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Common Platform Services for Ageing Well in Europe
Support independent living
Improve quality of life for older peopleIntegrate health and social care
Today, healthcare and social care services are usually
delivered independently. This leads to ineffi ciencies,
duplication of resources, and potentially to reduced levels
of quality of care, and in extreme cases to premature death.
Older people are particularly affected by this situation, since
they often need both types of services, such as support
with daily living activities and chronic disease management.
At the same time, the potential of Information and
Communication Technology (ICT) to support integrated
service delivery remains largely unexploited.
Against this background, CommonWell aims to support
high quality independent living and well-being for older
people across Europe by integrating ICT-based services
across provider organisations on open platforms.
10 partners are co-operating in the project, supported
fi nancially by the European Commission, to deliver ICT-
enabled health and social care services in four Member
States. The integrated services are to support the effective
management of chronic disease, and to address issues
which affect independence, such as reduced agility, vision
or hearing, in order to signifi cantly improve the quality of
life for older people and their families.
“This is an important project for the EU because it addresses the challenging issue of interworking between social services and health care. We support projects like CommonWell to get the
results of innovative new technologies and services to consumers faster.”
Paul Timmers, European Commission
Project co-funded by the European Commission within the ICT Policy Support Programme
Grant agreement no.: 225005
Integrate health and social care…
the CommonWell approach
...support independent living
CommonWell aims to overcome the multiple communication gaps that separate health and social care service provision in many Member States of the European Union and elsewhere. ICT-supported, integrated social and health care services are being delivered at four sites in Europe: Andalucía in Spain, Bielefeld in Germany, Veldhoven in the Netherlands and Milton Keynes in the United Kingdom.
At two sites (Andalucía and Bielefeld), platforms and services focus mainly on supporting independent living of older people, while Veldhoven and Milton Keynes focus on the management of prevalent chronic diseases.
To this end, both client-facing and inter-organisational services are developed in close co-operation with older end-users and professionals. The services are tested over a 14 month evaluated pilot at the four sites.
The total cost of CommonWell is some €5,360,000, half of which is funded under the European Commission’s CIP programme while the other half is born by project partners. By contributing to a better understanding of the benefi ts and costs of integrated care service provision, the project will support major policy initiatives in this fi eld at European
and national level.
A common architecture As leaders of CommonWell technical work, Tunstall is building on its experience with the Continua Health Alliance to pilot new and innovative approaches to the management of a wide range of long-term conditions, employing open system architectures.
Tunstall’s experience in the fi eld of elderly care provides CommonWell with valuable understanding of market demands and the capability to adapt solutions to a wide range of different cases.
The Commonwell technical partners have developed an architecture model for convergence between social and health services, supporting older people and those with long-term conditions to live independently and lead fulfi lling lives.
In line with the key CommonWell objective of providing evidence on the benefi ts of mainstreaming telehealthcare solutions throughout Europe, innovative and fl exible solutions are developed for each site, responding to market and service organisation demands.
The main technology themes are:
• Telehealth and telecare
• Telecare sensors
• Service-Oriented Architecture
• Open system interfaces (Continua compliant)
• PSTN and internet delivery
• Structured (XML) and unstructured dialogue
• Integration of mature solutions
• Migration to emerging technologies
Improve quality of life for older people…
the CommonWell sites
Andalucía, ESIn Andalucía, FASS – as a non-profi t organisation of the Andalucía Government – is responsible for the provision of social care and independent living services, and operates the largest telecare service in Europe. EPES is the Andalucían emergency health service provider, responsible for emergency calls from users in the whole region, providing emergency health care to 8 million inhabitants.
The CommonWell project will provide FASS users with a high quality service by integrating the information from both emergency and social care services into one common platform. Integration includes voice and data transfer, enabling faster response in emergency situations, and enabling citizens with need for social care identifi ed by EPES to be put in contact easily via
FASS with the appropriate social services.
Bielefeld, DEThe CommonWell approach is being applied to two gaps in service provision for older people at German care provider Johanneswerk in Bielefeld. The fi rst relates to response to social alarm calls in emergency situations at home. The second relates to needed improvement in the effectiveness of co-operation between social care and health care providers on admissions to hospital, and subsequent discharge.
Overall, co-operation between social alarm centre, emergency call centre, rescue co-ordination centre and hospital is improved. Ambulance crew and clinicians are able to act more effectively, adverse effects of emergency medication can be avoided and care providers are continually in the picture about the location of their clients. A positive side effect is the increased sense of security of older clients living alone in their fl ats.
Milton Keynes, UKMilton Keynes Council and Milton Keynes Community Health Services (PCT) are working together to develop effective ways of helping people in the community who are managing with a chronic and unstable long-term condition. The aim is to reduce unnecessary admissions to hospital and to facilitate early supported discharge from hospital following an exacerbation of chronic obstructive pulmonary disease (COPD).
Telehealth readings are monitored on a daily basis and critical information is passed to a named clinician who is able to facilitate early intervention and prevent a rapid deterioration which could lead to an unnecessary admission to hospital. CommonWell is enabling health and social care data to be integrated to provide more comprehensive and complete patient information which can be used to deliver a more joined up and responsive service.
Veldhoven, NLPoZoB and Smart Homes work together to integrate social and health care in Veldhoven, focusing on patients with chronic heart failure. The general practitioner, a nurse practitioner and a case manager at a call centre work closely together, in order to provide much more integrated medical and social care. The patient has a single point of access, and a single telephone number, to obtain support on medical and social issues. To respond in a timely fashion to exacerbation of heart failure symptoms, these patients are equipped with telehealth monitors.
The goal of the pilot is to improve communication between care providers, to integrate social and health care and to improve health outcomes for patients, particularly those with chronic heart failure.
...across Europe
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Implementing real-life services…
the CommonWell pilotsThe CommonWell services are being piloted at the four sites for a period of at least twelve months. The necessary equipment is installed in the homes of the users and at the service centres of the care provider partners. Service delivery processes at the providers are adapted and end-users as well as carers are familiarised with the new CommonWell platform and services.
The evaluation of the pilots promises to gain a better understanding of the new services’ added value, user benefi ts and acceptance, quality of life impacts and economic viability.
The evaluation is a core element of the project and isdesigned to be as rigorous and robust as possible. It takes into account the nature of the services to be implemented as well as the diverse national care systems, the regulatory and legal conditions, and the local circumstances under which services are delivered.
The evaluation encompasses the different stakeholder groups involved: end users; informal carers; formal health and social care staff and the provider organisations. A multi-dimensional and multi-method approach has been adopted which can be fl exibly applied across sites.
Teamwork…
the CommonWell consortium
Information and contactFor more information visit the CommonWell website at: www.commonwell.eu
Or contact the project co-ordinatorempirica, c/o Sonja Müller or Ingo MeyerOxfordstr. 2 – 53111 Bonn – GermanyFON: +49 228 98 53 00, FAX: +49 228 98 53 012email: commonwell@empirica.com
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