Tiers lieu IN CITU: Innovations CIToyennes en santé nUmérique

Supported by CHU Lille

The priorities of the Tiers lieu are defined by the healthcare needs of the territory, in conjunction with patients and healthcare professionals. The tiers lieu offers experimental sites distributed across the Hauts-de-France region

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The Third-Place service offering

The Tiers lieu IN CITU draws on a number of already committed and proven approaches to accompanying and deploying digital health experiments.

After an initial filter of innovation projects according to the territory's priority needs, a multidisciplinary commission bringing together a variety of expertise and experience (patient/citizen, clinical, methodological, economic, ethical, ergonomic, business, ...) analyzes the needs for experimentation.

This study of the feasibility of experimentation initiates the structuring of the evaluation mechanism, which provides for access to the most relevant experimental sites and the mobilization of the necessary experience and expertise: knowledge and experience of healthcare system users, IT and digital, participatory design approaches, evaluation and analysis of uses and usability Living Lab type, clinical research, medico-economic evaluation, legal, analysis of professional logics, technical and regulatory knowledge.

Tiers lieu d'expérimentation projects

Project 1: MARCHESE

Supplier: CERN (European Organization for Nuclear Research)

Solution: MARCHESE is an innovative, reliable and low-cost non-contact physiological monitoring device. It continuously records vital vitals in real time using video streaming and remote photoplethysmography.

Need: some patients have tolerance problems with current invasive equipment, requiring close monitoring of vital parameters. This innovation would meet this need by offering a non-contact, discreet and reusable monitoring technology
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IN CITU contribution: to enable a pilot feasibility study in a geriatric ward. The aim will be to assess the number of physiological parameter measurements usable for monitoring at-risk patients (measurement reliability), the time saved for healthcare professionals (organizational feasibility) and their satisfaction.

Project 2: PIXACARE

Supplier : PIXACARE

Solution: PIXACARE is a secure remote monitoring platform for chronic wounds, optimizing multi-professional coordination. Via the shared patient record, accessible to all caregivers involved in the care, everyone can add new photographs, answer medical questionnaires and track the progress of wound healing. A module for manual trimming by the specialist and/or IDEL will enable the wound surface and its evolution to be calculated.

Need : the management of chronic wounds today is highly complex and leads to breaks in care between hospital and home, resulting in a lack of responsiveness to a wound-healing complication. Private practice nurses (IDEL) are often asked to take photos when they have doubts about the progress of certain wounds. These photos are sent to specialists via unsecured channels.

IN CITU contribution: to enable evaluation of the impact of the PIXACARE application on the monitoring of chronic wounds at home.