%0 Conference Paper
%B Italian Forum of Ambient Assisted Living (ForItALL)
%D 2018
%T Implementation of a multi-specialized electronic health record for managing cardiological rehabilitation paths
%A Simona Anzivino
%A Giuseppe Quaini
%A Valeria Pisetta
%A Paolo Masci
%A Annalisa Bertoldi
%A Giandomenico Nollo
%X <p>Cardiac Rehabilitation (CR) is an intervention for managing the post-acute phase of the disease.<br /> According to international guidelines, it includes three consecutive phases: the first phase, during<br /> the acute period, in the hospital; the second, during a hospitalization or in outpatient, in order to<br /> evaluate and modify the patient's risk factors; the third, outside the hospital setting, is carried out to<br /> change, support and promote a correct lifestyle. To guarantee that all patients have access to the<br /> most appropriate rehabilitation track, it is necessary to create structured paths on the territory and<br /> under a multi-professional patient monitoring. The elective tool for patient-centered management is<br /> the Integrated Care Pathway (ICP). It is oriented to the communication and integration of all actors<br /> involved in patient’s management, requires the identification of a case manager and a team of<br /> health professionals able to manage complexity and comorbidities, and supports patient<br /> involvement. Care pathways as complex as these can be better supported if traditional paper-<br /> based approaches are transformed into interactive systems that use Information and<br /> Communication Technologies (ICT). The introduction of ICP and ICT implies the reconfiguration of<br /> the clinical record that from a repository of the data becomes a multi-accessible tool for the<br /> management of visits and the visualization of the results of instrumental examinations. In order to<br /> translate this concept in the field of the CR at patient’s home, we created a multi-specialist<br /> electronic health record accessible to both professionals (cardiologist, nurse, dietician,<br /> psychologist, sanitary assistant) that make diagnosis, prescribe therapies and physical exercise,<br /> monitor patient’s parameters, and patients, to allow them to consult therapies and results of clinical<br /> exams. We used Agile Methodology to develop this Medical Device (MD) compliant, by design,<br /> with the European laws on MD, Privacy, and Usability. To avoid malfunctions due<br /> to incorrect or incomplete collection of requirements, and to optimize development time, the Agile<br /> continuous process of revision and brainstorming were performed by applying simulation<br /> technologies [6] that allowed us to accelerate substantially the identification and validation of user<br /> interface requirements and to identify and fix potential functional errors. The virtual prototypes<br /> reproducing the functionalities and the visual appearance of the system were subjected to the CR’s<br /> multidisciplinary team of Azienda Provinciale per i Servizi Sanitari di Trento (professionals,<br /> engineers, etc.) involved in the project during several “sprint phases” as an alternative tool to the<br /> static mock-ups. All this led to the implementation of a MD validated by design.</p>
%> https://haslab.uminho.pt/sites/default/files/masci/files/foritaal_2018_paper_6.pdf