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O. renda richard project overview

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Regional ICT based Clusters for Healthcare Applications and R&D Integration Promoting ICT “assisted” models for chronic diseases management Olga Renda, Technical Coordinator ,ehealth Division, Signo Motus Andrea Leto, Project Coordinator, Region of Tuscany Regional Government. Directorate General for Rights of Citizenship and Social Cohesion
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Page 1: O. renda richard project overview

Regional ICT based Clusters for Healthcare Applications and R&DIntegration

Promoting ICT “assisted” models for chronic diseases management 

Olga Renda, Technical Coordinator, e‐health Division, Signo MotusAndrea Leto, Project Coordinator, Region of Tuscany ‐Regional Government. Directorate General for Rights of Citizenship and Social Cohesion

Page 2: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

“promoting  new , or enhancing already existing sustainable territorial clinical models, ICT‐based, applied to the management of chronic conditions”

RICHARD OBJECTIVES

territorial models are aimed to exploit territorial facilities for a better and decentralized  service provision

Page 3: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

OUTLINE

The burden of chronic disease and chronic conditions is growing

One of the greatest challenges that will face health systems globally in theTwenty-first century will be the increasing burden of chronic diseases (WHO2002). Greater longevity, “modernization” of lifestyles, with increasing exposure to many chronic disease risk factors, and the growing ability to intervene to keep people alive who previously would have died have combined to change the burden of diseases confronting health systems.

Chronic conditions are defined by the World Health Organization (WHO) as requiring “ongoing management over a period of years or decades ”.

Page 4: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

BACKGROUND: THE CHRONIC CARE MANAGEMENT MODEL

• Empower and prepare patients to manage their health and health care• Proactive care, programming interventions, using multidisciplinary teams, integratingprimary and secondary  care

• Create culture, organization  & mechanisms ensuring safety & quality in Self‐care andself‐Management

• Using ICT for  data collection and management ... and for integration 

Page 5: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

BIG DISCREPANCY BETWEEN DEVELOPMENT ANDAPPLICATION It is widely recognized that regional healthcare systems can greatly benefit from ICT provisions :lessen cost, improve quality of life, provide equitable access

More than 20.000 devices/applications have been developed in Europe but few of them have been deeply integrated in the board of services offered by local health units (e.g. hospitals, rehab centres). 

In all of those cases in which the technology or the service proposed affect the delivery modality, deeply involving professionals and patients, the process of integration is much slower and difficult. 

Page 6: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

RICHARD is intended to Help the participant regions to more effectively introduce Tele‐health for the management of Chronic diseases, trough a Joint Action Plan

Provide general guidelines for the promotion of teleheanth models for Chronic Conditions also in further European regions

WHY RICHARD

Page 7: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262RICHARD IN A NUTSHELL

Programme: Region of Knowledge Programme Coordinator: Tuscany Region – Region of Tuscany ‐Regional Government. Directorate General for Rights of Citizenship and Social Cohesion

Technical Coordinator: Signo Motus S.r.l.‐ Health Division 

Consortium: 15 partners (4 IT, 3 SE, 4UK, 4PL) Total Funding: € 2.750.000  Start : 01 September 2010 Duration: 3 years

Page 8: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262PROJECT LOGIC

SWOT

Tuscany, Yorkshire, Vasterbotten , with advanced experiences in tele‐health  for chronic care management

1 mentoring region : Lodz, with a high interest on innovation, and a strong management structure, even though still beginner w.r.t. Chronic Care management

Page 9: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

Dementia

Diabetes

Diabetes

Stroke

OUR CLUSTERSStart:  1st September2010End  : 30th October 2013

Page 10: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262IDEAL MODEL: INTEGRATED CARE

Page 11: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

1. To have shared guidelines (a toolkit) to support thedefinition of new tele‐health programs and shift from pilotto mainstream

2. To cross adopt best practices for Tele‐Health and forChronic Care management (capitalize models andexperiences)

3. To address the acceptance of ICT among all thestakeholders through education, dissemination andinformation activities.

4. To improve the technical framework and foster researchopportunities

5. To improve the regulatory and financial framework tosupport eHealth and to ensure service sustainability

JAP OBJECTIVES

Page 12: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

1. The Tele‐Health Toolkit  “Ready Steady Go” to support the Stakeholders in design develop and deliver a TeleHealth programme and to support pilots to go on mainstream. 

2. Educational materials preparation (Toolkit information days)

3. Planned a second version in 20144. Validation and Extension started

RESULTS SHARED GUIDELINES FOR IMPLEMENTATION/ADAPTATION OF TELE‐HEALTH PROGRAMS: THE ‘READY STEADY GO’ TOOLKIT

THE ‘READY, STEADY, GO’ TELEHEALTH TOOLKIT

Page 13: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

1. Regional Healthcare Managers Study Tours on ICT applications and information exchange network  about tools and  models available, and technical, organizational, educational  issues

2. Set up of a Telemedical system pilot for patients with diabetes in the Lodz Region

3. Business agreements among the SMEs  to cross promote  models and tools

RESULTS CROSS ADOPT BEST PRACTICES

Page 14: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

1. Held already 3 Research Brokerage Workshops andlast is the current one.

2. Building consortium to address the usage of seriousgames for Chronic conditions, Set‐up of a Forum onSerious Games

3. Validation/Extension of the detailed interoperabilityprofiles developed within the DALLAS project(‘Delivering Assisted Living Lifestyles At Scale’)

RESULTS: IMPROVE TECHNICAL FRAMEWORK, ENABLE COOPERATION

Page 15: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

Raising awareness of the need to increase coherenceamong ICT solutions and the legal and financial context

Exploration of new services and business models : 1. Develop Hub model in further regions  sharing the business 

case for the return on investment in the Hub in terms of reduced system costs over time.

2. Moving from CLEAR experience(http://www.youtube.com/watch?feature=player_embedded&v=nzLd5sDjB0k) Retail kiosks using telemedicine  technology

3. Analysis of new business model, going to the consumer market

RESULTS IMPROVE REGULATORY AND FINANCIAL FRAMEWORK , ENSURESERVICES SUSTAINABILITY

Page 16: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

1. Common ground seminars on ICT models an telehealth2. Exploration of co‐creative innovation tools to create 

arenas for innovation where staff (GPs, Nurses, Technical staff, administrative staff, managers etc), lead users from other areas, academia and more, meet.

3. Sharing the UK model for encouraging Patient and Public Involvement in Research “Doing research withor by the public rather than to, about or for the public” 

RESULTSTO ADDRESS THE ACCEPTANCE OF ICT

Page 17: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

We plan for submitting proposals for following themes:1. Telehealth and Telerehabilitation (integrated care) for LTCs2. Implementation of Telehealth (Toolkit development) 3. Serious gaming for Chronic/LTCs

Common Priorities:1. Avoid costly Accident and Emergency visits and hospital admissions.2. education and training for patients, carers, healthcare providers etc.3. personalized care – considering the social, personal, medical and 

temporal factors that interact to determine an individual’s health.4. tackle resistance to change in the health care sector.5. new business ecosystems , besides the health system, allowingcitizens 

empowerment and self management, making  Health as sustainable.6. Empower chronically ill individuals to improve and self‐manage their 

health throughout life 

GIVE CONTINUITY TO OUR JAP

Page 18: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

SOCIETAL CHALLENGE

4. Integrated, sustainable, citizen‐centred care will support the development of new health system architectures based on integrated care models that are more closely oriented to the needs of patients, specific patient groups (e.g. stratified and co‐morbidity) and European citizens

Page 19: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

SUBTHEMES

4d Advanced ICT systems and services for Integrated Care , developing new ICT‐based approaches for integrated care addressing gaps and hurdles both from technological and organisational points of view

4f Citizen engagement in health, wellbeing and prevention of diseases  Empowering a healthy individual to maintain and self‐manage their health throughout life. promote a healthy lifestyle, wellbeing, mental health, self‐care,

Page 20: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

SUBTHEMES

4g mHealth for disease management  how the individual/patient could be empowered and how the interventions could be developed to enable the individual to manage his/her health condition in a way that utilises the achievements and current development paths of the IT industry 

4h Patient empowerment Empowering chronically ill individuals to improve and self‐manage their health throughout life 

Page 21: O. renda richard project overview

Seventh Framework ProgrammeRegions of Knowledge HealthGrant agreement no: 266262

CONTACTS

Olga RendaResp. ICT & eHealth Dept. - Signo Motus srlSan Giuliano Terme (PI)

[email protected]

RICHARD management [email protected]

www.richardproject.eu


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