SmartCARE - Satellite enhanced Multi-channel e-health Assistance for Remote Tele-rehabilitation and CAREgiving

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SmartCARE realizes a collaborative healthcare platform as a specialization of a more general and advanced wide workflow collaboration platform. It is a virtual space where caregiver professionals and patients are present to meet and manage daily activities, planned and unplanned, within a therapeutic process, in a collaborative way enabling an optimization of the Home Care.

SmartCARE enables to the healthcare facilities, public and private, to provide the service of rehabilitation - Neuro motor/cognitive and Aphasia rehabilitation - at home assuring a constant verification of the therapeutic process and without requiring the presence on-site of medical staff, unless absolutely necessary. The access to

SmartCARE is provided using satellite and terrestrial telecommunication networks by means of fixed or mobile devices.

SmartCARE represents also a collaborative virtual workspace where patients, physicians, caregivers and other stakeholders leverage a community to foster the active participation of people to social initiatives.  

The SmartCARE services to:

  • establish a point of contact with reference healthcare professionals to manage multiple patients;
  • schedule the therapy in each detail;
  • provide updated information on the rehabilitation progress of by means of remote live-check;
  • monitor the activities envisaged by the therapy;
  • alert patient, healthcare facility and caregiver, in case the prediction of improvement are not achieved;
  • measure vital signs using wireless and wearable sensors;
  • update clinical records,
  • stimulate patients and healthcare professionals to establish social relationships to involve people in common activities and knowledge sharing.

Users and their needs

SmartCARE aims to support patients involved in neuro-motor, neuro-cognitive, Aphasia rehabilitation procedures, assisted at home by non-professional caregiver and remotely by medical staff. SmartCARE users and needs are summarized here below:

Type

Comment / Key needs

Patient

Benefits from being assisted at home, without moving into a specialised center.

Carer

Applies the therapies to patient at home, minimising the number of physical visits.

Public Health service Provider

Represented by Hospitals and public groups operating in the rehabilitation service sector and controlling the evolution of therapies at SmartCARE Service Centre.

Private Health service Provider

Represented by private Clinic, private groups, single professionals operating in the rehabilitation service sector and controlling the evolution of therapies at SmartCARE Service Centre.

National Health Service

It is involved in control and improvement of public health.

Social useful No-Profit Organization

They participate to the value chain providing directly the SmartCARE service via the national contributions.

SmartCARE service provider

Provides the SmartCARE service and the appliances needed to implement it.

Satellite provider

Provides the satellite broadband communication when the coverage of the terrestrial network is not adequate.

Terrestrial network provider

Provides the terrestrial broadband network (fixed and/or mobile) required for the SmarCARE service.

Appliance Manufacturer

Provide the home appliances needed to perform the SmartCARE services.

SmartCARE aims to deliver the rehabilitation services in Italy; it can be deployed in every country in Europe or worldwide.

Service/ system concept

SmartCARE allows patients to perform rehabilitation procedures such as recognition, reorganization, classification, association, attention, comprehension and calculation, by moving upper and lower limbs. SmartCARE provides services to extract quantitative measures, regarding cognitive, kinetics, speech aspects of the rehabilitation practice. The interaction with the patient is designed as a “serious game”; it is able to motivate the patient thanks to the playful context in which the rehabilitation tasks are presented and realized. SmartCARE allows the patient to perform his/her rehabilitation program under the general supervision of a specialist, but in almost total autonomy; at the same time, SmartCARE allows the therapist to remotely monitor and assess the patient’s recovery using quantitative data on both cognitive, neuro-motor and Aphasia performances. SmartCARE uses satellite and terrestrial communications to connect patients, caregivers, physicians and the service center.

SmartCARE Reference Architecture

SmartCARE has two main subsystems cooperating in order to offer rehabilitation, monitoring and communication services at home:

  • Subsystem at Home: offers the services of rehabilitation and communication to the final users (patients, caregivers) at their home;
  • Service Centre: supports the services offered by the Subsystem at home in terms of coordination of the therapies, management of centralized information, and monitor the health status of the patients.

Space Added Value

SmartCARE takes into account the problem of digital divide of which still suffers a significant part of the European population, and promotes the usage of broadband satellite connections in order to guarantee the same opportunities of healthcare to the population.

In Italy, the number of citizens completely devoid of broadband communication coverage is still quite significant (equal about to 5% of the entire population). The use of satellite communications is the most effective solution to break down the digital divide and enable healthcare facilities to provide rehabilitation at home to all those patients for which it is not necessary hospitalization, regardless the location of their homes.

The service and data availability is pursued using reliable communication channels, which are always available. The integration of terrestrial communication systems (ADSL, 3G, etc.) with the satellite (Ka-band) is essential to respond to the digital divide issue and to resolve situations where terrestrial communication isn’t able to offer guarantee the performance required to support the SmartCARE services.

Current Status


SmartCARE team started the Pilot stage by executing:

  • engagement of  the patients
  • clinical evaluation of diseases of involved patients
  • installation of System@Home (S@H) stations
  • training of patients to use S@H and execute the therapies
  • measurements and feedback gathering

The Pilot will engage 10 patients.

 

RELATED CONTENT

During the first Pilot of SmartCARE num. 8 patients were engaged; the following table is a summary of the Pilot results:

 

Snapshots of SmartCARE's user services @home:

 

The virtual scene and the real-time measurements


Patient @home


Patient running rehabilitation exercise


Patient @home


Patient running rehabilitation exercise


Site with satellite equipment


Memory game


Hanoi Tower


Attentional game

 

Map of Lazio – Italian Region (South of Italy) where SmartCARE  was tested during first Pilot phase.

Green labels show sites where system@home stations were successfully used by patients;

Red labels show sites where the patients were dropped-out.


 

SmartCARE project is included in the scientific papers: 

"An usability evaluation of an advanced home based tele-rehabilitation platform for stroke survivors" (F.Infarinato et. al.) - GNB 2018 "Sixth National Congress of Bioengineering" - http://www.gnb2018.polimi.it/ - June 25 -27, 2018

"SmartCARE—An ICT Platform in the Domain of Stroke Pathology to Manage Rehabilitation Treatment and Telemonitoring at Home" (F. Adinolfi, G. Caggianese , L. Gallo, J. Grosso, F. Infarinato, N. Marchese, P. Sale, E. Spaltro) - Proceedings of the Ninth International KES Conference on Intelligent Interactive Multimedia: Systems and Services, IIMSS 2016, Vol. 55, pp. 39-49, Springer International Publishing, 2016. doi:10.1007/978-3-319-39345-2_4

Project Managers

Contractor Project Manager

Nazzareno Marchese
ITSlab, Via Terragneta, 90
80058 Torre Annunziata NA
Italy
+39 081 5353 201

ESA Project Manager

Francesco Feliciani
ESTEC
Keplerlaan 1, P.O. Box 299
2200 AG Noordwijk
Netherlands

Status Date

Updated: 04 September 2018 - Created: 08 April 2015