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Personalised Connected Care for Complex Chronic Patients (CONNECARE)

Last modified Aug 4, 2019

ABOUT CONNECARE

The ambition of the CONNECARE consortium is to co-design, develop, deploy, and evaluate a novel smart, adaptive integrated care system for chronic care management. This will save European healthcare organisations huge sums whilst improving patient outcomes. The consortium contains all the necessary partners to ensure success.

Based on the concept of 4P medicine, CONNECARE will provide decision support for the adaptive management of personalised clinical pathways and will deliver tools to monitor patients’ activities and status, thus empowering them and providing them with recommendations to self-manage their condition, resulting in substantial improvements in their quality of life.

An iterative patient-centred co-design process will ensure a progressive refinement of model and tools, providing foundations for adoption and transferability. In addition, clinical trials will be held in three leading-light regions in integrated care uptake –Catalonia, Israel, and Groningen – to evidence improvements in outcomes and efficiency. Consortium members are active in the EIP AHA B3 Action Group; transfer of results to relevant stakeholders across Europe, beyond the stakeholders in CONNECARE, is guaranteed.

 

The Facts 

Some 70% of hospital beds in Europe are occupied by people with chronic long term conditions. Such people currently consume a similar amount of Europe’s health resources, primarily because care is not joined up. Clearly there is a potential opportunity here, spotted by the partners in CONNECARE, to reduce costs and improve patient outcomes by improving the integration of long term care for those chronically sick with more than one long term condition.

The CONNECARE consortium will co-design with patients, develop, implement, and evaluate a novel smart-adaptive integrated care system to achieve this. The consortium contains all the necessary partners to ensure success.

Based on the concept of 4P medicine (Predictive, Personalized, Preventive and Participatory), CONNECARE will provide decision support for the adaptive management of personalised clinical pathways and will deliver tools to monitor patients’ activities and status, thus empowering them and providing them with recommendations to self-manage their condition, resulting in substantial improvements in their quality of life.

Objectives

1. To implement and evaluate a new organisational model for Integrated Care;
2. To co-design, develop and field test ICT tools for the adaptive case management of personalised clinical pathways;
3. To implement a proactive and preventive care approach;
4. To co-design, develop and field test an integrated solution to connect patients, carers and care professionals;
5. To empower patients to take care of themselves, through a self-management approach;
6. To co-design & develop an automatic alerting system based on the remote monitoring of patients;
7. To distill and disseminate evidence, guidelines and best practices from clinical trials

 

Publications

https://www.connecare.eu/publications/

 [Mi19]
Michel, Felix, Sven-Volker Rehm, and Florian Matthes. "KEEP UP WITH CARE: RESEARCHING SYSTEM ADAPTABILITY IN CHRONIC CARE MANAGEMENT OF ELDERLY PATIENTS." (2019).
[Mi18b] Michel, F., Hernandez-Mendez, A., Matthes, F. . An-Overview-of-Tools-for-an-Integrated-and-Adaptive-Healthcare-Approach. AdaptiveCM 2018 – 6th International Workshop on Adaptive Case Management and other non-workflow approaches to BPM. Stockholm. 2018
[Mi18a] Michel, F., Matthes, F. . A holistic model-based adaptive case management approach for health-care. AdaptiveCM 2018 – 6th International Workshop on Adaptive Case Management and other non-workflow approaches to BPM. Stockholm. 2018.

 

H2020 Project funded by the EU

Project length: 42 months
Budget: €4,964,189.25
Call: PHC-2015-single-stage
Type of Action: RIA
Acronym: CONNECARE
Number: 689802
Test deployments in Catalonia, Groningen & Israel

 

 

More Information: http://www.connecare.eu