a web2.0 platform in healthcare created on the basis of the real perceived need of the elderly end...
TRANSCRIPT
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
The probem
• Elderly > 64 27%• Family with one elderly > 64 38%• Family with one member > 64 17%• Family with one member > 79 8 %
Vulnerableelderly
Traditional eCare approach
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 ?
OLDES
VOIP Server
GUI & Content server
Clinical Information Server
INK
GPs Tele-accompany
Bluetooth
TV Set + Remote Control+ VOIP Handset
HUB - DBLiferay PortalEvent Server
Profiling Engine
OLDES Current ArchitectureCETIC Tasks in OLDES
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
Elderly care is a multy-agency activity and requires collaboration
• The elderly care is a multy-agencies activities
Infrastructure and applications service
providers
Front line practitioners
Old people with their network and
contacts
Service Agencies
Service User Representation
Service Funders and Commissioners
Data Analysts and Information
specialists
Service and device developers
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
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
SSA
Assign Case Manager
UVG
Admission Hospital
Healthcare Residence
Day Centre
Protected Housing
Institutional Services
Home
Integrated Home Care
Care Allowance
Territorial Services
Nursing Home CareReject
GP
District old people care service.
Geriatric assessment committee
Proposed OLDES tele-Medicine & tele-Accompany Services
Old person and Family
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
Hub + Local Services Platform
Remote Services Platforms
Federation Services Platform
Remote Hub
Domestic User Systems
Institutional User systems
Network
Service Object
Service Management
Object
Service Object
Service Management
ObjectData Filter
Signalling Data
Hub Management
Object
HubService Object
Service Management
Object
Service Meta- DataService Content Data
User Domain Object
User Domain Object
Federative Platform
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
Registration and Publication Services
Relationship and Provisioning Services
Event, Process and Transaction Services
Hub
User Domain Object
User Domain Object
Event, Process and Transaction Services
Registration and Publication Services
Relationship and Provisioning Services
User Connection Point
Network Service
Service Access Point
Service Object
Service Management
Object
Service Object
Service Management
Object
Hub Management
Object
HubService Object
Service Management
Object
User Domain Object
User Domain Object
Event, Process and Transaction Services
Registration and Publication Services
Relationship and Provisioning Services
User Connection Point
Network Service
Service Access Point
Features of the platform
• Publishing and Syndication• Messaging• Signaling• The management of the data collected• Governance
Service Object
Service Management
Object
Service Object
Service Management
ObjectData Filter
Signalling Data
Hub Management
Object
HubService Object
Service Management
Object
Service Meta- DataService Content Data
User Domain Object
User Domain Object
Event, Process and Transaction Services
Registration and Publication Services
Relationship and Provisioning Services
User Connection Point
Network Service
Service Access Point
Service Object
Service Management
Object
Service Object
Service Management
ObjectData Filter
Signalling Data
Hub Management
Object
HubService Object
Service Management
Object
Service Meta- DataService Content Data
User Domain Object
User Domain Object
Service Provider
Operator
Broker
Supporting Data Service Provider
Event, Process and Transaction Services
Registration and Publication Services
Relationship and Provisioning Services
User Connection Point
Network Service
Service Access Point
Operator
Group ofinterest
Animators
Questionnairs
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
• 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)
EH/SR – The Personal Health Space
• Questionnaires• Observational and narrative speech diary• Visualization of data coming from devices• Personal booking and appointment
Social Networking
• opportunity for elderly to participate to social networks
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
Other Information Users
eCare Co-ordinator
Broker SupplierService User
Supporting Information/Data Service Suppliers
BrokerNetwork Service
SuppliersApplications Service
Providers
Commissioning Networks
Caring Services Value-chain
Service and Infrastructure Value-chain
Other Information Users
eCare Co-ordinator
Broker SupplierService User
Supporting Information/Data Service Suppliers
ToolsNetwork Service
SuppliersApplications Service
Providers
Commissioning Networks
Caring Services Value-chain
Service and Infrastructure Value-chain
Tools and animators
Acce
ss C
ontr
ol ExtractionSummary &Aggregation
Algorithms
S1
S2
S3
S4
S5
Processed Data Services
Acce
ss C
ontr
ol Fuzzy Logic &Learning
Algorithms
S6
S7
S8
S9
Intelligent Data Services
Signalling
Meta-data
Content
Service Access Points
Hub Data Services
Acce
ss C
ontr
ol
Sa
Sb
Sc
Sd
Se
Data Using Services
Filter Configuration
Management Access
Management Access
Data Filter
Profiling Engine schemaSpeech Diary
Concepts definition
Expert annotation
Text diary
Summary
TaxonomyProfile Class Score
User Profile
User Log
EHSR
OLDES Home
System
eCare Coordinators,Discussion Channels
Taxonomies Summaries Categories Profiling
Voice Recognition
EHSRThird party Agencies
HL7
Voice over IP
Analysing Tools
Automatic Interaction Monitoring
Learning Machine
Signalling Data
Intelligent engine
ContentMeta-data
Signalling
S1S2
S3 S4
S5
S6S7
S8
S9Sa
SbSc
SdSe Processed Data Services
Intelligent Data Services
Hub Data Services
Data Using Services
ES&A
FL&L
Data Filter
Hub
User Domain Object
User Domain Object
Service Object
Service Management
Object
Service Object
Service Management
ObjectData Filter
Signalling Data
Hub Management
Object
HubService Object
Service Management
Object
Service Meta- DataService Content Data
User Domain Object
User Domain Object
Service Provider
Operator
Broker
Supporting Data Service Provider
Event, Process and Transaction Services
Registration and Publication Services
Relationship and Provisioning Services
User Connection Point
Network Service
Service Access Point
Operator
Thank’s for your attention