Project Overview

What is C3 Cloud?

The C3-Cloud project is a 4 year Horizon 2020 Research and Innovation Action project, under call PHC-25-2015 – advanced ICT systems and services for integrated care (total budget of 4,995,000 euros), that started in May 2016, run by a consortium of 12 partners across 7 countries in Europe.

C3-Cloud aims to develop personalised care plans for complex multimorbid patients, supported by ICT tools and managed by a coordinated multidisciplinary team, that promotes integrated care and the involvement of the patient and/or caregiver.

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 689181.

Pilot Sites

The C3-Cloud solution is being piloted in 3 European regions in the UK, Spain and Sweden.  

South Warwickshire

South Warwickshire NHS Foundation Trust was formed in March 2010 and provides hospital services to South Warwickshire from four hospitals: Warwick Hospital, Leamington Spa Hospital, Stratford Hospital and Ellen Badger Hospital. The Trust employs 4,901 members of staff and delivers services to half a million people across Warwickshire. In addition Young People and Family services are provided in Coventry and Solihull.  The Trust also delivers out-of-hospital community services to the whole of Warwickshire serving a population of more than half a million from various clinics.

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Basque Country

Osakidetza is the public healthcare service of the Basque Country, a region located in the north of Spain.  More than 30,000 professionals work for Osakidetza, which could be considered the biggest organization of the Basque Country. Osakidetza has a target population of 2.17 million inhabitants, where in 2015 more than 20% of the total population was 65 or older. 100% of Basque population has been stratified since 2010.

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Region Jämtland Härjedalen

RJH’s legal status is a County Council. Its main responsibility is primary and secondary healthcare, as well as regional development in a region of approximately 130,000 inhabitants. RHJ also works with preventative measures and dentistry. Secondary healthcare is carried out at  Östersund Hospital – where there are 416 beds and 51 out-patient clinics. Primary healthcare is carried out in 28 locations in the sparsely-populated region, while home and social care are the responsibilities of its eight municipalities. There are roughly 4,000 employees in 100 different professions in RJH, and around 93% of the total budget is allocated to healthcare. As a relatively small but pro-active healthcare organisation, RJH has the experience and advantage of deploying and implementing eHealth innovations on a wide-scale.

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There is an increasing need to organise the care around the patient with the involvement of all stakeholders. As a response to this requirement, the C3-Cloud project aims to achieve high quality integrated care with the support of ICT.

A Personalised Care Plan Development Platform will allow collaborative creation and execution of personalised care plans for multimorbid patients, through systematic and semi-automatic reconciliation of clinical guidelines. 

This will be realised with the help of Decision Support Modules, recommendation reconciliation, poly-pharmacy management and goal setting. Fusion of multimodal patient and provider data will be achieved via C3-Cloud Interoperability Middleware for seamless integration with existing information systems. 

A Terminology Service with advanced semantic functions will enable meaningful analysis of multimodal data and clinical rules. Active patient involvement and treatment adherence will be attained through a Patient Empowerment Platform.

The Interoperability Middleware contains three components.

  • The Technical Interoperability Suite enables seamless data exchange between the local care systems and the C3-Cloud components.
  •  The Semantic Interoperability Suite addresses the challenge of heterogeneous clinical data representation formats.
  •  The Security and Privacy Suite has been developed, based on open source toolkits for authentication and authorization of care team members and for ensuring encrypted and auditable data exchange across C3-Cloud software components.

To demonstrate feasibility, pilot studies will focus on diabetes, heart failure, renal failure and depression in different comorbidity combinations. Pilots will be undertaken in 3 European regions with diverse health and social care systems and ICT landscape, which will allow for strengthening the evidence base on health outcomes and efficiency gains.

C3-Cloud adaptive patient pathways and organisational models validated by a clinical reference group, change management and training guidelines will be shared with the European community.

Project Acronym: 

Project Name: 
A Federated Collaborative Care Cure Cloud Architecture for Addressing the Needs of Multi-morbidity and Managing Poly-pharmacy

Funding Scheme: 
Horizon 2020 Research and Innovation Action

PHC-25-2015 – Advanced ICT systems and services for integrated care

4,995,000 EUR

May 2016 – April 2020

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