C3-Cloud · Project

Cloud Platform That Coordinates Care Plans for Patients with Multiple Chronic Diseases

healthPilotedTRL 7

Imagine you have diabetes, heart failure, and depression all at once — and each doctor prescribes their own medications without talking to the others. That's a recipe for dangerous drug interactions and contradictory advice. C3-Cloud built a cloud platform where all your doctors can see the same dashboard, automatically flag medication conflicts, and create one unified care plan together. It was tested with real patients across 3 European regions for 15 months.

By the numbers

EUR 4,995,000

EU contribution for full R&D and piloting

consortium partners across 7 countries

15 months

pilot operation period in real clinical settings

European pilot regions with diverse healthcare systems

chronic conditions covered (diabetes, heart failure, renal failure, depression)

total project deliverables produced

SMEs with commercial EHR/PHR products in consortium

The business problem

What needed solving

Patients with multiple chronic conditions — like diabetes combined with heart failure and depression — typically see different specialists who each prescribe medications independently. This leads to dangerous drug interactions, contradictory treatment plans, and fragmented care that drives up costs and harms outcomes. There is no standard way for multidisciplinary teams to collaboratively build and manage a single, unified care plan for these complex patients.

The solution

What was built

The project built and piloted a full cloud-based care coordination platform including: a Personalised Care Plan Development Platform, Clinical Decision Support Modules for risk prediction and poly-pharmacy management, a Coordinated Care and Cure Delivery Platform, a Patient Empowerment Platform, a Semantic Interoperability Platform, open-source privacy/security toolkits, and technical interoperability toolkits — all tested in real clinical settings across 3 European regions for 15 months.

Audience

Who needs this

Health insurance companies managing high-cost multi-morbid patient populationsEHR/PHR software vendors wanting to add multi-morbidity care coordinationRegional hospital networks and integrated care delivery organizationsNational health services implementing chronic disease management programsDigital health startups building care coordination tools

Business applications

Who can put this to work

Health Insurance & Managed Care

enterprise

Target: Health insurance companies or managed care organizations managing chronic disease populations

If you are a health insurer struggling with rising costs from multi-morbid patients who bounce between specialists with no coordination — this project built a Personalised Care Plan Development Platform that lets multidisciplinary teams collaboratively create and execute unified care plans. It includes clinical decision support for poly-pharmacy management and risk stratification, piloted for 15 months across 3 European regions covering diabetes, heart failure, renal failure, and depression.

Electronic Health Records (EHR) Software

SME

Target: EHR/PHR software vendors looking to add chronic disease coordination features

If you are an EHR vendor whose product handles single-condition workflows but lacks multi-morbidity care coordination — this project developed open-source interoperability toolkits and a semantic interoperability platform that plug into existing information systems. The consortium includes 3 leading SMEs with commercial EHR/PHR products who co-developed and validated the integration. All 35 deliverables include technical implementation guidelines.

Hospital Networks & Integrated Care Providers

enterprise

Target: Regional hospital networks or integrated care delivery organizations

If you run a hospital network where chronic patients with multiple conditions fall through the gaps between departments — this project deployed a Coordinated Care and Cure Delivery Platform tested in real clinical settings. It includes clinical decision support modules for risk prediction, medication reconciliation, and goal setting, with a Patient Empowerment Platform that keeps patients actively involved in their own treatment.

Frequently asked

Quick answers

What would it cost to implement this care coordination platform?

The EU invested EUR 4,995,000 across the full R&D cycle including 12 partners. A deployment would likely cost significantly less since the core platform, interoperability middleware, and open-source security toolkits are already built. The project specifically produced open-source toolkits to lower adoption barriers.

Can this scale beyond the pilot regions?

The platform was deliberately piloted across 3 European regions with diverse health and social care systems and different ICT landscapes. This multi-region design was meant to prove adaptability. The semantic interoperability platform and technical interoperability guidelines were built specifically to enable integration with varied existing systems.

What is the IP and licensing situation?

The project produced open-source privacy and security toolkits and open-source technical interoperability toolkits. Commercial exploitation is facilitated through an Industry Vendor Forum, with 3 SME partners holding commercial EHR/PHR products. Licensing terms would need to be negotiated with the consortium led by University of Warwick.

Which chronic conditions does this actually cover?

The pilot studies focused on diabetes, heart failure, renal failure, and depression in different comorbidity combinations. The clinical decision support modules handle guideline reconciliation, poly-pharmacy management, and risk stratification across these conditions. The underlying architecture is condition-agnostic, designed for any multi-morbidity scenario.

How does this integrate with our existing hospital IT systems?

C3-Cloud built dedicated interoperability middleware for seamless integration with existing information systems, plus an Integrated Terminology Server for meaningful analysis of multimodal data. Technical Interoperability Implementation Guidelines and open-source toolkits were specifically created to help adopters connect the platform to their current EHR infrastructure.

Is there evidence this actually improves patient outcomes?

The 15-month pilots across 3 European regions were designed to strengthen the evidence base on health outcomes and efficiency gains. The multi-method, multi-stakeholder evaluation approach included clinical validation. Based on available project data, specific outcome metrics would need to be obtained from the consortium's final reports.

What about data privacy and regulatory compliance?

The project delivered dedicated open-source privacy and security toolkits to ensure sensitive patient information is exchanged safely and ethically across the entire ecosystem. A data collection and feedback mechanism was built with both synchronous and asynchronous communication channels for patients and caregivers.

Consortium

Who built it

The 12-partner consortium spans 7 countries (DE, ES, FI, FR, SE, TR, UK) with a healthy 33% industry ratio — 4 industry partners including 4 SMEs. University of Warwick (UK) leads the project. The mix of 2 universities, 3 research organizations, and 4 industry players gives it both clinical credibility and commercial grounding. Critically, 3 of the SMEs already sell commercial EHR/PHR products, meaning the technology was built with real market integration in mind, not just academic proof-of-concept. The geographic spread across Northern, Southern, and Western European healthcare systems strengthens the case for cross-border adaptability.

UNIVERSITY OF WARWICKCoordinator · UK
EMPIRICA GESELLSCHAFT FUR KOMMUNIKATIONS UND TECHNOLOGIEFORSCHUNG MBHparticipant · DE
REGION JAMTLAND HARJEDALENparticipant · SE
INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALEparticipant · FR
EUROPEAN INSTITUTE FOR HEALTH RECORDSparticipant · FR
Servicio Vasco de Salud Osakidetzaparticipant · ES
SRDC YAZILIM ARASTIRMA VE GELISTIRME VE DANISMANLIK TICARET ANONIM SIRKETIparticipant · TR
ASOCIACIÓN INSTITUTO DE INVESTIGACIÓN EN SISTEMAS DE SALUD-BIOSISTEMAKparticipant · ES
OREBRO UNIVERSITYparticipant · SE

How to reach the team

University of Warwick, United Kingdom — coordinator of the 12-partner consortium

Order a report on this consortium See UNIVERSITY OF WARWICK profile →

Next steps

Talk to the team behind this work.

Want an introduction to the C3-Cloud team to discuss licensing the platform or its open-source components for your care coordination needs? SciTransfer can arrange a direct meeting with the right people in the consortium.

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