At The Flametree & Hummingbird company, both Nienke and Remo are dedicated to providing personalized services that cater to your unique needs, whether it's elderly care, care management, or facilities management related to care.
It's all in the name. The Flametree & Hummingbird logo elements and name represent the embodiment of the owners of the VBA. Dr. Nienke Smits, born in Tanzania to two doctors specializing in tropical medicine, embodies the spirit of facilities management in her approach to zorgmanagement. The Flametree, as the national symbol of Tanzania,
It's all in the name. The Flametree & Hummingbird logo elements and name represent the embodiment of the owners of the VBA. Dr. Nienke Smits, born in Tanzania to two doctors specializing in tropical medicine, embodies the spirit of facilities management in her approach to zorgmanagement. The Flametree, as the national symbol of Tanzania, is deeply ingrained in Dr. Nienke's identity, reflecting her childhood spent in Africa. She constantly seeks innovative ways to assist her clients in ouderenzorg, leveraging her extensive network to achieve the best outcomes. Remo Kock, born in Aruba and having lived in Holland and Curacao, is an INTJ who often appears quiet and distant, yet his mind is active, exploring multiple scenarios simultaneously. His brainstorming sessions are reminiscent of a Hummingbird, or colibri, colorful and seemingly still, yet with wings fluttering a thousand times per minute, birthing new solutions and ideas. So, there you have it, the Flametree & Hummingbird. Together, they are always much stronger than apart.
CONTINUOUS IMPROVEMENT Our mission is to assist any client with specific operational needs in ouderenzorg and facilities management, helping them progress while ensuring robust quality assurance processes are established. Dr. Nienke provides essential healthcare support to elderly individuals at home, ensuring they receive the care they n
CONTINUOUS IMPROVEMENT Our mission is to assist any client with specific operational needs in ouderenzorg and facilities management, helping them progress while ensuring robust quality assurance processes are established. Dr. Nienke provides essential healthcare support to elderly individuals at home, ensuring they receive the care they need. Furthermore, we support small businesses and foundations in the field of zorgmanagement to foster continuous improvement in their services and meet their objectives. We achieve this by delivering comprehensive consulting services tailored to the unique needs of each client. Continuous improvement is a vital component of our vision, and our team is committed to delivering exceptional results that exceed expectations.
At The Flametree & Hummingbird Care and Facilities Management VBA, we offer a wide range of services, including dementia support related services, zorgmanagement, operational management, logo design, finance and cost analysis, loss prevention management, and compliance services related to HSE. Our experienced team is committed to assistin
At The Flametree & Hummingbird Care and Facilities Management VBA, we offer a wide range of services, including dementia support related services, zorgmanagement, operational management, logo design, finance and cost analysis, loss prevention management, and compliance services related to HSE. Our experienced team is committed to assisting businesses across various industries and foundations in achieving their goals. We can even help you set up your webpage for marketing purposes. Explore our facilities management services to learn more about what we provide. We work closely with a dedicated team of care professionals, including nurses, fysio's, and ergo therapy specialists, collectively known as the 'Care 4 Aruba' team, to enhance ouderenzorg.
At The Flametree & Hummingbird Care and Facilities Management VBA, we adopt a collaborative approach to consulting in facilities management. We work closely with our clients to understand their needs in ouderenzorg and develop tailored solutions that address their unique challenges. Our methodology is transparent, results-driven, personal
At The Flametree & Hummingbird Care and Facilities Management VBA, we adopt a collaborative approach to consulting in facilities management. We work closely with our clients to understand their needs in ouderenzorg and develop tailored solutions that address their unique challenges. Our methodology is transparent, results-driven, personal, and designed to help businesses thrive in zorgmanagement. Chamber of Commerce KVK Aruba # H56670.0
DR. NIENKE'S PRACTICE
The doctor's practice is reachable through the contact form or by phone. Dr. Nienke is available from Monday to Friday, during office hours. Every client is treated according to their care needs. Every package is different. The practice of dr. Nienke is a private practice. Fees are based on an hourly rate. We offer packages based on care needs and requests.
WHO IS DOCTOR NIENKE?
Nienke Kock-Smits is the daughter of two doctors specialized in tropical medicine. She was born in Tanzania. As a child she grew up in different countries, alternating with short periods in the Netherlands. This exposed her to different cultures, and she learned to speak several languages and went to international schools. From here her interest in studying medicine and the desire to eventually work outside the Netherlands arose.
Dr. Nienke did her medical studies at the University of Amsterdam and her training as a geriatric specialist at the Free University in Amsterdam. She worked in somatic, rehabilitation, psychogeriatric departments, and within management functions of various nursing homes in the Netherlands.
Since 2011 she has been living and working as a specialist in geriatric medicine in Aruba. Dr. Nienke has trained caretakers and nurses to accommodate to new forms of caretaking. Dr. Nienke was also involved as a trainer in chronic care within the general practitioner training center, at Imsan and for the VUMC. She has trained and supervised over 80 general medicinal resident trainees in their 3-month chronic care internship.
QUALITY
VERENSO guidelines and protocols are the starting point of Dr. Nienke's work. VERENSO is the professional association for specialists in geriatric medicine the Netherlands. Dr. Nienke is registered as a specialist geriatric medicine in Aruba and the Netherlands.
Dr. Nienke is:
RELIABLE-RESPONSIBLE-TRANSPARENT-VERIFIABLE
DIAGNOSTICS
Are there any problems with memory or daily activities? Does your father or mother wander off? Is your auntie not aware anymore what is happening around her? Are there dementia related issues involved?
Diagnostics is a big part of knowing where to look for answers to help your loved one.
MENTAL COMPETENCE (COMPOS MENTIS)
Are there any doubts about somebody's capability to handle their own business? Can they still take correct decisions, comprehend relevant information, and take the right decisions for their situation? Can they think logically and see the difference between right and wrong?
Is there a case of a loved one with actitud and behavior which is incomprehensible or difficult? Are they not willing to accept the care given? Are there coping problems? Which role does the environment play in this?
PROBLEM BEHAVIOR
Is there a case of a loved one with actitud and behavior which is incomprehensible or difficult? Are they not willing to accept the care given? Are there coping problems? Which role does the environment play in this? Do you have a diagnosis?
TRAINING AND PRESENTATIONS
Do you have a need to have more information regarding demencia or how to cope with a family member? Or more in-depth knowledge regarding geriatric medicine or chronic diseases?
Dr. Nienke can help!
The Flametree & Hummingbird offers Facility management consultancy services within a wide array of solutions designed to enhance how physical spaces are maintained, optimized, and aligned with an organization’s strategic goals.
Core Facility Management Solutions
Operational Efficiency Audits
Assess current building operations, utilities, maintenance schedules, and workflows to identify inefficiencies or cost overruns.
Maintenance Strategy Development
Implement or refine preventive, predictive, and reactive maintenance programs using tools like Computerized Maintenance Management Systems (CMMS).
Asset Management
Help catalog, track, and manage physical assets for lifecycle planning and capital replacement forecasting.
Workplace Optimization
Provide space planning, usage analysis, and reconfiguration strategies to support hybrid work models or changing organizational needs.
Vendor Management
Evaluate, procure, and manage third-party service providers such as janitorial, HVAC, landscaping, or security.
Sustainability & Compliance
Energy & Environmental Consulting
Develop and implement strategies for energy savings, carbon reduction, and sustainable practices, often helping with green building certifications like LEED or BREEAM.
Health, Safety & Regulatory Compliance
Ensure buildings meet local and international codes related to fire safety, indoor air quality, ADA/accessibility, and occupational health standards.
Technology & Transformation
Smart Building Integration
Advise on ICT and automation solutions that improve energy monitoring, space utilization, and predictive maintenance.
FM Software Implementation
Recommend and implement tech platforms such as Integrated Workplace Management Systems (IWMS) or Building Management Systems (BMS).
Strategic & Advisory Services
FM Strategy & Planning
Align facilities with business strategy, especially during expansions, downsizing, or post-merger integrations.
Cost Benchmarking & Budget Planning
Provide insights on industry standards and develop budgeting plans tailored to long-term goals.
Change Management Support
Guide stakeholder engagement, communication, and adoption planning during facility transformations or relocations.
We have a lot of experience with sustainability in care environments, this could be especially useful if you’re planning to modernize or build care facilities—like child or elder care centers—with a focus on both comfort and operational excellence.
Dr. Nienke is available for companies and care institutions seeking consultations, short-term observations, workshops, trainings, and projects that require specific expertise in general geriatrics, palliative care, and dementia-related illnesses. Her services also encompass facilities management in the context of elderly care, ensuring that care environments meet the necessary standards for quality and accessibility.
**GERIATRIC EXPERTISE**
Dr. Nienke provides her expertise to companies and care institutions for consultations (contracted or in-call), short-term observations, workshops, trainings, and projects necessitating specialized knowledge in general geriatrics, palliative care, and dementia.
**TRAINING AND PRESENTATIONS**
If you need more information about dementia, chronic care management, or how to support a client’s family member, Dr. Nienke can create custom training programs. She frequently presents at conferences, sharing insights on geriatric medicine, palliative care management, and chronic diseases, all crucial aspects of effective zorgmanagement (care management).
**DEMENTIA TRAINING AND WORKSHOPS**
Training is available for anyone interested in learning how to manage dementia, which includes both theoretical knowledge and practical skills. The foundation of her approach is that a positive perspective yields positive outcomes.
Every individual deserves access to healthcare (WHO) and a quality life. The question remains: how can we achieve this?
- Dementia may affect anyone; how do we respond?
- What is the experience of living with dementia?
- Dementia does not strip individuals of their dignity; rather, it is our reactions and the environment that can do so.
- How can we make society more accessible for individuals with dementia?
- How can people lead safe and responsible lives at home for as long as possible?
Individuals with dementia cannot be held accountable for their condition; their ability to process stimuli diminishes. While learning new information becomes challenging, the emotional needs for social interaction, love, and intimacy remain. As individuals with dementia regress to earlier memories, they may experience anxiety and insecurity due to the increasing dependency on their environment, ultimately requiring 24/7 care.
**1½ LINE CARE (ONE-AND-A-HALF-LINE CARE)**
Dr. Nienke is actively establishing a private network of professionals in the 1st line care sector in Aruba, aiming to address the complex care needs within the chronic care market. This initiative promotes collaboration among medical and paramedical professionals to provide home-based treatments for clients and their families.
**Understanding Care Levels: Primary, Secondary, and One-and-a-Half Care**
The healthcare industry recognizes the terms primary and secondary care, which are well understood. Primary care is characterized by its accessibility, allowing individuals to seek care without a referral. Examples include general practitioners, dentists, and physiotherapists. Secondary care requires a referral from a general practitioner and includes specialized medical services provided in hospitals. Recently, a new category has emerged: one-and-a-half-line care, which serves as a bridge between primary and secondary care, highlighting the importance of cooperation between practitioners.
**Defining One-and-a-Half-Line Care**
As the aging population grows, the number of elderly patients is increasing, leading to a rising demand for care. To maintain affordable healthcare, an intermediate care form has emerged. One-and-a-half-line care encompasses collaborations between general practitioners and geriatric specialists, where specialists offer treatment advice to general practitioners, facilitating accessible care close to home.
**What Does One-and-a-Half-Line Care Entail?**
This care model fosters partnerships between general practitioners and medical specialists, promoting knowledge exchange. As the care needs for chronic conditions rise, the primary focus remains on the patient’s interests. One-and-a-half-line care merges the accessibility of primary care with the specialized knowledge of secondary care, enabling more efficient healthcare organization and helping to manage rising healthcare expenditures. Thus, Dr. Nienke can provide effective home healthcare, allowing clients to remain at home as long as possible.
One-and-a-half-line care operates at the intersection of primary and secondary care, emphasizing coordination, collaboration, and knowledge sharing between primary care providers—such as general practitioners—and secondary care providers, like geriatric medicine specialists, to deliver optimal home care services. This partnership is vital in ensuring quality care for elderly patients.
In geriatric medicine, one-and-a-half-line care is already widely utilized, as general practitioners and other healthcare providers work together to coordinate care and enhance service quality. Terms like chain care and network care also describe these collaborative efforts. Dr. Nienke collaborates with medical and paramedical specialists to deliver the best care for her clients.
Dr. Nienke is available for companies and care institutions seeking consultations, short-term observations, workshops, trainings, and projects that require specific expertise in general geriatrics, palliative care, and dementia-related illnesses. Her services also encompass facilities management in the context of elderly care, ensuring that care environments meet the necessary standards for quality and accessibility.
**GERIATRIC EXPERTISE**
Dr. Nienke provides her expertise to companies and care institutions for consultations (contracted or in-call), short-term observations, workshops, trainings, and projects necessitating specialized knowledge in general geriatrics, palliative care, and dementia.
**TRAINING AND PRESENTATIONS**
If you need more information about dementia, chronic care management, or how to support a client’s family member, Dr. Nienke can create custom training programs. She frequently presents at conferences, sharing insights on geriatric medicine, palliative care management, and chronic diseases, all crucial aspects of effective zorgmanagement (care management).
**DEMENTIA TRAINING AND WORKSHOPS**
Training is available for anyone interested in learning how to manage dementia, which includes both theoretical knowledge and practical skills. The foundation of her approach is that a positive perspective yields positive outcomes.
Every individual deserves access to healthcare (WHO) and a quality life. The question remains: how can we achieve this?
- Dementia may affect anyone; how do we respond?
- What is the experience of living with dementia?
- Dementia does not strip individuals of their dignity; rather, it is our reactions and the environment that can do so.
- How can we make society more accessible for individuals with dementia?
- How can people lead safe and responsible lives at home for as long as possible?
Individuals with dementia cannot be held accountable for their condition; their ability to process stimuli diminishes. While learning new information becomes challenging, the emotional needs for social interaction, love, and intimacy remain. As individuals with dementia regress to earlier memories, they may experience anxiety and insecurity due to the increasing dependency on their environment, ultimately requiring 24/7 care.
**1½ LINE CARE (ONE-AND-A-HALF-LINE CARE)**
Dr. Nienke is actively establishing a private network of professionals in the 1st line care sector in Aruba, aiming to address the complex care needs within the chronic care market. This initiative promotes collaboration among medical and paramedical professionals to provide home-based treatments for clients and their families.
**Understanding Care Levels: Primary, Secondary, and One-and-a-Half Care**
The healthcare industry recognizes the terms primary and secondary care, which are well understood. Primary care is characterized by its accessibility, allowing individuals to seek care without a referral. Examples include general practitioners, dentists, and physiotherapists. Secondary care requires a referral from a general practitioner and includes specialized medical services provided in hospitals. Recently, a new category has emerged: one-and-a-half-line care, which serves as a bridge between primary and secondary care, highlighting the importance of cooperation between practitioners.
**Defining One-and-a-Half-Line Care**
As the aging population grows, the number of elderly patients is increasing, leading to a rising demand for care. To maintain affordable healthcare, an intermediate care form has emerged. One-and-a-half-line care encompasses collaborations between general practitioners and geriatric specialists, where specialists offer treatment advice to general practitioners, facilitating accessible care close to home.
**What Does One-and-a-Half-Line Care Entail?**
This care model fosters partnerships between general practitioners and medical specialists, promoting knowledge exchange. As the care needs for chronic conditions rise, the primary focus remains on the patient’s interests. One-and-a-half-line care merges the accessibility of primary care with the specialized knowledge of secondary care, enabling more efficient healthcare organization and helping to manage rising healthcare expenditures. Thus, Dr. Nienke can provide effective home healthcare, allowing clients to remain at home as long as possible.
One-and-a-half-line care operates at the intersection of primary and secondary care, emphasizing coordination, collaboration, and knowledge sharing between primary care providers—such as general practitioners—and secondary care providers, like geriatric medicine specialists, to deliver optimal home care services. This partnership is vital in ensuring quality care for elderly patients.
In geriatric medicine, one-and-a-half-line care is already widely utilized, as general practitioners and other healthcare providers work together to coordinate care and enhance service quality. Terms like chain care and network care also describe these collaborative efforts. Dr. Nienke collaborates with medical and paramedical specialists to deliver the best care for her clients.
Dr. Nienke is available for companies and care institutions seeking consultations, short-term observations, workshops, trainings, and projects that require specific expertise in general geriatrics, palliative care, and dementia-related illnesses. Her services also encompass facilities management in the context of elderly care, ensuring that care environments meet the necessary standards for quality and accessibility.
**GERIATRIC EXPERTISE**
Dr. Nienke provides her expertise to companies and care institutions for consultations (contracted or in-call), short-term observations, workshops, trainings, and projects necessitating specialized knowledge in general geriatrics, palliative care, and dementia.
**TRAINING AND PRESENTATIONS**
If you need more information about dementia, chronic care management, or how to support a client’s family member, Dr. Nienke can create custom training programs. She frequently presents at conferences, sharing insights on geriatric medicine, palliative care management, and chronic diseases, all crucial aspects of effective zorgmanagement (care management).
**DEMENTIA TRAINING AND WORKSHOPS**
Training is available for anyone interested in learning how to manage dementia, which includes both theoretical knowledge and practical skills. The foundation of her approach is that a positive perspective yields positive outcomes.
Every individual deserves access to healthcare (WHO) and a quality life. The question remains: how can we achieve this?
- Dementia may affect anyone; how do we respond?
- What is the experience of living with dementia?
- Dementia does not strip individuals of their dignity; rather, it is our reactions and the environment that can do so.
- How can we make society more accessible for individuals with dementia?
- How can people lead safe and responsible lives at home for as long as possible?
Individuals with dementia cannot be held accountable for their condition; their ability to process stimuli diminishes. While learning new information becomes challenging, the emotional needs for social interaction, love, and intimacy remain. As individuals with dementia regress to earlier memories, they may experience anxiety and insecurity due to the increasing dependency on their environment, ultimately requiring 24/7 care.
**1½ LINE CARE (ONE-AND-A-HALF-LINE CARE)**
Dr. Nienke is actively establishing a private network of professionals in the 1st line care sector in Aruba, aiming to address the complex care needs within the chronic care market. This initiative promotes collaboration among medical and paramedical professionals to provide home-based treatments for clients and their families.
**Understanding Care Levels: Primary, Secondary, and One-and-a-Half Care**
The healthcare industry recognizes the terms primary and secondary care, which are well understood. Primary care is characterized by its accessibility, allowing individuals to seek care without a referral. Examples include general practitioners, dentists, and physiotherapists. Secondary care requires a referral from a general practitioner and includes specialized medical services provided in hospitals. Recently, a new category has emerged: one-and-a-half-line care, which serves as a bridge between primary and secondary care, highlighting the importance of cooperation between practitioners.
**Defining One-and-a-Half-Line Care**
As the aging population grows, the number of elderly patients is increasing, leading to a rising demand for care. To maintain affordable healthcare, an intermediate care form has emerged. One-and-a-half-line care encompasses collaborations between general practitioners and geriatric specialists, where specialists offer treatment advice to general practitioners, facilitating accessible care close to home.
**What Does One-and-a-Half-Line Care Entail?**
This care model fosters partnerships between general practitioners and medical specialists, promoting knowledge exchange. As the care needs for chronic conditions rise, the primary focus remains on the patient’s interests. One-and-a-half-line care merges the accessibility of primary care with the specialized knowledge of secondary care, enabling more efficient healthcare organization and helping to manage rising healthcare expenditures. Thus, Dr. Nienke can provide effective home healthcare, allowing clients to remain at home as long as possible.
One-and-a-half-line care operates at the intersection of primary and secondary care, emphasizing coordination, collaboration, and knowledge sharing between primary care providers—such as general practitioners—and secondary care providers, like geriatric medicine specialists, to deliver optimal home care services. This partnership is vital in ensuring quality care for elderly patients.
In geriatric medicine, one-and-a-half-line care is already widely utilized, as general practitioners and other healthcare providers work together to coordinate care and enhance service quality. Terms like chain care and network care also describe these collaborative efforts. Dr. Nienke collaborates with medical and paramedical specialists to deliver the best care for her clients.
Dr. Nienke is available for companies and care institutions seeking consultations, short-term observations, workshops, trainings, and projects that require specific expertise in general geriatrics, palliative care, and dementia-related illnesses. Her services also encompass facilities management in the context of elderly care, ensuring that care environments meet the necessary standards for quality and accessibility.
**GERIATRIC EXPERTISE**
Dr. Nienke provides her expertise to companies and care institutions for consultations (contracted or in-call), short-term observations, workshops, trainings, and projects necessitating specialized knowledge in general geriatrics, palliative care, and dementia.
**TRAINING AND PRESENTATIONS**
If you need more information about dementia, chronic care management, or how to support a client’s family member, Dr. Nienke can create custom training programs. She frequently presents at conferences, sharing insights on geriatric medicine, palliative care management, and chronic diseases, all crucial aspects of effective zorgmanagement (care management).
**DEMENTIA TRAINING AND WORKSHOPS**
Training is available for anyone interested in learning how to manage dementia, which includes both theoretical knowledge and practical skills. The foundation of her approach is that a positive perspective yields positive outcomes.
Every individual deserves access to healthcare (WHO) and a quality life. The question remains: how can we achieve this?
- Dementia may affect anyone; how do we respond?
- What is the experience of living with dementia?
- Dementia does not strip individuals of their dignity; rather, it is our reactions and the environment that can do so.
- How can we make society more accessible for individuals with dementia?
- How can people lead safe and responsible lives at home for as long as possible?
Individuals with dementia cannot be held accountable for their condition; their ability to process stimuli diminishes. While learning new information becomes challenging, the emotional needs for social interaction, love, and intimacy remain. As individuals with dementia regress to earlier memories, they may experience anxiety and insecurity due to the increasing dependency on their environment, ultimately requiring 24/7 care.
**1½ LINE CARE (ONE-AND-A-HALF-LINE CARE)**
Dr. Nienke is actively establishing a private network of professionals in the 1st line care sector in Aruba, aiming to address the complex care needs within the chronic care market. This initiative promotes collaboration among medical and paramedical professionals to provide home-based treatments for clients and their families.
**Understanding Care Levels: Primary, Secondary, and One-and-a-Half Care**
The healthcare industry recognizes the terms primary and secondary care, which are well understood. Primary care is characterized by its accessibility, allowing individuals to seek care without a referral. Examples include general practitioners, dentists, and physiotherapists. Secondary care requires a referral from a general practitioner and includes specialized medical services provided in hospitals. Recently, a new category has emerged: one-and-a-half-line care, which serves as a bridge between primary and secondary care, highlighting the importance of cooperation between practitioners.
**Defining One-and-a-Half-Line Care**
As the aging population grows, the number of elderly patients is increasing, leading to a rising demand for care. To maintain affordable healthcare, an intermediate care form has emerged. One-and-a-half-line care encompasses collaborations between general practitioners and geriatric specialists, where specialists offer treatment advice to general practitioners, facilitating accessible care close to home.
**What Does One-and-a-Half-Line Care Entail?**
This care model fosters partnerships between general practitioners and medical specialists, promoting knowledge exchange. As the care needs for chronic conditions rise, the primary focus remains on the patient’s interests. One-and-a-half-line care merges the accessibility of primary care with the specialized knowledge of secondary care, enabling more efficient healthcare organization and helping to manage rising healthcare expenditures. Thus, Dr. Nienke can provide effective home healthcare, allowing clients to remain at home as long as possible.
One-and-a-half-line care operates at the intersection of primary and secondary care, emphasizing coordination, collaboration, and knowledge sharing between primary care providers—such as general practitioners—and secondary care providers, like geriatric medicine specialists, to deliver optimal home care services. This partnership is vital in ensuring quality care for elderly patients.
In geriatric medicine, one-and-a-half-line care is already widely utilized, as general practitioners and other healthcare providers work together to coordinate care and enhance service quality. Terms like chain care and network care also describe these collaborative efforts. Dr. Nienke collaborates with medical and paramedical specialists to deliver the best care for her clients.