from dreaming to smartcare from aal to integrated older people care design4all workshop crete- 17 th...
TRANSCRIPT
From DREAMING to SmartCare
From AAL to integrated older people care
Design4All Workshop
Crete- 17th of May 2012
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How all that started
• Beginning of the years 2000 HIM SA was still a rather young company with a good track-record in the management of EU projects and with a recognised understanding of the eHealth business in several European countries but ...
focus was too broad and the market slow to take off
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How all that started
• My associate and I looked at the technologies available at that time and to the current and future demand for ICT based services in the market
• One niche (... but is it a niche?) looked particularly promising: ICT based elderly care
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Our initial considerations• The European population is ageing
• The dependency ratio is deteriorating rapidly
• The shortage of qualified (... and even unqualified) personnel in elderly care is biting already
• Cost of technology is going down all the time
• User-friendliness and reliability of ICT equipment improve progressively
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Our initial considerations
• There is no established champion in this market
• Large companies can be at a disadvantage compared to SME because this market requires integration of products usually managed by different Business Units
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Our conclusions• Elderly care is already or will become soon
the second biggest headaches of EU Finance Ministers after the pension system
• There are no real alternatives to the use of technology in elderly care because there are simply not enough hands to meet the demands
• If we are fast we might be able to skim the market before the big guys arrive
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What an AAL platform shouldinclude
• Monitoring of:– the environment where the elderly person lives– the vital parameters which are relevant for a
specific individual
• Management of health and social alarms– individual vital parameters, combination of
parameters or trends out of range– fire, smoke, water leaks, etc– falls and elderly person generated alarms
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What an AAL platform shouldinclude
• Ubiquity– the elderly person needs to be monitored and
protected wherever he/she is
• Social inclusion– easy-to use videoconferencing tool– easy access to social networks (?)
… all this for less than 5.000 € purchase price
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A long way to get wherewe are
Conception and fine-tu
ning
of the idea
Pilots
MATURITY OFTHE SOLUTION
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Development of th
e solution
Commercialisation
SmartCare
1010
Smart clothes
Traditional biosensors
Integration biosensors-
environmental sensors
Wearable sensors
Implantable sensors
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Domotic
Positioning, n
avigation
Behaviour analysis
TECHNOLOGIES
A long way to get wherewe are
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A long way to get wherewe are
• Our path to the current platform has been paved by unsuccessful EU (FP6 and eTEN) proposals– DREAMING (FP6 IP)– Elderly Boom 1 & 2 (FP6 IP)– FRIEND (eTEN)– HELP (eTEN)
before the successful ones arrived– DREAMING (2008-2012)– HOME SWEET HOME (2010-2013)
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Key ComponentsHIS Central Unit Mambo 2 HIS Portal Video Conference
Vital Monitors Environmental and Bi-directional Monitors
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Senior.comfort@home
Door opening system= +Senior.comfort@home
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Key Components
Vital Monitors
In-Touch Base Unit
HIS Mambo 2.5
HOME SWEET HOME Portal
Domotic Monitors/Smart Home Components
Security/Movement
Climate/Energy Management
Door locking
/unlocking
Lightning control
ello! Video Communication
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HOME SWEET HOME
Domotics
DailyScheduler
Navigator
Behaviour analysis
Exercises for maintaining and measuring mental faculties
= +
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Level of maturity
Senior.comfort@home Initial deployment stage
Pilot project just completed – results to be published in June 2012
Pilot project in an early stage
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Sources of funding
Senior.comfort@home Social services of the City of Antwerp
European Union and partners (50/50)
European Union and partners (50/50)
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Target buyers
Senior.comfort@home Social services
Health Authorities, health insurers, social services
Health Authorities, health insurers, social services, elderly people and their families
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Size
Senior.comfort@home 231 elderly people living in 199 senior flats*
175 elderly people
105 elderly people
* These figures refer to the current phase. The framework contract covers 2.500 flats and up to 2.000 private houses/flats
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SmartCare
• Pilot A proposal submitted under the ICT PSP proposal
• Date of submission: 15th of May 2012• Total investment: 16 MEuros• EU contribution: 8 MEuros• Probable start date (… if retained): 1st of
January 2013
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SmartCareRegional partneships (due to become
Local SmartCare Alliances)• Friuli-Venezia Giulia (IT)• Carinthia (AT)• Brussels (BE)• Baden Württemberg (DE)• South Denmark (DK)• Tallin (EE)• Aragon (ES)• Basque Country (ES)• Extremadura (ES)• Murcia (ES)• Valencia (ES)• South Karelia (FI)
• Central Greece (GR)• Attica (GR)• Northwest Croatia (HR)• Veneto (IT)• Noord-Brabant (NL)• Rotterdam (NL)• Uppsala (SE)• Amadora (PT)• Serbia (SR)• Northern Ireland (UK)• Scotland (UK)
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SmartCareThe other partners
• AGE Platform Europe AISBL• Assemblée des Regions d’Europe• Continua Health Alliance• Eurocarers• Stichting International Foundation for Integrated
Care• Federation Europeenne des Associations
Infirmieres• European Patients' Forum• Empirica
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SmartCare
Health care
Socialcare
Cared for person
Informal/family carer
Self-care
SmartCare integrated service models
SmartCare integrated pathways
SmartCare ICT integration infrastructure building blocks
Integrated data access
Coordi-nation
Real-time communication
Access to home-based systems: Telemonitoring/Telecare
Joint response
Large scale commitment in 24 regions
Pilot & validation in 2 waves in 10 European regions Multidimensional evidence on impacts
Common evaluation approach
Transferable to follower-regions across Europe Guidelines, specifications for procurement &
implementation
Plans for sustainable mainstream operation
Large scale dissemination Links to EIP AHA & other EU/nat./regional initiatives
collaborative inclusive
safety enhancing responsive
efficientempowering
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SmartCare
Publications in / special issue of the
Early adopter regions Local/regional/national-level service providers & funders User organisations (older people, informal/voluntary carers) Relevant research / policy actors Relevant technology providers/ integrators
Project leaflet, brochure, newsletter
Rationale Objectives Approach Partner regions
Useful integrated care pathways Fit-for purpose service
specifications/design Preliminary expectations on benefits &
economic validity
Evidence on user acceptance under real life conditions Technical infrastructure & integrated service model f it
for routine use SmartCare guidelines and specifications Benefits & economic viability, business models
Project Phase I: Integrated care pathways
development
Project Phase II: Organisational & ICT related pilot preparation
Project Phase III: Experiencesfrom pilots & transferability
Co
nte
nt
Ta
rge
t au
die
nc
e
Me
an
s: p
ub
lica
tio
ns
, e
ve
nts
Dispersed audience: Interested expert
circles Public at large
EIP AHA Action Groups (B3)
Project website SmartCare: http://www.SmartCare.eu (tentative)
Social media sitesrepresentations
Prevention, screening & early diagnosis
Care & Cure Active ageing & independent living
•Health literacy, patient empowerment, ethics and adherence
•Personal health management
•Prevention, early diagnosis of functional and cognitive decline
•Guidelines for care, workforce (multimorbidity, polypharmacy, frailty and collaborative care)
•Multimorbidityand R&D
•Capacity building and replicabilityof successful integrated care systems
•Assisted daily living for older people with cognitive impairment
•Flexible and interoperable ICT solutions for active and independent living
•Innovation improving social inclusion of older people
Vision / Foundation•Focus on holistic and multidisciplinary approach
•Development of dynamic and sustainable care systems of tomorrow
•New paradigm of ageing
•Innovation in service of the elderly people
•Regulatory and standardisation conditions
•Effective funding
•Evidence base, reference examples, repository for age-friendly innovation
•Marketplace to facilitate cooperation among various stakeholders
Horizontal issues
Presentations Workshops Special events,
supported by:
Presence in the media in participating regions
Final
SmartCare
Confe-
rence
Links to otherprojects, initiatives
Marketplace
IFIC
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SmartCareFrom conventional to smart care
Social care silo
Care plans / protocol
ICT / telecare infrastructure
Health care silo
Care protocols / pathways
ICT / telehealth infrastructure
Conventional Care SmartCare
inclusive collaborative
safety enhancing responsive
disempowered care recipientmisinformation & patient risksuboptimal task distribution
Service Models
SmartCare ICT Integration Infrastructure
Real-time communication
Access to home-based Systems
Integrateddata access
Joint response to ad hoc requestsCoordination
between provision steps
taken
Integrated Support Services (ICT)
Building Bocks
efficient empowering
SmartCare Services
Health care centred pathways SmartCare integrated pathwaysSocial care centred pathways
Cared-for person
Cared-for &self-caring person
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SmartCareFrom conventional to smart care
Health professional
Socialcarer
Informal carer
Health care centred pathwaysSmartCare integrated pathways Social care centred pathways
SmartCare ICT Integration Infrastructure
Real time communication
Access to home-based Systems
Joint response to ad hoc requests
Coordination between
provision steps taken
SmartCareservice models
Home linked services & self-care
Organisational Cooperation Services
Integrateddata access
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SmartCareUnprecedented scale
Region
Number of users
Older people (care recipients)
Health professionals Social care professionals
Informal carers
Friuli-Venezia-Giulia 200 80 20 100
South Denmark 400 50 75 400
Scotland 6.000 1.000 1.000 2.000
Aragon 300 50 100
Tallin 100 3 3
South Karelia 100 15 2 10
Attica 800 35 10 1.100
North Brabant 500 30 10 500
Uppsala 100 15 10 50
Kraljevo 110 20 5 100
Total 8.610 1.298 1.235 4.260
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SmartCareSummary of main features
• 14 Authorised National Representatives from 11 different Member States
• Single intervention in all pilots sites (aggregability of data = high statistical power)
• Open approach towards incorporation of regions committed to deploy integrated care for older people
• Transferability model (no need to repeat trials in any single European region)
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Conclusions• The progression in evidence building from
DREAMING to SmartCare addresses and hopefully solves the main threat to the deployment of advanced ICT-based elderly care services:
Lack of a convincing business plan showing an Return on Investment
from the deployment of ICT-supported services for older
people’s care
Marco d'AngelantonioManaging Director
Boulevard Lambermont 84B - 1030 Bruxelles
Tel: +32-2-307.64.66GSM: +32-475-34.11.38
Email: [email protected] username: marcodangelantonio
Fax: +32-2-307.68.01