Mic Check
The solution
Mic Check is a new technological solution design aimed to improve the way that People with Multimorbidity (PMM) are treated and experience their care in the health sector. Its ambition is to fill in the white spaces between silo-based single diagnosis/treatment tracks and those occurring in carers’ transitions by placing PMM themselves and their data at the core of the system. This will be possible by using new blockchain and cloud-based technologies for data generation, ownership, sharing, and management.
MiC check concept consists of four innovative components:
- An integration and interoperability layer provided by the Data For Good Foundation Platform. This is a data security and interoperability layer created thanks to cutting-edge blockchain and Secure Multiparty Computation – MPC – solutions. It will ensure that sensitive data are safely treated and accessible to righteous owners/processors.
- An application for citizens, including the functions to support self-management of multimorbidity like: the informed consent management tool; a Personal Health Data Space; a Shared Care Plan management tool, where targets and goals related to MM management set by the clinicians are displayed to patients; and Intelligent Digital Health services for Risk screening scores computation tool; Management of polypharmacy, typical of patients with Multimorbidity and Healthy lifestyle promotion feature and training and education materials for PMM empowerment .
- An application for professionals for management of the EHR including visualization of patient health data, prioritization of patients’ severity with risk scores and many other features. In addition, services for policy makers and analysts will be offered, including a tool for visualization of anonymous and aggregated health data and the Virtual Data Lake, a feature through which external applications might require for accessing to data sets for which consent has been granted.
- An application for caregivers: a tool for visualization of selected health care data of the cared person.
Experience
Tech4Care is the consortium coordinator and will supervise the overall implementation of project activities. Tech4Care was established in 2017 and has evolved over the years into a company that offers technological services to a wide range of customers in the health and social services sector. Since then, the company experienced a continuous growth and starting from 2020 it has started to commercialise proprietary software solutions such as RelabVR (certified medical device for the home rehabilitation of patients with neurodegenerative diseases) and ReD (a complete platform for the management of healthcare care facilities).
DATA for GOOD Foundation is a Danish not-for-profit organisation that promotes individual data rights and equip citizens with digital tools that allow them to exercise their right to data portability (GDPR, art. 20) and make more data available for common good purposes.
miThings is a company founded in 2013, working with services and products in the mobile internet of Things (miThings) domain. miThings’ main focus is to develop and provide technological solutions for organisational clients, including information systems and platforms, internet-of-things (IoT) solutions and selfcare mobile applications.
Vademecum is a Turkish company providing Drug Information solutions with innovative drug decision support to help healthcare professionals make better clinical and business decisions.
Motivation and Goals
People with Multimorbidity (PMM) typically present complex clinical conditions requiring a comprehensive assessment and consideration of the several symptoms, consequences, and ongoing therapies. Due to worldwide population aging, without any doubt PMM condition has become one of the most prevalent healthcare issues worldwide. This will require even more precise assessment or clinical decisions will be severely hampered, due to incomplete information, thus risking being highly ineffective, or harmful in most cases, and costly. Scattered information, lack of coordination and silo mentality are typical issues that can seriously compromise patients’ health outcomes. Interoperability of the existing IT systems and EHR has been long advocated by policymakers and managers in the sector, however, several constraints have prevented the creation of National (Unified) Health Electronic Records in most EU countries. Our team truly believes in the potential of new technologies such as Blockchain and distributed computation to increase interoperability and communication among all the several healthcare professionals and caregivers that are usually involved in PPM’s health management. But our vision goes beyond this statement, as we envision a new scenario where the patient has a real active role through real empowerment, not just by passively undergoing trough medical decision.