Initial Project Information: PRESTIGE
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Updated: Jun 3, 97  

PRESTIGE

Patient record supporting telematics and guidelines

[ Coordinator(s) ] [ Participants ] [ Project Objectives, ... ] [ Other Characteristics ]

Project Nr: HC 1040 Group: IV Project Duration: 36 months
Key words:
Category:Faster Implementation of Health Care Standards
Summary: Prestige uses networking and knowledge based systems to assist in the generation, dissemination, and routine applications of guidelines and protocols. This concept, evidence based medicine has been shown to be effective in improving the health care process in terms of quality, efficiency and outcome.
Mission:PRESTIGE is to introduce telematics applications for faster implementation of new standards of best practice in Europe. By these techniques it will assist in the generation, dissemination and routine application of guidelines and bridge the time lag between research and everyday clinical practice. The project will include heart and nervous diseases, diabetes and general practice, mobilising substantial user involvement through national and specialist user groups.
URL: www.rbh.nthames.nhs.uk/rbh/itdept/r&d/projects/prestige.htm

Coordinator(s)

  • Mr. Luis Mario Veloso
    Hospital de Egas Moniz
    Rua Da Junqueira, 126
    P-1300 Lisboa
    Portugal
    tel: 351 13 62 00 50
    fax: 351 13 63 34 09
    m_veloso@individual.eunet.pt
    url:

Participants:

Name of InstitutionCity+Postal CodeCountryRegion
Danish Institute for Health Services Research and Development 1119 Copenhagen K Denmark DK001
Vakgroep Medische Informatiekunde Epidemiologie en Statistiek, Katholieke Universiteit Nijmegen 6500 HB Nijmegen Netherlands NL22
Institut International de Robotique et Intelligence Artificielle de Marseille, S.A. 13013 Marseille France FR82
Landelijke Huisartsen Vereniging 3526 XD Utrecht Netherlands NL31
Medical Informatics Group, Victoria University of Manchester Manchester M13 9PL GB UK82
NHS Information Management Centre (IMG-E) Newcastle Upon Tyne NE2 4AA GB UK13
Royal Brompton Hospital NHS Trust London SW3 6NP GB UK55
DIABCARE Office 80336 Munchen Germany DE22
THETA I.T.S.p.A. 30174 Zelarino Italy IT33

Project Objectives, Summary Description and Anticipated Results

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 addresses 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 will use healthcare telematics technology to assist in the generation, dissemination and routine application of guidelines, and thus will bridge the gap between medical research and everyday clinical practice. To support the use of clinical guidelines and protocols, PRESTIGE will verify and pilot 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.

PRESTIGE is structured into several actions addressing major healthcare specialties including cardiothoracic disease, neurological disease, diabetes and general practice. Substantial user involvement has been assured through national and specialist user groups and renowned healthcare centres. PRESTIGE will make available a common pool of interoperable technologies to these user groups and clinical sites in the following areas:

  • architectures for multimedia patient records
  • act management
  • terminology and multilingual services
  • generic models for representing guidelines and protocols.

The outcome of PRESTIGE will be an installed and sustainable healthcare telematics infrastructure that supports the dissemination and application of research-based and consensus-based guidelines defining best practice in clinical care.

Other Characteristics of the Project:

Users involved
Regional health services, tertiary and secondary hospitals, primary health care centres. Hospital physicians (cardiologists; neurologists and general medical staff), nurses and administrators; GPs and other primary care HCPs.
Technologies and/or approach used
Health telematics for dissemination and implementation of clinical guidelines and protocols. Multimedia electronic patient records, knowledge services, terminology services, act management services, cooperative care planning and protocol-directed care; multimedia-based teleconsultation services.
Expected benefits for the citizen
Improvements in quality and efficiency of care resulting from more effective implementation of research-based clinical guidelines embodying best practice. Improved healthcare organization and service through implementation of cooperative care protocols and patient-centred resource management.
Expected benefits for the users of the application
Helping HCPs to keep up with and implement best clinical practice. Helping HCPs to cooperate in delivering out planned patient care, managing, communication and sharing clinical information. helping healthcare organizations to apply care management policies sensitive to individual patient circumstances.
Expected benefits for the European Industries
The development of a common market for interoperable cooperative care planning telematics products, through a common approach to representing and implementing clinical guidelines and protocols, common architectures for the EPR and HIS, and common electronic messaging and image transfer technology standards.
Contribution to EU-policies
The project will help towards the development of a "knowledge-based health service" in Europe, and thereby the aim of European Information Society, by applying telematic technologies for Europe-wide dissemination and application of best practice knowledge in healthcare.

Validation Sites

Royal Brompton Hospital NHS London Greater London UK
Hospital Egas Moniz, with associated hospitals and GPs Lisbon Lisboa e Vale do Tejo PT
General Practitioners LHV and NHG Utrecht Utrecht
Primary Healthcare Vila Franca de Xira Lisboa e Vale do Tejo PT
Modena Local Health Unit and SIMG Modena Emilia Romagna IT
Primary Healthcare Centres, Northern Regional Health Authority Newcastle Upon Tyne Northumberland, Tyne and Wear UK
Primary Healthcare Centres, Trent Regional Health Authority Nottingham Nottinghamshire UK
Funen County Odense Funen County DK

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