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Report

Teaser, summary, work performed and final results

Periodic Reporting for period 1 - CHESS (Connected Health Early Stage Researcher Support System)

Teaser

Summary

CHESS is Europeâ€™s first networked Connected Health PhD training programme and will recruit 15 PhD students internationally to cover 4 main areas of research and training in Connected Health (Care, Change, Data and Sustainability).

1. CARE

CHESS will look at the design, deployment, and evaluate connected care models that involve all of the stakeholders in the care of the patient, including the patient themselves. The optimal path to successful Connected Health solutions is to map existing care pathways to identify opportunities for addressing unmet clinical needs through new technology enabled care models. These new care models should be co-designed with end-users and then be subject to scrutiny in prospective trials to gather evidence regarding usability, and clinical and cost effectiveness and to identify routes to market. However, widespread adoption of Connected Health models has been held back by the lack of a strong evidence base. A change in design, development, implementation, and evaluation is needed that shifts from â€˜technology pushâ€™ to a nuanced understanding of how technology addresses clinical needs and facilitates new, proactive care models that are acceptable to user groups and provide clinical and economic benefit. Research programmes must address design at both technological and clinical needs levels. Much recent research, and its attempted application, has focused on either one or the other.

2. CHANGE

CHESS will propose and evaluate models and methodologies that facilitate the necessary adaptations and evolution as well as empower users towards adoption of connected and coordinated care models. Change is complicated in healthcare because of the need to sustain a service which has severe resource limitations as well as being very fragmented with high heterogeneity in and across countries. Therefore in order to implement change to improve healthcare, it is essential to:

a)identify the barriers which are in the way of change,
b)that the patient and clinician needs are met,
c)users of the service must be empowered to accommodate new ways of acting in the healthcare system.

CHESS will achieve this through 3 research projects that focus on the patient perspective from a lifestyle and technology focus and from a clinician perspective with an educational focus.

3. Data

CHESS will investigate, develop, and evaluate new algorithms and models to support the acquisition to exploitation lifecycle for â€œdataâ€ in Connected Health applications. Data must be sourced and captured at all points in the care pathway from all players and relevant extrinsic elements. This data, often â€œbig dataâ€, must be aggregated and integrated with a view to its ultimate delivery in a valuable format to either the patient, a healthcare professional, a policy-maker, an informal care-giver, or a health system manager. CHESS will consider the tasks and projects that represent the current needs for data in Connected Health. There are key issues that arise at the different stages in the Connected Health data lifecycle and CHESS will investigate novel methods for data acquisition such as non-invasive measurement of parameters traditionally requiring invasive or intrusive techniques. CHESS will also investigate new algorithms for more accurate processing and better understanding of Connected Health data, such as large volume or â€œbigâ€ data techniques. CHESS will use the findings of the research to assist in the development of public health policies by gaining better understanding around the implications of data.

4. Sustainability

CHESS will design, develop, deploy and evaluate new business and revenue models for sustained Connected Health. Connected Health has the potential to transform society by delivering a smarter, more efficient approach to health and social care. To promote the adoption of Connected Health globally, coordinated programmes of research and analysis must show the economic viability of Connected

Work performed

All of the work packages have been progressing well. There were minor changes to the research work packages that do not adversely affect the overall project or the deliverables and this was due to a delay in recruitment that was swiftly resolved. These recruitment delays were unavoidable and the effects have been monitored and mitigated. The governance structure and reporting processes were quickly implemented at the start of the project and are being maintained throughout this period. Shared repositories and clear communication structures were implemented. A brand for the project was created with an online presence through social media and a website. Reporting templates and marketing collateral have been designed and shared across the consortium for both supervisors and ESRs. All training networks to date have taken place and all ESRs have been registered for a PhD within their relevant academic organisation. All ESRs have completed a Personal Career Development Plan and have had regular Doctoral Studies Panel meetings. In addition, 6 monthly meetings have been offered to the ESRs with the Project Coordinator and Programme Manager. A consortium agreement is in place and all committees have been held. The mid term review meeting took place in June 2017 with positive feedback and recommendations that have been considered and implemented where possible. All metrics for training and dissemination have been monitored and are all very positive. An IP process has been implemented and is running successfully. Articles have been shared through OpenAire and will continue to be so. All deliverables and milestones due for this period have been met.

Final results

\"CHESS is providing a research and training network that will enable all 15 ESRs to gain both a PhD in a specialised area but will also provide them with additional future career strengths through the broad research and training provided in Connected Health by CHESS. The delivery of transferrable skills and innovative training techniques such as the \"\"health hack\"\" and Connected Health Index will further enhance the development of these ESRs. The secondments will also give the ESRs exposure to the different sectors that are needed in Connected Health.

CHESS is developing the next generation of Connected Health Champions that will be better equipped and trained to fully engage in a multi-stakeholder Connected Health ecosystem. This will have a significant impact on future models of health and social care.
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