[ Evariste | Forum ]
  


Madame monsieur
dans le cadre de l'aide au montage des consortia pour répondre à l'appel en
cours du programme CIP nous vous signalons une demande issue d'un consortium
espagnol pour la thématique santé

consortium I2cat - Hôpital Sant Pau ADAPTIVE HS SL.   (Barcelone), 

Le consortium travaille activement depuis septembre 2012 autour de
l'intégration
des parcours cliniques des patients chroniques et nous avons déjà bien avancé
sur le sujet. 

* I2cat est un centre de recherche et d'innovation dépendant de l'UPC
(Université Polytechnique de Catalogne) et ayant en son sein un Cluster de
e-santé et de e-dépendance. 

* L'Hôpital Sant Pau est évidemment un partenaire clinique. Il est représenté
notamment par Xavier Borras, cardiologue et responsable des routes parcours
cliniques dans cet hôpital. 

* ADAPTIVE HS S.L. est quant à elle une start up spécialisée sur un domaine de
niche : l'optimisation des processus entre attention primaire (médecins
généralistes en France) et hôpitaux, à travers la technologie. Le coeur de
métier de cette start up est d'appliquer le modèle américain d'ACO / Bundled
Payment en Europe. 

Le but est de proposer un abstract pour le Call 7 ICT Policy Support
Programme.
mais il nous manque des partenaires. 


Hospital de Sant Pau provides specialised medical services to a population
ranging from 1 to 1.5M depending on procedures (inc. heart, bone marrow and
tissues ransplantation), as well as a community healthcare mission over
450.000
people. In such environment, primary care providers need to be coordinated and
integrated especially for aging population and in chronic diseases; and
therefore, efficient and effective care plans are being implemented by the
hospital. Activities – at small to medium scale – leveraged for this
integration are aligned with recommendations, guidelines and action plans from
regional public health authorities; and in particular, the deployment of
Chronic Heart Failure, Chronic Lung Diseases, Diabetes, Depression, and
Complex
Chronic Patients are already taking place. In this project, we propose to
extend
the Chronic Heart Failure pilot to a wider
deployment and a pilot phase of 18 months; aiming at enhancement of a primary
care leadership as well as a strengthening of the collaboration among
home/self-care, primary care, social facilities and hospital resources,
based on
a new and innovative map of the hospital partnerships model.
The implementation and pilot deployment shall be based on an upgraded
organisational model and the applicability of a new  designed care pathway,
which commit to different stakeholder requirements of the value and service
chain settled at different care levels.
The implementation and deployment of the pilot would include and improve the
experiences encountered (in small scale deployment) during HIS integration,
integration of a network of primary care, inclusion of home care,
emergence units, specialised care, or hospital facilities.
From a technological perspective, the pilot will deploy new ICT tools,
applications and services for and from the hospital including telemedicine for
heart failure cases; and integrated at all care levels (i.e. home, social,
primary and secondary/specialised) by the use of interoperability standards.
From a clinical and patient perspective, we propose and expect to contribute
in:
-  To implement and deploy patient-centred healthcare tools along  the whole
service chain.
-  To deploy and validate at large scale the optimum care-pathway in Chronic
Heart Failure, improving the medical assistance and therefore the quality of
life.
- To evaluate assistance effectiveness and seamless continuity of care for
this
deployed care-pathway.
- To maximize health care benefits introducing a coordinated intervention of
social care agencies, informal carers and relatives in an integrated care
approach; as well as to empower patient’s engagement in their health
management
and pursue disease prevention.
-  To define multi-dimensional key performance indicators (KPIs) to
continuously
perform an evaluation of the care pathway and quality of the service
includingpatient
satisfaction.
Theses indicators shall be used at both deployed sites (pilots) for a common
benchmarking.



Pour plus d'information

Pauline FONTAINE
fontaine.pauline01@gmail.com

COO Adaptive HS  
+34 666 59 55 58 

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