As the prevalence of multimorbidity is increasing globally, placing significant strain on patients, carers, and the healthcare systems, integrated multimorbidity care digital solutions are required for improving services and reducing costs. Service provision is predominantly fragmented and focusing on single disease care, thus not covering the needs of multimorbidity patients. Our consortium proposes the CARETRINITY system, a patient-centric solution valuable from the early detection stage to follow-ups and continuous care. The system enables early identification and risk segregation based on data input from a multitude of sources in a holistic approach. Interdisciplinary collaboration through chat, multimedia, and shared tools, along with improved care coordination particularly tailored for polypharmacy and seamless care transition, are also possible through CARETRINITY, combined with a multi-disciplinary personalised care plan feature. The system promotes empowerment and self-management as well and is, to this end, equipped with a virtual assistant, training material and social interaction services. The CARETRINITY solution’s main concept is to design, implement and validate methods and tools that will improve patients’ adherence to multiborbidity care plan, to improve clinical practice and advance clinical research. It consists of three layers: the real-world data (RWD) and interoperability layer at the bottom, the CARETRINITY services layer providing the bulk of available functionalities, and the front-end layer at the top, providing the interface to the end users.
Large-scale implementation of the CARETRINITY solution will benefit procurers not only financially, but also through reducing clerical work, increasing interoperability of their technical systems, and ameliorating care delivery. Moreover, CARETRINITY will have a positive impact on patients by reducing the number of visits to healthcare professionals and lab facilities, while increasing their quality of life and their trust to the healthcare system for long-term support.
CERTH is one of the largest research centres in Greece. CERTH/ITI is one of the leading Institutions of Greece in the fields of Informatics, Telematics and Telecommunications, with long experience in numerous European and national R&D projects. CERTH/ITI has a wide background in research fields on eHealth Sector as well as in the coordination and/or technical management of those projects. Moreover, CERTH is already participating in five (5) PCPs and two of them (HSmartBPM and DM4all) are in phase three and the results will be soon exploited
Televes is a well-established technology provider with the objective of increasing its presence in the Telehealth/telecare market. With more than 60 years of experience, Televés has launched more than 1,500 different products on the market, an achievement that can be explained by a genuine passion for technological development and cutting-edge manufacturing.
FORTH is one of the largest research centres in Greece with well-organized facilities, highly qualified personnel and a reputation as a top-level research institution worldwide. FORTH and in particular the Center for eHealth Applications and Services (CeHA) has developed tools incorporated in the solution developed for the management of perioperative stress, which have been tested during the 3rd stage of the STARS-PCP.
TIGA is ranked 1st in healthcare IT companies. TIGA’s main goal is to create a comprehensive digital health ecosystem so that all people can access healthcare services more easily and benefit equally. To make this vision real, TIGA has been developing products and solutions in the health IT sector.
Motivation and Goals
The CARETRINITY team acknowledges the ever and ever growing challenge at a global level in respect to multimorbidity and the essential effects that two or more coexisting conditions could have on individuals, carers and society. Moreover, mechanisms that multimorbidity lies upon are complex, interrelated and multilevel. From the other hand, prevention, management of multimorbidity can contribute to the reconfiguration of primary health care.
In addition, potential interventions of multimorbidity are complex and multifaceted and despite the increasing numbers of studies examining effective interventions for the population with Multimorbidity (PMM), there is still inadequate evidence to support specific approaches which will prioritize individuals and carers’ needs, ensuring that PMM healthcare will be effectively coordinated and minimally disruptive, in alignment with patient’s needs and value. Furthermore, the CARETRINITY team strives to address the challenge of greater investment in multimorbidity research and training in respect to multimorbidity management and reconfiguration.
CARETRINITY team identifies also that apart from evidence- based solutions and optimized individual care plan (ICP) in PMM, challenges remain in respect to technology-enabled tools to augment dexterities and skills in multidisciplinary team-based PMM care.