FINAL PROJECT PERIODIC REPORT Grant Agreement number: 325158 Project acronym: SMARTCARE Project title: Joining up ICT and service processes for quality integrated care in Europe Funding Scheme: Pilot A Date of latest version of Annex I against which the assessment will be made: Periodic report: Interim □ 1 st □ 2 nd □ 3 rd □ 4 th Period covered: from 01/03/2016 to 31/08/2016 Name, title and organisation of the scientific representative of the project's coordinator 1 : AZIENDA SANITARIA UNIVERSITARIA INTEGRATA DI TRIESTE – ASUITS Tel: +39 0403997195 Fax: +39 0403997189 E-mail: [email protected]Project website 2 address: http://pilotsmartcare.eu/home 1 Usually the contact person of the coordinator as specified in Art. 8.1. of the Grant Agreement. 2 The home page of the website should contain the generic European flag and the FP7 logo which are available in electronic format at the Europa website (logo of the European flag: http://europa.eu/abc/symbols/emblem/index_en.htm logo of the 7th FP: http://ec.europa.eu/research/fp7/index_en.cfm?pg=logos). The area of activity of the project should also be mentioned. Ref. Ares(2016)6442118 - 16/11/2016
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FINAL PROJECT PERIODIC REPORT
Grant Agreement number: 325158
Project acronym: SMARTCARE
Project title: Joining up ICT and service processes for quality integrated care in Europe
Funding Scheme: Pilot A
Date of latest version of Annex I against which the assessment will be made:
Periodic report: Interim □ 1st □ 2nd □ 3rd □ 4th
Period covered: from 01/03/2016 to 31/08/2016
Name, title and organisation of the scientific representative of the project's coordinator1:
AZIENDA SANITARIA UNIVERSITARIA INTEGRATA DI TRIESTE – ASUITS
1 Usually the contact person of the coordinator as specified in Art. 8.1. of the Grant Agreement. 2 The home page of the website should contain the generic European flag and the FP7 logo which are available in electronic format at
the Europa website (logo of the European flag: http://europa.eu/abc/symbols/emblem/index_en.htm logo of the 7th
FP: http://ec.europa.eu/research/fp7/index_en.cfm?pg=logos). The area of activity of the project should also be mentioned.
Declaration by the scientific representative of the project coordinator
I, as scientific representative of the coordinator of this project and in line with the obligations as stated in Article II.2.3 of the Grant Agreement declare that: The attached periodic report represents an accurate description of the work
carried out in this project for this reporting period;
The project (tick as appropriate) 3:
□ has fully achieved its objectives and technical goals for the period;
has achieved most of its objectives and technical goals for the period with relatively minor deviations.
□ has failed to achieve critical objectives and/or is not at all on schedule. The public website, if applicable
is up to date
□ is not up to date
To my best knowledge, the financial statements which are being submitted as part of this report are in line with the actual work carried out and are consistent with the report on the resources used for the project (section 3.4) and if applicable with the certificate on financial statement.
All beneficiaries, in particular non-profit public bodies, secondary and higher education establishments, research organisations and SMEs, have declared to have verified their legal status. Any changes have been reported under section 3.2.3 (Project Management) in accordance with Article II.3.f of the Grant Agreement.
Name of scientific representative of the Coordinator: Gian Matteo Apuzzo
Date: 31/10/2016
For most of the projects, the signature of this declaration could be done directly via the IT reporting tool through an adapted IT mechanism and in that case, no signed paper form needs to be sent
3 If either of these boxes below is ticked, the report should reflect these and any remedial actions
taken.
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Publishable summary
Against the background of the European Innovation Partnership on Active & Healthy Ageing, SmartCare has aimed to define a common set of standard functional specifications for an open ICT platform enabling the delivery of integrated care to older European citizens. In the context of SmartCare, a total of 23 regions and their key stakeholders have defined a comprehensive set of integration building blocks around the challenges of data-sharing, coordination and communication. Nine regions have deployed integrated health & social services to combat a range of threats to independent living commonly faced by older people, while the others have prepared for early adoption, some of which are now pilot sites in the framework of other ICT PSP projects, namely BeyondSilos and CareWell.
In a rigorous evaluation approach, the deployment sites have produced and documented evidence on the impact of integrated care, developing a common framework suitable for other regions in Europe. The evaluation will examine the benefits and shortcomings for all parties across the care pathway continuum, with the care recipient and carer perspectives and experiences being central. Cost benefit analysis and business modelling will underpin the evaluation, with the outcomes and outputs providing the regions with the necessary evidence-base for them to consider mainstreaming the delivery of integrated care services for other population cohorts in their region and elsewhere.
Guidelines and specifications for procuring, organising and implementing the service building blocks have been produced. The organisational and legal ramifications of integrated care have been analysed to support long term sustainability and upscaling of the services.
SmartCare services build on ICT platforms to provide full support to the cooperative delivery of care, integrated with self-care and across organisational silos, including essential coordination tools such as shared data access, care pathway design and execution, as well as real time communication support to care teams and multi-organisation access to home platforms.
In SmartCare, these platforms which enable regionally customised integrated care models and care pathways (the SmartCare Pathways) are open to cross-sectorial care teams, improving the ability of older people to better manage their chronic conditions at home and deal with their increasing frailty. The work has involved the development of localised approaches to implement and evaluate the SmartCare services based on two generic pathways for integrated home care, within their system of health and social care delivery.
The Consortium comprises the whole value chain of older people care. The core of it is constituted by 26 Regional Partnerships which comprise all the local older care stakeholders, mainly but not exclusively Regional Authorities and Municipalities, which, in most EU regions, are together responsible for and manage the expenditure budget for older people care. 17 of these Regional Authorities and Municipalities have been mandated by their respective National Administrations to represent the Member State they belong to. In many cases, these public entities are also the providers of care to older people. In cases where this task is outsourced, the outsourcer is equally included in the Regional Partnerships as a beneficiary or a subcontractor. 9 regions have implemented the SmartCare services.
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The other stakeholders are represented through their federations at European level and
comprise the User Advisory Board, whose partners are:
• ARE - Assembly of European Regions
• AGE Platform Europe – Older People's Platform.
• EFN - European Federation on Nurses Associations.
• Eurocarers - Informal caregivers.
• IFIC - International Foundation for Integrated Care – Medical association.
And the Industry Board represented by the following association:
• CHA – Continua Health Alliance.
Finally, the Consortium comprises a three leading consultancy consultancies specialised in the eHealth and eInclusion fields:
• Empirica and Health Information Management SA (as a subcontractor to the Coordinator selected through a European invitation to tender), which, between the two of them, have supported the Consortium through their expertise in Process Re-engineering, Project Management, Quality Assurance.
• Health Information Management Spain, S.L. a newly created consultancy, specialised in change management in the health and social care sectors, and in predictive modelling in the field of ICT applied to integrated care and chronic patient’s management, has provided support through their expertise in change management, predictive modelling and evaluation activities.
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Description of the Project Context and Objectives
Care systems across Europe face significant challenges due to demographic changes and increasing specialisation. For a growing number of older citizens with multiple care needs, the array of health and social care services, their benefits and procedures can be confusing. People should receive services and care from a system that is easy to navigate, less bureaucratic, more efficient, and that communicates well: A system that is integrated, co-ordinated and joined up.
The SmartCare project focus has been on integrating healthcare, social care and self-care for different health / living conditions, along integrated care pathways, including the underlying organisational models supported by ICT infrastructures to coordinate cross-sector integrated eCare delivery for older persons living at home with complex needs, and thus facilitate:
• Person-centred, co-ordinated care for individuals and their carers. • Greater levels of self-care and self-management. • Effective and efficient communication between all parties. • Better use of resources, less duplication and more streamlined care.
To achieve its goal, SmartCare has pursued a programme of systematic service process innovation complemented by adaptation of technology. This approach has been flanked by a robust evaluation programme which, together with targeted exploitation support including cost benefit analyses and business modelling, has led to the generation of evidence-based plans for further service mainstreaming in the regions. Synthesised guidance on service transferability beyond the deployment regions has been developed which is to serve as an operationally useful source of information for external parties.
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1 Project objectives for the period
The objectives for the 3rd period of the Project were:
Organising the 4th General Assembly in June 2015 in Belgrade; which included a site visit to Kraljevo, where all partners had the opportunity to meet all Serbian stakeholders and see how the SmartCare services are being deployed.
Organising the 2nd Annual review meeting held in Brussels in May 2015.
Organising the Project Final Conference in Trieste (Italy) on 6th July 2016. Also, organising the FVG site visit, and consortia meeting on 7th July.
Organising the 3rd Annual review meeting held in Brussels in April 2016
Addressing the Y3 Review results by completing Y3 Response Table and attaching the additional requested documents as annexes:
1. Annex 1 SmartCare 3rd Year Review response table
2. Annex 2 SmartCare Conceptual model for use in predictive modelling v1.0 in response to Recommendation 1
3. Annex 3 SmartCare Statistical Analysis Plan v1.0 in response to Recommendation 3
4. Annex 4 FHIR (Fast Healthcare Interoperability Resources) in action: a paper by Continua Alliance on an interview with NHS24 on the use of standards in their SmartCare design
5. Annex 5 Physician leadership in e-health, and Annex 6 Projects on ICT for old age people: two publications.
6. Annex 6 DG Connect, Projects on ICT for old age people BS_CW_SC, Keijser et al
7. Annex 7_Deployment_Site sustainability evidence from the nine deployment sites
FVG has provided letter of commitment plus decree
Scotland has provided a range of minutes and reports which
reference discussions on how we are and will use the SmartCare tools in the future. Also included a draft of Scotland’s technology delivery plan which makes reference to SmartCare as an example of business change, as well as letter of commitment.
Aragón, Attika, Nord Brabant, and Tallinn have provided letters of
commitment
Region of Syddanmark has provided roadmap for 2015 to 2018
South Karelia has provided year 2016 customer payment
document, where services integrated during the SmartCare, have been added. These services can be found in chapter 1. Document is in Finnish. Because South Karelia Social and Health Care District are integrated they do not need to enter into agreements between the different stakeholders.
Kraljevo have provided letter of commitment and additional
documents on National strategy on ageing in Serbian and English, Memorandum between Social and Health centres in Kraljevo, Ministry of Health Authorisation of national representative for Social and Health centres Kraljevo
8. Recommendation 2 has been addressed in the Y3 response table
Training / adapting tools to facilitate contractual reporting. This is an ongoing task.
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Ensuring that all deployment sites, with support from management and WP leaders, work together in reaching project aims via WP Leader bi-weekly GoToMeeting telcos, as well as monthly PCC telcos.
Consolidating the Project management structure.
Managing Association of European Regions (AER) withdrawal from the project due to financial difficulties and not being able to benefit any longer from EU funding according to the financial rules applicable to the general Budget of the Union, and replacement to chair the Committed Regions Board (CRB). This is now chaired by the Kronikgune (Basque Country), a member of the CRB and CareWell project coordinator. This has enabled further synergies between projects.
Discussing and agreeing the codebook rules in alignment with both BeyondSilos and CareWell.
Managing the financial cost statements for 2nd year between the Coordinator and the other beneficiaries.
Finalisation of the Publications Policy.
Preparing and submitting second contract amendment on 23rd February 2016.
Fostering collaboration with CareWell and BeyondSilos, two successor projects to SmartCare, with which a high level of synergy is being achieved. In this respect, a definite asset is the fact that members of the SmartCare, BeyondSilos and CareWell share the same management and evaluation team.
Managing the Level 2 and activity reporting.
Managing financial cost statements for final project reporting between the Coordinator and the other beneficiaries.
Organising the Project Final Review in Brussels (Belgium) to be held on 25th October 2016.
Preparing and running a session about the three projects on ICT-enabled Integrated Care in the context of the European Health Forum of Gastein.
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2 Work progress and achievements during the period
WP1 - Requirements and use case definition (M1-M9)
T1.1 – Requirements of SmartCare users (M1 – M2)
Closed.
T1.2 – Organisational, staff and business requirements (M1- M2)
Closed.
T1.3 - Legal and regulatory requirements for SmartCare (M1 – M2)
Closed.
T1.4 & T1.5 - Use cases for HealthCare-Centred Pathways (V.1) & for Social Care Centred Pathways (V.1) (M2 – M3)
Closed.
T1.6 & T1.7- Use cases for Healthcare-Centred Pathways (V.2) & for Social Care Centred Pathways (V.2) (M8 - M9)
Closed.
Summary
Both D1.1 and D1.2 were approved and accepted in 2nd Interim Review report.
Significant results during RP3
Not applicable.
Reasons for deviations from Annex 1
Not applicable.
WP2 - Service Process Model (M3-M11)
T2.1 – T2.2 Service Process Models for HealthCare-Centred Pathways (V.1) & for Social Care Centred Pathways (V.1) (M3 – M4)
Closed.
T2.3 – T2.4 Service Process Models for HealthCare-Centred Pathways (V.2) & Social Care Centred Pathways (V.2) (M9 – M10)
Closed.
T2.5 – Definition of Service Model (M10 – M11)
Closed.
Summary
D2.1 was approved and accepted in 2nd Interim Review report.
Significant results during RP3
Not applicable.
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Reasons for deviations from Annex 1
Not applicable.
WP3 - Integration Infrastructure Architecture and Service Specification (M1-M15)
T3.1 – Initial starting points in legacy technology
Scotland: 188 usual care recipients have been rejected from the project level evaluation because they have not been assessed at baseline in accordance with the guidelines for the project level evaluation, and there are no data for their baseline characteristics or for the length of follow-up.
Attica: 171 care recipients have to be excluded from the evaluation because they were not eligible in accordance with the strict clinical eligibility criteria of HbA1c≥7% and <10%, although they received SmartCare services for the whole duration o f the project, and their data have been collected in accordance with the local operational protocol.
FVG: 19 drop-outs in evaluation (did not receive allocated care, 9 because they withdrew consent, 10 because of prolonged hospital admission).
Eksote: 15 drop-outs in evaluation (did not receive allocated intervention: 12 decided not to participate, 3 for unknown reason).
Tallinn: 4 drop-outs in evaluation (did not receive allocated intervention).
Noord-Brabant: 4 received allocated intervention, but were excluded from the analysis because they did not fulfil eligibility criteria (they were younger than 50 years old).
RSD: 11 drop-outs (did not fulfil eligibility criteria).
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T5.3 – Training of health service, social service and voluntary sector staff for deployment sites
Summary
Closed.
Significant results during RP3
Not applicable.
Reasons for deviations from Annex 1
Not applicable.
T5.4 – Introduction of systems and services at deployment sites
Summary
Closed.
Significant results during RP3
Not applicable.
Reasons for deviations from Annex 1
Not applicable.
WP6 - Service Deployment (M15 – M42)
Sites have continued with their everyday operations during these last six project months – March to August 2016. Below is a brief update on these last month’s operational activities. Full site operations are reported in D6.2 SmartCare Report on Operation of Deployment Sites (V2).
T6.1 – Operation of FVG deployment site (M18 – M42)
Summary
In FVG, monitoring of end users continued with no relevant issues. Monitoring of users in Trieste will continue until 31st December 2016. During the Final Conference held in Trieste in July, both the regional Health & Social Policies’ Ministry and ASUITS’s top management officially expressed their support for the initiative which will prioritise future plans for implementation.
On 5th February 2016, despite the healthcare system's New Year’s restructuring which took a toll on professionals and slowed enrolment pace, FVG successfully reached 200 enrolled end users (100 interventions and 100 controls as per randomised study). Real-time at-home monitoring through platform and devices continues (without the administration of further questionnaires) for those end users who already completed the study’s relevant follow-up time.
Following on the successful implementation of the SmartCare Project in FVG, Local Health Authority N°1 – Triestina has started collaborating with Trieste hospital departments of cardiothoracic surgery and nephrology to further promote synergies between hospital and outpatient services. Healthcare professionals will register on the SmartCare platform and use assessments on patient’s empowerment (PAM) to
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evaluate patient’s eligibility to fast-track early discharge interventions following thoracic surgery. The department of nephrology will use the tool on the SmartCare platform to identify those patients better suited for outpatient peritoneal dialysis care. In the future, the platform may also be used to monitor patients in domiciliary care through the existing medical and environmental devices. This intervention provides a further step towards nurse-led full integration between hospital and territory, and strengthens person-centred e-Care services.
To date, integration of services through the SmartCare platform is proving not only successful, but also welcome by care recipients and professionals alike as identified through the semi-structured interviews carried out for the qualitative six months’ project assessment / evaluation which shed light on challenges and self-awareness of change management needs.
Help Desk / Call Centre staff are still actively providing technical support, as well as regular interaction with stakeholders through tailor-made interventions which also include support for adherence (pill reminders’ calls). Nurses are playing an active role as links between health and social care professionals. GPs are still using the platform in a less proactive way than originally envisioned, but they have started realising the potential of such a shared platform in allowing earlier identification of health status changes.
Quality assurance is being provided through feedback and regular monitoring of platform performance and correct uploading of information.
T6.2 – Operation of Aragón deployment site (M15 – M42)
Summary
Servicio Aragonés de Salud (SALUD) has continued with activities to maintain the SmartCare integrated care services far beyond the scope of the European project. Enrolment of care professionals has continued, with the promotion of the methodology and project at different events and health care centres. Similarly, several social care providers have showed interest in cooperating with the healthcare provider in the provision of integrated care services.
The enrolment of participants has continued, with 351 patients at 31st July 2016. The inclusion of potential users will continue after the end of the project, showing the commitment of the SALUD management to telehealth and integrated care.
The operation of all activities is on-going, from training campaigns to new participants, dissemination activities, provision of LTP and STP services, and enhancement of the protocols. The call centre is still up and running, along with the help support services.
T6.3 – Operation of Denmark deployment site (M16 – M42)
Summary
Since August 2014, we have had full operation in the hospitals, where all relevant staff members in the two outpatient clinics are using the SmartCare service to provide integrated care services to patients. The outpatient clinics continue to use the service, and two other clinics function as control groups in the project. The training department in the two hospitals also began using the service in the spring of 2015. Selected key users in the social care sector, represented by two municipalities, are using the full SmartCare services, and more staff members are expected to start
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using the Shared Care Platform as the project develops. The key users in the social care sector include physical therapists and care coordinators.
Unfortunately, we have experienced some difficulties in involving GPs for citizens with a heart disease due to the rate of patients and political / economic issues with the Region. However, there are GPs using the system in relation to other conditions related to the SmartCare service, and work to include them in the heart disease area continues. All patients with the ability and access to the internet are offered to use the platform actively from home to view and enter information. Remaining integration with the hospital information system has been completed, and is now functioning as intended. Plans to integrate the social care and GP systems continue; however, no specific timeline for completion has been set. Home monitoring functionality has been developed and is under testing; it is expected to be implemented in 2016. Everything else has been fully developed and is up and running.
Regarding Quality Assurance, a support team has been set up to test the Shared Care Platform after releases, and to collect development requests or errors in the system and forward these to the provider (IBM). Monthly project meetings are held with the provider to ensure follow-up on development and implementation.
The team also provides user guides and training sessions to staff, as well as regularly attending follow-up meetings to evaluate the use and implementation of the Shared Care Platform.
We have a log for errors, development requests and break-downs of the system. In addition, we have our own project team log listing the users’ wishes and concerns from regular meetings and workshops. We also have a log of helpdesk contacts in our e-mail system, and a registration template for phone calls to the helpdesk.
For help support activities, the support team is also responsible for ensuring a helpdesk service to users. A helpdesk email has been set up, and a telephone number for the users to call; it is shared between the team members. The information is distributed at staff training sessions and in guides distributed to the users. It is also provided in the monthly newsletter sent electronically to most users.
A member of the support team continues to visit the sites on a regular basis to be present to provide help and answer questions as they arise, and to ensure that the system is being used correctly by all users. Also, feedback from the users is very valuable for smaller improvements of the system / service. Time has been spent on improving the system and correcting minor errors.
Members from the team participate in GA’s, bi-weekly telcos and pilot site telcos set up around various subjects in the SmartCare project. We also participate in conferences both nationally and internationally when relevant, and seek to speak about the project whenever possible. We do a lot of work raising awareness of the project to different political levels both regional and national by presenting and participating in meetings. We also add our lessons learned in the RAIL tool bi-weekly, and review experiences from the other sites.
Over the last months of SmartCare, the focus has been and will be on continuously ensuring that the service is up-to-date and in line with relevant strategies and in compliance with the infrastructure. This also reflects that the transformation from deployment to an operating organisation has been one of the main focus areas. In order to ensure a successful transformation, good processes around the system operations, including change management aspects, have been a priority.
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The use of the service is being evaluated on a political level to establish how the set-up will be in the future. The evaluation activities have been important, as they will provide a basis for decision making on how to use the system in the future health care setting in RSD. The platform has been incorporated in the health agreements, an official document where the regions and municipalities commit to working together according to certain agreements in a four year period.
T6.4 – Operation of Scotland deployment site (M15 – M42)
Summary
Evaluation: The collection of data was completed in February 2016. During March,
a series of focus groups were held in the local areas with service users’ carers and staff. Each group was asked a set of prepared questions which focused on their perception and the performance of the digital tools developed (diary, person held file and self-assessment tool). A local report is being produced in Scotland which will be accessible to all partners who participated in the evaluation. The quantitative data was analysed over March and April. The some key findings for Scotland are:
SF12
o People using SmartCare felt better and were more physically active than the group not using the tools.
PAM
o No significant difference in between the two groups.
SUS
o Scored a rating of OK or average performance.
eCCIS
o 20% used the tools 2-4 times per week.
o 6% used the tools more than 4 times per week.
o 21% said it decreased how anxious they feel about falling.
o More than half felt SmartCare was worth the effort involved.
The final analysis is available in D8.4 and the local Scotland report D8.4 Annex 7.
Recruitment: Scotland has continued to recruit and therefore hold events and
awareness sessions over March to August to increase users. The recruitment numbers have continued to grow steadily, and we have achieved the target number required. At the end of July, our overall recruitment figure was 11,020 with one person recorded as leaving the service. Figure 1 below indicates the split of the key stakeholders across the overall recruitment numbers.
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Figure 1: Recruitment Splits – July
Quality Assurance: Scotland has given a commitment to sustain the SmartCare service, and has continued to work with service users and staff to improve the digital tools. This includes fixing technical issues and working with local partners as opportunities arise to improve the integration with public sector ICT systems. In June 2016, we concluded an additional piece of integration architecture which has enabled sharing the Emergency Care Summary, generated by the General Practitioner. This includes medication and known allergies.
Embedding the tools: A key piece of work over the past 6 months was local falls
services establishing the use of the SmartCare tools in day-to-day practice. Operationally, it was important to shift away from SmartCare as a development programme and move to the use of the tools as business as usual. Dedicated support will shortly cease, and the falls teams will need to own the recruitment to and promotion of the tools. This has been achieved by regular discussion at implementation meetings on "How and where" in relation to the existing falls pathway. In addition, SmartCare Board members have reported how the SmartCare tools will be supported in the future in their local area, and how it fits with their broader Technology Enabled Care strategies.
Final Scottish Conference: At the beginning of SmartCare in 2013, Scotland had a
conference with service users and staff with the objective of clarifying the requirements of the Falls Service in relation to integrated pathways and ICT solutions. Approximately 180 people attended including 40 service users. In March 2014 we had another conference with Industry Suppliers as part of the tendering process, to ensure suppliers were aware of the aims of SmartCare in the Falls service. We are now having a final conference on Thursday 1st September to celebrate what we have achieved, look at lessons learned and agree a way forward beyond the SmartCare programme.
T6.5 – Operation of South Karelia deployment site (M24 – M42)
Summary
During the period March 2016 to August 2016, the focus of activity has been to solve how to continue and expand the use of the SmartCare solutions after the project. There have been discussions in national level with the Ministry of Social Affairs and Health and other regions on how to spread the new technology supported integrated care model nationally. This developing work will continue beyond the end of the SmartCare project.
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Change management work will be one developing area after the project. Change management workshops for the management of South Karelia Social and Health Care District, nursing staff and informal caregivers, were held on 7th and 8th March 2016 by the University of Twente. The most important finding was the need for support for the change which will be happening through the introduction of integrated care. Also, communication between formal and informal caregivers should be improved.
Project final evaluation and report D8.4 has been written and finalised by the beginning of July. WP9 viability assessment & SEIA evaluation has been done during the summer period. In addition, D6.2 has been updated and finalised in June 2016. South Karelia pilot site also provided input to RAIL tool during the reporting period.
On 31th July, there were 138 care recipients using the technology to support integrated care. Some of the users have dropped out during the period March 2016 to August 2016, but there are also new end users involved. The number of the informal caregivers has increased to 58 users. During the project, new ways to exploit the technology supported integrated care have been developed. For example, the ICT supported integrated care is also suitable for rehabilitation and acute situations.
T6.6 – Operation of Tallinn deployment site (M24 – M42)
Summary
The enrolment of intervention and control group for the long-term integrated care pathway started at the end of February 2015. Two GPs and two nurses from two family health centres participated in the enrolment. One of the nurses also provided home nursing service. All long-term care patients (60 people) were enrolled by May 2015, and have completed the six-month intervention period. Interviews and questionnaires have been done, and data collection is in progress.
Enrolment for the hospital discharge patients started at the beginning of July 2015; two doctors and a nurse have been enrolling care recipients to intervention and control groups. Due to the slow enrolment, one doctor and two nurses were included in the enrolment process in November 2015. Altogether, two centres under the Internal Medicine Clinic were involved: the Centre of Internal Medicine, and the Centre of Cardiology.
In addition, one family health centre was involved to enrol their patients that had been recently discharged from hospital care in April 2016. With the contribution from the family health centre, all 40 participants for the hospital discharge pathway were enrolled. The last participant received the devices in May 2016.
The SmartCare contact centre, involving nurses and social workers, provides integrated care every day for intervention group participants. The SmartCare portal has proven to be reliable and user-friendly. The portal is used by doctors, nurses, municipality social workers and relatives. Care recipients have access to the information through the SmartCare tablet. All interactions inside the portal are automatically documented.
The Help Desk was been set up, and provided technical support to care recipients and the contact centre. No major errors with the system have been reported.
Social alarm service is provided by Tallinna Hoolekande Keskus (Tallinn welfare centre). Tallinna Hoolekande Keskus has contracts with the call centre and the company Telegrupp Ltd that provides technical support to the alarm service. The
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alarm service is provided 24/7 with a two person alarm brigade. Social alarm service is voluntary and is currently provided in 1/3 of the cases.
Relatives of the elderly in the intervention group are contacted by the contact centre social worker. The elderly person gives permission with a signed consent form to provide access to the SmartCare portal to the selected relatives. Participation for relatives is voluntary, and it is their choice whether they want to have access to the portal.
T6.7 – Operation of Attica deployment site (M26 – M42)
Summary
Since March 2016, Attica engaged in a series of dissemination events. On 16th May, Palaio Faliro organised a workshop in cooperation with the School of Nursing, University of Athens and the European Federation of Nurses on “self-management of Type II diabetes using e-health technology in the framework of integrated care team and new professional roles. During the workshop, the Secretary General of EFN, Mr. Paul de Raeve, made a presentation to an audience of 80 undergraduate nursing students on "Advanced Roles of Nurses”. In addition, on 25th May, at the 16th International Conference for Integrated Care in Barcelona, Attica presented the first findings from the SmartCare study, including the results from the eCCIS 3 and 5 modules assessment. The title of the presentation was “Enhancing the self-management of Type II Diabetes in elderly Greeks using m- and e-Health facilitated integrated care services, and policy implications for Greece”. Palaio Faliro will participate in the e-health forum that will take place in Athens in October 2016.
Since March 2016, Attica engaged in developing the ASSIST tool for the deployment site. A lot of web conferences have taken place between empirica and Palaio Faliro personnel for this purpose. The three municipalities are working on completing the assessment of non-mandatory questionnaires such as HADS, FFQ, DMSES, etc. by mid-September 2016.
The three municipalities of SmartCare are planning to present a plan to continue SmartCare under ESF financing to the Regional Authority of Attica in mid-September 2016.
T6.8 – Operation of Netherlands deployment site (M35 – M42)
Summary
The existing Open Data for Health (OD4H) platform which has been developed over the last years is being used to support SmartCare in Noord Brabant. Single page web apps are currently being developed to realise an integrated and home-based cardiac rehabilitation programme. The integration with existing information systems is established.
Due to the difficulties in setting up sub-consortia, and the delay / lack of payments for the new Dutch partners, Noord Brabant deployment started from the beginning of 2016. In preparation for deployment in the Netherlands, a heuristic evaluation of the portal has been executed, and different user tests with care professionals and patients have been organised. Until the end of February 2016, patients with coronary artery disease (CAD) entering outpatient cardiac rehabilitation (CR) are recruited in MMC hospital in Eindhoven, for both intervention and control group. Subsequently, a randomised controlled trial among 300 patients with CAD entering CR will be
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executed. If proven effective, the approach may also be applied to patients from other hospitals in the region.
Due to this delay, the evaluation study design in Noord Brabant is changed, with a two iterations set-up within the framework of the accepted medical-ethical approval:
1. SmartCare EU study:
o Evaluation of a personalised patient-centred ICT platform to be used for cardiac tele-rehabilitation. The platform presents an adjustable overview of medication, treatments, rehabilitation goals, measurements, questionnaires and scheduled appointments. The patient is in control of the data, and can grant access to different formal and informal caregivers. In addition, the platform incorporates video call functionality for social communication.
o No major changes in care delivery. This way, the study is organised without having to request a new approval from the Medical Ethics Committee.
o In the course of the SmartCare EU project.
o 20 patients in intervention / 20 patients in control (historical).
2. Randomised controlled trial (RCT):
o In addition to the above mentioned functionality, patients in the RCT intervention group are equipped with a heart rate monitor and accelerometer, and are offered the possibility to continue the physical exercise programme at home. In addition, regular screen-to-screen consults will be organised.
o RCT study will be organised according to the earlier defined and medical-ethical approved study protocol.
o Partly after SmartCare EU project.
o 150 patients in intervention / 150 patients in control (randomised).
The support team, to ensure a help desk service to the users, both staff and clients, consists of people from Smart Homes, MMC and Acknowledge with technical skills and expertise in the ICT systems in place. The help desk will configure the technology to be used, and will be the first contact point for support when technical incidents occur. A flow diagram has been developed to refer questions to third parties when necessary. The team, in collaboration with the cardiac rehabilitation team manage, is also responsible for user guides and training sessions to the staff.
Feedback from daily practice and logs from the help desk are gathered, analysed and evaluated during regular follow-up meetings to see whether the system or the training can be improved.
T6.9 – Operation of Kraljevo deployment site (M23 – M36)
Summary
Work continued on schedule after August 2015. No major setbacks were recorded. In September 2015, UAB delegation visited the deployment site in Kraljevo. They were presented to the local partners, and briefed about the SmartCare service functionalities. They visited two end-users at their homes, and had meetings with relevant actors in both the Social Centre and Health Centre in Kraljevo.
Further work was aimed in processing initial questionnaires and transferring them into electronic versions. Data was uploaded onto Arsenal Database for 110 end-users and 100 people in control group. Remaining questionnaires have been prepared and distributed during February 2016.
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A high level of enthusiasm has been maintained among the local staff. Exceptionally positive feedback remains, especially from the Social Centre staff. It has been reported that their employees now fully embrace the new system in their everyday work. On the other hand, monitoring activities showed that there is low activity of some end-users and doctors. Health professionals agreed to have joint meetings with colleagues from Social Centre at the end of February, providing a good opportunity to exchange experiences and gather additional feedback from all professionals. Regarding some of the end-users’ low activity, stakeholders agreed not to take direct action as it might interfere with activity results, but to kindly remind them of the possibilities of the new system.
The majority of the end-users complaints were directed to the first level of support of IT personnel in Kraljevo, and were about mobile communication problems which were mostly caused by overcharging in mobile contracts (for example exceeding monthly minutes, or sending multimedia messages). Communications with mobile vendors is the responsibility of the second level of support, and resolving issues is very fast.
Other problems that were detected at the beginning of the service use have been resolved. Problems with double accounts have been resolved; connectivity with electronic health record and hospital Information system works well.
There is still strong commitment from the Health and Social Centres to spread the service to a broader public. Talks with relevant Ministries regarding other regions’ inclusion in the service continue, but with no concrete results and assurances.
Organisationally, the Project experienced changes in both the organisation and the management of the Health Centre, and personnel change of the Director. There was a risk of a power vacuum that was overcome by the personal initiative of people involved in the Project.
Centre for Social Work in Kraljevo still has problems with the internet provider (the same National provider for all social centres in the country), and internet connection is poor. SmartCare functioned with mobile devices and used internet from mobile operator. Only three devices were reported to malfunction: two were replaced by supplier, and one digital blood pressure measuring device was re-calibrated.
The Project was reviewed by the Commissioner for Personal Data Protection office. He had a few small remarks; the main one was that deceased end-users should be automatically excluded from the project since their consent form is not valid anymore. Project team complied with the findings and their data is excluded from further use.
As the end of the Project is getting near, the newly appointed Mayor of Kraljevo will meet the Project team. He expresses an interest to get to know more about the project and to discuss results.
WP7 - Synergy implementation
T7.1 – Synergies with BeyondSilos and CareWell (M11 – M42)
Summary
Work has continued in the synergy implementation activities during these last six months, whose results are reported in the WP7 deliverables. Below is a brief overview of these last month’s activities.
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Harvesting from scientific synergies
Our Projects harbour a scientifically rich research ground that should be harvested, based on sound methodological approach. As Projects’ work packages, including SmartCare, did not foresee specific scientific output, in early 2015 the initiative was taken to start discussions on realising concrete scientific publications.
The Brussels Strategy Meeting on 23rd March 2015 resulted in initiating an Inter-Project Scientific Faculty (i-PSF). It was unanimously agreed that instead of working from individual 'per Project' Internal Scientific Boards, combining forces across the three Projects and the consortiums’ partners could reinforce the shared agenda to disseminate experiences in Europe.
Significant results during RP3
Some challenges remain:
Individual Project partners are often quite busy with their duties and responsibilities. Scientific writing and its coordination is not a well-distributed competence, and takes significant time and other resources to an extent that these activities are not easily comparable with regular activities within the Projects. The foreseen group of a certain number of scientists forming an agile i-PSF has not been established, also because of lack of interest among active student due to pragmatics (scheduling) constraints. However, a smaller than foreseen, although competent, group of coordinating scientific writers and other coordinators has successfully worked in collaboration with the Projects towards a first scientific output planning [see below].
Publication processes normally take several months to complete (data retrieval, data analysis, statistical analysis, text writing, several manuscript rounds, submission procedures, editorial feedback rounds, etc.), and the Project’s life cycle (SC) under which these activities are done terminates just after the delivery of final data; it is unequivocally clear that there is a risk of discontinuity in publication unless coordinators and authors are facilitated by additional funding or an extension of the funding period, beyond the Projects’ life cycles.
a) Synergies Publication Plan
So far the publication activities resulted according to plan, delivering (submission and acceptance of) two peer-reviewed scientific papers.
Proposed scientific publications are listed in table below.
Note: The list was composed based on the input of Partners; the publications listed here can be subject to unforeseen changes, due to e.g. changes in publication strategies of the involved researchers, rejections of manuscripts, or for other reasons. There could also be other publications at project level in line with final results from evaluation, cost benefit analysis and guidelines.
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Title of publication / article Contents (short summary) First author (producing 1st draft)
Name of co-authorships Collaborators Journal Publication Fees
Implementing e-health enabled integrated care for independent living European elderly: organisational and human factors in a pan-European multi-centre prospective cohort study
Methodological paper - addressing: (1) Synergies objectives in sharing lessons across EU (2) description of BS/CW/SC projects (3) methods for human factor and organisational evaluation.
Keijser, Da Col Co-authors TBD - this paper shall be reviewed following BS/CW/SC publication policy
all projects TBD yes - unknown
Indicators and interventions for collaborative excellence during sustainable implementing e-health enabled integrated care: systematic review.
Systematic literature review - report. Keijser, Penterman, Smits, Wilderom
none none TBD yes - unknown
E-health enabled integrated care implementation for European elderly: a Best Practices based Road Map for Sustainable Implementation
Evaluation results - report of organisational and human factors evaluation study.
Keijser, Penterman, Smits, Wilderom
Co-authors TBD - this paper shall be reviewed following BS/CW/SC publication policy
all projects TBD yes - unknown
Physician leadership in e-health enabled integrated care implementation
Evaluation results - combined based on systematic reviews of literature + field study findings
Keijser, Penterman, Smits, Wilderom
Co-authors TBD - this paper shall be reviewed following BS/CW/SC publication policy
all projects TBD yes - unknown
Validation of the MAST 2.0 Based on D7.1 Kidholm K Duedal Pedersen C, RSD team
Validation of the MAST 1.1 Based on D7.3 Daugbjerg S Nielsen E, Kidholm K, Duedal Pedersen C
Development of the MAST 2.0 Based on D7.8 Daugbjerg S Nielsen E, Kidholm K, Duedal Pedersen C
The SmartCare Experience: Person-Centred, IT-Supported Interventions in Complex Cardiac Care
The rising needs for complex chronic disease management have defined a new core mission for future sustainability, i.e. promoting self-care through an integrated, multidisciplinary approach. In FVG, the results of the EU-funded SmartCare3-year project have provided new insights into the role of ICT-supported health and social care interventions within a new home-based person-centred model of care.
Kira Stellato D. Radini, M. Apuzzo, N. Delli Quadri, A. Di Lenarda
Italian Journal of Cardiology
None
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Significant results during RP3
Completion of D7.4 Report on the collaboration with BeyondSilos and CareWell.
Scientific Board activities reported in D9.4C SmartCare Advisory Board Activities.
Work will continue within the scope of BeyondSilos and CareWell to further improve knowledge transfer. A clear example is the Design for All Workshop with BeyondSilos and CareWell consortia foreseen for 6th October at the FORTH-ICS venue in Heraklion, Crete.
Reasons for deviations from Annex
No deviations from Technical Annex.
T7.2 - Synergies with the EIP AHA B3 Action Group - Integrated Care (M11- M42)
Summary
The project has worked with the B3 Action Group co-ordinators to establish robust communication links and to identify synergies between the activities of the B3 Action Group and SmartCare, BeyondSilos and CareWell projects.
A number of joint meetings and discussions have continued in these last project months to ensure that the synergy activities have progressed, such as the testing of the B3 Maturity Model with 10 SmartCare regions, and securing the contribution / input from B3 members to the development of the SmartCare Guidelines for integrated e-care procurement and uptake deliverable.
SmartCare consortium members continue to be active members of the B3 Action Group, contributing not only to the Co-ordination Group but also the work of the Group's Action Area activities.
Work will continue within the scope of BeyondSilos and CareWell to further improve knowledge transfer. A clear example is the BeyondSilos 6th Training School on Upscaling & Mainstreaming Guidelines addressed to both BeyondSilos and CareWell consortia foreseen for 5th October in Heraklion, Crete, and covering items including:
EIP on AHA B3 Maturity Model presented by NHS24 coordinator of B3 action group.
Application of maturity model in BeyondSilos and CareWell: Questions, answers and discussions.
o The aim is for pilot sites in both BS & CW that have not applied maturity model exercise within SmartCare to do so within the scope of their projects.
Support for scaling up of innovations in Active and Healthy Ageing: Some lessons from the ScaleAHA study.
SmartCare Guidelines presented by ASUITS, on which both BeyondSilos and CareWell are building their own guidelines.
The majority of collaborative activities were planned and undertaken during Year 3 of the SmartCare project, and included:
Participation in the European Commission’s MAFEIP tool presentation.
Participation in the B3 Action Group on Integrated Care Action Group meetings in November 2015 and June 2016.
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Participation in the 4th Conference of Partners on European Innovation Partnership on Active and Healthy Ageing in December 2015.
Organisation and participation in the meeting “Scaling-up and mentoring activities regarding CIP Projects and B3 Action Group”, held in January 2016.
Adoption of the EIPonAHA Maturity Model by the members of the Committed Regions Board.
Including a description of the B3 Maturity Model for Integrated Care in the SmartCare Deployment Guidelines (D9.3).
Seven SmartCare deployment sites applying as reference sites.
Significant results during RP3
Completion of D7.5 v1.0 SmartCare Collaboration with EIPonAHA B3 Action Group, which includes D7.5 Annex 3 B3 Maturity Model Self-assessment Survey Results of the10 regions.
Reasons for deviations from Annex
No deviations from the Annex.
T7.3 - Change Management – Tool Box development (M11- M42)
Summary
Goals of the Change Management Tool Box development are the delivery of a first version including:
New indicator set, adding depth to existing MAST dimensions, entailing evidence based ‘soft’ factors influencing interdisciplinary collaboration during implementation of e-health enabled integrated care, in combination with
(Suggestions for) interventions that (1) relate to ‘human factors’ change management indicators, and (2) can be used in a tailored manner.
This first version is based on scientific research (evidence based) and current ‘best practices’. The Tool Box developed is based on a stepped approach.
Phase 1: Scoping Phase.
Phase 2: Prototype Development Phase.
Phase 3: Testing Phase.
Phase 4: Evaluation and reporting.
Significant results during RP3
Change management literature review, and site visits and analysis of site visits’ data.
Completion of D7.6 Change Management Tool Box report.
Reasons for deviations from Annex
No deviations from Technical Annex.
T7.4 – Extension of MAST - Predictive model development (M11 – M42)
Summary
The application of predictive modelling (PM) in two of the project deployment sites has been designed and described in order to generate multidimensional evidence on the impact of integrated care, taking into consideration the differences between the
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two regions. Due to significant delays in the availability of data, the transfer of a model from one region to another as originally planned within the duration of the project was not possible. Facing this risk, a contingency plan was prepared and applied. Two research teams, one from HIM SL and one from Kronikgune, worked in collaboration (as they did in CareWell project), but in this case led by HIM SL. The two teams worked in parallel applying two different approaches, which seemed to be more appropriate for the predefined sites and focused on the same subpopulation of care recipients, i.e. patients with heart failure:
First deployment site (FVG): The SmartCare services provided by this region were disease-oriented, mainly focused on patients with heart failure. HIM SL team developed a disease-specific model focused on this population. A Markov model was developed with four disease states: alive with HF, hospitalised, residential care and death. Data concerning this population for the years 2012 – 2015 has been compared with data collected during the project, and adjusted with the collaboration of an expert panel from this region. The cost-effectiveness of the SmartCare services compared with usual care has been estimated for different time horizons (1 year, 5 years and 10 years), as well as the budget impact of integrated care services to the region of FVG for the management of patients with heart failure.
Second deployment site (Aragon): In this case, the services were less disease-oriented, with more generic pathways targeting citizens with complex needs, including patients with heart failure. This service design was quite close to the CareWell project pathways. The team from Kronikgune adapted the model developed within the CareWell project. In this case, Discrete Event Simulation (DES) was used to estimate the flow of patients and the evolution of resource consumption and the economic burden over a defined period of time. Because of lack of data till very late, the model was based on assumptions using expert panel and data from Basque country, one of the SmartCare committed regions.
Significant results during RP3
Completion of D7.2 Report on the predictive model application to the 1st deployment site.
Completion of D7.7 Report on the predictive model application to the 2nd deployment site
Review the available literature, prepare and present the predictive modelling methodology.
Conceptualise current and new pathways and organisational models for two different SmartCare deployment sites.
Predict future clinical and economic outcomes for these two sites.
Test the transferability of a model developed for CareWell project to a SmartCare deployment site.
Estimate the budget impact of the SmartCare integrated services for heart failure patients in two different deployment sites.
Reasons for deviations from Annex
Results of the SmartCare project for the two deployment sites were available later than planned, and so the contingency plan was applied as described above.
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Task T7.5 Extension of MAST - New application areas (M11 – M42)
Summary
Task T7.5 covers the extension of the MAST model. The MAST 1.0 validation workshop was held on 16th March 2016 in Brussels. 30+ relevant experts and decision makers were identified and invited to the workshop: 20 accepted the invitation to participate.
The MAST 2.0 validation workshop was held on 22nd June 2016 in Brussels. In this case, 30+ decision makers and experts were identified and invited: 17 accepted the invitation to participate.
The team is in line with the reviewers’ comment (no. 66) from the 3rd year review report that addresses that the extension of MAST should not be completed within the frame of SmartCare thus the refinement of the framework will continue beyond the project period. This work will result in articles and publications that will be submitted to scientific journals.
Significant results during RP3
Organisation and completion of MAST 1.0 validation.
Literature review finalised.
Organisation and completion of MAST 2.0 workshop.
Completion of the two reports describing the workshops (D7.1 and D7.3).
Completion of the report describing the MAST 2.0 manuals (D7.8).
Reasons for deviations from Annex
No deviations.
Task T7.6 Cross-projects data comparison (M24 – M42)
The baseline demographic and clinical characteristics of the three projects’ populations have been compared in order to identify commonalities and differences between them. Since the sites had the flexibility to recruit and offer integrated services to those patients who needed these services more, this report identifies the target population for integrated care across 22 different European regions and settings which have participated in the three projects.
Significant results during RP3
Baseline data from 3,219 care recipients from the three projects have been analysed.
The characteristics of the target population for integrated care services have been presented.
Completion of D7.9 Cross-projects data comparison.
Reasons for deviations from Annex
No deviations.
WP8 – Pilot Evaluation
T8.1 - Evaluation framework and planning (M1 – M7)
Closed.
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T8.2 - Evaluation baseline of deployment sites (M15 – M24)
Closed.
T8.3 - Follow-up evaluation for deployment sites (M21 – M28)
T8.5 - Final evaluation for deployment sites (M33 – M34)
A workshop on MAST evaluations, mandatory data collection, and templates for presentation of results, was held in Denmark on 17th November 2015 with attendees from most sites. The workshop led to improvements to the templates for reporting of results, and contributed to a more homogeneous presentation of the final results.
T8.6 - Analysis and reporting (M35 – M42)
All the sites have been able to provide data analysis on either or both their local process evaluation and/or MAST evaluation. Also, sites have provided input to the descriptive aspects of MAST so that all sites have completed the necessary context for interpretation of local results. This constitutes a major contribution to the final MAST evaluation; the deployment sites have done well in terms of the evaluation and preparations for the final deliverable presenting local and overall results.
Significant efforts have been made in order to improve the quality and quantity of the project dataset. The project-level evaluation has been extended to include analyses at patient-level, sub-group analyses, and regression analyses in order to increase the power and to outweigh the diversity seen.
Significant results during RP3
At the end of June 2015, the Consortium agreed that Arsenal.IT would take on the SmartCare database. On the basis of CSV files required from the sites, the codebook was updated by the medical coordinator team in agreement with sites. In addition, the three codebooks from SmartCare, BeyondSilos and CareWell were aligned as part of the synergies between the projects, as well as the need to enlarge the commonalities between projects. Once the Arsenal.IT database was in place, training was provided, and a test was performed by all sites to ensure correct use of the database.
In August 2015, the codebook was further refined, taking advantage of the remarks received at the 2nd year review meeting. Some new variables were added that could complete the general framework to be explored in order to have a set of indicators which covered the health and social dimension. Arsenal.IT included these changes in the database.
The SC codebook was issued, together with D8.3 V1.1 Second Interim Process Evaluation Report on 14th September 15.
In April 2016, the evaluation and statistical methodology was revised and extended, and a detailed statistical analysis plan was prepared and revised once the final data were available, in order to correspond with the available data.
Completion of D8.4 SmartCare Pilot outcomes.
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Reasons for deviations from Annex
Significant delays of the project had a negative impact on data collection (number of care recipients under evaluation), and completeness of datasets.
Diversity, not only in tested services and pathways, but also in the target populations.
Heterogeneity in local evaluation protocols and study designs.
Limited common dataset.
Need for cross-regional and cross-project comparison to increase the European added value.
WP9 - Exploitation support and dissemination
T9.1 - Exploitation planning (M5 – M36)
Summary
Work was directed towards formative value case modelling in given multi-stakeholder service environments, rather than ex-post evaluation of the pilot outcomes. As described in more detail in D9.2, work focused on ensuring that the regional implementation instances of the SmartCare services will ultimately be:
viable – working successfully;
sustainable – maintaining a positive ratio of costs and benefits; and
scalable – working for all patients and not only the pilot population.
To this end, operational work under T9.1 took up key outputs generated during the previous reporting period, in particular a common cost and benefit indicator set across all deployment regions, and the implementation of that indicator set into the ASSIST software tool as reported in D9.2. Final data were collated at each site.
The indicator set covers a wide range of relevant costs and benefits. These are distributed across the different stakeholders involved in the newly integrated SmartCare service. The indicators can be divided into five areas of assessment:
staff efforts for service development and implementation;
costs for hardware and software;
impacts on staff time (professional care staff and voluntary workers);
impacts on time of patients / clients and informal carer;
impacts on health, wellbeing and satisfaction of patients / clients and informal carers.
Initial data gathered in the previous reporting period were consolidated, now deriving from service operation wherever possible. This was mainly done during so called “sprints”, i.e. dedicated conference calls with each of the deployment sites to speed up data collection and analysis of the data.
Data collected by the deployment sites was analysed and reported in D9.4B.
Reasons for deviations from Annex
Data collection for all areas of assessment was done by the deployment regions with support from the WP leader as part of the evaluation of the pilot service. As such, data collection is fully dependent on the progress of the pilots, especially in terms of the operation of the services and in terms of the number of end-users involved. As a
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result of a delay in data collection as reported in the last progress report, data analysis and reporting was delayed by four weeks.
T9.2 - Service viability assessment for social care, healthcare, integration and component providers (M5 – M12)
Summary
This task was closed in RP2. Outcomes were reported in D9.2 which has been accepted in the framework of the review held on 13th May 2015.
T9.3 - Pilot Site networking (M1 – M36)
Summary
The online RAIL tool was used by the deployment regions to share lessons learned in a systematic manner. Beyond this, face-to-face events were used to support mutual learning and exchange of lessons learned.
Significant results during RP3
In a series of webinars, organised by the CRB, lessons learned were exchanged among CRB and deployment sites in Scotland, South Karelia and North Brabant. Results were reported in D9.4C.
All advisory boards were formally constituted in the first reporting period and were operating according to their individual roadmaps / action plans and plans set out in the description of work since then.
Significant results during RP3
The Users' Advisory Board (UAB) finalised visits to all deployment sites. Results
from the deployment site visits are reported in D8.5. The UAB also contributed to the development of the Guidelines for Deployment (deliverable D9.3) by contributing three sections. UAB members also contributed to D8.4 “SmartCare Pilot Outcomes”.
The members of the Committed Regions Board (CRB) focused their work on the
following main activities in the second part of RP3:
Completion of the WP1, WP2 and WP3 templates: One of the main activities performed by the CRB Regions has been the completion of three templates developed by the SmartCare deployment sites during the project. These templates were developed in the context of WP1, 2 and 3.
Deployment sites knowledge transfer: In the SmartCare Project, the CRB Regions have closely followed the deployment sites and project progress. To better understand their areas of interest in the deployment sites, the CRB Regions were asked about their interest regarding the process of implementation, results, experiences and lessons learned through a survey. The aim of this was to organise networking, and to facilitate knowledge transfer between deployment sites and CRB Regions. Three webinars (with Scotland, South Karelia and North Brabant) were organised.
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Action Sheet by each Committed Region: During the project, all CRB members regularly reported on:
1. All their SmartCare dissemination activities.
2. Activities on integrated care carried out within their regions.
3. Other actions performed such as webinars, workshops, conference, congress, study visits, etc.
4. In order to capture this activity, a template was prepared; this was shared with all CRB members.
5. All CRB members participated in these activities, and completed the template with the project related activities carried out in their region.
Maturity Model: It was proposed to CRB members that they participate in the “Maturity Model” self-assessment developed by the B3 Action Group of the EIPAHA. The aim of this activity was that each CRB Region could develop a spider diagram which would show how healthcare systems are attempting to deliver integrated care services for their citizens. The spider diagram was developed by sending a survey to stakeholders of each region. The survey was carried out, and 12 CRBs expressed an interest in using the maturity model.
Monthly status calls were held in order to align work, and plan upcoming activities. The status calls were moderated by CRB manager Kronigune.
The Internal Scientific Board (ISB): Four main activities were conducted in the second part of the 3rd reporting period:
Inter-Project Scientific Faculty and Publication Policy: This faculty (coordinated by Prof Jean Bousquet and Dr Wouter Keijser) subsequently developed a publication plan, and has been active in coordinating development and publications accordingly. Parallel to this, an internal Publication Policy (iPP) has been developed, based on an iterative process of feedback from all involved partners within the SmartCare project.
Publication Plan (PP): A final version was distributed on 17th January 2016. So far, the PP has served as a guideline for the publication of the Consortium's work in “The Journal of Nutrition, Health and Aging”. A 4-step Publication Plan was prepared.
Student Research Network on Integrated Care: The initial objective defined at a strategy meeting in 2015 to establish a European Student Research Network on Integrated Care (ERNIC) was partly reached by the accession of the University of Twente coordinating the intensive SYNERGIES research project on human factors in change management. In this project, the University of Twente is represented by Professor Celeste Wilderom, an international scholar and expert in leadership and change management, and Professor Guus van Montfort, an expert in healthcare economics and health IT, guiding the research team on this project, also harvesting a double MSc research project.
Change Management (research) activities: Change management activities are reported in WP7.
The Industry Advisory Board (IAB): Activities of the IAB for the SmartCare project
in the second half of RP3 were mainly conducted by Bridget Moorman, Technical Manager, Europe, the Continua Health Alliance (now the Personal Connected Health
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Alliance, as part of the Health Information and Management Systems Society). These activities included the following:
Attendance at and contribution to all project General Assemblies, except for the one in Serbia (Summer 2015).
Attendance at and contribution to the third annual project review in Brussels, Belgium, April 2016.
Co-authored D3.1 Deployment Level Service Specification and D3.2 Final Service Specification.
Development of summary section and appendices for D4.6, Version 2, System Implementation and Test.
Contributing section 4.3 Procuring the ICT of D9.3 The SmartCare Guidelines for Implementation of integrated eCare Service. Review of the same document.
Development of WP4 section in D10.9 “Final Project Report”.
Served on panel of roundtable discussion, “The Way Ahead,” at the SmartCare conference in Trieste, July 2016.
Reported on SmartCare activities in EU Telehealth projects presentation to Continua Summits in June 2013, 2014 and 2015.
Featured SmartCare NHS24 Scotland deployment site and their use of FHIR standard in blog post: http://medicalconnectivity.com/2016/06/22/fhir-in-action-how-well-does-it-work/.
Featured SmartCare as one eHealth system in presentation on “The importance of Interoperability and Technical Standards" for AGEING Wealth EU Project Conference, Mirandola, Italy, October 2014.
Activities and results of the work of all Advisory Boards are described in detail and reported in D9.4C.
In the second half of RP3, dissemination activities continued as per the project’s dissemination and communication plan:
The website has been regularly extended and updated.
Twitter extended to a community of 451 followers by issuing 819 (years 1, 2, & 3) tweets on project events, publications, videos and pilot experiences.
SmartCare partners presented the project at international / national conferences events.
The project has been informed on a regular basis about potential publication opportunities; publications and newspaper articles have been issued.
Two videos clips were produced.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 Page 33 Project periodic progress report for RP4
The project, together with BeyondSilos, CareWell and IFIC, organised a conference on “Technology Innovations: Supporting Integrated Care at Home and in Communities”.
Significant results during RP3
SmartCare deployment sites conducted a range of local / regional awareness raising and information events. Altogether, 58 such events were conducted in the second half of RP3.
UAB, CRB and IAB members AER, AGE, EFN, and Continua have actively disseminated SmartCare to their European and international members by means of regular newsletters and news items on their websites.
The global and regional communication plans also regularly identified publication opportunities in online media, newsletters or online magazines. In the second half of RP3, 20 news items have been published on the SmartCare website or partner websites.
Following the video production plan developed in RP1 and updated regularly, video material was recorded at conferences, workshops and general assembly meetings of the SmartCare project. Publication of videos was always accompanied with the release of a news item and a tweet on Twitter. In the second half of RP3, two videos have been published:
Video for Dutch Technology Week.
Video “Workshop with patients of SmartCare in the Attica Pilot. Listening to the Needs, Planning for the Future".
SmartCare was co-organiser of the conference “Technology Innovations: Supporting Integrated Care at Home and in Communities” as part of WHINN Week of Health and INNovation 2015, held in Odense, Denmark. This conference considered how to use new technologies to support people with complex chronic needs to live independently and well in their homes and communities. In particular, it examined the issues of ‘how to’ deploy effective technological innovations in practice and at-scale. The conference was aimed at participants of major EU projects and initiatives in this field, as well as managers, health and social care professionals, and academics concerned with the development of ICT to support the better management of integrated health and social care. The programme featured work from all hosting partners (SmartCare, CareWell, BeyondSilos and EIP on AHA) who demonstrated progress in their individual projects and initiatives.
SmartCare had, particularly in FVG, high visibility on TV channels, with several broadcasts reporting on the SmartCare project:
Buongiorno Regione, 17th May 2016. (http://www.rainews.it/dl/rainews/TGR/basic/PublishingBlock-cea42243-992b-482c-b385-32bcf35835b4-archivio.html#).
FVG Regional broadcast: Smartcare project and FVG deployment site - Tele4, 10th June 2016.
Tele4 special broadcast Starbene in TV, 17th June 2016.
Tel4newcast, television news, 7th July 2016.
Tele4 special emission Starbene in TV. 14th July 2016.
Grant Agreement nr. 325158 Page 34 Project periodic progress report for RP4
SmartCare give-aways have been produced in the third reporting period year, and were distributed at the final conference, including bags. Also, the Tallinn deployment site produced T-shirts with the SmartCare logo.
Dissemination reporting and monitoring was done by means of a dissemination reporting template that partners were requested to complete every six months.
Reasons for deviations from Annex
No deviations.
T9.8 - Project web presence and online media management (M5 – M36)
Summary
The project website http://pilotsmartcare.eu/ was set up during RP1 and further updated and maintained in the second half of RP3, as per the communication and dissemination plan prepared in RP1 and updated regularly. The website has been regularly updated with deployment site content, news, videos and project results. As regards online media management, a social media strategy is described in the overall dissemination and communication plan and includes promotional activities in Twitter and YouTube.
Significant results during the first six months RP3
The website was regularly updated with latest news and project videos as well as updates of project progress and background. Latest news is automatically featured on the homepage of the project website.
A new section was added to the website presenting the nature and activities of the CRB.
A social media strategy is included in the overall dissemination and communication plan, and includes promotional activities in Twitter and YouTube. In RP3, YouTube was used to publish and disseminate the videos on Kraljevo and Aragon services, the video featuring the SmartCare pathways, and the video produced for the EIP AHA summit. The SmartCare twitter account @pilotsmartcare regularly features project results and activities, as well as other tweets from relevant thematic domains. At the time of reporting, SmartCare had 451 followers including EIP AHA, ICT 2013 EU, AGE, EPF, Tunstall, EHTEL, EU eHealth, related CIP, FP7 projects, and many more. 619 tweets have been published in RP1, RP2 and RP3.
In order to share what the three projects SmartCare, BeyondSilos and CareWell have learned so far and to continue sharing future lessons with stakeholders across the EU and beyond, a joint website that is available under http://www.integrated-ecare.eu/ was set up and went online in M28.
The SmartCare newsletter is published weekly through Paper.li.
Reasons for deviations from Annex
No deviations.
T9.9 – Guidelines for Pathways and integration infrastructure procurement and uptake (M35 – M36)
The editorial group, led by FVG, and including the project’s technical partners (Vidavo & Continua), evaluation (RSD & HiM) and exploitation work strands
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 Page 35 Project periodic progress report for RP4
(empirica), as well as an end user representation (AGE) and the views of a health insurance company (AOK), regularly met via conference calls to progress work on the guidelines.
After the initial meeting in M28, the guideline structure was extended, and first input collated by the members of the editorial board. A draft version of the guidelines was presented at the 3rd year review meeting in M38 and at the final conference.
Guidelines of SmartCare draw together knowledge and experiences gained throughout the project (from service development to deployment). The Guidelines are produced in an appealing layout suitable for online and print presentation. D9.3 was submitted in August 2016.
T9.10 – Deployment planning (M2 – M36)
Summary
Based on operational plans shared across sites during the last reporting period, Aragon and FVG, as WP5 and WP6 leaders, continued to promote coordination across SmartCare regions to make deployment sites feed into exploitation and evaluation activities. Availability of evaluation outcomes represents a precondition for the elaboration of deployment plans for further geographic deployment of sustainable SmartCare services after the project.
Significant results during RP3
SmartCare service deployment started in all deployment regions.
Reasons for deviations from Annex
No deviations.
T9.11 – Final Conference (M30 – M36)
Summary
The final conference was successfully conducted on 6th July 2016 in Trieste.
Significant results during RP3
The final conference took place in Trieste (Italy) at “Stazione Marittima of Trieste Congress Centre” with altogether 120 attendees.
The conference preparation team was in regular contact via email, conference calls to closely monitor the conference preparations that followed a dedicated preparation plan.
Preparatory work included:
Preparation of a dedicated page on the SmartCare website to provide information on the final conference.
Drafting, agreeing and finalising the conference programme.
Invitation and briefing of speakers and moderators.
Implementation of an online registration progress.
Monitoring registrations.
Guidance on presentation preparation for speakers.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 Page 36 Project periodic progress report for RP4
Announcement of conference date on Twitter, the website, at conferences and events.
Production of give-aways.
Development and printing of a feedback form.
Organisation of catering and other supporting services such as translation.
Publication of a call for posters on the project website and via social media;
Development of conference pull-up.
Development of a video script.
Invitation of press and media to the conference.
On the conference day, activities ensuring successful conference conduction included:
Poster and pull-up display.
Monitoring of smooth operation of all services and time planning.
Video recording.
Briefing of press and TV.
TV interviews.
Handout of conference materials, incl. feedback forms.
The conference reached high visibility in regional press and TV. For more detailed information on the conference, please see D9.4D.
Reasons for deviations from Annex
No deviations.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 37 Project periodic progress report for RP4
3 Deliverables and milestones tables
3.1 Deliverables
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D1.1
Requirements for SmartCare Pathways and Integration Infrastructure
empirica R PU 3 10/09/2014 Submitted
Approved / Update submitted on 10th
September 2014 including finalised input from Netherlands
D1.2
SmartCare Pilot level Pathways and Integration Infrastructure
empirica R PU 9 10/09/2014 Submitted Approved / Update submitted on 10th September 2014, including finalised input from Netherlands
D2.1 SmartCare Service Model
empirica R PU 11 02/09/2014 Submitted Resubmitted on 2nd September 2014 as requested in 1st Year Review report. Approved
D3.1 Pilot level Service Specification
IFIC S PU 5 10/03/2014 Submitted
The first iteration of deliverable D3.1 was submitted in October 2013; resubmitted following incorporation of comments from the 6-month review on 10/03/2014 Approved
4 PU = Public
PP = Restricted to other programme participants (including the Commission Services).
RE = Restricted to a group specified by the consortium (including the Commission Services).
CO = Confidential, only for members of the consortium (including the Commission Services).
Make sure that you are using the correct following label when your project has classified deliverables.
EU restricted = Classified with the mention of the classification level restricted "EU Restricted"
EU confidential = Classified with the mention of the classification level confidential " EU Confidential "
EU secret = Classified with the mention of the classification level secret "EU Secret "
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 38 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D3.2
The SmartCare Service Specification
IFIC S PU 12 01/09/2014 Submitted
Resubmitted on 1st September 2014 as requested in 1st Year Review report. Annexes on Procurement documentation for NHS24 and FVG has also been issued with Deliverable. Approved.
D4.1
System Integration Architecture (V1)
Vidavo R PU 9 12/08/2014 Submitted Resubmitted on 12th August 2014 as requested in 1st Year Review report. Approved.
D4.2 Field Test Report (V1)
Vidavo R PU 12 11/06/2014 Submitted
Submitted on 11th June 2014. Includes input for 1st deployment sites, and brief outline for 2nd deployment sites as their implementation starts end of 2014 Approved
D4.3 Integrated ICT infrastructure (V1)
Vidavo R PU 15 16/12/2014 Submitted Submitted on 16th December 2014. Delay reasons explained in 2nd Interim progress report
D4.4
System Integration Architecture (V2)
Vidavo R PU 16 03/09/2014 Submitted Submitted on 3rd September 2014. Approved.
D4.5 Field Test Report (V2)
Vidavo R PU 18 03/09/2014 Submitted Submitted on 3rd September 2014. Approved.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 39 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D4.6 Integrated ICT infrastructure (V2)
Vidavo R PU 20 14/03/2016 Submitted
Submitted on 10th March together with Annexes on Evidence of Implementation (metrics) and Implemented Security Functionality. Reissued 14Sep15; as requested in Y2 review report, includes summary text to new section 2 & Appendix with tables that cover each deployment site by functional capacity, ICT technologies, and standards D4.6 was reissued on 14Mar16 with updates from N. Brabant. Approved
D5.1 SmartCare operational pilots
FVG-ASS1 O PU 22 7/03/2016 Submitted
Submitted on 9th March 2015 together with deployment site supporting documentation. The deployment site operational workplans were issued on 23rd January 2015 as annexes to D5.1. Approved
D5.1 was reissued on 7Mar16 with updates from N. Brabant. Approved
D6.1 SmartCare Common Specifications
Aragón R PU 30 05/08/2015 Submitted Issued 5th August 2015. Approved
D6.2
Report on Operation of Deployment sites
Aragón R PU 32 18/02/2016 Submitted
Issued on 18-Feb-16 an Interim D6.2 SmartCare
Report on Operations of Deployment Sites. Approved
D6.2
Report on Operation of Deployment sites
Aragón R PU 36 03/08/2016 Submitted Issued Final D6.2 (V2) on 3th August 2016.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 40 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D7.1 MAST 1.0 Validation Workshop
RSD R PU 37 01/07/2016 Submitted
Issued 1st version on 4-Apr-16. Reissued final
D7.1 with section 3.5 completed with the results from Round 4 of the Delphi process on 1st July 2016
D7.2
Report on the predictive model application to the first deployment site
HIMSL R PU 39 16/10/2016 Submitted
D7.3 MAST 2.0 Validation Workshop
RSD R PU 40 15/08/2106 Submitted
D7.4
Report on the collaboration with BeyondSilos and CareWell
HIMSL R PU 42 01/09/2016 Submitted
D7.5
Report on the collaboration with the EIP AHA 83 Action Group
NHS24 R PU 42 02/08/2016 Submitted
D7.6 Change Management Tool Box
HIMSL R PU 42 27/09/2016 Submitted
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 41 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D7.7
Report on the predictive model application to the second deployment site
HIMSL R PU 42 19/09/2016 Submitted
D7.8 MAST 2.0 manual
RSD R PU 42 15/08/2016 Submitted
D7.9 Cross-projects data comparison
HIMSL R PU 42 27/09/2016 Submitted
D8.1 Evaluation framework for SmartCare
RSD R PU 7 18/04/2014 Submitted D8.1 Addendum submitted on Site Progress on 18/04/2014 Approved
D8.2
First interim process evaluation report
RSD R PU 22 10/03/2015 Submitted
Submitted on 10th March 2015 together with Confidential Annexes with Deployment site operational protocols Approved
D8.3
Second interim process evaluation report
RSD R PU 28 14/09/2015 Submitted
D8.3 Smartcare Second Interim Process Evaluation Report issued on 14Sep15, plus
Annex 1 SmartCare Codebook. As foreseen in Y2 Review Report, the update to D8.2 has been included in D8.3, primarily the input from Attika deployment site, and indicators requested in Review Letter. Approved
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 42 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D8.4 SmartCare Pilot Outcomes
HIMSL R PU 42 18/10/2016
Submitted
D8.4 v1.0 SmartCare Deployment outcomes issued on 18/10/2016 including annexes: D8.4 Annex 1 SmartCare Updated Process
Report on Users' Advisory Board visits to the deployment sites
AGE R PU 32 01/04/2016 Submitted Issued 1st version on 1-Apr-16. Approved.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 43 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D8.5
Report on Users' Advisory Board visits to the deployment sites
AGE R PU 39 01/07/2016 Submitted Issued Final D8.5 on 1st July 2016, site visit
report from Nord Brabant.
D9.1
First report on dissemination and exploitation activities
EMPIRICA R PU 12 01/09/2014 Submitted
Resubmitted on 1st September 2014. Annexes on Flyers, Committed Regions Roadmap, User Advisory Roadmap, and templates have been issued together with deliverable. Approved.
D9.2
Interim report on dissemination and exploitation activities
empirica R PU 24 16/03/2015 Submitted
Submitted 16th March 2015. It comprises:
D9.2A on Dissemination, plus a zip file with three Annexes
D9.2B on Exploitation, plus annex Approved
D9.3 Guidelines for deployment
FVG-ASS1 R PU 42 23/08/2016 Submitted
D9.4
Deployment plans for SmartCare Pathways and Integration Infrastructure
empirica R PU 42 42
As this deliverable includes four main results, it has, for easier reading / understanding purposes, been broken down into:
D9.4A SmartCare Final report on dissemination activities
D9.4B SmartCare Final report on exploitation activities and deployment plans
D9.4C SmartCare Report on Advisory Board activities
D9.4D SmartCare Final Conference
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 44 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D9.4 A
SmartCare Final report on dissemination activities
empirica R PU 42 29/08/2016 submitted
D9.4 B
SmartCare Final report on exploitation activities and deployment plans
empirica R PU 42 15/10/2016 submitted
D9.4 C
SmartCare Report on Advisory Board activities
empirica R PU 42 15/08/2016 Submitted
Issued on 15th August 2016 together with Annexes: D9.4C Annex 1 SmartCare CRB completed
templates D9.4C Annex 2 SmartCare ELGA integrated
care solution in Carinthia, Austria D9.4C Annex 3 BeyondSilos-CareWell-
SmartCare Publications policy v1.9
D9.4 D
D9.4 D SmartCare Final Conference
FVG- ASS1 R PU 42 01/08/2016 Submitted
D10.1 SmartCare Quality Plan
FVG-ASS1 R RE 2 03/10/2013 Submitted Approved
D10.2
Ethics and Data Protection Framework
FVG-ASS1 R PU 6 18/04/2014 Submitted D10.2 V2.0 submitted, taking into account comments from interim review meeting. Approved
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 45 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D10.3
Interim periodic progress report
FVG-ASS1 R CO 6 14/08/2014 Submitted
1st resubmission was on 08/01/2014 after Interim Review Report; 2nd resubmission of D10.3 V1.4 on 14th August 2014 as requested in 1st Year Review report. Annexes issued together with Deliverable: D10.3_IPPR Annex 1_Partner-person month
per tasks status 6 months detailing Use of Resources, and
Response Letter to Interim Review sent on 8th January 2014 addressing the recommendations set forth at 1st Interim review in 2013. Approved.
D10.4
Project periodic progress report for RP1
FVG-ASS1 R CO 12 15/08/2014 Submitted
As requested in 1st Year Review, deliverable was resubmitted on 15th August 2014. Annexes issued with Deliverable: D10.4_PR1 Annex 3_Partner-person month
per tasks status 1st year detailing Use of Resources;
SmartCare Activity Report Q3 and Q4; Letter on decision of CCU to withdraw as
deployment site; Commitment letters from consortia in the
Netherlands deployment site to project; and Response Letter to Interim Review sent on
8th January 2014 addressing the recommendations set forth at Interim review. Approved.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 46 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D10.5
Interim periodic progress report
FVG-ASS1 R CO 18 10/09/2014 Submitted
Addendums on SmartCare - Deployment site status v1.0; D10.5 Addendum SmartCare Final report Uppsala V1.0; D10.5 Addendum SmartCare_Activity Report_Y2_InterimReview; and D10.5_Addendum_SmartCare - Partner-person month per tasks status 18 months issued with deliverable, submitted on 10th September 2014. Approved.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 47 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D10.6
Project periodic progress report for RP2
FVG-ASS1 R CO 24 24/09/2015 Submitted
Pre-final version issued on 14th April 2015. Issued with deliverable are the following annexes: Annex 1 D10.6 UAB report year 2 Annex 2
Interim_review_response Annex 5 SmartCare_report on e2eTA
Netherlands Final version issued on 28th April 2015 with 2
addendums: D10.6_Addendum_1_Y2_MPbyTask D10.6_Addendum_2_Y2_Activity Report Reissued 24-Sep-15 with the following annexes: Annex 4_UAB_Barbastro visit General report
for D10.6_final Annex 5_UAB South Karelia visit General
report Annex_6_Users Advisory Board site visit Agenda in South Karelia
FVG-ASS1 R CO 36 16/03/16 Submitted Issue on 16Mar16 1st Draft version without meetings table and PM tables. Final version issued on 14Apr16. Approved
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 49 Project periodic progress report for RP4
Del. no. Deliverable
name
Lead
beneficiary
Nature Diss.
level4
Delivery date Status Comments
From Annex I (month)
Actual / Forecast
D10.8
Project final report incl. PR for RP3 and report on the distribution of the financial contribution
FVG-ASS1 R CO 42 10/10/2016 Submitted
1st draft
Includes the following annexes: Annex 1 Y3 Response Table Annex 2 Conceptual model for use in
predictive modelling in response to Recommendation 1
Annex 3 Statistical Analysis Plan v1.0 in response to Recommendation 3
Annex 4 FHIR in action: a paper by Continua Alliance on an interview with NHS24 on the use of standards in their SmartCare design
Annex 5 Physician leadership in e-health, a publication
Annex 6 Projects on ICT for old age people, a publication
2nd version of D10.8 issued on 14th October 2016 with UoR included and following annexes:
Annex 7_Deployment_Site sustainability evidence from the nine deployment sites
Annex 8_ Activity report Annex 9_Person months by deliverable, task
and WP Final version issued on 15Nov16
D10.9 Project Final Report
FVG-ASS1 R PU 42
13/10/2016 Submitted
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 50 Project periodic progress report for RP4
3.2 Milestones
This table is cumulative, which means that it shows all milestones from the beginning of the project.
Note: The milestones table below has been updated to reflect the final 2nd Contract Amendment milestone table submitted on 4th August 2016.
TABLE 2. MILESTONES
Milestone no.
Milestone name Work package
no
Lead beneficiary
Delivery date from Annex I
(month)
Achieved Yes/No
Actual / Forecast achievement
date
Comments
M1 Issuing of the SmartCare pathways
WP1 41 3 Yes 7
The contextualisation of the generic pathways has requested more than initially planned
M2 Go/no go decision WP10 1 6 Yes 8 This milestone is linked to the 1st Interim Review
M3 Evaluation framework agreed
WP8 4 7 Yes 7 Evaluation framework agreed
M4 Installation of the 1st deployment sites completed
WP6 1 15
Yes, partially at
28th February
2015
15
Aragón and Region Syddanmark fully operational in month 15;
21 FVG fully operational in November 2014
25 Scotland fully operational in March 2015
M5 Installation of last deployment sites completed
WP7 5 24 Yes,
partially at 28th March
24 Kraljevo, South Karelia, Tallinn fully operational in February 2015.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 51 Project periodic progress report for RP4
TABLE 2. MILESTONES
Milestone no.
Milestone name Work package
no
Lead beneficiary
Delivery date from Annex I
(month)
Achieved Yes/No
Actual / Forecast achievement
date
Comments
2016
26
Nord Brabant operational 1st March 2016. They have had delays due to ICT issues. Attika fully operational 1st June 2015.
M6 Publication of the procurement guidelines
WP9 1 42 Yes 42 D9.3 issued on 23rd August 2016
M7 Completion of the deployment plans for participating regions
WP9 41 42 Yes 42
D9.4 B SmartCare Final report on exploitation activities and deployment plans issued on 15th October 2016
M8 Final conference WP9 1 41 Yes 41 Conference was held in Trieste on 6th July 2016
M9 Final trial evaluation WP8 45 42 Yes 42
D8.4 v1.0 SmartCare Deployment outcomes issued on 18th October 2016 plus annexes:
M10
Availability of results
of the predictive
model application to
the first deployment
site
W7 45 42 Yes 42
D7.2 Report on the predictive model application to the first deployment site issued on 16th October 2016
M11 Release of MAST 2.0 WP7 42 42 Yes 42 D7.8 MAST 2.0 manual issued on 15th August 2016
M12
Release of Change
Management Tool
Box
WP7 45 42 Yes 42 D7.6 issued on 27th September 2016
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 52 Project periodic progress report for RP4
TABLE 2. MILESTONES
Milestone no.
Milestone name Work package
no
Lead beneficiary
Delivery date from Annex I
(month)
Achieved Yes/No
Actual / Forecast achievement
date
Comments
M13
Availability of results
of the predictive
model application
to the second
deployment site
WP7 45 42 Yes 42
D7.7 Report on the predictive model application to the second deployment site was issued on 19th September 2016
M14
Successful
completion of the
Project
WP10 1 42 Yes 42
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 53 Project periodic progress report for RP4
4 Project management during the period
During these last six months, SmartCare has continued to align all activities and tasks, and minimise delays in the deployment sites and in deliverables.
2nd Contract Amendment
The management team has worked on the 2nd contract amendment which was finally submitted on 23rd February 2016 after several iterations and meetings with the Commission to agree the changes and finally accepted on 29th April 2016. The amendment request included the following main points:
Extension of the Project duration by six months (from 36 to 42 months).
Complete restructuring of WP7.
Addition of a new partner (HIM SL) with competences in change management and predictive modelling.
Redistribution of budget to focus on synergies with other strategic initiatives taken by the European Union and with other projects deploying ICT enabled integrated care.
Conversion of MAST from a pure evaluation model into an operational tool accompanying all the phases of innovation implementation in the care system (“Closing the loop”).
Synergy activities
In parallel, the management has committed to synergy collaboration with CareWell and BeyondSilos, two successor projects to SmartCare, where a high level of synergy has been achieved and will continue. In this respect, a definite asset is the fact that members of SmartCare, BeyondSilos and CareWell share the same management and evaluation teams.
Special care has been put into spreading the knowledge acquired in SmartCare to the deployment sites in CareWell and BeyondSilos, creating a sound collaboration framework among all three projects. As part of the Synergy activities, mentoring sessions have been organised in which partners of the three projects have been involved. A report on these activities is covered in D7.4 Report on the collaboration with BeyondSilos and CareWell.
Collaboration with the EIP AHA initiative in general and especially with the B3 Action Group has been equally strengthened, and representatives of SmartCare have attended and actively participated in all the events organised by the EIP AHA. Another example is the Maturity Model exercise carried out under the auspices of NHS24, B3 Action Group coordinator, by the some of the SmartCare Committed Regions which are pilot sites in both BeyondSilos and CareWell. This exercise will be further extended to the other pilot sites in BeyondSilos and CareWell as part of the Joint Mentoring School workshop on Guidelines and Upscaling to be held in Crete in October 2016.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 54 Project periodic progress report for RP4
4.1 Meetings
The table below lists all the meetings, which have been held during the final reporting period from March-15 to August-16.
SmartCare Cost Generating Meeting
Period 3-4: March 2015 - February 2016
Project Meetings and Events
WP and Deliverable
City (Country)
Date Participants Reason
WP6-D6.2 Ainsa (Spain) 02/03/2015 Sigfrido González (CRUZROJA) Fernando Sarvise, (CRUZROJA) Diana Sáenz (CRUZROJA) Rosana Angles (SALUD)
Local dissemination in order to add new volunteers
WP6 Kraljevo (Serbia) 3-5/3/15
Milan Vuković (BELIT), Bojan Poznanović (BELIT), Predrag Rajačić (BELIT), Marko Poznanović (BELIT)
Deployment site launch, delivery of mobile devices, training of users
UAB visit in Trieste (Italy) to FVG deployment site
WP09-T9.7 Boston (USA) 06/03/2015 Dr George Dafoulas (CENGREECE)
Based on the work made in SmartCare partners eTrikala SA (and Vidavo) were invited to Boston to present experiences from SmartCare in a session on “Global Health Informatics to Improve Quality of Care”. The partners co-lectured on the topic "Meeting the challenges of ICT integrated care services: The clinical, organisational, interoperability and business case aspects" in the HST.936 course” Global Health Informatics to Improve Quality of Care". The course is annually organised by SANA group in cooperation with the Harvard-MIT Program in Health Sciences and Technology (HST). The video of the presentation and the slides are online available here: http://sana.mit.edu/media/2015/03/11/techtv-
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 55 Project periodic progress report for RP4
week05/
WP6-D6.2 Barbastro (Spain)
09/03/2015 Sigfrido González (CRUZROJA) Fernando Sarvise (CRUZROJA) Noelia Lanau (CRUZROJA)
Local dissemination in order to add new volunteers
WP6 D6.1 Brussels (Belgium)
09-11/03/2015 Gian Matteo Apuzzo (FVG-AAS1) Project meeting
WP6-D6.2 Barbastro (Spain)
10/03/2015 Juan Coll (SALUD) Luis Canalejo (SALUD) Definition of Emergencies & primary care coordination + Managing director of Barbastro Hospital
WP6, D6.2 Lanarkshire (Scotland - GB)
10/03/2015 Sandra Lawler (NHS-Lanarkshire) Falls pathway training delivery to NHSL staff inc SC & LIU awareness- Wishaw
WP6, D6.2 Lanarkshire (Scotland - GB)
11/03/2015 Karen Black (NHS-Lanarkshire) Meet with Scottish falls lead Anne Murray
WP6, D6.2 Lanarkshire (Scotland - GB)
12/03/2015 M orag Hearty /Jill O'Boyle (NHS-Lanarkshire) Meeting to discuss Falls register and comm. Alarms
WP6, D6.2 Lanarkshire (Scotland - GB)
12/03/2015 M orag Hearty (NHS-Lanarkshire) LIU Community connections sub group
WP6 Barbastro (Spain) 10/03/2015 Juan Coll (SALUD) +Luis Canalejo (SALUD)
Definition of Emergencies & primary care coordination + Managing director of Barbastro Hospital
WP6 Barbastro (Spain) 17/03/2015
Juan Coll (SALUD) + Rosana Angles (SALUD) Barbastro Healthcare center Primary Care GPs (SALUD)
Information meeting for follow up & meet requirements
WP9,6 Zaragoza (Spain) 19/03/2015
Alodia Abad (SALUD) + Maricela Lopez (SALUD) + Dionisia Romero(SLAUD) Congress participation + interrelationship
WP6 Barbastro (Spain) 31/03/2015
Rosana Angles (SALUD) + Dioni Romero (SALUD)+ other Red Cross participants Training session for users
WP09-T9.7 Athens (Greece)
13-15/03/2015 Mrs Christina Karamperi (eTrikala) Mrs Kalliopi Liatou (eTrikala)
Dissemination of the SmartCare project at the 4th Pan-Hellenic Inter-science Conference "OBRELA" that took place in Athens on March 2015
WP6-D6.2 Barbastro (Spain)
17/03/2015 Juan Coll (SALUD) Rosana Angles (SALUD) Barbastro Healthcare center Primary Care GPs (SALUD)
Information meeting for follow up & meet requirements
WP6-D6.2 Zaragoza (Spain)
19/03/2015 Alodia Abad (SALUD) Maricela Lopez (SALUD) Dionisia Romero(SLAUD)
Jornadas Sociedad Aragonesa de Geriatric y Gerontology (Event on gerontology and ageing)
WP6, D6.2 Lanarkshire (Scotland - GB)
17/03/2005 Morag Hearty Karen Black (NHS-Lanarkshire) Update meeting re Falls pathway training
Grant Agreement nr. 325158 56 Project periodic progress report for RP4
(Scotland - GB)
WP6, D6.2 Lanarkshire (Scotland - GB)
19/03/2015 Morag Hearty (NHS-Lanarkshire) SC implementation group meeting
WP6, D6.2 Lanarkshire (Scotland - GB)
23/03/2015 Morag hearty Karen Black J ill O'Boyle (NHS-Lanarkshire) Falls pathway and register update meeting
WP6, D6.2 Lanarkshire (Scotland - GB)
23/03/2015 Morag Hearty Lena Collins (NHS-Lanarkshire) Update meeting with strategic lead
WP6, D6.2 Lanarkshire (Scotland - GB)
24/03/2015 H Morag hearty Euan Duguid (NHS-Lanarkshire) Upate meeting re articles and events for LIU/SC
WP6, D6.2 Lanarkshire (Scotland - GB)
24/03/2015 Morag Hearty (NHS-Lanarkshire) Meet to discuss training schedules for Falls pathway & LIU
WP6, D6.2 Lanarkshire (Scotland - GB)
24/03/2015 Morag Hearty JillO'Boyle (NHS-Lanarkshire) Carers network event -presentation and stand
WP6, D6.2 Lanarkshire (Scotland - GB)
26/03/2015 Morag Hearty (NHS-Lanarkshire) Lanarkshire Telehealth group meeting
WP6, D6.2 Lanarkshire (Scotland - GB)
27/03/2015 Karen Black (NHS-Lanarkshire) Lanarkshire Falls group meeting
WP5 - T5.1, T5.2., T5.3, T5.4, D5.1- preparation for D6.2
Agios Dimitrios (Greece)
29/03/2015
From the Municipality of Palaio Faliro, Aspiotis Giorgos, Lilian Fanidaki, Anastasia Ntikoudi, Fostiropoulos Ioannis, Charis Papageorgiou, (Ioannis Doupis and Giorgos Landis through skype) From the Municipality of Agios Dimitrios, Themeliou Aggeliki, Kantzeli Eleni,Tavoularea Matina, Basoukeas Stavros, Katikonouri Dionusia, Saroutzidi Eleni.
Discussion about the status of the project between the local coordinator, the medical coordinator, professionals and deputy Mayors and measures to be taken in order to speed up the process of recruitment and contractual agreements. Planning of activities towards organizing the communication event "Cooking and Singing about Diabetes with Julie Massino" on March the 29th 2015. Discussion of organizing support groups for anxiety and depression for patients that have specific needs as part of the integrated care plan and the INSMER platform from September 2015 onwards.
WP6, D6.2 Lanarkshire (Scotland - GB)
30/03/2015 Morag Hearty A nnaDunllop (NHS-Lanarkshire) Meet with SLC OT team leaders re falls pathway and LIU
WP6, D6.2 Lanarkshire (Scotland - GB)
30/03/2015 Morag hearty Karen Black J ill O'Boyle (NHS-Lanarkshire) Meet re falls pathway and register progress
WP9- D9.2 Frankfurt (Germany)
30/03/2015 Sonja Müller (EMPIRICA) CRB status and planning meeting with task leader AER
WP6-D6.2 Barbastro (Spain)
31/03/2015 Rosana Angles (SALUD) Dioni Romero (SALUD) other Red Cross participants
Training session for users
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 57 Project periodic progress report for RP4
17/04/2015 Sandra Lawler (NHS-Lanarkshire) Falls pathway training delivery to NHSL staff incl. SC & LIU awareness- Law House
WP6-D6.2 Barbastro (Spain)
20/04/2015 Juan Coll Rosana Angles Victor Valles, Juan Eito, Alodia Abad, emergency doctors & nurses, primary care managing director & primary care nurses director, ..
Early Discharge meeting
WP5 - T5.1, T5.2., T5.3, T5.4, D5.1- preparation for D6.2
Agios Dimitrios (Greece)
24/04/2015
From the Municipality of Palaio Faliro, kyriazanou Despoina, Gika Aikaterini, Ntikoudi Anastasia, Lampas Euaggelos From the Municipality of Agios Dimitrios, Kantzeli Eleni, Basoukeas Stavros, Themeliou Aggeliki, Tavoularea Matina, Katsikonouri Dionisia, Saroutzidi Eleni, Fappa Evi
Discussion about the status of the project between the local coordinator, professionals and deputy Mayors and measures to be taken in order to speed up the process of recruitment and contractual agreements. Until late April, 63 eligible participants were recruited. Preparatory activities
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 58 Project periodic progress report for RP4
towards full operation of the pilot e.g. overview of the protocol of the pilot, presentation of the google calendar for setting up appointments with patients, overview of the Patient Information Form and the Informed Consent Form, presentation of the patient monitoring xl sheet, presentation of the telephone message to patients in order to arrange preliminary meetings with them.
WP6, D6.2 Lanarkshire (Scotland - GB)
24/04/2015 Angela Scott (NHS-Lanarkshire) Falls pathway training delivery to NHSL staff incl. SC & LIU awareness- Airdrie Health Centre
RAIL meeting (telco) with Jordi Piera (BSA-BeyondSilos) & Ane Fullaondo (Kronikgune - CareWell) - transferability of RAIL tool as part of synergies.
WP9 - D9.4 - T9.7
Montijo (Spain) 27/04/2015 Germán Ortuño (EXTREMADURA) Lourdes Manzano (FUNDECYT)
Presentation of campaign for preventing falls in elderly people as example of good practices taken from SmartCare's partner NHS24
WP8-9 online 28/04/2015 Rosana Angles (ARAGON) Ingo Meyer (Empirica) Assist tool telco for Aragón site
WP8-D8.3 Brussels (Belgium)
28/04/2015 Claus Duedal Pedersen (RSD) Meeting - Presentations in Scotland House - EU
WP6, D6.2 Lanarkshire (Scotland - GB)
28/04/2015 Angela Scott (NHS-Lanarkshire) Falls pathway training delivery to NHSL staff incl. SC & LIU awareness- Lnark Health Centre
WP6, D6.2 Lanarkshire (Scotland - GB)
29/04/2015 Karen Black (NHS-Lanarkshire) Meeting with 3rd sector VANL to discuss falls pathway
WP6, D6.2 Lanarkshire (Scotland - GB)
01/05/2015 (NHS-Lanarkshire)Karen Black Falls pathway meeting with NLC
WP6, D6.2 Lanarkshire (Scotland - GB)
01/05/2015 Morag Hearty (NHS-Lanarkshire) Meet with Falls team
WP6, D6.2 Lanarkshire (Scotland - GB)
02/05/2015 Angela Scott (NHS-Lanarkshire) Falls pathway training delivery to NHSL staff inc SC & LIU awareness Kirklands
WP6-D6.2 Barbastro (Spain)
04/05/2015 Juan Coll Rosana Angles Victor Valles, Juan Eito, Alodia Abad, emergency doctors & nurses, primary care managing director & primary care nurses director, ..
Early Discharge meeting
WP6-D6.2 Barbastro (Spain)
05/05/2015 Juan Coll (SALUD) Rosana Angles (SALUD) Early discharge team Barbastro Healthcare center Primary Care staff (SALUD)
Early discharge meeting + promote enrolment & participation
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 59 Project periodic progress report for RP4
WP6, D6.2 Lanarkshire (Scotland - GB)
05/06/2015 Karen Black Sheena Lougrey (NHS-Lanarkshire) Internal meeting with falls register staff
WP6, D6.2 Lanarkshire (Scotland - GB)
07/05/2015 Angela Scott (NHS-Lanarkshire) Falls pathway training delivery to NHSL staff incl. SC & LIU awareness=Douglas Health Centre
WP6-D6.2 Barbastro (Spain)
11/05/2005 Juan Coll (SALUD) local SCP-Comarca Promote Agreement with SCP + participation
WP9 Helsinki (Finland)
11/05/2015 Katja Rääpysjärvi (Eksote) Meeting with the Finnish Funding Agency for Innovation, dissemination and exploitation planning
WP6, D6.2 Lanarkshire (Scotland - GB)
12/05/2015 Karen Black (NHS-Lanarkshire) Internal meeting with falls staff
WP6, D6.2 Lanarkshire (Scotland - GB)
13/05/2015 Morag hearty (NHS-Lanarkshire) Meet with SLC OT team EK re falls pathway and LIU
WP10 D10,7 Brussels (Belgium)
13/05/2015
Gian Matteo Apuzzo (FVG-AAS1) Andrea di Lenarda (FVG-AAS1) Marlene Harkis (NHS) Moira MacKenzie (NHS) Eleftheria Vellidou (VIDAVO) Anne-Kirstine Dyrvig (RSD) Emilie Nielsen (RSD) Maria Hardt Schønnemann (RDS) Sonja Müller (EMPIRICA) Lutz Kubitschke (EMPIRICA) John Oates (HIMSL) Mayte Hurtado (HIM) Marco d'Angelantonio (HIM) Wouter Keijser (HIMSL) Paolo da Col (HIMSL) Rosana Angles (ARAGON) Doris Kaljuste (ETCH) Tuula Karhula (EKSOTE) Milan Vukovic (BELIT) Marko Mitic (BELIT) Ad van Berlo (SMARTHOMES) Luk Vervenne (SYNERGETICS)
SmartCare 2nd Annual Review, including day before rehearsal meeting
WP6, D6.2 Lanarkshire (Scotland - GB)
14/05/2015 Morag Hearty (NHS-Lanarkshire) Falls team meeting and NHS24 leaflet pick up
WP6-D6.2 Barbastro (Spain)
14/05/2005 Juan Coll (SALUD) Regional SCP IASS Promote Agreement with SCP + participation
WP6-9 Brussels (Belgique)
19/05/2015 Modesto Sierra (SALUD) SIMPHS Workshop Brussels participation
19-21/05/15 Gian Matteo Apuzzo (FVG-AAS1) SmartCare Project Meeting
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 60 Project periodic progress report for RP4
WP6-D6.2 Barbastro (Spain)
20/05/2015
Juan Coll (ARAGON) Rosana Angles (ARAGON) Victor Valles (ARAGON) Juan Eito (ARAGON) Alodia Abad (ARAGON) emergency doctors & nurses, primary care managing director & primary care nurses director, ..
Early Discharge meeting
WP6-D6.2 Barbastro (Spain)
27/05/2015
Juan Coll (ARAGON) Rosana Angles (ARAGON) Victor Valles (ARAGON) Juan Eito (ARAGON) Alodia Abad (ARAGON) emergency doctors & nurses, primary care managing director & primary care nurses director
Early Discharge meeting
WP8-9 online 29/05/2015 Rosana Angles (ARAGON) Ingo Meyer (Empirica) Assist tool telco for Aragón site
WP6, D6.2 Lanarkshire (Scotland - GB)
19/05/2015 Morag Hearty Lena Collins (NHS-Lanarkshire) Update meeting with strategic lead
WP6, D6.2 Lanarkshire (Scotland - GB)
20/05/2015 Karen Black (NHS-Lanarkshire) Internal Falls meeting/meet with Jill O'Boyle
WP6, D6.2 Lanarkshire (Scotland - GB)
20/05/2015 Morag Heaty Euan Duguid (NHS-Lanarkshire) Radio interview North Lanarkshire on line radio
WP6, D6.2 Lanarkshire (Scotland - GB)
22/05/2015 Karen Black (NHS-Lanarkshire) Internal meeting with Lanarkshire Falls lead
WP6, D6.2 Lanarkshire (Scotland - GB)
22/05/2015 Morag Hearty (NHS-Lanarkshire) Lanarkshire telehealth group meeting
WP6, D6.2 Lanarkshire (Scotland - GB)
27/05/2015 Morag Hearty (NHS-Lanarkshire) Presentation to North Partnership board
WP6, D6.2 Lanarkshire (Scotland - GB)
28/05/2015 Morag Hearty Lena Collins (NHS-Lanarkshire) Update meeting with strategic lead
WP6, D6.2 Lanarkshire (Scotland - GB)
29/05/2015 Karen Black (NHS-Lanarkshire) Internal Falls steering group
WP6 Odense (Denmark)
02-03/6/2015
Maria H. Schønnemann (RSD) , Emilie Nielsen (RSD) Maude Luherne (AGE) David Sandbach (AGE) Walter Atzori (EPF) Silvia Gomez (EFN) Brigid Barron (EUROCARERS)
User Advisory Board visit to Southern Denmark
WP6, D6.2 Lanarkshire (Scotland - GB)
02/06/2015 Morag Hearty (NHS-Lanarkshire) Health Improvement team meeting Motherwell
WP6, D6.2 Lanarkshire (Scotland - GB)
02/06/2015 Angela Scott (NHS-Lanarkshire) Falls pathway training delivery to NHSL staff inc SC & LIU awareness-Coathill
WP6 Barbastro (Spain)
03/06/2015 Rosana Angles (ARAGON) Jornadas de Calidad en Salud- ZARAGOZA for dissemination of the Project activities and results
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 61 Project periodic progress report for RP4
WP5 - T5.1, T5.2., T5.3, T5.4, D5.1- preparation for D6.2
Palio Faliro (Greece)
04/06/2015
From the Municipality of Palaio Faliro, Fostiropoulos Ioannis, Kyriazanou Despoina From the Municipality of Alimos, Evangelos Lampas and Ourania Zacharopoulou (through skype) participated in the meeting From the Municipality of Agios Dimitrios, Themeliou Aggeliki
Discussion about the status of the project between the local coordinator, professionals and deputy Mayors and measures to be taken in order to speed up the process of recruitment and operation of the pilot. Until early June 120 eligible participants were recruited and will be assigned to the LTC and STC pathways. 19 tablets will be given to patients and caregivers to access the vidame app. Another 19 tablets were given to Alimos and another 19 to Agios Dimitrios by the municipality of Palaio Faliro, the ICSMER platform is operative as well as the vidame app. Update on the forthcoming GA meeting at Belgrade took place.
WP6 Huesca (Spain) 08/06/2015 Fernando Sarvise (CRUZROJA) Sigfrido González (CRUZROJA)
Explain how the new volunteers are developing their work
WP6, D6.2 Lanarkshire (Scotland - GB)
09/06/2015 Karen Black (NHS-Lanarkshire) Internal meeting with falls team
WP6 Barbastro (Spain)
09/06/2015
Juan Coll (ARAGON) Rosana Angles (ARAGON) Victor Valles (ARAGON) Juan Eito (ARAGON) Alodia Abad (ARAGON) emergency doctors & nurses, primary care managing director & primary care nurses director, ..
Early Discharge meeting
WP6, D6.2 Lanarkshire (Scotland - GB)
10/06/2015 Karen Black (NHS-Lanarkshire) Internal meeting with Jill O'Boyle NLC
WP6 Barbastro (Spain)
11/06/2005 Juan Coll (SALUD) Rosana Angles (SALUD) Regional SCP IASS staff (manging director, GP, social worker.)
Agreement Signature with SCP + participation & enrolment
WP8 Treviso (Italy) 25/06/2015 Gian Matteo Apuzzo (FVG ASS1) Meeting with Arsenal on database evaluation
WP5 - preparation for D6.2, D8.2, D8.3
Agios Dimitrios 29/06/2015
From the Municipality of Palaio Faliro, Aspiotis Giorgos, Anastasia Ntikoudi,Ioannis Doupis and Giorgos Landis From the Municipality of Agios Dimitrios, Basoukeas Stavros, Fappa Evi, Katikonouri Dionusia, Saroutzidi Eleni.
Presentation of the GA meeting results. Presentation of the RAIL tool from the local coordinator. Discussion about D8.2 and D8.3 and how the process evaluation can be implemented in the three municipalities. Presentation from the physicians about patients recruited into the pathways and using the ICSMER platform and the vidame app
WP9 - D9.2 Moscow, Russia
30/06/2015 Christoph J. Rupprecht (AOK) Presentation of Smartcare to German-Russian delegation
01/07/2015 Rosana Angles Victor Valles, Juan Eito, Alodia Abad, emergency doctors & nurses, primary care managing director & primary care nurses director, ..
Early Discharge meeting
WP6 Barbastro (Spain)
22/07/2015
Juan Coll (ARAGON) Victor Valles (ARAGON) Juan Eito (ARAGON) Alodia Abad (ARAGON) emergency doctors & nurses, primary care managing director & primary care nurses director, ..
Early Discharge meeting
WP6 Barbastro (Spain)
23/07/2015
Juan Coll (ARAGON) Rosana Angles (ARAGON) Isabel García Fajardo (ARAGON) Rosa López (ARAGON) Natalia Moreno (ARAGON) Víctor Vallés Gallego (ARAGON) Carmen Rufas (ARAGON) Beatriz Rojas (ARAGON)
Ministry of Health visit to SALUD to learn on best practices in integrated care and SmartCare & Rail solutions
wp6 Barbastro (Spain)
27/07/2015 Juan coll (ARAGON) Rosana Angles (ARAGON) Manuel Larramona (ARAGON) Elena ¿?
Information meeting for collaboration between SCP and SALUD. Agreement Signature with SCP + participation& enrolment
29/07/2015 Juan Coll (ARAGON) Rosana Angles (ARAGON) Edgar Abarca (Lachen)
Collaboration between SCP/Pharmacy and SALUD. Participation& enrolment
WP6, D6.2 Scotland 16/07/2015 Morag Hearty (NHS-Lanarkshire) SmartCare implementation group meeting with M. Harkis
WP9 - D9.4 TelCo 30/07/2015 Joerg Artmann (AOK) Testing of Assist Tool with Ingo Meyer (empirica)
WP9 - D9.4 Frankfurt 07/07/2015 Christoph J. Rupprecht (AOK) Digital communication in healthcare conference
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 64 Project periodic progress report for RP4
Huesca (Spain) 03/08/2015 Fernando Sarvise (CRUZROJA) Sigfrido González (CRUZROJA)
Explain how the new volunteers are developing their work
WP9 Helsinki, Finland
05/08/2015 Katja Rääpysjärvi (Eksote) Mika Mitikka (Eksote) Dissemination and benchmarking (co-operation with City of Helsinki)
WP6 Palmanova (italy)
05/08/2015 Donatella Radini (FVG-AAS1) Internal meeting on data entry and training
WP6 Barbastro (Spain)
06/08/2015 Rosana Angles (ARAGON) IASS staff Training session in IASS
WP6 Barbastro (Spain)
07/08/2015 Juan Coll (ARAGON) Rosana Angles (ARAGON) Edgar Abarca (Lachen)
Collaboration between SCP/Pharmacy and SALUD. Participation& enrolment
WP9 Edinburgh (Scotland)
11/08/2015 Marlene Harkis (NSH) IFSW Conference. Presentation x 2 and all day stand at conference. Workshop facilitator
WP6, D6.2 Scotland 13/08/2015 Morag Hearty (NHS-Lanarkshire) Meet with Health Improvement team
WP6 Barbastro (Spain)
18/08/2015 Juan Coll (ARAGON) Rosana Angles (ARAGON) Manuel Larramona (ARAGON) Elena ¿?
Agreement Signature with SCP + participation& enrolment
WP9- D9.2 Cologne, Germany
19/08/2015 Christoph J. Rupprecht (AOK) Presentation of integrated care and Smartcare to Egyptian delegation from ministry of health
WP6, D6.2 Scotland 20/08/2015 Morag Hearty (NHS-Lanarkshire) SC Project managers and Implementation group meetings
WP9 Helsinki, Finland
27/08/2015 Katja Rääpysjärvi (Eksote) National level co-operation meeting, dissemination and further development planning
WP6, D6.2 Scotland 27/08/2015 Morag Hearty (NHS-Lanarkshire) 3RD sector ( VANL) network public event presentation and liaison
WP6 Kraljevo (Serbia)
26-27/8/15 Milan Vukovic (BELIT) Deploymetnt operations meeting
WP10 Amsterdam (The Netherlands)
31/08-01/09/2015
Kira Stellato (FVG-AAS1) Participation in the European Forum for Primary Care (EFPC) Conference for the dissemination of the project activities and results.
WP8 Glasgow (Scotland)
02/09/2015 Marlene Harkis
Presentation x 2 and all day stand at conference. Workshop
WP8 Treviso (Italy) 03/09/2015 Gian Matteo Apuzzo (FVG ASS1) Meeting with Arsenal on database evaluation
WP6, D6.2 Lanarkshire (Scotland - GB)
04/09/2015 Morag Hearty (NHS-Lanarkshire) Base to Wishaw to WGH to base: 3
rd sector event
and staff liaison
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 65 Project periodic progress report for RP4
WP6 - preparation for D6.2
Palaio Faliro 09/09/2015
From the Municipality of Palaio Faliro, Aspiotis Giorgos, Anastasia Ntikoudi,Ioannis Doupis and Giorgos Landis From the Municipality of Agios Dimitrios, Basoukeas Stavros, Fappa Evi, Katikonouri Dionusia, Saroutzidi Eleni.
Presentation from the professionals about the progress of enrolment of patients recruited into the pilot and using the ICSMER platform and the vidame app.
06/10/2015 David Sandbach (AGE) Paul De Raeve (EFN) Silvia Gomez (EFN) Walter Atzori (EPF)Brigid Barron (EUROCARERS)
User Advisory Board site visit to Scotland
WP9 - D9.4 Leipzig 08/10/2015 Christoph J. Rupprecht (AOK) Digitalisation of healthcare processes: position of health insurers
WP8 Piacenza (Italy) 15/10/2015 Gian Matteo Apuzzo (FVG ASS1) Meeting for Planning of activities- project extension preparation
WP9 - D9.4 - T9.7
Albufeira (Portugal)
15-17/10/2015 Germán Ortuño (EXTREMADURA)
SmartCare introduction at the International Health and Wealth Conference. Presentation of campaign for Preventing Falls in elderly people
WP 9, D 9.3 Haslach Baden-Württemberg (Germany)
16/10/2015 Christian Melle (KINZIGTAL) Monika Roth (KINZIGTAL) several GPs and specialists
Focus meeting during big assembly of stakeholders of Gesundes Kinzigtal discussing piloting SmartCare pathway.
WP9 Odense (Denmark)
19-21/10/2015 Ingo Meyer (EMPIRICA), Maria Higgins (NIRELAND), Sinead Malone (NIRELAND) W. Keijser (HIMSL)
Project presentation at WHINN - Week of Health and INNovation (http://www.whinn.dk/)
WP 9, D 9.3 Haslach Baden-Württemberg (Germany)
21/10/2015 Christian Melle (KINZIGTAL) Patrick Merck (KINZIGTAL) Internal meeting to contribute to the project website implementation
WP6 - preparation for D6.2
Agios Dimitrios 23/10/2015
From the Municipality of Palaio Faliro, Landis Giorgos, Fanidaki Lilian, Ntikoudi Anastasia From the Municipality of Agios Dimitrios, Kantzeli Eleni, Basoukeas Stavros, Katsikonouri Dionisia, Saroutzidi Eleni, Fappa Evi
Presentation from the professionals about the progress of enrolment of patients recruited into the pilot and using the ICSMER platform and the vidame app.
WP10 - D10.7 - T10.4
Brussels (Belgium)
26-27/10/15 Gian Matteo Apuzzo (FVG ASS1) Project meeting CORAL ERRIN and HIM meeting for extension
Coordination meeting with regional partner FUNDECYT about CRB activities and templates
WP8 - D8.5 Municipalities of Attica (Greece)
29/10/2015 Borja Arrue (AGE) Paul De Raeve (EFN) Silvia Gomez (EFN) Walter Atzori (EPF)
User Advisory Board site visit to Attica
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 67 Project periodic progress report for RP4
WP9 - D9.4 Berlin 05/11/2015 Christoph J. Rupprecht (AOK) Reform of outpatient and social care, presentation at Handelsblatt conference
WP 9 Zaragoza (Spain)
06/11/2015 Fernando Sarvise (CRUZROJA) Sigfrido Gonzalez (CRUZROJA)
Aragon Red Cross Health care meeting. Develop all internal projects about social care and health care
WP9 Sorrento (Italy) 06-08/11/15 Kira Stellato (FVG-AAS1) XXII National Conference SICP (Società Italiana di Cure Palliative)
WP 9, D 9.3 Haslach Baden-Württemberg (Germany)
12/11/2015 Christian Melle (KINZIGTAL) Patrick Merck (KINZIGTAL) Monika Roth (KINZIGTAL)
Updating link of project website on Gesundes Kinzigtal homepage
WP9 - D9.3 Barcelona (Spain)
13/11/2015 Rosana Angles (ARAGON)
Foro de Badalona Serveis Assistencials - presentation of Aragón SmartCare site as part of synergy activities within event organised by BSA, pilot site in BeyondSilos
WP8 Copenhagen (Denmark)
17/11/2015
Anne-Kirstine Dyrvig (RSD) Emilie Nielsen (RSD) Anne Mette Ølholm (RSD) Signe Daubjerg (RSD) Kristian Kidholm (RSD) Maria Hardt Schønnemann (RSD) Marco d’Angelantonio (HIM) PanosStafiladis (HIM) Ioanna Papatsouma (ALIMOS) Gillian Burns (NHS 24) Joannes Kerssens (NHS 24) Marija Latifovic (BELIT) Marko Mitic (BELIT) Milan Vukovic (Belit) Rutger Brouwers (MMC) Anna-Leena Vuorinen (Eksote) Doris Kaljuste (ETCH) Ingo Meyer (empirica)
SMARTCARE WP8 - DATA ANALYSIS WORKSHOP FOR DEPLOYMENT SITES - learning on how to report local analysis and MAST domains for D8.4
WP8 Treviso (Italy) 17/11/2015
Francesco Marchet (VENETO) Stefano Gris (VENETO) Giovanni Maria Pittoni (VENETO) Deborah Tormena (VENETO) Erika Sampognaro (VENETO) Massimo Bortot (VENETO) Esteban De Manuel Keenoy (EUSKADI) Nicolas Francisco (EUSKADI) Maria Lourdes Zurbano (EUSKADI) Miekl Ogueta (EUSKADI) Arisa Arteagoitia (EUSKADI)
Study visit of the Basque Country delegation in order to analyse the Veneto ICT system and services delivery model.
WP9 Düsseldorf (Germany)
18/11/2015 Ingo Meyer (EMPIRICA) Meeting with Coordinator and T9.9 leader re generation of D9.3 (Deployment Guidelines)
Grant Agreement nr. 325158 68 Project periodic progress report for RP4
Finland
WP8 Kraljevo (Serbia)
30/11/2015 Milan Vukovic Do questionnaires for end-users and professionals for qualitative reporting in evaluation
WP7 Staffordshire (UK)
03/12/2015 Anne-Kirstine Dyrvig (RSD) Statistical Methods for Evidence synthesis of individual participant Data
WP6 - preparation for D6.2
Athens (Greece)
03/12/2015
From the Municipality of Palaio Faliro, Ntikoudi Anastasia Professionals, policy makers, patients, voluntary sector, Insurance funds, researchers, IT and silver economy enterprises
3rd Greek e-health Forum, "eHealth: one-way road towards better Ηealth"
WP6, D6.2 Lanarkshire (Scotland - GB)
04/12/2015 Morag Hearty (NHS-Lanarkshire) Lanarkshire Falls group meeting
WP9 Brussels (Belgium)
9-10/12/2015 Gian Matteo Apuzzo (FVG ASS1) Pantelis Angelidis (Vidavo)
EEIP-AHA conference and Regional Council member Panariti support
WP6 Maniago (Italy) 10/12/2015 Donatella Radini (FVG-AAS1) Internal meeting for Training
WP7 Brussels (Belgium)
14/12/2015 W. Keijser (HIMSL) Project meeting on change management
WP6 San Vito al Tagliamento (Italy)
16/12/2015 Donatella Radini (FVG-AAS1) Internal meeting for recruiting patients and Training
WP6 - preparation for D6.2, D8.4 Final
Palaio Faliro (Greece)
17/12/2015
From the Municipality of Palaio Faliro, Landis Giorgos, Fanidaki Lilian, Ntikoudi Anastasia. From the Municipality of Alimou, Ourania Zacharopoulou, Katerina Gkiga and Evaggelos Lampas participated in the meeting. From the Municipality of Agios Dimitrios, Basoukeas Stavros, Katsikonouri Dionisia, Saroutzidi Eleni, Fappa Evi
The project coordinator briefed the participants of the monthly regular team meeting on the obligations of implementation of the work packages in the next two months and in total over the next eight months until the project extension expires. In parallel, a skype took place with the operations manager of SmartCare Ms Mayte Hurtado who informed the participants about project extension and the need to continue until the August 2016 all pilot operations without exception. The topics of discussion in this meeting were: Evaluation according to MAST. Participation of ATTICA pilot in e-health forum 2015. Presentation of the Portal www.atticasmartcare.gr and professional's contribution to content management. Abstract submission at International Conference on Integrated Care that will take place at May 2016 in Barcelona. Publication article in scientific journal Advances in Therapy in which
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 69 Project periodic progress report for RP4
SmartCare was mentioned.
WP7 Brussels (Belgium)
14/12/2015 W. Keijser (HIMSL) Project meeting on change management
WP6 Pordenone (Italy)
23/12/2015 Donatella Radini (FVG-AAS1) Internal meeting for coordinating the activities of the deployment site
WP6 Kraljevo 25/12/2015 Milan Vukovic Deployment site operation meeting
WP10 London (GB) 29-31/12/2015 Kira Stellato (FVG-AAS1) ICPCH conference - presenting SC FVG site
WP9 Glasgow (Scotland)
17/01/2015 Marlene Harkis (NHS) Co Design Session/ Workshop, full demo
WP6 Brussels (Belgium)
19.-20-01-2016 Claus Duedal Pedersen (RSD) Joint Digital Healthcare Symposium
WP7 Brussels (Belgium)
19-20/01/2016
Gian Matteo Apuzzo (FVG-AAS1) Rosana Angles (ARAGON) Sonja Müller (EMPIRICA) Adriano Fernandes (SCMA) Wouter Keijser (HIMSL) Esteban de Manuel Keenoy (EUSKADI) Marlene Harkis (NHS) Emilie Nielsen (RSD) Marco d'Angelantonio (HIM) Mayte Hurtado (HIM) John Oates (HIM).
Local Project site visit for research purposes in synergies with BeyondSilos, including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
WP6 - preparation for D6.2, D8.4 Final
Palaio Faliro (Greece)
29/01/2016
From the Municipality of Palaio Faliro, Landis Giorgos, Fanidaki Lilian, Ntikoudi Anastasia. From the Municipality of Alimos, Ourania Zacharopoulou and Gika Katerina participated in the meeting. From the Municipality of Agios Dimitrios, Katsikonouri Dionisia, Saroutzidi Eleni, Fappa Evi
Progress reported in terms of patients recruited. 262 patients were assessed until January the 21st and their data coded and uploaded to ARSENAL database. Other issues discussed were D10.7, contributions to 2nd Newsletter to be published beginning of March 2016.
WP8 Tallinn (Estonia)
02/02/2016
Gian Matteo Apuzzo (FVG-AAS1) Raivo Allev (TALLINN) Krista Tammsaar (TALLINN) Aire Johanson (TALLINN) Liisa Kuusmaa (Tallinn Municipal Family Health Centre) Eero Merilind (Nõmme Family Health Centre) Imbi Eesmets (Tallinn Welfare Centre) Marko Parve (ETCH) Doris Kaljuste (ETCH) Krista Tutt (ETCH) Aire Põder (ETCH) Anni Raie (ETCH) Borja Arrue (AGE) Oldrich Stanek (AGE) Paul De Raeve (EFN) Walter Atzori (EPF) Ciaran Briscoe (EUROCARERS) Leo Lewis (IFIC) Marco d'Angelantonio (HIM)
Local Project site visit for research purposes in synergies with Carewell (LSV), including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 71 Project periodic progress report for RP4
WP9 Ainsa (Spain) 07/02/2016 Rosa Pinto (CRUZROJA) Exhibition on the street with the purpose of attracting new volunteers for the project
WP9 Huesca (Spain) 11/02/2016 Fernando Sarvise (CRUZROJA) Two radio interviews
WP9 Valencia (Spain)
12-14/02/2016 Fernando Sarvisé SmartCare dissemination activity at the National Red Cross congress
WP10 Huesca (Spain) 15/02/2016 Fernando Sarvisé (CRUZROJA) Sigfrido Gonzalez (CRUZROJA) Antonio Valles (CRUZROJA)
Reporting about the economic situation to the Regional president
WP10 Huesca (Spain) 17/02/2016 Fernando Sarvise (CRUZROJA) Juan Antonio Bergua (CRUZROJA) Others (regional comité)Sifro Gonzalez (CRUZROJA) Antonio Valles (CRUZROJA)
Reporting about the dissemination activity at the national congress
WP10 Huesca (Spain) 18/02/2016 Fernando Sarvise (CRUZROJA) Juan Antonio Bergua (CRUZROJA) Sifro Gonzalez (CRUZROJA)
Reporting about economic situation
WP6, D6.2 Scotland 18/02/2016 Morag Hearty (NHS-Lanarkshire) Band 5 nurses development session Law House-presentation
Local Project site visit for research purposes, including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
WP6 Kraljevo (Serbia)
29/02/2016 Milan Vukovic (BELIT) Deployment site operation meeting
Local Project site visit for research purposes, including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 72 Project periodic progress report for RP4
WP6 - preparation for D6.2, D8.4 Final, WP9 dissemination events
Palaio Faliro (Greece)
08/03/2016
From the Municipality of Palaio Faliro, Landis Giorgos, Fanidaki Lilian, Ntikoudi Anastasia. From the Municipality of Alimos, Zacharopoulou Ourania, Gika Katerina Anastasios Rentoumis, Eleni Kantzeli and volunteers from the municipality of Agios Dimitrios.
Building up an abstract for SmartCare was accepted by the organizing committee of the International Conference of Integrated Care in Barcelona in May within the framework of dissemination of the program, but the name of the speaker is still pending. Three meetings have been scheduled for the months of April (review meeting in Brussels), July (general assembly in Trieste) and November (final conference in Brussels). Until January, 267 patients from all three Municipalities have entered the ATTICA pilot. The evaluation team will evaluate all the patients who satisfy the criteria of inclusion to the program according to the MAST framework.
WP7 Brussels (Belgium)
16/03/2016
Mette Bøg Horup (RSD), Lise Kvistgaard Jensen (RSD),, Kristian Kidholm (RSD), Tue Kjølhede, Claus Duedal Pedersen (RSD), Emilie Nielsen (RSD), Stavroula Petropoulou, Guerjan Zincirioglu, Charalampos Platisis, Andrea Croci, Elin Anne Brevik, Lauri Lammi, Jesep Roca, Charles Allessi, Haralampos Platsis, Brian Mckinstry, Kevin Zarca, Dr George Dafoulas (e-Trikala SA)
Local Project site visit for research purposes, including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
WP5 - T5.1, T5.2., T5.3, T5.4, D5.1- preparation for D6.1
Agios Dimitrios 19/03/2016 From the Municipality of Alimos, Evangelos Lampas and Ourania Zacharopoulou (through skype) participated in the meeting
Discussion about the status of the project between the local coordinator, the medical coordinator, professionals and deputy Mayors and measures to be taken in order to speed up the process of recruitment and contractual agreements. Planning of activities towards organizing the communication event "Cooking and Singing about Diabetes with Julie Massino" on March the 29th 2015. Discussion of organizing support groups for anxiety and depression for patients that have specific needs as part of the integrated care plan and the INSMER platform from September 2015
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 73 Project periodic progress report for RP4
Local Project site visit for research purposes, in synergies with BeyondSilos (KINZIGTAL pilot) including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
Local Project site visit for research purposes, in synergies with Carewell (VENETO pilot) including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
Local Project site visit for research purposes, in synergies with BeyondSilos (CPRH pilot) including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 74 Project periodic progress report for RP4
WP10-D10.8 Brussels (Belgium)
19-22/04/2016
Gian Matteo Apuzzo (FVG-AAS1) Kira Stellato (FVG-AAS1) Chiara Beccalli (FVG-AAS1) Bridget Moorman (CHA) Doris Kaljuste (ETCH) Irati Erreguerena (EUSKADI) Olatz Albaina (EUSKADI) Katja Rääpysjärvi (EKSOTE) Marlene Harkiss (NHS24) Eleftheria Vellidou (VIDAVO) Wil Rijnen (SMARTHOMES) Ad van Berlo (SMARTHOMES) Rosana Angles (ARAGON) Moira MacKenzie (NHS24) Borja Arrue (AGE) Leo Lewis (IFIC) Sonja Müller (empirica) Ingo Meyer (empirica) Paolo da Col (HIM) Marco d'Angelantonio (HIM) Panos Styfalas (HIM) Mayte Hurtado (HIM) Wouter Keijser (HIM)
Y3 Annual Project Review including rehearsal meeting before Project review and SC consortia meeting day after review
WP6 - preparation for D6.2, D8.4 Final
Palaio Faliro (Greece)
27/04/2016 Anastasios Rentoumis and (from the municipality of Agios Dimitrios), Evi Fappa
Meeting for dispatch of Final Evaluation data.
WP10 Roma 05/05/2016 Gian Matteo Apuzzo (FVG) Ministry of health - PON GOV Fund
WP10 Brussels (Belgium)
12/05/2016 Anne Kirstine Dyrvig (RSD), Emilie Nielsen (RSD) Rehearsal Review
Local Project site visit for research purposes, in synergies with BeyondSilos (Amadora pilot) including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
Local Project site visit for research purposes in synergies with BeyondSilos, including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
WP8 Eindhoven (The Netherlands)
20/05/2016 Paul De Raeve (EFN), Joerg Artmann (AOK) Marja Pijl (AGE)
UAB Site visit in Eindhoven
WP9 Lahti, Finland 23-25/5/2016 Mika Mitikka (EKSOTE) National eHealth conference, presentation of SmartCare Project
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 75 Project periodic progress report for RP4
WP6 Barcelona 23-25/5/2016 Claus Duedal Pedersen (RSD), Emilie Nielsen (RSD), Henrik Gaunsbæk (RSD), Mette Maria Skjøth (RSD) Sonja Mueller (empirica), W.Keijser (HIMSL)
16th International Conference on Integrated Care
WP10 Groningen 1-4/06/2016 Gian Matteo Apuzzo (FVG) International conference - Building the future of Health
Local Project site visit for research purposes, including: preparatory briefing, several executive interviews (level I, II and III), monodisciplinary focus groups and 1-on-1 interviews with: medical doctors; social workers; nurses; para medics; call center operators; informal carers.
WP7 Wien (Austria) 16/06/2016 Panagiotis Stafylas (HIMSL)
International meeting Leadership in Cardiovascular Diseases. Meetings with Prof. Vardas, past Chair of ESC and Prof. Maniadakis from European Society of Cardiology, Matic Meglic from Medtronic and John Crawford from IBM to disseminate the results of SmartCare and plan future joint outreaching actions to widespread the outcomes of the Project
Gian Matteo Apuzzo (FVG-AAS1) Kira Stellato (FVG-AAS1) Andrea di Lenarda (FVG-AAS1) Donatella Radini (FVG-AAS1) Chiara Beccalli (FVG-AAS1) (B. Moorman (CHA) Paul De Raeve (EFN) Christian Melle (BADWUR) Francesco Marchet (VENETO), Stefano Gris (VENETO) Joerg Artmann (AOK) Martina Hornböck (KARNTEN), Tamara Trattnig (KARNTEN) Germán Ortuño (EXTREMADURA) Kety Cáceres (FUNDECYT) Maite Martínez Ros (MURCIA) Maria del Pilar Lopez Acuña (MURCIA) Oscar David Sanchez (VALENCIA) Vicente Traver (VALENCIA) Marko Parve (ETCH) Doris Kaljuste
SmartCare Final Conference and SC General Assembly
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 76 Project periodic progress report for RP4
(ETCH) Aire Põder (ETCH) Peeter Ross (ETCH) Raivo Allev (TALLINN) Krista Tammsaar (TALLINN) Leelo Kukk (TALLINN) Aire Johanson (TALLINN) Fernando Sarvise (CRUZROJA) Sigfrido Gonzalez (CRUZROJA) Jaume Garcia (CRUZROJA) Esteban de Manuel (EUSKADI) Javier Mar (EUSKADI) Igor Larrañaga (EUSKADI) Katja Rääpysjärvi (EKSOTE) Mira Pakanen (EKSOTE) Mika Mitikka (EKSOTE) Dr George Dafoulas (e-Trikala SA) Mrs Christina Karamperi (e-Trikala SA) Marlene Harkis (NHS24) Gillian Burns (NHS24) Henrik Gaunsbæk (RSD) Juan Coll (ARAGON) Modesto Sierra (ARAGON) Wil Rijnen (SMARTHOMES) Ad van Berlo (SMARTHOMES) Anthony Polychronakis (ROTTERDAM) René Keijzer (ROTTERDAM) Milan Vokovic (BELIT), Marko Mitic (BELIT), Marija Latifovic (BELIT), Borja Arrue (AGE) Maciej Kucharczyk (AGE) John Oates (HIM) Mayte Hurtado (HIM) Wouter Keijser (HIM) Panos Stafylas (HIM) Marco d'Angelantonio (HIM) Lisanne Pentesman (HIM) Paolo da Col (HIM) Chiara Mommo (HIM) Sonja Mueller (empirica) Ingo Meyer (empirica) Jordi Piera (BSA speaker) John Dupis (PALFALIRO) Laurance Oosteen (MMC) Rutger Brouwers (MMC) Adriano Fernandes (SCMA) Mirjana Krcevinac (Studenica) Vladimir Cibukovac (Studenica) Donna Henderson (NHS24) Leo Lewis (IFIC) Danielle Flores (AGE)
WP6 - preparation for D6.2, D8.4 Final
Palaio Faliro (Greece)
29/01/2016
From the Municipality of Palaio Faliro, Landis Giorgos, Fanidaki Lilian, Ntikoudi Anastasia. From the Municipality of Alimos, Ourania Zacharopoulou and Gika Katerina participated in the meeting
Progress reported in terms of patients recruited. 262 patients were assessed until January the 21st and their data coded and uploaded to ARSENAL database. Other issues discussed were D10.7, contributions to 2nd Newsletter to be published beginning of March 2016.
WP8- preparation for D8.4 Final
Palaio Faliro (Greece)
27/04/2016
From the Municipality of Palaio Faliro, Landis Giorgos, Fanidaki Lilian, Ntikoudi Anastasia. From the Municipality of Alimos, Zacharopoulou Ourania, Gika Katerina, Tzemanaki Efi, Anastasios Rentoumis and (from the municipality of Agios Dimitrios), Evi Fappa
Meeting for dispatch of Final Evaluation data.
WP6 Brussels 20/06/2016 Marlene Harkis (NHS24) Dissemination of SmartCare at EIP on AHA B3
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 77 Project periodic progress report for RP4
(Belgium) Meeting
WP9 Zaragoza (Spain)
02/08/2016 Rosana Angles (ARAGON) Meeting to set up collaboration with SALUD Mental
WP09-T9.7 Athens (Greece)
02/08/2016 Dr George Dafoulas (e-Trikala SA) SmartCare Internal Greek partners Meeting
WP10 Kraljevo (Serbia)
09/08/2016 Milan Vukovic (BELIT) Final Meeting with SC team and the Mayor of City of Kraljevo
WP10 Udine 16/09/2016 Gian Matteo Apuzzo (FVG) Internal Project meeting
WP7 - D7.6 Twente (Netherlands)
Wouter Keijser (HIM SL) Mileage for meetings research SYNERGIES Study team at University of Twente (UT) held from June 2015 to August 2016
WP7 - D7.6 Twente (Netherlands)
Jacco Smits (HIM SL) Mileage for meetings research SYNERGIES Study team at University of Twente (UT) held from September 2015 to August 2016
WP10 Brussels (Belgium
21/10/2016
Gian Matteo Apuzzo (FVG-AAS1) Chiara Beccalli (FVG-AAS1) Marko Parve (ETCH) Katja Rääpysjärvi (EKSOTE – via video conference) Eleftheria Vellidou (VIDAVO) Wil Rijnen (SMARTHOMES) Rosana Angles (ARAGON) Moira MacKenzie (NHS24) Borja Arrue (AGE) Leo Lewis (IFIC) Sonja Müller (empirica) Lutz Kubitschke (empirica) Paolo da Col (HIM) Marco d'Angelantonio (HIMSL) Panos Styfalas (HIMSL) Vassilis Aletras (HIMSL) Mayte Hurtado (HIM) Wouter Keijser (HIMSL) John Oates (HIM) Emilie Nielsen (RSD) Claus Duedal Pedersen (RSD) Milan Vukovic (Belit) Laurence Oostveen (MMC) Rutger Brouwers (MMC)
Final project review
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 78 Project periodic progress report for RP4
4.2 Budget follow-up table with cost categories for period 1st March 2013 to 31st August 2016
Grant Agreement nr. 325158 85 Project periodic progress report for RP4
Figure Total Actual Costs vs Budget
Figure Cumulative Cost by Category
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 86 Project periodic progress report for RP4
Notes on deviations:
General remarks:
Some partners have exceeded in person-months due to the hourly rate is
lower that was originally foreseen.
Most partners have overworked person-months which have affected their
budgeted personnel costs, but not the overall total budget, except for those
partners listed below.
Overspending notes for partners
RSD RSD have included all costs for the Shared Care platform that are related to
the SmartCare services. RSD is aware of its exceeding even after the amendment
that gave an increase in the subcontracting budget. However, the subcontracting
costs reflect the actual cost encountered by RSD throughout the project. RSD
acknowledge the possibility that the actual costs might not be 100% refunded due
to the overall budget of the Consortium.
Tallinn subcontracting cost was more expensive then foreseen at the time, as this
needed to be negotiated and extension of tender with provider once extension was
approved.
Murcia they attended several meetings and also have invested in regional
dissemination and stakeholder involvement
CEN Greece attendance of several meetings and also have invested in regional
dissemination and stakeholder involvement
Alimos increase is in consumables for the diabetic strips provider to the users in
the project. These had to measure several times a day their glucose levels
AOK see general remark above
HIMSL overspending is mainly in travelling due to change management site visits
for the WP7 synergy implementation
Underspending notes for partners
Kärnten: their level of maturity as committed region and national reform has
prevented them from doing more than originally planned.
Catalonia due to internal restructuring and departure of person responsible in
project, who was not replaced, has led to less work done than originally planned.
Rotterdam, CCU given their level of maturity as committed regions they have
performed less activities than planned; have not completed all WP1, 2, 3
templates
CHA although they have underspend, all the tasks assigned to them have been
realised, in fact, they have also supported in other tasks originally not assigned,
such as update D4.6, editing of D9.3 and input to D10.9.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 87 Project periodic progress report for RP4
Aragón subcontracting costs
During the amendment phase, the partner did not have the name of all subcontractors’ names and the words “to be identified”
where not included in the subcontracting table, because they were still going through tender procedures at that time. We have
been notified by the partner on the full names of subcontractors. See table below.
ARAGON Javier Sorando 36.000,00 € Technical design, implementation and testing of the SmartCare shared application, definition of minimum sharable data set and integration of the platform with health and social care information systems.
ARAGON Health Insight Solutions 20.000,00 € Project management and support of telemedicine platforms of the SALUD organization.
ARAGON UTE Futijsu Technology Solution / SAU Desarrollos Empresariales, La rioja SL
Planes
Aragonesa Medica
Everis Aragon SLU
Ibor Medica
NeuroCall España
Salvador Navarro
GenMed, S.L
121.500,00 € Support and Management Service of the integration architecture of the Servicio Aragonés de SALUD and Integration of the off-the-shelf components (e.g. telehealth and telecare solution, workflow tools) with the Health and Social Information Systems already in place. Integration of the Health and Social Information Systems with one another, etc.
ARAGON Planes 18.000,00 € Installation of the telehealth and telecare equipment in the houses
ARAGON EKGS auditores 4.500,00 € Certification of the Financial Statements
Please take this into regard when analysing these costs.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 88 Project periodic progress report for RP4
4.3 Follow-up WP Person Month Status Table CONTRACT N°: 325158
Grant Agreement nr. 325158 91 Project periodic progress report for RP4
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 92 Project periodic progress report for RP4
4.4 Person-Month Actual vs Planned cumulative from 1st March 2013 to 31st August 2016
Nr short name Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned %
Grant Agreement nr. 325158 93 Project periodic progress report for RP4
Figure Cumulative from March 2013 to August 2016
Overspending notes for partners:
o Aragón has overspent has they have since the deployment of site have made continuous effort in engaging as
many professional and end-users as possible entailing this an increase in meetings, training, further fine-tuning of
platform, integration of integrated care services portfolio among the stakeholders and re-engineering of processed.
o CruzRoja has overspent as they to support in providing data to the cost benefit analysis as social care provider in
the Aragón deployment site.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 94 Project periodic progress report for RP4
o Euskadi has overspent in both WP7 and WP9 due to added effort required for the predictive modelling and
activities related to the Committed Regions Board which they have coordinated respectively.
o Vidavo overspending is due to the extension of project which has led to an increase in effort in supporting the three
municipalities in generating meaningful data and analysing these in order to reach conclusions helping shape
policies for chronic care.
o Veneto overspending is because they were one of the sites visited for Change management exercise having to
incur in more working months in planning the Change management team Visit including: requirement for visit
analysis, identification of the key professionals that had to be involved in the study visit and analysis on the logistic
and practical issue such as language issues.
o MMC overspending is due to extra effort needed in implementing and deployment SmartCare services. See below
for further detailed details
o Amadora overspending is due to further effort done for engaging stakeholders.
o Synergetics has overspent because technical they do not have person-months in Y3.
Underspending notes for partners
o Kärnten has underspent as they were faced with the introduction of the Elga project in Austria which had priority
and is part of the basis for integrated care delivery
o Catalonia has underspent due to the fact that there has been some internal restructuring and the person assigned
to SmartCare left the entity and they were not able to replace him on time.
o Rotterdam, Croatia and CCU have underspent due to the fact that their level of maturity as committed regions has
not allowed them to do more than what they had foreseen.
o HIMSL has underspent because the huge delay in the approval of the Grant Agreement amendment caused a
delay in the start of some of the activities originally planned to reduce the risk related to a possible rejection of the
amendment itself. While all the objectives mentioned in the DoW have been achieved, additional activities (e.g.
validation of MAST 3.0 which will include predictive modelling and transformational services, further test of the
predictive models in additional regions) which would have been nice to conduct during the SmartCare lifespan
could not be carried out within it.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 95 Project periodic progress report for RP4
4.5 Person-Month Actual vs Planned adjustments to Year 1 from 1st March 2013 to 28th February 2014
Nr short name Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned
Grant Agreement nr. 325158 96 Project periodic progress report for RP4
Notes for adjustments by partners:
FVG: the number of Person Months have been reduced due to the increase of productive hours per year as reported in
the CFS
Extremadura decreased hours in WP1, WP2, WP3, and WP10, due to the fact that the work to be done in the first WPs
as committed regions had not started
Agdimitrios decreased hours in all WPs, as they had not yet started deployment of site; they were a 2nd wave site.
NHS24 removed hours from WP6 and WP10
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 97 Project periodic progress report for RP4
4.6 Person-Month Actual vs Planned adjustments to Year 2 from 1st March 2014 to 28th February 2015
Nr short name Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned
Grant Agreement nr. 325158 98 Project periodic progress report for RP4
Notes for adjustments by partners:
FVG. More man-months have been added to WP5 and WP6 as these were not duly claimed during reporting period 2.
Some 3rd party details were missing. The number of Person Months have been reduced due to the increase of productive
hours per year as reported in the CFS
Agdimitrios decreased hours in WP5, WP8, WP9, WP10 as they could not claim hours for personnel contracted by
municipalities.
NHS24 decreased hours in WP6 and WP10 as they were not legible.
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 99 Project periodic progress report for RP4
4.7 Person-Month Actual vs Planned for Year 3 from 1st March 2015 to 28th February 2016
Nr short name Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned
Grant Agreement nr. 325158 100 Project periodic progress report for RP4
4.8 Person-Month Actual vs Planned for Year 4 from 1st March 2016 to 31st August 2016
Nr short name Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned
Grant Agreement nr. 325158 101 Project periodic progress report for RP4
4.9 Person-Month Actual vs Planned cumulative for Year 3 and 4 from 1st March 2015 to 31st August 2016
Nr short name Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned
Grant Agreement nr. 325158 102 Project periodic progress report for RP4
Figure Graphical representation
D10.8 Periodic progress report Year 4
Grant Agreement nr. 325158 103 Project periodic progress report for RP4
Notes on deviations:
For those who have to produce a CFS there will be minor adjustments to working months due to verifications and updating
by auditors. RSD, MMC, are the partners who will be providing CFS certificates.
WP1, WP2 and WP3 are closed; no comments to note down
WP4
o Aragón has overspent due to Integration of SmartCare ICT with already existing SALUD Information Systems and
integration of other Social Care Providers ICT with the SmartCare platform. Furthermore work has been done in
defining the information to be shared among all, the protocols to follow and development of the interfaces &
middleware. Moreover, there has been an enhancement of already existing SmartCare infrastructure to develop
new functionalities that meet new users' requirements (See activity report)
o Synergetics has overspent due to coming late on board in the project which has meant having to catch up on all
developments, integration of infrastructure for the deployment of N. Brabant site.
WP5
o SmartHomes and MMC partners, part of the N. Brabant consortia have overspent as they had to wait for WP4
activities to start and then begin with training of users and professionals, engaging these in the project and
introducing the SmartCare services in their site.
o Eksote has overspent as they have invested a lot of working months in visiting every municipality in South Karelia
area and engaging all home care teams to adhere to the project; as well as train them on the new SmartCare
services. In many cases as this was totally new, they have had to reiterate training activities. In the case of the
home-care units, SmartCare services was something new which has required an extra effort in engaging these
professionals.
o Aragón has overspent as they have been continuously engaging more professionals and end-users as well all the
training that this has required. Engagement of professionals and care recipient enrolment has been all over the
Barbastro geographical area. A reciprocal feedback and deployment was carried out has forced continuous
monitoring and update of training materials in adherence by all in this common SmartCare strategy and integrated
care working methodology.
o Palfaliro, Agdimitrios and Alimos, the three municipalities part of Attika deployment site consortia have overspent
as further work on optimization of the ICSMER was done, especially as far as the dietary part of the platform was
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Grant Agreement nr. 325158 104 Project periodic progress report for RP4
concerned and the setting of dietary targets as part of the electronic integrated care plan, as well as more training
sessions were concluded during the first two semesters for end-users and professionals.
WP6
o MMC: Enrolment of care recipients for SmartCare services in Flow Máxima Medical Centre (MMC) North Brabant
started in March 2016. After a period of delay due to exit of consortium partner Synergetics, the digital platform for
professionals and patients was ready to use in March. A two-iteration set-up was followed. For SmartCare
evaluation purposes, care recipients received access to a personalised patient-centred web application, the
“MijnFlow” (MyFlow) cardiac rehabilitation (CR) e-portal, which they use in addition to their centre-based CR
exercise training programme.
In May 2016 enrolment of care recipients for the SmartCare-CAD randomised controlled trial (RCT) started. In this
trial, 300 patients coronary artery disease (CAD) patients are randomized to centre-based CR (control group) or
cardiac telerehabilitation (intervention group), with one year of follow-up. At this stage, patients of the intervention
group received (in addition to the group that was included in March) an accelerometer and heart rate monitor
connected to the digital platform. From this moment on they can upload and review exercise and physical activity
data recorded by these wearable sensors in their “MyFlow” e-portal. After six supervised training sessions in the
hospital, they continue exercise training at home. Exercise and physical activity data are reviewed by a physical
therapist, who coaches the patient through weekly video consultations. Also the professional social care provider, if
present and the informal care giver are involved in the rehabilitation process when the patient has given them
access. The inclusion of patients is expected to be completed in September 2017.
The delayed start of the care process explains the hours in WP6 as in this period most of the implementation work
took place and all disciplines were involved in that Implementation. The work done by the care workers involved
can be explained as follows:
1. Research responsible: - Coordinated the instruction and guideline books regarding the platform and the sensors for patients, this
could be done only at this final stage because now it was clear on a detailed level how the platform and the sensor connection work
- Gave instruction courses to physiotherapists, specialised nurses, psychologists and administrative workers - Included patients
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- Gave patient instructions - Solved problems that occurred in the home situation with computers and sensor connection - Communicated in a higher frequency with cardiologist and management about issues, decisions that had to
be made when new technical problems occurred - Communicated in a higher frequency with the workers at the helpdesk - Had frequent communication with patients that started their treatment in the home situation
2. Cardiologist - Was closely involved in all patient matters when the platform became operational - Communicated frequently with his colleague doctors - Gave presentations - Communicated with researcher, project manager - Involved in decision-making regarding issues, platform improvement (the patient dashboard had to be
improved so that patients could describe and evaluate their goals - Communicated frequently with physiotherapists regarding patient coaching in the home situation - Gave assignment to a semi-doctor for additional research regarding why patients decide to participate in
Smartcare and why not and why patients decide to stop after start. This will provide important information for future continuation.
3. Physiotherapists - Implemented the new Smartcare care pathway - Were trained to coach patients by video calls - Were trained to use the platform and in decision-making based on sensor data - Frequently communicated with the researcher - Started to treat patients in the new process
4. Specialised nurses - Were trained for inclusion of patients - Were trained in using the platform - Were trained in the new care pathway - Frequently communicated with the researcher
5. Manager - Responsible for Implementation and solving issues - Meetings/communication technical team - Communication with cardiologist / researcher
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- Financial issues due to exit consortium partner - Legal issues due to exit consortium partner - Future policymaking Flow team – Board MMC regarding remote patient management - Financial consequences of patient issues in home situation
6. Technical partners MMC Flow o Technical partners have built the portal and the sensor connections in which patients can authorise all care
givers and social carers to get access to their medical, rehabilitation, social and personal data, in order to facilitate integrated care.
o All deployment sites have experienced increases in effort due to user enrolment activities and training and everyday operations.
WP7
o Euskadi has overspent as they have had to support more than envisaged in the predictive modelling
implementation for the 2nd SmartCare deployment site (Aragón) and have also drafted the corresponding
deliverable, using the approach developed in CareWell in an effort to further develop the synergies between
projects.
o Veneto has overspent as they were one of the sites visited for Change management exercise having to incur in
more working months in planning the Change management team Visit including: requirement for visit analysis,
identification of the key professionals that had to be involved in the study visit and analysis on the logistic and
practical issue such as language issues. Several telcos with the Change management team were performed before
visit. Professionals and care givers had to be engaged who also had to answer to questionnaires.
WP8
o RSD Besides taking part in the overall evaluation of the program it was decided by the management of the region
that it was necessary for the SmartCare projects to facilitate the decision political process in the region by
production a local evaluation report based on the SmartCare services and data. This report is the foundation for the
political process in the region for the implementation of SmartCare service after the end of the project.
o ETCH, Tallinn, Aragón, Eksote, Kraljevo, NHS24 have overspent more working months as the evaluation
activities have entailed a lot more effort than envisaged, such as all the cleaning of data, questionnaires to be
completed, MAST domains to be completed, including integration matrix, interviews with care recipients and
professionals, local analysis that had to be performed and completion of site local analysis annex and input to D8.4.
o Vidavo overspending is due to apart from leading WP4, is also the technical provider for Attica pilot site running
across three adjacent municipalities. As, originally, delays were experienced, basically due to bureaucracy
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problems of the Greek administration, the extension granted was beneficial for generating meaningful data and
analyse them in order to reach conclusions helping shape policies for chronic care. T8.5 (Final evaluation of
deployment sites) and T8.6 (Analysis and reporting) were considered as most critical for Vidavo, with a long track
record and a well-established position in health and wellbeing telematics for the local market. SmartCare being the
flagship of European projects' participation for the company and one of the largest pilots set up by its technical
department led to an increased effort of personnel both on site as well as in the company's premises in order to
ensure: a) data integrity, b) data meaningfulness, c) qualitative analytics, d) reusable performance indicators. There
was definitely an underestimation on the original effort attached to WP8 however due to the extended evaluation
period as well as the idiosyncratic nature of the site justifies the extra effort.
o The three Attika municipalities, Alimos, Palfaliro and Agdimitrios added effort is due to all questionnaires performed
for evaluation.
o IFIC, EPF, EFN have overspent as they have been present a number of the user advisory board deployment site
visits. They have also actively participated in drawing up the D8.5 deliverable
o HIMSL had originally a very small budget for WP8 but RSD asked it to take over from them the responsibility for the
analysis of data and for the evaluation of the outcome. This explains the substantial overspending in this WP.
WP9
o Tallinn, Alimos, SmartHomes, MMC, Studenica, Kraljevo have overspent as a lot more iterative work has had to
be done to complete ASSIST tool and the cost benefit analysis than formally perceived.
o CruzRoja extra effort is due to support in providing data for cost benefit analysis for Aragón
o Euskadi has overspent as they took over the leadership of Committed Regions Board in July-15 and all that this
has entailed in bringing on board all Committed Regions and completing all tasks assigned. They have incurred in
more hours as they have completed all WP1, WP2 and WP3 templates, one the three CRs to do so.
o Veneto has overspent as they as with Euskadi have completed all WP1, WP2 and WP3 templates.
o Amadora, SCMA, PT: For these consortia SmartCare has been a very important Project for Misericordia of Amadora,
even in the role of CRB, namely in what regards the Change Management dimension and the involvement of stakeholders.
According to this, the overspent on WP9, in terms of PM, occurred due to the following reasons:
Elaboration of the Action Plan: Preparation and guidance for further deployment Change Management Visit: Preparation of the Visit; involvement of key staff; preparation of logistics for
interviews; translation of interviews; study visit through the Organisation
Transferability: Involvement of key stakeholders from the Local Council for Social Action in order to have them
on Board for further deployment.
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Grant Agreement nr. 325158 108 Project periodic progress report for RP4
o AOK has overspent as they have supported in drafting the D9.3 section for the User advisory board as well as the
D8.5
WP10
o CruzRoja overspending is due to attendance of project meetings by at least three team members
o Euskadi has overspent as more than one person has attended the meetings.
o Amadora, SCMA, PT overspending is due to the attendance of several meetings
o CHA has overspent in this WP due to attendance of several meetings and site visits.
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Grant Agreement nr. 325158 109 Project periodic progress report for RP4
4.10 WP7 Synergy Implementation working man-months for Year 3 and 4 from 1st March 2015 to 31st August
2016
FVG RSD ARAGON EUSKADI PALFALIRO VENETO BELIT SCOTLAND HIMSL TOTAL