Building the Business Case - Telehealth and Assistive Living Pilot Activity

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We have noted in the various work packages including the Body Sensor Networks work package that there is a lack of hard data to justify the business case for telehealthcare and assistive living technology in general. The purpose of this section is to look at some of the 'real world' pilot activities relating to telehealthcare and assistive living technologies, however small and under reported, that have happened. We will attempt to quantify the busines case as much as possible for each pilot example and give the overall results and conclusions from the pilot activity. We will split this activity in to three geographies and consider each seperately.

Contents

Europe

Telehemonitoring Pilots and Trials

To demonstrate the feasability of using telehealthcare in a sparsely populated remote area where General Practitioner (GP) numbers are declining.

To study the effectiveness of telemonitoring of elderly patients with Heart Failure

To investigate if telemonitoring of patients with high risk of Heart Failure improves outcome compared with nurse support and usual care procedures.

An EU funded Trans-European pilot to compare the effectiveness of home telemonitoring with 'usual care' scenarios in reducing cardiac events for Heart Failure patients.

A partly EU funded project to assess the efficacy of using home based monitoring for COPD in the context of ageing. The Docobo doc@HOME [1] telemonitoring suite was used.

Running from 2009 through 2010 this pilot is aimed at proving the effectiveness of the Intel's HealthGuide for telehealthcare of patients with COPD.

This pilot involved 250 participants with underlying conditions over a 6 months period. It was targeted at Heart Failure, Diabetes and COPD and used the Viterion TeleHealth Network.

This involved a trial of 1300 patients on Warfarin anti-coagulation therapy and compared 'usual care' scenario with telemedicine using mobile phone.

Broomwell [2] supply 28 Primary Care Trusts within the NHS with a Cardiac Telemedicine Service that involves supplying GPs/clinic with ECG telememonitors. Broomwell also provides interpretation of the ECG results within minutes, avoiding the secondary referral that is often needed where GPs dont have the required experience in ECG reading.

This pilot used the Cisco HealthPresence™ [3] system to set up a 'Virtual Clinic' within the emergency department at Aberdeen Royal Infirmary, focusing on patients with non-life threatening illness and injury.

Assistive Living Pilots and Trials

This is not a pilot project per se but a 'Coordination Action'[4] - funded by the European Commission, DG Information Society and Media. It is focused on Ambient Assisted Living (AAL) solutions based on advanced Information and Communication Technologies (ICT) for the areas of ageing at work, ageing at home and ageing in the society. It is to act as a coordination effort to focus EU Research and Development efforts, standardisation, influence policy and support industry based in the Ambient Assisted Living space.

The largest randomised control trial of Telecare and Telehealth in the world to date. Thousands of members of the public will be involved in this 2 year programme with individuals being recruited at three sites Cornwall, Kent and London Borough of Newham. The focus is on generating a large data set that shows how integration of technologies to health and social care can bring independence and well being, improve peoples quality of life and provide more cost effective ways to monitor and manage health conditions.

To assess the effectiveness of telecare on patients with Alzheimers and their carers.

To assess the usefulness of assistive living technologies for around 174 users and their carers.

An EU Funded project Long Lasting Memories (LLM) is an integrated ICT platform which combines state-of-the-art cognitive exercises with physical activity in the framework of an advanced Ambient Assisted Living environment.

OASIS is an acronym for Open architecture for Accessible Services Integration and Standardization. It is an EU Funded Integrated Project with the scope to revolutionise the interoperability, quality, breadth and usability of services for all daily activities of older people.

This is a four year EU funded project based in Italy and Netherlands and is investigating how new and existing technologies can be integrated into people’s homes, making them feel more comfortable about remaining in their familiar environment.

The core deliverable of the Cogknow project is the development of a successful, user-validated cognitive prosthetic device with associated services for people with mild dementia.

The Living Lab project is taking place in the town of Schwechat, Austria. The initiative considers the whole town of Schwechat as a "living laboratory", where new ICT devices and services can be tried out under real life conditions. The main emphasis has been given to user-centred development of a minimally intrusive wireless monitoring and guidance system, the development of an instrumented shoe sole equipped with sensors in order to recognise and prevent falls of elderly persons, and the development of an interactive touch screen based phone system.

An FP6 funded STREP project, the goal of SENSACTION-AAL is to assist older people in maintaining independent mobility and daily life activities and prevent injuries by introducing smart body fixed sensor based technology that allow medical professionals to initiate interventions in the home environment. A key focus of this project is Useability and Practicality.

MonAMI is an acronym for Mainstreaming ON AMbient Intelligence. It is an EU FP6 funded project involving 14 partners from 7 countries. The objective of the MonAMI project is to demonstrate that accessible, useful services for elderly and disabled persons living at home can be delivered in mainstream systems and platforms.

This is an EU, Northern Periphery [5] funded project. Its aim is to offer the rapidly ageing population in the northern periphery regions of Europe, improved health, safety and well-being through the use of new services and new mobile ICT products.

This is an EU funded FP7 STREP project. Its aims are to model the typical behavior of medically at-risk elderly people using ambient and unobtrusive sensors and use this information to detect deviations from typical behaviors and identify potential emergencies before they become acute.

USA

Japan

References

  • 1. Van den Berg et al. GP-support by means of AGnES-practice assistants and the use of telecare devices in a sparsely populated region in Northern Germany – proof of concept.

BMC Family Practice 2009, 10:44doi:10.1186/1471-2296-10-44.

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