ACT Programmes

Acronym Programme name Elements Cluster
Lombardy 3 programmes    
LOM_Expert Patient Buongiorno CReG Expert Patient Programme MM Prevention
LOM_Telemonitor Remote patient monitoring MM / TH Chronic TH
LOM_CREG Chronic Related Group (CReG) MM Chronic
Basque Country 6 programmes;    
BAS_Active Patient Active patient programme, self-management for chronic disease   Prevention
BAS_PIP_HF Population Intervention Plan for Heart Failure   Chronic
BAS_PIP_DM Population Intervention Plan for Diabetes Mellitus   Chronic
BAS_PIP_COPD Population Intervention Plan for COPD   Chronic
BAS_PIP_MM Population Intervention Plan for multimorbidity MM Chronic
BAS_Telehealth_HF Telehealth for heart failure / Telemedicina-Insuficiencia Cardíaca TH Chronic TH
Northern Netherlands 4 programmes    
GRO_EffectiveCardio Telehealth programme for heart failure patients TH Chronic TH
GRO_eDiabetes eDiabetes programme   Chronic
GRO_Embrace Programme for elderly population   Elderly
GRO_AsthmaCOPD Programme for Asthma/COPD (AC) telehealth service   Chronic TH
Catalonia 7 programmes    
CAT_OXYGEN_AISBE Validation of oxygen prescription   Chronic
CAT_Diabetes_AISBE Early diagnosis programme for DM   Prevention
CAT_Diabetes_FU_AISBE Enhanced care programme for DM TH Transitional
CAT_postdischarge HF/COPD_AISBE Post-discharge programme HF COPD   Transitional
CAT_PPAC_BSA Chronic care model - Badalona Serveis Assistencials MM / TH Chronic
CAT_PPAC_AP Chronic Care Model - Alt Penedes MM Chronic
CAT_PPAC_SISO Chronic Care Model - Sistema Integral de Salut Osona MM Chronic
Scotland 3 programmes    
SCO_Reablement Reablement & crisis care service   Transitional
SCO_HHS Home Safety Service TH Chronic TH
SCO_React Rapid Elderly Assessment Care Team (REACT)   Elderly