Transcript A Web 2.0 Platform in Healthcare Created on The Basis of The Real

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
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Elderly > 64
Family with one elderly > 64
Family with one member > 64
Family with one member > 79
27%
38%
17%
8%
Traditional eCare approach
Vulnerable
elderly
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
TV Set
+ Remote Control
+ VOIP Handset
OLDES Current Architecture
VOIP Server
CETIC Tasks in OLDES
HUB - DB
Liferay Portal
Event Server
GUI & Content server
INK
Profiling Engine
Bluetooth
Clinical Information
Server
GPs
Tele-accompany
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
Service Funders and
Commissioners
Service and device
developers
Service
Agencies
Front line
practitioners
Infrastructure and
applications service
providers
Service User
Representation
Old people with
their network and
contacts
Data Analysts
and Information
specialists
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
Old person
and Family
SSA
District old people
care service.
Assign Case
Manager
UVG
Care Allowance
Home
Geriatric
assessment
committee
Admission
Healthcare Residence
Integrated Home Care
Nursing Home Care
Territorial
Services
Hospital
Reject
Day Centre
GP
Proposed OLDES tele-Medicine
& tele-Accompany Services
Protected Housing
Institutional
Services
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
Remote Hub
Remote
Services
Platforms
Federation
Services
Platform
Network
Institutional
User systems
Hub + Local
Services
Platform
Domestic
User Systems
Federative Platform
User Domain
Object
Hub
User Domain
Object
Data
Filter
Signalling Data
Service Meta- Data
Service Content Data
Hub
Management
Object
Service
Service
Service
Object
Object
Object
Service
Service
Service
Management
Management
Management
Object
Object
Object
PLATFORM
• Portal: it’s a door to find;
publish and sort information;
Relationship and
expose services; reach
Provisioning
applications.
Services
• 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
Registration
and Publication
Services
Event, Process
and Transaction
Services
Hub
Relationship and
Provisioning
Services
Registration and
Publication Services
Event, Process and
Transaction Services
User Connection
Point
Network Service
User Domain
Object
User Domain
Object
Service Access
Point
Hub
Relationship and
Provisioning
Services
Registration and
Publication Services
Event, Process and
Transaction Services
User Connection
Point
Network Service
User Domain
Object
User Domain
Object
Service Access
Point
Hub
Hub
Management
Object
Service
Service
Service
Object
Object
Object
Service
Service
Service
Management
Management
Management
Object
Object
Object
Features of the platform
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Publishing and Syndication
Messaging
Signaling
The management of the data collected
Governance
Relationship and
Provisioning
Services
Registration and
Publication Services
Event, Process and
Transaction Services
User Connection
Point
Network Service
User Domain
Object
Hub
User Domain
Object
Service Access
Point
Data
Filter
Signalling Data
Service Meta- Data
Service Content Data
Hub
Management
Object
Service
Service
Service
Object
Object
Object
Service
Service
Service
Management
Management
Management
Object
Object
Object
Registration and
Publication Services
Relationship and
Provisioning
Services
Event, Process and
Transaction Services
User Connection
Point
Network Service
Service Provider
User Domain
Object
Service
Service
Service
Object
Object
Object
Hub
User Domain
Object
Broker
Service Access
Point
Data
Filter
Hub
Management
Object
Service
Service
Service
Management
Management
Management
Object
Object
Object
Signalling Data
Service Meta- Data
Service Content Data
Operator
Supporting Data
Service Provider
Operator
Group of
interest
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:
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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
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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 disintermediation 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
Caring Services Value-chain
Service User
Broker
Other Information
Users
Commissioning
Networks
Supplier
eCare
Co-ordinator
Supporting Information/Data
Service Suppliers
Network Service
Suppliers
Broker
Service and Infrastructure Value-chain
Applications Service
Providers
Caring Services Value-chain
Service User
ToolsBroker
and
eCare
animators
Co-ordinator
Other Information
Users
Commissioning
Networks
Supplier
Supporting Information/Data
Service Suppliers
Network Service
Suppliers
Tools
Service and Infrastructure Value-chain
Applications Service
Providers
Service Access Points
Filter Configuration
Content
S1
Extraction
Summary & S2
Aggregation S3
S4
Algorithms
S5
Management
Access
Hub Data
Services
Processed Data
Services
Fuzzy Logic & S6
Learning
S7
S8
Algorithms S9
Sa
Access Control
Meta-data
Access Control
Signalling
Access Control
Data
Filter
Sb
Sc
Sd
Se
Management
Access
Intelligent Data
Services
Data Using
Services
Profiling Engine schema
Speech Diary
Text diary
Concepts definition
Summary
Expert annotation
Taxonomy
User Log
Profile Class
User Profile
EHSR
Score
OLDES
Home
System
Voice over IP
eCare Coordinators,
Discussion Channels
Signalling Data
Automatic Interaction
Monitoring
Voice
Recognition
Analysing Tools
Taxonomies
Third party
Agencies
HL7
Summaries
Categories
EHSR
Profiling
Learning Machine
Intelligent engine
Intelligent Data
Services
Sb
S8
S6
S7
S9
Sa Sc
Data Using
Services Se Sd
Processed Data
Services
S2
S3 S4 S1
FL&L
S5
User Domain
Object
Hub
User Domain
Object
ES&A
Content
Data
Filter
Meta-data
Signalling
Hub Data
Services
Registration and
Publication Services
Relationship and
Provisioning
Services
Event, Process and
Transaction Services
User Connection
Point
Network Service
Service Provider
User Domain
Object
Service
Service
Service
Object
Object
Object
Hub
User Domain
Object
Broker
Service Access
Point
Data
Filter
Hub
Management
Object
Service
Service
Service
Management
Management
Management
Object
Object
Object
Signalling Data
Service Meta- Data
Service Content Data
Operator
Supporting Data
Service Provider
Operator
Thank’s for your attention