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ICT BASED CHRONIC CARE MODEL IN THE FIELD OF STROKE– EXPERIENCES OF TUSCANY REGION: THE PROJECT “CLEAR” LODZ, 26TH FEBRUARY 2013
SANDRO SCATTAREGGIA MARCHESE
FRANCESCO BENVENUTI
PASQUALE CINGOLANI
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
PRESENTATION SUMMARY
Project CLEAR overview, main achievements;
Clinical trials and HTA results;
Tele Rehabilitaton Platform Short Demo
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
SIGNO MOTUS
Signo Motus is a research intensive SME established in 1994. It
represents a bridge between bioengineering and medicine for
a better use of technology •Market:
Health authorities/organizations Public and Private Research Centres Local and Main Public Bodies Industries
San Giuliano Terme, Pisa ICT & eHealth Department
Messina Headquarter R&D Area
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
Team :
14 people, 36 years Average Age,
80% Degree in Engineering or Computer Science
Main Technical Partnerships:
Autodesk, National Instruments, Robot Yashawa,
Pixel Technology
Company Certifications:
ISO 9000:2008 & ISO 13485:2003
Main Skills:
MySQL, Oracle, J2EE
Windows, Linux
C++, Java, Web Programming, LabView
3D CAD Mechanical Design and FEM Simulation
Control System and Automation (Advanced Robotics)
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
• Programme: ICT Policy Support programme under the Competitiveness and Innovation Framework Programme (ICT-PSP)
• Coordinator: Signo Motus
• Consortium: 13 partners (4 IT,4 SP, 2PL, 3NL)
• Total cost: € 5.615.735.00
• Start/end : 1st Sept 2008 – 29 Feb. 2012
• Duration: 42 months
• Propaedeutic Projects: H-CAD (FPV), HelloDoc (eTen)
CLEAR IN A NUTSHELL
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
What is a tele-rehab service?
In general terms it is an ICT service allowing patients to
extend greatly part of the rehabilitation treatment at
home (or at the point of their need) under the supervision
of a rehab team guaranteeing efficacy, safety, privacy and
ethical methods
THE CONCEPT
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 28, 2013
Delivery of health services
Health Service requests from
citizens
ICT contribution towards
the inclusion of innovative
health services Threshold of sustainable services
Application field: ICT for aging
ICT CONTRIBUTION IN THE HEALTH DOMAIN
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
WHY THE PROJECT CLEAR?
The integration process of
new technologies is slower
with respect to the growth of
ICT
This is particularly evident
where the service needs
new paradigma of delivery
ICT
CS
ICT development
ICT within
the clinical sector(CS)
years ICT growth
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
PROJECT OUTCOMES
Common Platform
To be extended to centers and
countries
Validated clinical models for Tele-rehabilitation
in place within the four Clinical centers, assessed and certified
New clinical paradigmas for rehabilitation through an innovative e-health service
A SW platform able to integrate telerehabilitation services (physical and cognitive)
IMPLEMENTATION
LED BY CLINICIANS!
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
PHYSICAL THERAPY MODULE CLINICAL CENTRE
HOME or KIOSK
•Define group of exercises (video
based)
•Assign rehabilitation sessions
•Receives and controls executed
exercises
•Call the patient in videoconference
•Assess patient progress
•Receives exercise sessions
•Record exercises
•Transmit the executed exercises
•Answer videoconference calls
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
PHYSICAL THERAPY MODULE
Execute Session
Assign sessions
Assess sessions and compliance
COGNITIVE THERAPY MODULE: ATTENTION
COGNITIVE THERAPY MODULE: MEMORY
COGNITIVE THERAPY MODULE: EXECUTIVE FUNCTIONS
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
THE CONSORTIUM - CLINICAL STUDIES
Patients affected by COPD, chronic pain
Patients affected by TBI and cognitive problems
Patients with knee or hip replacement
Stroke rehabilitation of arm functions
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
CHRONIC CARE MODEL(S)
• Mobilize community resources to meet patients’ needs
• Empower and prepare patients to manage their health and health care
• Create culture, organization, & mechanisms that promote safe & quality care
• Assure delivery of effective, efficient clinical care & self management support
• Promote clinical care consistent with scientific evidence & patient preferences
• Facilitate transmission of patient data to facilitate efficient & effective care
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
Hospital
Home Kiosk
THE KIOSK MODEL
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
A KIOSK IN TUSCANY
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
THE CLINICAL EXPERIENCE IN TUSCANY
Dr. Francesco Benvenuti
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 26 , 2013
Seventh Framework Programme Regions of Knowledge Health Grant agreement no: 266262
International Workshop Lodz, February 28, 2013
Thanks!
Sandro Scattareggia Marchese
Signo Motus srl - Managing Director
Via Panoramica 340
98168 – Messina (ME)
Tel: +39 (0)90 355645
Tel: +39 (0)90 357028
Fax: +39 (0)90 356913
sandroscattareggia@signomotus.it
Olga Renda
ICT & eHealth Department – Manager
Largo Collodi n. 4
56017 - San Giuliano Terme (PI)
Tel: +39 (0)50 815203
olgarenda@signomotus.it
www.signomotus.it
www.habiliseurope.eu
CONTACTS
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