1. E-health in smart cities
DiGiWorld Summit, Montpellier
Julien Venne
November 16th 2011
CEO

2. Challenges and stakes
Ageing population :
In 2060, 23,6M people +60 years old (+ 80 % compared to 2007)
A new concept of frailty, between autonomy and dependence
Increase of people suffering from chronic diseases
In France, 8,3 M people getting full reimbursement for long
lasting complaint in December 2008
Unequal demography : people concentrating in cities
Loss of the social and intergenerational ties
Budgetary context : need for long-lasting business models

3. New way of thinking for local authorities:
human and long-standing cities
A global reflection of authorities on how to deal with an
ageing society willing to stay at home
Creation of a special organization to :
 Ensure social cohesion, common interest and long term « living
together »
 To easier cohesiveness, i.e. create network, « doing together »
Purposes :
 To increase elderly people’s awareness of frailty and offer them
services to help them staying at home
 To study high risk population expectations and replace human factor
in the middle of offered solutions : deal with health, inactivity,
financial distress, isolation questions leading to frailty
 To build a new business model mixing many financing sources and
cost reduction projects to do more and better with the same budget
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4. New way of thinking for local authorities:
human and long-standing cities
A global reflection of authorities on how to deal with an
ageing society willing to stay at home
Focuses
 To adapt social dwellings (telecommunications, energy cost
optimization…)
 To develop new social services : find solutions to isolation, inactivity,
desocialisation, need for information, comprehension of existing
social help services
 Testing of a new frailty detection tool in Toulouse Gérontopole
 To experiment a geopositioning device aiming at optimizing services
costs at home
 To develop an intermediation platform to easier reception of frail
people questions and help organizing new medico-social coordination
processes
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5. Some key success factors
• Broadband digital infrastructures
• Building of adapted dwellings (individuals as
collective)
• New organizational models (professional
coordination)
• Wide agreement of the actors of the whole value
chain (health institutions, authorities, users /
patients, social and health professionals, financers,
industrialists…)
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6. Telemonitoring: some examples of
services platforms
Some services platforms already existing in Europe (Germany, GB) and in the US
Description :
Data collecting, centralizing, processing
Human intervention on citizen / professionals
Assets of those platforms for patients
Elderly people:
Early detection of the frailty before entering in dependance
Delivery of preventive and correctives actions
Connections with local services and helps
Patient with chronic disease:
Almost continuous patient monitoring : detection and alerts about early warning signs for
critical events
Delivery of preventive and correctives actions (treatment adaptation eg.),
Prevention of rehospitalisations
Assets of those platforms for financiers
Monitoring of services delivery to better control their efficiency (authorities, private
financiers)
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7. A complex ecosystem to organize and
manage
At the crossing of different public policies
Health and social spheres : Regional Health Agency
with the regional health project to take into account
Town and country planning / social aspects : local
authorities to include in the project
At the crossing of different care –taking plans
Numerous financiers
 responsibilities and decision authority diluted
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8. platinnEs

9. Thank you for your attention
Julien VENNE, Director of e-health Center
julien.venne@centre-esante.com
www.centre-esante.com
Tél : +33 5 34 46 63 36
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