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PAERPA project

Elderly People at Risk of Losing their Independence

Issues

Improving the management of over-75s who are still independent, but whose health is likely to deteriorate.

The PAERPA approach envisions acting prior to hospitalisation by improving primary care and maintaining elderly people’s independence through better cooperation between professionals.

Solution

The DO-Pill smart pill dispenser allows us to:
– Reassure and assist patients who have difficulty taking their medication as prescribed
– Make sure medication is taken as prescribed
– Optimise correct use of medication and act against its side effects

5 Rs rule (Right medication, at the Right dose, at the Right time, administered in the Right way and to the Right patient)

Results

31 pharmacies trained:
– 63.63% of pharmacists were very happy with the training received. The others were happy with the training received.
– Over 80% of pharmacists find it very easy to use DoSup, the monitoring and configuration software for DoPill.
– In total, over 30 patients have used a DO-Pill
– The average compliance rate is 98%

Partners

URPS Pharmaciens de Lorraine [Regional Union of Healthcare Professionals Pharmacists] and ARS Lorraine [regional health agency]

AEIM project

Mentally Handicapped Adults and Children

Issues

Monitoring patients in a home for handicapped adults: Résidence du Parc in Malzéville.
This home provides accommodation and care to handicapped adults who work during the day, in an ordinary working environment, vocational rehabilitation centre (ESAT) or disability-friendly company.

Solution

The DO-Pill smart pill dispenser allows us to:
– Reassure and assist patients who have difficulty taking their medication as prescribed
– Make sure medication is taken as prescribed
– Optimise correct use of medication and act against its side effects

Results

Number of smart pill dispensers used : 4 or 5

Partners

Work carried out in partnership with the town pharmacy: Metzelard Pharmacy in Malzéville.

Prevention project

Elderly of frail people or those living alone

Issues

– Innovating in preventing the loss of independence using new technologies
– Supporting elderly/frail or isolated people at home
– Making the home safe
– Coordinating action by various stakeholders
– Satisfying the government’s desire to reduce healthcare costs
– Offering a practical solution to the growing number of pensioners (60 more people become pensioners every hour in our country).

Solution

– Universal sensors
– Activity sensors
– Expert systems
– Alert management
– 24/7 telephone helpline
– Digitised transmission log (home)

Results

50 homes equipped with the solution by the end of 2018
100 over the course of 2018

Partners

– LORIA [Lorraine Research Laboratory in Computer Science and its Applications], D-Médica, Filien, Kapelse, Médialane, Noviatek
– CARSAT Nord-est [North-East branch of the French Pensions and Occupational Health Fund], CAPS, Conseil Départemental 54 [regional council], mmH, town of Villerupt
– Town of Pulnoy, Grand Est Region, OMH, OHS, Bouygues Bâtiment Nord Est

Carevitae project

Issues

– Proving that their treatment benefits from compliance
– Raising awareness and training pharmacists in managing patients with chronic conditions
– Raising awareness among patients to improve compliance and understanding of issues related to treating their condition.
– Obtaining data from the management programme to pass on to prescribers
– Providing information on the institutional partnership

Solution

– OffiLearning: content written by the CVAO, increase in rates of participation and progress in modules
– Target the pharmacies concerned, and send emails and articles via the portal
– LSO: enrol patients, carry out consultations and monitor patient records
– Occupational Health and Safety Compliance: send SMS messages for prescription refills
– OffiPrest: Administrative management of contracts
– Data: measure the impact of the patient programme and information centres

Results

Operation launched in October 2016

Scope:
– 200 pharmacies
– target of 1,000 patients
– 8 training modules
– 3 annual consultations per patient

Partners

CVAO

TPE project

MDN / GCS

Issues

ETP Pilot is of interest to all organisations that manage or coordinate patients, providing payers with the reporting items required to justify their business.

ETP Pilot can be used by organisations with a TPE programme as well as those wishing to coordinate support programmes (pharmaceutical laboratories, mutual funds, medtech companies, telephone providers, etc.).

Solution

ETP Pilot is a web application that monitors therapeutic education courses.
This solution facilitates the work of coordination teams at these organisations who are faced with demands for quality management, productivity and traceability.

Results

1 GCS customer
17 qualified appointments on 31 August 2017

Partners

MDN (Diabetes and Nutrition Centre)

Lordiamn (Lorraine Diabetes, Metabolic Diseases and Nutrition)

E-Nephro study

Management of chronic kidney disease

Issues

A system for managing patients with chronic kidney disease at all stages (chronic kidney disease, dialysis patients, kidney transplant patients).

Objectives:
– To improve the patient’s health and quality of life.
– To reduce management costs especially in terms of unplanned hospitalisations and consultations

Solution

It is based on tools developed 10 years ago in Lorraine by Diatélic for the Néphrolor (managing patients in the early stages) and Altir (managing dialysis patients) networks, which will be improved and rolled out in two other regions: the North, and Aquitaine.

Results

7 equipped sites: CHRU [Regional University Hospital] Nancy (Nephrology Department – Transplant), CHRU Lille (Nephrology Department – Dialysis – Transplant), ALTIR

368 patients tracked in eNephro and 850 over time

Partners

Equipped sites: CHRU [Regional University Hospital] Nancy (Nephrology Department – Transplant), CHRU Lille (Nephrology Department – Dialysis – Transplant), ALTIR

368 patients tracked in eNephro and 850 over time

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