Managing chronic obstructive pulmonary disease (COPD) alongside other chronic conditions (CCs) like depression requires a comprehensive and innovative approach. As part of the RE-SAMPLE research project, Healthentia, our advanced SaMD solution, addresses this challenge by integrating real-world data (RWD) to enhance disease management and improve daily life for patients. For more information about the intended use of the device and the medical modules, please consult: https://healthentia.com/medical-device/

This research-driven initiative bridges the gap between clinical research and real-world healthcare, supporting two phases of COPD and CCs management:

• Phase 1: Healthentia collects RWD to track disease progression, uncover patterns, and predict exacerbations. These insights enable proactive care, empowering healthcare providers to anticipate and address patient needs more effectively.
• Phase 2: Through its Virtual Companionship Program (VCP), the platform delivers tailored self-management tools, including lifestyle coaching, goal-setting, and real-time medical suggestions. Patients gain the confidence to manage their health actively, while healthcare providers benefit from actionable insights via a clinical dashboard. This enables personalized, adaptive care strategies, ensuring better outcomes.

Healthentia redefines the standard of COPD care in hospitals across Europe by seamlessly integrating real-world insights with technology-driven solutions. By prioritizing both patients and providers, it transforms the approach to managing not only COPD but also co-existing chronic conditions, helping patients regain control over their health and well-being.

This World COPD Day, Healthentia reaffirms its commitment to innovation, providing hope and support for millions living with COPD.

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Among the many transformative solutions emerging in Healthcare, Virtual Wards have garnered considerable attention for their potential to revolutionize patient care. By leveraging digital tools and remote monitoring technologies, virtual wards offer a paradigm shift in how hospitals deliver services and how patients experience healthcare. In this blog post, we will highlight some benefits of virtual wards, exploring their impact on hospitals, patients, and the broader healthcare landscape and give details of our implementation of our recent use cases.

The biggest benefit of these wards are to facilitate continuous monitoring of patients’ health post discharge, reducing readmissions by providing post-discharge support and guidance. Access to care improves, especially for those in remote areas. Cost savings accrue through optimized resource utilization and reduced hospital stays. Patients feel empowered to manage their health with remote tools and education, enhancing their overall experience. Flexibility and convenience are paramount, allowing patients to receive care from home. Moreover, virtual wards support population health management by enabling effective monitoring and intervention based on collected data. Overall, they promise improved outcomes, cost-effectiveness, and patient satisfaction.

Healthentia has been used in two scenarios in Oncology. We will explore here the one from the Gynecology Oncology Unit that offers a direct line between surgeons and patients who will be able to report any symptoms or complications during convalescence.
The continuous observation and assistance to patients, monitoring their health condition outside the hospital, make management and interaction with the clinical team increasingly effective during the post-operative period, help research towards increasingly personalized care models. These are in summary the objectives of the Virtual Ward, a new App dedicated to gynecological patients undergoing surgery at the Gynecology Oncology Unit of the A. Gemelli IRCCS University Hospital, directed by Professor Giovanni Scambia.

The patient who decides to enter the Virtual Ward can download the Healthentia App for free on her mobile phone and thus begin to share numerous information that will help the clinical team to have a complete and updated picture of her health status. The Care Managers present the care path during the interview with the patient admitted to the ward and inform the doctor about the state of health and promptly notify him in case of need and urgency. The process begins at the time of discharge from the hospital and lasts approximately 30 days during which the patient receives a series of questionnaires which aim to evaluate the progress of the patient’s health condition with particular attention to signs and post-operative symptoms, state of the surgical wound and monitoring of any devices, such as catheters or drainage.
The patient also has the possibility of sharing numerous optional data such as vital parameters and multimedia content (photos, videos, screenshots of reports external to the facility), as well as being able to interact with healthcare professionals immediately and continuously.

“Virtual Ward is an integral part of our clinical practice – explains Professor Anna Fagotti , Director of the Ovarian Carcinoma Unit of the Agostino Gemelli IRCCS University Polyclinic Foundation. – This App is useful for patients to share, understand and resolve any health problems that arise while they are at home, accompanying them in the days following discharge from hospital. The home convalescence phase – continues Professor Fagotti – is a difficult emotional moment for patients, there are many uncertainties and many questions about the treatment path. Furthermore, patients may have little knowledge of the disease and difficulty recognizing signs and symptoms of clinical importance.”

The App can be an extremely useful tool, in fact it includes a Virtual Assistant who conveys useful information and advice, for example, relating to the lifestyle to follow in the post-operative period, thus covering an important educational role.
“This tool – concludes Professor Fagotti – is also very useful for us doctors. The data sent by the App allows us to immediately detect the onset of symptoms to correlate with possible complications related to the surgery which otherwise could emerge late. Through the App we can interact with the patient immediately and continuously and intervene in a timely and punctual manner.”

The close collaboration between the healthcare team and the Gemelli Generator – Real World Data Facility, coordinated by Dr. Stefano Patarnello , has made it possible to create a care model capable of integrating and supporting traditional post-operative monitoring means.
The experience of the clinical team made it possible to define an innovative assistance path: the questionnaires were defined to allow the patient an effective and pragmatic interaction; all the information collected allows a holistic view of the state of health; finally, the team of Care Managers dedicated to the development and management of the new care path is the focal point for guaranteeing the provision of the service on a daily basis.
The Gemelli Generator – Real World Data project team, coordinated by Dr. Alice Luraschi , worked together with Innovation Sprint company, manufacturer of the Healthentia medical device, to offer an intuitive service and tool of immediate benefit in clinical practice and in the patient’s daily life .

Source: https://www.policlinicogemelli.it/en/news-events/al-via-virtual-ward-app-per-monitorare-a[…]io-le-pazienti-ginecologiche-post-intervento-chirurgico/

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Study Description

COMFORTAGE is a joint effort of medical experts, social scientists and humanists, technical experts, Digital Innovation Hubs (DIHs) and Living Labs (LLs) to establish a pan European framework for Community-based, Integrated and People-Centric prevention, monitoring and progression managing solutions for dementia and frailty.

Through COMFORTAGE, care services providers will be empowered to create and implement personalized, integrated care measures against dementia and frailty, leading to significant improvements in individuals’ well-being and quality of life (QoL). The project also focuses on enhancing stakeholders’ health and digital literacy to reduce health inequalities and promote healthy aging in modern communities.

COMFORTAGE will be validated through thirteen pilot studies across eight EU member states. It combines medical/clinical innovations, cutting-edge AI technologies, DIHs, and social innovations to address various aspects of health and well-being. The project emphasizes the integration and management of different data sources, including biobanks, cohorts, medical records, and real-world data from sensors and wearables, in a standardized structure called Holistic Health Records (HHRs).

A Virtualized AI-Based Healthcare Platform (VHP) will be developed to centralize access to AI resources for risk analysis, early diagnosis, and personalized decision-making. This platform will facilitate collaboration among stakeholders and promote effective strategies for health promotion, disease prevention, and treatment, while minimizing digital literacy inequalities. The VHP will also serve as a key tool for the exploitation and sustainability of the project’s results. COMFORTAGE aims to establish an ecosystem of healthcare stakeholders and viable business models to ensure the project’s long-term impact and wider adoption.

Study Details

• Type: HORIZON-HLTH-2023-STAYHLTH-01
• Start: January 2024
• Duration: 4 years

Our role

Innovation Sprint is a technology provider within the COMFORTAGE project. Our focus lies on enhancing the functionality of Healthentia, our flagship product, with a specific emphasis on data collection, gamification, and virtual coaching. Our involvement includes various tasks across different work packages. In Work Package 4, we translate pilot requirements into precise secondary data collection and virtual coaching specifications. This involves adapting the Healthentia platform to accommodate the project’s secondary data collection needs, allowing for a deeper understanding of patients’ habits and connections, and offer content to the end-users regarding their progress towards healthier habits, through our coach companion. Furthermore, in Work Package 5, we concentrate on developing the gamification features of the Healthentia mobile app. This includes the creation of engaging elements to enhance user experience and encourage active participation. Moreover, we collaborate closely with other partners, to co-develop and host serious games designed to improve motor and cognitive skills. These games enhance the overall experience of the users and promote their skill development. Lastly, we actively contribute to the dissemination and exploitation efforts outlined in Work Package 8, ensuring that the outcomes of our work reach relevant stakeholders and are effectively utilized.

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