dallas Programme and Interoperability - overview 21 st November 2012 Melvin Reynolds Assisted Living Innovation Platform – HTKTN Standards

ALIP outputs: Home Based Systems and User Centred Design –9 Projects totalling £14.3m –Our investment: £6.3m (with NIHR, EPSRC and ESRC) Smart Care Distributed Environment –7 projects totalling £16.2m –Our investment: £6.3m (with NIHR and EPSRC) Economic & Business Models + Social & Behavioural Studies –8 projects totalling £12.3m –Our investment: £8.8m (with NIHR and ESRC) Independence Matters - with Design Council –7 projects (£2m programme) European programme – Ambient Assisted Living (AAL) –5 competitions (2008, 2009, 2010, 2011, 2012 is open) Knowledge Transfer programme running Standards activity commenced early 2011 Pre-dallas

How everything fits together... Preventative Technology Grant (PTG) Whole System Demonstrator (WSD) {clinical evidence} Assisted Living Innovation Platform (ALIP) {technology development} d elivering a ssisted l iving l ifestyles a t s cale { next stage of evidence with even more users } ml

There is still work to do... Market Building Quality Standards, Regulation & Interoperability Organisational Readiness Awareness Levers & Incentives Evidence & Business Case

ALIP Standards work - Objectives Increase awareness of, and if appropriate, participation in standards making bodies and regulation that will realise the aim of improving interoperability; Increase UK influence in standards making and regulatory bodies relevant to use of standards; Deliver themed workshops/seminars relevant to ALIP. Provide a central ALIP standards coordinating role for relevant UK programmes/networks in standards making bodies and regulation. Disseminate, develop and maintain the agreed ALIP standards strategy document. Ensure a knowledge repository of relevant information.

Standards and interoperability in dallas

Illness Lifestyle Market Health and Wellbei ng dallas Community scope Private Public Technical Social Wellness

Two specific dallas criteria.... Lifestyles and Interoperability. Set up Lifestyles and Interoperability Task Forces. Issue 1 of the dallas Interoperability White Paper is still available: In the light of the i-Focus community development the ITF has been reborn as the Interoperability Steering Group. ISG has longer term agenda, and acts as mentor for i-Focus.

dallas: 4 successful bidders: Feel Good FactoryLead: Liverpool PCT i-FocusLead: ADI Living It UpLead: NHS24 Year ZeroLead: Illumina Digital

commission signpost & advise Select & buy assessment AL service management Home care telecaretelehealth reablement Extra careetc etc …..telecoachingAdvice/self care Population services - Risk stratification - Predictive studies - Resource planning Public Private consent, schedule, train, install… monitor, triage, escalate, respond data extraction EHR Analysis & Outcomes analysis Validation Gateway eg GP PHR Multi-channel services Multi-media applications Self-management Care Housing Diagnostics Telehealth Telecare Smartphones Tablet TV PC Social networks Portals data choice £ Commissioned by health/care £ Personal budgets £ Self-funding Business process view of a mixed community... Co-ord personalisation evidence

Interoperability in dallas Device to Device Electrical / API / Standards / Protocols / Communications Device to System to System – Electrical / API / Standards / Protocols / Communications System to System – Service design

Interoperability Scope for dallas

dallas update £20m investment from Technology Strategy Board Total investment of £37m due to co-funding from others –e.g. £5m from Scottish Government, Highlands and Islands Enterprise and Scottish Enterprise dallas communities announced –Ministerial launch on 23 rd May 2012 Target population = 169,000

dallas i-Focus community Led by ADI 3 strands: WS1 Cross cutting interoperability across other 3 seeds and wider community WS2 Setting up i3i as interoperability standards brand/kitemark WS3 WarmNeighbourhoods – Consumer model. British Gas providing a service for risk of cold. 10,000 + (More if linked to smart meters (by 2015))

dallas Communities: with i-Focus WS1 Rewards : Each community still unique Key problems solved once Open architectures via process Reduced £ costs Coherence with other programmes => dallas will get to scale i-Focus Design- Led Process i-Focus Design- Led Process Community 1 Community 2 Community 3

i-Focus interoperability priorities Multi-platform service delivery to consumer client devices Streamed multi-media content within applications including QoS etc Use of consumers existing devices – MDD issues Shared services for informal carers Multi-sourcing telecare and telehealth equipment Telehealth integration with GP systems Identity and consent Security and information governance Interface between PHR e.g. Health Vault and statutory systems

Establishing i3i Phase 1Phase 2 Phase 3 WS 2 Gate 1 Gate 2 Gate 3 Establish I3I June 12 – June 13June 13 – June 14June 14 – June 15 Commercial Development Functional test Build the Framework Deliverables: i3i consultation document i3i guiding principles i3i governing documents & bylaws incorporation of i3i Deliverables: Agreed interop. profiles Business requirements per profile i3i business model Deliverables: Tech. architecture per profile Compliance tests per profile Agreed licensing models Agreed IP strategy Growing membership Partnering agreements (with brands such as 3ML)

Conclusions Technology is moving on, as are plans for large scale deployment e.g. dallas and 3millionlives. Standards and regulation are adrift of deployment at scale. Standardisation has been shown to facilitate large scale deployment of consumer electronics e.g. mobile communications. The existing standardisation eco-system doesn’t seem to meet the requirement. Can we improve it?

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