e_Disease Management. A system for the management of the chronicconditions

Sergio Guillén, Maria Teresa Meneu, Riccardo Serafin, Maria Teresa Arredondo, Elena Castellano, 2010

Introduction

With 50–80% of all global health spending related to chronic diseases, health systems that maintain current disease management practices cannot afford to continue caring for the escalating numbers of people with chronic diseasesDM models of care may be a systematic approach to coordinating health care interventions across levels

IntroductionDM

supports the physical practitioner/patient relationship and plan of careemphasizes prevention of exacerbations and complications through the use of evidence-based practice guidelinesevaluates clinical, humanistic, and economic outcomes on an ongoing basis with the goal of improving overall health

e-DM - supported by the intervention of Information and Telecommunication Technology

Methods

HeartCycle e-DM solution to serve both Heart Failure (HF) and Coronary Heart Diseaseintegrating care at home with professional care in the hospitalmulti-parametric monitoring of vital signs, analysing the data and providing automated decision support, to derive therapy recommendations

Methods

Methods

ScenariosRehabilitation - recover body functions compromised by the diseaseMaintenance - keep patients within certain ranges to reduce or avoid medium-long term negative consequencesPreventing Deterioration - avoid or reduce the severity of a new crisis, which will provoke short term damage

Results

User requirementsPatient - maintaining their quality of life and making their life easier reducing their feeling of being illProfessionals - know much information about their patients and focus their attention in those patients in need for more supportOrganizations - a sustainable way to better manage the increasing number of chronic patients with an optimal usage of the resources and the different care levels.

Results

System ArchitectureMedical Response CentreSelf-Care Management UnitDM Planner & AssessmentEducation & Social connectionLogistic & Maintenance

Results

Results

ImplementationSCMU - wireless monitoring devices, mobile PCMRC - J5EE web application accessed by the professional, also holds patient’s current care planDMPA – another supporting web application with graphical editors to create complex evaluation rulesE&SC - in-house content management system which provides access to certified medical knowledge customized on the bases of the medical profile

Conclusion