OptiMEDs Pilot Study

Inclusion criteria for nursing homes: * located in East Flanders * size: \> 100 beds * mixed population of high care dependent and low care-dependent residents with and without dementia * software of Care Solutions or Farmad is used for electronic handling of the medication chart * the NH management as well as the responsible CRA and the community pharmacist who delivers the medication in the NH give their written agreement to participate Inclusion criteria for residents: All residents of all wards of the participating nursing homes will be considered for inclusion if they meet the following inclusion criteria: * aged 65 years or older * mentally fit as well as cognitive impaired NH residents will be included after Informed Consent given by the resident (mentally capable residents) or his representative (cognitive impaired residents, defined as a sumscore of 6 or more on the KATZ items of disorientation in time and place). Exclusion criteria for residents Residents will not be considered for inclusion if: * they have a limited life-expectancy (less than 3 months, as judged and documented by the treating GP) * they are residing in a short-stay / revalidation bed * GP refused to have his NH residents included in this pilot