Da DREAMING a BeyondSilos. Marco d Angelantonio HIM SA

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1 Da DREAMING a BeyondSilos Marco d Angelantonio HIM SA

2 Chi siamo La società è stata fondata 16 anni fa ma io mi occupo di ehealth da prima che il temine fosse stato inventato Siamo totalmente dedicati all applicazione delle TIC alla gestione delle patologie croniche sul territorio e al supporto all autonomia Gestiamo attualmente 9 grandi progetti europei finanziati dall ICT PSP (ICT Policy Support Programme) che, nel loro insieme, hanno ricevuto oltre 41 M di finanziamenti europei che rappresentano oltre il 28% della dotazione finanziaria del settore di cui HIM SA si occupa

Gestiamo attualmente 9 grandi progetti europei finanziati dall ICT PSP (ICT Policy Support Programme) che, nel loro insieme, hanno

3 La logica dietro ai progetti Costruire una base di evidenza sull impatto che ehealth, einclusion ed Ambient Assisted Living hanno sull assistneza agli anziani e ai cronici e sulla durata della vita autonoma dei primi Condividere le esperienze di implementazioni di servizi di Ehaealth che sono state coronate da successo Utilizzare l effetto di trascinamento dei pionieri nei confronti degli "early followers"

autonoma dei primi Condividere le esperienze di implementazioni di servizi di Ehaealth che sono state

4 Anno La sequenza cronologica Complessità 2013 BeyondSilos CareWell Size

5 Due assi diversi e complementari Gestione della cronicità Renewing Health United4Health CareWell Supporto all autonomia DREAMING HOME SWEET HOME SmartCare BeyondSilos ± pazienti cronici (anziani) ± anziani

Supporto all autonomia DREAMING HOME SWEET HOME

6 Why SmartCare is a breakthrough The largest deployment of ICT supported integrated care ever launched in Europe:

7 Additional statistics about SmartCare 42 partners coming from 16 different European countries 23 regional partnership spanning 14 European countries 10 pilots sites in 10 different European countries split in two waves 1 st wave due to start in spring nd wave due to start in fall rd wave due to start late 2014 beginning of 2015 (BeyondSilos) Total nominal investment: 16 MEuros EU Contribution: 8 MEuros

split in two waves 1 st wave due to start in spring 2014 2 nd wave due to start in fall 2014 3 rd wave

8 SmartCare è ambizioso Mobilizza tutti gli attori che contribuiscono all assistenza agli anziani SmartCare integrated service models collaborative safety enhancing efficient inclusive responsive empowering Self-care Health care Cared for person Social care Informal/family carer SmartCare integrated pathways Integrated data access Coordi nation - Real -time Joint communicationresponse Access to home -based systems: Telemonitoring /Telecare SmartCare ICT integration infrastructure building blocks

Social care Informal/family carer SmartCare integrated pathways Integrated data access Coordi nation - Real -time Joint

9 SmartCare è ambizioso Promuove la migrazione dall assistenza tradizionale alla SmartCare

10 SmartCare is ambitious It aims at validating ICT based integrated care models in various organisational set ups covering both the: Beveridge model Bismarckian model in all their possible variations It brings together regions already in the rollout phase with regions moving their first steps

model Bismarckian model in all their possible variations It brings

11 SmartCare è ambizioso Si propone di modificare la maniera in cui il sistema assistenziale èorganizzato e finanziato

12 SmartCare èambizioso Intende cambiare l immagine stessa dell assistenza agli anziani

13 Where are we today? Definition of generic pathways for integrated care: Home support after hospital discharge Long term care home support Implementation requirements: Users (e.g. older people, staff, informal carers) Organisations (e.g. work processes, skills) ICT infrastructure (e.g. functionalities, compatibility) Legislation / regulation (e.g. data privacy, security)

Long term care home support Implementation requirements: Users (e.g. older people, staff, informal carers) Organisations (e.

14 The SmartCare pathways A tool for defining the ICT based service to be piloted, not an end in itself Modelling of service process flow involving various actors Role distribution across organisations / individuals A sequence of actions to be supported by ICT Assessment of patient s needs for home care On site provision of formal health care Entry point: Discharge from hospital impending Enrolment to SmartCare pilot discharge service (ICP Discharge) Initial integrated home care plan Coordination of integrated of integrated care care delivery / / revision of initial of initial home care plan Discharge from hospital On site provision of formal social care On site provision of informal care Remote provision of health / social care to the home (telemonitoring, telecare) Integrated documentation of home care provided Control / reassessment of home care recipient Readmission to hospital Exit point: Disenrollment from SmartCare pilot discharge service (ICP Discharge) Exit point: Transition into SmartCare long term care pilot service (ICP LTCare)

to SmartCare pilot discharge service (ICP Discharge) Initial integrated home care plan Coordination of integrated of integrated care care delivery / / revision of initial of initial home care plan

15 The ICT Integration Infrastructure Integrated data access for care providers in different agencies and informal carers Design and execution of pre planned care pathways enabling temporal coordination among provision steps taken by care providers in different agencies and informal carers Access to home based monitoring (Telehealth andr Telecare) by care providers in different agencies and informal carers Real time communication among care providers in different agencies and informal carers, e.g. support to case conferences Joint response to ad hoc requests by care providers in different agencies and informal carers Self management, including links into all above cooperation mechanisms

Telecare) by care providers in different age

16 Next steps Consolidation of pathways and implementation requirements Development and testing of prototype systems Preparation of pilot implementation Running of pilots & evaluation

17 Marco d Angelantonio Managing Director Phone: +32 (475) Fax: +32 (2) E mail: m.dangelantonio@himsa info.eu

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