Project overview

CareWell pursued the delivery of integrated healthcare to frail elderly patients through comprehensive multidisciplinary programmes. ICTs facilitate the coordination and communication of healthcare professionals and support patient centred delivery of care at home. The project supported the integration of care in six European Regions.

CareWell focused on the provision of care and support to older people who have complex health 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 was 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 avoided duplication of effort when dealing with patients' diagnostic, therapeutic, rehabilitation, or monitoring and support needs. Additionally, ICT-based platforms improve dtreatment compliance, enhance self-care and self management, and increased patient and carer awareness of their health status. All of which improved clinical outcomes and enabled people to lead fulfilling lives. In addition, technologies supported the patients' informal caregivers, highlighting when respite care or additional professional input was required.

The two CareWell services consisted of two pathways supported by ICT:

These care pathways cut across organisational boundaries and ensured that healthcare resources became more efficiently and effectively used. Information sharing was carried out in compliance with European and national regulations relating to consent and privacy. The ICT platform was based on open standards and multi-vendor interoperability, with collaboration among ICT suppliers strongly encouraged.