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

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

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  1. 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

  2. The probem • Elderly > 64 27% • Family with one elderly > 64 38% • Family with one member > 64 17% • Family with one member > 79 8 %

  3. Traditional eCare approach Vulnerable elderly

  4. Target and skills • 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 ?

  5. OLDES

  6. The challange • 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

  7. Elderly care is a multy-agency activity and requires collaboration • The elderly care is a multy-agencies activities

  8. Service Funders and Commissioners 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

  9. 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

  10. The context

  11. 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

  12. Hospital 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

  13. 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

  14. Federation Services Platform Remote Services Platforms Remote Hub Network Institutional User systems Hub + Local Services Platform Domestic User Systems

  15. User Domain Object 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

  16. Relationship and Provisioning Services 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

  17. Relationship and Provisioning Services Registration and Publication Services User Connection Point Event, Process and Transaction Services Network Service User Domain Object User Domain Object Service Access Point Hub

  18. Relationship and Provisioning Services 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

  19. Features of the platform • Publishing and Syndication • Messaging • Signaling • The management of the data collected • Governance

  20. Relationship and Provisioning Services 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

  21. Relationship and Provisioning Services 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

  22. Group of interest Animators Questionnairs

  23. 4 main groups of services • 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

  24. Elderly has 4 type of participation and interaction: • 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)

  25. EH/SR – The Personal Health Space • Questionnaires • Observational and narrative speech diary • Visualization of data coming from devices • Personal booking and appointment

  26. Social Networking • opportunity for elderly to participate to social networks

  27. DIS-INTERMEDIATION • 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

  28. Broker 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

  29. Broker 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

  30. Data Filter 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

  31. Profiling Engine schema SpeechDiary Text diary Conceptsdefinition Expert annotation Summary Taxonomy User Log Score ProfileClass User Profile EHSR

  32. Summaries 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

  33. Intelligentengine

  34. FL&L 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

  35. Relationship and Provisioning Services 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

  36. Thank’s for your attention

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