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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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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

Conditions
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Polypathology

Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| LICORNE platform<br> | |
| Control<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Increase of the number of DMP for the patient using the plateform. Decrease of early hospital readmission |  | > 15 days | 
| Increase of the number of DMP for the patient using the plateform. Decrease of late hospital readmission |  | 1 month | 
| Decrease of the time ration hospital/home during the 6 month experimentation |  | 6 months |