Emilia Romagna DS

Emilia-Romagna Region Deployment Site (DS) goal was providing better results for people with CVD pathologies, over 65 years, living at home, maximizing the value of technologies that allow better communication between the user and caregivers (both formal and informal). The offered technologies, which included remote health monitoring, tele-assistance, telemedicine/teleconsultation and applications, integrated services such as electronic health records and communication between health and social care staff.

Reference Use Cases:

RUC 1 – Daily Activity monitoring

RUC 3 – Health parameter monitoring

RUC 5 – Exercise promotion

RUC 7 – Prevention of social isolation

RUC 10 – Notification of abnormal situation

Resilience actions during COVID-19
A huge effort were done to educate users on the use of ICT technologies since RER were one of the most affected areas in the world during the first wave of the virus. Several unsolved technical issues were detected during this phase since the risk of visiting users to solve the problems, additionally, the collapase of the assistance services didn’t allow a continous monitoring of the ACTIVAGE related activities. Therefore, several of the proposed ACTIVAGE services were submited during this emergency situation as remote solution for monitoring health parameters.

Socio-demographic distribution

Service benefits

RER DS participants were divided in experimental group that receive the IoT based intervention and control group that receive the same intervention using traditional care methods. The purpose of this experiment is to demonstrate the Reduction of re-hospitalisation rate

Experimental group have reduced the number of visits to the emergency department and the re-hospitalization rate.

In general terms, control group had more problems to maintain their treatment, with more readmissions and visits to emergency services.

According the BARTHEL questionnaries results, variation are not relevant enough to report any variance in the motor activities.

In both iADL and ADL it was noticed a significant deterioration. In both groups there is a risk factor with regard to both everyday activities and daily life functions.  Intending with risk factor the fact that doctors must take note that there is some issue.

Service acceptance

Service acceptance was measured using a validated questionnaire UTAUT. The analysis focused on the treatment effects of the different RUCs.

In general terms, participants in RUC1 valued as neutral the use of IoT with results over 5 (scale 0 to 7) in all the categories.

A correlation analysis on these results shown that those users that have positive results on we can highlight had a good impression on the technology of the services, in particular  the result in reduction on anxiety in the use of technology.  The target has been achieved in three dimensions, Social Influence, Facilitating Conditions and Computer anxiety.

Cost effectiveness

According to the ACTIVAGE Evaluation Protocol, the costs of each UC has been estimated through a simplified activity-based costing exercise which identified the main one-off and recurrent costs for the intervention.

The clear reduction in costs and the reduction in hospitalization and access to HR reflects a clear reduction in the adverse events linked to this chronic pathology as well as other pathologies.

The use of technology implies that the interventions are at first stage more costly than their comparators, but the long term application of the solution, together with the positive results in service acceptance and service benefits provides a positive cost-effectiveness analysis.

Service sustainability

The assets developed by ACTIVAGE are in line with the regulatory and strategic framework of the Emilia-Romagna Region. The Social and Health Plan of the Emilia-Romagna Region 2017-2019 had identified three strategic objectives to respond to the challenges of the current demographic transition and societal changes: fight against exclusion, the identification of the local district as the strategic hub of integration of policies and services, the identification of new tools to guarantee proximity and integration. The Plan identified 39 actions targeting 5 transversal areas (proximity and domiciliation, reduction of inequalities and promotion of health, autonomy of people, participation and empowerment, qualification and efficiency of services) and new methods of local planning and regional development. Emilia-Romagna integrates social protection and health care in a unique planning instrument.