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 > 6427% Family with one elderly > 6438% Family with one member > 6417% Family with one member > 798 %

3. Vulnerable elderly Traditional eCare approach

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. 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

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. 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 Care Reject GP District old people care service. Geriatric assessment committee Proposed OLDES tele-Medicine & tele-Accompany Services Old person and Family

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

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

16. Service Object Service Management Object Service Object Service Management Object Data Filter Signalling Data Hub Management Object Hub Service Object Service Management Object Service Meta- Data Service Content Data User Domain Object Federative Platform

17. 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

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

19. Service Object Service Management Object Service Object Service Management Object Hub Management Object Hub Service Object Service Management 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

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

21. Service Object Service Management Object Service Object Service Management Object Data Filter Signalling Data Hub Management Object Hub Service Object Service Management Object Service Meta- Data Service Content Data User Domain Object Event, Process and Transaction Services Registration and Publication Services Relationship and Provisioning Services User Connection Point Network Service Service Access Point

22. Service Object Service Management Object Service Object Service Management Object Data Filter Signalling Data Hub Management Object Hub Service Object Service Management Object Service Meta- Data Service Content Data 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

23. Group of interest Animators Questionnairs

24. 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

25. 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)

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

27. Social Networking opportunity for elderly to participate to social networks

28. 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

29. Other Information Users eCare Co-ordinator BrokerSupplier Service User Supporting Information/Data Service Suppliers Broker Network Service Suppliers Applications Service Providers Commissioning Networks Caring Services Value-chain Service and Infrastructure Value-chain

30. Other Information Users eCare Co-ordinator BrokerSupplier Service User Supporting Information/Data Service Suppliers Tools Network Service Suppliers Applications Service Providers Commissioning Networks Caring Services Value-chain Service and Infrastructure Value-chain Tools and animators

31. Access Control Extraction Summary & Aggregation Algorithms S1S2S3S4S5 Processed Data Services Access Control Fuzzy Logic & Learning Algorithms S6S7S8S9 Intelligent Data Services SignallingMeta-dataContent Service Access Points Hub Data Services Access Control SaSbScSdSe Data Using Services Filter Configuration Management Access Data Filter

32. Profiling Engine schema Speech Diary Concepts definition Expert annotation Text diary Summary Taxonomy Profile Class Score User Profile User Log EHSR

33. OLDES Home System eCare Coordinators, Discussion Channels Taxonomies Summaries Categories Profiling Voice Recognition EHSR Third party Agencies HL7 Voice over IP Analysing Tools Automatic Interaction Monitoring Learning Machine Signalling Data

34. Intelligent engine

35. ContentMeta-dataSignalling S1S2S3S4S5S6S7S8S9SaSbScSdSe Processed Data Services Intelligent Data Services Hub Data Services Data Using Services ES&A FL&L Data Filter Hub User Domain Object

36. Service Object Service Management Object Service Object Service Management Object Data Filter Signalling Data Hub Management Object Hub Service Object Service Management Object Service Meta- Data Service Content Data 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

37. Thank’s for your attention