PICASO at the XIV Congresso Nazionale AIMN 2019

Agostino Chiaravalloti from University of Rome “Tor Vergata” Hospital will present PICASO at the AIMN congress in Rimini, Italy, on 12 April 2019. This year, participants at the AIMN congress will earn Continuing Medical Education (CME) credits and is therefore very exciting to be able to present PICASO in this context. Moreover, audiences will be presented with a questionnaire on PICASO, allowing us to gather a unique insight into how PICASO is received by a wide professional audience.

Project Videos

Two different project videos are currently being produced by a professional film production company, MasterMedia. The film crew was recently in Rome to film interviews with professionals and patients on their experiences with using PICASO for the sharing of care plans and patient data. The video will demonstrate how PICASO helps to overcome the fragmentation of today’s health care systems by providing a data platform that ensures that all relevant information will reach patients and professional caregivers across care sectors on time.

The other project video will be an animation video that will demonstrate the PICASO home-monitoring solution from the patient perspective and how it supports patient adherence to the care plan. The video will demonstrate the PICASO tools that ensures an active inclusion of the patient as well as an easy way to communicate with other healthcare professionals based on safe data transfer.

Webinar: The PICASO Innovative Solutions for Integrated Care, Tuesday 26 March 2019

The PICASO project is in its final stages with only three more months to go and we are eager to share the accomplishments of the project. We would therefore like to invite you to join us at our interactive webcast: The PICASO Innovative Solutions for Integrated Care

This first of two webcasts will be aired live on 26th March 2019 at 10:00CET.

To follow the webcast click here.

In this link you can also see the agenda and speaker profiles, the slides they present and you can pose questions to the speakers by filling in the feedback form. After that date you can access and see the archived version here: https://in-jet.public-i.tv/core/portal/home.

In this post you can read more about the PICASO results that will be presented and discussed at the webcast. We hope that you will join us on the 26 March.

Agenda Tuesday 26 March 2019, 10:00-11:30CET

Meeting Subject: The PICASO Innovative Solutions for Integrated Care
Venue: Webinar broadcast from Fraunhofer FIT, Sankt Augustin, Germany
Date: Tuesday 26 March 2019 @ 10:00CET

 

Time

Webinar:

The PICASO Innovative Solutions for Integrated Care

10:00 Welcome to the PICASO Project

           by Carlos A. Velasco, Project Coordinator, Fraunhofer FIT

Webinar presentations introduced and moderated by Jesper Thestrup, In-JeT ApS

10:05 PICASO Technical Overview and Architecture

            by Peter Rosengren, CNet Svenska

The PICASO platform enables sharing of a patient’s complete care pathways with tools to establish health status, predict risks and adjust care. By monitoring physiological parameters at home, patients can actively participate in their own care. The result is better management of co-existing diseases and coordination of care plans across organisations.

Q&A session
10:20 The FHIR Platform as an Interoperability Basis – Clinician Dashboard Overview

            by Carlos A. Velasco, Fraunhofer FIT

PICASO provides a HL7 FHIR (Fast Healthcare Interoperability Resources), enabled integration platform for sharing a patient’s complete care pathways across multi-actor care spaces. A Clinician Dashboard provides an integrated user interface to the main clinical functions and tools.

Q&A session
10:35 Web-based Technologies Employed in Integrated Data Visualisation

            by Jan Hreno, Technical University of Kosice

A Data Resource Browser and a Patient Data Viewer are provided to the care professionals to enable intuitive and quick search and browsing of patient data in distributed data repositories.

Q&A session
10:45 The PICASO Risk Manager and DIVA

             by Armanas Povilionis, Fondazione Universitaria Inuit Tor Vergata

The risk manager provides patient specific risk estimates at a clinician’s fingertips. Risk scores from standard risk charts as well as novel risk scores that use machine learning to fuse data from an entire patient’s history into a single integrated risk score in one single tool. A Distributed Validation Authority (DIVA) ensures that data are only shared if all policies and transaction specific privacy and security requirements are met.

Q&A session
11:00 Patient Dashboard

            by Matts Ahlsen, CNet Svenska

PICASO implements a number of services to allow for patients to be able to self-manage their diseases and monitor different vital signs under the supervision of formal as well as informal carers. This includes software for connecting home monitoring devices, accessing external cloud services and a Patient Dashboard for visualising vital signs and provide a diary for activities.

Q&A session
11:15 Summary and final comments
11:30 End of webinar

Presentation Abstracts

The following five topics will be presented at the workshop that will be webcasted live on 26 March 2019.

PICASO technical overview and architecture
Presented by Peter Rosengreen, CNet Svenska AB

The PICASO integration platform is built on a federation of multiple external and internal cloud solutions in order to match the needs of future care provision, while still respecting the legacy structure of today’s health care systems. The platform consists of three major cloud subsystems:

  • Multiple legacy care information systems, each operating as a private cloud or cloud-like internal business structure with strict access control and limited access rights, including secure storage of patient data. The PICASO care management system (for creating care plans) is located inside the secure private cloud due to the need for accessing multiple critical data repositories
  • The PICASO integration platform operating as a public cloud solution and providing the central integration service platform, such as management of secure data exchange between the multi-disciplinary actors, secure data collections from patients’ homes, and secure execution of care plan services
  • Multiple patient and environment monitoring systems running in the patients’ homes. Each of them exposes cloud web services and are thus regarded as the patient’s ‘private cloud’.

The FHIR platform as an interoperability basis. Clinician Dashboard overview
Presented by Dr Carlos A Velasco, Fraunhofer Institute for Applied Information Technology FIT

This presentation will describe how we use the HL7®/FHIR®© standard to leverage our platform by enabling interoperability across distributed data sources coming from different health institutions and service providers. The project has developed the Reference Data Server (RDS), which is built upon a scalable NoSQL database that supports data clustering. The Reference Data Server offers a standard REST interface (also based upon the FHIR specification), supporting the extensibility of the functionality for different target groups.

Within PICASO it is used to store standard and customised code systems and value sets, medications, and templates that support the creation of services for patient care plans.  The Clinician Dashboard is part of the PICASO Integrated Care Platform, providing a tool for sharing patients’ care plans across multi-actor care spaces from different institutions and service providers. The platform dynamically adjusts the content and management of the delivered care services, to ensure that they are always adapted to the patient’s personal health status and ability.

Web based technologies employed in integrated data visualisation (Data Resource Browser, Patient Data Viewer)
Presented by Jan Hreno, The Technical University of Kosice

Several aspects of clinical data browsing were considered for combining available visualisation technologies to present information to a clinical professional. The requirement for a quick overview is met by presenting an interactive mind map-like structure with the patient in the centre and providing the latest available observation values as nodes related to the patient. Tables, charts and timelines are then used to further investigate available data in detail, including historical data if available. Different time-specific data can be also compared on one common timeline, if needed. The developed visualisation tools provide plenty of features that support clinical professionals, creating an overview of the health status of patients with comorbidities, thus explicitly recognising possible conflicts in the treatment plan

The PICASO Risk Manager and DIVA
Presented by Armanas Povilionis, Fondazione Inuit Tor Vergata

The Risk Manager provides patient-specific risk estimates at the clinician’s fingertips. A selection of risk scores from standard risk charts as well as novel risk scores that use machine learning to fuse data from the entire patient history into a single integrated risk score  are deployed in one single tool. This includes the effect of co-morbidities as well as genetic, social and behavioural data. Such an integrated simulation tool allows the clinicians to explore with their patients what lifestyle changes will have the strongest impact on improving outcomes.

DIVA (DIstributed Validation Authority) ensures that data is only shared if all policies and transaction-specific privacy and security requirements are met. DIVA is combination of three components: Access Manager, Identity Manager and Policy Manager which ensures the following:

  • A secure connection to the PICASO Public Cloud and secure communication between Public and Local Clouds
  • That all actors are identified and authenticated while accessing PICASO services and that access to data is gained only if all necessary requirements are met
  • That data transactions are valid and compliant with pre-defined consent policy rules

Patient Dashboard
Presented by Matts Ahlsen, CNet Svenska AB

Measuring and monitoring of physiological parameters at home have clinical benefits and positive effects on the quality of life for chronic patients, because patients can play a more active role in their own care. The PICASO patient solution entails an easy-to-use dashboard where patients can measure important physiological parameters and monitor their health status for increased knowledge, a better overview and more control. The main functions include:

  • Care plan diary with schedules for medication intake
  • List of health measurements to do
  • List of clinical appointments
  • Integration of multiple care plans for easy overview and adherence
  • Sharing of monitored data with relevant stakeholders based on informed consent.

We hope that you will join us on 26th March 2019 at 10:00CET.

The PICASO Innovative Solutions for Integrated Care

Invitation

The PICASO project invites you to join this webinar where you will see innovative ICT solutions for care plan interoperability across care organisations, technologies for browsing for and visualising clinical data located across the care spectrum as well as risk management and patient interaction for remote monitoring.

Participants – who should attend?

This webinar is intended for Software Architects, Design Team Leaders, Project Engineers and Development Managers involved in software planning and development for integrated healthcare solutions. It is also intended for clinical users, physicians, healthcare authorities wanted to get acquainted with the newest technologies for care management.

All the listed speakers and other participants of the PICASO project as well as invited researchers from Fraunhofer FIT will be physical present in the webinar room during recording.

After each session, the speakers will take questions and discuss short topics with the audience.

Information and directions for how to watch the webinar

The webinar will be broadcasted live and from the archive via the internet and can be seen in a standard browser-based player. All common players are supported and no special plugins are needed.

The player will show the video and sound from the meeting, the name of the speaker, the slides presented and the topic discussed. Contextual information in the form of relevant documents and links are also presented.

During the live webinar streaming, the viewers will be able to pose questions to the speakers directly in the webinar player. The moderator will read the questions as they arrive.

Both live and archived versions of the webinar will be available here: https://in-jet.public-i.tv/

The live webinar will be available on 26 March at 10:00 CET. The archived version will be available from the same site until December 31, 2019. The entire webcast can be downloaded from the archive.

The physical venue will be at the Fraunhofer Institute for Applied Information Technology, Schloss Birlinghoven, 53757 Sankt Augustin, Germany.

Information on the speakers

Information of the speakers is found in the webcast when you click on the speaker name.

Organisers

The webinar is organised by the PICASO project, a research project funded under the EU H2020 Framework for Research and Innovation.

You can contact the organisers in the following way:

  • Questions about the project and the content: Carlos A. Velasco – carlos.velasco@fit.fraunhofer.de
  • Questions about the webinar form: Jesper Thestrup – webmaster@public-i.dk
  • General information about the project: www.picaso-project.eu

Copyright and acknowledgements

All copyrights for this presentation are owned in full by the PICASO Project.

Permission is granted to print material published in this presentation for personal use only. Its use for any other purpose, and in particular its commercial use or distribution, is strictly forbidden in the absence of prior written approval. PICASO has received funding from the European Union’s Horizon 2020 Framework Programme for Research and Innovation under Grant Agreement No 689209. Possible inaccuracies of information are under the responsibility of the project. This presentation reflects solely the views of its authors. The European Commission is not liable for any use that may be made of the information contained therein.

Workshop: Models for management of multi-morbidity

UDUS will host and run a workshop for professionals (clinicians, IT, and others) to present and discuss how PICASO can contribute to a harmonisation of treatment plans for patients with multiple co-morbidities. The PICASO solution to optimise the management of multiple treatment plans will also be presented and discussed and participants will learn first-hand about the first results from the trial run by UDUS.

The workshop takes place on 6 February 2019 from 15:00-18:00 at UDUS. The workshop will be conducted in German. If you are interested in participating please contact: picaso@rheumanet.org

Agenda:

Time Topic Speaker
15:00-16:00 Introduction to PICASO background

Demonstration of the platform

UDUS & consortium partner
16:00-16:30 Presentation of the first results UDUS
  Coffee break  
17:00-18:00 Discussion – How does PICASO contribute to harmonization of treatment plans and how can the management be further optimized?  

 

Patients and clinicians are now actively using PICASO in the first trial deployment

After careful and rigorous testing of PICASO, the trial run by the Department of Biomedicine and Prevention, University Tor Vergata of Rome, Italy, enrolled its first patient on 28th march 2018. The first patient in the PICASO trial is 63 years old and has 8-year history of Parkinson’s disease. The patient is now actively using wearable and other devices for home monitoring of important health parameter and sharing the data with the trial clinicians via PICASO.

The PICASO Patient Dashboard

The first step in preparation for deployment with a patient was for the trial physician to define the patient’s unique care plan using the Care Plan Manager component in the PICASO Clinician Dashboard. The care plan is transferred to the Patient Dashboard in the form of a diary that gives the patient an easy overview of the actions he/she must complete at specific times during the day, such as taking blood pressure before breakfast and confirming medical intake at certain times during the day etc.

In a meeting with the patient and his family members, the trial clinician, Dr. Agostino Chiaravalloti, gave a careful instruction and tutorial in how to use PICASO and the home-monitoring devices. The patient then did a complete test of the solution and its functionalities under the supervision of Dr. Agostino Chiaravalloti. The patient and his family members were very positive about the solution and immediately saw a benefit in how PICASO can support correct drug intake with the diary and reminder functionalities.

 

Information about the UDUS trial is now available on the World Health Organisation’s Meta-registry

The PICASO trial in Germany, run by The Policlinic of Rheumatology & Hiller Research Unit at the Heinrich-Heine University Düsseldorf (UDUS), has been registered with the Deutschen Register Klinischer Studien (DRKS) and has been submitted to WHO. It is now searchable via WHO’s Meta-registry. Search for “A Personalised Integrated Care Approach for Service Organisations and Care Models for Patients with rheumatoid arthritis and cardiovascular comorbidity” at http://apps.who.int/trialsearch/ 

PICASO at WIKT 2017

Project partner TUK gave a presentation on PICASO at the  WIKT – 12th Workshop on Intelligent and Knowledge oriented Technologies 2017. The presentation, entitled “SW platform for heterogeneous health care data integration” was given by Marek Skokan in the first session on 30 November 2017.

The WIKT workshop took place in Kosice, Slovakia, on 30 November – 1 December 2017. See the programme here.

TUK’s presentation is available for download from the knowledge centre.

PICASO at ICCST 2017

PICASO partner INUIT presented the paper “Understanding and granting Android permissions: A user survey” at the 51st International Carnahan Conference on Security Technology (ICCST 2017) on 25th October 2017, in Madrid, Spain. The presentation is available for download via the knowledge centre.

The ICCST paper is titled: “Understanding and granting Android permissions: A user survey”. PICASO representatives from INUIT are co-authors of the paper and have drawn on their experiences from the development of Apps to patients and their informal carers who will participate in the PICASO trials. The paper focuses on how users consider, interpret and react to differences in app permission information which is provided at three different instances of the app installation cycle. This issue is very relevant in the PICASO context as the App for the PICASO home-monitoring solution will transmit patients’ health data to the PICASO platform. Although all patient data in PICASO will be pseudonymised and will otherwise comply with the applicable data protection regulations, it is important from an ethical perspective that users fully understand what the permission entails and why it is necessary.

Christian Schunk, INUIT, presented the paper in Session S6B: Access Control, Wednesday 25 October 2017. The presentation discussed the study described in the paper followed by a presentation of PICASO focusing on the App and home-monitoring components used in the PICASO trials.

Article abstract:

“Whenever users install a new application on their smart devices with an Android KitKat or Lollipop operating system they are asked to grant the application (app) provider access to features of the device, ranging from data storage to device location and from device identity to the users personal contacts. The implications on users’ privacy and security are significant and therefore the users’ ability to give informed consent is highly important. Previous work has identified low rates of user attention and comprehension to permission warnings and concluded that these fail to inform the majority of users. Here we focus on how users consider, interpret and react to differences in app permission information which is provided at three different instances of the app installation cycle: 1. Before installation in the Google Play Store 2. During the installation process 3. After installation in the Application Manager. The information provided in these instances varies considerably in its granularity and detail. For this purpose, an online survey was developed in which users were asked questions regarding the installation of a mirror app whose main functionality is to use the user facing camera of the phone to mirror the users face (i.e. display an image of the face) on the phone’s screen. The survey participants were shown screen shots of the app description as presented in the Android Market store as well as of the various permission lists as they appear on the screen of the phone. The questions focused on the respondents’ perceptions and their hypothetical choices with regard to the installation of this app. Results show that the various presentations of permission information in Android versions KitKat or Lollipop cause concern and irritate a majority (51.67%) of users, especially those with some basic IT expertise. We conclude that the contextualization of app features and functionalities with the corresponding permissions needs to be improved especially for users with little IT expertise. Further user permission information should be made available at different
and consistent levels of granularity.”

The 51st International Carnahan Conference on Security Technology (ICCST 2017) was held from 23-26 October 2017, in Madrid, Spain.

Presentation of the UDUS Trial at the DGRh 45th Congress in Stuttgart, Germany

The UDUS trial was presented at the German Society for Rheumatology (GDRh) 45th Congress in September 2017.

PD Dr. Jutta Richter presented the UDUS trial in the Investigator Initiated Trial (IIT) poster session at the DGRh Congress. The poster presentation, “Design of an Information and Communications Technology Platform to Support Coordination of Care for Rheumatoid Arthritis Patients with Cardiovascular Co-morbidities”, describe the main objectives, challenges and results to date of the PICASO trial run by UDUS. Screen shots of the Patient Dashboard and Clinician Dashboard developed by the PICASO team were illustrated in the poster.

 

 

 

Poster Presentation at EULAR 2017

The PICASO trial run by project partner UDUS was presented at the Annual European Congress of Rheumatology (EULAR) in Madrid, Spain, in June 2017. The poster presentation focused on the experiences and knowledge gained so far in developing the PICASO platform and setting up the UDUS trial. The trial will implement and demonstrate the technical solution developed in the project and it will involve 30 patients with Rheumatoid Arthritis and cardiovascular co-morbidities.

The paper entitled “Design, development and implementation of an information and communications technology platform to support coordination of care for patients with Rheumatoid Arthritis and cardiovascular co-morbidities – first experiences” was presented at EULAR by PD Dr. Jutta Richter, UDUS, Policlinic of Rheumatology.

The presentation abstract is available from the EULAR Abstract Archive here.

Download the EULAR 2017 Poster.