In collaboration with Conclusion (delivery was led by Morgens Conclusion), Luscii and care service centre Altide, the Regional Platform developed a digital, transmural COPD care pathway. The aim of the project was to demonstrate that a digital pathway, supported by a care service centre, leads to more efficient care. It also sought to establish a model for transmural collaboration and use this pathway as a springboard for transforming other care pathways. 

The most significant change introduced by the COPD pathway is that patients now carry out measurements at home, enabling care providers to intervene early and prevent hospital admissions. The care service centre plays a coordinating role in this process. 

The project delivered three tangible outcomes: 

• Strengthened collaboration 
  Care organisations in the region joined forces to shape the pathway. People, processes and technology came together during the design phase. Joint design sessions fostered trust and led to agreements on collaboration at all levels. 
   
• Successful proof of concept 
  The pathway proved technically and functionally feasible. This enabled implementation to begin, and the first patients have now been enrolled. 
   
• Future-proof foundation 
  The COPD pathway now serves as a blueprint for other conditions. Programmes for hypertension and type 2 diabetes are already underway. 

The Regional Platform does not view this project as a standalone initiative, but as part of a broader, sustainable movement towards structural transformation of care pathways and deeper collaboration. 

The project demonstrates that digital care pathways contribute to better cooperation, greater patient autonomy and more efficient use of scarce healthcare professionals. It directly addresses key challenges in healthcare: affordability, efficient deployment of staff, and regional collaboration.