More about INDEPENDENT
- Project Information Sheet
- Final Outcome Report
- Guidelines for the Implementation of Integrated eCare Services
- D1.1 "Requirements for INDEPENDENT services and systems v1"
- D1.2 "Requirements for INDEPENDENT services and systems v2"
- D3.2 "The INDEPENDENT services specification"
- D4.2 "The INDEPENDENT PrototypeSystem"
- D5.1 "INDEPENDENT Pilot Operation"
- D7.1 "Evaluationplans for INDEPENDENT"
- D7.2 "INDEPENDENT Pilot Outcomes"
- D9.5 "Ethics andData Protection Framework"
- Stroetmann, Karl A., Kubitschke, Lutz, Robinson, Simon, Stroetmann, Veli, Cullen, Kevin and McDaid, David (2010): How can telehealth help in the provision of integrated care? World Health Organisation, Copenhagen.
- Stroetmann, Veli, Thiel, Rainer, Wilson, Petra, Romao, Mario, Parisot, Charles, Zoric, Milan, Strübin, Michael and Stroetmann, Karl (2011): Enabling smart integrated care: Recommendations for fostering greater interoperability of personal health systems. SmartPersonalHealth Publication
- Lloyd, James and Wait, Suzanne (2006): Integrated Care - A Guide for Policymakers.
inCASA- Integrated Network for Completely Assisted Senior citizen's Autonomy
The inCASA project is a 30-months project funded by the European Commission with the aim to create and demonstrate citizen-centric technologies and a services network that can help and protect frail elderly people and prolong the time they can live well in their own homes. The goal will be achieved by a series of pilots across Europe that integrate solutions and services for health and environment monitoring in order to profile user behaviour. Data will be made available to professional care service providers including privacy protection; day-by-day activity planning; co-ordination of Public Social and Health Care Services; and deployment of specialist community based services.
inCASA will create citizen-centric technologies and a services network to help and protect frail elderly people, prolonging the time they can live well in their own home. This goal will be achieved by integrating solutions/services for health/environment monitoring to collect and analyze data in order to profile user behaviour, implement customized intelligent multilevel alerts/communication services. Data will be made available to care services through a Smart Personal Platform with an embedded Behaviour Analysis Application which will include: access policies to preserve privacy; planning for day-by-day activities and therapies with multiple alerts; co-ordination of local public Social and Health Care Services; and help to deploy specialist community based services. inCASA further investigates the issues of designing ideal specialist services to support activities that are community based - one type will not fit all. By considering the European and different health sector dimensions, it will identify common service delivery paradigms (business models), but can explore how these are delivered in the scenarios to determine optimum clinical models.
For more information see www.incasa-project.eu
NEXES: Supporting Healthier and Independent Living for Chronic Patients and Elderly
The project aim is to ensure immediate successful deployment of ICT-enabled integrated care programs supporting healthier and independent living.
The increasing prevalence of chronic disorders is expected to continue, leading to further challenges to our current healthcare systems. The importance of introducing substantial changes in the delivery of care and social support services for chronic patients, including changes in lifestyle, empowerment of patients and relatives and better collaboration among different levels of care is thus very important. However, obstacles lie in the current fragmentation of health providers and community services together with the challenge of managing co-morbidity.
NEXES aims at the extensive deployment and sustainability of validated integrated care services by:
- Deploying four integrated care programs for chronic patients based on structured interventions addressing prevention, healthcare and social support.
- Innovate in services that: a) adopt an integrated approach that includes profound organizational changes, b) face the co-morbidity challenge, and, c) use of ICT as modular and scalable tools supporting interoperability among actors.
- Validate the deployed programmes in large scale RCT studies.
For more information see www.nexeshealth.eu
CLEAR: Clinical Leading Environment for the Assessment and validation of Rehabilitation Protocols for home care
CLEAR is a 2.74M€ EC-funded project under the ICT-PSP program which brings together 13 European public and private organisations to set-up a tele-rehabilitation service, based on the ICT Habilis platform, allowing doctors to design, develop and implement clinical based protocols for home rehabilitation and telecare.
Within the project, around 800 European patients affected by cognitive, neurological, orthopaedic, pulmonary pathologies as well as chronic pain, in four different countries are going to be treated.
The economic impact of the service on the health structures concerned is assessed during the project life accounting local policies of national/regional governments as well as individuals health centres.
Expected results and socio-economic benefits:
- An open, interoperable and robust web based ICT platform (Habilis), independent from specialised hardware at home;
- Operational services, for home rehabilitation and remote patient supervision;
- Improved quality of life for patients
- Improved healthcare centre effectiveness
- Increased quality of European rehabilitation practice through the push for common standards.
The Habilis platform has been already implemented and tested on a restricted set of patients. Upon this preliminary study, the clinical protocols have been prepared and standardized among the participant clinical centres and the framework for Health Technology Assessment has been set up. The operative services have been set up in four different Clinical centres and the Clinical trials started on May 2010.
- Hospitals: Fundaciò Privada Institut de Neurorehabilitaciò Guttmann (ES), Rehabilitation Centre Het Roessingh (NL), Warszawski Uniwersytet Medyczny (PL), Azienda Unità Sanitaria Locale 11-Empoli (IT);
- Platform developers and integrators: Signo Motus Srl (IT), Universidad Politécnica de Madrid, (ES);
- Assessors and validators: Istituto Superiore di Sanità (IT), Roessingh Research and Development and Stichting Menzis Beheer (NL), Regione Toscana (IT), Centrum Systemow Informacyjnych (PL), Fundaciò Privada Centre Tic I Salut and Fundaciò Institut Català de l'Envellinment (ES).
For more information see www.habiliseurope.eu
DREAMING: ElDeRly-friEndly Alarm handling and MonitorING
The EU-funded project DREAMING (ElDeRly-friEndly Alarm handling and MonitorING) provides solutions - based on video, sensors, mobile communications and personal contact - to help elderly and patients needing continuous care to live safely and independently in their homes instead of being in a care institution or hospital, and to facilitate their social life and contacts with family, friends and caregivers.
DREAMING's key added value is to integrate familiar devices - such as blood pressure cuffs, mobile phones and TV - in a unique platform, tailored to the user's needs and clinical profile. The DREAMING platform is monitored and maintained centrally, thus reducing maintenance costs. The system is based on a "box" installed at the user's home and connected to the network. It is linked to sensors which detect and collect information on the environment where the person lives and on his clinical parameters (e.g. his blood pressure). The information is sent to a Contact Centre which decides upon the action to take and dispatches the appropriate resources: fire brigade, ambulance, GP on duty, nurse, social worker, etc. The user is also equipped with an easy-to-use mobile phone which incorporates services such as reminders to take medicines at a certain time of the day and a "panic" button plus a GPS: in case of need, the user can simply push the button and an alarm with his geographical coordinates is sent to his selected contacts via a "cascade" system - for example, first family, secondly the neighbours and then the Contact Centre, which intervenes in case there is no reaction from the other contacts. Finally, the videoconferencing system - which is connected to a normal TV and can be activated through a simple remote control - enables the elderly to get in touch visually with the Contact Centre and with his "community" (family, friends etc.), thus facilitating socialization.
The project, to be completed by 2012, is currently in the testing phase, with trials being carried out in six pilot sites - Denmark, Estonia, Germany, Italy, Spain and Sweden - to assess its impact on economic and clinical indicators, its financial sustainability and users' satisfaction.
The test involves 350 elderly, who are randomly allocated either to a Study Group (receiving the DREAMING services) or to a Control Group (the others). This methodology allows getting results which are not "contaminated" by factors unrelated to DREAMING services, such as the introduction of a new medicine during the trial period.
Being based on state-of-the-art technologies which are available off the shelf, DREAMING allows a fast set-up of the pilot sites and enables trials long enough (24 months) to gather sufficient experimental data to strengthen the business case and plan the subsequent deployment phase.
For more information see www.dreaming-project.org
epSOS - Smart Open Services for European Patients
Smart Open Services for European Patients - epSOS, (previously known as S.O.S. - "Smart Open Services", an Open eHealth initiative for a large scale European pilot of patient summary and electronic prescription) is a Europe-wide project organised by 27 beneficiaries representing twelve EU-member states, including ministries of health, national competence centres and numerous companies. This makes it the first European eHealth project clustering such a large number of countries in practical cooperation.
The overarching goal of epSOS is to develop a practical eHealth framework and an Information & Communication Technology (ICT) infrastructure that will enable secure access to patient health information, particularly with respect to basic patient summaries and ePrescriptions between different European healthcare systems.
In the next phase of the project, the consortium will be extended to integrate new Member States and to further refine and expand on the service developed.
For more information see www.epsos.eu