THE DREAMING PROJECTFINAL CONFERENCE

Trieste, 14th June 2012Trieste, 14th June 2012

Beyond DREAMING? Future prospects;

strategic and operational

choices and decisions

Marco d’Angelantonio Managing Director of HIM SA

(Brussels – Belgium)

DREAMING is not (just) a project

DREAMING is also a project but … It is mainly a long-term initiative launched by

HIM SA in 2003 It is a registered trademark It is a registered logo

The project that will end on 30th June 2012 is just a milestone in a path which will hopefully lead to the large scale roll-out of AAL based services in support of older people’s independent living

2

What is DREAMING about?

The quest for a sustainable ICT-based elderly care solution

The systematic building of evidence to sustain the business case for the large-scale deployment of the solution

The permanent search for sources of funding and new business models which can accelerate the roll-out of innovative elderly care services

3

DREAMING before and after DREAMING

Conceptio

n and fine-

tuning of t

he idea

Pilots

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Development of t

he

solutio

n

Commercialis

ation

SmartCar

e

4

Smart clo

thes

Traditi

onal

biosenso

rs

Integra

tion

biosenso

rs-

environmenta

l

senso

rsW

earable se

nsors

Implanta

ble senso

rs

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Domotic

Positioning,

navigation

Behaviour analysis

As technology evolves DREAMING evolves

5

The DREAMING partners are seriously committed

Friuli Venezia Giulia: the DREAMING services will continue to be provided, as foreseen in the Grant Agreement, to the current and a few additional users while decisions are made on the basis of the outcome of the trials

Aragon: new layers of population have been included in the service in addition to those who participated to the trials:

Dependent elderly people Older people living in elderly residences

South Denmark: new independent older people have been offered the services using an up-to-date technological platform

6

The DREAMING partners are seriously committed

Germany: on-going negotiation with health insurers to include telemonitoring among the reimbursable items of service and addition activities for increasing the evidence base (RENEWING HEALTH & United4Health)

Sweden: waiting for some essential components provided at national level for integration with main care information systems to be put in place not to duplicate investments and create new information silos

Estonia: reflection underway to evolve towards a service to offered in Estonia and abroad to reach economies of scale and sustainability

7

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 Currently under evaluation (Please keep your

fingers crossed!)

SmartCare

8

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)

9

AGE Platform Europe ASBL Assemblée des Regions d’Europe Continua Health Alliance Eurocarers Stichting International Foundation for

Integrated Care Federation Europeenne des Associations

Infirmieres European Patients' Forum Empirica

SmartCareThe other partners

10

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

SmartCare

11

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

12

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

13

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)

14

Conclusions

The progression in evidence building from DREAMING to SmartCare addresses and hopefully solves the main obstacle 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

15

Marco d'AngelantonioManaging Director

Boulevard Lambermont 84B - 1030 Bruxelles

Tel: +32-2-307.64.66GSM: +32-475-34.11.38

Email: marcodange@gmail.comSkype username: marcodangelantonio

Fax: +32-2-307.68.01