Project overview>> Objectives

The first objective of the project is to establish, and execute, an agreed PCP process to run a cross-border PCP call for tender. The aim is that in the future public organizations in the participating countries and in the EU become familiar with the PCP process and tools and use them to meet their needs.
The second objective is to use the PCP process developed in the project to identify new technologies and services to support chronic patients in the management and relief of their pains.
R&D attributable to RELIEF with respect to the state-of-the-art is presented in the next table:

Ensure Medical supervision and Validation Many available solutions lacked evidence of HCP (input regarding development but also contained few evidence-based of pain management features. Technology Assessment of eHealth systems, clinical and socio-economic validation of ICT applications. We will take advantage of the consortium diversity to validate the solutions elected at patient level.
Enhance Flexibility Most of the ICT solutions do not actually help to accelerate the workflow but delay it Complementary new workflow, change management and human resource management tools. The right ICT solution would be the one that respects the clinical workflow and meets the needs of the patient. Since this workflow is quite different from one health center to another, it should be customizable. The lack of flexibility is one of the main problems when comes to the implementation phase.
Assure Integration with the patient monitoring portable devices ICT solutions for self management of pain are usually not integrated with devices; this limits the capacity of self-management of the end user. The more devices you are able to integrate, the more independent is the patient (a patient has to track his blood pressure 3 times a week, if he has a sphygmomanometer integrated with an ICT solution that tracks this data, he will not need to go to the hospital for this purpose). Giving independence to a Chronic pain patient has direct impact in hospital savings. Nowadays Self management devices are used, and some ICT solutions for self management are used in different departments, but the integration of both is a rare phenomenon in Chronic Pain diseases.
New generation of advanced, user-friendly and ubiquitous tools for better integration of decision and work flow support systems with patient record and clinical information systems; integration of patient data across the continuum of care.
Truly connected health information systems from the individual citizen/patient to organisational, public health and research levels.
Enhance clinician-patient communication Most of the pain self-management ICT solutions are not interactive, but based solely in algorithms and/or theory. Patient safety-supporting ICT solutions coupled with profound process reengineering across health organisations. Integration of clinical care with clinical trial and research records: the new ICT solutions should have a degree of interactivity with the clinician.
Achieve higher automatisation levels to manage the information Whereas the involvement of the doctor is vital, some of the interventions can be automated. Individuals experiencing chronic pain should be able to access self-management therapies away from expert healthcare centers, and be enabled to sustain self-management over the long-term. Advanced terminology-driven eHealth tools for data entry and retrieval, including voice recognition and adaptable user interfaces Personalised simulation models of patients and diseases, leading to individual health risk analyses and early diagnosis, as well as personalised treatment, including:

Decision support systems: use patient data to generate case-specific advice which support decision making about individual patients by health professionals and the patients themselves.
These could be:
  • Explicit computerised decision support tools standardise clinical decision-making and lead different clinicians to the same set of diagnostic or therapeutic instructions.
  • Simple computerised algorithms generate reminders, alerts, or other information.
  • Protocols incorporate more complex rules reduce the clinical decision error rate.

Computer Physician Order Entry (CPOE): process whereby the instructions of physicians regarding the treatment of patients under their care are entered electronically and communicated directly to individuals. CPOE systems that include data on patient diagnoses, current medications, and the history of drug interactions or allergies can reduce prescribing errors significantly.
This can be implemented by:
  • Radio-frequency identification neural networks
  • e-Care technology used remotely
  • Wireless Integrated MicroSystems (WIMS): These devices could potentially provide continuous monitoring of critical functions. The barriers include:

Achieve Technology standardization and Policy support The majority of the initiatives have progressed in USA and Australia. Knowledge representation and coupling across disparate knowledge domains The efficiency of such research and the benefits to be derived can be leveraged through international cooperation. This includes cross-Member State collaboration on EU level as well as global partnerships.
To date, there are no specific international standards regulating these tools and little has been done at policy level. Although there have been some advancements in self-management support at policy and program levels, these initiatives have tended to remain separate from mainstream health care and have had insufficient coordination for effective and sustainable impact.
The Project will pursue the standarization of these technologies by an adequate dissemination plan at policy making level. The dissemination plan is explained in Section 2.2.
Patient privacy protection Responsibility to protect patient privacy, Secure clinical records ensuring that only authorized people can access.

This project has received funding from the European Union’s Horizon 2020 programme under grant agreement no 689476.