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POLY-stakeholders for integrated CARE for chronic patients in acute phases

Periodic Reporting for period 1 - POLYCARE (POLY-stakeholders for integrated CARE for chronic patients in acute phases)

Reporting period: 2016-01-01 to 2017-06-30

POLYCARE project aims to develop and test an integrated care model, patient-centred, supported by the use of advanced ICT systems and services that allows the monitoring and care of older chronic patients in acute phases at home. In doing so, two main objectives may be achieved: better conditions of life and care for these patients and the improvement of the sustainability of the health and social care systems.

The POLYCARE secondary identified objectives are:

1.- Provide to chronic patients an integrated care system to achieve a real and high quality home hospitalization
2.- Empower the self-health management of these patients using customisable apps.
3.- Get a non-intrusive monitoring system getting continuously info about its vital signals.
4.- Increase the collaboration between patients and the medical and social caregivers.
5.- Reduce technical barriers training the professionals to use the new ICT solutions.
6.- Ensure data protection and privacy issues.
7.- Get more and more accurate data and develop a decision support tool to better understand and get recommendations to the patients.
8.- Provide a better medication prescription.
9.- Definition of a new methodology for home hospitalization (patients - clinical - social caregivers)
10.- Reduce the stay of chronic patients in hospitals and consequently the related costs

POLYCARE team is working around these objectives to enable the reduction of bed days for emergency admissions & Significant reduction of medical expenses.
The POLYCARE project work performed from the begining of the project to the end of the current reporting period includes:

From M1 to M6 the POLYCARE project has established the basis and collaborative framework to suitably run the project: In terms of project management (WP1) it was established all the management procedures, the quality plan and all the organizational meetings to hold during the project life duration. It was also created all dissemination and social media channels. The architecture design and assesment of the POLYCARE requirements. (WP2) was established during this period too, including a review of the state of the art on those aspects and components that are being developed in POLYCARE. There are 3 main technical areas (WPs 3, 4 and 5) that are in charge of developing the ICT POLYCARE components: In WP3, it was triggered the work around the personalized applications for the patients. . WP4 deals with the development of a Decision Support System (DSS)and the development of the Collaborative Environment (CE), which enables to share information in a coordinated way about the state of the patient among the different stakeholders. WP4 work started in M6, so no relevant work progresses were presented during this reporting period. Same as WP5. Finally, it was started the definition of the methodologies as part of teh WP6 activity.

By M6, the most outstanding results include:(1)Succesful and timely submission of the expected deliverables, (2)Analysis of POLYCARE requirements and (3)POLYCARE architecture design and system specification.

Project management progressed as expected coordinating the several tasks and activites agreed from the begining of the project. In terms of the applications for patients, the work focussed on trying to match the points of view of the clinical and technical parts in order to set the basis for defining the functionalities of these applications. Feedbacks coming from this functional meeting have therefore been used to continue the work on the tasks related to the WP3. In WP4 the work focused in developing a technical low level design and the implementation of the DSS and the CE. More specifically, it focused on the design and implementation of the technical architecture. Also the work on the SSP (WP5) experienced several advances and the several tasks were oriented to integrate the system architecture requirements. With the system architecture defined and the requiremetns settled down, it started the work around the pilots, in order to identify how to implement them. The pilot sites held several meetings to start the specific definition of the three PoCs and also to identify the preliminary trial and integration planning as part of WP8 activity. Finally, some actions where taken in terms of exploitation and innovation management. The project did not find itself in a very mature phase, so it is expected to increase the exploitation work during the next periods in the context of WP9.

The most relevant outcomes and results obtained during this period include: (1)Succesful and timely submission of the expected deliverables, (2)The technical design of the application for partients was finalized, (3) The technical design of the DSS and CE POLYCARE components was finalized, (4)The integration of the system requirements within the SSP platform was achieved, (5)The definition and planning of the PoC trials was finalized.

M12 - M18
Based on the technial designs agreed during previous semester, all pendingvdevelopment tasks of the different technology components were started. WP7 activities to plan and execute the integration plan have been driven and in WP8 the infrastructure set upof each pilots, trainings and preparation to start the pilots were also carried out. On the clinical side WP6 task were finalized. WP9 potential business models and exploitation were proposed and will be refined uring the second phae of the project.

All in all, most relevant results include: (1) d
POLYCARE project presents several innovation areas in which POLCYARE aims to go beyond the state of the art, related to the different areas and components that are being developed:

1.- POLYCARE innovation at the Decision Support System will be focused on applying rules START/STOP in order to detect and prevent medication prescription errors and we will research on a suitable level of alerts. POLYCARE will foster advances in the state-of-the-art by incorporating existing know-how in the area of anomaly detections and predictions to this concrete target user group of patients affected by chronic diseases. Additionally, the project will focus on the improvement of the relationships between patient and health professional through our DSS, which will target customised presentation of information tailored to the needs of the users and will try to provide early alerts on critical situations.
2.- POLYCARE innovation at wearables will be focused on integrating and evolving devices low-cost, very simple for patients and to take as much as possible vital signals using only one device.
3.- In terms of gamification, POLYCARE innovationaims to apply gaming concepts for design applications for mobile and smart TV in order to engage patients for their own health management.
4.- POLYCARE innovation at social care services is focused on providing mobile apps in order to access to the collaborative environment and the Decision Support System in order to get procedures and real time information necessary to get or communicate.
5.- POLYCARE innovation at social care services is focused on providing mobile apps in order to access to the collaborative environment and the Decision Support System in order to get procedures and real time information necessary to get or communicate.