Public procurement notice: Voluntary Ex Ante Transparency Notice
Published: 2022-12-14
Buyer: Health Service Executive (HSE)
Country: IE
Contract type: Services
Procedure: Contract award without prior publication
CPV classification: 85100000: Health services | 85120000: Medical practice services

Technical requirements: This project centres on an integrated virtual case management of patients with multimorbid chronic disease in the community. It is a joint initiative between Enhanced Community Care programme together with specialist chronic disease ambulatory hubs partnering with Caredoc, through the use of virtual case management by trained triage nurses combined with remote patient monitoring, to support patients with multimorbidity to live more independently and reduce their episodes of deterioration.
This project will focus on the integration and expansion of the established SMILE 1 service with the ambulatory care hubs so that the learnings and support from SMILE 1 can be utilised and maximised to further strengthen patient outcomes.
This project centres on an integrated virtual case management of patients with multimorbid chronic disease in the community. It is a joint initiative between Enhanced Community Care programme together with specialist chronic disease ambulatory hubs partnering with Caredoc, through the use of virtual case management by trained triage nurses combined with remote patient monitoring, to support patients with multimorbidity to live more independently and reduce their episodes of deterioration.
This project will focus on the integration and expansion of the established SMILE 1 service with the ambulatory care hubs so that the learnings and support from SMILE 1 can be utilised and maximised to further strengthen patient outcomes.
International research shows that virtual case management services are best integrated with the clinical service structure, and not created as a standalone service. Hence to build on the SMILE 1 project success and scale up the service integration with chronic disease ambulatory care hubs is now necessary. The project now being proposed would be an integrated project between Enhanced Community Care chronic disease ambulatory hubs and Caredoc, to use the expertise gained in the SMILE 1 project to expand the service to an additional 300 patients and transition the current SMILE 1 cohort to the new service. The appropriate high need patients would be identified through chronic disease ambulatory care hubs and GPs.  The experienced Caredoc triage nurses would work in partnership with the newly recruited chronic diease hub Clinical Nurse Specialists to identify and stratify patients from the population that would need this more intense case management support and to provide it in an efficient way through virtual enablement.
The system utilised by Caredoc in their delivery of the SMILE 1 project will be extended to the chronic disease hub specialist staff, thereby giving visibility of all patients that have been enrolled and their ongoing health dat
This project will focus on the integration and expansion of the established SMILE 1 service with the ambulatory care hubs so that the learnings and support from SMILE 1 can be utilised and maximised to further strengthen patient outcomes.
•       They already have a cohort of trained telephone nurses employed , who are experienced in multimorbidity management .
•       These nurses are familiar with the SMILE 1 methodology and clinical processes which this programme is using , this will enable rapid commencement
•       It is essential that there is  no training or  recruitment by the contractor as the Slaintecare  project must start in January 2023
•       There is already a cohort of a 150 multimorbid patients receiving this service though Care doc who must be transitioned to the new integrated service  seamlessly , avoiding clinical risk and ensuring continuity of care
•       Care doc provides primary care out of hours triage to large areas of the country already and has established links with GP referrers , which is essential to gear up the Slaintecare project rapidly
•       They have a proven track record of delivering case management services to multimorbid patients
•       They are the only company known to either Primary Care Strategy or Clinical Programmes that meet all of the above essential criteria
1.       Empower and support citizens in new ways to proactively self manage their care leading to improved patient outcomes


Winner: Caredoc,