S.M.I.L.E

SMILE (Supporting Multi-morbidity self-care through Integration, Learning, and eHealth)

Caredoc, in partnership with the HSE’s Enhanced Community Care (ECC) programme and their Chronic Disease Community Specialist Teams (CD CSTs), are delivering the SMILE service in the Dublin and South East region.

SMILE is an innovative service that enables patients living with chronic disease to proactively self-manage their health and well-being from home supported by the ProACT digital platform and nurse-led remote assessment and triage. Participants with two or more conditions including diabetes, COPD, chronic heart failure, and heart disease will use a selection of healthcare devices based on their needs to monitor their health and wellbeing. 

Through remote monitoring, participants are supported to self-manage their conditions with specialist support available from the community teams when required. Participants use connected devices to monitor vital signs and wellbeing, giving visibility to the SMILE nursing team who monitor this data allowing for timely interventions. Monitoring devices – including blood pressure monitors, oxygen monitors, and activity trackers –  are allocated to participants based on their requirements.

Remote nurse triage has been introduced to support patients with multiple conditions to self-manage at home using their wearable technology.  Care is delivered in a more appropriate way as participants are routinely monitored and empowered to maintain their health while being directed to the appropriate clinician (e.g. nurse specialist, GP etc) before their condition deteriorates or if there are any abnormal readings. The SMILE service has significantly reduced healthcare utilisation, with a 32% reduction in urgent GP visits, 52% reduction in emergency department visits and a 38% reduction in hospital bed nights for patients enrolled in SMILE for a 6 month period.

Click here to watch a video on how SMILE is transforming the way patients with chronic illnesses manage their health. 

SMILE is a Finalist at the Irish Healthcare Awards 2026 with two award nominations under the Innovation in Healthcare and Public Health Initiative of the Year categories.