![Page 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/1.jpg)
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
![Page 2: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/2.jpg)
The probem
• Elderly > 64 27%• Family with one elderly > 64 38%• Family with one member > 64 17%• Family with one member > 79 8 %
![Page 3: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/3.jpg)
Vulnerableelderly
Traditional eCare approach
![Page 4: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/4.jpg)
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 ?
![Page 5: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/5.jpg)
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
![Page 6: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/6.jpg)
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
![Page 7: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/7.jpg)
Elderly care is a multy-agency activity and requires collaboration
• The elderly care is a multy-agencies activities
![Page 8: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/8.jpg)
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
![Page 9: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/9.jpg)
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
![Page 10: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/10.jpg)
The context
![Page 11: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/11.jpg)
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
![Page 12: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/12.jpg)
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
![Page 13: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/13.jpg)
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
![Page 14: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/14.jpg)
![Page 15: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/15.jpg)
Hub + Local Services Platform
Remote Services Platforms
Federation Services Platform
Remote Hub
Domestic User Systems
Institutional User systems
Network
![Page 16: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/16.jpg)
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
![Page 17: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/17.jpg)
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
![Page 18: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/18.jpg)
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
![Page 19: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/19.jpg)
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
![Page 20: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/20.jpg)
Features of the platform
• Publishing and Syndication• Messaging• Signaling• The management of the data collected• Governance
![Page 21: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/21.jpg)
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
![Page 22: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/22.jpg)
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
![Page 23: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/23.jpg)
Group ofinterest
Animators
Questionnairs
![Page 24: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/24.jpg)
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
![Page 25: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/25.jpg)
• 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)
![Page 26: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/26.jpg)
EH/SR – The Personal Health Space
• Questionnaires• Observational and narrative speech diary• Visualization of data coming from devices• Personal booking and appointment
![Page 27: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/27.jpg)
Social Networking
• opportunity for elderly to participate to social networks
![Page 28: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/28.jpg)
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
![Page 29: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/29.jpg)
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
![Page 30: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/30.jpg)
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
![Page 31: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/31.jpg)
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
![Page 32: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/32.jpg)
Profiling Engine schemaSpeech Diary
Concepts definition
Expert annotation
Text diary
Summary
TaxonomyProfile Class Score
User Profile
User Log
EHSR
![Page 33: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/33.jpg)
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
![Page 34: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/34.jpg)
Intelligent engine
![Page 35: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/35.jpg)
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
![Page 36: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/36.jpg)
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
![Page 37: 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,](https://reader030.vdocuments.us/reader030/viewer/2022013012/56649e9d5503460f94b9d77e/html5/thumbnails/37.jpg)
Thank’s for your attention