Project Description

RAPIDE

RAPIDE (Regular and Unplanned Care Adaptive Dashboard for Cross-Border Emergencies)
Overall objectives

The project RAPIDE aims to enhance the resilience and flexibility of healthcare systems during cross-border health emergencies. When healthcare services are overwhelmed, regular care often gets neglected, leading to poor outcomes. RAPIDE focuses on developing and validating tools that empower healthcare systems to make robust decisions, enhance the resilience of healthcare professionals and patients, and provide flexibility in care delivery during emergencies.

The project addresses two main challenges: first, understanding and predicting the necessary adjustments in the delivery of care, and second, identifying effective ways to implement these changes. This involves creating models for resource allocation, forecasting, and optimizing patient flows throughout the entire healthcare system. RAPIDE also explores opportunities to shift care from hospitals to community and home settings without compromising quality.

To ensure the practicality and acceptance of these tools, RAPIDE involves stakeholders such as patients, general practitioners, clinicians, hospital managers, and health ministries in the design and validation process. The project concludes with a comprehensive demonstration and communication effort to showcase its success and raise awareness of its contributions.

Coordinator Radboudumc, duration 48 months starting January 2024

Key concepts for RAPIDE:

  • Key Concept 1: Resource demand forecasting

How bad could the emergency be, and what would we need to maintain regular care?

  • Key Concept 2: Resource Optimisation

How can we rearrange regular care, to deliver more care, with the same resources?

  • Key Concept 3: A logic model for care reconfiguration and relocation

How can we construct a new, hybrid, model of care? Which components of care are flexible, or not?

EFPC role:

EFPC role: involvement of Stakeholders, one day workshop, dissemination.

WP1 Project management – lead RUMC (2PM)
WP2 State of the Art -Lessons learned and experiences of whole chain of care – lead UoG (1PM)

This phase aims to assess regular care delivery during health emergencies, explore digital tools’ role in maintaining access, review international best practices from COVID-19, and contribute to developing tools for health system readiness in future emergencies.

Tasks 2.1- Review of delivery of regular care during the COVID-19 pandemic (UoG, NTNU, RUMC, RIVM, CHCL, EFPC, AICP, UM) Month1-Month12

A review will analyse how regular care was delivered at hospitals, primary care, and homes during COVID-19, defining regular care in cross-border health emergencies, and creating a framework based on time urgency, location, and resource use, evaluating various care settings from hospitals to home-based care, and examining governance and service delivery strategies, workforce modifications, and their impact on maintaining access to regular care, contributing to the project’s next phases.

Task 2.2 Review of barriers to care during COVID-19 and recommendations for future cross border health emergencies within Europe (UoG, NTNU, RUMC, RIVM, CHCL, EFPC, AICP, HAN, PE, UM) M3-M18:

A review will study factors leading to the avoidance of health services during COVID-19, following PRISMA guidelines and including semi-structured interviews with key stakeholders to uncover barriers during cross-border health emergencies. The examination will focus on stakeholders’ perceptions of social, clinical, and communication barriers to care. Drawing from PANDEM-2, interventions to ensure access for vulnerable groups to regular care during COVID-19 will be analyzed using thematic analysis to identify patterns of experiences and perspectives. This work will involve panels of stakeholders in partner countries as part of the project’s fourth phase.

EFPC role: interviews on experiences of pandemic and on barriers and recommendations

WP3 Forecasting and planning of patients and resources over the healthcare chain – lead UT (1PM)

This phase aims to create tools and Decision Support Systems for forecasting patient-driven resource needs, optimizing patient admissions, and healthcare resource use in real-time (1-7 days) for operational planning and long-term (weeks to months) for tactical and strategic planning.

EFPC role: 

WP4 Hybrid care: stakeholders, logic model, tools and studies – lead RUMC (1PM)

This phase will develop a hybrid care model, allowing flexible shifts of care from hospitals to communities and patients themselves based on predictions from WP3, using a mixed-methods approach to involve stakeholders, define components, reorganize services, and ensure the effectiveness and acceptability of remote health service delivery.

Task 4.2 Co-creation of a logic model for hybrid health and care (RUMC, NTNU, CHCL, AICP EFPC, UM, RIVM, PE) M1-M18:

This task aims to create a logic model for hybrid care delivery by collaborating with stakeholders to define key components, relationships, flexibility, resources, competencies, and intended outcomes for patients with co-morbidities and selected chronic conditions, using participatory research methods and documenting the analysis process for wider application.

Task 4.3. Selection of approaches, tools and technologies for hybrid care delivery (RUMC, NTNU, CHCL, AICP, UM, EFPC, PE, RU), M12-M32:

This task aims to create a toolbox of promising tools for delivering hybrid care components through a participatory approach involving stakeholders, considering criteria such as integration, cross-border applicability, and accessibility, with a focus on vulnerable populations and technology-related assessments.

Task 4.4 Validation Studies (RUMC, AICP, UM, CHCL, EFPC, PE) M9-M44:

This task will conduct validation studies using tools from Task 4.4 to deliver hybrid care, collecting and analysing patient, clinician, and stakeholder experiences in limited groups across the Netherlands, Italy, Malta, and Slovenia, with ethical approval and governance structures in place, aiming to assess effects on Patient Reported Outcomes (PROMS), Patient Reported Experiences (PREMS), and health professionals’ perspectives to refine the logic model and tools.

WP5 Training, Empowerment and Knowledge Transfer  – lead CHCL (3PM)

This work package aims to empower healthcare managers with novel predictive tools, provide care providers with competencies for hybrid care delivery, and inform and empower the public, including patients and caregivers, vulnerable groups, and those hesitant to access care, to engage with hybrid care.

Task 5.1 Hybrid care competencies identification (RUMC; RU; HAN, CHCL; NTNU; HAN, RIVM; PE, UoG, all stakeholders) M1-12:

This task will conduct Participative Action Research workshops for healthcare managers, care providers, and the public, including vulnerable groups, exploring predictive tools and hybrid care components, identifying facilitators and barriers, and co-creating knowledge transfer specifications to enable effective use of RAPIDE tools through various techniques like augmented reality, virtual reality, serious gaming, and traditional methods, with the outcomes documented and published for wider adoption.

WP6 Scenarios, simulations and demonstrations  – lead UoG  (1PM)

This work package conducts a comprehensive evaluation, using qualitative and quantitative methods, to measure the impact, verify the value, and assess the usefulness, feasibility, and operational implementation of the novel tools developed in RAPIDE during health emergencies, concluding with the development of an operational strategy for implementing RAPIDE outputs in a regional model for maintaining regular care during large-scale health emergencies.

Task 6.1 Scenarios (UoG, UT, RUMC, all partners) M3-M30

This task will create a master scenario script for a realistic disease-X scenario, drawing from PANDEM and PANDEM-2 projects, collaborating with teams from WP3, WP4, and WP5 to understand end-user requirements and real-world challenges in maintaining access to regular care, and incorporating case mixes identified in WP2 and WP3, aligning with WHO’s updated guidance.

Task 6.2 Tabletop exercise demonstration (RUMC, all partners) M18-M42:

This task will turn the scenario script into a tabletop demonstration in Brussels, testing RAPIDE tools and training for the hybrid care model with stakeholders from four EU Member States, simulating a sudden healthcare surge during a disease-X scenario to evaluate the model’s contribution in maintaining access to regular care during cross-border health emergencies.

Task 6.4 Operational strategy (UoG, RUMC, RIVM, CHLC, EFPC, AICP, UM) M18-M48:

This task involves collaborating with stakeholders to optimize the practical use of RAPIDE technology and training outputs, focusing on refining a regional plan for maintaining regular care. It aims to provide tangible guidance through the WP6 demonstration on utilizing technology in health emergencies and pursuing a strategic perspective for integrating RAPIDE outputs into the broader activities of stakeholders across all EU27 Member States.

WP7 Communications, Dissemination and Exploitation – PT (2)

Task 7.1 Communications targeting the public and media (PT; RUMC, all partners) M1-M48:

This task involves establishing and maintaining a project website and social media presence, creating linkages with other projects, submitting scientific papers, preparing articles and press releases, and briefing stakeholders, collaborating with WP5’s Knowledge Transfer activities, with a focus on media outreach for the project launch and updates.

Task 7.2 Dissemination of project results (PT; all partners) M1-M48:

This task involves presenting research findings at academic conferences, publishing in open-access peer-reviewed journals, and ensuring open access to publications. RUMC will serve as the project’s “publications manager,” overseeing information dissemination on the project website and making project results available in a FAIR format on open science repositories, ensuring GDPR-compliant anonymization.

Task 7.3 Generalisation and Dissemination beyond Consortium Countries (RUMC, EFPC, all partners) M36-M48:

This task involves disseminating RAPIDE results beyond the consortium countries to encourage replication and adoption of approaches to maintaining regular care across Europe. The dissemination will target healthcare systems managers through professional networks, collaboration with ECDC, WHO, HERA, and relevant DGs, while EFPC will amplify messages to GPs and primary care providers across 33 European countries, culminating in a full-day workshop at M45 following the EFPC conference to reach delegates from the EU and beyond.

Task 7.4 Exploitation preparation (RUMC; PT, all partners) M12-M48:

This task clarifies that there is no intention to commercialize RAPIDE results; instead, the focus is on replication and public benefit. Dissemination activities will gather feedback from countries and stakeholders beyond the consortium to enhance the widespread applicability of RAPIDE tools, which will be published open-source along with documentation, training materials, and synthetic data. Leveraging relationships with other countries and organizations like ECDC, WHO, and HERA will facilitate and encourage the uptake of RAPIDE results.