Involvement of chronic patients in electronic documentation of healthcare information

Registration and monitoring of patient-generated health parameters for quick and adequate response to warning signals

Purpose and Business Need

The concept of “for ever-present care” which takes place outside conventional care facilities provides numerous benefits for patients, providers, payer organisations and health care systems. These benefits include:

• Patients benefit from a closer monitoring of their health status that is based on a large number of data points gathered more often. As a consequence, medication typically fits the patient’s individual context better and unplanned hospitalisation can often be avoided. On average, the patient leads a healthier lifestyle and benefits psychologically from the awareness of participating in a well-organised treatment concept.
• Providers underline the positive aspects that result from of a better knowledge of recent patient health status as well as a longer patient history. This enables more solid decision-making about further therapeutic action.
• Studies on disease management initiatives in multiple countries have proven that, on average, patients benefit from a better health status at a lower treatment cost. This is a major driver for payer organisations and/or for the public health care system which have a high interest in efficient and effective health care provision.

EHDS Context

Primary use

Health Information Domain and EHDS Priority Data Category

• Patient coordination
  • Daily upload of patient generated data
  • Alert report (in case of exacerbation)
  • Periodic status report

Context

Worldwide: 860 million individuals with chronic conditions. In Europe, more than 65% of healthcare spending is on chronic condition management.

Participants

• Patient
• Monitoring Service – data collecting and monitoring software
• Medical Triage Service – healthcare professional(s)
• Healthcare Centre

Functional process flow

1. Patient weighs herself, and measures his/her blood pressure
2. Patient enters the data in a mobile app
3. The Monitoring Service monitors the data (from many patients)
4. The Monitoring Service creates an alert for the patient, and sends it to a Medical Triage Centre
5. The Medical Triage Centre contacts the patient and adjusts the medication dosage (if necessary)
6. The Medical Triage Centre sends a report of the intervention to the Healthcare Centre (that connects to the healthcare professional who is responsible for the patient)
7. A few days later, the health parameters have not shown the expected improvement, and the Healthcare Centre is alerted
8. The Healthcare Centre makes an appointment with the patient.