CareWell will enable the delivery of integrated healthcare to frail elderly patients through comprehensive multidisciplinary programmes. ICTs will facilitate the coordination and communication of healthcare professionals and support patient centred delivery of care at home. The project supports the integration of care in six European Regions.
CareWell will focus on the provision of care and support to older people who have complex health and social care needs, are at high risk of hospital or care home admission and require a range of high-level interventions due to their frailty and multiple chronic diseases. This will be achieved through ICT enabled health and social care services coordination, monitoring, patients self-management, and informal care givers' involvement. The ICT platforms and communication channels will avoid duplication of effort when dealing with patients' diagnostic, therapeutic, rehabilitation, or monitoring and support needs. Additionally, ICT-based platforms can improve treatment compliance, enhance self-care and self management, and increase patient and carer awareness of their health status. All of which will improve clinical outcomes and enable people to lead fulfilled lives. In addition, technologies will support the patients' informal caregivers, highlighting when respite care or additional professional input is required.
The two CareWell services are based on two pathways supported by ICT:
- integrated care coordination; and
- patient empowerment & home support.
These care pathways will cut across organisational boundaries and ensure that healthcare resources are more efficiently and effectively used. Information sharing will comply with European and national regulations relating to consent and privacy. The ICT platform will be based, whenever possible, on open standards and multi-vendor interoperability, and collaboration among ICT suppliers will be strongly encouraged.