s. scattareggia marchese ict based chronic care model in stroke experiences of tuscany

ICT BASED CHRONIC CARE MODEL IN THE FIELD OF STROKE– EXPERIENCES OF TUSCANY REGION: THE PROJECT “CLEAR” LODZ, 26TH FEBRUARY 2013

SANDRO SCATTAREGGIA MARCHESE

FRANCESCO BENVENUTI

PASQUALE CINGOLANI

Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262

International Workshop Lodz, February 26 , 2013

PRESENTATION SUMMARY

Project CLEAR overview, main achievements;

Clinical trials and HTA results;

Tele Rehabilitaton Platform Short Demo



SIGNO MOTUS

Signo Motus is a research intensive SME established in 1994. It

represents a bridge between bioengineering and medicine for

a better use of technology •Market:

Health authorities/organizations Public and Private Research Centres Local and Main Public Bodies Industries

San Giuliano Terme, Pisa ICT & eHealth Department

Messina Headquarter R&D Area



Team :

14 people, 36 years Average Age,

80% Degree in Engineering or Computer Science

Main Technical Partnerships:

Autodesk, National Instruments, Robot Yashawa,

Pixel Technology

Company Certifications:

ISO 9000:2008 & ISO 13485:2003

Main Skills:

MySQL, Oracle, J2EE

Windows, Linux

C++, Java, Web Programming, LabView

3D CAD Mechanical Design and FEM Simulation

Control System and Automation (Advanced Robotics)



• Programme: ICT Policy Support programme under the Competitiveness and Innovation Framework Programme (ICT-PSP)

• Coordinator: Signo Motus

• Consortium: 13 partners (4 IT,4 SP, 2PL, 3NL)

• Total cost: € 5.615.735.00

• Start/end : 1st Sept 2008 – 29 Feb. 2012

• Duration: 42 months

• Propaedeutic Projects: H-CAD (FPV), HelloDoc (eTen)

CLEAR IN A NUTSHELL



What is a tele-rehab service?

In general terms it is an ICT service allowing patients to

extend greatly part of the rehabilitation treatment at

home (or at the point of their need) under the supervision

of a rehab team guaranteeing efficacy, safety, privacy and

ethical methods

THE CONCEPT


International Workshop Lodz, February 28, 2013

Delivery of health services

Health Service requests from

citizens

ICT contribution towards

the inclusion of innovative

health services Threshold of sustainable services

Application field: ICT for aging

ICT CONTRIBUTION IN THE HEALTH DOMAIN



WHY THE PROJECT CLEAR?

The integration process of

new technologies is slower

with respect to the growth of

ICT

This is particularly evident

where the service needs

new paradigma of delivery

ICT

CS

ICT development

ICT within

the clinical sector(CS)

years ICT growth



PROJECT OUTCOMES

Common Platform

To be extended to centers and

countries

Validated clinical models for Tele-rehabilitation

in place within the four Clinical centers, assessed and certified

New clinical paradigmas for rehabilitation through an innovative e-health service

A SW platform able to integrate telerehabilitation services (physical and cognitive)

IMPLEMENTATION

LED BY CLINICIANS!



PHYSICAL THERAPY MODULE CLINICAL CENTRE

HOME or KIOSK

•Define group of exercises (video

based)

•Assign rehabilitation sessions

•Receives and controls executed

exercises

•Call the patient in videoconference

•Assess patient progress

•Receives exercise sessions

•Record exercises

•Transmit the executed exercises

•Answer videoconference calls



PHYSICAL THERAPY MODULE

Execute Session

Assign sessions

Assess sessions and compliance

COGNITIVE THERAPY MODULE: ATTENTION

COGNITIVE THERAPY MODULE: MEMORY

COGNITIVE THERAPY MODULE: EXECUTIVE FUNCTIONS



THE CONSORTIUM - CLINICAL STUDIES

Patients affected by COPD, chronic pain

Patients affected by TBI and cognitive problems

Patients with knee or hip replacement

Stroke rehabilitation of arm functions



CHRONIC CARE MODEL(S)

• Mobilize community resources to meet patients’ needs

• Empower and prepare patients to manage their health and health care

• Create culture, organization, & mechanisms that promote safe & quality care

• Assure delivery of effective, efficient clinical care & self management support

• Promote clinical care consistent with scientific evidence & patient preferences

• Facilitate transmission of patient data to facilitate efficient & effective care



Hospital

Home Kiosk

THE KIOSK MODEL

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A KIOSK IN TUSCANY



THE CLINICAL EXPERIENCE IN TUSCANY

Dr. Francesco Benvenuti


International Workshop Lodz, February 28, 2013

Thanks!

Sandro Scattareggia Marchese

Signo Motus srl - Managing Director

Via Panoramica 340

98168 – Messina (ME)

Tel: +39 (0)90 355645

Tel: +39 (0)90 357028

Fax: +39 (0)90 356913

[email protected]

Olga Renda

ICT & eHealth Department – Manager

Largo Collodi n. 4

56017 - San Giuliano Terme (PI)

Tel: +39 (0)50 815203

[email protected]

www.signomotus.it

www.habiliseurope.eu

CONTACTS

mailto:[email protected]






http://www.signomotus.it/

http://www.habiliseurope.eu/

s. scattareggia marchese ict based chronic care model in stroke experiences of tuscany

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