The C3-Cloud project is a 4 year Horizon 2020 Research and Innovation Action project, under call PHC-25-2015 - advanced ICT systems and services for integrated care (total budget of 4,995,000 euros), that started in May 2016, run by a consortium of 12 partners across 7 countries in Europe.
C3-Cloud aims to develop personalised care plans for complex multimorbid patients, supported by ICT tools and managed by a coordinated multidisciplinary team, that promotes integrated care and the involvement of the patient and/or caregiver.
There is an increasing need to organise the care around the patient with the involvement of all stakeholders. As a response to this requirement, the C3-Cloud project aims to achieve high quality integrated care with the support of ICT.
A Personalised Care Plan Development Platform will allow collaborative creation and execution of personalised care plans for multimorbid patients, through systematic and semi-automatic reconciliation of clinical guidelines. This will be realised with the help of Decision Support Modules, recommendation reconciliation, poly-pharmacy management and goal setting. Fusion of multimodal patient and provider data will be achieved via C3-Cloud Interoperability Middleware for seamless integration with existing information systems. A Terminology Service with advanced semantic functions will enable meaningful analysis of multimodal data and clinical rules. Active patient involvement and treatment adherence will be attained through a Patient Empowerment Platform.
The Interoperability Middleware contains three components.
- (1) The Technical Interoperability Suite enables seamless data exchange between the local care systems and the C3-Cloud components.
- (2) The Semantic Interoperability Suite addresses the challenge of heterogeneous clinical data representation formats.
- (3) The Security and Privacy Suite has been developed, based on open source toolkits for authentication and authorization of care team members and for ensuring encrypted and auditable data exchange across C3-Cloud software components.
To demonstrate feasibility, pilot studies will focus on diabetes, heart failure, renal failure and depression in different comorbidity combinations. Pilots will be undertaken in 3 European regions with diverse health and social care systems and ICT landscape, which will allow for strengthening the evidence base on health outcomes and efficiency gains.
C3-Cloud adaptive patient pathways and organisational models validated by a clinical reference group, change management and training guidelines will be shared with the European community.