An AI-Enabled, Patient-Centred Digital Platform for Integrated Chronic Heart Failure Management: Architecture, Validation and Clinical Insights

Healthcare systems across Europe and globally are increasingly challenged by the need to deliver high-quality, coordinated care for complex patient populations, such as those living with chronic heart failure (CHF). Many national healthcare policies consider the adoption and implementation of patient-centred and interoperable information communication technologies-enabled solutions offered in a single digital platform as a key facilitator towards the transition to integrated and coordinated care. Aiming to support CHF patients and to assist their management, in this paper, we present CareCardia, a modular digital solution designed to support the comprehensive management of CHF. CareCardia offers an interoperable ecosystem that connects healthcare professionals, informal caregivers and patients along a unified CHF care pathway spanning across diagnosis, acute care and jointly managed long-term care. Specifically, CareCardia integrates state-of-the-art, clinical evidence-based technologies such as a clinical decision support system and an exergaming platform that will follow patients through the CHF journey. This paper outlines the system architecture and core functionalities of CareCardia prototype. We also present early findings from the initial exploration of the tool, discussing its anticipated impact on CHF and its potential to foster patient empowerment across the continuum of care.