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A WEB2.0 platform in healthcare created on the basis of the real perceived need of the elderly end users Giovanni Rinaldi, Antonio Gaddi, Arrigo Cicero, Fabio Bonsanto, Lucio Carnevali CUP2000, Bologna University The probem Elderly > 64 27% Family with one elderly > 64 38%

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A WEB2.0 platform in healthcare created on the basis of the real perceived need of the elderly end users

Giovanni Rinaldi, Antonio Gaddi, Arrigo Cicero, Fabio Bonsanto, Lucio Carnevali

CUP2000, Bologna University

eHealth 2009.

Istanbul, Turkey– September 23-25, 2009


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The probem real perceived need of the elderly end users

  • Elderly > 64 27%

  • Family with one elderly > 64 38%

  • Family with one member > 64 17%

  • Family with one member > 79 8 %


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Traditional eCare approach real perceived need of the elderly end users

Vulnerable

elderly


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Target and skills real perceived need of the elderly end users

  • Can elderly use new technology?

    • Elderly subjects are interested in new technology for improving health

    • They are able to use standard electronic tools

    • They don’t know eHealth technology

  • Can new technology improve the elderly quality of life?

  • How ?


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OLDES real perceived need of the elderly end users


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The challange real perceived need of the elderly end users

  • Overcome the traditional 1-1 relationship in a one 1-many

  • Engage different stakeholder with different responsibility and associated to different organization

  • Provide a complete care for elderly both social and health

  • Manage the “jam of data” referred to elderly


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Elderly care is a multy-agency activity and requires collaboration

  • The elderly care is a multy-agencies activities


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Service Funders and Commissioners collaboration

Infrastructure and applications service providers

Service and device developers

Service Agencies

Service User Representation

Data Analysts and Information specialists

Old people with their network and contacts

Front line practitioners


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Elderly care is a multy-agency activity and requires collaboration

  • The elderly care is a multy-agencies activities

  • The care of the elderly must respond to a complex long term condition


The context l.jpg
The collaborationcontext


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Elderly care is a multy-agency activity and requires collaboration

  • The elderly care is a multy-agencies activities

  • The care of the elderly must respond to a complex long term condition

  • Engagement of elderly and stakeholders in the care processes


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Hospital collaboration

Care Allowance

Home

Admission

Healthcare Residence

Integrated Home Care

Day Centre

Nursing Home Care

Reject

Protected Housing

Territorial Services

GP

Institutional Services

Old person and Family

District old people care service.

SSA

Assign Case Manager

Geriatric assessment committee

UVG

Proposed OLDES tele-Medicine & tele-Accompany Services


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Elderly care is a multy-agency activity and requires collaboration

  • The elderly care is a multy-agencies activities

  • The care of the elderly must respond to a complex long term condition

  • Engagement of elderly and stakeholders in the care processes

  • The “www” of the elderly is the little but great world of relationships


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Federation Services Platform collaboration

Remote Services Platforms

Remote Hub

Network

Institutional User systems

Hub + Local Services Platform

Domestic User Systems


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User Domain Object collaboration

User Domain Object

Service Object

Service Object

Service Object

Service Management Object

Service Management Object

Service Management Object

Federative Platform

Hub

Hub Management Object

Data Filter

Signalling Data

Service Meta- Data

Service Content Data


Platform l.jpg

Relationship and Provisioning Services collaboration

Registration and Publication Services

Event, Process and Transaction Services

PLATFORM

  • Portal: it’s a door to find; publish and sort information; expose services; reach applications.

  • Index: it represents the associations between services(also a composition of services) and users (or roles)

  • Switch: it is the mechanism for choosing the specific and suitable services; it allows the process coordination within and across boundaries ensuring that sequences of events and transactions are managed

Hub


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Relationship and Provisioning Services collaboration

Registration and Publication Services

User Connection Point

Event, Process and Transaction Services

Network Service

User Domain Object

User Domain Object

Service Access Point

Hub


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Relationship and Provisioning Services collaboration

Registration and Publication Services

User Connection Point

Event, Process and Transaction Services

Network Service

User Domain Object

User Domain Object

Service Object

Service Object

Service Object

Service Access Point

Service Management Object

Service Management Object

Service Management Object

Hub

Hub Management Object


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Features of the platform collaboration

  • Publishing and Syndication

  • Messaging

  • Signaling

  • The management of the data collected

  • Governance


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Relationship and Provisioning Services collaboration

Registration and Publication Services

User Connection Point

Event, Process and Transaction Services

Network Service

User Domain Object

User Domain Object

Service Object

Service Object

Service Object

Service Access Point

Service Management Object

Service Management Object

Service Management Object

Hub

Hub Management Object

Data Filter

Signalling Data

Service Meta- Data

Service Content Data


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Relationship and Provisioning Services collaboration

Registration and Publication Services

User Connection Point

Event, Process and Transaction Services

Network Service

Service Provider

User Domain Object

User Domain Object

Service Object

Service Object

Service Object

Broker

Service Access Point

Service Management Object

Service Management Object

Service Management Object

Operator

Operator

Supporting Data Service Provider

Hub

Hub Management Object

Data Filter

Signalling Data

Service Meta- Data

Service Content Data


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Group collaborationof

interest

Animators

Questionnairs


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4 main groups of services collaboration

  • Thematic channel, entertainment and social networking

  • EH/SR + user health space

  • Telemedicine tools for monitoring health state

  • Intelligent system and algorithms for analyse non homogeneous complex information


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  • Elderly has 4 type of participation and interaction: collaboration

    • Access to own health information and speech diary

    • Group of interest using thematic channel

    • Contact with e-Care operator

    • Entertainment services (thematic channel, information request, brain training using questionnaires, …)

    • Social or health services with human interaction (episode)


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EH/SR – The Personal Health Space collaboration

  • Questionnaires

  • Observational and narrative speech diary

  • Visualization of data coming from devices

  • Personal booking and appointment


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Social Networking collaboration

  • opportunity for elderly to participate to social networks


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DIS-INTERMEDIATION collaboration

  • It describe a special form of dis-intermediation where people who search healt information on the web receive the guide from “apomediaries”; they are agents (peopel or tools) which “stand-by” and guide the users to services

  • Eisenbach 2008


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Broker collaboration

Broker

Supplier

Other Information Users

Network Service Suppliers

Applications Service Providers

Caring Services Value-chain

Commissioning Networks

Service User

eCare

Co-ordinator

Supporting Information/Data Service Suppliers

Service and Infrastructure Value-chain


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Broker collaboration

Tools

Supplier

Tools and

animators

Other Information Users

Network Service Suppliers

Applications Service Providers

Caring Services Value-chain

Commissioning Networks

Service User

eCare

Co-ordinator

Supporting Information/Data Service Suppliers

Service and Infrastructure Value-chain


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Data Filter collaboration

Signalling

Sa

Sd

S9

S8

S7

Sb

Se

S6

S5

S4

S3

S2

S1

Sc

Meta-data

Content

Management Access

Management Access

Service Access Points

Filter Configuration

Fuzzy Logic &

Learning

Extraction

Summary &

Aggregation

Access Control

Access Control

Access Control

Algorithms

Algorithms

Data Using Services

Hub Data Services

Processed Data Services

Intelligent Data Services


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Profiling Engine schema collaboration

SpeechDiary

Text diary

Conceptsdefinition

Expert annotation

Summary

Taxonomy

User Log

Score

ProfileClass

User Profile

EHSR


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Summaries collaboration

Profiling

Categories

Taxonomies

eCare Coordinators,

Discussion Channels

OLDES Home System

Voice over IP

Signalling Data

Voice Recognition

Automatic Interaction Monitoring

Analysing Tools

Third party Agencies

HL7

EHSR

Learning Machine


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Intelligent collaborationengine


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FL&L collaboration

User Domain Object

User Domain Object

Signalling

S7

S1

S2

S3

S5

S6

S4

S8

S9

Sa

Sc

Sd

Se

Sb

Hub

Meta-data

Content

Data Filter

Intelligent Data Services

Data Using Services

Processed Data Services

ES&A

Hub Data Services


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Relationship and Provisioning Services collaboration

Registration and Publication Services

User Connection Point

Event, Process and Transaction Services

Network Service

Service Provider

User Domain Object

User Domain Object

Service Object

Service Object

Service Object

Broker

Service Access Point

Service Management Object

Service Management Object

Service Management Object

Operator

Operator

Supporting Data Service Provider

Hub

Hub Management Object

Data Filter

Signalling Data

Service Meta- Data

Service Content Data