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Multi-level integration for patients with complex needs

Project description


Preparing large scale deployment of targeted services to support active and healthy ageing ¿ Wide deployment of integrated care

CareWell will enable the delivery of integrated healthcare to frail elderly patients in a pilot setting through comprehensive multidisciplinary integrated care programmes where the role of ICTs can foster the coordination and patient centered delivery care. Carewell will focus in particular complex, multi-morbid elderly patients, who the patients most in need of health and social care resources (35% the total cost of Health Care System) and more complex interventions due to their frailty and comorbidities (health and social care coordination, monitoring, self-management of the patient and informal care giver). ICT platforms and communication channels that allow sharing information between healthcare and social care professionals involved in the delivery care of these patients, facilitating their coordination, increasing their resoluteness and avoiding duplicities when tackling patients´ diagnostic, therapeutic, rehabilitation or monitoring needs. Additionally, ICT-based platforms can improve the adherence to treatment, enhance self-care and increase patient awareness about their health status , as well as, improve the empowerment of informal caregivers, who usually take care of these patients. According to this, the benefit of integrated care programmes based on (1) integrated care coordination and (2) patient empowerment & home support pathways supported by ICT is greater and essential for these patients. Care pathways will cut across organisational boundaries and will activate the most appropriate resources across the entire spectrum of healthcare and social care services available for both scheduled and emergency care. CareWell aims to scale up the services in pioner regions and share their approach, learning from and supporting the other pilot sites which are at different levels of maturity in respect to designing, developing and implementing new ways of providing integrated care services.

Call for proposal

CIP-ICT-PSP-2013-7
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Funding Scheme

PB - Pilot Type B
Leaflet | Map data © OpenStreetMap contributors, Credit: EC-GISCO, © EuroGeographics for the administrative boundaries

Coordinator

ASOCIACIÓN INSTITUTO DE INVESTIGACIÓN EN SERVICIOS DE SALUD-KRONIKGUNE
Address
Ronda De Azkue 1 Torre Del Bilbao Exhibition Centre
48902 Barakaldo
Spain

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Activity type
Research Organisations
Administrative Contact
Ane Fullaondo Zabala (Mrs.)
EU contribution
€ 240 471

Participants (14)

HEALTH INFORMATION MANAGEMENT SA
Belgium
EU contribution
€ 197 491
Address
Boulevard Lambermont 84 B
1030 Bruxelles

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Activity type
Private for-profit entities (excluding Higher or Secondary Education Establishments)
Administrative Contact
Marco d'Angelantonio (Mr.)
EMPIRICA GESELLSCHAFT FUR KOMMUNIKATIONS UND TECHNOLOGIEFORSCHUNG MBH
Germany
EU contribution
€ 223 900
Address
Oxfordstrasse 2
53111 Bonn

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Activity type
Private for-profit entities (excluding Higher or Secondary Education Establishments)
Administrative Contact
Simon Robinson (Mr.)
REGION SYDDANMARK
Denmark
EU contribution
€ 51 109
Address
Damhaven 12
7100 Vejle

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Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Annette Busk Andersen (Mrs.)
Servicio Vasco de Salud Osakidetza
Spain
EU contribution
€ 396 152
Address
Alava 45
01006 Vitoria-gasteiz

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Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Irune Vegas (Ms.)
ERICSSON NIKOLA TESLA D.D.
Croatia
EU contribution
€ 224 530
Address
Krapinska 45
10000 Zagreb

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Activity type
Private for-profit entities (excluding Higher or Secondary Education Establishments)
Administrative Contact
Mario Ravić (Mr.)
HRVATSKO DRUSTVO ZA FARMAKOEKONOMIKU I EKONOMIKU ZDRAVSTVA
Croatia
EU contribution
€ 35 220
Address
Drage Stipca 10
10090 Zagreb

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Activity type
Research Organisations
Administrative Contact
Ana Tanasic (Mrs.)
SVEUCILISTE U ZAGREBU FAKULTET ELEKTROTEHNIKE I RACUNARSTVA
Croatia
EU contribution
€ 76 125
Address
Unska 3
10000 Zagreb

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Activity type
Higher or Secondary Education Establishments
Administrative Contact
Olga Županić (Mrs.)
AZIENDA ULSS N.1 DOLOMITI
Italy
EU contribution
€ 0
Address
Via Feltre 57
32100 Belluno

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Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Massimo Fusello (Dr.)
UNITA LOCALE SOCIO-SANITARIA N. 2 FELTRE

Participation ended

Italy
EU contribution
€ 395 873
Address
Via Bagnols Sur Ceze 3
32032 Feltre

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Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Massimo Fusello (Dr.)
AGENZIA REGIONALE PER LA SALUTE ED IL SOCIALE
Italy
EU contribution
€ 330 999
Address
Lungomare Nazario Sauro 33
70121 Bari

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Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Francesco Avolio (Mr.)
STICHTING INTERNATIONAL FOUNDATION FOR INTEGRATED CARE
Netherlands
EU contribution
€ 55 017
Address
The Base B Evert Van De Beekstraat 1
1118 CL Schiphol

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Activity type
Research Organisations
Administrative Contact
Nicholas Goodwin (Dr.)
Urzad Marszalkowski Wojewodztwa Dolnoslaskiego
Poland
EU contribution
€ 303 954
Address
Wybrzeze Słowackiego 12-14
50-411 Wroclaw

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Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Jarosław Maroszek (Mr.)
THE INSTITUTE OF RURAL HEALTH LBG

Participation ended

United Kingdom
EU contribution
€ 10 485
Address
St David S House New Road
SY16 1RB Newtown

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Activity type
Research Organisations
Administrative Contact
Leo Lewis (Ms.)
POWYS TEACHING LOCAL HEALTH BOARD
United Kingdom
EU contribution
€ 384 674
Address
Headquarters Mansion House Bronllys Hospital
LD3 0LS Bronllys

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Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Whitear Bruce (Mr.)