Credo project

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Credo project

• Clinical overview and planning discussion
• Guys Hospital
• (16/9/2003)

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The Credo Project
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Cancer core service model
Demo
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Credo project plan

• Goal is a RCT of intelligent management of care
  pathways and other services (trial in breast
  cancer care)
• Evaluating clinical benefit, patient satisfaction
  and long-term sustainability issues
• Currently being planned in 3 stages
• Start-up (2003)
• Phase I, testing (2004-5)
• Phase II, trials (2005-7)
• Three clinical centres of excellence collaborating

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Collaborators (_at_ September 2003)

• Guys Hospital Breast Unit, London
• Ian Fentiman, David Miles, Corrado dArrigo,
  Shirley Hodgson
• Web-based system hosted at CR-UK
• Addenbrookes Hospital Breast Unit, Cambridge
• Arnie Purufshoam and colleagues
• Built on top of Clinical Information System (in
  development)
• Carol Franc Buck Breast Care Center, San
  Francisco
• Laura Esserman and colleagues
• US Army funded Center of Excellence project
• Tallis toolset used to build pathway management
  on top of Oracle database

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Start-up 2003/4

• Establish technical team and clinical
  collaborations (plus advisory groups)
• Develop clinical requirements
• Technical demonstrators
• Core service definition
• Finalise trial objectives with partners
• Go, no-Go decision

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Testing and pilot phase 2004/5

• Translate demonstrators into applications for
  pilot trials on collaborating sites (e.g. Triple
  Assessment, Genetics)
• Establish infrastructure
• Electronic patient records
• Workflow management
• Communication and messaging
• Security and safety
• Research database
• Integrate Tallis technology into clinical
  infrastructure
• Design phase II trial
• Ensure sustainability
• Go, no-Go decision (CR-UK request for support)

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Trials 2004-7

• Individual service trials (starting 2004)
• Services reflecting local priorities and
  interests
• Data collection and analysis
• Integrated service trials (starting 2005?)
• Patient journey
• Data collection and analysis
• Publish interim results 2005, final report 2007
• Planned hand over to ongoing service provider