inCASA Pilots
Posted by Admin on 09 August 2010 18:22
inCASA pilots wants to demonstrate how the use of information and communications technologies (ICT) helps providing better quality healthcare throughout the existing or upcoming local experiences, at a stable or lower cost, and to reduce waiting times and errors. The aim of the action plan is to improve the settings of existing devices and to identify practical steps to achieve developing electronic systems for health records, patient-frail people monitoring and the faster rollout of targeted healthcare services.

The Pilots will be implemented by putting together and involving Health Local Agencies, Doctors, Engineers, Psychologists and all the Care-Givers concerned with the elderly, starting from the early stage of the service development, fulfilling the necessary requirement to work with other partners in different countries for sharing evidence of best practice in this field. The Pilot countries involved in the project are:

1. Italy (ATC Agenzia Territoriale per la Casa della Provincia di Torino)

2. Greece (Konstantopouleio General Hospital of Nea Ionia)

3. Spain (Fundación Hospital Calahorra)

4. France (Institut National de la Sante et de la RechercheMedicale)

5. United Kingdom (Chorleywood Health Centre)

Solutions will be piloted in different service’s scenarios and deployed using different kinds of Social and Health Care Network and experiences pre-existence, finally according to local environment. Pilots will involve self-sufficient elderly people (60-80 years old) living at their own homes or in social housing structures. Service Provider will be provided by local authorities within ad-hoc structures; in such structures operators will take a very active role in Service Model Elaboration, and provide support while implementing the solution.

The set of sensors installed in elderly homes will be connected to the Local Service Provider centre, via wired or wireless broadband communications, depending on network availability. The monitoring data coming from Motion Sensors at home will be stored in the smart phone/base Station and periodically (or real time where applicable) sent to the central point of contact.

Given that the solution will collect personal data for social and clinical purposes and will involve medical devices, a clinical trial protocol will be settled. The existence of a clinical trial protocol will allow pilot analysts on each country to perform the study so that collected data will be combined easily.

Pilot implementation methodology

Pilot Evaluation
The Pilot evaluation will be the critical part of the pilot phase, and will be based on the basic concept included in the project acronym (Integrated Network for Completely Assisted Senior citizen’s Autonomy):

Integrated Network: major efforts are currently underway to establish health information networks. By the end of 2009 the majority of European health organisations should be able to provide online services such as tele-consultation (second medical opinion), e-prescriptions, e-referral, tele-monitoring and tele-care (remote monitoring of patients in their own homes), that’s why involve all safety system’s players and share the results, can be a strategic action to ensure the piloting success.

Completely Assisted: evaluate medical benefits alongside the target and the piloting process, define patient satisfaction level, all actors continuously monitoring , manage control system and refinement actions.

Senior: information for frail people, citizens, local health authorities and welfare institutions. As part of its work providing information for citizens/patient, for local health and national authorities through reports, health card, internet, news letter etc. This activity can maximise the consensus and the acceptability level of our device.

Citizen’s Autonomy: e-Health service must be supported by the widespread dissemination of best practices. These should include the impact on access to healthcare and on its quality, assessments of cost benefits and productivity gains, as well as examples of addressing liability in telemedicine services, reimbursement schemes, and accreditation of e-Health products and services.

Considering EU traditional indicators for elderly people, the Key Performance Indicators measured during pilots will be:

1. Health and Social Cover (Life expectancy of elderly people)
2. Support (Elderly people and external contacts)
3. Skill acquisition 4. Expectations and level of satisfaction