Table 3.

Qualitative analysis of patient records.

Definition			Good (=standard)	Sufficient	Insufficient
Clinical reasoning phases
	A: Detection		Neuropsychiatric inventory is fully completed Results are discussed in an interdisciplinary manner	Does not fully meet the standard	Does not meet the standard at all
	B: Analysis		Biography consists of concrete information on physical, psychological, and social domains Biography is up to date Broad analysis includes at a minimum a physical examination, neuropsychological factors, biography, information about personality and contextual factors	Does not fully meet the standard	Does not meet the standard at all
	C: Treatment		Integral treatment plan (with informal caregiver, psychologist, professionals, and elderly care physician) involves at least physical, psychological, and social domain Attention for informal caregiver aspects within the social domain Focus on factors extracted from broad analysis Measurable treatment goals and interventions	Does not fully meet the standard	Does not meet the standard at all
	D: Interdisciplinary evaluation: behavior visitsa, multidisciplinary consultations, and care plan reviewsb		Evaluation of goals and degree of implementation of actions Information about progress and satisfaction of persons with dementia and informal caregiver is available Appointment for next evaluation is available	Does not fully meet the standard	Does not meet the standard at all
	E: Reanalysis		Not further defined: reference to phases A and B
Stepped-care interventions
		1: Basic approach	Results from broad analysis Describes how real contact, with presence, empathy, and respect, can be made with persons with dementia Is based on the needs of the person with dementia and informal caregiver	Does not fully meet the standard	Does not meet the standard at all
		2: Personalized day program	Results from broad analysis Fits well with the needs of the person with dementia Concrete preferences, hobbies, and activities are taken into account Consists of concrete actions and activities Easy to find in patient record	Does not fully meet the standard	Does not meet the standard at all
		3: Emotion-oriented care	Results from broad analysis Responds to underlying needs and causes Easy to find in patient record Drawn up on an interdisciplinary manner	Does not fully meet the standard	Does not meet the standard at all
		4: Psychotherapeutic interventions	Interventions to target the diagnosed physical function problems Focus on emotional experience, personality, traumatic life experiences, social functioning (including informal caregiver burden)	Does not fully meet the standard	Does not meet the standard at all

^aVisits related to neuropsychiatric symptoms and with the presence of at least a psychologist, an elderly care physician, and a registered or practice licensed nurse.

^bReviews of the care plan with the presence of an elderly care physician and a registered or practice licensed nurse.