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E Health in Smart Cities by Julien Verne Esanté DigiWorld Summit 2011
E-health in smart cities DiGiWorld Summit, Montpellier Julien VenneNovember 16th 2011 CEO
Challenges and stakesAgeing population : In 2060, 23,6M people +60 years old (+ 80 % compared to 2007) A new concept of frailty, between autonomy and dependenceIncrease of people suffering from chronic diseases In France, 8,3 M people getting full reimbursement for long lasting complaint in December 2008Unequal demography : people concentrating in citiesLoss of the social and intergenerational tiesBudgetary context : need for long-lasting business models
New way of thinking for local authorities: human and long-standing cities A global reflection of authorities on how to deal with an ageing society willing to stay at home Creation of a special organization to : Ensure social cohesion, common interest and long term « living together » To easier cohesiveness, i.e. create network, « doing together » Purposes : To increase elderly people’s awareness of frailty and offer them services to help them staying at home To study high risk population expectations and replace human factor in the middle of offered solutions : deal with health, inactivity, financial distress, isolation questions leading to frailty To build a new business model mixing many financing sources and cost reduction projects to do more and better with the same budget 3
New way of thinking for local authorities: human and long-standing cities A global reflection of authorities on how to deal with an ageing society willing to stay at home Focuses To adapt social dwellings (telecommunications, energy cost optimization…) To develop new social services : find solutions to isolation, inactivity, desocialisation, need for information, comprehension of existing social help services Testing of a new frailty detection tool in Toulouse Gérontopole To experiment a geopositioning device aiming at optimizing services costs at home To develop an intermediation platform to easier reception of frail people questions and help organizing new medico-social coordination processes 4
Some key success factors• Broadband digital infrastructures• Building of adapted dwellings (individuals as collective)• New organizational models (professional coordination)• Wide agreement of the actors of the whole value chain (health institutions, authorities, users / patients, social and health professionals, financers, industrialists…) 5
Telemonitoring: some examples of services platformsSome services platforms already existing in Europe (Germany, GB) and in the USDescription : Data collecting, centralizing, processing Human intervention on citizen / professionalsAssets of those platforms for patients Elderly people: Early detection of the frailty before entering in dependance Delivery of preventive and correctives actions Connections with local services and helps Patient with chronic disease: Almost continuous patient monitoring : detection and alerts about early warning signs for critical events Delivery of preventive and correctives actions (treatment adaptation eg.), Prevention of rehospitalisationsAssets of those platforms for financiers Monitoring of services delivery to better control their efficiency (authorities, private financiers) 6
A complex ecosystem to organize and manageAt the crossing of different public policies Health and social spheres : Regional Health Agency with the regional health project to take into account Town and country planning / social aspects : local authorities to include in the projectAt the crossing of different care –taking plans Numerous financiers responsibilities and decision authority diluted 7