CAEHR: Enabling optimal and personalized therapy for cardiovascular patients
A lack of communication between healthcare providers often results in a loss of time critical information which in turn leads to dissatisfactory treatment. The digital research hub CAEHR - coordinated by Prof. Dr. Dagmar Krefting, University Medical Center Göttingen - aims to develop and implement a research-compatible electronic patient record (ePA). Ultimately, structured patient data will be collected throughout all aspects of patient care according to uniform standards which can be used throughout the entire diagnosis, treatment and follow-up care process. This will enable more precise prognoses, which in turn can lead to optimized therapies and newly developed care models.
Stroke, heart failure or coronary heart disease - cardiovascular diseases are still the most common cause of death in Germany, despite important advances in treatment. Moreover, these diseases often result in chronic illness. Both, the affected patients and the physicians treating them need to be prepared for long-term, individualized and personalized treatment.
If diagnosed at an early stage, treatment options for cardiovascular diseases are most effective. And this is where CAEHR (CArdiovascular diseases - Enhancing Healthcare through cross-sectoral Routine data integration) – funded by the German Federal Ministry of Education and Research (BMBF) – comes into play.
For patient-centered treatment, CAEHR standardizes and structures health data from outpatient and inpatient care and makes it accessible in a research-compatible ePA to all actors along the entire treatment process (paramedics, nurses, physicians and patients). Thus, CAEHR aims to improve healthcare for patients through the optimized and timely provision of relevant, standardized and structured health information and the establishment of intelligent data-driven services. Over the next four years, CAEHR will test and further develop its digital solutions enabling a better care for cardiovascular patients in the German regions of Hannover/Göttingen, Berlin and Würzburg/Mainfranken. This will be followed by a nationwide rollout of the solution.
During the treatment process, physicians often have limited access to patient data. Thus, CAEHR focuses on the flow of information between the different sectors of the healthcare system on the basis of three use cases: The Use Case "Emergency Care" is dedicated to stroke patients and the interface between acute inpatient and emergency care. The Use Case "Rehabilitation" focuses on the interface between inpatient care and rehabilitation for patients undergoing aortic valve replacements using catheter technology. The Use Case "Outpatient care" focuses on the interface between inpatient and outpatient care for patients with chronic heart failure and coronary heart disease. The three use cases will demonstrate the added value for patients, specialists, scientists and the healthcare system created by CAEHR’s digital solution.
Use Case 1: Emergency stroke care
This use case deals with optimized resource allocation. Relevant patient data which is already generated in the ambulance will be transferred directly to the targeted hospital and emergency physicians will be supported by AI-supported systems in making time-critical therapy decisions.
Use Case 2: Rehabilitation after heart surgery
Individual rehabilitation services are developed in this use case. The documentation will be digital and no longer paper-based. In addition, the interprofessional planning of individual therapies will be improved.
Use Case 3: Outpatient care for coronary heart disease
This use case aims to improve data interfaces through IT solutions. Wearable sensor technology will be increasingly used in the home environment. In addition, seamless documentation in diagnostics and therapy will contribute to strengthen prevention.
The CAEHR project includes a total of 28 collaborative partners and consists of the following nine funded partners:
• University Medical Center Göttingen and Georg-August-University Göttingen • Hannover Medical School • Charité – Universitätsmedizin Berlin • University Hospital Würzburg • Osnabrück University of Applied Sciences • HiGHmed e.V. • Vitasystems GmbH • AOK Lower Saxony • System Vertrieb Alexander GmbH
In addition, numerous institutions from science and industry as well as patient representatives are active partners of the CAEHR project. An overview can be found here.