Main achievements in the first reporting period are the following:
• 1st PDSA cycle completed
• 2nd PDSA started
• ACM specification for healthcare: A comprehensive study of the organisational and technological dimensions of ACM in healthcare has been taken into account in the co-design of the functional requirements of the SACM. Moreover, also existing site-specific organisational and technological settings within which CONNECARE case studies and technologies will be implemented have been investigated.
• Patient risk assessment study: The CONNECARE strategies to optimize patient-based health risk assessment and service selection in order to facilitate elaboration of individual care plans in the clinical scenario have been investigated.
• Detailed definition of case studies in each site: In each site, the case studies have been defined by professionals belonging to the involved hospitals and medical centres. Starting from their definition, each intervention has been then translated in the Case Management Model and Notation (CMMN) format useful to be then implemented in the SACM.
• Study of commonalities and differences in each site and for each case study: Due to the heterogeneity of the sites as well as of the defined case studies, a deep study in order to identify commonalities and differences has been performed as part of the 2nd PDSA cycle.
• First evaluation plan of the entire project: The steps and tasks required for the entire project evaluation have been defined. In particular, have been analysed the criteria used for identification of the different modalities of indicators, the methodological approach including clinical study designs, as well as the three main phases: (i) Initial co-design process; (ii) Clinical studies; and, (iii) Refinement & fine tuning process, defining and overall strategy for CONNECARE assessment.
• Requirements gathering of the CONNECARE system: One of the goals of PDSA cycles, in particular of the first one, was to define all the requirements for the two main subsystem to be develop in WP3 (SACM) and in WP4 (SMS). Functional and non-functional requirements have been gathered and selected according to a priority list that takes into account the requests from the different sites and the case studies.
• Customization of SocioCortex for healthcare: SocioCortex is incorporating extended functionalities for case modelling and execution, specifically tailored to the healthcare domain. Additionally, SocioCortex is implementing advanced access control methods, a higher-order functional language to compute derived attributes on the fly and more sophisticated search and indexing features.
• Professional Interface designed and online: The requirements and case studies developed during the co-design process were used in this task to create wireframe designs for the web-based Professional Interface. At each stage these designs were reviewed across the technical and clinical members of the team. This design was translated into a web app coded in Angular. Regular releases were made to allow the wider team clinicians to further steer the implementation.
• First CDSS for risk assessment and stratification: The 1st prototype of the CDSS is almost ready to be fully integrated in the SACM.
• Backend of the SMS defined and developed: The SMS back-end is based on the concept of microservices. The SMS includes the services defined and deployed to perform basic monitoring and some assistive monitoring. Thanks to its modularity, it is also ready to embed more services as well as external apps and applications.
• Basic monitoring services available
• Assistive monitoring services available
• Recommender system for physical activities: A first prototype of recommender system for physical activity monitoring has been implemented. Based on argumentation, it implements different strategies to support patients in their activities, sending also a feedback to professionals, if needed.
• SMS front-end designed: Wireframes for the SMS have been designed, proposed to clinicians, and iteratively updated. The mock-ups have been implemented as clickable design and accessible online for feedback and testing.
• DHF delivered: It works as a proxy layer between the main CONNECARE system and the external sources and applications to be connected to it. Its main purpose is to translate messages from specific sites (Hospitals, Clinics, Devices, and Web Sites) to the main CONNECARE services.
• Integration of SACM and SMS
