Workshops and interviews with clinicians, carers and patients have been conducted to elicit initial user requirements for the PICASO system.
To fully understand the challenges and possibilities for improving the ways information and data are generated, stored and shared among stakeholders, a first step in PICASO has been to identify current patient pathways, clinical use cases and clinical workflows of the two trial sites. This includes the kind of patient data that are generated, how and when data are shared, and between whom in the two trial sites.
Through workshops and interviews, clinical partners, carers and patients have helped map current practices and suggestions as to where practices could be optimised and supported by PICASO. These recordings have been developed into vision scenarios and To-Be use cases, describing activities and application functionalities from which technical requirements can be withdrawn.
Using the system
To gain a better understanding of user interaction with PICASO services, vision scenarios have been created, using personas. The vision scenarios describe a mainstream story of a patient being referred from one physician to another for diagnosis, treatment or (physio-)therapy.
PICASO’s role in support of this process for all stakeholders involved is described in detail, particularly when it pertains to an integrated care approach. The scenarios describe how different stakeholders can access and share relevant patient data via the PICASO platform based on their roles and associated access rights. They illustrate how the PICASO platform enables cross-management of documentation and care plans, and that the patients can be enrolled in a remote monitoring scheme and be supported in keeping track of their daily treatment schedule e.g., for medication adherence.
Improving the procedures
Another method used is the development of To-Be use cases from current practice. Handover procedures and data exchange between clinicians and between clinician and patients and/or informal carers are mapped to identify possible improvements in the procedures enabled by the PICASO system. Additional To-Be use cases offer new ways to collect patient data such as from remote patient monitoring to assist clinical care.
The To-Be use cases describe the envisioned PICASO enabled solutions for optimising the existing clinical workflows in the two trials and for data handling and sharing between different specialists and between specialist and patients and, if applicable, their informal carers.
Specific user and technical requirements are elicited from the To-Be use cases and fed into the development of the technical architecture of the PICASO platform. Refining and adding requirements will take place continuously and in conjunction with the design of the system.
You can read more about the scenarios, To-Be use cases and initial requirements in the deliverables D2.1 Scenarios and Use Cases for Integrated Care and D2.2 Initial Requirements Report once they have been approved by the European Commission.