Smart Care – care in the future

1. Smart Care – care in the future Raivo Allev, Tallinn City Social Welfare and Health Care Board

2. Content • Tallinn City • Smart Sare project • E-services in Tallinn UBC meeting in Tartu

3. City of Tallinn • Tallinn, the Capital of Estonia, is located in Northern Europe in the north-eastern part of the Baltic Sea region, on the coast of the Gulf of Finland • Tallinn has 40 kм² of greenery areas (parks, forests etc) Population: 416 993 Area:159,1km² Density:2,618 people per km² Islands:Aegna (3,04 km²) Lakes:Harku Lake (1,7 km²) Ülemiste Lake (9,4 km²) Sea coast:46 km Land boarder:59 km UBC meeting in Tartu

4. City of Tallinn • 40 kм²(~35 %) of greenery areas (64 parks, forests etc) • 19 high education institutions • 15 theatres (project-based and repertoire) • 17 city ​​libraries + a library bus • 18 concert halls • 52 museums • zoo • botanical garden • 141,3 km bicycle paths • 16 ports and harbours • 940 km roads UBC meeting in Tartu

5. City District Administrations • In order to better fulfill the functions of local government, the City of Tallinn is divided into 8 City Districts • The District Administrations (Governments) are city institutions that fulfill, in the administrative territory of their city district, the functions assigned to them by Tallinn legislation and statutes Haabersti City District UBC meeting in Tartu

6. City Districts General Data Population:http://www.tallinn.ee/g4258s9268, Employees UBC meeting in Tartu

7. Background for Europeanand Estonianpopulationagingis rapid. OurworkforcegoestoFinland and elsewhereinEurope, whotakecarefoueusinfutrure? Robots? I donotwantit, but I agree: All thatcanbedoneby a machine, themachine must beallowedtodo - people are moreincomfortable and safe. HowstartedSmartCarepreparation? UBC meeting in Tartu

8. Previous project: International telecare project 2008 -2012 A consortium of 13 partners, among others, East Tallinn Central Hospital Ambulatory telemonitoring of patients at home, 60 patients with chronic lung diseases, heart patients and diabetics. Monitoring equipment installed in homes, doctors and nurses watched and made appropriate decisions to change treatment UBC meeting in Tartu

9. Benefits of a DREAMING service • More satisfied senior citizens • Reduces isolation of elderly people • Creates new communication possibilities between caregivers and patients • Professional care according to the needs of the patient • Better medical service availability • Avoids unexpected situations • Ambulatory visits • Hospitalizations

10. Alarm Button – provided by Tallinn City The goal of this service is to call for help primarily in situations where the person is unable to move by him/herself and to open the door for the helpers, for example: Sudden need for medical help, with an immobilising effect; Sudden need for so-called personal help (falling, temporary inability to move, becoming trapped in inner rooms, etc.); Situations necessitating rescue services (fire, explosion, etc.).

11. Alarm Button II The service is used by clients suffering from serious illnesses, such as cardiovascular diseases, diabetes mellitus, hypertension, Parkinson's disease, asthma, stroke and / or heart attack. The health status of clients often occur due to imbalance, which can lead to falls. Help needed client challenges are the main causes of health problems (falls, heart rhythm disorders, shortness of breath, weakness, a temporary inability to move). If necessary, an ambulance is involved, which evaluates human health and, where appropriate, leads people to hospital. UBC meeting in Tartu

12. Same patients/clients for SW and HCThe aim for SmartCare project: UBC meeting in Tartu

13. Care receiver / SmartCare beneficiary Informal carers • Joint discharge planning • Joint home care plan management • Remote doctor visits • Medical alerts • Social alarms • Remote rehabilitation Generic socio-technical system example Integrated hospital discharge home support Connecting Hub • Home health monitoring • Response to critical situations • Home safety monitoring • Emergency response Social Care Provider Third-sector organisation Health Care Provider (Hospital) • Joint planning of discharge process • Joint home care plan management • Shared client data access / updating Tele-care infrastructure Tele-health infrastructure Joint client data base Patient recordsystem Social care record system

14. SmartCare – partner states ant integrated service model UBC meeting in Tartu

15. SmartCare - for Europe SmartCare aims to define a common set of standard functional specifications for an open ICT platform enabling the delivery of integrated care to older European citizens. A total of 22 regions and their key stakeholders will define a comprehensive set of integration building blocks around the challenges of data-sharing, coordination and communication. Ten regions will then pilot integrated health & social services to combat a range of threats to independent living commonly faced by older people while the other will prepare for early adoption. UBC meeting in Tartu

16. SmartCare - for Europe II Guidelines and specifications for procuring, organising and implementing the service building blocks will be produced. SmartCare services will provide full support to cooperative delivery of care, integrated with self-care and across organisational silos, including essential coordination tools such as shared data access, care pathway design and execution as well as real time communication support to care teams and multi-organisation access to home platforms. UBC meeting in Tartu

17. SmartCare for Tallinn pilot Project goal: to develop and implement universal web-based home monitoring system for elderly chronic disease patients, allowing a combined social and health care, including both organizational service delivery network, methodical evaluation of technological solutions based on existing experiences / practices, and have a value not exceeding € 30 per month . The project target groups: elderly people, who are in need of social welfare in addition to chronic diseases, including stroke, heart failure, chronic obstructive pulmonary disease, diabetes, and who are also in need of social and home nursing services in the periodic medical consultation or treatment. In Tallinn the size of the target group of up to 20 000 people, of whom 100 people are involved in the project. + Videoconference possibility. UBC meeting in Tartu

18. The future of health/cocial care in Estonia • Joint medical and social care services and supporting ICT platform. • Medical service • 24 h monitoring • Vital parameters and alarms monitoring • Fall sensor • Social services • Alarm button • Virtual services • Reminders • Social consultations

19. E-Services Where can I pay the Where can I find Who will take Who will teach garbage? school? child to sing? bills? UBC meeting in Tartu

20. E-Service Levels UBC meeting in Tartu

21. How to Apply for E-Service Childbirth allowance video at the city web www.tallinn.ee http://www.tallinn.ee/eng/Childbirth-allowance-video In Estonian UBC meeting in Tartu

22. Thank You and welcome to Tallinn! www.tallinn.ee UBC meeting in Tartu