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From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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Page 1: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

From DREAMING to SmartCare

From AAL to integrated older people care

Design4All Workshop

Crete- 17th of May 2012

Page 2: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th 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

Page 3: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 4: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 5: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 6: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 7: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 8: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 9: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 10: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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

Page 11: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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)

Page 12: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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Key ComponentsHIS Central Unit Mambo 2 HIS Portal Video Conference

Vital Monitors Environmental and Bi-directional Monitors

Page 13: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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Senior.comfort@home

Door opening system= +Senior.comfort@home

Page 14: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 15: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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HOME SWEET HOME

Domotics

DailyScheduler

Navigator

Behaviour analysis

Exercises for maintaining and measuring mental faculties

= +

Page 16: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 17: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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)

Page 18: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 19: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 20: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 21: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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)

Page 22: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 23: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 24: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 25: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 26: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 27: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 28: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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)

Page 29: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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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

Page 30: From DREAMING to SmartCare From AAL to integrated older people care Design4All Workshop Crete- 17 th of May 2012

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