Community Research and Development Information Service - CORDIS

H2020

DECI Report Summary

Project ID: 643588
Funded under: H2020-EU.3.1.

Periodic Reporting for period 2 - DECI (Digital Environment for Cognitive Inclusion)

Reporting period: 2016-06-01 to 2017-05-31

Summary of the context and overall objectives of the project

The progressive increase in the average human lifespan generates a rising importance of problems and issues related to ageing: these include cognitive impairment such as loss of memory, cognitive slow down, etc.. Cognitive impairment reduces the ability of taking care of themselves and impact on the risk of social isolation, institutionalization and mortality.
In this context, the goal of the project is to define an innovative business model to supply assistance services, allowing independent living for elderly people, especially for those affected by mild dementia or Cognitive Impairment, granting high levels of quality of life. The proposed business model includes an up-to-date, modular, flexible and scalable organisational model, meant for both regulators and service suppliers, and the support of a comprehensive digital environment platform based on innovative and easy-to-replicate digital solutions. These elements are inserted and integrated inside patients’ homes.
This is an opportunity to approach, within a single project, three core leverages to increase MCI-affected elderly quality of life through a comprehensive integrated solution:
• The organization to deliver assistance services to elderly people effected by mild Cognitive Impairments, especially if living in solitude, surpasses traditional care methods aiming for a more effective, personalized and farsighted approach. The aim is to increase quality of life of patients, while simultaneously meeting organisational and economic goals.
• The resulting output is designed to support daily activities of the elderly people affected by mild Cognitive Impairment, by remotely monitor patients’ conditions in order to effectively support the delivery of personalized services. The technology platform integrates innovative, yet accessible technologies (such as monitoring sensors, Internet of Things paradigms and application mash-ups aiming to support development and composition of new services, etc.) and is based on information sharing, data interoperability and modularity logics, which will also be replicable inside different organisational contexts.
• With regards to the four pilots scheduled in the project proposal (Israel, Italy, Spain and Sweden), each economic model (for the different application area) will include a final evaluation of implementation costs and benefits and an analysis of return on investment.

Work performed from the beginning of the project to the end of the period covered by the report and main results achieved so far

The Year 1 of the DECI (Digital Environment for Cognitive Inclusion) project has mainly focused on the following research activities:
1. Analysis of the state-of-the art in a number of fields related to project topics: clinical literature on Mild Cognitive Impairment (MCI) and Dementia, organizational models for care and assistance to patients affected by MCI or Dementia, digital technologies for improving process support to care and assistance, case studies on innovative organizational models and advanced implementation of digital technologies to improve inclusion, cognitive stimulation, process support;
2. Deep field analysis of the state-of-the-art of the clinical population, care and assistance processes, organizational models, use of digital technologies in the four specific settings of DECI pilot sites (Italy, Spain, Sweden, Israel);
3. Analysis and design of the DECI Business Model (BM) to exploit digital technologies for improving cognitive support and inclusion of patients affected by MCI or Dementia;
4. Analysis and drafting of DECI pilot scenarios and DECI digital platform services that will be implemented at the above mentioned four pilot sites to validate the BM design and evaluate its potential impact on the care ecosystem.
During Y2, the team focused on the development of the DECI system (reported in the figure) and on the definition and set-up of the different pilots. The following activities were performed:
• A functional requirements analysis and final design of the DECI solution (both from service and technology perspectives);
• Prototyping, development and testing of the DECI system;
• The setting of the four pilots in terms of:
o Organization, through the setting of the new DECI service in the organizations and with the definition of the enrollment and training procedures;
o Technology, through the setting of the local environments in order to have the local installations and purchasing the patient’s devices to access the DECI platform;
• The four pilots’ starting with some local training sessions and enrollment activities.
Moreover, the Consortium defined the overall evaluation of the DECI results and the business cases.

Progress beyond the state of the art and expected potential impact (including the socio-economic impact and the wider societal implications of the project so far)

The aim of our proposal is fully in line with the Horizon 2020 Work Programme 2014-2015 in the area of health, demographic change and wellbeing. In the section 2.1 of the DoA, we reported how the project will contribute to the expected impacts set out in the PHC 20 “Advancing active and healthy ageing with ICT: ICT solutions for independent living with cognitive impairment”. In the following lines, we describe the status of the DECI contribution to the expected impacts from the call.
Regarding the following expected impacts declared in the DoA:
“Outcome evaluation is conducted versus a control group of patients with similar characteristics but following a traditional care in the same care organization. Indicators and KPIs constitutes a set of evidence of the intervention”; “Improved patient value including wellbeing, awareness of his/her health status, capability to self-manage his/her illness”;“From an ICT supplier’s point of view, set of indicators and business case are developed, in order to evaluate both effectiveness of the intervention and possibility to replicate the project to manage different forms of socio-care settings”.
The Consortium defined the KPIs related to patient security (delivered in D1.4) and related to the clinical management and a general evaluation framework from a patients’ point of view (delivered in the preliminary report of D6.1). Moreover, the team designed also the KPIs from a business point of view (delivered in the preliminary report of D6.2).
Regarding the following expected impact declared in the DoA: “based on the pilots’ results a business case for each country (composed of organisational model and supporting IT solution) based on KPIs is developed. An important step of the project addresses the viability for such models and technologies to be implemented in other care settings including patients’ homes”.
The Consortium defined a general Business Model specialized in each pilot site (delivered in D3.1) and designed a general business case to be evaluated for each Country (delivered in D6.2).
Finally, regarding the following expected impact declared in the DoA: “reduction of average early hospitalization – or in medical care residences – per groups of patients. Prove cost‐effectiveness feasibility improvements for existing care models via ICT support”.
A BM feasibility check was performed in each pilot site, accordingly to the local systems (delivered in D3.1). Moreover, a cost-effectiveness analysis was designed and delivered in D6.2.

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