Knowledge -Based HomeCare eServices f or an Ageing Europe K4CARE

1. K4Care and Share-It EU projects for the elderlyTelematics and Robotics for the Quality of Life of the ElderlyRoberta AnnicchiaricoIRCCS Fondazione S. Lucia - Rome

2. Knowledge-Based HomeCare eServices for an Ageing Europe K4CARE

3. General Objectives • Model: Generate a new ICT Sanitary Model for Home Care Patients in the enlarged Europe. • Platform: Propose a telematic and knowledge-based CS platform that implements the above model. • EHCR: The project will define a solution for Electronic Home-Care Record (EHCR). • Validation: Conduct pilot tests in different EU countries.

4. K4CARE Model Model Structure 1 Nuclear Structure + n Accessory Services.

5. K4CARE Model Actors

6. K4CARE Model

7. K4CARE Model Services • Access Services • Individual Services • Structural Services • Patient Care Services • Problem Assessment and Re-Evaluation • Intervention Plan Definition • Intervention Plan Performance • Information Services • Service Monitoring • HC Practice • Database Inquiring • Personal Information

8. Platform • APO: Definition of the Actor Profile Ontology (APO) for representing the profiles of the subjects involved in the K4CARE model, i.e. healthcare professionals, patients and relatives, citizens, and social organisations. • CPO: Definition of the patient-Case Profile Ontology (CPO) for representing symptoms, diseases, syndromes, and case mix. • FIP: Definition of Formal Intervention Plans (FIP) describing the treatment of a number of diseases, symptoms, and syndromes.

9. SERVICE ACTION PROCEDURE DOCUMENT ACTOR Platform • Actor Profile Ontology

10. Platform

11. Platform Case Profile Ontology ASSESSMENT SYNDROME INTERVENTION FIP DISEASE SIGNS&SYMPTOMS SOCIAL ISSUE

12. Platform • Formal Intervention Plans (FIPs) are formal structures representing the healthcare procedures to assist patients suffering form particular ailments or diseases. • FIPs are represented with the SDA* formalism: • States • Decisions • Actions • The SDA* formalism will be used to represent: • K4CARE Service Procedures • K4CARE Formal Intervention Plans • K4CARE Individual Intervention Plans

13. [PC][ANY] BO.03.ReferTheAdmitedPatientForCA[,] [HN][ANY] BO.03.ReferTheAdmitedPatientForCA[,] [HN][ANY] BO.05.AssignMembersOfEU[,] [HN][ANY] BO.08.SendMessageToThePatient[,] [HN][ANY] P1.ConfirmAppointment[,] otherwise P1.ConfirmAppointment[,] [EU][ANY] S3.2.MultiDimensionalEvaluation[,] HCP Reliable/Compliant HCP Non Reliable/Compliant [HCP][ANY] BO.01.ProvideInformation[,] [CCP][ANY] BO.01.ProvideInformation[,] [FD][ANY] S3.4.PhysicalAssessment[,] [PC][ANY] S3.4.PhysicalAssessment[,] [PC][ANY] S3.3.ClinicalAssessment[,] [FD][ANY] S3.3.ClinicalAssessment[,] SW][ANY] S3.8.SocialNeedsandSocialNetworkAssessment[,] Assessed Platform

14. Technological ObjectiveKnowledge Adaptation and Use • Personalise the Access to the K4CARE platform • Personalise the Assistance to senior citizens • FIPs will be inductively learned from the EHCR with the use of new Machine Learning algorithms

15. Platform

16. Validation • Pollenza June 2009 • Final pilot test • 5 Family doctors

18. SHARE-it Supported Human Autonomy for Recovery and Enhancement of cognitive and motor abilities using information technologies

19. Goals • To develop assistive technologies for citizens with disabilities and senior citizens • To study how physical and software agents could support these persons in a known environment • To enhance the possibilities of autonomy and quality of life of this kind users

20. SHARE-it target • To develop next generation assistive systems that empower persons with (in particular cognitive) disabilities and aging citizens to play a full role in society, to increase their autonomy and to fulfill their potential.

21. More basic ideas • The most typical mobility assistive devices are power wheelchairs and walkers • Among the persons in our target population not every person can have full control over a power wheelchair • A mobile is considered to be autonomous when it can perform a task in a dynamic environment without continuous human guidance

22. Services • Three main kind of services are delivered by an agent based architecture: • Monitoring services • Mobility/Navigation services • Cognitive services • Three mobility platform are delivered: • iWalker, Carmen, Spheric

23. Services • Cognitive services • The user has an ADL agenda • The agent can send some activity reminders to the user • For example: Reminder of a medical revision • Triggering of help request messages to caregivers if some abnormal agenda activities happen

24. Services • Monitoring • Gather all data from the sensors • Information will be processed and analysed by medical partners: possible rehabilitation uses • Agents can determine user’s intentions • Safety issues

25. Services • Monitoring

26. Services • Mobility/Navigation • Users may have a map of their preferred environment and their localization on it (situated intelligence)‏ • Route to reach some destination and real time indications to follow it • Assistance tuned to supply just the required amount of help

27. HOW DO WE ASSIST NAVIGATION? User The user wants to do A Computer wants to do B Let’s combine it into C and send C to motors On board PC Power Wheelchair Walker Sensors

28. Shared control (some ideas) • Autonomy, in an agent, can be defined as the ability of performing a activity • Sharing own autonomy implies the will to give someone some permissions to perform in our behalf • Why to share? • When to share? • With whom?

29. Shared control (maybe an answer) • Autonomy, in an agent, can be defined as the ability of performing a (desired) activity • Sharing own autonomy implies the will (compromise) to give someone some permissions to perform in our behalf • Why to share? I know that I have problem and/or comfort • When to share? [ Never, When need, only at some point] • With whom? I trust you

30. HOW DO WE CALCULATE MOTION?

31. i-Walker: Mechanical Features Basic features 4 conventional wheels 2 castor-wheels and 2 driven by independent motors 2 handles Force sensors allow knowing how the user is exerting forces to the walker 2 force sensors located on rear wheels measuring the normal force

32. Computer-controlled brake actions The walker can guide the user when his/her orders are wrong

33. z x y Setting Definition & Objectives Measurement of the forces Programm force Partial compensation

34. Intelligent Platforms • Enhancing user’s autonomy • Different ways of interaction • Voice • Touch-pad • Traditional controllers • Pre-programmed • Adaptable to the user • Adaptable to the environment • Reactive • Proactive • Safe

35. Intelligent Platforms • Enhancing user’s autonomy • Different ways of interaction • Voice • Touch-pad • Traditional controllers • Pre-programmed • Adaptable to the user • Adaptable to the environment • Reactive • Proactive • Safe

36. Intelligent Platforms Longitudinal Lateral Trasversal Holonom

37. Conclusions • Disability is a being condition in which people is unable to perform an activity • technology can compensate or expand the activity of a disabled subject through new forms of human-computer interaction • technologyimprove users’ autonomy • technologyimprove professionals/users interaction • Technology may contribute to • to improve home care (medical and social aspects) • to enhance the quality of life of disabled, senior citizens and their families • to lengthen the time spent at their preferred environment and to postpone the need for institutionalization • to reduce institutional and social costs

38. Thank you for your attention Roberta Annicchiarico r.annicchiarico@hsantalucia.it • http://www.ist-shareit.eu/ • http://www.k4care.net