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Implementation of a telematic homecare platform in cooperative health care provider networks

Objective

The overall objective of TOPCARE is to develop technical devices and telecommunication structures and to lay the organizational groundwork for bringing co-operative health care services into the home of patients.
A telematic homecare platform will be established and evaluated in European cooperative health care environments for following scenarios: home monitoring and treatment of patients needing
1) infusion therapies,
2) controlled ventilatory support and
3) monitored medication adjustment and adherence control when treated with anti-coagulants.
A 24h accessible telemedical centre is integral part in each of the proposed caregiver networks.

Objectives:
The overall objective of TOPCARE is to develop technical devices and telecommunication structures and to lay the organizational groundwork for bringing co-operative health care services into the home of patients. Telematic communication technologies and modern vital sign monitoring is applied in order to enhance post-clinical treatment in an out-patient setting, foster the communication between patient, practitioners and clinics, and to provide electronic assistance in documentation management for improved quality assurance. TOPCARE will address the need for reliable and safe ambulatory devices and services that foster patient compliance in the home environment. Continuity of care will be achieved by integrating the home based services into a network of health care providers. Three ambulatory scenarios will be initiated in three European countries. The joint efforts in TOPCARE are expected to lay the groundwork for generating a telematic based European homecare market.

Work description:
The work in TOPCARE is divided into seven work packages that include workflow definition for homecare services, the development of the telematic homecare platform and of telematic modules that serve the particular medical application, the design of a health telecenter, the initiation of at least three pilot trial, as well as the development of concepts for sustainable telematic ambulatory healthcare services. Technical work for implementing a generic telematic homecare system comprises the design of a telematic homecare platform (THP) backbone, the development of telematic home stations (THS) and health professional stations (HPS) and a communication server that will manage the net administration, the health professional registration at the THS, the device communication, and the Internet access.

Telematic homecare application modules will be integrated for three medical homecare scenarios:
1) ventilation/oxygen therapy,
2) infusion therapy, and
3) medication adherence control demonstrated on anticoagulation treatment.
For the latter, a telematic medication adherence device will be developed. After the definition of structure and organisational procedures for a Health Telecentre modules will be designed and integrated to have the platform work as ambulatory care / homecare call centre. After technical evaluation, the homecare platform and the application modules will be tested in real co-operative caretaker environments. For each of the three medical applications pilot trials are initiated. Finally, business concepts will be developed for sustained establishment of ambulatory homecare services.

Milestones:
Technical: An operational and successfully tested generic homecare platform demonstrating data exchange between the client stations THS and HPS. Demonstration of successfully handling telematic services for each of the three homecare applications in a multiple care provider environment employing a health telecentre. Organisational: Setting up a co-operative caretaker environment in which telematic ambulatory patient care and homecare services can be evaluated under real world conditions.

Call for proposal

Data not available

Coordinator

FRAUNHOFER GESELLSCHAFT ZUR FOERDERUNG DER ANGEWANDTEN FORSCHUNG E.V.
Address
Hansastrasse 27c
80686 Muenchen
Germany

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Participants (7)

CALEA NEDERLAND N.V.
Netherlands
Address
Molenberglei 7
B-2627 Schelle

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DATAMED S.A. HEALTHCARE INFORMATION SYSTEMS
Greece
Address
Fragoklisias 4
15125 Maroussi - Athens

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DRAEGER MEDICAL BV
Netherlands
Address
Kanaaldijk 29
5683CR Best

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FRAUNHOFER GESELLSCHAFT ZUR FOERDERUNG DER ANGEWANDTEN FORSCHUNG E.V.
Germany
Address
Hansastrasse 27c
80686 Muenchen

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FRESENIUS AG
Germany
Address
Else-kroener-strasse 1
61352 Bad Homburg

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INSTITUTE OF COMMUNICATION AND COMPUTER SYSTEMS
Greece
Address
Patission Street 42
10682 Athens

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ROCHE DIAGNOSTICS GMBH
Germany
Address
Sandhofer Strasse 116
68305 Mannheim

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