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27th
March 2015,
Palais du Luxembourg
Paris France
 
Opening session – Smart Homecare: 
European perspectives on economic, 
social and demographic challenges
 
Markku Markkula 
President of the European Committee of
the Regions CoR
markku.markkula@cor.europa.eu
By 2060 a Structural Paradigm Change
• the population of young people throughout
the EU-28 to decrease by 9 % 
• the working-age population (15-64) by 15 %, 
while
• the number of elderly people is expected to 
increase by a huge 79 %. 
Source: CoR Study on active ageing: local and regional solutions
http://cor.europa.eu/en/documentation/studies/Documents/
Active-ageing-local-and-regional-solutions/EN.pdf
CoR Guidelines about Active Healthy Ageing
1. Healthy ageing requires a structural paradigm change, as older people
must desire and maintain the ability to play an active role in society,
while society must in turn encourage and accommodate this.
2. Healthy ageing is about enabling older people to enjoy a good quality 
of life. Healthy ageing strategies should then create the conditions and
opportunities for older people to have regular physical activity, healthy
diets, social relations, participation in meaningful activities and financial
security deriving from a flexible pension system and related retirement
policies.
3. Healthy ageing can therefore not be achieved through a single initiative,
but requires a range of actions and approaches at individual and 
societal level that work together to achieve this outcome.
4. The CoR aims at concretely involving political decision makers in the EU
debate on these issues, which we consider crucial to increase a
sustainable social, economic and also territorial cohesion;
Painting the Big Frame 
CoR has defined the following guidelines:
1. Europe needs pioneering regions to be forerunners in implementing the 
Europe 2020 & Smart Specialisation and through that to invent the
desired future.
2. Lifelong learning and the full use of ICT are cornerstones for this change 
of mindset towards entrepreneurship and innovation.
3. We need the dynamic understanding of regional innovation ecosystems 
where public, private and third sector learn to operate together.
Modernize Triple Helix.
4. We need methodologies to mobilize public private partnerships and
encourage especially people participations: user-driven open innovation 
& living labs.
5. We need to speed up the change by scalability & implementation. 
European partnerships with universities at the core need to be used as
the drivers.
Smart Secialisation in Practice: Helsinki Region
Spearhead
industries
Enabling
knowledge &
technologies
Innovation
platforms
Innovation
policies &
funding
SMART VALUESMART SPECIALISATION SMART SUPPORTSMART PLATFORMS
Invest in strengths
New combinations
Strategic change management
Co-creation approach
Smart CitizenWelfare CityDigitalising
Industry
Human Health
Tech
Urban
Cleantech
INTERFACES INTERFACES
RIS3 - SPEARHEADS
All Permeating Drivers of Change: Digitalization & Open Innovation
6
Group
Family
Working life
RDI
Business
COMMUNITY
SOCIETY
Policies, legislations
& funding
NETWORKING and CO-CREATING
LEARNINGLaurea
HealthHub and
Helsinki Region
”RIS3”
From top down to
BOTTOM UP
TRANSITION
SUSTAINABILITY
VALUE
CREATION
”WELFARE
CITY”
Helsinki RIS3
”SMART CITIZEN”
RIS3
INDIVIDUAL
Person as a
holistic being
in transition
7
eHealth at Laurea UAS
Laurea Co-Designing with Finnish Care Innovation and
Design Companies and PAs for Better (e)Health and
(e)Wellbeing Solutions
Laurea student start
up
Active Life Home
The frame for the “big picture” integrated to real life practices
Objectives from the perspective of City management:
To develop a research and technology based,
participative welfare service concept, which
supports the care of elderly people, and improves
their quality of life
To develop a virtual, centralized welfare service
concept in order to find a solution for regionally
specific challenges together with higher education,
public-, private– and third sector organizations
Market Research and MarketingMarket Research and Marketing
Innovation project: Use cases, Architecture, Protocols, Decision
Algorithms, Service Models
Innovation project: Use cases, Architecture, Protocols, Decision
Algorithms, Service Models
LaureaHealthHub
An innovation and pilot platform for eHealth solutions
and related services:
• the virtual and physical spaces /environments enable user centric way to find out
solutions (e.g. for elderly people´s health and wellbeing)
• On-going joint process for defining and co-creating joint action themes and vision
• Physical space of real hectic action for research with experiments, demos and prototypes
• Demo days & social media, other forms of effective communication, virtual reality
• Passionate key persons, networking, processes, platforms, focus on boundary objects
CoR Study Visit to Active
Life Village & Caring TV
September 2010
Different actors with different roles, needs
and responsibilities
• Elderly persons are customers of organizations which
provide home care or care home services.
• Providers´ nurses access the data collected by the
devices used by the elderlies
• Use of the data can make care services more intelligent
• Devices send data to their vendors´servers
• Vendors servers provide a user interface to access data.
Users are nurses, elderlies or their family members
• Access rights are governed by device vendors´ or care
service providers system administrators
Nurse
Organization
Elderly
Customer
Family
Admin Vendors Researchers Many others
We Need Systems Thinking
& Integration & Different Devices
Integration is needed:
• Holistic view of the customer
• Combine data from different
sources to make more
intelligent analysis and
decisions
• Alarm handling in a coherent
way
• Integration at home level to
save costs and to control
equipment
• Rules management based
on multiple sources of data
• Coordinated device
management
Different devices for different purposes:
• Collect data about customer
• Activity & Walking on floor
• Location & Sleep
• Medication take
• Different triggers to alarm
• Press button
• Outside virtual fence
• Detect condition
• Fall down
Smart Technology, Health & Wellbeing
at Home Environment
Person living at
his/her own home
New virtual
eServices
and
eContacts
Home Care
Solutions
Peer Groups
Smart technologie
Family eContacts
eHomeCare
e24h
Automatic dosering,
Alarms &
Reminders &
Acknowledments
e.g. by SMSs
Location tracking (GPS, GPRS)
Automatic alarms,
two way speech
Call button
14
Summary: Based on the Laurea Living Lab
Experiences
1. Facilitates R&D projects based on co-operation with
companies, third sector, public sector & HEIs
hereby working together with end-users and
students
2. End-users and customers are drivers and developers
from the early beginning & during the whole R&D
process
3. Students are developers & creators of new
professional knowledge together with other actors
4. To facilitate professional knowledge creation and
rich interaction Laurea has several development
environments, labs and test beds
CoR points out that the traditional product chain concept with its fixed phases
and production factors is becoming blurred, because the reality is based on
complex interactions in globally networked ecosystems. Technologies play a key
role as enablers for new, sustainable approaches. We need innovative and high-
quality pioneering activities and replication of results across Europe. The regions
are ready to start experimenting and rapid prototyping, which is a key for success.

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European perspectives on economic social and demographic challenges - Markku Markkula

  • 1. 27th March 2015, Palais du Luxembourg Paris France   Opening session – Smart Homecare:  European perspectives on economic,  social and demographic challenges   Markku Markkula  President of the European Committee of the Regions CoR markku.markkula@cor.europa.eu
  • 2. By 2060 a Structural Paradigm Change • the population of young people throughout the EU-28 to decrease by 9 %  • the working-age population (15-64) by 15 %,  while • the number of elderly people is expected to  increase by a huge 79 %.  Source: CoR Study on active ageing: local and regional solutions http://cor.europa.eu/en/documentation/studies/Documents/ Active-ageing-local-and-regional-solutions/EN.pdf
  • 3. CoR Guidelines about Active Healthy Ageing 1. Healthy ageing requires a structural paradigm change, as older people must desire and maintain the ability to play an active role in society, while society must in turn encourage and accommodate this. 2. Healthy ageing is about enabling older people to enjoy a good quality  of life. Healthy ageing strategies should then create the conditions and opportunities for older people to have regular physical activity, healthy diets, social relations, participation in meaningful activities and financial security deriving from a flexible pension system and related retirement policies. 3. Healthy ageing can therefore not be achieved through a single initiative, but requires a range of actions and approaches at individual and  societal level that work together to achieve this outcome. 4. The CoR aims at concretely involving political decision makers in the EU debate on these issues, which we consider crucial to increase a sustainable social, economic and also territorial cohesion;
  • 4. Painting the Big Frame  CoR has defined the following guidelines: 1. Europe needs pioneering regions to be forerunners in implementing the  Europe 2020 & Smart Specialisation and through that to invent the desired future. 2. Lifelong learning and the full use of ICT are cornerstones for this change  of mindset towards entrepreneurship and innovation. 3. We need the dynamic understanding of regional innovation ecosystems  where public, private and third sector learn to operate together. Modernize Triple Helix. 4. We need methodologies to mobilize public private partnerships and encourage especially people participations: user-driven open innovation  & living labs. 5. We need to speed up the change by scalability & implementation.  European partnerships with universities at the core need to be used as the drivers.
  • 5. Smart Secialisation in Practice: Helsinki Region Spearhead industries Enabling knowledge & technologies Innovation platforms Innovation policies & funding SMART VALUESMART SPECIALISATION SMART SUPPORTSMART PLATFORMS Invest in strengths New combinations Strategic change management Co-creation approach Smart CitizenWelfare CityDigitalising Industry Human Health Tech Urban Cleantech INTERFACES INTERFACES RIS3 - SPEARHEADS All Permeating Drivers of Change: Digitalization & Open Innovation
  • 6. 6 Group Family Working life RDI Business COMMUNITY SOCIETY Policies, legislations & funding NETWORKING and CO-CREATING LEARNINGLaurea HealthHub and Helsinki Region ”RIS3” From top down to BOTTOM UP TRANSITION SUSTAINABILITY VALUE CREATION ”WELFARE CITY” Helsinki RIS3 ”SMART CITIZEN” RIS3 INDIVIDUAL Person as a holistic being in transition
  • 8. Laurea Co-Designing with Finnish Care Innovation and Design Companies and PAs for Better (e)Health and (e)Wellbeing Solutions Laurea student start up
  • 9. Active Life Home The frame for the “big picture” integrated to real life practices Objectives from the perspective of City management: To develop a research and technology based, participative welfare service concept, which supports the care of elderly people, and improves their quality of life To develop a virtual, centralized welfare service concept in order to find a solution for regionally specific challenges together with higher education, public-, private– and third sector organizations Market Research and MarketingMarket Research and Marketing Innovation project: Use cases, Architecture, Protocols, Decision Algorithms, Service Models Innovation project: Use cases, Architecture, Protocols, Decision Algorithms, Service Models
  • 10. LaureaHealthHub An innovation and pilot platform for eHealth solutions and related services: • the virtual and physical spaces /environments enable user centric way to find out solutions (e.g. for elderly people´s health and wellbeing) • On-going joint process for defining and co-creating joint action themes and vision • Physical space of real hectic action for research with experiments, demos and prototypes • Demo days & social media, other forms of effective communication, virtual reality • Passionate key persons, networking, processes, platforms, focus on boundary objects CoR Study Visit to Active Life Village & Caring TV September 2010
  • 11. Different actors with different roles, needs and responsibilities • Elderly persons are customers of organizations which provide home care or care home services. • Providers´ nurses access the data collected by the devices used by the elderlies • Use of the data can make care services more intelligent • Devices send data to their vendors´servers • Vendors servers provide a user interface to access data. Users are nurses, elderlies or their family members • Access rights are governed by device vendors´ or care service providers system administrators Nurse Organization Elderly Customer Family Admin Vendors Researchers Many others
  • 12. We Need Systems Thinking & Integration & Different Devices Integration is needed: • Holistic view of the customer • Combine data from different sources to make more intelligent analysis and decisions • Alarm handling in a coherent way • Integration at home level to save costs and to control equipment • Rules management based on multiple sources of data • Coordinated device management Different devices for different purposes: • Collect data about customer • Activity & Walking on floor • Location & Sleep • Medication take • Different triggers to alarm • Press button • Outside virtual fence • Detect condition • Fall down
  • 13. Smart Technology, Health & Wellbeing at Home Environment Person living at his/her own home New virtual eServices and eContacts Home Care Solutions Peer Groups Smart technologie Family eContacts eHomeCare e24h Automatic dosering, Alarms & Reminders & Acknowledments e.g. by SMSs Location tracking (GPS, GPRS) Automatic alarms, two way speech Call button
  • 14. 14 Summary: Based on the Laurea Living Lab Experiences 1. Facilitates R&D projects based on co-operation with companies, third sector, public sector & HEIs hereby working together with end-users and students 2. End-users and customers are drivers and developers from the early beginning & during the whole R&D process 3. Students are developers & creators of new professional knowledge together with other actors 4. To facilitate professional knowledge creation and rich interaction Laurea has several development environments, labs and test beds CoR points out that the traditional product chain concept with its fixed phases and production factors is becoming blurred, because the reality is based on complex interactions in globally networked ecosystems. Technologies play a key role as enablers for new, sustainable approaches. We need innovative and high- quality pioneering activities and replication of results across Europe. The regions are ready to start experimenting and rapid prototyping, which is a key for success.

Notes de l'éditeur

  1. by 2060 we can expect the population of young people throughout the EU-28 to decrease by 9 % and the working-age population (15-64) by 15 %, while the number of elderly people is expected to increase by a huge 79 %. The increasing share of older people and decreasing share of working-age people in the overall population have social, economic and budgetary repercussions. Public authorities, including local and regional authorities, are urged to deliver more and higher quality services to their ageing population and finance health care and pensions for a growing number of people, while at the same time facing a decrease in labour supply and employment and suffering drastic budgetary restrictions due to the current economic crisis. Source: CoR Study on active ageing: local and regional solutions http://cor.europa.eu/en/documentation/studies/Documents/Active-ageing-local-and-regional-solutions/EN.pdf.