Compendium of Health Telematics Projects 94-98 (Draft)
| Project code: | HC 1040 |
| Project value: | 5301.0 KECU |
| EC contribution: | 3505.0 KECU |
| Number of partners: | 30 |
| Number of countries: | 8 |
| Duration: | 36 months |
| Starting date: | Jan 12, 95 |
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| Contact: |
Mr Colin Gordon
Royal Brompton Hospital
Information Dept
Sydney Street, SW3 6NP
1200 London
UK
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| Tel: | 44 171 351 8706 |
| Fax: | 44 171 351 8743 |
| E-mail: | c.gordon@rbh.nthames.nhs.uk |
| Web Site: | |
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Overview
There is a wide consensus between healthcare professionals that unacceptable delays occur in the implementation of new standards for 'best practice'. This problem is common to the everyday practice of healthcare professionals throughout Europe and results in poor quality of care and wasted resources. PRESTIGE has addressed this problem by the use of clinical guidelines and protocols which have been shown to be effective in improving the healthcare process in terms of quality, efficiency and outcome. The project used healthcare telematics technology to assist in the generation, dissemination and routine application of guidelines, and thus bridge the gap between medical research and everyday clinical practice. To support the use of clinical guidelines and protocols, PRESTIGE has verified and piloted a set of integrated technologies that build on experience and expertise gained during the 1991-1994 AIM programme together with other leading European professional, governmental, clinical, industrial and specialist participants. The outcome of PRESTIGE is an installed and sustainable healthcare telematics infra-structure that supports the dissemination and application of research based and consensus based guidelines that in turn support best practice standards for routine clinical care.
Purpose and objectives
The PRESTIGE project comprised a group of applications demonstrating an integrated telematics technology for supporting the dissemination and application of guidelines and protocols in healthcare. As shown in Figure 1, the project comprised Workpackages delivering generic technologies and services, and Workpackages in 5 different healthcare specialties linking these common interoperable resources into installed hospital information systems and leading European commercial GP systems, to create applications linking primary, secondary and tertiary healthcare sectors. Validation has been performed at hospital and GP sites in Denmark, Germany, Italy, Netherlands, Portugal and the UK. The guidelines implemented covered diagnosis and management tasks for angina, anticoagulant therapy, asthma, lower back pain, cervical cancer screening, diabetes (non-insulin-dependent), epilepsy, influenza vaccination, neurosurgery and transient loss of consciousness.
Objectives of the application developers included:
- Working with clinical professional and national bodies which author and disseminate clinical guidelines.
- Working with healthcare professionals and organizations to design applications for disseminating and applying agreed guidelines.
- Integrating PRESTIGE generic technology with local and legacy technology infrastructures (e.g. leading national commercial GP practice clinical management systems in UK, NL, IT, DK).
- Validating the technology in applications in real clinical contexts.
Objectives of the technical developers involved:
- Creating a unified PRESTIGE conceptual model and architecture, unifying the 3rd Framework results obtained in protocol knowledge representation (DILEMMA), act management (NUCLEUS), terminology modelling (GALEN).
- Developing a Guideline Authoring & Dissemination Tool (GAUDI) to support the creation and editing of protocols that conform with the Generic Protocol Model.
- Integration of PRESTIGE components into legacy systems.
- Supplying a centralised service for populating terminology servers with clinical terms from each of the clinical scenarios.
Results
PRESTIGE has produced the following products:- PRESTIGE Models and Architecture
- Guideline and Protocol Model
- Electronic Patient Record
- Enterprise Model
- Semantics Model
- PRESTIGE Architecture
- API definition for legacy systems
- PRESTIGE Off-Line Tools and Resources
- GAUDI: Guideline Authoring and Dissemination Tool [incoporating use of the GALEN Core Reference Model]
- PRESTIGE Runtime Generic Components
- Protocol Manager
- Act Manager
- Electronic Patient Record
- Knowledge Management Server
- Enterprise Manager
- Legacy System Integration Manual
- PRESTIGE Telematics Dissemination Resources for Clinical Guidelines and Protocols
- PRESTIGE Tools, materials and services (including other selected PRESTIGE products) freely available and downloadable from PRESTIGE sites on the WWW.
- PRESTIGE Telematics Applications for Clinical Guideline Implementation
List of deliverables
Year 1
- Business Process Re-Engineering Analysis of the Cardiology and Diabetes Sub-Projects (7/R)
- Build Specifications & Interfaces (13/R)
Year 2
- Dissemination Plan detailing how the project will disseminate results (14/P)
- Resource Management & Protocols Report (20/R)
- PRESTIGE Final Model (19/R)
- PRESTIGE Final Architecture (19/R)
- Protocol Authoring Tool (GAUDI) for editing and updating protocols (19/R)
- Cardiology Sub-Project Integration and Testing Report (21/R)
- Oncology Sub-Project Final Report (24/R)
- Diabetes Sub-Project Integration and Testing Report (22/R)
- Primary Care Sub-Project Integration and Testing Report (23/R)
- Neurology Sub-Project Integration and Testing Report (25/R)
Year 3
- Consolidated Report of Server Technology (31/R)
- Cardiology Sub-Project Demonstration Report (31/R)
- Diabetes Sub-Project Demonstration Report (33/R)
- Quality Assurance Final Report (34/R)
- Technology Procurement Final Report detailing the success of integration into legacy systems (34/R)
- Technology Implementation Plan (36/R)
- Protocol Authoring Service Final Report (36/R)
- Terminology Population and Mediation Final Report (36/R)
- Primary Care Sub-Project Demonstration Report (36/R)
- Neurology Sub-Project Demonstration Report (37/R)
List of participants
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