Digital Health Europe

CKD Integrated Care: a platform with an e-learning environment, with edu-games for the empowerment of the general population

Keywords: Chronic Diseases, eLearning, Gamification, Integrated Care, Telecare
Short description
CKD is a silent disease that should be early identified by general practicioners (GPs) for an early referral to nephrologists to avoid its progression towards end stage kidney disease. The clinical characteristics of CKD patients have changed in recent years (aging and complexity), resulting in an increased burden of care for the healthcare facilities and the need for a more extensive involvement of families and social services. In this context, our practice aims to create a new technological system, based on a new “digital” healthcare model, involving cooperation among different territorial care entities. Specifically, our practice aims to prevent CKD in general population, to early identify patients affected by CKD, to increase de-hospitalization of patients with overt CKD starting dialysis, to improve quality of life and to reduce the healthcare costs. CKD integrated-care (Smart Health 2.0 project) is a platform with an e-learning environment, with edu-games for the empowerment of the general population (Help-Large) and patients affected by CKD with their caregiver, a business intelligence tool on board (ULYSSES) for the early identification of CKD patients through the analysis of clinical pathology data, a sofa (DIADOM), inspired by home living design and fully equipped with medical devices connected toa telemonitoringsystem (TELCARE) able to create an audio-video connection between patients, nurses and nephrologists. In addition, Smart Health 2.0 project has trained Care and Case managers, Nurses and Physicians with specific expertise on the use of Ulysses, Help-Large and telemonitoring/teledialysis system, those will be the new professionals required for the creation of virtuous paths between hospital and territory.
There is evidence for economic viability and/or of benefits to the target group of the practice. Further research/development is needed for routine use.
Geographical scope
Submitted in other database or repository of digital health resources that is publicly available, DHE catalogue

Additional information

to clinicians / care practitioners
Health data analytics (Artificial Intelligence/algorithm development and calibration/machine learning/risk stratification tools/etc.)
to patients / citizens
Telehealth and telemedicine
Digital tools to support health education (health literacy)/digital health literacy
Addressed prevention area(s)
Health screenings
Use case and care pathway positioning
Early detection and early diagnosis, precision diagnosis, Integrated care pathways