The Project Idea
Nowadays sick persons are hospitalised, treated and kept in hospital for some days, depending on the chosen clinical pathways. By the increase of in-hospital days the costs increase on the one hand, whereas the risk of an infection increases simultaneously on the other hand.
Acute care patients could be discharged after their diagnosis and treatment and being monitored in their home environment using a stndards based telemonitoring solution. In case of any medical event, which induces professional intervention the patient would be hospitalised immediately for further treatment. By letting the patient stay at the home environment, costs can be reduced and the risk of nosocomical infections can be decreased simultaneously.
This is the basic motivation and idea of the project Hospital@Home.
The Knowledge Transfer
In accordance to the Twinning Call in WIDESPREAD 05-2017 the transfer of knowledge to the initializing institutions will be performed in a way to increase the knowledge and experience in the matters of acute patient telemonitoring. The means of knowledge transfer will be based on
- common workshops
- face-to-face classes and seminars
- eLearning courses
- yearly summer schools
In order to provide a broad availability of the project and its results open public one-day conferences will be held.
The target groups for the knowledge transfer are, based on previous projects:
- Management and Administration staff
- Medical professionals
- Engineering and IT staff
- Law and Ethics focused staff
The Project Consortium
Universidade de Tras-os-Montes de Alto Douro
UTAD (Universidade de Trás-os-Montes e Alto Douro) is a public University in the North of Portugal. It has a strong tradition in life sciences and also in engineering. The fundamental attributions of UTAD through its ECT (School of Sciences and Technology) include, among others:
- To provide study cycles aiming the granting of academic titles and degrees that the law specifies as being able to be granted by higher education institutions, as well as other post-secondary courses, post-graduated training, and other courses and specialization and lifelong learning activities;
- To do research, and to support and participate in scientific institutions;
- To provide services to the community, supporting its development UTAD carries out its mission and meets these objectives in the fields of engineering sciences, physical sciences, mathematical sciences and related technologies, as well as research and teaching in these fields.
Based on these fundamental principles ECT offers courses leading to the degrees of Bachelor, Master and PhD, including the Biomedical, Rehabilitation, Information and Communication Technology, Informatics, Civil Engineering, Mechanical Engineering and Electrical and Computers Engineering.
ECT also offers educational activities and cross-cutting research and interface with other schools at UTAD. For example the Master on Biomedical Engineering coordinated by the School of Science and Technology (ECT) includes the active participation of teachers/researchers from the School of Life Sciences and Environment (ECVA) and the Higher Education School of Nursing (ESE).
UTAD has several research projects in cooperation with healthcare companies and hospitals, like a risk management information system , a radiological parameters database, new application interfaces to the health workflow, including the visualization of big quantities of data, and the connection of medical devices to the Hospital Information System.
Centro Hospitalar de Tras-os-Montes e Alto Douro
The CHTMAD (Centro Hospitalar Trás-os-Montes e Alto Douro) is an hospital centre in the region of Trás-os-Montes e Alto Douro, in the North of Portugal, being a key reference health entity on the region. The Centre is constituted by four hospital units and one continuing care unit. The hospital units are located in different municipalities, including Vila Real (head office), Chaves, Lamego and Peso da Régua; and the Continuing Care Convalescent and Palliative Care unit situated in Vila Pouca de Aguiar.
CHTMAD’s mission is to provide quality and efficient healthcare services in cooperation with other community health and social services, strongly focusing on the motivation and satisfaction of its professionals with a high level of quality, effectiveness and efficiency. Part of the CHTMAD mission is also to conduct post-graduate teaching and development of training functions deemed to be necessary to further develop its professional staff. Currently, CHTMAD offers a wide range of community services. It started with general medicine, surgery, pediatrics and gynecology, and expanded later, from 1980 until 1991, to cardiology, anesthesiology, internal medicine, urology, dialysis, gastroenterology, orthopedics, clinical pathology, otolaryngology, dermatology, psychiatry, ophthalmology, intensive care, neurology, pathology and, finally, pulmonology. Therefore, CHTMAD embodies a quite large range of medical and surgical support and services within the expertize in the following clinical areas:
- Medical Emergency Response Incident Teams (MERIT)
- Pathology services and emergency clinical microbiology
- Services immune-hemotherapy and blood bank
- Radiology service
- ICU - Service Polyvalent intensive care and coronary
The hospital is equipped with an Isolation Unit for infection diseases treatment and is also the regional designated health operator in case of catastrophes, according to the predefined contingency plan, in articulation with the Civil Protection Office.
CHTMAD also have a clinical research centre that in the time span of 2016-2018 is conducting 31 clinical trials evolving 26 different countries.
Instituto de Investigacion Sanitaria La Fe
The Health Department Valencia-La Fe is one of the health provision areas belonging to the Health Care System of the Region of Valencia (Spain), under the umbrella of the Valencia Health Agency (AVS). This Health Department covers a concrete geographical area located in the south area of the city of Valencia and coordinates all the healthcare services provided in the territory, from primary to tertiary care, covering 300.000 inhabitants directly and a catchment area adding up to 515.000 persons. The Department has a central management based in the Hospital La Fe, the biggest reference hospital in the region and one of the most important centers in Spain. Additionally, the Health Department is currently carrying out a set of pilots for validating the impact of large scale tele-health and a wellbeing service for chronic patients deployed as part of their service portfolio, and has been awarded with three stars as one of the Reference Sites of the European Partnership Initiative in Active and Healthy Ageing (EIPAHA).
The Health Department organizes its research through a Health Research Institute La Fe (IISLAFE), whose role is to enable the realization of the research and innovation activities that could later contribute to the improvement of the actual health care processes and to perform any type of evaluation and piloting to be done within the health area. More concretely, LA FE is well-known in Spain as a leading hospital in the management of several diseases, in the provision of hospital at home services and in pursuing of the integration of all the care levels for the comprehensive case management of chronic patients at home. LA FE has already participated in several national and European projects regarding identification of risks chronic disease management, reengineering of healthcare processes, home monitoring and deployment of clinical pathways.
Health department of La Fe has been developed a chronic patient case management plan which attends around 900 patients with complex conditions. This plan includes multidisciplinary teams between telemedicine and Hospital at Home Units, which coordinates, care plans, home visits, scheduled phone calls and communication with primary care in order to maintain as stable as possible chronic patients. This plan is designed in order to anticipate any complication that patient could suffer.
The patients are identified in the hospital by a risk stratification tool and if they are eligible, they are enrolled in the program. The patient receives a patient’s kit a specific training by the Home Hospitalization and Logistic Nurses. The case management nurses assign the corresponding care plan to the patient according to the specialist’s recommendations. The patient receives support from the system to follow the care plan with reminders, monitoring, education and information. The case management nurses revise the patients on a schedule bases and on demand, with the support of the system that prioritizes the patients and highlights the alerts and notifications coming from the analysis of their evolution. The surveillance is done according to the personalized care plans assigned to each patient.
The system also supports the case manager by informing them with the recommended care path according to the care plans and the protocols, for each specific patient and according to his real evolution. The case manager reacts to the patient’s situation and can refer the patient to another care level or adjust his care plan. In case the patient is referred, the corresponding health professional can access all the information about the patient, request additional home monitoring and change the care plan.
University of Applied Sciences Technikum Wien
With around 9000 graduates and around 4800 students, the University of Applied Sciences Technikum Wien is Austria’s largest purely technical university of applied sciences. It offers 13 bachelor’s and 17 master’s degree programs in the following fields:
- Communication Technologies & Electronic Engineering
- Information Technologies & Business Solutions
- Energy & Environmental Technologies
- Management & Business
- Medicine, Sports & Health
- Industrial & Mechanical Engineering
UAS Technikum Wien was founded in 1994, and in 2000 it became the first institution in Vienna to receive the status of a university of applied sciences. It has been a member of the European University Association (EUA) since 2012 and is also a network partner of the Association of the Electrical and Electronics Industries (FEEI).
Close cooperation with business and industry gives students and graduates excellent career opportunities. Instruction and research are closely linked at UAS Technikum Wien, and the regular exchange of knowledge plays an essential role. Research and development activities have grown significantly in recent years. Along with funded research, contract R&D has also become increasingly important.
Along with the educational programs UAS Technikum Wien runs research & development programs in all 15 departments. The following four focuses form strategic cross platform for research at UAS Technikum Wien:
- Secure Services, eHealth & Mobility
- Embedded Systems and Cyber-Physical Systems
- Renewable Urban Energy Systems
- Tissue Engineering and Molecular Life Science Technologies
- Automation & Robotics
UAS Technikum Wien believes that without a responsible approach to science and research, there is no hope of societal progress, creating economic value, or shaping a sustainable future. As a scientific institution, it meets its responsibilities and, being a signatory of the Memorandum of Understanding on Responsible Science, it supports European and Austrian initiatives on “Responsible Science and Innovation”. Furthermore, as a signatory of the Berlin Declaration on Open Access to Knowledge, a member of OANA – Open Access Network Austria and a supporting institution of the DOAJ – Directory of Open Access Journals, UAS Technikum Wien is actively committed to the general design on open access.
Over the last years UAS Technikum Wien has established itself as a key player in the research field of eHealth. The team has gathered knowledge by performing and conducting different national and international research projects as well as by intense cooperation with the local and international economy for eHealth.