Interest of the Use of the Web Platform LICORNE (LIaison and COoRdination With a NumériquE Health Reseau) Concerning Coordination of Care for Dependant Elderly Patients

Polypathology Clinical Trial

— LICORNE  

Official title:

Interest of the Use of the Web Platform LICORNE (LIaison and COoRdination With a NumériquE Health Reseau) Concerning Coordination of Care for Dependant Elderly Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02809417
• Other study ID #: 14-PP-17
• Status: Completed
• Phase: N/A
• First received: June 20, 2016
• Last updated: September 22, 2017
• Start date: January 28, 2016
• Est. completion date: January 5, 2017

Study information

• Verified date: September 2017
• Source: Centre Hospitalier Universitaire de Nice
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This project is associating partners from the public area (university hospital of Nice, Nice university) and the private area (Agfa Health Care, Radhuis, Domicalis) to create a unique medico-psycho-social shared record.

The purpose of this project is to significantly improve coordination of care, especially between hospital and home. We can expect a significant improvement in the patient's living conditions, improving its management, its security and ultimately, lower health care costs.

Description:

The LICORNE project was created to give the possibility for the medical establishments to share there medico-psycho-social informations with all actors taking part of the patient care. Indeed, current informatique systems in medical establishments have an isolated functionning, without transmission of information outsite the wall of the hospital. The idea of this project is to bring together all actors involved in the care of a patient around a single shared patient record, regardless of the structures where professionnals work. This project is associating partners from the public area (university hospital of Nice, Nice university) and the private area (Agfa Health Care, Radhuis, Domicalis) to create a unique medico-psycho-social shared record. The informations will be share between all the professionnal taking car of the patient.

The main objective of this protocol will be to determine the impact of using the LICORNE platform on the coordination of care of elderly patients with multiple diseases. We will assess the impact of using the LICORNE platform on the implementation of electronic health record (Dossier Médical Partagé, public health insurance of the social security), and the benefit of using the LICORNE platform to reduce patient's hospital readmissions.

The purpose of this project is to significantly improve coordination of care, especially between hospital and home. We can expect a significant improvement in the patient's living conditions, improving its management, its security and ultimately, lower health care costs.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 57
• Est. completion date: January 5, 2017
• Est. primary completion date: January 5, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 60 Years to 100 Years

Eligibility

Inclusion Criteria:

• Age> 60 years

• multiple pathologies : having at least two active chronic conditions.

• Polypharmacy : having at least 4 different molecules in its treatment.

• Dependence : GIR 4 or equivalent and less before hospitalization.

• Need medical care at home at least 5 days a week .

• Patient requiring social intervention ( this criterion of judgment is left to the social worker in the patient's file)

Exclusion Criteria:

• Life threatening pathology during current hospitalization .

• Patients undergoing a hospitalization home service .

• Patients without administrative or judicial freedom if the authorization of the legal representative can not be collected.

Related Conditions & MeSH terms

• Polypathology

Locations

Country	Name	City	State
France	CHU de Nice	Nice

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier Universitaire de Nice

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Improvment of the coordinnation around the patient defined by a change of at least one point on a 6 points Likert scale		6 months
Secondary	Increase of the number of DMP for the patient using the plateform. Decrease of early hospital readmission		> 15 days
Secondary	Increase of the number of DMP for the patient using the plateform. Decrease of late hospital readmission		1 month
Secondary	Decrease of the time ration hospital/home during the 6 month experimentation		6 months