Docstoc

Falling in Love

Document Sample
Falling in Love Powered By Docstoc
					ICT PSP-2011-5                              FALLING IN LOVE                                  Pilot B



                                   PROPOSAL PART B

                       ICT PSP fifth call for proposals 2011

                                        Pilot Type B

 ICT PSP Objective identifier: 3.1 - ICT Solutions for Fall prevention
                   and ICT and Ageing network




                                    Falling in Love
     Fall preventing and detecting with low-invasiveness technologies

Proposal acronym: FALLING IN LOVE

Proposal full title:    Fall preventing and detecting with low-invasiveness technologies

Proposal draft number and date of preparation: vs 11 – 31st of May 2011

Name of coordinating person: Claus Duedal Pedersen

e-mail: Claus.Pedersen@ouh.regionsyddanmark.dk

fax: +45 65432050

List of participants:

Participant no.*       Participant organisation name         Participant short   Country
                                                             name
1. (coordinator)       Region Syddanmark                     RSD                 Denmark
2.                     U.L.S.S. 9 Treviso                    ULSS9               Italy
3.                     Carinthia                             KARNTEN             Austria
4.                     Zuidzorg                              ZUIDORG             The Netherlands
5.                     Delta                                 DELTA               Denmark
6.                     Health Insight Solutions              HIS                 Germany

7.                     Health Information Management         HIM                 Belgium

8.                     Stichting Smart Homes                 SMARTHOMES          The Netherlands

9.                     Italian Society of Geriatrics and SIGG                    Italy
                       Gerontology




                                             page 1 of 113                           31/05/2011 v11
ICT PSP-2011-5                       FALLING IN LOVE                                   Pilot B



10.               European     Union       Geriatric EUGMS               UK
                  Medicine Society
11.               Arsenal.IT                           ARSENAL           Italy
* Please use the same participant numbering as that in section A2 of the administrative forms




                                       page 2 of 113                          31/05/2011 v11
ICT PSP-2011-5                        FALLING IN LOVE                                   Pilot B




Abstract
FALLING IN LOVE proposes an integrated ICT solution providing prevention and detection of
falls, thus forming a comprehensive approach to ensuring an improved quality of life and
safety for the ageing population. Four regions join efforts and will test in real life a
revolutionary, complete and integrated solution. Prevention of falls will be achieved through
automatic lighting, behaviour and gait analysis and monitoring, tele-exercising/rehabilitation.
Until now attempts to detect falls were based either on elders pressing a button (worn on a
necklace or belt) or on an accelerometer mounted in a watch or a cellular phone. This
generates a high number of false alarms - falls are a complex phenomenon. Based on this
experience, the combination of a device (ePatch) placed directly on the body, which contains
accelerometer, gyroscope and thermometer, together with an Android mobile, will be the
optimal solution in securing elders. The ePatch has the size of a band-aid; it can be remotely
monitored and thereby gather data for gait analysis and fall detection. Based on experience,
only this combination of a device placed directly on the body can provide at once high
sensitivity and low rate of false alarms. The solution is highly scalable because peripheral
devices are centrally configured and managed through a portal. The FALLING IN LOVE
solution will be piloted in Austria, Denmark, Italy and the Netherlands. They will aim at
verifying the impact of the service by gathering comprehensive socio-economic evidence to
facilitate the development of a sustainable business model for the wider uptake of the service
once the project ends. The project aims to deliver evidence of improvements of quality of life
and prolonging the time that elderly people can live independently at home. The private
partners of FALLING IN LOVE will together with the public partners ensure a world leading
position of European industry in innovative markets for the prevention and detection of falls.




                                        page 3 of 113                          31/05/2011 v11
ICT PSP-2011-5                    FALLING IN LOVE                                    Pilot B




Glossary
        AAL        Ambient Assisted Living
        ADT        Admission, Discharge, Transfers
        EEA        European Economic Area
        EHR        Electronic Health Records
        EUnetHTA   European network for Health Technology Assessment
        GP         General Practitioner
        HADS       Hospital Anxiety and Depression Scale
        HTA        Health Technology Assessment
        ICT        Information and Communications Technologies
        LHA        Local Health Authority
        MAST       Model for Assessment of Telemedicine
        MS         Member State
        RCT        Randomised Controlled Trial
        RFID       Radio-frequency identification
        SIMFER     Italian Society of Physical and Rehabilitation Medicine
        WP         Work Package




                                   page 4 of 113                             31/05/2011 v11
ICT PSP-2011-5                                       FALLING IN LOVE                                                       Pilot B



Table of Contents
Abstract ............................................................................................................ 3
Glossary ........................................................................................................... 4
PROJECT PROFILE ......................................................................................... 7
B.1 Relevance ............................................................................................... 14
   B.1.1 Project objectives ................................................................................................. 14
      B.1.1.1 Proposed service which the project aims to deliver ........................................ 14
      B.1.1.2 Objectives of the proposed services .............................................................. 17
      B.1.1.3 Envisaged usage of the service ..................................................................... 18
      B.1.1.4 Innovative aspects ......................................................................................... 18
      B.1.1.5 Benefits compared to existing solutions ......................................................... 19
   B.1.2 EU and national dimension ................................................................................... 20
      B.1.2.1 Alignment with European policies .................................................................. 21
      B.1.2.2 Alignment with national legislation and initiatives in the participating
              countries ........................................................................................................ 22
      B.1.2.3 Alignment with ICT-PSP goals ....................................................................... 24
   B.1.3 Maturity of the technical solution .......................................................................... 25
B.2 Impact ..................................................................................................... 27
   B.2.1 Target outcomes and expected impact ................................................................. 27
      B.2.1.1 Focus and outcomes ..................................................................................... 27
      B.2.1.2 Conditions and characteristics ....................................................................... 28
      B.2.1.3 Expected impact ............................................................................................ 30
   B.2.2 Long term viability ................................................................................................ 31
   B.2.3 Wider deployment and use ................................................................................... 31
B.3 Implementation ...................................................................................... 33
   B.3.1 Consortium and key personnel ............................................................................. 33
      B.3.1.1 Overall description ......................................................................................... 33
      B.3.1.2 Partners’ details and functions ....................................................................... 34
      B.3.1.3 Partners role in the project implementation .................................................... 41
      B.3.1.4 Relationship between project participants ...................................................... 42
   B.3.2 Chosen approach ................................................................................................. 42
      B.3.2.1 Work plan ...................................................................................................... 45
      B.3.2.2 Approach to Risk Management ...................................................................... 72
      B.3.2.3 Project management...................................................................................... 81
      B.3.2.4 Management Team ....................................................................................... 83
      B.3.2.5 Conflict resolution .......................................................................................... 84
      B.3.2.6 Handling of the results ................................................................................... 84
      B.3.2.7 Quality Control and Assurance ...................................................................... 85
   B.3.3 Resources to be committed .................................................................................. 85
   B.3.4 Indicators.............................................................................................................. 94
   B.3.5 Security, privacy, inclusiveness, interoperability, standards and open-source ...... 95
      B.3.5.1 Security ......................................................................................................... 95
      B.3.5.2 Privacy .......................................................................................................... 97


                                                       page 5 of 113                                         31/05/2011 v11
ICT PSP-2011-5                                    FALLING IN LOVE                                                      Pilot B


     B.3.5.3 Inclusiveness ................................................................................................. 97
     B.3.5.4 Interoperability ............................................................................................... 98
     B.3.5.5 Standards and open-source........................................................................... 99
APPENDIX I             Consortium Curricula ........................................................ 101
APPENDIX II            The ePatch .......................................................................... 108




                                                    page 6 of 113                                         31/05/2011 v11
ICT PSP-2011-5                                 FALLING IN LOVE                                               Pilot B




PROJECT PROFILE
Proposal acronym: Falling in Love

Proposal full title: Fall preventing and detecting with low-invasiveness technologies


                                    Information on the service
Description of the issue and proposed service/solution

Falls are a major threat to the health and independence of older adults, people aged 65+.
In Europe, the rates of falls on community dwelling people are 30% for over 65 years and
over 40% for over 75; 50% of those over 80 fall each year. About 50% of falls relate to
people who fall twice or more in a year1. The effects are: a worse quality of life and an
increased dependence and family disruption. After a fall, even in case of soft consequences,
2/3 of older people develop a “fear syndrome” which leads to a drastic activity reduction and
higher risk of new falls.
The total of older people (60 plus years of age) that have to be treated for an injury in EU
hospitals is estimated to be 7,8 million each year.2
     •   Falls are the leading cause of injury among people 65 and older; In several EU
         countries, falls comprise ~75% of all patients who need medical attendance 3
     •   Older adults are hospitalised for fall-related injuries five times more often than they
         are for injuries from other cause.
     •   Age is a major risk factor for fall injury. 30% of people over 65 and 50% of those over
         80 years fall each year.
     •   Older adults who fall once are two to three times as likely to fall again within a year.
     •   For women over 55 and men over 65 years, the age specific death and hospital
         admission rates for injury increase exponentially with age; > 1/3 of women sustain
         one or more osteoporotic fractures in their lifetime, the majority caused by a fall.
     •   25% of those who fall suffer injuries that reduce mobility and independence and
         increase the risk of premature death. Fall rates among institutionalised residents are
         much higher than rates among community-dwellers.
     •   50% of falls among older people occur in their own home
The project intends to tackle the problem of falls amongst older adults by preventing these
kind of accidents and the resulting serious diseases, major disabilities or costly
hospitalisation4. In doing so, FALLING IN LOVE will implement the following technologies:
     •   Automatic lighting


1
    Hauer K, et al. Systematic review of definitions and methods of measuring falls in randomised controlled fall
    prevention        trials,    Age       and     Aging       2006.      For       further     information      see
    http://ageing.oxfordjournals.org/content/35/1/5.full
2
    2009-Report, Injuries in the European Union, Statistics Summary 2005 – 2007, Vienna, November 2009. p.12
3
    This a the following bullet points are extracted from: World Health Organisation (Europe) “What are the main
    risk factors for falls amongst older people and what are the most effective interventions to prevent these falls?
    How should interventions to prevent falls be implemented?”, March 2004
4
    As an example in 2010, 416 patients were admitted as a consequences of falls and they spent a total of 1.339
    days in 2010 at the hospitals.


                                                  page 7 of 113                                  31/05/2011 v11
ICT PSP-2011-5                                 FALLING IN LOVE                                             Pilot B



    •    Behaviour analysis and monitoring
    •    Gait analysis
    •    Tele-exercising, tele-rehabilitation
It is equally known that once a fall has occurred, the ability and the speed of intervention is
crucial. It is a widespread opinion about orthopaedists, although this is not backed by
scientific evidence, that every hour of delay in rescuing an older person with a broken hip or
a broken femur results in average in one more day in hospital when it does not lead to the
death of the older person.
Accurate and early detection even if the person is unable to send an alarm by him/herself are
crucial to reduce to the minimum the long term consequence of falls.
The project intends to use multiple factors to determine if a fall has occurred and avoid a
large number of false positives which would render the system unsuitable for practical
purposes. The factors analysed for detecting a fall are:
    •    Acceleration
    •    Deceleration
    •    Initial and final position of the subject
    •    Decrease in the body temperature due to prolonged immobility5.
The combination of the factors above allows the detection of a broad range of falls, even the
more atypical ones which are not characterised by strong acceleration followed by a strong
deceleration. False positives which cannot be avoided are expected to decrease over the life
span of the Project because of the feedback received from a large number of subjects
followed over a long period of time will allow better tuning of the fall detection algorithms.
Target users and their needs

The actual users of the services can be broken down into different categories:
    •    Older people. They are the main users and beneficiaries of the services because they
         will see the risk of falls and of their most severe consequences reduced through
         proper and comprehensive falls prevention and accurate detection. This is likely to
         both improve their quality of life because of increased mobility without the fear of falls,
         and limit the damages from unpreventable falls.
    •    Informal caregivers and relatives. Informal caregivers and relatives play a major role
         in looking after older people. The solution proposed will not diminish their role in
         supporting the older people, but will improve their quality of life by permanently
         monitoring the people they look after for falls, even when they are not physically next
         to them or are busy doing other things.
    •    Call Centre operators. They will be the first line of support for the older people if a fall
         has occurred, and they will organise the rescue operation. They will also be available
         for question and guidance about the use of the technology solution even if this
         requires minimum skills to be used. The solution implemented in FALLING IN LOVE
         will increase their problem solving capability with a likely increase in their professional
         satisfaction.
    •    Healthcare professionals (physiotherapists and orthopaedic specialists). They will be

5
    “About half of elderly people who fall cannot get up without help. Remaining on the floor for > 2 hours after a
    fall increases risk of dehydration, pressure ulcers, rhabdomyolysis, hypothermia, and pneumonia” – quote
    from “The Merck Manuals – On line Medical Library”



                                                 page 8 of 113                                 31/05/2011 v11
ICT PSP-2011-5                                FALLING IN LOVE                             Pilot B


         principally active in the prevention area by organising and supervising the exercising
         of the older people and evaluating their progress in maintaining a good level of fitness
         considering their age and clinical conditions. The solution implemented in FALLING
         IN LOVE will allow them to cater for an ever growing older population by limiting their
         need to visit older people at home when a physical presence can be advantageously
         replaced by a virtual one.
    •    Social and Health Authorities. They will receive statistical and management
         information to be able to assess, at any point in time, the performance and the usage
         of the healthcare system in the area of fall prevention and treatment of their
         consequences. At the end of the trials they will have at their disposal objective data
         on the impact of the solution on the quality and cost of fall-related care for older
         people. These data will allow them to take a well informed decision about the
         deployment of the FALLING IN MOVE solution to all the older people at risk of falls.
Usage

The older people will have at their disposal a number of wearable (e.g. ePatches6) and non-
wearable (e.g. Android cellular phone) devices. The wearable sensors, once positioned on
the body, will automatically send data to a gateway (the Android cellular phone itself) and
through the gateway to a Portal which collects and stores data, and generates alarms
according to pre-defined rules when the fall-related risk factors increase or a fall is detected.
The Portal is accessible to Call Centre operators and healthcare professionals according to
their access rights and their need to know.
Detection of a fall and placing of an alarm call will be communicated to the older people
through the Android cellular phone with a flashing icon, a beeping sound and a vibration.
During a period of time, the duration of which can be configured, the older person can reset
the alarm in case of false alarm in such a way that no emergency call is placed by the Call
Centre. Initially, it will only be possible to stop the call if the older people can reach the
telephone. However, solutions based on vocal commands will also be investigated during the
lifespan of the Project.
As an additional level of safety, the Android cellular phone will also have a panic button that
older people can push in case of a fall which has not been detected by the fall detection
algorithms.
Together with the emergency call, the Call Centre will also receive an SMS with the GPS
coordinates of the location from which the call has been placed. Within the coverage of the
GPS network, this will be actual coordinates. Outside this coverage, these will be the last
coordinates stored in the Android cellular phone, usually those of the entrance of the older
person’s dwelling.
The behavioural and gait analysis subsystems will monitor the behaviour and the quality of
gait of older people to detect increases in the risk of falls and generate an alarm message
when these exceed a threshold. This kind of alarm will trigger a contact with the person by
the GP and/or physiotherapist and/or nurse, and the activation of a predefined rehabilitation
plan.
Additionally, older people will receive an interactive videoconferencing system which allows
them to interact with physiotherapists and orthopaedic specialists for advice and for tele-
exercising and tele-rehabilitation. The system will also allow the broadcast of educational
videos or their storage in a library on the server for further watching by the older person.
Technology



6
    For a full description of the ePatch see APPENDIX II


                                                page 9 of 113                   31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                    Pilot B



The following technologies will be included in the proposal:
   •   Automatic lighting. This is provided through a simple domotic system based on the
       movement of the person within the flat or house. Movements are detected through IR
       detectors which are strategically positioned in the flat or house. Lights are switched
       on when a person moves inside a room or enters into a room, and current illumination
       is not sufficient, and off when the person leaves it. The logic of lights switching on and
       off can be adapted to individual requirements/wishes provided the safety aspect is not
       undermined. Under no circumstances will lights be switched off suddenly; they will
       first be dimmed instead, in such a way that if the person stayed motionless in a room
       for a long time, (e.g. listening to music or watching TV), he/she can keep the lights on
       with any movement of the body. Additional lights might be added where current
       lighting is not sufficient.
   •   Behaviour analysis and monitoring. This is provided through a software solution
       which analyses data coming from various sensors to create a standard behavioural
       pattern for each individual. Once the pattern is created, sudden deviations from it
       generate a warning that will be investigated by the Call Centre operators to
       understand the cause of them. The behaviour analysis and monitoring software runs
       on the same Linux Set-top box which is used for videoconferencing.
   •   Gait analysis. The 3-D accelerometer contained in the ePatch will record the gait
       speed (the gait characteristic most strongly correlated to the risk of falling) of the
       older person. At regular intervals, the average gait-speed will be transmitted from the
       ePatch via the Android phone to the FALLING IN LOVE Portal. The Portal will trend
       the average gait speed. If defined trend or threshold values for gait speed are
       crossed, the Portal will generate an alert for care givers, who are advised to perform
       a detailed gait analysis, fall risk assessment and to determine (additional) risk
       mitigating measures.
   •   Tele-exercising and tele-rehabilitation. This is realised by adding to a standard TV a
       Linux Set-top box accompanied by a simplified remote control specifically designed
       for use by technology illiterates, a webcam and an ambient microphone/loudspeaker
       module with echo elimination. In addition to the pure videoconferencing function, the
       set-top box allows to browse a library of educational video-clips and to receive
       streaming videos.
   •   Fall detection. This is provided through a software application running on an Android
       phone, using the sensors embedded in the ePatch. The ePatch will contain 3-D
       accelerometer, a gyroscope and a body temperature thermometer. The FALLING IN
       LOVE system will use a three-stage detection algorithm. Sudden acceleration, a
       prone or reclining body position after acceleration and a body temperature drop are
       characteristic of a fall. When certain acceleration threshold values are exceeded, the
       ePatch will record the raw data measured by all three sensors for a defined time
       before and after the event. This data will be transmitted to a software application
       residing on the Android phone. A fall detection algorithm will trigger an alert if the
       probability of a fall is indicated. The alert and the measurement data will be
       transferred to the FALLING IN LOVE Portal where messages will be generated to
       emergency assistance and care providers..
Content


The tele-exercising and tele-rehabilitation services need specific content to train the older
people in what they have to do to maintain and/or recover their physical condition. This
material is being developed by partners of the FALLING IN LOVE Consortium in the
framework of the INTERREG IV project “Fall prevention for older adults - Interventions and


                                        page 10 of 113                          31/05/2011 v11
ICT PSP-2011-5                                FALLING IN LOVE                                             Pilot B


strategies”. The content will be maintained and enhanced by the physiotherapists and
orthopaedic specialists of the participating trial sites as part of their normal work.
Sustainability
Falls among older people have already been identified as one of the major drains in the
healthcare budget; previous studies7 have demonstrated that they are mostly preventable.
However, it has still to be demonstrated that the cost of the technology to prevent and detect
falls provide a reasonable RoI. This is the main goal of FALLING IN LOVE. The Consortium
includes the public authorities responsible for the health and social care budget in all the
regions except in the case of the Netherlands. This is the best proof of their commitment to
deploy the service if it fulfils its promises. In the case of the Netherlands they have not been
co-opted into the Consortium because their role in fall prevention and detection is not as
prominent as in the other participating country.
Ownership
The owner of the service will be different depending on the country where the service is
provided. In Denmark and Italy, where a public health and social service system is in place,
the owners of the service will be the Local Health (Region Syddanmark and ULSS 9 in
Denmark and Italy respectively) and Social (Municipalities) Authorities. In Carinthia, the
owner of the service will be the Carinthian Government, Department 13 – Social services. In
the Netherlands the owner of the service will be ZuidZorg, a care provider to older people.
Other

The solution proposed in FALLING IN LOVE is unique, not only because of the integration of
a broad range of technologies covering both the prevention and the detection of falls, but
also because adding a thermometer to the array of sensors put in place to detect falls
enables checking:
    •    if older people are actually wearing the ePatch containing the fall detection sensors
         (this will be detected through the embedded thermometer or through an additional
         sensor whatever gives the best reliability and cost-effectiveness); and
    •    if the cellular phone is on and within the range of the ePatch (if this is not the case,
         body temperature measurements will not be received).
Moreover, provided the ePatch is positioned in a precise position on the body (the older
people will be instructed to do this, and checks about the proper positioning of the ePatch
can be carried out through the interactive television), data on acceleration and position in
space are extremely reliable. No other system designed so far combines all these features,
putting the FALLING IN LOVE solution well above the pack..


                    Information on the project phase and impact
Number of users                                                  120, evenly distributed among the four
With how many users will the service be piloted?                 trial sites

Location
Where will it be piloted? (List all locations and the number of estimated users per location - should
sum up to the figure above)


7
    See e.g. the brochure “Falls are preventable” published by the State Government of Victoria, Australia, browse
    the website (http://www.cdc.gov/HomeandRecreationalSafety/Falls/index-pr.html ) of the National Center for
    Injury Prevention and Control of Atlanta – U.S.A. or that (http://www.stopfalls.org/index.shtml ) of the Fall
    Prevention Center of Excellence in California



                                                page 11 of 113                                 31/05/2011 v11
ICT PSP-2011-5                           FALLING IN LOVE                                      Pilot B



   1. Region Syddanmark– 30 users: split among 10 municipalities (Middelfart, Bogense,
      Kerteminde, Assens, Odense, Nyborg, Faaborg-Midtfyn, Svendborg, Langeland, and
      Ærø).
   2. Veneto Region – 30 users: Treviso
   3. Carinthia – 30 users: The whole of the Region
   4. The Netherlands – 30 users: wider Eindhoven area (North-Brabant)



                        Information on what already exists
A technically tested prototype of the service exists ?                                 Yes/No
A business plan has been developed already for the service ?                           Yes/No
A service already exists?                                                              Yes/No
Further localisation work is needed?                                                   Yes/No
Further integration work is needed?                                                    Yes/No
Existing prototype/service
Describe the existing prototype / service and highlight any necessary adaptation work to transform it
into the targeted service (as described above). If necessary distinguish between different locations.

Prevention of falls
The following technologies are already available but are not yet integrated with one another
   • Automatic lighting. This is based on infrared motion detectors which are available off-
        the-shelf. The software is a simple application tested in lab environment which
        switches lights on when movements are detected in a room, and first dim them and
        then switch them off when no more movements are detected in the room. This
        software allows both proper lighting when needed, and energy economy because
        lights do not remain on in empty rooms.
   • Behaviour analysis and monitoring. This is an application which is already used in the
        framework of the EU project HOME SWEET HOME. It establishes a standard
        behaviour by analysing data coming from the different sensors (motion sensors,
        accelerometers, etc.) over a period of time (normally a month). Subsequently it
        monitors the actual behaviour and raises a warning when the latter shows major
        deviations from the standard one.
   • Gait analysis is a recognised method of classifying elderly as at risk of falls. Most
        frequently, gait analysis has been performed in a controlled (often clinical)
        environment with the support of a variety of sophisticated technology (multiple
        accelerometers, gyroscopes, pressure pads etc.). Most recently the use of a single
        3D-accelerometer has been assessed as a reliable indicator of the risk of fall. The
        gait characteristic of “gait speed” or “walking speed” has been highly correlated to an
        older person’s risk of falling, and it has been possible to set specific thresholds to
        serve as a cut-off in risk assessment. Using the 3-D accelerometer (tried and proven
        technology) embedded in the ePatch, it is possible to record the older person’s gait
        speed in the context of the Project, and to apply a recommended gait speed
        threshold. One of the objectives of FALLING IN LOVE will be to adjust the gait speed
        threshold from a controlled, short walking test, so that it becomes relevant as an
        average gait speed threshold or trend threshold in a continuously monitored
        environment.
   • Tele-exercising, tele-rehabilitation. These services use a standard videoconferencing
        workstation with a simplified interface to make them easily usable by people with no


                                          page 12 of 113                            31/05/2011 v11
ICT PSP-2011-5                             FALLING IN LOVE                                            Pilot B


         familiarity with technology. They have been used by Consortium members in previous
         EU projects (ICT PSP HOME SWEET HOME and eTEN Better Breathing project) and
         are today available off-the-shelf. Their use in tele-exercising and tele-rehabilitation
         has been successfully tested for people with spinal cord injuries (FP5 THRIVE
         project), COPD (eTEN Better Breathing project and FP6 SOPRANO) and is currently
         being deployed by the Municipality and by the University Hospital of Odense for the
         rehabilitation of COPD patients at home. In the Netherland a service of this kind is
         also offered to older people by the Silverfit company.8
Detection of falls
Falls will be detected using a combination of data from accelerometer, gyroscope and
thermometer. The accelerometer, the gyroscope and the thermometer are all integrated into
the ePatch9, and send data to an Android cellular phone for evaluation. The individual
components of the solution (ePatch, Android hardware and software, fall detection
algorithms) are all available but are not integrated with one another. The fall detection
algorithms most frequently used today rely on one or at best two of these sources of data to
assess the likelihood of a fall. By combining the three data points of the acceleration caused
by the fall itself, the prone position which is the most frequent outcome of a fall, and the drop
in body temperature which clinical evidence shows occurs after a fall, the project can use
currently available technology to produce a more reliable fall detection result.

If running service exists:
        Location(s)
        Where is it running?
        N/A
        Number of users
        How many users does the service currently have?
        N/A
        Ownership
        Who is the owner / provider / maintainer of the running service?
        N/A
        Sustaining the service
        How is it currently sustained?
        N/A




8
    See http://www.silverfit.nl/index.php
9
    ePatch     is   trademark        of   Delta. For  more   information  about    this     product      see
    http://www.madebydelta.com/delta/Business_units/ME/Body_sensors/Body_sensors.page


                                            page 13 of 113                                31/05/2011 v11
ICT PSP-2011-5                        FALLING IN LOVE                                    Pilot B




B.1 Relevance
B.1.1 Project objectives

B.1.1.1 Proposed service which the project aims to deliver
The services delivered by FALLING IN LOVE are logically split in two categories: services to
prevent falls, and services to detect them:

B.1.1.1.1 Fall prevention services
These are aimed at reducing the risk for an older person to fall, and are a combination of
technology and non-technology based services/interventions.

B.1.1.1.1.1 Technology based services

   •   Automatic lighting. This is provided through a simple domotic system based on the
       movement of the person within the flat or house. Movements are detected through
       wall mounted IR detectors which are strategically positioned in the flat or house. The
       IR detectors are battery operated, so that infrastructural modifications, such as
       cabling, are not required. Battery life is in excess of 12 months and power supply and
       maintenance intervals are monitored via the FALLING IN LOVE Portal. The motion
       detectors communicate directly by RF with electric switches which in turn are simply
       plugged into an electric socket powering light sources. Lights are switched on when a
       person moves inside a room or enters into a room and current illumination is not
       sufficient, and off when the person leaves it. The logic of lights switching on and off
       can be adapted to individual requirements/wishes provided the safety aspect is not
       undermined. Additional lights might be added where current lighting is not sufficient. It
       is also possible to configure illumination patterns, in which a series of lights are
       turned on and off and/or where a RF activated dimmer can be used to change the
       strength of light in designated areas.
   •   Behaviour analysis and monitoring. This is accomplished by the behavioural
       Analysis and Monitoring module which runs in the FALLING IN LOVE Portal. This
       module analyses the data generated by the various sensors installed in different
       rooms in the older person’s home and constructs, over a certain period of time, a
       normal behaviour pattern for each older person (this is of course only possible for
       older persons living alone, but these happen to be the more vulnerable ones).
       Sudden and substantial changes compared to the normal pattern are detected and
       reported to the Call Centre. The Call Centre is then able to establish voice
       communication with the home to check the real occurrence of an accident before the
       emergency procedure is launched.
       The Behavioural Analysis and Monitoring module makes use of “Nonlinear Time
       Series Prediction” to process the graphs generated by motion detectors, and of neural
       networks to detect different patterns in the collected data.
       The Behavioural Analysis and Monitoring module can also combine the movement
       pattern with other data collected by the fall prevention system.
   •   The gait analysis service is provided to indicate an increased risk of fall, and enable
       a detailed assessment of the older person’s condition and the implementation of
       (additional) preventative measures. The accelerometer in the ePatch measures the
       gait speed (also known as walking speed) of the wearer. Gate speed has been highly
       correlated to the risk of fall. Studies in controlled environments have reliably attached



                                       page 14 of 113                          31/05/2011 v11
ICT PSP-2011-5                                FALLING IN LOVE                                           Pilot B


          threshold values to gait speed used as a cut-off in identifying individuals at high risk
          of falling. The ePatch will transmit the gait speed via the Android phone to the
          FALLING IN LOVE Portal at regular intervals. If a certain declining trend rate is
          surpassed, or a minimum average gait speed threshold is undercut, the Portal will
          generate an alert to designated care providers. These can then initiate a detailed
          assessment of the older person’s state and decide additional measures to keep them
          safe..
     •    Tele-exercising and tele-rehabilitation. This service makes use of
          videoconferencing workstations that enable nurses, physiotherapists and treating
          physicians to interact with older people who have already received training (see
          section B.1.1.1.1.2 below) on the kind of exercises that they have to perform to keep
          or to recover the necessary muscular tone to prevent preventable falls. The same
          workstation will also allow people to watch the training sessions that they have
          followed which will have been previously recorded and made available in a library of
          video clips. The professionals can also use the system for sending to select people
          specific educational material or video clips showing new exercises depending on the
          evolution of each individual’s conditions.

B.1.1.1.1.2 Non-technology based services and interventions

Even if FALLING IN LOVE is about the use of ICT for preventing and detecting falls, it is well
know that on the prevention side a lot can be done even without any technology, but just by
educating older people and advising them on what should be done in their homes to reduce
the risk of falls.
From a social point of view, the prevention of falls and hip fracture among older people must
be supported by a systematic campaign of information and education for older persons to be
conducted in their environment. This approach gives older people the possibility to become
competent and active in identifying and eliminating dangerous features in their homes and
avoiding risky behaviours. On an individual or group basis, they devise healthy lifestyles
centred on physical activity. The combination of elimination of risk factors and physical
activity is the most effective and efficient measure to prevent falls among older people.
For example, environmental factors encapsulate the interplay of individuals' physical
conditions and the surrounding environment, including home hazards and hazardous
features in the public environment. These factors are not by themselves the cause of falls –
rather, the interaction between other factors and their exposure to environmental ones.
Home hazards include narrow steps, slippery surfaces of stairs, loose rugs and insufficient
lighting10. Poor building design, slippery floor, cracked or uneven sidewalks, and poor lighting
in public places are many potential causes of injurious falls.
A home safety assessment can identify factors that may put an individual at risk for falling.
Many older adults can benefit from home safety assessments.
It is clear that, while deploying ICT technology for preventing falls, the Consortium cannot
neglect all these side activities, the cost of which will not be charged to the Project, but which
play an enormous role in improving the safety of older people.
In order to guarantee that the comparison of the outcome between the Intervention and the
Control Group is not influenced by other factors, the non-technology based services and
interventions will be provided to people irrespective of whether they are assigned to the
Intervention or the Control Group.



10
     Division of Aging and Seniors, PHAC. Canada (2005). Report on senior's fall in Canada. Ontario, Division of
     Aging and Seniors. Public Health Agency of Canada



                                               page 15 of 113                                31/05/2011 v11
ICT PSP-2011-5                          FALLING IN LOVE                                      Pilot B


Non-technology based services and interventions will be based on the work done by ULSS 9
and Carinthia in the framework of the INTERREG project “Fall Prevention for Older Adults:
Interventions and Strategies”.

B.1.1.1.2 Fall detection services
These are aimed at automatically detecting a fall which could not be prevented as soon as it
has happened.
Fall detection. This system is provided through an Android application which analyses the
data transmitted by the ePatch fixed on the body of the older person. These data are
acceleration provided by a three-axis accelerometer, inclination compared to the vertical axis
provided by a gyroscope, and body temperature provided by a thermometer. A fall will be
detected by combining data on acceleration and initial and end inclination compared to the
vertical. Most falls are characterised by strong acceleration followed by deceleration, and the
position of the body after the deceleration (horizontal). However, falls which are slowed down
by the older person, e.g. clinging to a table or a chair, would not show strong accelerations or
decelerations. Even in this case, the final position is likely to be unusual. This, in itself, could
enable detecting a “soft fall”. If a fall does not even end up in an abnormal position, the next
possibility is detecting it through a progressive decrease of the body temperature, which is an
indication of prolonged immobility. If conscious and in reach of the Android phone, the older
person can also push the “touch” panic button of the phone to send a manual alarm.
Finally, the ePatch is able to detect if it is or is not in contact with the skin of a person. This
enables the Call Centre operator to check if the ePatch is actually worn. A message
signalling no contact with the skin at a time of the day when a person is supposed to be
awake and active will trigger an alarm in the Portal (see section B.1.1.1.3 below). When
he/she receives the alarm, the Call Centre operator can call the person and check why
readings are not received.
In parallel with the automatic detection, to avoid false alarms, the older person is able to stop
the sending of the alarm by cancelling it before the number of the Call Centre is dialled.
The phone is equipped with a GPS receiver and will send the current GPS to the Call Centre
in such a way that the person can be immediately located on a map even if he/she is unable
to tell where he/she is.

B.1.1.1.3 The FALLING IN LOVE Portal
The FALLING IN LOVE Portal is a user and device management, data collection and
analysis tool developed by HIS and already used in several EU and commercial projects.
It has the following features:
   • Storage, evaluation and representation of the measurement data.
   • Person/patient management.
   • Automated notification via e-mail or SMS about changes in the medical situation e.g.
     changes in body temperature.
   • Automatic sending of reports.
   • Individual setting of communication channels and preventative alerts.
   • Defining user and access rights and role models for authorised persons.
   • Behavioural analysis.
   • Graphic representation of the measurement data.
   • Configuration of the mobile option.



                                         page 16 of 113                            31/05/2011 v11
ICT PSP-2011-5                                      FALLING IN LOVE                                        Pilot B


     • Customisation of various features for project-related requirements.
The FALLING IN LOVE solution architecture is graphically represented below.

     FALLING IN LOVE SOLUTION ARCHITECTURE

           Threshold                                                                     Care Providers
           monitoring          Configuration
                                                       Android
                               commands                MOBILE
                                                                      WIFI/GPRS/UMTS
                                 Zigbee
                             Bluetooth Low Power
        -Accelerometer          Bluetooth
                                                                                             Messages
          -Gyroscope                                                                         Reports
                              Measurements
        -Thermometer                                 Fall-Detection
                                                    Gait Monitoring                         Portal
        Automatic           Behavioural                                Internet
         Lighting     RF    Monitoring         RF



                                                       Set-Top-Box            Video           Alerts
                                                                              stream       Configuration

                                                                       DSL

                             Tele-excersize
                           Tele-rehabilitation
                                                                                            Call Center




B.1.1.2 Objectives of the proposed services
.

The objectives of the proposed services is to prevent falls among older citizens, and to detect
them as quickly and as automatically as possible when they could not be avoided.
The project will be conducted as a multicentre Randomised Controlled Trial (RCT). The trial
will last 22 months11 and the candidates for the trial will be older citizens (over 65) who are
frail according to the Edmonton Frailty Scale and/or have experienced at least one fall in the
six months before the start of recruitment12. The following indicators will be used to assess
the impact of the solution:
     • Total number of falls in the Intervention and in the Control Group.
     • Number and duration of hospital stays as a consequence of a fall in the Intervention
       and in the Control Group.
     • Average time between a fall and the rescue in the Intervention and in the Control
       Group.

11
     "Approximately 28-35% of people aged of 65 and over fall each year (2-4) increasing to 32-42% for those over
     70 years of age". Source "WHO Report on Falls prevention"
12
     Falls which have not caused damages requiring consultation with physicians, access to ER or hospitalisation
     are rarely recorded in the EHR of the individuals. The first fall will have to be self-reported by individuals
     during an interview. The alternative of adopting the Edmonton Frailty Scale could give a more scientific and
     reliable inclusion criterion.


                                                    page 17 of 113                              31/05/2011 v11
ICT PSP-2011-5                                FALLING IN LOVE                                           Pilot B


     • Number of undetected falls in the Intervention Group (as reported by the older people
       participating in the trials).
     • Number of false alarms in the Intervention Group.
     • Changes in the Edmonton Frailty Scale in the Intervention and in the Control Group.

B.1.1.3 Envisaged usage of the service
The services that FALLING IN LOVE is going to implement are a tightly integrated continuum
of solutions covering the whole spectrum of issues related to the prevention and early
detection of falls.
In terms of usage of the services, the latter have to be split between those which require the
active participation of the older person and those which provide automatic monitoring.
To the first category belong the tele-exercising and tele-rehabilitation services. In the case of
these services, the older person has to take the conscious decision to stay in front of the
camera and perform the exercises prescribed by the physiotherapist. The tele-exercising and
tele-rehabilitation services enable the interaction between the older person and the
physiotherapist because the latter can see how the former performs the exercises, and can
correct possible errors. The physiotherapist can also send video clips explaining new
exercises to adjust the rehabilitation programme to the actual capabilities of the older person.
To the second category belong all the other services which only require the discipline for the
older person to:
     •    apply the ePatch on his/her body and regularly change the disposable part of it;
     •    have the Android cellular phone charged and within the radius13 of transmission of the
          ePatch all the time when awake and to carry it when he/she goes out.
A category apart is that of the non-technology based services which normally consist of
interventions in the environment (flat or house) of the older person to eliminate the obstacles
or the features which could cause a fall. To this category also belongs the automatic lighting
system which might require the installation of extra lights in a flat or house to provide proper
lighting where and when it is needed.

B.1.1.4 Innovative aspects
Innovation in FALLING IN LOVE resides in at least three different areas: innovation of the
individual components, innovation in the integration of these, and totally innovative strategy
for the detection of falls.
All the components of FALLING IN LOVE, with possibly the only exception of the automatic
lighting system, are at the very edge of current technology.
The ePatch is a highly innovative product which has been used until today only in the field of
epilepsy convulsion detection.
Behaviour analysis has been used only in the context of a previous ICT PSP project (HOME
SWEET HOME).
Gait analysis has traditionally been carried out in a controlled (usually clinical) environment
using a variety of technologies and methods. A study published in December 2010 about
“The Reliability and Clinical Correlates of 3D-Accelerometry Based Gait Analysis According


13
     The maximum distance between the e-Patch and the Android cellular phone depends on the communication
     protocol use for the two to communicate. Off-the-shelf Android phones today only provide Bluetooth (10 mt.
     maximum distance) but Zigbee and Bluetooth Low Energy are expected to become available in time for the
     start of the Project. These will increase the maximum distance to 50 m.


                                               page 18 of 113                               31/05/2011 v11
ICT PSP-2011-5                               FALLING IN LOVE                                         Pilot B


to Age and Fall Risk” opens the door to broader, real-time use of gait analysis as a means of
fall prevention. Bautmans, Jansen, Van Keymolen and Mets show that gait speed, measured
by a single 3D-accelerometer positioned on the elderly persons body, is highly correlated to
that person’s risk of falling. In controlled tests, they have even been able to define a gait
speed threshold of 1,158 m/sec over an 18m distance as a relevant threshold for
distinguishing older persons at risk of falling. One innovative aspect of FALLING IN LOVE is
to build on this existing research, and adapt the gait speed threshold to a continuous
monitoring environment.
The fall detection algorithms are based on the work carried out by researchers at the
University of Virginia and at the College of William and Mary, Virginia14.
Apart from the highly innovative character of the single components, the FALLING IN LOVE
technological platform provides a service integration level unmatched by any solution
currently on the market. A first level of integration concerns the fall detection service where
data from the accelerometer, the gyroscope and the thermometer embedded in the ePatch
are sent to and elaborated by the Android cellular phone. The second level of integration
concerns all the components of the solution which exchange data through the FALLING IN
LOVE Portal. This allows remote configuration and monitoring of the individual components
of the solution. At the device management level, the Portal will show which user has which
Android phone, and which ePatch is connected to the Android. It will receive status
information about each device. The Portal will support remote configuration of each device,
any required software updates, and enable exchange of devices if necessary. At the
measurement level, the Portal will receive and store all measurements transmitted from the
sensors via the Android phone. This data will be available in a variety of forms (tables,
graphs, reports etc.) per senior, and can also be extracted from the Portal for documentation
and analysis by third party systems, if required. At the alert level, the Portal can use all
measurements and status information, individually or in combination, to generate alerts and
to trigger messages and care activities.
Integration of the various components in a single easy-to-use platform, completely
configurable and controllable from the Portal, is probably the greatest element of innovation
of FALLING IN LOVE, and makes the solution ready for large-scale deployment.
Finally, no other fall detection solution on the market has ever added the body temperature,
which is known to decrease in case of prolonged immobility, to the factors that can help to
detect a fall. Moreover, the ePatch will be able to tell the Portal if it is worn or not by an
individual (at this stage, more than one strategy is considered to provide this information,
including adding an extra sensor to the ePatch. An obvious solution, although not 100%
reliable, is using the values sent by the thermometer which should remain within a rather
narrow range if the ePatch is in contact with the skin). This information enables the Call
Centre operator to know at any point in time if the ePatch is positioned on the body or not.
This, in turn, gives Call Centre operators the possibility to call the older persons to remind
them that they should wear the ePatch.

B.1.1.5 Benefits compared to existing solutions
The type of benefit depends on the specific category of users that one considers. In the
sections below, the added value of FALLING IN LOVE is spelled out for each of these
categories




14
     See Accurate, Fast Fall Detection Using Gyroscopes and Accelerometer-Derived Posture Information by
     Qiang Li, John A. Stankovic, Mark A. Hanson, Adam T. Barth, John Lach, Gang Zhou - Conference: Wearable
     and Implantable Body Sensor Networks - BSN , pp. 138-143, 2009 - DOI: 10.1109/BSN.2009.46



                                              page 19 of 113                              31/05/2011 v11
ICT PSP-2011-5                          FALLING IN LOVE                                     Pilot B


B.1.1.5.1 Older people
They are the main beneficiaries of the FALLING IN LOVE set of services which, by no
accident, have been designed specifically for them.
They will benefit from the FALLING IN LOVE services because they will be allowed, if they
so wish, to remain in their houses for a longer period of time in spite of the progressive
worsening of their physical and mental conditions, and a subsequent higher exposure to the
risk of falls, while enjoying an equivalent or even better level of safety than if they were living
in an elderly home.
Additionally, their quality of life is expected to improve vastly because, through tele-
rehabilitation and tele-exercising, they will achieve better mobility which, in turn, will make
them feeling more secure to go outside and reduce the social exclusion due to the fact of
being confined to the four walls of their dwelling.

B.1.1.5.2 Informal caregivers and relatives
They benefit from the system because they can be reassured that they will be informed, if the
worst should happen, about falls of their dear ones through the automatic messaging
facilities provided by the FALLING IN LOVE Portal. This should decrease their level of stress
and allow them to enjoy their time when they are away, because their older relatives are
properly monitored.

B.1.1.5.3 Call Centre operator
They will be activated more timely than is the case today in some cases of real emergency,
and will have improved tools to manage appropriateness and priorities of interventions
thanks to the possibility of interacting remotely with the victims of falls.

B.1.1.5.4 Healthcare professionals
Orthopaedic specialists will be able to follow patients at risk of falls in collaboration with the
healthcare professionals in the field (GPs, physiotherapists and community nurses) without
the need for a physical referral or periodic checks at the hospital. Physiotherapists will be
able to follow their patients also remotely thanks to the analysis tools made available by
FALLING IN LOVE, and will have the possibility to remotely adapt exercises to the evolution
of their patients.

B.1.1.5.5 Social and Health Authorities
Falls among the older population are a substantial contributor to the healthcare expenditure
in all the EU countries; this expenditure is negatively affected by delays in rescue operations.
A system which helps to reduce preventable falls, and detects in real time those which could
not be prevented, will help Health and Social Authorities to contain costs of older people care
in spite of the ageing of the European population.

B.1.2 EU and national dimension
The technologies and the services envisaged in FALLING IN LOVE provide solutions to one
of the major threats to the health, well-being and independence of older people: falls. Falls
are a real societal challenge if we look at their effects from a social and economic point of
view: worse quality of life, increased dependence and, very often, long periods of
hospitalisation.
This context has encouraged the Consortium to pursue objectives of such general interest as
healthy and active ageing. The trans-European dimension of the problem is so evident that it



                                         page 20 of 113                           31/05/2011 v11
ICT PSP-2011-5                                 FALLING IN LOVE                                            Pilot B


is rather difficult to imagine any other societal problems showing a similar continental scale,
nor with a comparable impact on the European economy.

B.1.2.1 Alignment with European policies
The idea that is the basis of FALLING IN LOVE is perfectly in line with the main European
policies aimed at ensuring a wider deployment and more effective use of ICT technologies
for a better quality of life through, for example, better social inclusion and healthcare.

B.1.2.1.1 Europe 2020: EU's growth strategy for the coming decade
Starting from a more general overview of the “Europe 2020 EU's growth strategy for the
coming decade”15, FALLING IN LOVE perfectly addresses the main priorities identified by
two of the seven flagship initiatives of the Europe 2020 strategy itself. In detail, the project
objectives integrate into both the Digital Agenda for Europe and the Innovation Union16.
Digital Agenda for Europe
The project is in line with the general objective of the Digital Agenda for Europe17 aimed at
maximising the social and economic potential of ICT, spurring innovation, economic growth
and improvements in daily life for both citizens and businesses. Going into detail, FALLING
IN LOVE also complies with the priority of the Digital Agenda related to the promotion of a
sustainable healthcare and ICT-based support for dignified and independent living18
specifically through Ambient Assisted Living (AAL) technologies.
Providing Ambient Assisted Living (AAL) technologies, as for example automatic lighting, the
project will contribute to a more independent and dignified life for people who are frail or
suffer from chronic conditions and for persons with disabilities.
FALLING IN LOVE intends to deploy ICT solutions in the key area of fall prevention, so
providing solutions to a problem which affects more than one third of people over 65. In this
way, the project also contributes to the achievement of the main objective of the AAL Joint
Programme, i.e. the enhancement of the quality of life of older people and the strengthening
of the industrial base in Europe through the use of Information and Communication
Technologies (ICT)19.
Innovation Union
The Innovation Union contains over thirty action points including ground-breaking proposals
like the European Innovation Partnerships. The pilot Partnership on active and healthy
ageing is particularly important, because the European Commission has identified active and
healthy ageing as a societal challenge common to all European countries. This FALLING IN
LOVE project shares with the Pilot European Innovation Partnership on active and healthy
ageing the pursuit of a triple win for Europe:
     •    enabling EU citizens to lead healthy, active and independent lives while ageing;
     •    improving the sustainability and efficiency of social and healthcare systems;
     •    boosting and improving the competitiveness of the markets for innovative products
          and services, responding to the ageing challenge at both EU and global level, thus
          creating new opportunities for businesses20.

15
     http://ec.europa.eu/europe2020/index_en.htm
16
     The Digital Agenda for Europe and the Innovation Union are the first two flagship initiatives of the priority
     “Smart growth” identified by the EC within the Europe 2020 strategy. See also
     http://ec.europa.eu/europe2020/index_en.htm
17
     COM(2010) 245 final/2, A Digital Agenda for Europe
18
     COM(2010) 245 final/2, A Digital Agenda for Europe, p.30
19
     http://www.aal-europe.eu/
20
     See also http://ec.europa.eu/information_society/activities/einclusion/deployment/ahaip/index_en.htm


                                                page 21 of 113                                 31/05/2011 v11
ICT PSP-2011-5                                FALLING IN LOVE                                           Pilot B


B.1.2.1.2 2012 European Year for Active Ageing
Targeting its activities on preventing falls, FALLING IN LOVE makes older people the main
beneficiary of the project. The attention the Consortium gives to this specific target is also
confirmed, at European level, by the designation of 2012 as the "European Year for Active
Ageing". The idea of active ageing includes the creation of more opportunities for older
people to continue working, to continue to contribute to society but also to stay healthy
longer.
One of the main challenges of this initiative is one of the results FALLING IN LOVE intends
to achieve: the improvement of health because it is vital for individual and societal well-being.
While directly contributing to individual quality of life, a healthy population is also critical for
economic growth and prosperity in Europe by enabling people to remain active in society for
longer, as well as by limiting strain on health and social care systems. However, projections
also show that if future gains in life expectancy were generally acquired in good health and
without disability, the rise in healthcare spending due to population ageing would be halved.

B.1.2.1.3 COM (2007) 332 Ageing well in the Information Society
FALLING IN LOVE is also in line with previous policy setting documents such as
Communication21 332, adopted by the European Commission in 2007. This presents an
action plan to accelerate the introduction of new technology-based solutions for ageing well
at home, in the community and at work, to enable a better quality of life for older people,
make significant cost-savings in health and social care possible, and create a strong
industrial basis for ICT and ageing in Europe. Also in this case, FALLING IN LOVE perfectly
answers the needs pointed out by the EC by providing AAL services as well as monitoring
technologies to improve quality of life and contain expenditure for older care.

B.1.2.2 Alignment with national legislation and initiatives in the
        participating countries

B.1.2.2.1 Denmark
The area of health constitutes the most cost-intensive assignment for the Region of Southern
Denmark, with total expenses of approximately DKK 18 billion22.
The region has taken over most health assignments from the county authorities, while the
local authorities now hold responsibility for rehabilitation and general prevention. The
responsibility for prevention in relation to the patients is to be shared between the region and
the local authorities. Together with their responsibility for rehabilitation and subsequent care
at home, and their share in the joint financing system, the local authorities are key partners in
the area of health. The individual local authorities also have responsibility for providing social
services to their citizens.
In the Region of Southern Denmark, hospitals, municipalities, and general practices are
developing, implementing, and disseminating telemedicine and eHealth initiatives. Projects
involving telemedicine technologies for the support of treatment of patients suffering from a
chronic disease in their own home is part of the common eHealth strategy of the region. The
Region already participates in such important projects such as PERSONA, DREAMING,
RENEWING HEALTH and UniversAAL where technologies in the area of chronic disease
management are being tested for the purpose of wider dissemination.

21
     COM (2007) 332 Ageing well in the Information Society. An i2010 Initiative. Action Plan on Information and
     Communication Technologies and Ageing
22
     The following text is an abstract from a report in the INTERREG IVB project “ICT for Health”. The report is
     deliverable O3.3.1 “The role of ICT in prevention and treatment of chronic diseases” (2011)
     http://www.ictforhealth.net/ .


                                               page 22 of 113                                31/05/2011 v11
ICT PSP-2011-5                              FALLING IN LOVE                                        Pilot B


In 2003 in the Region of Southern Denmark there were 13.000 hospitalisations due to older
persons falling in their own homes, and the expenses are high23. Therefore, municipalities
have established initiatives in order to prevent falls, such as rehabilitation where needed, and
visits by home assistants to check the security of the home. However, the fall rate is still high.
In 2010, 796 patients were admitted to the hospital because of lipothymia (fainting) and 416
patients were admitted because they had fallen.

B.1.2.2.2 Italy
Ageing is the main feature of the recent demographical dynamics of the Italian population.
The percentage of older people here has increased over the years and is predicted to rise
even further. There are currently more than 975.726 (42% males and 58% females), over-65-
year-olds in Veneto, representing 20% of the population. The ageing index is equal to 140
older people for 100 young people, a value slightly lower than that observed in the whole
country.
eHealth potential is perceived as high within Veneto Region’s health service organisation.
However, a full understanding is still to be gained about benefits and limitations of eHealth in
general – and of telemedicine in particular – for the various stakeholders in the care delivery
process.
                            9
In Local Health Authority n° of Treviso, the improving of the quality of life and health of older
                                                                   9
people is focused on fall prevention. Local Health Authority n° of Treviso is involved in
INTERREG project, and it has already approved a new draft Fall Prevention Project in order
to create a group of associations dedicated to control and eliminate the home hazards.

B.1.2.2.3 Carinthia
The Carinthian social policy has a focus on mobile services, provided for older persons if
needed. The main aim of these efforts is to enable older people to have a mostly self-
determined life at home. Due to the future demographic development, this strategy helps to
prevent major costs for older care. Fall prevention is one topic that fits with this strategy.
Keeping mobility is a basis for independent living as an older person.

B.1.2.2.4 The Netherlands
In the Netherlands, a vision document is written by “De Raad voor de Volksgezondheid en
Zorg”. This is an independent advisory board for the Dutch Government and Parliament. The
goal of the Advisory Board is to achieve a higher quality and accessibility of healthcare. The
advice is written from the perspectives of Dutch citizens. The following statements are taken
from the advice titled “Zorg voor je gezondheid! Gedrag en gezondheid: de nieuwe
ordening”.
The title of the document indicates the fact that the healthcare sector will have to undergo a
radical change: from sickness and care (ziekte en zorg, zz) to health and behaviour
(gezondheids en gedrag, gg). This means doing things faster and better, thinking ahead of
the disease. The following picture displays this change.




23
     http://www.glostruphospital.dk/menu/Forskning+og+samarbejde/Videnskabelig/Yngreforskere/Hvor+meget+
     koster+det+at+spare+et+fald+i+hjemmet.htm


                                             page 23 of 113                             31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                    Pilot B




The most important change is replacing the focus to health and behaviour. This affects the
healthcare professional but also the care client. The two must work together as co-producers
of health. The citizens are not passive consumers of care anymore, but are active citizens in
search of health and for opportunities to participate in society. In all phases of the healthcare
process we must act sooner, quicker and more focussed.
In relation to fall prevention, initiatives take place on a national, regional and local level.
Prevention is divided into three categories: Primary prevention (prevention of falls in general,
prevent the first fall), secondary prevention (prevention of new fall incidents after an initial
fall) and tertiary prevention (prevention of injuries related to a fall). National organisations
focus on putting fall prevention on the agenda of research and development, and organising
prevention for older persons. Regional and local organisations are responsible for executing
the plans and available programmes. Part of the research focuses on the effectiveness of fall
prevention. From that study, the researchers concluded that exercises focussing on gaining
muscle strength and improving balance had a positive influence on the number of falls. In the
same study, it became apparent that there is a lack of evidence on cost-effectiveness of
interventions.
On a yearly basis, approximately 69.000 persons over 65 are treated at emergency centres
because of a fall. Due to falls, the self-help of older persons reduces not only temporarily but
also permanently. Because of reduced self-help, people can get isolated from society. The
direct medical costs related to falls are approximately 605 million euro.

B.1.2.3 Alignment with ICT-PSP goals
Paragraph B.1.2.1 has already identified the numerous commonalities between the
objectives of FALLING in LOVE and the objectives and priorities of the Digital Agenda for
Europe. As the ICT PSP supports the realisation of European policies and in particular of the
Digital Agenda for Europe, it also shares the priorities of the latter. It is therefore easy to
highlight the many connections of the Project with the ICT PSP Work Programme 2011 too.



                                        page 24 of 113                          31/05/2011 v11
ICT PSP-2011-5                          FALLING IN LOVE                                      Pilot B


However, this paragraph intends to highlight an even stronger coherence between the ICT
PSP Work Programme 2011 and the project’s goals and activities.
Starting from the general objective of the Work Programme, FALLING IN LOVE confirms the
emphasis put by the European Commission on areas of public interest such as health and
ageing. Going into detail, it is very easy to notice the perfect correspondence between the
project main goal and Objective 3.1 of the Work Programme: ICT solutions for Fall
prevention and detection and ICT and Ageing Network.
The services and technologies that FALLING IN LOVE intends to deploy will contribute to
improve quality of life and care for the ageing population by providing independent living
solutions with focus on fall prevention / detection and safety of older people. In doing so, the
most important effect will be a substantial increase in quality of life for older people and, at
the same time, a great reduction in the costs of care. The pilots envisaged by the Project will
also give the Consortium a concrete opportunity to trial the services in realistic scenarios,
during the everyday life of older people.
The FALLING IN LOVE pilots are indeed perfectly in line with all the requirements of the PSP
ICT Work Programme.
For example, FALLING IN LOVE Pilots will:
   •   provide ICT based solutions covering the prevention of falls (e.g. through support
       such as intelligent lighting and environments, balance training etc.); fall detection and
       wider safety and independent living support;
   •   test the solutions in real life (specifically at the home of older people);
   •   associate public authorities (at national, regional or local level) from each country
       participating that have responsibilities and budget control in the relevant area of care
       or supply of services.
   •   be connected and coordinated among them to ensure maximum visibility and impact.
The Consortium also believes that the FALLING IN LOVE services will positively impact the
life of older people and the activities of all the project’s stakeholders in terms of:
   •   prolongation of the time that older people can live independently at home;
   •   improvements in quality of life of older people and their families;
   •   reduction of costs for public social care systems and services;
   •   facilitation of wide take-up of ICT-based fall prevention solutions across Europe.

B.1.3 Maturity of the technical solution
Prevention of falls
The following technologies are already available, but are not yet integrated with one another:
   •   Automatic lighting. This is based on infrared motion detectors which are available
       off-the-shelf. The software is a simple application tested in lab environment which
       switches lights on when movements are detected in a room and switch them off when
       no movements are detected during a configurable period of time, because this is
       interpreted as evidence that the person has left the room. This software allows both
       proper lighting when needed and energy economy because lights do not remain on in
       empty rooms.
   •   Behaviour analysis and monitoring. This is an application which is already used in
       the framework of the EU project HOME SWEET HOME. It establishes a standard
       behaviour by analysing data coming from the different sensors (motion sensors,
       accelerometers, etc.) over a period of time (normally a month). Subsequently it


                                         page 25 of 113                              31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                    Pilot B


       monitors the actual behaviour, and raises a warning when the latter shows major
       deviations from the standard one.
   •   Gait analysis is an accepted method for identifying people with a greater risk of
       falling. The 2010 study by Bartmans, JKansen, Keymolen and Mets showing that gait
       speed measured by a 3D-accelerometer can be highly correlated to the risk of falling,
       opens the door to continuous, real time analysis of gait as an indicator of fall risk. 3D-
       Accelerometers suited for measuring gait speed are tried and proven technology and
       they can be easily integrated to provide data to the existing FALLING IN LOVE Portal
       via common Android phone technology. Software tools to analyse the thresholds and
       trends of gait speed are also readily available. The innovation in the project will not be
       technological, but the adaptation of technology and algorithms from a controlled
       environment to a continuous monitoring setting.
   •   Tele-exercising, tele-rehabilitation. This service is based on very well established
       and thoroughly tested technologies, videoconferencing workstations designed for IT
       laypeople, which are totally mature although subject to the general evolution of the IT
       industry.
Detection of falls
The use of one stage and two stage fall detection algorithms has been common for a number
of years, as documented in “Wearable Sensors for Reliable Fall Detection” by Chen of the
University of California, Berkley in 2005. Using 3D-accelerometers in fall detection is a tried
technology, as is using gyroscopes for position detection. Digital thermometers are a mature
and common technology. The innovation of FALLING IN LOVE is to be found in the
combination of data from accelerometer, gyroscope and body temperature. The
accelerometer, the gyroscope and the thermometer are integrated into the ePatch, and send
data collected to an Android cellular phone for elaboration. The individual components of the
solution (ePatch, Android hardware and software, gait analysis and fall detection algorithms)
are all available but are not integrated with one another. Extending the fall detection
algorithm from a two stage to a three-stage analysis defines much of the novelty of the
solution.




                                        page 26 of 113                          31/05/2011 v11
ICT PSP-2011-5                                 FALLING IN LOVE                               Pilot B




B.2 Impact
B.2.1 Target outcomes and expected impact
In the following section, the way in which FALLING IN LOVE will address the focus and
outcomes, the conditions and characteristics and the expected impact listed in the Work
Programme in relation to Objective 3.1 is explained item by item.

B.2.1.1 Focus and outcomes
Projects qualifying for funding under Objective 3.1: ICT solutions for Fall prevention and
detection and ICT and Ageing Network should:
     •    “improve quality of life and care for the ageing population by providing independent
          living solutions with focus on fall protection / prevention and safety of elderly
          people.”24. As already explained, the services provided by FALLING IN LOVE are all
          focused on protecting and preventing older people from falls, not only through the use
          of ICT, but also with services not based on technology that will be provided to both
          the Intervention and Control Group. The latter will not be charged to the Project. By
          doing so, the Project will improve the quality of life of older people by permanently
          monitoring them, in their homes, through non-invasive technologies and strategies
          that will not impact on people’s everyday life and habits. At the same time, FALLING
          IN LOVE will also contribute to the improvement in the quality of life of relatives. In
          fact, they will benefit from the reassurance this system provides because they can be
          informed about falls of their dear ones through the automatic messaging facilities
          provided by the FALLING IN LOVE Portal. This should decrease their level of stress
          and allow them to enjoy their time when they are away because their older relatives
          are properly monitored. Moreover, caregivers too will experience a positive
          improvement in the quality of care given because they will be enabled to look after
          patients even when they are not physically next to them or are busy doing other
          things.
     •    “involved pilot sites should be selected to be representative of different social and
          organisational contexts across Europe in order to demonstrate the necessary
          flexibility of the technological solution to meet the related needs.” The four trial sites
          selected provide a good cross-section of the different social and organisational
          contexts across Europe and of the different cultures present in the Union.
          Geographically, they span from the North (Denmark and the Netherlands) to the
          South (Italy) of the Union, without forgetting the Centre (Austria). Both public (Austria,
          Denmark and Italy) and insurance-based healthcare systems are represented; social
          services, depending on the regions, are outsourced to varying degrees to external
          organisation, and more or less integrated with the healthcare systems.
     •    “demonstrate substantial prolongation of the time elderly people can continue to be at
          home as well as the resulting increased efficiency of the care systems” The
          Consortium is not interested in technology which performs wonderfully in a lab
          environment, but is not usable in the daily practice. For this reason, FALLING IN
          LOVE service solutions will be perfectly integrated within the every day life and habits
          of older people. The availability of wearable and non-wearable devices, in addition to
          non-technology based services such as for example the removal of any home hazard
          that could cause falls, will ensure that older people can safely continue to live in their
          homes for a long period. At the same time, this will also positively impact on the

24
     Text in bold italic is extracted from the ICT-PSP Work Plan 2011



                                                page 27 of 113                     31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                      Pilot B


       efficiency of care systems by avoiding hospitalisation due to the consequences of
       avoidable falls or, on the other hand, by reducing the length of stays in the hospital
       because older people can be properly assisted and monitored at home. The
       combined effect of these two phenomena are expected to lead to a drastic reduction
       of public expenditure for this high-impact injury.
   •   “bring together a set of regional actions addressing the above goals and
       involve relevant stakeholders”. The trials envisaged by FALLING IN LOVE will
       involve all the relevant stakeholders covering the entire value chain underpinning the
       FALLING IN LOVE business model. The actions envisaged by the project will see the
       active participation of five different types of players strongly committed to address the
       goals of FALLING IN LOVE:
       ο Regional Health and Social Authorities.
       ο Technology providers.
       ο Competence Centres in AAL.
       ο Older Persons Associations (as part of the Advisory Groups).
       ο Professional Associations.

B.2.1.2 Conditions and characteristics
The Project’s pilots under Objective 3.1: “ICT solutions for Fall prevention and detection and
ICT and Ageing Network” should:
   •   “provide services aimed at ensuring the prevention and detection of falls as well as a
       wider safety and independent living support” and “carry out a wide validation of
       integrated, innovative ICT solutions supporting falls of elderly people in home
       settings”. As already explained in paragraph B.1.1.1, FALLING IN LOVE perfectly
       answers these requests by providing a wide range of flexible and integrated services,
       such as for example automatic lighting, behaviour analysis and monitoring, gait
       analysis, tele-exercising, tele-rehabilitation. As already mentioned above, FALLING
       IN LOVE also envisages a non-technological approach to fall prevention, mainly
       through the identification and removal of any possible indoor and outdoor hazard that
       could cause incidents (carpet wrinkles, steps’ edge, slippery paths, etc.).
   •   “address how the proposed solutions could form part of wider comprehensive
       approaches to fall prevention and mitigation”. As already explained, FALLING IN
       LOVE is part of a far reaching intervention to reduce the risk of falls among older
       people which capitalises upon the experience of ULSS 9 and Carinthia in the
       INTERREG Italy-Austria project “Fall Prevention for Older Adults: Interventions and
       Strategies”. In this project, material has been prepared and validated to educate older
       people to adopt a lifestyle and basic prevention measures which drastically reduce
       the risk. Moreover, the fall detection system based on the ePatch and the Android
       cellular phone, when produced in large quantities, can be offered at a price (less than
       10 Euros for an ePatch and a few dozen Euros for an Android cellular phone) which
       allows systematic screening of older people at risk of falls. This is because the first
       fall is largely undetected today but it represents an important trigger for planning more
       radical interventions (i.e. tele-rehabilitation) the cost of which can only be justified for
       older people at high risk of falls.
   •   Test project’s “solutions in real life and a consolidated set of requirements and
       validated functional specifications should emerge as a result”. As already
       mentioned, the Consortium intends to test the solutions provided in the every day life
       of older people. To do so, the project will be conducted as a “pragmatic” multicentre
       Randomised Controlled Trial (RCT) to remain as close as possible to real life
       conditions.



                                        page 28 of 113                            31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                    Pilot B


   •   To ensure “significance in the evidence of socio-economic impact, for example
       by involving people which have already experienced falls”, FALLING IN LOVE
       will only target for the trial older citizens (over 65) who have experienced at least one
       fall in the six months before the start of recruitment. This information, however, in the
       current situation, can only be provided by the older people themselves, because most
       first falls are not recorded in the medical records of the individuals.
   •   “Address interoperability issues, comply with relevant standards and take into
       account best practices and relevant standardisation efforts. They should also provide
       appropriate safeguards against relevant ethical and privacy issues.” The platform
       used for the trials is completely based on open standards and has the interoperability
       with other IT health systems as a primary objective. It is mostly built using open
       source products. Trial protocols will be submitted for approval to the competent Ethics
       Boards. All older people participating in the trials will have to sign an informed
       consent which will be preceded by an exhaustive explanation of the features and
       consequences of participating in the trials. People will be free to drop out of the trials
       at any time without obligation to explain why. The respect of older people’s dignity
       during the trials will be supervised by the local Advisory Groups which are made up
       by local Older People Associations.
Moreover, pilots should:
   •   “associate public authorities (at national, regional or local level) from each country
       participating that have responsibilities and budget control in the relevant area of care
       or supply of services”. The Consortium pays specific attention to the cost saving
       issues. This interest is clearly confirmed by the Consortium’s decision to choose one
       of the four Regional Health and Social Authorities as coordinator of the project.
       Budgetary authorities for each of the participating regions are part of the Consortium
       except for the Netherlands because in this country responsibility for the budget is split
       between a large number of healthcare insurance companies and municipalities.
   •   “include a non-confidential, comprehensive socio-economic evidence base for ICT
       investments in the field (including cost-benefit analysis and user satisfaction) to
       facilitate the development of sustainable business models. It will also include detailed
       plans for larger-scale sustainable uptake and replication beyond the pilot; as well as
       reference material including guidelines, manuals, educational materials to be used for
       dissemination”. The Project will produce two public documents, the Draft and the
       Final Deployment Plan, which provide evidence of the RoI of the FALLING IN LOVE
       services taking into consideration economic, clinical, quality of life and user
       satisfaction aspects.
   •   “include specific and realistic quantified indicators to monitor progress at all
       stages during the pilot”. FALLING IN LOVE envisages a set of indicators to be used
       to assess the impact of the proposed solution. Impact indicators will be:
       ο Total number of falls in the Intervention and Control Groups.
       ο Number and duration of hospital stays as a consequence of a fall in the
          Intervention and Control Groups.
       ο Average time between a fall and rescue in the Intervention and Control Groups.
       ο Number of undetected falls in the Intervention Group.
       ο Number of false alarms in the Intervention Group.
       ο Changes in the Edmonton Frailty Scale in the Intervention and Control Groups.
   •   Ensure “networking and coordination between the pilots are also required for
       ensuring maximum visibility and impact”. All the trial sites will adopt the same trial
       protocol and will use the same technological platform. Monthly tele or




                                        page 29 of 113                          31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                     Pilot B


       videoconferences and quarterly physical meetings are foreseen in which the trial sites
       communicate with one another, with the management team as facilitator.

B.2.1.3 Expected impact
Projects qualifying for funding under Objective 3.1: “ICT solutions for Fall prevention and
detection and ICT and Ageing Network” should achieve the following objectives:
   •   Substantially prolonging the time that elderly people can live independently at home
       by providing ICT-based safety and fall prevention/detection services. As mentioned
       above, FALLING IN LOVE provides technologies and strategies to be used by older
       people directly at home during their every day activities. Wearable devices, for
       example, or the non-technology based services, perfectly answer the need to prolong
       older peoples’ independence and safe life in the comfort of their homes. One possible
       hurdle to the achievement of this impact resides in the need of an active participation
       by the older person. Usually, older people are not used to ICT devices, and this
       knowledge gap could become a barrier if not addressed properly. The Consortium
       intends to overcome this obstacle by providing specific training before installation,
       and in accompanying the older people in the initial period after the installation.
       Training will be provided as much as possible by older people trained as super-users
       because this, by experience, provides by far the best results.
   •   Delivering evidence of improvements for quality of life of older people and their
       families, as well as for health and social care systems and services. The set of
       indicators identified by the Consortium will ensure the identification and measurement
       of any improvement in the quality of life of older people as well as the saving of costs
       for social care systems in terms of days of hospitalisation.
   •   Facilitating wide take-up of ICT-based fall prevention solutions across Europe.
       The Consortium has an ambitious plan of dissemination of the Project results.
       Commercial companies have a vested interest in promoting their products, backing
       their commercial activity with the evidence provided by the Project. Participating
       Regional Authorities want to be seen as pioneers in the EU in the crucial area of
       active and healthy aging. Consequently, the wide take-up of the project results
       coincides with the vital interests of the Consortium.
   •   Ensuring world leading position of European industry in innovative markets for ICT
       based solutions supporting independent living and the ageing population. FALLING
       IN LOVE is by far the most advanced solution of this kind based on state-of-the-art
       technologies which are more than just prototypes. The participating industrial and
       commercial companies which span from SME (HIM and HIS) to large companies
       (Delta) could capitalise upon the success of the Project to compete in the global
       market for fall prevention and early detection systems. They have a competitive edge
       compared to companies from other economic areas thanks to the validation of the
       services achieved in it.
In conclusion, the Consortium believes in the importance of a European approach rather than
a local one for two different reasons. First of all, because in Europe falls are a major threat to
the health and independence of older adults, people aged 65 and older. This means that the
problem, and its solutions, cannot be limited within the borders of a single country, but a
common European approach is advisable. The second reason is that the cooperation
between partners from different European countries makes it possible to share and improve
technologies previously adopted in a single territory. This integration of services makes the
Consortium stronger and committed to provide the best answers and solutions to the
problem of falls.




                                         page 30 of 113                          31/05/2011 v11
ICT PSP-2011-5                        FALLING IN LOVE                                   Pilot B


B.2.2 Long term viability
Falls among older people are a major drain on the health and social care budget because of
their all too common, devastating consequences. Reducing their prevalence among older
people promises to release substantial savings in the health and social expenditure.
FALLING IN LOVE is designed to demonstrate and quantify these savings.
If this is the case, the savings above can be used to pay for the technology which needs to
be procured to implement the service. These costs will be dramatically reduced when moving
from the current trials to the large-scale deployment of the services because two of the main
components of the technological solution will fall in price:
   •   Android based cellular phones. As has been witnessed for many years now, the
       price of cellular phones drops very fast; the processing power required to run the
       various algorithms for gait analysis and fall detection will become cheaper and
       cheaper.
   •   ePatches. When moving from a small series production to mass production with all
       the sensors contained in a single chip, and the battery embedded in a band-aid, the
       cost of the ePatch will fall to less than 10 Euros/piece, while the ease of use will
       sharply increase because the entire system, the size and the thickness of a normal
       band-aid by then, will be completely disposable, and will be replaced after a few days
       with a new one.
Running costs, which will be equally quantified by FALLING IN LOVE, are expected to be
minor because the number of emergency calls, once the system has been properly tuned to
avoid false alarms, is likely to be very small, and to represent a minor increase in the
workload of existing emergency Call Centres.
In other words, in the participating regions, the money necessary to implement and provide
the service is expected to be provided from the public budget and to be lower compared to
the savings released by the FALLING IN LOVE basket of services.

B.2.3 Wider deployment and use
Each of the stakeholders listed in section B.3.1.1 will work in its own way to ensure the wider
deployment and use of the FALLING IN LOVE services if the current phase is able to
demonstrate the benefits for the older people and the RoI for the participating Regional
Health and Social Authorities:
   •   Regional Health and Social Authorities. The simple fact that Regional Health and
       Social Authorities are members of the FALLING IN LOVE Consortium, and that they
       co-invest with the EU in the implementation of the current phase of the Project, is
       more than just an indication of their willingness to deploy the FALLING IN LOVE
       services in their territory to all the older people who could benefit from these.
       Moreover, the participating regions are part of national and international networks of
       regions which share best practices; through these networks they will promote the
       uptake of the FALLING IN LOVE services by other members of these networks.
   •   Technology providers. These are commercial organisations which co-invest with the
       EU in the implementation of the current phase of the Project because they are
       convinced that their technologies provide a valid solution to a major health and social
       challenge such as falls among older people. The Project will give them the possibility
       to tune their technologies and enhance their fall prevention and accurate early
       detection capabilities. Moreover, the four trials envisaged in the Project will provide
       them with windows and references to their technologies. These will be capitalised
       upon in their commercial activities which have a Europe-wide dimension, because all
       of them are already active in a large number of European countries.


                                       page 31 of 113                          31/05/2011 v11
ICT PSP-2011-5                        FALLING IN LOVE                                   Pilot B


   •   Competence Centres in AAL. Motivation and actions will differ between the Smart
       Home Foundation which is a non-profit national competence centre, and HIM SA
       which is a profit oriented commercial organisation. In the case of the former,
       promoting the uptake of the FALLING IN LOVE services in the Netherlands is part
       and parcel of their institutional activities. In the case of the latter, FALLING IN LOVE
       has a twofold interest: increasing its credential as the leading consultant in AAL with
       the largest and most articulated range of hands-on experiences in the implementation
       of AAL solutions in Europe in collaboration with local players, and providing a solution
       that it can resell in other markets.
   •   Older Persons Associations. Their institutional mission is representing the interests
       of their constituency, the older people, and promoting initiatives which improve their
       quality of life, and extend their healthy and autonomous living. FALLING IN LOVE
       promises to do both. The participating Associations will ensure that the benefits of the
       FALLING IN LOVE services are offered to the entire older population who qualify for
       them and, additionally, they will use their network of contacts with sister association
       at national and international level to promote the wider uptake of services in Europe.
   •   Professional Associations. They have a major influence on the attitude of
       professionals towards innovative solutions such as FALLING IN LOVE. Having had
       the opportunity to evaluate directly the benefits of the FALLING IN LOVE services, if
       they are demonstrated in the current phase of the Project, they will be in an ideal
       position to convince their members to foster the uptake of these in the region where
       they practise. The role of the Professional Associations will be particularly important
       in dispelling possible fears that the FALLING IN LOVE services undermine the status
       of professionals or endanger their jobs.




                                       page 32 of 113                         31/05/2011 v11
ICT PSP-2011-5                        FALLING IN LOVE                                   Pilot B




B.3 Implementation
B.3.1 Consortium and key personnel

B.3.1.1 Overall description
The FALLING IN LOVE Consortium covers the entire value chain underpinning the FALLING
IN LOVE business model, which comprises five different types of players:
   •   Regional Health and Social Authorities/care providers. They have responsibility
       for the delivery of health and social care to their resident population, and represent
       the natural owners of the services that FALLING IN LOVE intends to deploy.
   •   Technology providers. FALLING IN LOVE requires the deployment and the
       integration of numerous leading edge technologies which have never been integrated
       before, and in some cases have just come out from the development phase.
   •   Competence Centres in AAL. They are the crossroad of the numerous experiences
       in the field of the AAL which have been conducted in Europe and abroad, and have
       assimilated the lessons learnt from these early trials.
   •   Older Persons Associations. They are essential stakeholders in FALLING IN LOVE
       because they represent the final users of the services that the project will deploy. The
       uptake of the services beyond the end of the EU funded phase will be heavily
       influenced by the opinion of the Older Persons Associations and their support for the
       concept.
   •   Scientific Societies and Professional Associations. They are extremely important
       stakeholders in any telehealth and/or telecare project because without their
       wholehearted support no service will ever go past the pilot phase.
The members of the FALLING IN LOVE Consortium have been distributed below among the
various categories listed above.
   •   Regional Health and Social Authorities/care providers
       ο Region Syddanmark (Denmark).
       ο U.L.S.S. 9 di Treviso (Italy).
       ο Carinthia (Austria)
       ο ZuidZorg (The Netherlands)
   •   Technology providers
       ο Delta (Denmark).
       ο Health Insight Solutions (Germany).
   •   Competence Centres in AAL
       ο Stichting Smart Homes (The Netherlands).
       ο Health Information Management (Belgium).
       ο Arsenàl.IT (Italy).
   •   Older people associations (Candidate Members of the Older People Advisory
       Group – They will not be beneficiaries of the Grant Agreement and they are not
       individually described in the next sections)
       ο Aeldremobiliseringen (Denmark).
       ο Antes (Italy).
       ο Pensionistenverband (Austria).


                                       page 33 of 113                         31/05/2011 v11
ICT PSP-2011-5                                 FALLING IN LOVE                                        Pilot B


          ο Seniorenbund (Austria).
          ο Seniorenring (Austria).
          ο Katolieke Bond Ouderen (The Netherlands).
     •    Scientific Societies and Professional associations
          ο Italian Society of Geriatrics and Gerontology (Italy).
          ο European Union Geriatric Medicine Society (UK).
                       25
          ο ZuidZorg (The Netherlands)

B.3.1.2 Partners’ details and functions

B.3.1.2.1 Regional Authorities

B.3.1.2.1.1 Region Syddanmark – Denmark

It has 1,2 million inhabitants and a total area of 12.191 km2. In Denmark, the responsibility for
running the health service is decentralised and lies mostly within the regional authorities.
Region of Southern Denmark is one of five regions in Denmark and covers a fifth of the
Danish population (1,2 million inhabitants and a total area of 12.191 km2). The Region has
currently four hospital units running a total of 18 hospital locations. Increasingly over the last
five years, the Region of Southern Denmark has focused on eHealth and telemedicine – both
in research projects but also in development and implementation. All hospitals in the region
have implemented telemedicine services and the level of electronic communication in
healthcare is very high, as more than 1 million messages are transmitted every month in the
Region. The Region has participated in many European funded projects, among these
HEALTH OPTIMUM I.D., Better Breathing (eTEN), UniversAAL (FP7). Today RSD is a
partner in the Renewing Health project where RSD have the responsibility for the overall
evaluation of telemedicine services. The evaluation is based on the MAST mode that was
developed by RSD in cooperation with the University of Sterling and the Norwegian Centre
for Telemedicine in Tromsoe in the MethoTelemed project. RSD also participates in the
DREAMING project, which intends to pilot new, economically sustainable home assistance
and eInclusion services able to extend the independent living of older citizens in their homes,
and break their loneliness.

B.3.1.2.1.2 U.L.S.S. 9 di Treviso

Local Health Authority n.9 is one of the 23 public organisations in the Veneto Region whose
main objectives are the management of regional healthcare. Local Health Authority n.9
covers the Treviso territory in Veneto Region. It has 414.503 inhabitants in its catchment
area.
                           9
Local Health Authority N° in Treviso pioneers the development of telemedicine services in
the Veneto Region (4.7 million inhabitants), and is involved in numerous projects in this area
                                                                                            9
both at regional and national level. It is the civil servants of Local Health Authority N° who
act as spokespersons on behalf of the Veneto Region concerning implementation of
telemedicine projects and initiation of policy initiatives at regional level, and not least, when
providing regional input to the development of a national framework on this subject.
                                             9
Furthermore, Local Health Authority N° in Treviso represents the Veneto Region in
European projects in the field of telemedicine services. Finally, Local Health Authority N° in9
Treviso is also at the forefront of the practical implementation of telemedicine services with
the highest number of telemedicine initiatives implemented in its territory in the region.


25
     ZuidZorg corresponds to both the profile of Care Provider and Professional Association



                                                page 34 of 113                                31/05/2011 v11
ICT PSP-2011-5                          FALLING IN LOVE                                      Pilot B


                             9
Local Health Authority N° Treviso participates in several European projects, revolving
around one or several of the following elements: Telemedicine, eHealth services,
infrastructure for telemedicine, and standardisation. In particular, it is lead partner of the
project INTERREG IV Italy-Austria (“Fall Prevention for Older Adults: Interventions and
Strategies”).The project tries to answer the issue of fall prevention in aged people, which is
common to the three Regions (Carinthia, Veneto and Friuli Venezia Giulia), with particular
regard to the most severe fall related injuries in terms of mortality and morbidity: hip fracture.
The objectives of the project are:
1) The creation and test of a shared model to prevent older people falling, and analysis of
   the existing healthcare path for hospital management of older people’s hip fractures.
2) To share a model on prevention: in collaboration with the non-profit elderly associations
   in Gorizia, Treviso and Klagenfurt.
3) To analyse the existing data on hospital care for hip fracture: this objective aims to
   identify healthcare best practices about hip fracture management, through the collection
   and comparative analysis of demographic, epidemiological, clinical and economic data.
4) The dissemination of the results.
With this in mind, being part of the FALLING IN LOVE Consortium is just the natural
progression of the mission to deal with this increasingly involving and devastating issue in
terms of morbidity and mortality. The Local Health Authority is creating a committee in order
                                                                                        9
to spread the results achieved in INTERREG. In addition, Local Health Authority N° Treviso
has already approved a new draft Fall Prevention Project in order to create a group of
associations dedicated to control and eliminate home hazards. For these reasons, Local
                   9
Health Authority N° Treviso is involved in the field of prevention fall in the widest sense.
                           9
Local Health Authority N° Treviso was lead partner in the project HEALTH OPTIMUM. It is
also partner of the projects NEAR TO NEEDS, DREAMING, and RENEWING HEALTH.

B.3.1.2.1.3 Carinthia

Carinthia is one of nine Austrian States and is situated in the south of Austria, adjacent to
Slovenia and Italy. It has 560.000 inhabitants and a area of 9.500 km2. The Carinthian
Administration bears the responsibility for health and social services. The project partner,
Land Kärnten, Amt der Kärntner Landesregierung, Abteilung 13 – Soziales is responsible for
most of the social services in Carinthia, for example retirement homes or mobile services.
The participation of Carinthia in this project has to be seen in this context: Department 13 –
Social Affairs wants to enforce the use of technical assistance services in assisted living
projects to prevent serious injuries due to falls. The main goal of Carinthia is to make it
possible for older people to stay in their familiar surroundings.
With their participation in this project Carinthia wants to continue the international
cooperation in this field. Carinthia is already taking an active part in the fall prevention project
“Fall prevention for older adults - Interventions and strategies” that is underway with the
partner-regions Veneto and Friuli Venezia Giulia. Continuing this work with “FALLING IN
LOVE” is the logical consequence of our efforts.

B.3.1.2.1.4 ZuidZorg (The Netherlands)

ZuidZorg provides care and services where necessary and desirable in a pioneering manner
to people at all stages of their lives, in their immediate living environment. Based on needs
and desires, ZuidZorg provides care, prevention and activities to promote health and welfare
in general. From our point of view, we fulfil a social responsibility, and it is important that the
client retains or re-obtains control over their lives.




                                         page 35 of 113                            31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                     Pilot B


ZuidZorg is an innovative organisation in the area of remote care services such as screen-to-
screen care. We provide remote care for several home care organisations, and we consult
other organisations in the field of implementation of remote care services. Next to screen-to-
screen care services, we develop new remote wellness and care services to be prepared for
future challenges in home care.
This comprehensive approach needs to offer added value within the context of providing
assistance to clients and, in doing so, to help people live on their own in a responsible
manner for a longer period of time (or to start doing so again).

B.3.1.2.2 Technology Providers

B.3.1.2.2.1 Delta

DELTA is a Ministerial approved technology service institute. Within the core ICT
technologies, the focus is microelectronics, sensors, light and optics, as well as
psychoacoustics, wireless technologies and accredited testing concerning environmental
performance and a variety of regulatory requirements necessary for the introduction of new
products. DELTA has introduced an ePatch body sensor technological platform for
measuring ECG & EMG measurements for people with chronic heart conditions and
epilepsy.
DELTA has 280 employees, mostly engineers and technology specialists, structured in three
divisions: Test & Consultancy, Microlelectronics Light & Optics, and the Incubator
department that supports SMEs with agile prototyping, and nurses emerging technologies
activities. With our 60 test labs, ASIC production and test facilities, it has offices in UK,
Sweden and all over Denmark.

B.3.1.2.2.2 Health Insight Solutions

Health Insight Solutions GmbH (HIS) based in Munich, Germany provides telemedicine and
telecare products and solutions to Social Services, Healthcare Providers and Insurance
companies throughout Europe.
On the one hand, HIS has leveraged its close cooperation with European care providers to
identify user requirements for telemonitoring. On the other hand, HIS works with leading
technology partners to provide state of the art solutions in support of telemedicine and
telecare. While HIS procures vital signs and environmental sensor technology as well as
hardware for gateways from these external partners, HIS uses its own software products to
integrate the solutions. At the heart of all of its solutions is a powerful web-based portal which
supports the workflows and organisations of its care providing customers.
HIS currently supports client projects with private and public care providers in Belgium,
Denmark, Estonia, Germany, Ireland, Italy, Spain, Sweden and the United Kingdom.

B.3.1.2.3 Competence Centres in AAL

B.3.1.2.3.1 Stichting Smart Homes

Smart Homes is an independent expert centre for smart houses and smart living. Smart
Homes was established in 1998. Smart Homes has extensive knowledge in the area of smart
houses, smart living, home networking and its use by residents. Its founder has particular
experience of smart houses in the care sector, from 1992 up to the present time. From the
beginning up to the present time, a lot of experience has been built up around acceptance by
older people, problems with user system interaction, marketing of assistive technology,
maintenance problems, cost calculations, ROI for investors, business models, etc. The
centre carries out applied research projects in its demonstration house The Smartest House


                                         page 36 of 113                          31/05/2011 v11
ICT PSP-2011-5                        FALLING IN LOVE                                   Pilot B


of the Netherlands. This home was built by Smart Homes in 2001 and completely renewed in
2009. It has state of the art technology both in home automation, home networking and
various applications, but also in the use of sustainable energy and energy saving, as well as
flexibility and accessibility for all. This house permanently serves as a tool for testing and
trying out of new products and services.
Smart Homes carries out several dissemination activities by continuously developing
courses, seminars, congresses and exhibitions. It is also publisher of a bi-monthly magazine
on smart living and smart home technology for various professionals (housing associations,
installers, etc). In 2000, consulting housing associations, project developers and building
companies about how to implement smart houses became part of the activities. Its activities
are funded by projects, subsidies from regional and national government, grants and
partnerships with industry. Via the partnerships with approximately 150 individual companies,
belonging to the Smart Homes Partner Community, Smart Homes has close links with
industry.
Recently, Smart Homes became involved in three IP projects on ambient assisted living:
NETCARITY, SOPRANO (FP6) and CompanionAble (FP7). Furthermore, Smart Homes is
involved in projects funded under the Competitiveness and Innovation Framework
Programme (CIP) namely CommonWell and Independent. Finally, Smart Homes is involved
in one STREP (Specific Targeted Research Projects) project named MobiServ and one
Coordination Actions (CA) called CARDIAC. These projects deal with context aware software
based services, built around many different sensors and smart technology in the house.
Relative Expertise / Experience
Smart Homes could be involved in user needs analyses and requirements, system
integration of different technologies, testing, validation, evaluation, dissemination and
exploitation activities. Smart Homes can be considered as an intermediary organisation in
the difficult market of technology for the ageing, bridging the worlds of technology
development and those of end-users and service/care providers. Competences: User
centred design, use case development, training of stakeholders, exploitation plans within the
care market, system integration in demo environment and home environment, field trials
specification, and evaluation of system with relevant stakeholders.

B.3.1.2.3.2 Health Information Management

HIM SA is a joint venture company between HIM Ltd., a UK-based company specialised in
ICT strategic consultancy, and Dedalus, the leading ICT supplier to the healthcare sector in
Italy.
In its 12 years of business in the eHeath and eInclusion markets, the Company has built an
impressive range of contacts with health organisations in Belgium, Denmark, Estonia,
France, Germany, Ireland, Italy, Romania, Spain and Sweden, and with providers of medical
software and scientific associations.
HIM has specialised in the management of large multi-cultural Consortia to which it offers:
   •   Offer Management to prepare proposals in response to Calls for Proposals by the
       European Union, and by national governments.
   •   Project Management for large projects, including co-ordination of partners from
       different countries and cultures, and liaison with the European Commission.
   •   Consortia building through an extensive network of connections with business
       partners from various European Countries with whom HIM has established excellent
       personal and business relationships.
In addition to the activities above which have been mainly carried out in the context of EU
funded projects (4th and 5th RTD Framework, eTEN, CIP-PSP and @LIS Programmes), HIM


                                       page 37 of 113                         31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                   Pilot B


SA has developed excellent business planning and market development skills, which have
been capitalised upon through the launch of a Business Development activity. In the context
of this line of business, HIM SA puts its network of contacts and its deep understanding of
the various national healthcare set-ups at the disposal of SMEs active in the healthcare
market and wishing to expand beyond the boundaries of their region or country.
HIM SA is also active in the area of innovative telematic services for the home monitoring of
older people in collaboration with Tesan-Televita and Tesan of Italy and Health Insight
Solutions of Germany.

B.3.1.2.3.3 Arsenàl.IT

Arsenàl.IT is Veneto’s research centre for eHealth Innovation. Founded by all 23 Local
Health Authorities and Hospital NHS Trusts of the Region of Veneto, Arsenàl.IT is engaged
in the design, development and assessment of supra-organisational eHealth applications.
The eHealth applications and organisational models designed by Arsenàl.IT and shared with
the 23 public healthcare organisations in the region of Veneto, are a unique example of
knowledge, competence and technology networking in Italy.
Arsenàl.IT thus takes the lead as an institute for eHealth research and as a centre of
reference on best practices that can be made available for the entire National Health System.
The Arsenàl.IT Consortium, Veneto’s research centre for eHealth innovation, is a regional
research institute active in the field of IT and ICT solutions for healthcare and welfare. The
activities it develops can be outlined as follows:
   •   Research for innovation: the goal of research activities is to identify eHealth
       technology solutions and organisational models that may help the healthcare
       organisations of both Veneto and Italy in the strategic choices for improving clinical
       pathways.
   •   Procurement engineering: Arsenàl.IT provides counselling for healthcare
       organisations throughout the entire process for preparing the technical documentation
       needed for completing public procedures for the procurement of ICT systems and
       services. This includes formalising technical and functional requirements, reviewing
       compliance with regional, national and international standards, and preparing the
       technical annexes required for initiating bidding procedures.
   •   Standardisation and normalisation: Based on the directions of the Veneto Regional
       Health Authority, Arsenàl.IT edits the release of guidelines for ICT standards
       utilisation within socio-healthcare organisations, thereby promoting uniformity as well
       as compliance of current systems with issued standards, and overseeing their
       implementation.
   •   Education: offers educational opportunities for regional and national socio-health
       service staff, with the contribution of leading exponents of eHealth.
   •   Funding Raising & Project Design: Arsenàl.IT supports the regional healthcare
       organisations and the Regional Health Authority in identifying funding opportunities at
       local, national or international level on themes of scientific, technological and
       organizational development.
Arsenàl.IT is engaged in major international and regional initiatives dealing with IT
interoperable applications for medicine. Among the latest projects it is important to highlight:
   •   The European HEALTH OPTIMUM project (Initial Deployment phase), for which
       Arsenàl.IT worked on supervising software development and on deployment, set up
       and maintenance of the common application platform that supports the project IT




                                        page 38 of 113                         31/05/2011 v11
ICT PSP-2011-5                        FALLING IN LOVE                                  Pilot B


       functions and the integration of components across the legacy systems of the various
       healthcare and hospital organisations of Veneto.
   •   European network for Health Technology Assessment (EUnetHTA). This Network
       coordinates the efforts of 29 European countries including 25 Member States of the
       European Union in evaluating health technology in Europe. EUnetHTA is a project co-
       financed by the European Commission and Member States.
   •   Physical and Rehabilitation Medicine. At the request of SIMFER (Italian Society of
       Physical and Rehabilitation Medicine), Arsenàl.IT has carried out a market analysis
       on integrated IT systems for managing the activities of Physical and Rehabilitation
       Medicine Units in the healthcare organisations of Veneto, and has prepared the entire
       documentation needed for tender specifications, by coordinating an inter-
       organisational and multidisciplinary working group,
   •   RENEWING HEALTH is a European Project that aims to implement large-scale real-
       life test beds for the validation and subsequent evaluation of innovative telemedicine
       services using a patient-centred approach and a common rigorous assessment
       methodology. Arsenàl.IT supported the Veneto Region in the drafting of technical
       documentation and management of negotiation with the European Commission, and
       in the coordination and project management of the project.
   •   Arsenàl.IT works in a pilot project of a complex and integrated architecture for the
       Regional Health System, that consists in implementing a network of GPs/FPs of
       Veneto and of the EHR. Veneto Region requested to Arsenàl.IT to study the solution,
       to develop the executive project, and coordinate the work to develop a prototype at
       Local Health Authority 19 of Adria.
Arsenàl.IT now is working to arrange the regional strategy for the IT framework of medicine.

B.3.1.2.4 Professional Associations

B.3.1.2.4.1 Società Italiana di Gerontologia e di Geriatria

The Italian Society of Geriatrics and Gerontology (Società Italiana di Gerontologia e
Geriatria, SIGG, website: www.sigg.it), was founded in 1950, with the mission "to promote
and coordinate studies on pathophysiology of aging, and to face the severe and complex
problem of old age also in its social aspects”. Since its foundation, SIGG has substantially
contributed to the growth of Geriatrics as an established medical discipline, for example
supporting the institution of the first world chair and Specialty School of Geriatrics (1961).
In more recent years, SIGG continued to promote the scientific and professional growth of
geriatricians across the country, and directly designed and coordinated large nation-wide
studies, including the Gruppo di Studio di Farmacovigilanza nell’Anziano (GIFA), the
Alzheimer Network Project, the Depression in the Aged Female National Evaluation
(DAFNE) project and the Health and Well-being in the Elderly project, among others.
Autonomously or in collaboration with other scientific societies, SIGG has produced practice
guidelines on several aspects of the care of older persons (e.g. hypertension, diabetes,
syncope, pressure ulcers, stroke, etc.).
An emanation of SIGG is the Fondazione Italiana per la Ricerca sull’Invecchiamento (FIRI),
founded in 1999 with the aim of promoting scientific research in the fields of biogerontology,
social-behavioural sciences, clinical medicine and health services research.
With almost 2200 geriatrician members of the Clinical Section, SIGG is one of the largest
Geriatrics scientific societies in Europe. It also includes three other sections, namely the
Biogerontological (99 members), the Nursing (236 members) and the Sociobehavioural (257
members) sections.



                                       page 39 of 113                         31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                   Pilot B


SIGG manages the publication of three scientific journals in Italian (Giornale di Gerontologia,
the official journal of the Society, founded in 1953, I luoghi della cura, and Bollettino SIGG),
and an international journal (Aging Clinical and Experimental Research).
SIGG holds an annual national Congress, usually in late November. Satellite initiatives, such
as a Multiprofessional Course on Nursing, a Course for Geriatric Rehabilitation, a Course for
Social Workers and a Course for Psychologists, accompany the Congress. Other national
initiatives are represented by the Contempo Meeting, the Summer School for fellows in
Geriatrics, providing experienced geriatricians and, respectively, young physicians with the
most relevant breakthroughs of the discipline, and Horizon Scanning in Geriatrics, a meeting
aiming at foreseeing the most innovative venues of the discipline.

B.3.1.2.4.2 European Union Geriatric Medicine Society

In late 1999, a group of European geriatricians met to promote this concept. Prof. S.
Duursma of the Netherlands facilitated the meeting in Paris which resulted in the
establishment of a working group of representatives of nine European States. The working
group further developed the concept of a society whose aim would be to develop geriatric
medicine in all of the European Union countries, and encourage the provision of geriatric
medical services to all older EU citizens. The society would promote education, continuing
professional development, and high quality evidence-based geriatric medicine. As a result,
the European Union Geriatric Medicine Society (EUGMS) was officially founded in June
2000. The society was formally launched at its first major congress in Paris in August 2001.
By September 2001, EUGMS was registered in Brussels, its byelaws were published and
internal rules were drafted. The first President was Prof Brian Williams (Scotland); he was
followed by Prof Giulio Massotti (Italy), Dr Alfonso Cruz-Jentoft (Spain), Prof Paul Knight
(Scotland) and Prof. Des O’Neill (Ireland).
Organization
The Full Board includes physician representatives from all of the EU states, and the
European Economic Area (Norway , Switzerland and Iceland). Each nation has one vote and
one representative. If a nation has more than one society for geriatric medicine, the
geriatricians of that county agree on a single representative to the Full Board. The Full Board
has representatives from the EUMS Geriatric Medicine Section and the IAGG(ER) Clinical
Section. The Full Board meets at least annually, usually, at the time of a Congress. The
Executive Board comprises the president, president elect, past president, two general
secretaries, two treasurers and the academic director. EUGMS has an academic board and
an External Scientific Advisory Committee.
Goals of the EUGMS
   •   Promotion of research and education.
   •   To develop geriatric medicine in the member states of the European Union as an
       independent medical specialty caring for older people with age-related diseases.
   •   To support that these services become available to all citizens of the European
       Union.
   •   Continuing Professional Development.
   •   To promote education and continuing professional development, and in particular a
       biennial scientific meeting.
   •   Representation of the specialty to EU and National Governments.
   •   In conjunction with the Section of Geriatric Medicine of the EUMS, to promote
       geriatric medicine to the European Commission and Parliament.
   •   Guideline development.


                                        page 40 of 113                         31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                     Pilot B


   •   To promote evidence-based guidelines for the most efficacious preventive health
       measures and treatment strategies for older people in the European Union.

B.3.1.3 Partners role in the project implementation
The role of the various partners in the implementation of the current phase of FALLING IN
LOVE is a direct consequence of their nature and their field of expertise. Their roles are
described below:
   •   Regional Health and Social Authorities/care providers. They are the owners of
       the service. They will provide the organisational infrastructure for the realisation of the
       trials and provide the professionals (GPs, geriatricians, nurses and physiotherapists)
       who will look after the older people throughout the lifecycle of the EU funded phase of
       the Project and beyond. In collaboration with the local Older People Associations,
       they will recruit the candidates for the trials.
   •   Technology providers. They will provide the various technologies which are needed
       to provide the entire basket of services envisaged in FALLING IN LOVE. In particular,
       Delta will provide a version of its ePatch specifically designed for detecting falls
       through a combination of 3-axis accelerometer, gyroscope and body temperature.
       HIS will provide the general purpose alarm handling and network gateway based on
       the Android operating system, and will take care of the integration of the other
       devices and features into the FALLING IN LOVE Portal. Additionally, HIS will also
       provide the behaviour analysis, gait analysis and fall detection tool.
   •   Competence Centres in AAL. They will provide their large experience in AAL to the
       other partners and will feed back to them lessons learnt in the other projects in which
       they are involved. In particular, the Smart Home Foundation will coordinate the trial in
       the Netherlands, while HIM will take care of surveying the market for the FALLING IN
       LOVE services and elaborate the business plan for their deployment. Both the Smart
       Home Foundation and HIM will play a major role in the dissemination of the project
       results because of their presence in all the major European events in the field of AAL.
   •   Older Persons Associations. They will provide the other partners of the Consortium
       with the point of view of the final users of the FALLING IN LOVE services, the older
       people, and will make sure that the design of the trials and the activities carried out in
       the context of the latter are respectful of the dignity of older people. They will
       collaborate very closely with the Health and Social Authorities of their region in the
       campaign for the recruitment of candidates for the trials. They will play a major role in
       the local dissemination of the Project results and for encouraging the uptake of
       services by their members if the Project confirms that they provide benefits to the
       older people. They will also liaise with sister regional associations to disseminate the
       Project results to a larger interested audience. The Older Persons Associations are
       not beneficiaries of the Grant Agreement, but they will be invited to form an Older
       Persons Advisory Group and work in close collaboration with the members of the
       Consortium.
   •   Professional Associations. Their main role will be the evaluation of the impact of
       the FALLING IN LOVE services on the physical and psychological health of the older
       people participating in the trials and on their health-related quality of life. They will
       support the Regional Authorities in promoting the FALLING IN LOVE services among
       their members in the participating regions, and will disseminate the results of the
       Project through their channels of communications with the professionals they
       represent.




                                        page 41 of 113                           31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                    Pilot B


B.3.1.4 Relationship between project participants
Several members of FALLING IN LOVE Consortium have a long and very well established
record of collaboration.
The Region Syddanmark, Veneto Region (and ULSS 9) and HIM SA have worked
together in the EU projects HEALTH OPTIMUM M.V. and HEALTH OPTIMUM I.D., and
collaborate in several areas inside and outside EU funded projects.
In addition to the projects mentioned above; Region Syddanmark, and HIM SA have also
worked together in Better Breathing, DREAMING and RENEWING HEALTH, while Veneto
Region (and ULSS 9) and HIM SA have worked together in the Near to Needs project
funded by ESA. HIM SA has conducted on behalf of ULSS 9 the pioneer pilot project of AAL
in the municipality of Paese and is the supplier of ULSS 9 for a study on the organisational
impact of remote monitoring of patients suffering from congestive heart failure.
HIS provides to HIM SA the essentials of the AAL platform which has been installed in the
City of Antwerp in the context of the Senior.comfort@home project and in ULSS 9 for the
remote monitoring of patients with congestive heart failure.
Carinthia and ULSS 9 are partners in the INTERREG IV project “Fall prevention for older
adults - interventions and strategies”.
ULSS 9 is one of the members of Arsenàl.IT.
Region Syddanmark, Carinthia and Veneto Region (and ULSS 9) are part of the
RENEWING HEALTH Consortium which has entrasted to HIM SA the management of this
ICT PSP Type A project.
Region Syddanmark and Delta have worked together for more than ten years. In the
beginning, Delta had a separate department located in the premsies of the OUH Odense
University Hospital where test and development of hearing aids were conducted. Later they
ventured into researching, developing and implementing solutions for the hospital.
All in all, there is a very dense network of contacts and ongoing collaboration among the
members of the FALLING IN LOVE Consortium and this, in turn, is the best possible
guarantee of a successful implementation of the Project.

B.3.2 Chosen approach
The strategy of the FALLING IN LOVE project is centred around the goal of measuring the
real impact of fall prevention and automatic fall detection services on the health and quality of
life of older people; and on the cost of social and healthcare delivered to them.
The primary and the secondary outcomes that will be measured during the trials will be
selected from the following list of indicators:
   •   Number of falls.
   •   Number of femur fractures.
   •   Number of hip fractures.
   •   Number of temporary transfers to elderly or nursing homes for respite care.
   •   Number of permanent transfers to elderly or nursing homes.
   •   Number of hospitalisation episodes.
   •   Average length of stay in hospital.
   •   Number of consultations with GPs and specialists.
   •   Number of accesses to Emergency Rooms.


                                        page 42 of 113                          31/05/2011 v11
ICT PSP-2011-5                           FALLING IN LOVE                                      Pilot B


    •   Health related quality of life as assessed by the SF-36 questionnaire, at the
        beginning, at midterm and at the end of the trial period.
    •   Depression as measured by HADS.
    •   Changes in the Edmonton Frailty Scale.
    •   Survival.
Satisfaction with the use of the service for all the categories of users identified in Section
B.1.1.5 will be assessed using questionnaires specifically designed for each category
because of the different interests that these categories have.
In order to eliminate the influence of other factors on the results of the pilots, the trials will be
organised as a randomised study, where older people meeting the criteria for being part of
the trials will be randomly allocated to an Intervention Group (those receiving the actual
FALLING IN LOVE service) or a Control Group (those not receiving the FALLING IN LOVE
service but used for comparison purposes).
Although this method can be seen as cumbersome for a project which is not by its nature
clinical, rigorousness in the assessment of the impact is absolutely essential to bridge a gap
in the literature of studies measuring outcome of fall prevention and detection through ICT
technologies integrated together, and complemented by non-technology based services.
Data on the outcome will form the core of the business case for the long-term viability and
the large-scale deployment of the service.
To achieve this goal, a total duration of 36 months has been envisaged for the project, 22 of
which will be dedicated to the trials of the services in real-life conditions. The final part of the
trials will overlap with the final assessment of the trials themselves and with the elaboration
of the Final Business Plan for the FALLING IN LOVE services.
The project has been broken down into 7 Work Packages:
    •   WP1 Project Co-ordination and Management, Quality Assurance.
    •   WP2 Dissemination.
    •   WP3 Evaluation, Business Modelling and Deployment Planning.
    •   WP4 Functional specifications refinement.
    •   WP5 Enhancing & supporting the of the FALLING IN LOVE platform.
    •   WP6 Trials preparation.
    •   WP7 Real-life trials.
These 7 work packages can be logically split into horizontal activities and activities aimed at
the functional refinement, adaptation, setting-up and validation of the FALLING IN LOVE
solution in a real-life environment.
Horizontal activities
Project Co-ordination, Management and Quality Assurance (WP1)
All the activities of Co-ordination (financial, contractual, medical and administrative issues),
General Management and Quality Assurance of the project are included in WP1, which
interacts with all the other work packages. The medical co-ordination activities include
preparation and agreement of the trial protocols. In particular, all the reporting activities
towards the Commission are included in this WP.




                                          page 43 of 113                            31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                    Pilot B


Dissemination (WP2)
All the dissemination activities are grouped into a single work package which uses various
communication channels to create awareness around the FALLING IN LOVE concepts and
the results achieved in the framework of the pilots.
Dissemination work will be aimed at creating a network of interested partners for further
deployment. It will therefore be targeted primarily at the public and private purchasers and
providers of social and healthcare to older people, social and healthcare professionals, and
the general public. In addition to presentation at relevant conferences, dissemination via
internet, brochure and publications, the Consortium will organise and conduct an invitational
Midterm Workshop and a Final Conference for key interest groups.
In the elaboration of the dissemination strategy, a detailed analysis of the stakeholders will
be conducted. This entails a number of steps:
   •    Create a register of the stakeholders in FALLING IN LOVE.
   •    Prioritise the stakeholders based on the prioritisation table shown below.
   •    For each group of stakeholders, identify the kind of message and the most effective
        communication channels. These are likely to include professionals and social
        networks such as Linkedin, Twitter and Facebook.
   •    Review the matrix at regular intervals, as the status of stakeholders in the matrix
        changes over time and the progress of the Project.
                         Table 1 – Stakeholder prioritisation matrix

                  Importance       High stake / importance         Low stake / importance
Power
High influence / power                  Manage closely                   Keep satisfied
Low influence / power                   Keep informed                          u

Evaluation, Business Modelling and Deployment Planning (WP3)
All the Impact Assessment, Business Modelling and Deployment Planning activities are
included in this WP, which elaborates information mostly provided by the work packages
dealing with the specification, adaptation and validation of the services (see below). The
information relative to the market for the FALLING IN LOVE services however is generated
directly in this work package through a market evaluation survey. The evaluation
methodology adopted for FALLING IN LOVE is MAST, a methodology designed by the HTA
team of Region Syddanmark and others under contract with the European Commission and
currently used in RENEWING HEALTH, one of the largest telemonitoring evaluation projects
ever conducted so far. The MAST methodology which is, by its nature, broad and
comprehensive in terms of domains and indicators taken into consideration, will be tailored to
the specific needs of FALLING IN LOVE.
Specification, adaptation and validation of the service (WP4 to WP7)
Four work packages belong to this group. Their relationships are explained below.
Functional specifications refinement (WP4)
From the very beginning of the project, WP4 activities will start with the involvement of the
Older People Advisory Groups composed of local Older People Associations. These
Advisory Groups will work in close collaboration with one another, and with the other partners
of FALLING IN LOVE, to refine the functional specification of the solution to be validated
during the trials (the FALLING IN LOVE platform). The work will be based on the current
specifications of the platform and on an intense interaction with the various categories of



                                        page 44 of 113                         31/05/2011 v11
ICT PSP-2011-5                          FALLING IN LOVE                                     Pilot B


users to grasp all the requirements that the platform needs to address to meet the users’
needs in the various trial sites.
The Advisory Groups, which will be constituted and managed within this WP, will help the
FALLING IN LOVE Consortium to distil from the experience acquired during the real-life trials
all the essential lessons to successfully deploy monitoring and tele-rehabilitation services
both in parallel with the execution of the trials, and after the end of them.
Enhancing & supporting the FALLING IN LOVE platform (WP5)
The functional specifications, further elaborated in WP4, will be fed into WP5, where they will
be converted into enhanced versions of the platform (two of those are foreseen during the
lifecycle of the project). Between the first and the second version of the platform the
specifications will be further refined thanks to user feedback from the initial part of the trials.
Support and maintenance of the solution during the entire lifecycle of the real-life trials will be
equally part of this WP.
Trial preparation (WP6)
WP6 will take care of preparing the trials by implementing the FALLING IN LOVE solution in
the pilot sites (procurement and physical installation of different components of the solution in
the older people’s homes, installation of extra software components in the Call Centres for
the remote monitoring of the older people, integration of the platform with the local ICT
environment, activation of the helpdesk, etc.).
This WP will equally take care of procuring the necessary telecommunication facilities and of
obtaining clearance from the local Ethics Boards in the various pilot sites.
Real-life trials (WP7)
As soon as the FALLING IN LOVE solution is operational in the pilot sites, and it is
adequately integrated with the local pre-existing ICT environment, the real-life trials will
begin. Trials will run for 22 months. Before the trials start, at midterm and at the end of the 22
months, the impact indicators will be measured to see their evolution over the duration of the
trials in both the Intervention and Control Groups.
The relationship and the dependencies among these work packages are graphically
represented in the PERT (see B.3.2.1.3) and Gantt (see B.3.2.1.4) charts below.

B.3.2.1 Work plan

B.3.2.1.1 Work package list
                                  Table 2 - Work package list

  Work Work Package Title                 Lead            Lead          Total Start          End
 package                               Participant     Participant     person Month         Month
   No.                                     No.         Short name      months
                                                                       per WP
            Project Co-ordination,
   WP 1     Management and                  1              RSD            49,0       0        36
            Quality Assurance
   WP 2     Dissemination                   1              RSD            47,2       1        36
            Evaluation, Business
   WP 3     Modelling and                   7              HIM            45,0       3        35
            Deployment Planning




                                         page 45 of 113                           31/05/2011 v11
 ICT PSP-2011-5                             FALLING IN LOVE                                   Pilot B



   Work Work Package Title                    Lead            Lead         Total Start        End
  package                                  Participant     Participant    person Month       Month
    No.                                        No.         Short name     months
                                                                          per WP
               Functional
      WP 4     specifications                     8      SMARTHOMES         31,0      0        36
               refinement
               Enhancing &
               supporting the
      WP 5                                        6             HIS         61,0      0        35
               FALLING IN LOVE
               Platform
      WP 6     Trials preparation                12        ARSENAL          48,0      3        36
      WP 7     Real life trials                   3        KARNTEN         120,0     12        35
      TOTAL                                                                401,2

 B.3.2.1.2 Deliverables list
                                       Table 3 - Deliverables list

                                   Table 3.1 - External deliverables26
External Deliverables
Deliverable Deliverable name                           WP No.    Nature   Dissemination    Delivery
    No                                                                        level       date (proj.
                                                                                           month)
D1.1          Project Quality Plan                       WP1          R        CO             2
D4.1          User requirements                          WP4          R        PU             3
D2.1          Dissemination Plan                         WP2          R        CO             4
D2.2          FALLING IN LOVE website                    WP4          O        PU             4
D1.2          Draft Trial Protocols                      WP1          R        PU             9
D4.3          Ethical and privacy recommendations        WP4          R        PU             6
              Platform Functional Specifications -
D4.4                                                     WP4      SP           CO             6
              version 1
D2.3          FALLING IN LOVE Leaflet – Version 1        WP2          O        PU             6
D5.1          Integrated FALLING IN LOVE Platform        WP5          D        CO             6
D6.1          Call Centre set-up                         WP6          O        CO             9
D6.2          Helpdesks set-up                           WP6          O        CO             9
              Enhanced FALLING IN LOVE Platform
D5.2                                                     WP5          D        CO             10
              v1
D6.3          Ethics Board approval                      WP6          R        PU             10
D1.3          Final Trial Protocols                      WP1          R        PU             11
D6.4          Homes installed for Trials                 WP6          O        CO             11
D1.5          Progress Report - Period 1                 WP1          R        CO             12
D1.6          Financial Statement - Period 1             WP1          R        CO             12


 26
      These are deliverables that will be submitted to the European Commission and that meet
      the quality standard for contractual deliverables.


                                               page 46 of 113                       31/05/2011 v11
 ICT PSP-2011-5                                  FALLING IN LOVE                                             Pilot B



External Deliverables
Deliverable Deliverable name                                 WP No.      Nature     Dissemination        Delivery
    No                                                                                  level           date (proj.
                                                                                                         month)
D3.5           Market evaluation                               WP3          R              CO                13
D1.4           Registration of Trial Protocols                 WP1          R              PU                14
D3.6           Draft Deployment Plan                           WP3          R              PU                16
D2.4           FALLING IN LOVE Midterm Workshop                WP2          O              PU                18
               Platform Functional Specifications -
D4.6                                                           WP4         SP              CO                20
               version 2
D7.4           Interim Trial Evaluation Report                 WP7          R              CO                24
D1.7           Progress Report - Period 2                      WP1          R              CO                24
D1.8           Financial Statement - Period 2                  WP1          R              CO                24
               Enhanced FALLING IN LOVE Platform
D5.3                                                           WP5          D              CO                25
               v2
D2.5           FALLING IN LOVE Leaflet – Version 2             WP2          O              PU                33
D3.10          User Satisfaction assessment                    WP3          R              PU                33
D3.7           Economic Impact assessment                      WP3          R              PU                33
D3.8           QoL Impact assessment                           WP3          R              PU                33
D3.9           Clinical Impact assessment                      WP3          R              PU                33
D2.6           FALLING IN LOVE Final Conference                WP2          O              PU                35
D3.11          Final Deployment Plan                           WP3          R              PU                35
               Platform Functional Specifications for
D4.8                                                           WP4         SP              CO                35
               further deployment
D7.5           Final Trial Evaluation Report                   WP7          R              CO                34
D1.9           Progress Report - Period 3                      WP1          R              CO                36
D1.10          Financial Statement - Period 3                  WP1          R              CO                36
               Distribution of the Community financial
D1.11                                                          WP1          R              CO                36
               contribution
D1.12          Final Report                                    WP1          R              CO                36
D1.13          Public Final Report                             WP1          R              PU                36



                                      Table 3.2 - Internal deliverables27
Internal Deliverables
Deliverable Deliverable name                                   WP        Nature     Dissemination        Delivery
    No                                                         No.                      level           date (proj.
                                                                                                         month)
ID4.2          Advisory Group initial feedback                 WP4          R             CO                  4
ID3.1          Economic Impact indicator list                  WP3          R             CO                  9
ID3.2          QoL Questionnaire                               WP3          R             CO                  9

 27
      These are deliverables that will be produced for internal reasons and the content of which will appear in
      External Deliverables produced at a later stage in the lifecycle of the Project. These will not be submitted to
      the European Commission unless there is a specific request. They are not supposed to follow the same
      standards in terms of presentation as the External Deliverables.



                                                  page 47 of 113                                 31/05/2011 v11
 ICT PSP-2011-5                              FALLING IN LOVE                                Pilot B



Internal Deliverables
Deliverable Deliverable name                           WP      Nature   Dissemination    Delivery
    No                                                 No.                  level       date (proj.
                                                                                         month)
ID3.3      Clinical Impact indicator list             WP3        R           CO             9
ID3.4      User Satisfaction Questionnaire            WP3        R           CO             9
ID7.1      Indicator measurements at Trials start     WP7        R           CO             13
ID4.5      Advisory Group intermediate feedback       WP4        R           CO             18
ID7.2      Indicator measurements at midterm          WP7        R           CO             23
ID7.3      Indicator measurements at Trials end       WP7        R           CO             32
ID4.7      Advisory Group final feedback              WP4        R           CO             35
           Installation and operating cost
ID5.4                                                 WP5        R           CO             35
           summary




                                             page 48 of 113                       31/05/2011 v11
ICT PSP-2011-5                                                                             FALLING IN LOVE                                                                        Pilot B



B.3.2.1.3 PERT Chart


                                                                                              Reporting




                                                     Planning
                                                                              WP 4
                                                    Reporting   Functional specifications refinement
                                                                    and guidelines elaboration                                                                  Results
    Project Co-ordination and Management, Quality




                                                                          Specifications




                                                                                                                  Feedback
                                                                           Functional
                                                                                                                                        Implementation
                                                                                                                                          Guidelines
                                                                                                                                                      Results

                                                    Planning                      WP5




                                                                                                                                                     Feedback
                                                                      Adaptation of the SERENITY




                                                                                                                                                                          Dissemination
                                                    Reporting
                                                                                platform
                      Assurance




                                                                                                                             Feedback
                                                                         Adapted
                                                                         Platform




                                                                                                                                                                              WP 2
                         WP 1




                                                    Planning
                                                                               WP 6                                                                  Results


                                                    Reporting          SERENITY service set-up
                                                                        and technical support
                                                                                            Maintenance
                                                                           Operational




                                                                                                                             Feedback
                                                                                             Support &
                                                                            System




                                                     Planning
                                                                                              WP 7
                                                    Reporting
                                                                                           Real-life trials                                         Results



                                                                                                      Indicator
                                                                                                       values
                                                           Planning                                                                                  Results
                         Reporting


                                                                WP3 – Evaluation, Business Modelling
                                                                     and Deployment Planning


                                                                                                           Reporting




                                                                                           page 49 of 113                                                           31/05/2011 v11
ICT PSP-2011-5                                                                      FALLING IN LOVE                                                                            Pilot B



B.3.2.1.4 GANTT Chart
                                                                               Year 1                  Year 2                  Year 3                  Year 4
 ID   Task Name                                                 Duration Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2
  1                                                              783
      WP1 - Project Co-ordination and Management, Quality Assurance days
  2       Task 1.1 – Administrative and Financial Co-ordination          783 days

  3       D1.6 - Financial Statement - Period 1                            0 days                           31/12     D1.6 - Financial Statement - Period 1
  4       D1.8 - Financial Statement - Period 2                            0 days                    D1.8 - Financial Statement - Period 2        31/12
  5       D1.10 - Financial Statement - Period 3                           0 days                                                D1.10 - Financial Statement - Period 3    31/12
  6       D1.11 - Distribution of the Community financial contribution     0 days                      D1.11 - Distribution of the Community financial contribution        31/12
  7       Task 1.2 – Operational Co-ordination                           783 days

  8       D1.5 - Progress Report - Period 1                                0 days                           31/12     D1.5 - Progress Report - Period 1
  9       D1.7 - Progress Report - Period 2                                0 days                       D1.7 - Progress Report - Period 2         31/12
 10       D1.9 - Progress Report - Period 3                                0 days                                                    D1.9 - Progress Report - Period 3     31/12
 11       D1.12 - Final Report                                             0 days                                                                   D1.12 - Final Report   31/12
 12       D1.13 - Public Final Report                                      0 days                                                            D1.13 - Public Final Report   31/12
 13       Task 1.3 – Medical Co-ordination                               783 days

 14       D1.2 - Draft Trial Protocol                                      0 days                   28/09     D1.2 - Draft Trial Protocol
 15       D1.3 - Final Trial Protocol                                      0 days                       29/11       D1.3 - Final Trial Protocol
 16       D1.4 - Registration of the Trial Protocol                        0 days                               28/02     D1.4 - Registration of the Trial Protocol
 17       Task 1.4 – Quality assurance                                   783 days

 18       D1.1 - Project/Quality Plan                                      0 days     29/02   D1.1 - Project/Quality Plan




                                                                                    page 50 of 113                                           Error! Reference source not found.
ICT PSP-2011-5                                                                              FALLING IN LOVE                                                                        Pilot B


                                                                                                  Year 1                  Year 2                  Year 3                  Year 4
 ID   Task Name                                                                 Duration    Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2
 19   WP2 - Dissemination                                                        761 days

 20      Task 2.1 – FALLING IN LOVE Dissemination Strategy and Implementation    761 days

 21      D2.1 -Dissemination Plan                                                  0 days         30/04    D2.1 -Dissemination Plan
 22      Task 2.2 – FALLING IN LOVE website creation and enhancement             761 days

 23      D2.2 - FALLING IN LOVE Website                                            0 days         30/04    D2.2 - FALLING IN LOVE Website
 24      Task 2.3 – FALLING IN LOVE Leaflet design and production                652 days

 25      D2.3 - FALLING IN LOVE Leaflet - Version 1                                0 days                 1/08   D2.3 - FALLING IN LOVE Leaflet - Version 1
 26      D2.5 - FALLING IN LOVE Leaflet - Version 2                                0 days                                   D2.5 - FALLING IN LOVE Leaflet - Version 2    31/10
 27      Task 2.4 – FALLING IN LOVE Workshop and Final Conference                565 days

 28      D2.4 - FALLING IN LOVE Midterm Workshop                                   0 days   2.4 - FALLING IN LOVE Midterm Workshop      28/06
 29      D2.6 - FALLING IN LOVE Final Conference                                   0 days                                       D2.6 - FALLING IN LOVE Final Conference    28/11




                                                                                            page 51 of 113                                       Error! Reference source not found.
ICT PSP-2011-5                                                             FALLING IN LOVE                                                                          Pilot B


                                                                               Year 1                  Year 2                  Year 3                  Year 4
 ID   Task Name                                                 Duration Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2
 30                                                              6
      WP3 - Evaluation, Business Modelling and Deployment Planning95 days
 31       Task 3.1 – Economic Impact assessment                 177 days

 32       ID3.1 - Economic Impact indicator list                  0 days                  28/09    ID3.1 - Economic Impact indicator list
 33       D3.7 - Economic Impact assessment                       0 days                                       D3.7 - Economic Impact assessment        30/09
 34       Task 3.2 – Quality of Life Impact assessment          177 days

 35       ID3.2 - QoL Questionnaire                               0 days                  28/09    ID3.2 - QoL Questionnaire
 36       D3.8 - QoL impact assessment                            0 days                                               D3.8 - QoL impact assessment     30/09
 37       Task 3.3 – Clinical Impact assessment                 177 days

 38       ID3.3 -Clinical Impact indicator list                   0 days                  28/09    ID3.3 -Clinical Impact indicator list
 39       D3.9 - -Clinical Impact assessment                      0 days                                           D3.9 - -Clinical Impact assessment   30/09
 40       Task 3.4 – User Satisfaction Survey                   177 days

 41       ID3.4 - User Satisfaction Questionnaire                 0 days                  28/09    ID3.4 - User Satisfaction Questionnaire
 42       D3.10 - User Satisfaction assessment                    0 days                                      D3.10 - User Satisfaction assessment      30/09
 43       Task 3.5 – Market evaluation                          130 days

 44       D3.5 - Market evaluation                                0 days        D3.5 - Market evaluation     31/01
 45       Task 3.6 – Deployment Plan                            176 days

 46       D3.6 -Draft Deployment Plan                             0 days                                   30/04     D3.6 -Draft Deployment Plan
 47       D3.11 -Final Deployment Plan                            0 days                                                     D3.11 -Final Deployment Plan   28/11




                                                                           page 52 of 113                                          Error! Reference source not found.
ICT PSP-2011-5                                                                           FALLING IN LOVE                                                                             Pilot B


                                                                                               Year 1                  Year 2                  Year 3                  Year 4
 ID   Task Name                                                              Duration    Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2
 48   WP4 - Functional specifications refinement                              783 days

 49       Task 4.1 – User requirement analysis                                 65 days

 50       D4.1 - User requirements                                              0 days       30/03     D4.1 - User requirements
 51       Task 4.2 – Ethical and privacy issues                               108 days

 52       D4.3 - Ethical and privacy recommendations                            0 days               29/06   D4.3 - Ethical and privacy recommendations
 53       Task 4.3 – Advisory Group members recruitment and management        220 days

 54       ID4.2 - Advisory Group initial feedback                               0 days         30/04     ID4.2 - Advisory Group initial feedback
 55       ID4.5 - Advisory Group intermediate feedback                          0 days                                        28/06       ID4.5 - Advisory Group intermediate feedback
 56       ID4.7 - Advisory Group final feedback                                 0 days                                            ID4.7 - Advisory Group final feedback      28/11
 57       Task 4.3 – Platform Specification refinement                        155 days

 58       D4.4 - Platform Functional Specifications - version 1                 0 days               29/06   D4.4 - Platform Functional Specifications - version 1
 59       D4.6 - Platform Functional Specifications - version 2                 0 days   Platform Functional Specifications - version 2       30/08
 60       D4.8 - Platform Functional Specifications for further deployment      0 days                   D4.8 - Platform Functional Specifications for further deployment       31/12
 61   WP5 - Enhancing & supporting the FALLING IN LOVE Platform               760 days

 62       Task 5.1 – Integrating the FALLING IN LOVE Platform                 130 days

 63       D5.1 - Integrated FALLING IN LOVE Platform                            0 days               29/06   D5.1 - Integrated FALLING IN LOVE Platform
 64       Task 5.2 – Enhancing of the FALLING IN LOVE Platform                151 days

 65       D5.2 - Enhanced FALLING IN LOVE Platform v1                           0 days                       30/10    D5.2 - Enhanced FALLING IN LOVE Platform v1
 66       D5.3 - Enhanced FALLING IN LOVE Platform v2                           0 days               D5.3 - Enhanced FALLING IN LOVE Platform v2        29/01
 67       Task 5.3 – Support and maintenance                                  627 days

 68       ID3.4 - Installation and operating cost summary                       0 days                                 ID3.4 - Installation and operating cost summary       28/11




                                                                                         page 53 of 113                                            Error! Reference source not found.
ICT PSP-2011-5                                                                                    FALLING IN LOVE                                                                    Pilot B


                                                                                                        Year 1                  Year 2                  Year 3                  Year 4
 ID   Task Name                                                                    Duration       Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2
 69   WP6 - Trial preparation                                                        175 days

 70       Task 6.1 - Trial preparation in Syddanmark                               175 days
 71                                                                                    154 days
              Sub-task 6.1.1 – Platform and infrastructure procurement, installation and test

 72           Sub-task 6.1.2 – Call Centre set-up and activation                     109 days

 73           Sub-task 6.1.3 – Helpdesk set-up and activation                        109 days

 74           Sub-task 6.1.4 – Liaison with Ethics Boards                           153 days
 75       Task 6.2 - Trial preparation in Veneto                                   175 days
 76                                                                                    154 days
              Sub-task 6.2.2 – Platform and infrastructure procurement, installation and test

 77           D6.4 - Homes installed for Trials                                         0 days                        30/11     D6.4 - Homes installed for Trials
 78           Sub-task 6.2.2 – Call Centre set-up and activation                     109 days

 79           D6.1 - Call Centre set-up                                                 0 days                    28/09     D6.1 - Call Centre set-up
 80           Sub-task 6.2.3 – Helpdesk set-up and activation                        109 days

 81           D6.2 - Helpdesks set-up                                                   0 days                    28/09     D6.2 - Helpdesks set-up
 82           Sub-task 6.2.4 – Liaison with Ethics Boards                           153 days
 83           D6.3 - Ethics Board approval                                             0 days                       31/10     D6.3 - Ethics Board approval
 84       Task 6.3 - Trial preparation in Carinthia                                175 days
 85                                                                                    154 days
              Sub-task 6.3.1 – Platform and infrastructure procurement, installation and test

 86           Sub-task 6.3.2 – Call Centre set-up and activation                     109 days

 87           Sub-task 6.3.3 – Helpdesk set-up and activation                        109 days

 88           Sub-task 6.3.4 – Liaison with Ethics Boards                           153 days

 89       Task 6.4 - Trial preparation in the Netherlands                          175 days
 90                                                                                    154 days
              Sub-task 6.4.1 – Platform and infrastructure procurement, installation and test

 91           Sub-task 6.4.2 – Call Centre set-up and activation                     109 days

 92           Sub-task 6.4.3 – Helpdesk set-up and activation                        109 days

 93           Sub-task 6.4.4 – Liaison with Ethics Boards                           153 days




                                                                                                  page 54 of 113                                         Error! Reference source not found.
ICT PSP-2011-5                                                          FALLING IN LOVE                                                                              Pilot B


                                                                              Year 1                  Year 2                  Year 3                  Year 4
 ID    Task Name                                            Duration    Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2
 94    WP7 - Real-life trials                                498 days

 95        Task 7.1 – Real-life trials in Syddanmark         498 days

 96        Task 7.2 – Real-life trials in Veneto             498 days

 97        Task 7.3 – Real-life trials in Carinthia          498 days

 98        Task 7.4 – Real-life trials in the Netehrlands    498 days

 99        ID7.1 - Indicator measurements at Triasl start      0 days                           2/01     ID7.1 - Indicator measurements at Triasl start
 100       ID7.2 - Indicator measurements at midterm           0 days           ID7.2 - Indicator measurements at midterm          29/11
 101       D7.4 - Interim Trial Evaluation Report              0 days                    D7.4 - Interim Trial Evaluation Report      31/12
 102       ID7.3 - Indicator measurements at Triasl end        0 days                                  ID7.3 - Indicator measurements at Triasl end        30/10
 103       D7.5 - Final Trial Evaluation Report                0 days                                               D7.5 - Final Trial Evaluation Report     28/11




                                                                        page 55 of 113                                            Error! Reference source not found.
ICT PSP-2011-5                               FALLING IN LOVE                                       Pilot B



B.3.2.1.5 Work package detailed descriptions
                                Table 4 – Work package description
 Work package number:                    1                    Start date or starting event   0
 Work package title:                     Project Co-ordination, Management and Quality Assurance
 Person-months per participant:          See Table 5 below
 Objectives
 The main objectives of this package are the following
         •    effective management of the project in all its aspects;
         •    ensuring that project goals are achieved within the financial and human resources
              allocated to the project;
         •    co-ordination of the Consortium activities;
         •    management of the contractual issues and of the relationship with the European
              Commission
         •    reporting to the Commission;
         •    Quality Assurance.

 Description of work

 Task 1.1 – Administrative and Financial Co-ordination – RSD
         •    liaising with the Project Officer;
         •    submitting deliverables to the European Commission;
         •    collecting and consolidating Financial Statements;
         •    distributing EU contribution among the partners.
 Task 1.2 – Operational Co-ordination – RSD
         •    establishing a detailed Project Plan;
         •    co-ordinating the activity of the individual Work Package Leaders;
         •    controlling the execution of the Project Plan;
         •    keeping the overall project on schedule, by applying the appropriate corrective actions
              in case of shift in relation to the Project Plan;
         •    discussing project objectives and results with the Steering Committee;
         •    guaranteeing that the appropriate standards of project management and quality
              assurance are applied;
         •    preparing contractual periodic management reports.
 Task 1.3 – Medical Co-ordination – RSD
         •    supporting the Operational Co-ordinator in all the clinical aspect of the Project;
         •    liaising with the medical co-ordinators of the individual trial sites;
         •    supporting the pilot sites in the preparation of the application for Ethics Committee
              approval;
         •    defining common inclusion and exclusion criteria for patients;
         •    discussing and agreeing with the medical co-ordinators of the individual trial sites the
              common trial protocol to be adhered to in all trial sites;
         •    preparing the FALLING IN LOVE Trial Protocol;
         •    registering the trial in the clinical trials registry;
         •    randomising the older people participating in the trials.
 Task 1.4 – Quality Assurance – HIM



                                               page 56 of 113          Error! Reference source not found.
ICT PSP-2011-5                         FALLING IN LOVE                                      Pilot B


        •   producing Project/Quality Plan. The Project/Quality Plan will reference the working
            methods to be used in the project as well as other standards in use, such as project
            planning, administration, etc.;
        •   monitoring the proper maintenance of quality records;
        •   ensuring that requirements are met in a cost effective and traceable manner through
            the use of an established quality systems in line with ISO 9001:2008 “Quality
            management systems - Requirements”;
        •   assuring the quality of the project in its different aspects according to the Quality
            Project/Plan and the quality norms agreed among the Consortium members;
        •   providing feedback to the Project Management about possible deviations from plans or
            from agreed quality standards and recommending corrective actions.

 Deliverables

 External
        •   D1.1 – Project Quality Plan (Month 2)
        •   D1.2 – Draft Trial Protocol (Month 6)
        •   D1.3 – Final Trial Protocol (Month 8)
        •   D1.4 – Registration of Trial Protocol (Month 11)
        •   D1.5 – Progress Report - Period 1 (Month 12)
        •   D1.6 – Financial Statement - Period 1 (Month 12)
        •   D1.7 – Progress Report - Period 2 (Month 24)
        •   D1.8 – Financial Statement - Period 2 (Month 24)
        •   D1.9 – Progress Report - Period 3 (Month 36)
        •   D1.10 – Financial Statement - Period 3 (Month 36)
        •   D1.11 – Distribution of the Community financial contribution (Month 36)
        •   D1.12 – Final Report (Month 36)
        •   D1.13 – Public Final Report (Month 36)




                                         page 57 of 113         Error! Reference source not found.
ICT PSP-2011-5                            FALLING IN LOVE                                         Pilot B




 Work package number:                 2                  Start date or starting event        1
 Work package title:                  Dissemination
 Person-months per participant:       See Table 5 below
 Objectives
 This WP intends to give high visibility to the activities carried out in the project. Target audiences
 for this dissemination effort are the public and private purchasers and providers of social and
 healthcare to older people, social and healthcare professionals and general public.
 The dissemination effort will be organised along three communication lines:
         •    The FALLING IN LOVE website, which will be a living window of the project and will be
              constantly updated with the latest results achieved throughout the entire lifecycle of the
              Project; alongside the website, other communication channels such as Facebook and
              Twitter will be considered.
         •    The FALLING IN LOVE leaflet which will be produced in two versions to support the
              presentation of the Project in relevant conferences and fairs. It represents the
              “classical” but still widespread marketing tool of any project;
         •    Midterm Workshop and the Final Conference where 50-60 and 80-100 sector players
              respectively will be invited for a face-to-face presentation of the project results to
              promote its adoption by public and private social and healthcare providers.

 Description of work

 Task 2.1 – FALLING IN LOVE Dissemination Strategy and Implementation – DELTA
         •    identifying and analysing stakeholder groups;
         •    elaborating a targeted dissemination strategy by stakeholder group in terms of
              messages and communication channels;
         •    identifying events in which to present the Project;
         •    producing articles and newsletters to be published in the specialised and general
              press.
 Task 2.2 – FALLING IN LOVE Website – RSD
         •    setting up the project website;
         •    maintaining and enhancing the project website.
 Task 2.3 – FALLING IN LOVE Leaflet design and production – SMARTHOME
         •    designing a leaflet aimed at a wide dissemination of the FALLING IN LOVE idea;
         •    translating the original English text to the national languages;
         •    printing the leaflet.
 Task 2.4 – FALLING IN LOVE Workshop and Final Conference – HIM
         •    organising the Midterm Project Workshop
         •    organising the Final Project Conference.

 Deliverables

 External
         •    D2.1 – Dissemination Plan (Month 4)
         •    D2.2 – FALLING IN LOVE website (Month 4)
         •    D2.3 – FALLING IN LOVE Leaflet – Version 1 (Month 6)
         •    D2.4 – FALLING IN LOVE Midterm Workshop (Month 18)
         •    D2.5 – FALLING IN LOVE Leaflet – Version 2 (Month 33)
         •    D2.6 – FALLING IN LOVE Final Conference (Month 35)



                                            page 58 of 113          Error! Reference source not found.
ICT PSP-2011-5                               FALLING IN LOVE                                        Pilot B




 Work package number:                    3                   Start date or starting event    3
 Work package title:                     Evaluation, Business Modelling and Deployment Planning
 Person-months per participant:          See Table 5 below
 Objectives
 This WP will have four main objectives:
         •    assessing, independently from the project team, the impact of the FALLING IN LOVE
              services on:
              ο    the economics of social and healthcare delivery;
              ο    the quality of life of the older people receiving the service;
              ο    the clinical condition of older people;
         •    surveying the satisfaction of the different categories of users with the service;
         •    evaluating the potential market for the FALLING IN LOVE services in the EU taking
              into considerations the differences between one country and another;
         •    preparing a Deployment Plan for the subsequent deployment of the service. This will
              include a detailed cost/benefit analysis, a billing strategy, and a series of
              recommendations for setting up and customising the service.

 Description of work

 Task 3.1 – Economic impact assessment – ARSENAL
         •    tailoring the MAST methodology to measure the economic impact of the service in the
              specific context of FALLING IN LOVE. The experience of previous European projects
              which have already addressed this issue such as VIRTUS, C³, HEALTH OPTIMUM
              and SPEX will be taken into due consideration;
         •    defining, in collaboration with the participating Social and Health Authorities, the
              indicators that will be used to assess the economic impact of FALLING IN LOVE on
              the delivery of social and healthcare;
         •    collecting the value of the indicators and elaborating the results at the end of the pilots.
 Task 3.2 – Quality of Life impact assessment – RSD
         •    tailoring the MAST methodology to measure the impact and effectiveness of the
              service on the quality of life of the users (i.e. older people) in the specific context of
              FALLING IN LOVE. Available literature and experiences in this field will be capitalised
              upon;
         •    preparing questionnaires for the assessment of the QoL;
         •    analysing the questionnaires and assessing the differences between Intervention and
              Control Group.
 Task 3.3 – Clinical Impact assessment – SIGG
         •    selecting the indicators which will be used to measure the impact and effectiveness of
              the service on the clinical condition of the users (i.e. older people).
         •    collecting the value of the indicators and elaborating the results at the end of the pilots.
 Task 3.4 – User Satisfaction survey – SMARTHOMES
         •    tailoring the MAST methodology to measure the satisfaction of the various categories
              of users. Available literature and experiences in this field will be capitalised upon and
              especially the experience of the ICT PSP project RENEWING HEALTH and of the
              Whole System Demonstrators in the UK;
         •    preparing questionnaires for the assessment of the user satisfaction;
         •    analysing the questionnaires and elaborating the results.
 Task 3.5 – Market evaluation – HIM
         •    assessing the size of the FALLING IN LOVE market country by country;


                                             page 59 of 113           Error! Reference source not found.
ICT PSP-2011-5                               FALLING IN LOVE                                       Pilot B


            •   identifying specific characteristics of the individual national markets, existing
                competitors and decision makers.
 Task 3.6 – Deployment Plan – HIM
            •   identifying possible risks and hurdles which need to be tackled before starting the
                deployment of the FALLING IN LOVE service on a European scale, and recommend
                measures to minimise their impact;
            •   suggesting appropriate alliances for the deployment of the service;
            •   devising possible billing strategies, with the involvement of relevant sources of finance
                (Social Authorities, Health Authorities, insurance companies, older people and their
                families etc.);
            •   elaborating alternative deployment strategies;
            •   identifying IPR issues related to the deployment phase;
            •   preparing detailed deployment plans for the different regions/countries based on their
                specific features and their priorities in the implementation of the various features;
            •   drawing a Deployment Plan for the deployment of the FALLING IN LOVE services
                beyond the end of the Project.

 Deliverables

 External
            •   D3.5 - Market evaluation (Month 13)
            •   D3.6 - Draft Deployment Plan (Month 16)
            •   D3.7 - Economic Impact assessment (Month 33)
            •   D3.8 - QoL Impact assessment (Month 33)
            •   D3.9 - Clinical Impact assessment (Month 33)
            •   D3.10 - User Satisfaction assessment (Month 33)
            •   D3.11 - Final Deployment Plan (Month 35)
 Internal
            •   ID3.1 - Economic Impact indicator list (Month 9)
            •   ID3.2 - QoL Questionnaire (Month 9)
            •   ID3.3 - Clinical Impact indicator list (Month 9)
            •   ID3.4 - User Satisfaction Questionnaire (Month 9)




                                              page 60 of 113        Error! Reference source not found.
ICT PSP-2011-5                               FALLING IN LOVE                                         Pilot B




 Work package number:                    4                Start date or starting event      0
 Work package title:                     Functional specifications refinement
 Person-months per participant:          See Table 5 below
 Objectives
 This WP aims to refine the functional specifications of the FALLING IN LOVE Platform. The starting
 point for this iterative refinement process is the specifications of the platform which is currently
 available.
 The specifications will be progressively refined during the lifecycle of the Pilots making use of the
 wisdom of the Advisory Groups established in each of the validation sites, working in close co-
 ordination with one another, and of the feedback from the pilots that will be collected and
 elaborated by these same Advisory Groups.
 This iterative process and the close interaction between technical partners and Advisory Groups
 ensure that by the end of the phase the specifications of the Platform are perfectly in line with
 market demand.

 Description of work

 Task 4.1 – User requirement analysis - SMARTHOMES
         •    selecting a sub-set of candidate users and carers;
         •    interviewing the people selected about their requirements for safety against falls and
              support;
         •    summarising the results of the interviews in a report.
 Task 4.2 – Ethical and privacy issues - SIGG
         •    consult literature available on ethical and privacy regulations and practices in the EU
              which applies to monitoring people at home;
         •    carry out an in-depth survey of ethical and privacy regulations and practices which
              applies to monitoring people at home in the countries represented in the Consortium.
 Task 4.3 – Advisory Group member recruitment and management - SMARTHOMES
         •    formally inviting the local older people Associations already identified to form, under
              the co-ordination of the Project Team, local Advisory Groups;
         •    setting up Advisory Groups;
         •    organising local and project-wide Advisory Group meetings;
         •    discussing current platform specifications;
         •    collecting and elaborating feedback;
         •    providing input for platform specifications refinement.
 Task 4.4 – Platform specification refinement - HIS
         •    presenting current platform specifications to the Advisory Groups;
         •    producing adapted platform functional specifications version 1;
         •    incorporating feedback from the initial part of the trials into the platform specifications;
         •    producing adapted platform functional specifications version 2.




                                             page 61 of 113         Error! Reference source not found.
ICT PSP-2011-5                             FALLING IN LOVE                                      Pilot B


 Deliverables

 External
            •   D4.1 – User Requirements (Month 3)
            •   D4,3 – Ethical and privacy recommendations (Month 6)
            •   D4.4 – Platform Functional Specifications - version 1 (Month 6)
            •   D4.6 – Platform Functional Specifications - version 2 (Month 20)
            •   D4.8 - Platform Functional Specifications for further deployment (Month 36)
 Internal
            •   ID4.2 – Advisory Group initial feedback (Month 4)
            •   ID4.5 – Advisory Group intermediate feedback (Month 18)
            •   ID4.7 – Advisory Group final feedback (Month 35)




                                            page 62 of 113          Error! Reference source not found.
ICT PSP-2011-5                               FALLING IN LOVE                                       Pilot B




 Work package number:                    5                Start date or starting event      0
 Work package title:                     Enhancing & supporting the FALLING IN LOVE Platform
 Person-months per participant:          See Table 5 below
 Objectives
 This work package aims to enhance the FALLING IN LOVE Platform thanks to the feedback from
 the pilots and to support it throughout the entire duration of the trials.
 The Platform will be adapted on the basis of the functional specifications refined through the
 interaction between the technical partners and the Advisory Groups (see WP4 description) and with
 the users in the field. In enhancing the Platform, use will be made of the existing FALLING IN
 LOVE Platform and other ready-made components and sub-systems.
 Original development will be limited to bridging software to integrate additional components and
 sub-systems, and to minor adaptations of the platform to align it with user requirements.
 New versions of the platform will be fully tested before they are released for the subsequent set-up
 of the validation sites.
 Two versions of the Platform are foreseen during the lifecycle of the Pilots. The first version will be
 based on the existing subsystems, which are not currently integrated with one another, and on the
 Platform Functional Specifications - version 1 elaborated in WP4.
 The second version of the Platform would benefit from the feedback from the real-life trials and
 should achieve a completeness and comprehensiveness to support the further deployment of the
 FALLING IN LOVE services outside the original pilots.

 Description of work

 Task 5.1 – Enhancing of the FALLING IN LOVE Platform – HIS
            •   Enhancing the FALLING IN LOVE Platform version 1
                ο   procuring individual components required for the platform;
                ο   integrating individual components;
                ο   developing bridging software;
                ο   testing integrated solution;
                ο   releasing FALLING IN LOVE Platform version 1 and 2.
 Task 5.2 – Support for the FALLING IN LOVE Platform – HIS
            •   providing corrective maintenance throughout the real-life trials;
            •   carrying out minor adaptations to the FALLING IN LOVE environment to guarantee its
                usability throughout the duration of the field trials.

 Deliverables

 External
        •       D5.1 – Integrated FALLING IN LOVE Platform (Month 6)
            •   D5.2 – Enhanced FALLING IN LOVE Platform v1 (Month 10)
            •   D5.3 – Enhanced FALLING IN LOVE Platform v2 (Month 23)
 Internal
            •   ID5.4 – Installation and operating cost summary (Month 35)




                                               page 63 of 113       Error! Reference source not found.
ICT PSP-2011-5                              FALLING IN LOVE                                        Pilot B




 Work package number:                   6                   Start date or starting event   3
 Work package title:                    Trial preparation
 Person-months per participant:         See Table 5 below
 Objectives
 The FALLING IN LOVE platforms will be installed in the pilot sites. This implies the procurement of
 the monitoring, domotic and tele-rehabilitation platforms, their installation onsite and the testing of
 the systems installed in the older persons’ homes. In parallel, the extensions necessary for
 handling messages and alarms coming from FALLING IN LOVE will be installed in the Call Centres
 and integrated, whenever possible, with the existing IT infrastructure of such centres.
 A two-tier helpdesk will be set-up. User will receive first level support from the Call Centre
 operators who, in turn, will have access to a second level helpdesk for problems that go beyond the
 competence of such operators.
 Description of work

 Task 6.1 – Trial preparation in Syddanmark - RSD
    Sub-task 6.1.1 - Platform and infrastructure procurement, installation and test – RSD
         •    procuring the FALLING IN LOVE platform;
         •    procuring the       telecommunication     infrastructure   (ADSL,    GSM,    UMTS     etc.
              subscriptions);
         •    training the local installation team;
         •    installing the procured components;
         •    testing the entire installation.
    Sub-task 6.1.2 – Call Centre set-up and activation – RSD
         •    installing the Call Centre components of the FALLING IN LOVE environment;
         •    training the Call Centre operators to handle alarms and calls;
         •    testing the Call Centre set-up;
         •    activating the Call Centre.
    Sub-task 6.1.3 –Helpdesk set-up - RSD
         •    training Call Centre operators on the feature of the Platform;
         •    setting up the first-level helpdesk;
         •    activating first-level helpdesk;
         •    setting up the second-level helpdesk;
         •    activating second-level helpdesk.
    Sub-task 6.1.4 –Liaison with Ethics Boards– RSD
         •    preparation of the model Informed Consent Form in English;
         •    translation of the Informed Consent Form into the various national languages and
              adaptation to local legislation/ requirements;
         •    preparation and submission of the application to the local Ethics Boards.
 Task 6.2 – Trial preparation in Veneto – ULSS9
    Sub-task 6.2.1 - Platform and infrastructure procurement, installation and test –
    ARSENAL
         •    procuring the FALLING IN LOVE platform;
         •    procuring the       telecommunication     infrastructure   (ADSL,    GSM,    UMTS     etc.
              subscriptions);
         •    training the local installation team;
         •    installing the procured components;



                                             page 64 of 113          Error! Reference source not found.
ICT PSP-2011-5                             FALLING IN LOVE                                      Pilot B


        •    testing the entire installation.
    Sub-task 6.2.2 – Call Centre set-up and activation – ARSENAL
        •    installing the Call Centre components of the FALLING IN LOVE environment;
        •    training the Call Centre operators to handle alarms and calls;
        •    testing the Call Centre set-up;
        •    activating the Call Centre.
    Sub-task 6.2.3 –Helpdesk set-up - ARSENAL
        •    training Call Centre operators on the feature of the Platform;
        •    setting up the first-level helpdesk;
        •    activating first-level helpdesk;
        •    setting up the second-level helpdesk;
        •    activating second-level helpdesk.
    Sub-task 6.2.4 –Liaison with Ethics Boards– ARSENAL
        •    preparation of the model Informed Consent Form in English;
        •    translation of the Informed Consent Form into the various national languages and
             adaptation to local legislation/ requirements;
        •    preparation and submission of the application to the local Ethics Boards.
 Task 6.3 – Trial preparation in Carinthia - KARNTEN
    Sub-task 6.3.1 - Platform and infrastructure procurement, installation and test –
    KARNTEN
        •    procuring the FALLING IN LOVE platform;
        •    procuring the       telecommunication   infrastructure   (ADSL,   GSM,      UMTS    etc.
             subscriptions);
        •    training the local installation team;
        •    installing the procured components;
        •    testing the entire installation.
    Sub-task 6.3.2 – Call Centre set-up and activation – KARNTEN
        •    installing the Call Centre components of the FALLING IN LOVE environment;
        •    training the Call Centre operators to handle alarms and calls;
        •    testing the Call Centre set-up;
        •    activating the Call Centre.
    Sub-task 6.3.3 –Helpdesk set-up - KARNTEN
        •    training Call Centre operators on the feature of the Platform;
        •    setting up the first-level helpdesk;
        •    activating first-level helpdesk;
        •    setting up the second-level helpdesk;
        •    activating second-level helpdesk.
    Sub-task 6.3.4 –Liaison with Ethics Boards– KARNTEN
        •    preparation of the model Informed Consent Form in English;
        •    translation of the Informed Consent Form into the various national languages and
             adaptation to local legislation/ requirements;
        •    preparation and submission of the application to the local Ethics Boards.
 Task 6.4 – Trial preparation in the Netherlands - SMARTHOMES
    Sub-task 6.4.1 - Platform and infrastructure procurement, installation and test –
    SMARTHOMES



                                            page 65 of 113       Error! Reference source not found.
ICT PSP-2011-5                            FALLING IN LOVE                                      Pilot B


        •   procuring the FALLING IN LOVE platform;
        •   procuring the       telecommunication   infrastructure   (ADSL,   GSM,      UMTS    etc.
            subscriptions);
        •   training the local installation team;
        •   installing the procured components;
        •   testing the entire installation.
    Sub-task 6.4.2 – Call Centre set-up and activation – SMARTHOMES
        •   installing the Call Centre components of the FALLING IN LOVE environment;
        •   training the Call Centre operators to handle alarms and calls;
        •   testing the Call Centre set-up;
        •   activating the Call Centre.
    Sub-task 6.4.3 –Helpdesk set-up - SMARTHOMES
        •   training Call Centre operators on the feature of the Platform;
        •   setting up the first-level helpdesk;
        •   activating first-level helpdesk;
        •   setting up the second-level helpdesk;
        •   activating second-level helpdesk.
    Sub-task 6.4.4 –Liaison with Ethics Boards– SMARTHOMES
        •   preparation of the model Informed Consent Form in English;
        •   translation of the Informed Consent Form into the various national languages and
            adaptation to local legislation/ requirements;
        •   preparation and submission of the application to the local Ethics Boards.

 Deliverables

 External
        •   D6.1 – Call Centre set-up (Month 9)
        •   D6.2 – Helpdesks set-up (Month 9)
        •   D6.3 – Ethics Board approval (Month 10)
        •   D6.4 – Homes installed for Trials (Month 11)




                                           page 66 of 113       Error! Reference source not found.
ICT PSP-2011-5                                  FALLING IN LOVE                                     Pilot B




 Work package number:                       7                  Start date or starting event   12
 Work package title:                        Real-life trials
 Person-months per participant:             See Table 5 below
 Objectives
 The trials will last 22 months in total.
 They are aimed at:
          •    testing the FALLING IN LOVE environment with a real-life user sample and evaluating
               their level of acceptance and satisfaction with the concept and with the specific
               implementation of the services represented by the platform (usability, user-friendliness,
               relevance, etc.);
          •   collecting quantitative data towards assessing the impact of the service on the
              economics of delivering social and healthcare and on the clinical conditions of the
              Intervention Group.
 A close co-ordination and a frequent exchange of view will be maintained among the users and the
 FALLING IN LOVE partners involved in the four real-life trials which are carried out in parallel.
 Monthly meetings will be held through videoconferencing and teleconferencing, among the various
 teams to exchange experiences, ideas and suggestions.

 Description of work

 Task 7.1 – Real-life trials in Denmark – RSD
          •    Recruitment of the users;
          •    Informed Consent Form signature;
          •    Random allocation of the users to the Intervention or Control Group;
          •    Training of the users assigned to the Intervention Group;
          •    Provision of the FALLING IN LOVE services in real-life conditions;
          •    Indicator measurement collection.
          •    Pilot evaluation.
 Task 7.2 – Real-life trials in Italy – ARSENAL
          •    Recruitment of the users;
          •    Informed Consent Form signature;
          •    Random allocation of the users to the Intervention or Control Group;
          •    Training of the users assigned to the Intervention Group;
          •    Provision of the FALLING IN LOVE services in real-life conditions;
          •    Indicator measurement collection.
          •    Pilot evaluation.
 Task 7.3 – Real-life trials in Austria – KARNTEN
          •    Recruitment of the users;
          •    Informed Consent Form signature;
          •    Random allocation of the users to the Intervention or Control Group;
          •    Training of the users assigned to the Intervention Group;
          •    Provision of the FALLING IN LOVE services in real-life conditions;
          •    Indicator measurement collection.
          •    Pilot evaluation.
 Task 7.4 – Real-life trials in the Netherlands – SMARTHOMES
          •    Recruitment of the users;



                                                 page 67 of 113         Error! Reference source not found.
ICT PSP-2011-5                             FALLING IN LOVE                                      Pilot B


            •   Informed Consent Form signature;
            •   Random allocation of the users to the Intervention or Control Group;
            •   Training of the users assigned to the Intervention Group;
            •   Provision of the FALLING IN LOVE services in real-life conditions;
            •   Indicator measurement collection.
            •   Pilot evaluation.

 Deliverables

 External
            •   D7.3 – Interim Trial Evaluation Report (Month 24)
            •   D7.5 – Final Trial Evaluation Report (Month 35)
 Internal
            •   ID7.1 – Indicator measurements at Trials start (Month 12)
            •   ID7.2 – Indicator measurements at midterm (Month 23)
            •   ID7.4 – Indicator measurements at Trials end (Month 34)




                                            page 68 of 113          Error! Reference source not found.
ICT PSP-2011-5                                                                      FALLING IN LOVE                                                                    Pilot B


Table 5 – Summary of staff effort




                                                                                                                                 SMARTHOMES
                                                                                                  ZUIDZORG
                                                                                        KARNTEN




                                                                                                                                                             ARSENAL
                                                                                                                                                     EUGMS
                                                                                                             DELTA
                                                                            ULSS9




                                                                                                                                                                          TOTAL
                                                                                                                                              SIGG
                                                                     RSD




                                                                                                                           HIM
                                                                                                                     HIS
                                                   PARTNER



WP


       Project Co-ordination,      Management      and     Quality
WP 1
       Assurance                                                     26,0    0,0         1,0        1,0       1,0    1,0   9,0     1,0         7,0    1,0     1,0        49,0
       T1.1 – Administrative and Financial Co-ordination              6,0    0,0         0,0        0,0       0,0    0,0   0,0     0,0         0,0    0,0     0,0          6,0
       T1.2 – Operational Co-ordination                              12,0    0,0         1,0        1,0       1,0    1,0   1,0     1,0         1,0    0,0     1,0        20,0
       T1.3 – Medical Co-ordination                                   8,0    0,0         0,0        0,0       0,0    0,0   0,0     0,0         6,0    1,0     0,0        15,0
       T 1.4 – Quality Assurance                                      0,0    0,0         0,0        0,0       0,0    0,0   8,0     0,0         0,0    0,0     0,0          8,0
WP 2   Dissemination                                                  8,0    0,0         2,7        2,7       5,7    2,7   6,2     8,5         5,0    3,0     2,7        47,2
       T 2.1 – FALLING IN LOVE Dissemination Strategy and
       Implementation                                                 1,0    0,0         1,0        1,0       4,0    1,0   1,0     3,0         4,0    2,0     1,0        19,0
       T 2.2 – FALLING IN LOVE Website creation and
       enhancement                                                    6,0    0,0         1,0        1,0       1,0    1,0   1,0     1,0         0,5    0,5     1,0        14,0
       T 2.3 – FALLING IN LOVE Leaflet design and production          0,5    0,0         0,2        0,2       0,2    0,2   0,2     4,0         0,0    0,0     0,2          5,7
       T 2.4 – FALLING IN LOVE Workshop and Final
       Conference                                                     0,5    0,0         0,5        0,5       0,5    0,5   4,0     0,5         0,5    0,5     0,5          8,5
       Evaluation, Business Modelling and Deployment
WP 3
       Planning                                                       7,0    3,0         3,0        3,0       1,0    1,0   6,0     7,5         5,0    3,0     5,5        45,0
       T 3.1 - Economic impact assessment                             1,0    0,0         1,0        1,0       0,5    0,5   0,0     1,0         0,0    0,0     4,0          9,0
       T 3.2 - Quality of Life impact assessment                      4,0    1,0         0,0        0,0       0,0    0,0   0,0     2,0         2,0    1,0     0,0        10,0
       T 3.3 - Clinical Impact assessment                             0,0    2,0         0,0        0,0       0,0    0,0   0,0     0,0         2,0    2,0     0,0          6,0
       T 3.4 - User Satisfaction survey                               1,0    0,0         1,0        1,0       0,0    0,0   0,0     4,0         0,0    0,0     1,0          8,0
       T 3.5 - Market evaluation                                      0,5    0,0         0,5        0,5       0,0    0,0   2,0     0,0         1,0    0,0     0,5          5,0
       T 3.6 - Business Plan                                          0,5    0,0         0,5        0,5       0,5    0,5   4,0     0,5         0,0    0,0     0,0          7,0




                                                                                     page 69 of 113                                    Error! Reference source not found.
ICT PSP-2011-5                                                                 FALLING IN LOVE                                                                     Pilot B




                                                                                                                             SMARTHOMES
                                                                                             ZUIDZORG
                                                                                   KARNTEN




                                                                                                                                                         ARSENAL
                                                                                                                                                 EUGMS
                                                                                                        DELTA
                                                                       ULSS9




                                                                                                                                                                      TOTAL
                                                                                                                                          SIGG
                                                                RSD




                                                                                                                       HIM
                                                                                                                HIS
                                                   PARTNER



WP


WP 4   Functional specifications refinement                      2,0    1,0         2,0        2,0       1,0     2,0   0,0   15,0          3,0    1,0     2,0        31,0
       T 4.1 - User requirement analysis                         1,0    1,0         1,0        1,0       0,0     0,0   0,0     6,0         0,0    1,0     2,0        13,0
       T 4.2 - Ethical and privacy issues                        1,0    0,0         1,0       1,0        0,0     0,0   0,0     1,0        3,0     0,0     0,0          7,0
       T 4.3 - Advisory Group members recruitment and
       management                                                0,0    0,0         0,0        0,0       0,0     0,0   0,0     4,0         0,0    0,0     0,0          4,0
       T 4.4 - Platform specification refinement                 0,0    0,0         0,0        0,0       1,0     2,0   0,0     4,0         0,0    0,0     0,0          7,0
       Enhancing & supporting the FALLING IN LOVE
WP 5
       Platform                                                  0,0    0,0         0,0        0,0      36,0    25,0   0,0     0,0         0,0    0,0     0,0        61,0
       T 5.1 – Integrating the FALLING IN LOVE Platform          0,0    0,0         0,0        0,0      10,0     5,0   0,0     0,0         0,0    0,0     0,0        15,0
       T 5.2 - Enhancing of the FALLING IN LOVE Platform         0,0    0,0         0,0        0,0      20,0    10,0   0,0     0,0         0,0    0,0     0,0        30,0
       T 5.3 - Support for the FALLING IN LOVE Platform          0,0    0,0         0,0        0,0       6,0    10,0   0,0     0,0         0,0    0,0     0,0        16,0
WP 6   Trials preparation-                                      11,0    3,5       11,0         3,0       2,0     2,0   0,0     8,0         1,0    0,0     6,5        48,0
       T6.1 - Trial preparation in Syddanmark                   11,0    0,0         0,0        0,0       0,5     0,5   0,0     0,0         0,0    0,0     0,0        12,0
          ST 6.1.1 - Platform and infrastructure procurement,
          installation and test                                  4,0    0,0         0,0        0,0       0,0     0,0   0,0     0,0         0,0    0,0     0,0          4,0
          ST 6.1.2 - Call Centre set-up and activation           2,0    0,0         0,0        0,0       0,0     0,0   0,0     0,0         0,0    0,0     0,0          2,0
          ST 6.1.3 - Helpdesk set-up and activation              2,0    0,0         0,0        0,0       0,5     0,5   0,0     0,0         0,0    0,0     0,0          3,0
          ST 6.1.4 – Liaison with Ethics Boards                  3,0    0,0         0,0        0,0       0,0     0,0   0,0     0,0         0,0    0,0     0,0          3,0
       T6.2 - Trial preparation in Veneto                        0,0    3,5         0,0        0,0       0,5     0,5   0,0     0,0         1,0    0,0     6,5        12,0
          ST 6.2.1 - Platform and infrastructure procurement,
          installation and test                                  0,0    1,0         0,0        0,0       0,0     0,0   0,0     0,0         0,0    0,0     3,0          4,0
          ST 6.2.2 - Call Centre set-up and activation           0,0    0,5         0,0        0,0       0,0     0,0   0,0     0,0         0,0    0,0     1,5          2,0
          ST 6.2.3 - Helpdesk set-up and activation              0,0    0,5         0,0        0,0       0,5     0,5   0,0     0,0         0,0    0,0     1,5          3,0


                                                                                page 70 of 113                                     Error! Reference source not found.
ICT PSP-2011-5                                                                   FALLING IN LOVE                                                                      Pilot B




                                                                                                                                SMARTHOMES
                                                                                               ZUIDZORG
                                                                                     KARNTEN




                                                                                                                                                            ARSENAL
                                                                                                                                                    EUGMS
                                                                                                          DELTA
                                                                         ULSS9




                                                                                                                                                                         TOTAL
                                                                                                                                             SIGG
                                                                  RSD




                                                                                                                         HIM
                                                                                                                  HIS
                                                      PARTNER



WP


            ST 6.2.4 – Liaison with Ethics Boards                  0,0    1,5         0,0        0,0       0,0     0,0    0,0     0,0         1,0    0,0     0,5          3,0
        T6.3 - Trial preparation in Carinthia                      0,0    0,0       11,0         0,0       0,5     0,5    0,0     0,0         0,0    0,0     0,0        12,0
            ST 6.3.1 - Platform and infrastructure procurement,
            installation and test                                  0,0    0,0         4,0        0,0       0,0     0,0    0,0     0,0         0,0    0,0     0,0          4,0
            ST 6.3.2 - Call Centre set-up and activation           0,0    0,0         2,0        0,0       0,0     0,0    0,0     0,0         0,0    0,0     0,0          2,0
            ST 6.3.3 - Helpdesk set-up and activation              0,0    0,0         2,0        0,0       0,5     0,5    0,0     0,0         0,0    0,0     0,0          3,0
            ST 6.3.4 – Liaison with Ethics Boards                  0,0    0,0         3,0        0,0       0,0     0,0    0,0     0,0         0,0    0,0     0,0          3,0
        T6.4 - Trial preparation in the Netherlands                0,0    0,0         0,0        3,0       0,5     0,5    0,0     8,0         0,0    0,0     0,0        12,0
            ST 6.4.1 - Platform and infrastructure procurement,
            installation and test                                  0,0    0,0         0,0        0,0       0,0     0,0    0,0     4,0         0,0    0,0     0,0          4,0
            ST 6.4.2 - Call Centre set-up and activation           0,0    0,0         0,0        0,0       0,0     0,0    0,0     2,0         0,0    0,0     0,0          2,0
            ST 6.4.3 - Helpdesk set-up and activation              0,0    0,0         0,0        0,0       0,5     0,5    0,0     2,0         0,0    0,0     0,0          3,0
            ST 6.4.4 – Liaison with Ethics Boards                  0,0    0,0         0,0        3,0       0,0     0,0    0,0     0,0         0,0    0,0     0,0          3,0
WP 7    Real life trials
                                                                  30,0   20,0       30,0       20,0        0,0     0,0    0,0   10,0          0,0    0,0    10,0       120,0
        T 7.1 – Real-life trials in Denmark                       30,0    0,0         0,0        0,0       0,0     0,0    0,0     0,0         0,0    0,0     0,0        30,0
        T 7.2 – Real-life trials in Italy                          0,0   20,0         0,0        0,0       0,0     0,0    0,0     0,0         0,0    0,0    10,0        30,0
        T 7.3 – Real-life trials in Austria                        0,0    0,0       30,0         0,0       0,0     0,0    0,0     0,0         0,0    0,0     0,0        30,0
        T 7.4 – Real-life trials in the Netherlands                0,0    0,0         0,0      20,0        0,0     0,0    0,0   10,0          0,0    0,0     0,0        30,0
Total
                                                                  84,0   27,5       49,7       31,7       46,7    33,7   21,2   50,0         21,0    8,0    27,7       401,2




                                                                                  page 71 of 113                                      Error! Reference source not found.
ICT PSP-2011-5                       FALLING IN LOVE                                    Pilot B




B.3.2.2 Approach to Risk Management
The approach adopted by the FALLING IN LOVE Consortium for risk management is
described below.
Risk Management includes:
   •   The risk assessment:
       ο risk identification, in terms of list of risks;
       ο risk analysis, in terms of evaluation of drawbacks and impacts;
       ο risk classification, on probability of occurrence and impacts.
   •   The risk control:
       ο identification of actions for risk avoidance or reduction;
       ο planning and implementation of risk avoidance/reduction actions;
       ο risk monitoring with reporting and re-assessment of risks.
Risk analysis identifies some possible actions that could be taken (risk control) in order to
reduce the propagation of delay to the remaining sequence of activities. The risk
classification, in terms of probability, is updated periodically.
Risks are recorded in the Risk Register; an example is shown below.
From the management point of view, there are a number of risks, which can never be totally
excluded, but always need to be controlled; these potential risks are identified. Risks already
identified shall be monitored continuously.
Risks which materialise during the course of the Project will be recorded in an Issue
Register, so they can be better managed and monitored.
To control the risks, indicators and metrics are defined and reported in the periodic progress
reports. When any such indicators reaches an alarm level, the relevant mitigation activity is
started.
The following information shall be defined for each risk:
  1. Unique identifier and title.
  2. Probability, that shows the estimated Probability Level of occurrence of the risk (from
      Low to High, numeric values can be used).
  3. Impact, that shows the estimated Impact Level in case of occurrence of the risk (from
      Low to High, numeric values can be used)
  4. Possible Actions to reduce the possibility of occurrence of the risk.
  5. Status, with possible values:
        ο Identified: the Risk Register has been filled in and the risk is being monitored;
        ο Superseded: no longer a potential risk;
        ο Active: the risk is currently affecting the project.

B.3.2.2.1 Risk Analysis
In Table 6.1, the risks to which the Project is exposed during the implementation phase are
analysed task by task according to the approach described above; the corresponding
mitigation plan is described for each of them.
In addition, risks affecting the actual deployment of the FALLING IN LOVE services beyond
the end of the EU Project have been also identified by the Consortium and are listed in Table
6.2 below. For each of them a preliminary mitigation plan to diffuse their potential threat to




                                       page 72 of 113                          31/05/2011 v11
ICT PSP-2011-5                     FALLING IN LOVE                                Pilot B


the successful deployment of the service has been indicated, when mitigation measures can
be applied.




                                     page 73 of 113                       31/05/2011 v11
 ICT PSP-2011-5                                                       FALLING IN LOVE                                                                 Pilot B



                                                               Table 6 – Risk assessment

                                       Table 6.1 - Risks during the implementation of the EU project

Risk
       Task                    Risk                                 Probability    Impact   Mitigation plan
nr.
RI1    T1.1 – Administrative   Delays in the preparation of                                 All possible pressure will be put on Project partners for them to
       Co-ordination           periodical reports and cost                                  provide the indispensable information in time to respect
                               statements                           Low            Medium   deadlines with the Commission.
                                                                                            In particular, the Consortium Agreement will contain sanctions for
                                                                                            defaulting or failing parties.

RI2    T1.2 – Operational      Discrepancy between planned                                  Resources will be reallocated dynamically in such a way as to
       Co-ordination           and reality                                                  reabsorb delays on the critical path and ensure respect of the
                                                                                            Project schedule.
                                                                    Low            Medium   If discrepancies are due to underperformance of one or other
                                                                                            partners, the relevant clauses of the Consortium Agreement will
                                                                                            be invoked and sanctions applied, including the transfer of
                                                                                            delayed activities to other partners.
                                                                                            The Steering Committee will be called to a meeting and asked to
RI3    T1.3 – Medical Co-      Inability to agree a common trial
                                                                                            arbitrate about the trial protocol to be adopted for all the trial
       ordination              protocol among the various trial     Low            High
                                                                                            sites.
                               sites

RI4    T 1.4 –       Quality   No risk have been identified for
                                                                    NA             NA       NA
       Assurance               this task

RI5    T 2.1 – FALLING IN      The dissemination strategy is ill-                           The impact of the dissemination strategy will be monitored
       LOVE Dissemination      designed and does not produce                                throughout the Project lifecycle; adjustments will be applied until
       Strategy       and      results in terms of awareness                                the cost/impact ratio of the dissemination strategy is deemed
       Implementation          and enrolment of users, health       Low            Medium   correct.
                               and social care providers and
                               regional authorities within and
                               outside the participating regions




                                                                          page 74 of 113                               Error! Reference source not found.
 ICT PSP-2011-5                                                        FALLING IN LOVE                                                                  Pilot B



Risk
       Task                      Risk                                Probability    Impact   Mitigation plan
nr.
RI6    T 2.2 – FALLING IN        The website does not attract                                In spite of the substantial in-house expertise in designing
       LOVE        website       attention and is rarely visited                             websites, external expertise will be sought and used to improve
                                                                     Low            Medium
       creation       and                                                                    the quality of the website.
       enhancement

RI7    T 2.3 – FALLING IN        The leaflet is not       of   an                            The leaflet will be redesigned and reprinted.
       LOVE Leaflet design       acceptable quality                  Low            Low
       and production

RI8    T 2.4 – FALLING IN        The two events are not properly                             This will have little effect on the implementation of the project
       LOVE Workshop and         organised and fail to attract the                           itself, but will affect the subsequent deployment of the FALLING
                                                                     Low            Medium
       Final Conference          right quality and/or right number                           IN LOVE services in the European Union at large. Other ways of
                                 of delegates                                                disseminating the results will be sought and put into action.

RI9    T 3.1 - Economic          The economic impact of the                                  The business case built around the economic assessment will
       impact assessment         introduction of FALLING IN          Low            High     not be valid. Extra work has to be put in to redo the assessment
                                 LOVE is not properly assessed                               until results are sound and unchallengeable.

RI10   T 3.2 - Quality of Life   The impact of the introduction of                           The FALLING IN LOVE service cannot be deployed if its impact
       impact assessment         FALLING IN LOVE on the                                      on the Quality of Life is unclear. Extra work has to be put in to
                                                                     Low            High
                                 Quality of Life of the elderly is                           redo the assessment until results are sound and
                                 not properly assessed                                       unchallengeable.

RI11   T 3.3 - Clinical          The impact of the introduction of                           The FALLING IN LOVE service cannot be deployed if its impact
       impact assessment         FALLING IN LOVE on the health                               on the health of the elderly participating in the trials is unclear.
                                                                     Low            High
                                 status of the elderly is not                                Extra work has to be put in to redo the assessment until results
                                 properly assessed                                           are sound and unchallengeable.

RI12   T    3.4     -   User     The user satisfaction is not                                For the FALLING IN LOVE services to be deployed on a large
       Satisfaction survey       properly assessed for one or                                scale, all the stakeholders need to be satisfied about the
                                                                     Low            Medium
                                 more categories of users                                    services. If the user satisfaction surveys are not properly carried
                                                                                             out and are not convincing, they have to be redone.




                                                                           page 75 of 113                                Error! Reference source not found.
 ICT PSP-2011-5                                                      FALLING IN LOVE                                                                Pilot B



Risk
       Task                   Risk                                 Probability    Impact   Mitigation plan
nr.
RI13   T 3.5 -      Market    The market evaluation is not                                 Doubts about the marketability of the services and the
       evaluation             properly carried out and the                                 identification of the potential buyers of the FALLING IN LOVE
                              results are unconvincing.            Low            High     services can block further investment by the Consortium to
                                                                                           deploy the service. Extra effort work has to be put in to evaluate
                                                                                           the market until results are sound and unchallengeable.

RI14   T 3.6 – Deployment     The Deployment Plan, although                                The Deployment Plan is the main tool to unleash further
       Plan                   based on solid evidence from                                 investment in the FALLING IN LOVE services and to deploy
                              the previous tasks, is not           Low            High     them on a large scale. The Deployment Plan will have to be
                              properly   structured or    is                               reworked until it is up to the necessary standard.
                              unconvincing.

RI15   T    4.1   -    User   The requirements of the users                                In the event that the gap between the current FALLING IN LOVE
       requirement analysis   cannot be met by the FALLING                                 platform and the requirements elicited during the analysis is too
                              IN LOVE platform as it is.           Low            Medium   wide and cannot be filled in time for the trials or adapting it is
                                                                                           economically unviable, replacing the current technological
                                                                                           platform will be considered.

RI16   T 4.2 - Ethical and    The services as they have been                               Services features will be adjusted in such a way that the breach
       privacy issues         designed in the proposal cannot                              is removed
                              be provided because they             Low            Low
                              breach ethical principles or
                              privacy protection rules

RI17   T 4.3 - Advisory       The Older People Associations
       Group       members    identified during the preparation                            Other Older People Associations will be contacted and invited to
                                                                   Low            Low
       recruitment     and    of the proposal are not willing to                           participate.
       management             be part of the Advisory Group

RI18   T 4.4 - Platform
                              No risk have been identified for
       specification                                               NA             NA       NA
                              this task
       refinement




                                                                         page 76 of 113                               Error! Reference source not found.
 ICT PSP-2011-5                                                         FALLING IN LOVE                                                                  Pilot B



Risk
       Task                       Risk                                Probability    Impact   Mitigation plan
nr.
RI19   T 5.1 - Integrating        The    integration    of the                                Other components with similar functionality will be searched on
       the  FALLING     IN        components identified at the                                the market and the original components replaced.
                                                                      Low            Medium
       LOVE Platform              time of the proposal poses
                                  insurmountable problems

RI20   T 5.2 - Enhancing of       The functional specifications                               This would increase the risk of a rejection by the users of the
       the   FALLING     IN       distilled from     the     users’                           solution as a whole (high number of drop-outs or low level of
       LOVE Platform              requirements are not satisfied by                           satisfaction among the users). Extra effort will have to be put in
                                  the enhanced FALLING IN             Low            High     by the technological partners of the Project in adapting the
                                  LOVE platform.                                              platform to the real needs of the users. This effort will not be
                                                                                              chargeable to the Project and will constitute an unforeseen extra
                                                                                              investment for the Consortium.

RI21   T 5.3 - Support for        Support and maintenance are                                 Poor quality of the support and maintenance functions could
       the  FALLING     IN        not up to an acceptable                                     negatively affect the whole assessment of the FALLING IN LOVE
       LOVE Platform              standard.                           Low            High     service. Additional properly skilled resources will have to be
                                                                                              deployed by the technological partners of the Project to enhance
                                                                                              the quality of the service.

RI22   T 6.X.1 - Platform         The procurement of equipment                                This would delay the start of the trials in one or more trial sites.
       and       infrastructure   requires more time than initially                           Two alternatives mitigation measures: reducing the duration of
       procurement,               expected because the need to                                the trials and consequently the budget dedicated to this activity
                                                                      Medium         High
       installation and test      go through public procurement                               or asking the Commission for a Project duration extension.
                                  procedures has not been
                                  identified in time.

RI23   T 6.X.2 - Call Centre      The set-up and the activation of                            Extra resources will have to be put in by the technological
       set-up and activation      the Call Centre turn out to be                              partners and possibly by their subcontractors to absorb the extra
                                  more complex than initially                                 workload. If this is not possible for practical reasons (activities
                                                                      Low            Medium
                                  foreseen.                                                   cannot be run in parallel to shorten the elapsed time), the
                                                                                              consequences and the mitigation plan will be the same as for
                                                                                              Task 6.X.1.




                                                                            page 77 of 113                               Error! Reference source not found.
 ICT PSP-2011-5                                                           FALLING IN LOVE                                                                   Pilot B



Risk
       Task                       Risk                                  Probability    Impact   Mitigation plan
nr.
RI24   T 6.X.3 - Helpdesk         The set-up of the helpdesk takes                              Extra endeavours will have to be used to set-up the helpdesk in
       set-up and activation      longer than initially expected                                time for the start of the trials (e.g. transferring resources
                                  (e.g. because of difficulties in      Low            Medium   dedicated to lower priority tasks to man the helpdesk). If this is
                                  recruiting people with the right                              not possible for practical reasons, the consequences and the
                                  technical and language skills).                               mitigation plan will be the same as for Task 6.X.1.

RI25   T 6.X.4 – Liaison          The Ethics Boards reject the                                  Extra effort will have to be put in reviewing the trial protocol to
                                                                        Medium         Medium
       with Ethics Board          initial application for the trials                            accommodate the requests of the Ethics Boards

RI26   T 7.1 – Real life trials   Insurmountable problems of                                    Trials in Denmark will be dropped from the Work Plan. This will
       in Denmark                 organisational, legal, technical of                           not affect the trials in the other countries and will only marginally
                                  other nature will prevent the         Low            Medium   reduce the scope of the Project. Another candidate country will
                                  execution of trials in Denmark.                               be co-opted into the Project in agreement with the European
                                                                                                Commission.

RI27   T 7.2 – Real life trials   Insurmountable problems of                                    Trials in Italy will be dropped from the Work Plan. This will not
       in Italy                   organisational, legal, technical of                           affect the trials in the other countries and will only marginally
                                  other nature will prevent the         Low            Medium   reduce the scope of the Project. Another candidate country will
                                  execution of trials in Italy.                                 be co-opted into the Project in agreement with the European
                                                                                                Commission.

RI28   T 7.3 – Real life trials   Insurmountable problems of                                    Trials in Austria will be dropped from the Work Plan. This will not
       in Austria                 organisational, legal, technical of                           affect the trials in the other countries and will only marginally
                                  other nature will prevent the         Low            Medium   reduce the scope of the Project. Another candidate country will
                                  execution of trials in Austria.                               be co-opted into the Project in agreement with the European
                                                                                                Commission.

RI29   T 7.4 – Real life trials   Insurmountable problems of                                    Trials in the Netherlands will be dropped from the Work Plan.
       in the Netherlands         organisational, legal, technical of                           This will not affect the trials in the other countries and will only
                                  other nature will prevent the         Low            Medium   marginally reduce the scope of the Project. Another candidate
                                  execution of trials in the                                    country will be co-opted into the Project in agreement with the
                                  Netherlands.                                                  European Commission.




                                                                              page 78 of 113                                Error! Reference source not found.
ICT PSP-2011-5                                                     FALLING IN LOVE                                                                     Pilot B


                              Table 6.2 - Risks for the further deployment of the FALLING IN LOVE services

Risk nr.   Risk                                Probability I m p a c t   Mitigation plan

RD1        The impact of the introduction of                             There is no guarantee that the impact of the introduction of the FALLING IN LOVE
           FALLING IN LOVE on the health of                              services on the health of the users will be positive, although this is highly
                                               Low          High
           the older people under monitoring                             probable. The concept and the features of the services will have to be reviewed
           is negative.                                                  before the latter can be deployed.

RD2        The impact of the introduction of                             There is no guarantee that the impact of the introduction of the FALLING IN LOVE
           FALLING IN LOVE on the Quality                                services on the Quality of Life of the users will be positive, although this is highly
           of Life of the users is negative.                             probable. The basket of FALLING IN LOVE service can be reviewed to add
                                                                         further services that the trials will have helped to elicit and which have a more
                                               Low          High         significant impact on the Quality of Life of older citizens. By the same token,
                                                                         individual services which negatively affect Quality of Life (e.g. excessive intrusion
                                                                         in older citizens’ life through permanent monitoring) can be removed from the
                                                                         basket. Provided this revised basket of services has a demonstrable positive
                                                                         impact, FALLING IN LOVE can be still deployed.

RD3        The impact of the introduction of                             There is no guarantee that the impact will be positive, at least as far as health
           FALLING IN LOVE on the health                                 expenditure is concerned, because this is a totally unexplored area. No mitigation
           and social care expenditure is                                plan can be envisaged, and further deployment of the FALLING IN LOVE services
           negative.                                                     will be seriously hampered if not stopped altogether. In case signs of a possible
                                                                         negative impact on health and social care expenditure are detected during the
                                                                         trials, mitigation measures can be attempted (e.g. discontinue services which
                                                                         clearly do not provide benefits but generate costs). However; modifications of the
                                               Medium       High         trial environment “on the fly” could undermine the concept of RCT. Moreover
                                                                         monitoring implies detection of problems and risks even of those which would
                                                                         disappear even without any intervention by the Social and Health Authorities. If
                                                                         problems are detected, the Authorities have the ethical obligation to take
                                                                         measures and this is an extra cost for them; Only the outcome at the end of the
                                                                         Project will tell us if this extra costs is compensated by reduction of costs in other
                                                                         areas over the duration of the trials. This remains the biggest question to which
                                                                         FALLING IN LOVE is expected to give an answer.




                                                                    page 79 of 113                                     Error! Reference source not found.
ICT PSP-2011-5                                                      FALLING IN LOVE                                                                   Pilot B



Risk nr.   Risk                                 Probability I m p a c t   Mitigation plan

RD4        One or more categories of users                                The satisfaction of the different categories of users is a precondition for the
           are not satisfied with the FALLING                             successful exploitation of FALLING IN LOVE as a commercial service after the
           IN LOVE services.                                              end of the EU project. Satisfaction of users is of course a subjective evaluation of
                                                Medium       Medium       the service, and it is independent from the objective impact of the service on the
                                                                          quantifiable indicators. All possible endeavours will be used to address the
                                                                          elements of the service which create dissatisfaction within one category of users
                                                                          or the other.

RD5        The market for the FALLING IN                                  Although the probability of this risk is low because the Consortium is well
           LOVE services is not as promising    Low          High         acquainted with the demand for these services, the lack of reasonable market for
           as it looks at first glance.                                   the FALLING IN LOVE services will stop the further deployment of these.




                                                                     page 80 of 113                                    Error! Reference source not found.
ICT PSP-2011-5                        FALLING IN LOVE                                      Pilot B



B.3.2.3 Project management
The project management structure described below, in addition to the routine activities
detailed in the following sections, also has to co-ordinate and ensure co-operation among the
various partners involved in the Project and among the various pilot sites.
The project management structure will be responsible for:
   •   producing the Project/Quality Plan;
   •   controlling the execution of the Project Plan;
   •   keeping the overall project on schedule, by applying the appropriate corrective
       actions in case of shift in relation to the project plan;
   •   guaranteeing that the appropriate standards of project management and quality
       assurance are applied;
   •   applying all the regulatory prescriptions in terms of data confidentiality and integrity;
   •   discussing project objectives and results with the Steering Committee.
The need to keep an overall co-ordination while catering for autonomous work packages
management and decentralised decision power implies a two-level management structure,
which addresses the need for both consistency at project level and flexibility in the field. In
this scheme, the upper level of management is responsible for the overall supervision of the
project, while the lower level has the mandate to carry out the individual work packages and
the activities in the countries.
The upper level of management is represented by the Project Steering Committee,
composed of senior representatives of the Partners, by the Administrative and Financial
Co-ordinator, the Operational Co-ordinator, the Medical Co-ordinator and the Quality
Manager
A number of mechanisms will be used in the management of the project by the Operational
Co-ordinator and others involved in the overall management of the Project. These include:
   •   Project plan (see B.3.2.1.4 above).
   •   Risk register (see B.3.2.2 above).
   •   Issue register (see B.3.2.2 above).
   •   Action list.

B.3.2.3.1 Project Steering Committee
The Steering Committee gives the strategic guidelines to the Operational Co-ordinator and
steers the Project according to the agreed objectives. The Steering Committee will be
responsible for the approval of the financial budgets. Decisions on managerial and technical
issues will be made following standard procedures of circulation of agenda items, discussion
and agreement at meetings. Virtual meetings through videoconferencing, tele-conferencing
and e-mail will be held to improve efficiency and reduce travelling costs.
The Steering Committee will also address legal, confidentiality, security and ethical issues
emerging during the lifecycle of the project.
The Steering Committee will meet at the start and completion of the project and, at least, at
six-monthly intervals during the project duration.
Detailed rules for the functioning of the Steering Committee will be laid down in a Consortium
Agreement. It can be anticipated however that decisions will be taken by majority and the



                                        page 81 of 113        Error! Reference source not found.
ICT PSP-2011-5                          FALLING IN LOVE                                Pilot B


quorum is a minimum of 2/3 of the Principal Contractors. In voting, each Contractor has one
vote.

B.3.2.3.2 Project Roles

B.3.2.3.2.1 Administrative and Financial Co-ordinator

The Administrative and Financial Co-ordinator is the official interface between the
Consortium and the European Commission and has responsibility for the administrative and
financial matters and:
   •   chairs the Project Steering Committee meetings;
   •   manages budget transfers to project partners;
   •   co-ordinate the production of administrative periodic reports and cost statements;
   •   interfaces with the European Commission with regard to the contractual and financial
       issues;
   •   keeps the ultimate Project responsibility towards the European Commission on behalf
       of the entire Consortium.
   •   keeps direct control on Task 1.1 Administrative and Financial Co-ordination.

B.3.2.3.2.2 Operational Co-ordinator

The Operational Co-ordinator assists the Administrative and Financial Co-ordinator for the
day-to-day management of the overall project:
   •   reports regularly to the Steering Committee on the progress of the Project;
   •   manages the external relations;
   •   co-ordinates the individual Work Package Leaders;
   •   co-ordinates project-wide workshop meetings;
   •   keeps the whole project on schedule.
   •   keeps direct control on Task 1.2 Operational Co-ordination.

B.3.2.3.2.3 Medical Co-ordinator

The Medical Co-ordinator assists the Operational Co-ordinator and co-ordinates the activities
of the various pilot sites which have medical relevance. These include in particular:
   •   definition of common inclusion and exclusion criteria for patient by type of chronic
       disease;
   •   support to the pilot sites for the preparation of the application for Ethics Committee
       approval;
   •   preparation of the clinical trial protocol;
   •   registration of the trial;
   •   randomisation of patients;
   •   keeps direct control on Task 1.3 Medical Co-ordination.




                                          page 82 of 113   Error! Reference source not found.
ICT PSP-2011-5                        FALLING IN LOVE                                    Pilot B


B.3.2.3.2.4 Quality Manager

The Quality Manager is responsible for the Quality Assurance of the overall project. He/she
reports to the Steering Committee and:
   •   assists the Operational Co-ordinator in defining the reporting structure and the
       relative reporting procedures;
   •   produces the Project/ Quality Plan;
   •   monitors the proper production of quality records by individual Work Package
       Leaders;
   •   reports regularly to the Operational Co-ordinator and to the Steering Committee on
       the quality aspects of the project;
   •   keeps direct control on Task 1.4 Quality Assurance.

B.3.2.3.2.5 Work Package Leaders

Work Package Leaders are responsible for the detailed management of the work package
within the budget of expenses and the workload which is allocated to the work package. This
will include:
   •   production of work package-specific addenda to the overall Project/ Quality Plan if
       required;
   •   monitoring and control of the work package progress;
   •   production of the deliverables specified for the work package;
   •   monitoring and control of quality within the standards defined in the Project and
       Quality Plan and quality procedures;
   •   co-ordination of work package workshops.

B.3.2.4 Management Team

B.3.2.4.1 Administrative and Financial Co-ordinator - Claus Duedal Petersen
Claus Duedal Pedersen has been in the field of eHealth and telemedicine since the 1990s.
His in-depth knowledge of the world of eHealth and innovative processes in health and social
care has made him a sought after expert both in Denmark and in Europe. He is currently
working as an international manager at Odense University Hospital in Denmark, where he
has assisted in leading the hospital into a front-runner position when it comes to
implementing telemedicine solutions and developing new innovative processes. He has been
very involved in MAST (methodology to assess telemedicine services), RENEWING HEALTH
and numerous other projects – both local and international.

B.3.2.4.2 Operational Co-ordinator – Jan Petersen
Jan Petersen has worked in the field of eHealth for the past 20 years. He has a clinical
background as a registered nurse and holds a Master’s Degree in Health Informatics from
Aalborg University. Petersen has worked with clinical information systems at Odense
University Hospital. Before joining the Region of Southern Denmark, Petersen was employed
at the Health Informatics section at the National Board of Health (a division of the Ministry of
Health). Standardisation, terminology, concept development, data formalisation and
information modelling are among Petersen’s strong experiences, and he is a sought after
expert in the field of eHealth. Today, Petersen is head of the international department of
Region of Southern Denmark at the premises of MedCom.



                                        page 83 of 113       Error! Reference source not found.
ICT PSP-2011-5                        FALLING IN LOVE                                    Pilot B


B.3.2.4.3 Medical Co-ordinator - Reinhard Wilhelm Prior
Being a medical doctor by profession, Reinhard specialised in neurology and has dedicated
most of his professional life to clinical research in particular on the Alzheimer disease. Since
2001 he runs a private medical practice that offers full coverage of all neurological diseases.
Since 2003 Reinhard has already managed several European projects as a Medical
Scientific Co-ordinator.

B.3.2.4.4 Quality Manager - John Oates
After having had a long (over 30 years) and successful career with SEMA (previously CAP)
where he was responsible for various activities, including the development of Sema’s health
business, John started working as a Quality Manager for HIM SA. He has been involved in
number of European eHealth projects that HIM SA has managed (5FP THRIVE, eTEN
SPEX, HEALTH OPTIMUM MV, LiverDoc, HEALTH OPTIMUM ID etc.) or is currently
managing (DREAMING, HOME SWEET HOME, RENEWING HEALTH).

B.3.2.4.5 Work Package Leaders
   •   WP1 Leader: Claus Duedal Petersen
   •   WP2 Leader: Christina E. Wanscher (for her CV please see section AI.1)
   •   WP3 Leader: Marco d’Angelantonio (for his CV please see section AI.7)
   •   WP4 Leader: Ilse Bierhoff (for her CV please see section AI.8)
   •   WP5 Leader: Karl Sussebach (for his CV please see section AI.6)
   •   WP6 Leader: Claudio Saccavini (for his CV please see section AI.11)
   •   WP7 Leader Martina Hornböck (for her CV please see section AI.3)
Other key personnel
For the other key personnel’s CV, please see Appendix AI.

B.3.2.5 Conflict resolution
The conflict resolution mechanisms will be fully described in the Consortium Agreement.
The FALLING IN LOVE Consortium Agreement will be based on previous agreements which
have proven their effectiveness in governing the relationship among the partners of an ICT
PSP project.
When a conflict cannot be resolved inside the Project Steering Committee nor in any other
amicable way in spite of the collaborative spirit that exists within the Consortium, the
Consortium Agreement includes arbitration provisions which state that the rules of arbitration
of the International Chamber of Commerce will be followed.
Based on the experience of several previous EU-funded projects in which the partners of
FALLING IN LOVE were involved in the past, there has never been a conflict which could not
be resolved within the Consortium and required the arbitration of the International Chamber
of Commerce or of a another independent body.

B.3.2.6 Handling of the results
The results from the FALLING IN LOVE project will be managed according to the rules
regarding the IPRs management in the ICT-PSP. The Consortium Agreement will clearly
identify:




                                        page 84 of 113      Error! Reference source not found.
ICT PSP-2011-5                       FALLING IN LOVE                                   Pilot B


   •   The pre-existing know-how brought into the Project by the FALLING IN LOVE
       partners;
   •   The IPRs related to results produced inside the Project;
   •   The ownership of Project results.

B.3.2.7 Quality Control and Assurance
The FALLING IN LOVE quality assurance system will follow as closely as possible the ISO
9001:2008 “Quality management systems - Requirements” standards, adapting them
however to the size and nature of the Project, to keep a reasonable balance between the
thoroughness and sophistication of the quality system and the total amount of resources
mobilised for the Project.
Experience acquired by HIM SA, which is responsible of the Quality Assurance system in
several ICT PSP projects (DREAMING, HOME SWEET HOME, RENEWING HEALTH) and
EU projects in general (e.g. SPEX, VIRTUS, C³ and e-ProLearn, CHARM and THRIVE) will
be capitalised upon.
The details of the quality assurance system will be described in deliverable D1.1 Project/
Quality Plan which is due in month 2.
Each partner however, in the execution of the tasks it is responsible for, will be allowed to
use its internal Quality System provided the external outcome of such system (reporting,
quality records, etc.) are coherent and conformant to the prescription of the overall quality
system defined in the Project/Quality Plan.
All the official Project deliverables will be peer-reviewed by the Quality Manager who has 40-
year experience in IT and Project Management coupled with an unrivalled experience of
eHealth and EU projects matured during more than 17 years of involvement in eHealth EU-
funded projects.

B.3.3 Resources to be committed
FALLING IN LOVE is an ambitious project and the Consortium has been particularly attentive
to include in the budget all the resources required to secure the attainment of the objectives
foreseen in the proposal.
The first and more important resource for any project in the social and healthcare area is
people. The Consortium will commit a total of 401,2 person-months to achieve the project
objectives.
In addition to personnel, the other resources that the Consortium has committed to the
implementation of the Project are:

   •   Travelling and subsistence costs. A flat travelling budget of 15.000 € has been
       allocated to each partner to allow all of them, even those who have a small personnel
       budget, to participate in project meetings. However RSD and HIM SA have been
       allocated a larger budget (30.000 € and 20.000 € respectively) for their involvement in
       management activity which might require sites visits in addition to participation in
       project meetings and Reviews. Consortium-wide meetings will be organised three
       time a year. Between physical meetings, contact will be maintained through emails,
       tele- and video-conferencing.
       A summary table of the travelling and subsistence costs by partner is shown below
       (see Table 8).
   •   Equipment Costs. The FALLING IN LOVE services require a substantial amount of
       equipment to be installed in the houses of the elderly people. The detail of the



                                       page 85 of 113      Error! Reference source not found.
ICT PSP-2011-5                          FALLING IN LOVE                                          Pilot B


          durable equipment required by type and by partner is given in Table 9 (by quantity)
          and Table 10 (by value).
      •   Consumables. The deployment of the FALLING IN LOVE services requires the
          purchase of some specialised software components and of the sensors to be worn by
          the older people (ePatches). The latter are still rather expensive pieces of technology
          because they are produced only in small quantities for the time being. All these items
          have been classified as consumables and are presented in Table 11 (by quantity) and
          Table 12 (by value) broken down by type of software and by partner.
      •   Telecommunication costs. The monitoring of chronic patients at home or on the
          move requires a subscription to ADSL and GSM/GPRS/UTMS communication
          facilities. The relative costs are presented in Table 13 and are based on a 22 month
          subscription for each patient in the Intervention Group participating in the trials.
      •   Subcontracting. In the case of FALLING IN LOVE subcontracting will only be used
          for not critical activities, as requested by the rules of the ICT PSP. Activities will be
          subcontracted when very specific skills, not available in the Consortium, are
          requested or when some of the activities required for the implementation of the
          Project are already subcontracted in the context of a corporate outsourcing policy.
The table below shows the nature of the activities which the various partners intend to
subcontract and, when already known at this stage, the name of the subcontractor.

                         Table 7 – Nature of the activities subcontracted

Partner            Subcontractor                  Detailed description of the work
RSD                TBD              Hosting of the FALLING IN LOVE PORTAL during the trials
                   TBD              Installation of the equipment in the older persons’ houses
ULSS9              TBD              Hosting of the FALLING IN LOVE PORTAL during the trials
                   TBD              Installation of the equipment in the older persons’ houses
KARNTEN            TBD              Hosting of the FALLING IN LOVE PORTAL during the trials
                   TBD              Installation of the equipment in the older persons’ houses
                   TBD              Homecare personnel
ZUIDZORG           TBD              Hosting of the FALLING IN LOVE PORTAL during the trials
                   TBD              Installation of the equipment in the older persons’ houses
HIS                Device Insight   Support for FALLING IN LOVE Portal modifications

A certain number of costs, falling outside the previous categories, have been equally
budgeted for and included in the category Other project costs. These are presented in Table
15 broken down, as for the other categories, by type and by partner.
Finally, Table 16, shows the average monthly personnel cost by partner.




                                          page 86 of 113         Error! Reference source not found.
ICT PSP-2011-5                                                                              FALLING IN LOVE                                                                                                        Pilot B


                                                                             Table 8 - Travelling and subsistence costs




                                                                                                                                      SMARTHOMES
                                                          ZUIDZORG
                                      KARNTEN




                                                                                                                                                                                              ARSENAL
                                                                                                                                                                            EUGMS




                                                                                                                                                                                                                    TOTAL
                                                                                   DELTA
                    ULSS9




                                                                                                                                                             SIGG
        RSD




                                                                                                                      HIM
                                                                                                        HIS
   30.000 €    15.000 €         15.000 €              15.000 €                15.000 €      15.000 €           20.000 €           15.000 €             15.000         15.000                15.000                185.000 €



                                                                             Table 9 – Durable equipment by quantity

                            Partner




                                                                                                                                                        SMARTHOMES
                                                                                             ZUIDZORG
                                                                                  KARNTEN




                                                                                                                                                                                                        ARSENAL
                                                                                                                                                                                    EUGMS
                                                                                                              DELTA
                                                                     ULSS9




                                                                                                                                                                                                                       TOTAL
                                                                                                                                                                     SIGG
                                                RSD




                                                                                                                                             HIM
                                                                                                                            HIS
Type of equipment
Videoconferencing workstation                   30                   30           30          30                                                                                                                            120
Android Gateway                                 30                   30           30          30                                                                                                                            120
Motion detectors                                150            150               150        150                                                                                                                             600
Light actuators/switches                        150            150               150        150                                                                                                                             600
Total                                           360            360               360        360                  0           0                     0   360             0               0                    0          1.440




                                                                                              page 87 of 113                                                                                  31/05/2011 v11
ICT PSP-2011-5                                                        FALLING IN LOVE                                                          Pilot B


                                                       Table 10 – Durable equipment by value

                       Partner




                                                                                                      SMARTHOMES
                                                                       ZUIDZORG
                                                          KARNTEN




                                                                                                                                     ARSENAL
                                                                                                                          EUGMS
                                                                                  DELTA
                                               ULSS9




                                                                                                                                                 TOTAL
                                                                                                                   SIGG
                                     RSD




                                                                                                HIM
                                                                                          HIS
Type of equipment
Videoconferencing workstation    16.000 € 16.000 € 16.000 € 16.000 €              0€      0€    0€    0€           0€     0€         0 € 64.000 €
Android Gateway                   3.980 €   3.980 €    3.980 €      3.980 €       0€      0€    0€    0€           0€     0€         0 € 15.920 €
Motion detectors                  5.000 €   5.000 €    5.000 €      5.000 €       0€      0€    0€    0€           0€     0€         0 € 20.000 €
Light actuators/switches          7.500 €   7.500 €    7.500 €      7.500 €       0€      0€    0€    0€           0€     0€         0 € 30.000 €
Total                            32.480 € 32.480 € 32.480 € 32.480 €              0€      0€    0€    0€           0€     0€               0 129.920 €




                                                                        page 88 of 113                                            31/05/2011 v11
ICT PSP-2011-5                                                      FALLING IN LOVE                                                          Pilot B


                                                    Table 11 – Consumables by quantity

               Partner




                                                                                                 SMARTHOMES
                                                         ZUIDZORG
                                          KARNTEN




                                                                                                                                   ARSENAL
                                                                                                                         EUGMS
                                                                        DELTA
                                  ULSS9




                                                                                                                                              TOTAL
                                                                                                                  SIGG
                            RSD




                                                                                           HIM
                                                                                  HIS
Type of
consumable
HIS Portal licence                                                                120                                                                 120
Videoconferencing
                             30     30       30                                       30                                                              120
software
Software for Android
                                                                                  120                                                                 120
gateway
Software             for
behavioural analysis                                                              120                                                                 120
and automatic lighting
‘Thank you’ gifts for
participants in the
trials, PR material for
                                                                                                              1                                         1
conference,
exhibitions;     posters,
flyers, booklets
ePatch                       30     30       30                                       30                                                              120
HomeMatic
                             30     30       30                                       30                                                              120
Communications Port




                                                                     page 89 of 113                                              31/05/2011 v11
ICT PSP-2011-5                                                                   FALLING IN LOVE                                                         Pilot B


                                                                  Table 12 – Consumables by value

               Partner




                                                                                                                 SMARTHOMES
                                                                      ZUIDZORG
                                                        KARNTEN




                                                                                                                                               ARSENAL
                                                                                                                                     EUGMS
                                                                                     DELTA
                                            ULSS9




                                                                                                                                                          TOTAL
                                                                                                                              SIGG
                                 RSD




                                                                                                        HIM
                                                                                                 HIS
Type of
consumable
HIS Portal licence                0€          0€           0€            0€            0€    36.000 €    0€          0€        0€      0€         0€     36.000 €
Videoconferencing
                             12.000 €   12.000 €    12.000 €      12.000 €             0€          0€    0€          0€        0€      0€         0€     48.000 €
software
Software for Android
                                  0€          0€           0€            0€            0€    12.000 €    0€          0€        0€      0€         0€     12.000 €
gateway
Software             for
behavioural analysis              0€          0€           0€            0€            0€    36.000 €    0€          0€        0€      0€         0€     36.000 €
and automatic lighting
‘Thank you’ gifts for
participants in the
trials, PR material for
                                  0€          0€           0€            0€            0€          0€    0€   2.500 €          0€      0€         0€      2.500 €
conference,
exhibitions;     posters,
flyers, booklets
ePatch                       90.000 €   90.000 €    90.000 €      90.000 €             0€          0€    0€          0€        0€      0€         0 € 360.000 €
HomeMatic
                               750 €      750 €       750 €          750 €             0€        0€      0€          0€        0€      0€         0€      3.000 €
Communications Port
Total                       102.750 € 102.750 € 102.750 € 102.750 €                    0€    84.000 €    0€   2.500 €          0€      0€         0 € 497.500 €




                                                                                  page 90 of 113                                             31/05/2011 v11
ICT PSP-2011-5                                                                             FALLING IN LOVE                                                                  Pilot B


                                                                   Table 13 – Telecommunication costs

                     Partner




                                                                                                                                 SMARTHOMES
                                                                                   ZUIDZORG
                                                                 KARNTEN




                                                                                                                                                               ARSENAL
                                                                                                                                                     EUGMS
                                                                                                     DELTA
                                                  ULSS9




                                                                                                                                                                              TOTAL
                                                                                                                                              SIGG
                                     RSD




                                                                                                                        HIM
                                                                                                                  HIS
Type of subscription
GSM/GPRS subscription           21.600 € 21.600 € 21.600 € 21.600 €                                    0€          0€     0€          0€        0€      0€        0 € 86.400 €
ADSL subscriptions              14.400 € 14.400 € 14.400 € 14.400 €                                    0€          0€     0€          0€        0€      0€        0 € 57.600 €
Total                           36.000 € 36.000 € 36.000 € 36.000 €                                    0€          0€     0€          0€        0€      0€        0 € 144.000 €



                                                                           Table 14 – Subcontracting costs

                  Partner




                                                                                                                               SMARTHOMES
                                                                                ZUIDZORG




                                                                                                                                                                               TOTAL
                                                              KARNTEN




                                                                                                                                                               ARSENAL
                                                                                                                                                     EUGMS
                                                                                                   DELTA
                                               ULSS9




                                                                                                                                              SIGG
                                   RSD




                                                                                                                        HIM
                                                                                                                 HIS
Type of activity

HIS Portal hosting             11.000 €    11.000 €       11.000 €          11.000 €                 0€           0€     0€        0€          0€      0€         0€        44.000 €
Installation in the houses     15.000 €    15.000 €       15.000 €          15.000 €                 0€           0€     0€        0€          0€      0€         0€        60.000 €
Support for HIS Portal
modifications                       0€           0€              0€                0€                0€      30.000 €    0€        0€          0€      0€         0€        30.000 €
Homecare personnel                  0€           0€       50.000 €                 0€                0€           0€     0€        0€          0€      0€         0€        50.000 €
Total                          26.000 €    26.000 €       76.000 €          26.000 €                 0€      30.000 €    0€        0€          0€      0€                0 184.000 €




                                                                                              page 91 of 113                                                 31/05/2011 v11
ICT PSP-2011-5                                                          FALLING IN LOVE                                                                   Pilot B


                                                           Table 15 – Other project costs

                  Partner




                                                                                                             SMARTHOMES
                                                             ZUIDZORG
                                                 KARNTEN




                                                                                                                                                ARSENAL
                                                                                                                                      EUGMS
                                                                            DELTA
                                         ULSS9




                                                                                                                                                           TOTAL
                                                                                                                              SIGG
                                 RSD




                                                                                                HIM
                                                                                        HIS
Type of costs
Project leaflet               5.000 €      0€       0€          0€            0€          0€     0€              0€            0€       0€         0€      5.000 €
Midterm Workshop              8.000 €      0€       0€          0€            0€          0€     0€              0€            0€       0€         0€      8.000 €
Final Conference             13.500 €      0€       0€          0€            0€          0€     0€              0€            0€       0€         0€     13.500 €
Project video                10.000 €      0€       0€          0€            0€          0€     0€              0€            0€       0€         0€     10.000 €
Stand at
                             30.000 €      0€       0€          0€            0€          0€     0€              0€            0€       0€         0€     30.000 €
conferences/fairs
Travelling budget for
older people Advisory        30.000 €      0€       0€          0€            0€          0€     0€              0€            0€       0€         0€     30.000 €
Board
Audit                         5.000 €      0€       0€          0€            0€          0€     0€              0€            0€       0€         0€      5.000 €
Use of our unique
                                  0€       0€       0€          0€            0€          0€     0€      15.000 €              0€       0€         0€     15.000 €
research facility
Conference fees                   0€       0€       0€          0€            0€          0€     0€       2.500 €              0€       0€         0€      2.500 €
Total                       101.500 €      0€       0€          0€            0€          0€     0€      17.500 €              0€       0€         0 € 119.000 €



                                                 Table 16 – Average personnel monthly cost
                                 Short name                    Person-months              Average          Total personnel
                                                                                         personnel              costs
                                                                                        monthly cost

                                 RSD                                            84,00          6.919 €                    581.220 €
                                 ULSS9                                          27,50          6.188 €                    170.170 €


                                                                         page 92 of 113                                                       31/05/2011 v11
ICT PSP-2011-5                          FALLING IN LOVE                                            Pilot B


                 Short name           Person-months      Average        Total personnel
                                                        personnel            costs
                                                       monthly cost
                 KARNTEN                       49,70          6.191 €          307.717 €
                 ZUIDZORG                      31,70          5.000 €          158.500 €
                 DELTA                         46,70          7.920 €          369.864 €
                 HIS                           33,70          6.475 €          218.208 €
                 HIM                           21,20          7.700 €          163.240 €
                 SMARTHOMES                    50,00          6.200 €          310.000 €
                 SIGG                          21,00          5.000 €          105.000 €
                 EUGMS                          8,00          5.000 €           40.000 €
                 ARSENAL                       27,70          5.500 €          152.350 €

                              Total           401,20          6.421 €        2.576.269 €




                                          page 93 of 113                                   31/05/2011 v11
ICT PSP-2011-5                                                     FALLING IN LOVE                                                                Pilot B


B.3.4 Indicators
                                                                Table 17 - Indicators

          Relating to which                                                                                                   Expected Progress28
Indicator
          project objective /       Indicator                                  Method of Measurement
   No.
          expected result?                                                                                                 Year1       Year2      Year3
                                    Total number of falls in the FALLING IN LOVE Portal, Electronic
     I1     Prevention                                                                                                       N/A        N/A        N/A
                                    Intervention and Control Groups. Patients Records, older people diaries
                                    Number and duration of hospital Electronic Patients Records, hospital
            Prevention/early
     I2                             stays as a consequence of a fall in ADT systems                                          N/A        N/A        N/A
            detection
                                    the Intervention and Control Groups.
                                    Average time between a fall and Call Centre records
     I3     Early detection         rescue in the Intervention and                                                           N/A        N/A        N/A
                                    Control Groups.
                                    Number of undetected falls in the Call Centre records, older people
     I4     Early detection                                                                                                  N/A        N/A        N/A
                                    Intervention Group.               diaries
                                    Number of false alarms in the Call Centre records, older people
     I5     Early detection                                                                                                  N/A        N/A        N/A
                                    Intervention Group.           diaries
                                    Changes in the Edmonton Frailty Interview and tests
            Prevention/early
     I6                             Scale in the Intervention and Control                                                    N/A        N/A        N/A
            detection
                                    Groups




28
  The objective 3.1 of the Call 5 of the ICT PSP addresses an area which has never been explored before and nothing in the existing literature provides a
basis to evaluate the expected progress of the indicators over the Project lifespan


                                                                     page 94 of 113                                                     31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                   Pilot B




B.3.5 Security, privacy, inclusiveness, interoperability, standards
      and open-source

B.3.5.1 Security
The system will guarantee the integrity, confidentiality, non-repudiation, authenticity of data
and secure communications. The definitions of these various security objectives and their
specific applicability to the eHealth field are given in the following text boxes, while the way
these properties are implemented in FALLING IN LOVE, when applicable, is given in the
main text.
Confidentiality: The ethical principle or legal obligation for a social or healthcare
professional to hold secret all information related to a person they provide care to, unless the
person gives consent permitting disclosure. Confidential information is any record containing
private information about an identifiable individual or establishment, when the person
providing the data or described in it has not given consent to make that information public
and was assured that such data would not be made public when the information was
collected.
The proposed system uses techniques based on both symmetric cryptographic algorithms
(3DES, AES, etc.) and asymmetric cryptographic algorithms (PGP,RSA, DSA, EC, etc.) to
protect the data temporarily or permanently stored on the servers, or those transmitted over
an open network. The use of these encryption techniques ensures that sensitive data will not
be tapped by unauthorised persons.
Integrity: This security property guarantees that the information is accurate, reliable and
suitable for its purpose. The integrity assures protection of information systems against
modification of information, whether in storage, processing, or transit, including those
measures necessary to detect such threats.
This security requirement is intended to avoid that an unauthorised person can modify or
manipulate data. The requirement suggests the use of digital signatures, hash functions as
well as restricting (write) access to data so as to guarantee the preservation of sensitive or
otherwise security-critical data, and/or to manage who is allowed to change which data under
which conditions. Thus, encryption techniques based on message authentication codes
(MACs) and cryptographic hash functions (SHA1, SHA256, etc.), along with both symmetric
cryptographic algorithms (3DES, AES, etc.) and asymmetric cryptographic algorithms
(PGP,RSA, DSS, EC, etc.) are used to obtain the digital signatures. As indicated above,
these digital signatures apply to the data whose integrity needs to be guaranteed, ensuring
that the data cannot be tampered. As in the previous case, digital signatures need to be
applied to protect data stored on the machine on which the eHealth application runs or data
securely transmitted over an open network.
In the case of FALLING IN LOVE, access to data is based on the definition of profiles and
roles for the authorised user of the system. During the trials, users will be identified and
authenticated via user ID and MD5 hash with at least eight digits password. However, it is
highly probable that digital signatures will be introduced at a later stage, before the FALLING
IN LOVE service starts to be deployed on a larger scale.
Authenticity: Verification of the identity of a user who is logging onto a computer system or
confirmation of the origin of a transmitted message. Authentication depends on four classes
of data, generally summarised as ”what you know”, ”what you have”, “'what you are”, and
”what you do”. This security property is closely related to the authorised accesses, i.e. the
permission granted to individuals to see confidential data that potentially could be identifying




                                        page 95 of 113                         31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                     Pilot B


or linked to an individual. Users can authenticate via their credentials or using their
certificates or smartkeys.
FALLING IN LOVE will use an SSO (Single Sign On) method based on SAML, Security
Assertion Markup Language, to authenticate users between different security domains.
Single Sign On is a mechanism that allows a user to authenticate once and to then access
other domains.
Non-repudiation: This security objective should be in place to enforce the non-repudiation
(of both origin and receipt) of sensitive data to be transmitted over an open network, as well
as the non-repudiation of previously stored security-critical data.
Source of data is always recorded in the FALLING IN LOVE database. Data cannot be
deleted, but only invalidated if there are likely to be issues due to erroneous readings or if
their validity has expired.
Secure communications: This security objective suggests the use of encryption to allow
sensitive or otherwise security-critical data to be securely transmitted over an open network.
This objective is essential so as to secure medical data exchange over public networks.
The system employs the Secure Socket Layer (SSL) protocol to secure communications
(more often SSL protocol is also known as TLS - Transport Layer Security). SSL/TLS
enforces security using X.509 certificate technology for authentication and encryption,
guaranteeing in this way secure web services.
To achieve security for web services, the transport level as well as the message level have
been considered. At the first level, Transport Layer Security uses existing Internet protocols
to secure the traffic between the Web Service and the client application. The adopted system
uses:
   •   HTTP based authentication (HTTP BASIC, HTTP Digest, HTTP CLIENT-CERT)
       directly on the web server.
   •   SSL for encrypting data.
The primary goal of the TLS Protocol is to provide privacy and data integrity between two
communicating applications. The protocol is composed of two layers: the TLS Record
Protocol and the TLS Handshake Protocol. One advantage of TLS is that it is application
protocol independent, placing no limits to interoperability. It is used to establish a private and
reliable connection between two parties, assuring cryptographic security.
In order to provide for end-to-end security, a model message level security, also called XML
level security, has been adopted. At this level, the security information and access policies
are bundled into the message itself. In this cace the basic standard used by the proposed
system is WS-Security. WS-Security is a protocol neutral mechanism for securing SOAP
messages. It builds upon XML-Signature and XML-Encryption, and also specifies how
security tokens can be associated with messages. To enable interoperable authentication
and authorisation across systems, security tokens are bundled along with a SOAP message,
and these tokens are in X.509 certificates format.
Auditing and logging: This security objective is intended for logging eHealth applications
events that are of interest to administrators and other users. If used properly, these logs can
help ensure user accountability and provide warnings of possible security violations. Some of
the events that occur during the use of an eHealth application are of particular interest.
Recording specific information about events that have occurred creates records that allow
the system to be debugged, monitored for security events, and measured for performance.
Only authenticated users have access to the database. All accesses to the FALLING IN
LOVE database are logged. Information on who has entered, modified or invalidated data is
kept in the database for auditing purposes. This is particularly relevant when data are


                                         page 96 of 113                          31/05/2011 v11
ICT PSP-2011-5                          FALLING IN LOVE                                      Pilot B


consulted in emergency situations and with the consent previously expressed by the older
person, by people other than the usual carers.

B.3.5.2 Privacy
The FALLING IN LOVE solution ensures privacy protection at different levels.
Informed consent. During the pilots, but also during the provision of the service beyond the
end of the European Project, older people will be included in the system only if they have
expressed their consent in writing to receive the FALLING IN LOVE services. For the
consent to be expressed in an informed way, the consent form will contain a succinct
description of the service and of the consequences for an individual to adhere to the
services, in terms of access by social and healthcare professionals to personal data.
Encryption of personal data. Data transmitted from the Android gateway to the FALLING
IN LOVE Portal are encrypted. Moreover, no older person identification ever travels together
with the data. Only the Portal and the System Administrator(s) know to which person the data
refer.
Closed community for videoconferencing. The videoconferencing system used for the
tele-exercising and tele-rehabilitation is based on the concept of a closed community. Only
people authorised by the System Administrator can contact an older person. The system
stops any unauthorised attempt to contact the users of the videoconferencing system.
External users (i.e. not belonging to the older people group participating in the trials) explicitly
authorised by the System Administrator are allowed to download the videoconferencing
software from the Videoconferencing Download Server inside the FALLING IN LOVE Portal.
These authorised users are normally the carers, but the possibility to include selected
members of the family will be equally considered. Access to the Download Server will be
enabled through a user-id and password that the System Administrator sends via email or
SMS to the new authorised user.
The videoconferencing workstation which has been provisionally selected for the trials is also
equipped with powerful eInclusion features, but these will not be enabled in principle in the
context of FALLING IN LOVE because they fall outside the scope of the Call for Proposals.
In any event, these features are being validated in the framework of other projects.
Multilevel access control to data. Data stored in the FALLING IN LOVE Portal database
are only accessible to authorised users who, during the trials, will be authenticated through
their users-id and password. When the service eventually moves from the pilot to the
deployment stage other, stronger, authentication methods can be implemented. The access
rights of each individual user will be based on the category to which he/she belongs
(physician, physiotherapist, nurse, social worker, etc.), his/her relationship with the elderly
person (a nurse or a social worker will only have access to data concerning older persons
he/she looks after), and the need to know at any point in time. In emergency situations, an
authorised user might be allowed to override some of the restrictions above in the superior
interest of the older person (provided the latter has given his/her consent to emergency
access to his/her data). Overriding of restrictions is always recorded in the audit trail and the
System Administrator is immediately notified of the event.

B.3.5.3 Inclusiveness
FALLING IN LOVE is addresses a category of citizens, the older people, who are more likely
than younger people to suffer from physical and mental impairments and, in the vast
majority, are not expected to be familiar with IT.




                                         page 97 of 113                            31/05/2011 v11
ICT PSP-2011-5                         FALLING IN LOVE                                   Pilot B


This commands the adoption of the Design 4 All29 guidelines when designing the services
and their user interface which, in the case of FALLING IN LOVE, run on the Android mobile
and on the TV connected to the videoconferencing workstation.
The rest of equipment requires minimal intervention by the older people apart from the need
to recharge periodically the Android and the ePatch, to change the disposable part of the
latter and to position it correctly on the body.

B.3.5.4 Interoperability
There are two levels of interoperability in the eHealth domain:
     •   Semantic interoperability: In general, this is the ability of two or more computer
         systems to exchange information and have the meaning of that information accurately
         and automatically interpreted by the receiving system. This is achieved in eHealth by
         using coding conventions to express medical concepts such as diseases, problems
         lists, allergies, diagnoses and so on. Examples of commonly used coding systems for
         eHealth are SNOMED, LOINC, IC9. Semantic interoperability is not among the
         targets of the pilots foreseen in the Project.
     •   Data interchange interoperability: This enables the interchange of data between
         different modules and applications. In the health environment, the most widespread
         standards for data interchange are HL7 for interchange of medical data and DICOM
         for that of radiology images. For the exchange of messages within and outside the
         system, FALLING IN LOVE has adopted the HL7 standards over a variety of
         communication protocols (ebXML, SOAP, WSI-Web Services, HTTP).
The integration platform contains adapters that provide bi-directional, real-time connectivity,
and support open standards such as JCA, XML, JMS, Web Services and WSIF. All adapters
conform to the J2EE Connector Architecture (JCA) open standard adopted by all major
integration vendors.
The FALLING IN LOVE platform foresees in the flat or house of the older person the
presence of a set top box supporting the tele-exercise and rehabilitation solution as well as
the automatic lighting and behavioural analysis system. A number of motion detectors and
lighting actuators will connect to the set-top box through wireless communications.
The fall detection and gait analysis systems on the other hand will be connected to the
Android mobile phone via wireless communications, so that these parts of the system are
portable and accompany the user even outside the home.
The system enables the transmission of information to a Web Portal that can be securely
accessed by Call Centre personnel and by healthcare and social care professionals
according to the access rights that each of them has. This enables, among other things, the
social worker, the psychologist or the gerontologist in charge of an older person to use the
data obtained through the system to check the evolution of the person’s behavioural patterns
and, hopefully, to prevent more serious problems.
Set-Top-Box
The Set Top Box incorporates an RF receiver that serves to connect to the various sensors
and actuators. Once the device acquires data, it is able to transmit it over an IP Data
connection.
The IP Data connection will be an IP Network with Internet connectivity.




29
         For more information about the Design 4 All concept, see www.designforall.org


                                        page 98 of 113                         31/05/2011 v11
ICT PSP-2011-5                        FALLING IN LOVE                                  Pilot B


The Set-Top-Box transfers data from the older person’s home to the Call Centre where
monitoring is performed. The data transfer is based on TCP/IP according to RFC 4614, RFC
793, RFC 1122 and RFC 1323 (Standard Specification for TCP/IP Protocol).
Android Phone
The Android phone incorporates a wireless receiver that serves to connect to the e-Patch
sensor. Once the device acquires data, it is able to transmit it over an IP Data connection.
The IP Data connection will be via GPRS with Internet connectivity. The data is transferred
from the older person’s current location to the Call Centre where monitoring is performed. By
using GPRS, compliance is guaranteed with the main ITU-T recommendations for
communication within a GSM network (GSM 13.11 version 7.0.1 Release 1998). The device
supports the GPRS class 12 standard for high-speed packet data communication. Support
for Multislot Class 12, Full PBCCH support, Mobile Station Class B and Coding Scheme 1 –
4 is also provided. The bit rates range from 300 to 14.400 BPS non-transparent according to
V.21, V.22, V.22bis, V.26ter, V.32, V.34, V.110.

B.3.5.5 Standards and open-source
Standards
Internet and World Wide Web standards are used e.g. for the user interface which is realised
through a standard Internet browser as well as for interconnection and data integration which
are implemented through Web Services and XML.
The web portal is designed to make information available to external users through a
browser-based technology. This allows client applications running on all the most widespread
computer platforms to access the portal. Internet and World Wide Web standards such as
HTTP, HTTPS, X.509 V3, TCP/IP, SOAP, UDDI, WSDL are used.
Communications between any client and the database are based on open standards and are
encrypted for data protection.
As recommended by institutions such as the Department of Health in the UK, the system
uses web services that are based on SOAP and WSDL specifications. Basic messages
exchanged in web services are encoded using XML and transported using the Simple Object
Access Protocol (SOAP). With regards to web-based transactions over SOAP, the Universal
Description Discovery and Integration specification (UDDI) is used to publish the Services
and the Web Services Description Language (WSDL) is used to describe the definition of
both the abstract functions offered by a given service and the protocol mechanisms used to
support these functions.
Open Source
The systems that compose the FALLING IN LOVE solution run under either Linux or
Microsoft Windows Operating System, adopt the open source approach, and make use of
freeware to different extents. In the following sections the situation of the most relevant of
them vis-à-vis these issues is described separately.
A non exhaustive list of open-source and freeware products used to build the FALLING IN
LOVE platform follows:
   •   Set-Top-Box:
       ο OS Linux Debian
       ο Festival
       ο Mbrola
       ο Bluez Bluetooth Stack for Linux
       ο Ivman



                                       page 99 of 113                         31/05/2011 v11
ICT PSP-2011-5                    FALLING IN LOVE           Pilot B


       ο JaxB
       ο Hibernate
       ο HSQL
       ο java J2EE
   •   FALLING IN LOVE Portal Server:
       ο JFreeChart
       ο java J2EE
       ο PostgreSQL
       ο Apache
       ο JBoss
       ο xPat
       ο Hobbit
       ο JUnit




                                  page 100 of 113   31/05/2011 v11
ICT PSP-2011-5                FALLING IN LOVE                               Pilot B




                 APPENDIX I     Consortium Curricula




                              page 101 of 113   Error! Reference source not found.
ICT PSP-2011-5                         FALLING IN LOVE                                   Pilot B




AI.1    Region Syddanmark
Christina E. Wanscher (Chief Consultant)
Christina Wanscher (consultant) holds a Masters Degree (MA) from the University of
Southern Denmark. Today Wanscher is employed both at Region of Southern Denmark in
the international office, but also at MedCom since 2004. Wanscher has more than eight
years of experience in the field of eHealth, TeleHealth and eInclusion. She has been involved
in several European projects focusing on research, validation or implementation including
projects such as Health Optimum M.V and I.D (eTEN), DREAMING (CIP), and universAAL
(FP7). Through her projects, she has gained an in-depth insight into European programmes,
project management, and technological innovation in the area of health and social care both
in Denmark and in Europe. Wanscher has been involved in many publications and abstracts
as well as speaking at conferences at both national and international levels.

AI.2    U.L.S.S. 9 Treviso
Claudio Dario graduated with honours in Medicine and Surgery in 1983. He specialised in
Cardiology and in Health and Preventive Medicine. From 1995 to 2002 he has been the
Medical Executive of the hospital of Treviso, and also responsible for the Legal Medicine Unit
at the same hospital. He has a contract as professor of Communication Technologies at the
School of Specialisation in Health and Preventive Medicine of the Faculty of Medicine of the
University of Padova. In 2002 he becomes Health Director of Healthcare Unit No. 16 of
Padua. Soon after, he was designated as the General Director of Healthcare Unit No. 9 of
Treviso, in 2003. Since April 2002, he has been designated as the person in charge of
telemedicine projects for the Veneto Region, and as coordinator for the project “Telemedicine
survey in Veneto Region and identification of guidelines for future development”. Dr Dario
has been involved for the past 10 years in different IT projects from their theoretical
presentation to their actual realisation, always aiming to improve the clinical health services
to the general public. In this regard he is the founder and President of the Italian Association
for the Improvement of Healthcare Quality (AmiQA). He is an active member in several
scientific committees, for international advanced research IT projects: he had technical
responsibility for the e-government TeleMed ESCAPE project, and for the HEALTH
OPTIMUM project, approved by the European Commission in charge of the eTen
programme; Italian Representative of ESA teleMED Working Group, scientific committee for
ESA Programme: Opportunities and Challenges of eHealth and Telemedicine via satellite, a
programme which has been approved by Ministers of Member states. He is Project Co-
ordinator in European RENEWING HEALTH Project
Gianluigi Scannapieco graduated with merit in Medicine and Surgery. He specialised in
Internal Medicine and in Cardiology. He is an active member of many scientific societies, and
author and co-author of over 100 scientific articles. From 2007 to now, he is the coordinator
of the following e-Health projects in Treviso Healthcare Trust: Electronic Health Record,
Electronic Patient Record, HEALTH OPTIMUM I.D.
Roberto De Rosa is a Doctor. He works in the Operative Unit of Orthopaedics and
Traumatology, at the Regional Treviso Hospital. He has a Political Science Degree, a
Medicine and Surgery Degree with an Orthopaedics and Traumatology Specialisation. He
has developed a deep interest in elderly traumatology, even through his connections with the
US “Fall Stop…Move Strong” programme in New York and with the Weill Medical College
University of New York. He is involved in Humanitarian activities such as Emergency and
Health care in Regions of Umbria and Marche (1998) and Italy and Kosovo Emergency -
“Missione Arcobaleno” in Valona – Albany (1999). He has lectured in different conferences,
and in particular also in thematic about fall prevention:




                                       page 102 of 113      Error! Reference source not found.
ICT PSP-2011-5                         FALLING IN LOVE                                   Pilot B


   •   “Fall prevention? Yes Thanks!”- National Confartigiarnato Assembly and Retired
       Persons- Treviso- November 2009
   •   “Fall prevention: to remain a resource and not become a problem” Speech at the
       Conference of the National Elderly and Retired Assembly of Confartigianato
       (Confartigianata is an Italian organisation of craftsmanship and micro or small
       enterprises), Province of Treviso. Treviso, 22 May 2010.
   •   “Fall prevention: to remain leader in advanced age” Speech at the Conference of the
       CUPLA, Province of Treviso. Treviso, 18 November 2010
At the moment he is running, as Project Manager, the European Project INTERREG Italy-
Austria: Fall Prevention for Older Adults - Interventions and Strategies

AI.3    Carinthia
Barbara Berger-Malle
Barbara Berger-Malle is a lawyer by academic education and she he presently the
Chairwoman of the "Commission for aid to victims" and Assistant Lecturer at the University of
Klagenfurt. Since 1997 she is Head of the Department 13 – Social Affairs. of the Carinthian
Government
Martina Hornböck
Martina Hornböck has a long experience as journalist and she has written articles for all the
main Austrian national newspapers and magazines. Since 2004 she has worked for the
Carinthian Government, first as Public Relations Officer for the Department for Women and
equal opportunities and for SPO Kärnten. Now she is employed in the Social Department of
the Carinthian Government.
She speaks fluent German (mother tongue) and English..

AI.4    ZuidZorg
Yvonne Koks
Yvonne Koks is the project leader involved in the development of remote care and services
for ZuidZorg. During her professional experience, she took part in several projects related to
IPTV and remote care services. For example, in her role of project leader and nutrition
coach, she developed new remote wellness services. She also worked on remote care
services for the monitoring of COPD patients and lonely older people, and took part in the
development of remote services for people with dementia. In addition to that, she is project
leader of life style monitoring of vulnerable older people for ZuidZorg. Finally, with reference
to the participation of ZuidZorg in the development of a tele-service operated robot, always
as project leader, she participated in the definition of target groups, use case, user
requirements. She is also involved in the field tests and evaluation of the prototypes.

AI.5    Delta
Claus F. Nielsen has worked in EU Projects since 1995 (Telematics Application Programme
– 4FP) and is currently working as International Manager with responsibility for Health &
Welfare technologies and International Relations in DELTA at the Business Development
Department. He has a long track record since 1991 in working at the international and
national level in politics, ICT and in charge of running large national projects in the public
sector within the elderly and healthcare sector to develop and implement nation wide ICT &
mobile solutions in elderly care. He has been Local Government Denmark’s member of the
steering committee of MedCom, the National Health Portal and contributed to the Danish
national ICT strategies for eHealth and the ICT strategy for the social area. During his tenure


                                       page 103 of 113      Error! Reference source not found.
ICT PSP-2011-5                       FALLING IN LOVE                                   Pilot B


as Senior Consultant in the International Department of the public project organisation
MedCom, he was the Danish Project Manager in the “Persona” project (11M EUR), and the
“DREAMING” project (6M EUR), funded by the FP6 & CIP-programmes. He is the official
Danish expert and evaluator in the Ambient Assisted Living Joint Programme. He was also
chairman of the AAL Forum 2010 Programme Committee and Committee member in 2011-
12 on behalf the Ministry of Science, Technology & Innovation. He is a member of Continua
Health Alliance Policy group, PSP-CIP projects DREAMING and HOME SWEET HOME
Advisory Boards.
Jens Branebjerg is an Academy Engineer (electron direction) and Ph.D. in micro technology
from the Technical University of Denmark at the Nanotech department. He has more than 25
years of experience in research, product development, and business in micro technology and
miniaturised sensor systems. In his current position as business manager, Jens is
responsible for the business area for body sensors in DELTA, including DELTA's strategic
focus in this new business to develop new technologies, services, and supplies for customer
specific wireless sensors for measuring physiological parameters in humans and animals.
During the first six years of his tenure at DELTA, he was responsible for building and
developing DELTA's services to test and package micro-systems and micro sensors. He has
led several multi-partner projects, innovation and EU projects. Jens Branebjerg has his name
on more than 15 publications as well as six patents. He has been technical reviewer in the
EU's research programmes in microsystems and miniaturised sensors.
Carsten Thomsen
Director of Engineering, educated at BA Math-Physics, Andrews University, Michigan. USA,
Has done extensive work in the architecture and design of large scale engineering projects,
including distributed sensor systems in the development of Virtual Instrumentation at Brüel &
Kjær, Denmark, and as Vice-President of Engineering, National Instruments, Austin, Texas,
USA. Co-inventor of the modular instrumentation and sensor platform, PXI.
Division Manager, Brüel & Kjær, 1991-1993, VP of Engineering, National Instruments,
Austin, Texas 1993-1998 VP of Strategic Planning, National Instruments, Austin, Texas
1998-1999 Director of Engineering, DELTA 2005- Specialization and current research
interests: Main field: Distributed Sensor Systems, High Speed Signal Processing, Precision
Synchronization of Remote Sensor Systems, Graphical Programming of Embedded FPGA
Systems, Other fields: Embedded High Performance Computing, Acoustics Has experience
in the inter-disciplinary skills necessary to implement complex computer-based sensor
systems, including the proper segmentation of hardware/software and design of intra-system
interfaces. International Standardization: Participated in VXIbus Consortium and associated
IEEE committees, PXI Plug and Play Alliance, SCPI and associated IEEE committee.
Morten Wagner
Morten is a computer scientist and Head of Department of DELTA’s “idemoLAB– and has
worked in ICT innovation within the Research & Development Division of the Company since
the 1980’s. He has concived, designed and provided technical management for several EU
research projects within the ICT area. He has carried out technology evaluations of several
mobile/ and web/based products. He has developed several prototypes and demonstrators of
new & cutting-edge technologies. He’s been architect, project- and product manager for
DELTA’s innovative “Machine-to-Machine Communication” products, and has been
responsible for the development of new intelligent consumer-products at the Danish
loudspeaker producer JAMO. Morten is an avid technology-evangelist – both as a speaker
and teacher. He covers areas such as mobile technologies, usability, computer-supported
collaboration and learning, intelligent products, tangible, embedded interaction, wireless
sensors etc.




                                      page 104 of 113     Error! Reference source not found.
ICT PSP-2011-5                        FALLING IN LOVE                                  Pilot B


AI.6    Health Insight Solutions
Karl Sussebach – (Managing Director)
Karl has been engaged in the area of information and communications technology for over
25 years. He has held leadership positions with the global telecommunications company
AT&T, and was a Managing Director and Partner of Accenture, one of the world’s largest
professional services companies. Since 2002, Karl has focused his career on the adaptation
of information technology in healthcare. He has successfully led two EU funded projects in
this area (VIRTUS and eProLearn). Currently, Karl is Managing Director of Health Insight
Solutions, where he actively leads and engages operationally in key tele-monitoring and
telemedicine projects.
Dr. Christian Wielage – (Product Development Manager)
Christian was awarded the Degree of a Dipl.-Ing. in electronics and communications
engineering from the Technical University of München in 2002. During the part time
employment as a Project Engineer in Device Insight GmbH, he completed his PhD in the
field of medical image analysis at the Ludwig Maximilian University of München in 2006.
Since 2006, he has led the Product Development Team of Health Insight Solutions GmbH.
The main focus of his work is the development of Tele-monitoring and Telecare Applications.
Therefore a variety technologies such as RFID ,Bluetooth, ZegBee etc.. as well
Dr. Christian Pohl – (Project Manager)
Christian studied Political Science at the University of Freiburg. He holds a PhD (magna cum
laude) in German language. Building on his excellent communication and intercultural skills,
since 2005 he has been engaged in the definition, implementation and roll-out of tele-
monitoring projects with Health Insight Solutions. As Project Manager, his particular focus
has been on identifying user requirements, driving the adaptation of existing solutions to the
needs of the customer, and coordinating the delivery and uptake of tele-monitoring solutions
within the clients’ organisation. Christian has coordinated projects in numerous European
countries, and has worked extensively with public and private organisations engaged in
healthcare and social services.
Jens Werthmüller Dipl.Inf.(FH) – (Project Engineer)
Jens Wertmüller joined HIS GmbH in November 2009 as a Project Engineer. As an IT
specialist in applied informatics, he is responsible for implementation of the telemonitoring
application. His skills in modern Database Structures such as CouchDB enables HIS to be
on the leading edge of modern IP Communication technology.

AI.7    Health Information Management
Marco d’Angelantonio – (Chairman and Managing Director of HIM SA)
Marco d’Angelantonio master minds European projects in the field of informatics and
telematics for healthcare funded under the 4FP TAP, 5FP IST, eTEN and 7FP ICT European
Programmes. These projects cover the issues of regional healthcare networks, healthcare
record sharing and virtual hospitals. His involvement in these projects has allowed him to
gain a remarkable knowledge and understanding of the different healthcare systems in the
European Union, and to establish a strong network of relations with healthcare providers,
national and regional health authorities in various countries, and IT companies active in this
market.
Maja Wuensche
Having specialised with her Masters in healthcare analysis of different nations, Maja
Wuensche by now has 8 years of professional experience in IT, Marketing, Strategic
Consulting and Project Management in the healthcare sector. During the past 4 years, Maja


                                      page 105 of 113      Error! Reference source not found.
ICT PSP-2011-5                        FALLING IN LOVE                                   Pilot B


Wünsche has been managing European projects in the field of eHealth (VIRTUS, EUPHIN,
eProLearn, HEALTH OPTIMUM, SPEX, HEALTH OPTIMUM ID).

AI.8    Stichting Smart Homes
Ad van Berlo, Ph.D., M.Eng., M.A. Ad van Berlo is both mechanical engineer (1980) and
psychogerontologist (1997). He has a Ph.D. in biomedical technology (1985). He worked in
industry in R & D and marketing up to 1991, in the field of biomedical technology. In 1991 he
returned to the Eindhoven University of Technology as lecturer in the new area of technology
and ageing. In 1993 he built The Smartest Home of the Netherlands. Currently Ad van Berlo
is manager R&D of Smart Homes.
Ilse Bierhoff, Msc. is a research project manager at Smart Homes. She studied at the
technical university of Eindhoven at the faculty of Technical Innovation Science. Her
expertise is applying knowledge from social sciences on problems related to the introduction
of new technologies. Activities are the implementation of the user centred design approach
with a focus on gathering of user requirements with innovative methods that allow an equal
and creative interaction between user and experts, giving guidance to the process of actually
installing smart home technology and the evaluation of those projects with all the
stakeholders, developing educational material on ambient assisted living.
Dr. Henk Herman Nap has a background in cognitive ergonomics, with a M.Sc. degree in
psychology. His main interest is in reducing the complexity of current technology interfaces
by cognitive support systems, with a special interest in user groups that face the most
difficulties interacting with current media (e.g. seniors). His PhD focused on stress in senior
computer interaction and worked as a Postdoc research fellow on senior gamers. He
currently holds a position as project leader at Stichting Smart Homes.

AI.9    Italian Society of Geriatrics and Gerontology
Roberto Bernabei
Roberto Bernabei, MD, is professor of Internal Medicine at the Università Cattolica del Sacro
Cuore and chief of the Rehabilitation Unit of the A. Gemelli University Hospital. He is also
executive vice president of interRAI, board member of the European Academy for Medicine
on Aging, member of the Consiglio Superiore di Sanità, the highest Italian health advisory
committee to the Ministry of Health and the Parliament, visiting associate professor at Brown
University School of Medicine, Department of Community Health, and president of the
Network Italia Longena, the Italian Agency for elderly problems. He is past-president of the
Italian Society of Gerontology and Geriatrics and member of the Geriatric Working Group of
the Agenzia Italiana del Farmaco (AIFA). He led two projects funded by the 5FP and 7FP
Framework Programme (ADHOC 2001-2003 and SHELTER 2009 - ongoing). He is author of
over 250 papers published in peer reviewed journals, four books, eight book chapters.
Niccolò Marchionni
Niccolò Marchionni, MD, is Head of the Division of Geriatric Cardiology and Medicine,
University of Florence and Director of the residency programme in Geriatric Medicine,
University of Florence. He is President of the Italian Society of Gerontology and Geriatrics
and member of the Geriatric Working Group of the Agenzia Italiana del Farmaco (AIFA). He
is also member of the Editorial Board of the Giornale di Gerontologia (official Journal of the
Italian Society of Gerontology and Geriatric Medicine), Aging, Clinical and Experimental
Research, Journals of Gerontology: Medical Sciences and Geriatric Cardiovascular
Medicine. He is author of over 150 papers published in peer reviewed journals and twenty
book chapters.




                                       page 106 of 113      Error! Reference source not found.
ICT PSP-2011-5                        FALLING IN LOVE                                  Pilot B


AI.10 European Union Geriatric Medicine Society
Antonio Cherubini, born in 1966. He took his degree in Medicine in 1992 and then his PhD
in Experimental and Clinical Gerontology at Padua University. Currently he is Associate
Professor of Gerontology and Geriatrics; he works in the Geriatric Department of the
University Hospital of Perugia.
He is also member of the most important international medical associations in the fields of
geriatrics and neurological diseases such as American Geriatrics Society (AGS),
Gerontological Society of America (GSA), European Union Geriatric Medicine Society
(EUGMS), European Alzheimer’s Disease Consortium.
Antonio Cherubini also plays an active role in scientific societies because he is member of
the Executive Board of the Italian Gerontology and Geriatrics Society (SIGG) since 2005;
treasurer of the Executive Board and Member of the policy group on drugs in older people of
the EUGMS since 2007. He is also a member of the executive board of the COLMED 09.

AI.11 Arsenal.IT
Luciano Baston
Luciano Bastoni graduated in Computer Engineering and did some years of research (PhD).
For 20 years he gained experience in voice and data networks in some companies of the
Ericsson group. Since 2000 he was Director in Enterprise Digital Architects and he furthered
the creation of a business unit for healthcare applications, with particular focus on
telemedicine and monitoring network. In 2008 he was consultant for IEO (Institute of
European Oncology). Currently he is the General Manager of Arsenàl.IT.
Claudio Saccavini
Claudio Saccavini holds a University Degree in Physics. Currently he is the Technical
Manager of Arsenàl.IT. He is Technical Coordinator and WP7 Leader in RENEWING
HEALTH Project. Previously, from 1997 to 2008, he was C.I.O. of the Department of
Medical-diagnostic Science and Special Therapy with specific responsibility for Information
Systems and for the Laboratory of Experimental and Computerised Radiology. From 1998 to
2002 he represented SIRM in the DICOM Committee and was a member of Working Group 8
dedicated to Medical Structured Reporting. Since 2001 he has been a Project Manager of
the Italian IHE Committee. From 2003 to 2005, he consulted for the Italian Ministry of Health,
Veneto and Emilia-Romagna Regions in the context of several eHealth projects.
Mauro Rizzato
Mauro Rizzato has a specialist degree in the scientific field and a master degree in IT
management. He has over 5 years of experience in ICT and research projects management.
He has participated in Telemedicine European project “HEALTH OPTIMUM” as coordination
manager for the lead partner, Regione Veneto, and as operational link to the European
Commission and to the European partners. Currently he is Chief Administrative Officer in
Arsenàl.IT, Veneto’s Research Centre for eHealth innovation.




                                      page 107 of 113      Error! Reference source not found.
ICT PSP-2011-5         FALLING IN LOVE                               Pilot B




                 APPENDIX II The ePatch




                       page 108 of 113   Error! Reference source not found.
ICT PSP-2011-5                        FALLING IN LOVE                                   Pilot B




A2.1 The ePatch technology platform
The ePatch is a sensor device for monitoring physiological parameters of a person e.g.
temperature and orientation. The ePatch has two parts; the first part is the ePatch processor
which contains microelectronics and wireless communication technologies. The second part
is the ePatch adhesive for attaching the ePatch to the body as seen in Figure 1.




                     ePatch processor and ECG adhesive


    Figure 1. The picture shows the ePatch processor attached to the ePatch ECG
                          adhesive and attached to the body.


A2.2 Overview of the ePatch platform
The ePatch platform consists of a reusable ePatch processor, a disposable ePatch adhesive,
and a docking station to recharge the ePatch processor and communicate with it. The
individual units are seen in Figure 2. The docking station has four slots for charging
ePatches. The docking station communicates with the ePatches by wireless communication.
The docking station can be connected to a computer to set certain parameters in the
embedded software in the docking station. Currently, this is used to set the real time clock in
the docking station. The ePatches uses the wireless communication to adjust their clock to
the docking station.
The ePatch processor is a solid device which has a slot to load an SD card and a mechanical
and electrical interface to connect to the docking station and to ePatch adhesives. The
ePatch processor has no switches or contacts. It is active whenever it is undocked from the
docking station. The ePatch processor can be used to connect to various ePatch adhesives
through the mechanical and electrical interface. The ePatch adhesive is connected to the
ePatch processor and then attached to the body.
Figure 2 also illustrates how the SD data for data storage e.g. backup of data or calibration
data, are stored.




                                       page 109 of 113      Error! Reference source not found.
ICT PSP-2011-5                         FALLING IN LOVE                                   Pilot B


                                Electrical connection
   Charger                      to ePatch processor




                                                                                   ePatch processor




                        USB connection
                         Power connection



   Electrical connection
   to ePatch processor            Release liner




                                                             Mechanical
                                                             connection                  SD card




             Adhesive          Mechanical
                               connection




                                                           Electrical connection
                                                           to ePatch adhesive


Figure 2. The complete ePatch device with charger, ePatch processor, and the ePatch
                                      sensor.


A2.3 ePatch Processor
The ePatch processor is the active part of the ePatch, with electronics, battery and wireless
communication located in this part of the ePatch device. The ePatch processor is thus a
more expensive device relative to the ePatch adhesive. The ePatch processor can be used
with a number of different sensors; however, in most cases some modifications to the ePatch
processor are required to adapt the operation of the specific sensor. The ePatch processor a




                                        page 110 of 113   Error! Reference source not found.
ICT PSP-2011-5                          FALLING IN LOVE                                  Pilot B


wireless communication device, and is shown in Figure 3. The ePatch processor is
assembled with an ePatch adhesive and attached to the body.


                               ePatch processor               1 cm




                               Figure 3. The ePatch processor.
The ePatch processor contains power supply, analog front-end, memory, and wireless
communication. The architecture of the ePatch processor is seen in Figure 4. The ePatch
processor has an 8 bit 8051 CPU, 8 kB of RAM, and 128 kB flash memory for embedded for
program code. Two out of the 8 kB of RAM are reserved for data processing purposes.


    Channel 1
                  Analog I/O           RAM                RF 2.4 GHz
    Channel 2                          8 kBytes           IEEE 802.15.4


                  Analog               CPU                Flash
                  Front-End            8051               128 kBytes


                  ADC                  MicroSD            Power              Battery
                                       Card               management




   Figure 4. A block diagram of the architecture of the ePatch processor. The arrow
                     indicates that the microSD card is removable

The ePatch processor has three interfaces:
   1) the ePatch adhesive;
   2) wireless communication;
   3) data storage in the removable microSD card.
The wireless communication is enabled by a radio operating in the 2.4 GHz band. The
microSD card is used for data storage, but can also be used for e.g. calibration data. The
ePatch processor supports up to 4 GB of storage on the microSD card.
Figure 5 shows the printed-circuit board, with the main active components. The main digital
components, i.e. the ADC, CPU, RAM, and flash memory, radio is located in a single system-
on-chip, the CC2530 from Texas Instruments.




                                        page 111 of 113      Error! Reference source not found.
ICT PSP-2011-5                        FALLING IN LOVE                                     Pilot B


                                                                           Amplifier
                             1 cm
              Opamp
                                                                           Opamp

    System-on-chip
    TI CC2530
    (128 kB program flash,                                                 Instrumentation
    8 kB RAM)                                                              amplifiers

   Power regulation

            32 MHz
            crystal                                                        2.4 GHz chip
                                                                           antenna


               Figure 5. The printed circuit board inside the ePatch processor
The analog front-end of the ePatch has two input channels; however, this can be extended to
eight. The analog input is the raw signal from the sensors, e.g. temperature and
accelerometers. The analog front-end is therefore matched to the specific sensor. The
analog front-end amplifies and filters the signal to match the input of the ADC. The ePatch’s
ADC has a sample rate of 1 kHz per channel and a resolution of 12 bits per sample. Error!
Reference source not found. summarizes the specifications of the ePatch processor.

            Table 18. The key technical specifications of the ePatch processor.

ePatch specifications
Analog-to-digital converter                                2 channels, 12 bits per sample
Sample Rate                                                1 kHz / channel
Supply Voltage                                             3.6 V
Current Consumption                                        13 mA (average)
Radio                                                      2.4 GHz
RF Data Rate                                               25 kilobits per second (effective)
RAM                                                        8 kilobytes
Flash (for program storage and non-volatile memory)        128 kilobytes
Data storage                                               4 gigabytes

A2.4 Docking station
The docking station is the charger for the ePatch processor. It also works as a wireless
communication unit with the ePatch. The wireless communication is similar to the ePatch
processor; networking is performed by a CC2530 system-on-chip. The main tasks for the
CC2530 in the docking station are charging management, data management via the serial
line, and wireless communication with the ePatches.
The docking station holds four external interfaces:
   •    DC power input;




                                       page 112 of 113    Error! Reference source not found.
ICT PSP-2011-5                         FALLING IN LOVE                                  Pilot B


   •   Mini USB-B (USB 2.0 Full Speed compatible (12 Mbit/s); but limited by the CC2530 to
       115.2 kbit/s);
   •   charging slots with status indication;
   •   wireless link.
The docking station is externally powered from a certain medical grade 230V AC / 12V DC
power supply unit. The docking station has four slots for charging the ePatches. A LED at the
docking station indicates whether power is applied or not.
The docking station can be connected to a computer via the mini USB-B connector to set
certain parameters in embedded software in the docking station. Currently, this is used to set
the real time clock in the docking station.
The electrical interface at each of the four charging slots consists of 3 electrical connectors
for power supply and indication of charging status, i.e. a positive terminal (BAT+), a negative
terminal (BAT-), an indication terminal. For each slot, a white LED is used to indicate
charging status. When the LED is on, the ePatch is being charged, when it is off the ePatch
is not charging. A green LED in the ePatch processor indicates that the batteries are fully
charged.
The wireless communication between the ePatch and the docking station is currently used to
adjust the time in the ePatches to the time of the docking station. However, this wireless
communication can be expanded to include additional functionality.




                                       page 113 of 113      Error! Reference source not found.

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:24
posted:12/23/2011
language:English
pages:113