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  • The SmartCare project is co-funded by the European Commission within the ICT Policy Support Programme

    of the Competitiveness and Innovation Framework Programme (CIP) . Grant agreement no.: 325158

    The Beginner's Guide to SmartCare

  • The Beginner's Guide to SmartCare

    The Beginner's Guide to SmartCare.

    List of partners

  • The Beginner's Guide to SmartCare

    The Beginner's Guide to SmartCare.

  • The Beginner's Guide to SmartCare

    The Beginner's Guide to SmartCare.

    The project is partially funded under the ICT Policy Support

    Programme (ICT PSP), grant agreement number 325158

    SmartCare in a nutshell

    Started in March 2013 and will end in March 2016

    42 partner organisations from health care, social care, research and policy across 15

    European countries

    SmartCare services will be piloted in 9 European regions within the project duration;

    further 13 regions participate to prepare for future service implementation

    Pursues a programme of systematic service process innovation complemented by

    adaptation of technology.

    Multi-staged work programme enables the views of a wide range of stakeholders

    being systematically taken into account: Older people with chronic conditions,

    family carers, diverse health and social care occupations, service funding

    organisations.

    Evidence-based planning and mainstreaming of SmartCare services by relevant

    stakeholders will be enabled by a robust evaluation programme.

    Pilot A under ICT PSP Programme

  • The Beginner's Guide to SmartCare

    The Beginner's Guide to SmartCare.

    WP Leaders

    Workpackage

    Lead organisation

    Duration

    WP1 Requirements and use case definition EMP M1-9

    WP2 Service process model EMP M3-11

    WP3 Integration Infrastructure Architecture and Service Specification

    IFIC M1-12

    WP4 System implementation & test Vidavo M5-20

    WP5 Pilot site preparation Aragon M5-22

    WP6 & 7 Pilot operation FVG M15-36

    WP8 Pilot Evaluation RSD M1-36

    WP9 Exploitation support and dissemination

    EMP M1-36

    WP10 Project management and performance monitoring

    FVG M1-36

  • The Beginner's Guide to SmartCare

    The Beginner's Guide to SmartCare.

    Deliverable list

    Title Nature

    Dissemination Level

    Delivery Date

    D1.1 Requirements for pathways and Integration infrastructure

    R PU M8 = October 2013

    D1.2 SmartCare Pilot-level Pathways and Integration Infrastructure

    R PU M13 = March 2014

    D3.1 Deployment Level Service Specification Final Revised

    D PU M13 = March 2014

    D4.2 SmartCare Field Test Report (V1) R PU M12 = February 2014

    D8.1 Evaluation Framework R PU M7 = September 2013

    D8.1 Addendum V1.0 - SmartCare evaluation update

    R PU M13 = March 2014

    D10.1 Quality Plan R CO M8 = October 2013

    D10.2 Ethics and Data Framework R PU M7 = September 2013

    D10.2 SmartCare Ethics & Data Protection Framework (V2.0)

    R PU M13 = March 2014

    D2.1 Smartcare Service Process Models O PU M12 = February 2014

    D3.2 SmartCare Service Specification - initial draft

    O PU M15 = May 2014

    D4.1 SmartCare System Integration Architecture (V1)

    R PU M9 = November 2013

    D9.1 First report on dissemination and exploitation activities

    R PU M12 = February 2014

    D10.3 Interim periodic progress report R CO M6 = August 2013

    D10.4 Periodic progress report Year 1 R CO M12 = February 2014

    D4.4 SmartCare System Integration Architecture V2

    R PU M12 = February 2014

    D4.5 SmartCare Field Test Report (V2) R PU M7 = September 2013

    D10.5 Interim progress report Year 2 R CO M12 = February 2014

    D4.3 Integrated ICT infrastructure (V1) O PU M15 = May 2014

    D4.6 Integrated ICT infrastructure (V2) O PU M21 = November 2014

    D5.1 SmartCare Operational deployment sites O PU M22 = December 2014

    D6.1 SmartCare Common Specifications R PU M30 = August 2015

  • The Beginner's Guide to SmartCare

    The Beginner's Guide to SmartCare.

    Title Nature

    Dissemination Level

    Delivery Date

    D6.2 Report on Operation of Deployment sites R PU M36 = February 2016

    D8.2 First interim process evaluation report R PU M22 = December 2014

    D8.3 Second interim process evaluation report R PU M28 = June 2015

    D8.4 SmartCare deployment Outcomes R PU M36 = February 2016

    D9.2 Interim report on dissemination & exploitation activities R PU M24 = February 2015

    D9.3 Guidelines for deployment R PU M36 = February 2016

    D9.4 Deployment plans for SmartCare Pathways & Integration Infrastructure R PU M36 = February 2016

    D10.6 Project periodic progress report RP2 R CO M24 = February 2015

    D10.7 Interim periodic progress report R CO M30 = August 2015

    D10.8 Project final report incl. PR for RP3 & report on the distribution of the financial contribution

    R CO M36 = February 2016

    The project is partially funded under the ICT Policy Support

    Programme (ICT PSP), grant agreement number 325158

    Workplan

    Requirements Elicitation & Care Pathway Development

    Organisational & ICT-related pilot preparation

    Pilot operation &evaluation

    WP1Requirements

    & use case definition

    WP2 Service process models

    WP3Integration architecture &

    service specification

    WP4System

    implementation & test

    WP5 Pilot site preparation

    WP6/7 Pilot operation

    WP8 Pilot evaluation

    WP9 Exploitation support & dissemination

    WP10 Consortium management and performance monitoring

  • The Beginner's Guide to SmartCare

    The Beginner's Guide to SmartCare.

    The project is partially funded under the ICT Policy Support

    Programme (ICT PSP), grant agreement number 325158

    The SmartCare Mission

    Improving co-ordination of care delivery across established

    health and social services

    Developing and delivering integrated ICT-supported care services

    for older persons who have complex needs to facilitate:

    Person-centred, co-ordinated care for individuals and their carers

    Greater levels of self-care and self-management

    A unified approach of the health and social care system

    Effective and efficient communication between all parties

    Better use of resources, less duplication and more streamlined care

  • The Beginner's Guide to SmartCare

    The Beginner's Guide to SmartCare.

    Two generic pathways

    Integrated Long-Term Home Care Support

    Personalised multi-provider service package

    Entry point

    (2):

    Referral by

    social care

    providerTemporary

    admission to

    institution

    (e.g.

    hospital, care

    home)

    Monitoring /

    review /

    reassessment

    of care

    recipients

    needs

    Exit point:

    Disenrollmen

    t from

    SmartCare

    service (ICP-

    LTCare)

    Entry point

    (1):

    Referral by

    health care

    provider

    Assessment

    of care

    recipients

    needs for

    long term

    home care

    Enrolment to

    SmartCare

    service (ICP-

    LTCare)

    Initial

    integrated

    care plan

    Coordination

    of integrated

    care delivery

    / revision of

    initial

    integrated

    care planOn-site /

    home

    provision of

    formal social

    care

    Remote

    provision of

    health &

    social care

    (telehealth,

    telecare)

    Shared

    documentatio

    n of home

    care provided

    On-site /

    home

    provision of

    formal health

    care

    On-site /

    home

    provision of

    informal care

    Entering into service Receiving continuous personalised care Leaving service

  • The Beginner's Guide to SmartCare

    The Beginner's Guide to SmartCare.

    Integrated Home Support after Hospital Discharge

    Entry point:

    Discharge from

    hospital

    impending

    Assessment of

    care recipients

    needs for home

    care

    Enrolment to

    SmartCare

    service (ICP-

    Discharge)

    Initial integrated

    care plan

    Discharge from

    hospital

    Coordination of

    integrated care

    delivery /

    revision of initial

    integrated care

    plan

    Shared

    documentation

    of home care

    provided

    Readmission to

    hospital

    Monitoring /

    review /

    reassessment of

    care recipients

    needs

    Exit point:

    Transition into

    SmartCare long-

    term care

    service

    Exit point:

    Disenrollment

    from SmartCare

    discharge service

    Entering into service Receiving continuous personalised care Leaving service

    Personalised multi-provider service package

    On-site /

    home

    provision of

    formal social

    care

    Remote

    provision of

    health &

    social care

    (telehealth,

    telecare)

    On-site /

    home

    provision of

    formal health

    care

    On-site /

    home

    provision of

    informal care

  • The Beginner's Guide to SmartCare

    The Beginner's Guide to SmartCare.

    The 22 Regions

    participating in

    SmartCare are members

    of one of two different

    groups:

    9 reg