Care for patients with multi-morbid chronic conditions could be transformed by a new ICT infrastructure to be developed in this EUR 5 million EU Horizon 2020 project. 12 partners in seven countries have joined forces, and are combining their expertise to improve care provided to elderly patients with multimorbidity.

Patients with multimorbidity have two or more chronic conditions such as diabetes, heart failure, renal failure and depression that make treatment more complicated. Multimorbidity has become more prevalent among the elderly as the population has aged.

The system called C3-Cloud will transform current care models that are fragmented and address chronic conditions in isolation. This considerably limits the quality of care resulting in safety risks and increases cost. This happens mainly due to avoidable readmissions to hospitals, as well as repeated visits to various experts. C3-Cloud is a patient-centric approach, considering the unique circumstances of each patient, taking into account all their conditions and needs.

The four-year project includes public health care providers, industry, and research organisations and is led by the University of Warwick (UK). Other partners are Cambio Healthcare Systems (Sweden), Empirica (Germany), European Institute for Health Records – EuroRec (France), Institut national de la santé et de la recherché médicale -Inserm (France), Kronikgune (Spain), Medixine (Finland), Osakidetza – Servicio Vasco de Salud (Spain), Region Jämtland Härjedalen (Sweden), Software Research, Development and Consultancy Corp. – SRDC (Turkey), South Warwickshire NHS Foundation Trust (UK), and Örebro University (Sweden).

The C3-Cloud system will allow for the creation of a personalised treatment plan for each patient by letting hospitals, general practitioners and social care organisations across the health and care system exchange information, and coordinate care more effectively. The project will contribute to the knowledge in health care as well as health informatics, such as the introduction of new models of patient-centric, integrated care, and the development of automated, IT supported, clinical decision making, which will prevent incompatible treatment plans.

The project will demonstrate its contributions by 15 month long pilots, which will be conducted in the Warwickshire region of UK, the Basque Country in Spain and the Jämtland Härjedalen region of Sweden. The three European areas have been chosen because of their varied health, social care and technology systems in place. The comparisons will enhance the study’s evidence base on health outcomes and efficiency gains. Eventually it is hoped that the system will be rolled out across Europe allowing patients with chronic multimorbidity to benefit from improved health and care.

Professor Theodoros Arvanitis of the Institute of Digital Healthcare, WMG, University of Warwick and project coordinator said: “The personalised care plans will be developed through systematic and semi-automatic reconciliation of clinical guidelines. The system will incorporate risk prediction and stratification, recommendation reconciliation and poly-pharmacy management. Patients and their next-of-kin are involved through a Patient Empowerment Platform ensuring that their needs are respected in the decision making taking into account preferences and psychosocial aspects.”


Notes to Editors
The project, A Federated Collaborative Care & Cure Cloud Architecture for Addressing the Needs of Multi-morbidity and Managing Poly-pharmacy (C3-Cloud)” is funded by Horizon 2020 (PHC-25-2015), the biggest EU Research and Innovation programme ever with nearly €80 billion of funding available over seven years (2014 to 2020).