The IMCM showed good potential for improving MM patients' care during the "Chrodis plus" project (http://chrodis.eu/06-multimorbidity-care-model/ ). However, there is a strong need for further continuation, implementation and evaluation of the IMCM at a national level. IMCM model will be implemented via a two-year project - TELELISPA project (No: 08.4.2-ESFA-K-616-01-0003) funded by the EU funds in Lithuania.

Methods: Seven primary health care centers situated in different regions will be involved. The sample size of 385 patients with MM will receive intervention care based on IMCM model, 385 patients will be in the control group, who will receive usual health care. IMCM model will be based on the specially trained care and coordination of a case manager (i.e.nurse) with care approaches using certain instructions and algorithms for MM care management. Aiming to evaluate the effectiveness of IMCM, the following "5 G" (five groups) will be measured:

"1G" patients' perspective: measurement of patients' attitudes, perceptions and experiences towards healthcare, their quality of life and MM burden.

"2G" patients' oriented health care: involvement in self-care and treatment compliance, social needs and lifestyle.

"3G" clinical outcomes: measuring the control of chronic conditions; polypharmacy management; timely diagnoses of possible complications; (pre) cancer identification; identification of mental health problems.

"4G" the scope of health care services: utilization of primary, secondary and tertiary inpatient and outpatient services; the number of implemented telemedicine services.

"5G" attitudes of health care providers: identifying health care providers' attitudes and experiences towards IMCM.

Results: Ongoing project.

Conclusions: Ongoing project.