O. renda richard project overview


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O. renda richard project overview

  1. 1. Regional ICT based Clusters for  Healthcare Applications and R&D Integration Promoting ICT “assisted” models for chronic  diseases management  Olga Renda, Technical Coordinator, e‐health Division,  Signo Motus Andrea Leto, Project Coordinator, Region of Tuscany ‐ Regional Government. Directorate General for Rights of  Citizenship and Social Cohesion
  2. 2. Seventh Framework Programme Regions of Knowledge Health Grant 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
  3. 3. Seventh Framework Programme Regions of Knowledge Health Grant 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 ”.
  4. 4. Seventh Framework Programme Regions of Knowledge Health Grant 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, integrating primary and secondary  care • Create culture, organization  & mechanisms ensuring safety & quality in Self‐care and self‐Management • Using ICT for  data collection and management ... and for integration 
  5. 5. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262 BIG DISCREPANCY BETWEEN DEVELOPMENT AND APPLICATION  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. 
  6. 6. Seventh Framework Programme Regions of Knowledge Health Grant 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
  7. 7. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262 RICHARD 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
  8. 8. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262PROJECT LOGIC S W O T  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
  9. 9. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262 Dementia Diabetes Diabetes Stroke OUR CLUSTERS Start:  1st September2010 End  : 30th October 2013
  10. 10. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262 IDEAL MODEL: INTEGRATED CARE
  11. 11. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262 1. To have shared guidelines (a toolkit) to support the definition of new tele‐health programs and shift from pilot to mainstream 2. To cross adopt best practices for Tele‐Health and for Chronic Care management (capitalize models and experiences) 3. To address the acceptance of ICT among all the stakeholders through education, dissemination and information activities. 4. To improve the technical framework and foster research opportunities 5. To improve the regulatory and financial framework to support eHealth and to ensure service sustainability JAP OBJECTIVES
  12. 12. Seventh Framework Programme Regions of Knowledge Health Grant 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 2014 4. 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
  13. 13. Seventh Framework Programme Regions of Knowledge Health Grant 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
  14. 14. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262 1. Held already 3 Research Brokerage Workshops and last is the current one. 2. Building consortium to address the usage of serious games for Chronic conditions, Set‐up of a Forum on Serious Games 3. Validation/Extension of the detailed interoperability profiles developed within the DALLAS project (‘Delivering Assisted Living Lifestyles At Scale’) RESULTS:  IMPROVE TECHNICAL FRAMEWORK, ENABLE COOPERATION
  15. 15. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262 Raising awareness of the need to increase coherence among 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_embedd ed&v=nzLd5sDjB0k) Retail kiosks using telemedicine   technology 3. Analysis of new business model, going to the consumer  market RESULTS  IMPROVE REGULATORY AND FINANCIAL FRAMEWORK , ENSURE SERVICES SUSTAINABILITY
  16. 16. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262 1. Common ground seminars on ICT models an telehealth 2. 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 with or by the public rather than to, about or for the public”  RESULTS TO ADDRESS THE ACCEPTANCE OF ICT
  17. 17. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262 We plan for submitting proposals for following themes: 1. Telehealth and Telerehabilitation (integrated care) for LTCs 2. 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
  18. 18. Seventh Framework Programme Regions of Knowledge Health Grant 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
  19. 19. Seventh Framework Programme Regions of Knowledge Health Grant 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,
  20. 20. Seventh Framework Programme Regions of Knowledge Health Grant 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 
  21. 21. Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262 CONTACTS Olga Renda Resp. ICT & eHealth Dept. - Signo Motus srl San Giuliano Terme (PI) olgarenda@signomotus.it RICHARD management team richard.project@regione.toscana.it www.richardproject.eu