Nationwide Deployment of Social Alarms in Sweden ehealth forum May 13 th 2014, Athens Greece The EIP AHA Scale-up Strategy
Background problems and uncertainties
Background the root of the problem The telecommunication infrastructure is already and are becoming even more based on Internet technology the Internet Protocol (IP)
Governmental assignment (2010-2013) Purpose: Improve functionality and safety Large scale project Technology tests Standardisation Guidance documents (SoS) Information activities + Mapping & analysis (PTS) National procurement (SKI) Agreements (Government & SKL)
Results from the large scale project Modern IP-based social care alarms are reliable Worked 99,9% of the time. Measured on 700 alarms for 69 days. More Internet based social alarm receivers needs to be deployed in Sweden Today, only one verified to work without a gateway! Functionality is dependant on telecommunication e.g. IP Internet By fixed or mobile networks Municipality signs agreements with telecom providers Frequent automatic status updates from the alarm unit ensures reliability Works with either fixed or mobile Internet providers Checks that both the alarm unit and the communication works Detects power failures Provides a real-time status overview and a database for statistical analyses Alarm receivers should be configured for nonstop operation Ordinary staff can manage the new technology with proper training and new tools and routines
What about Europe 2.6 M units in ordinary housing in Europe Open IP access Global standard for Social Alarms European Innovation Partnership AHA (ActiveHealthyAgeing) Partners in Holland, Germany, Spain, Scotland and Slovakia
The social care service chain management CARE GIVER CARE ORGANISATION social care authorities MONITORING CENTRE Relatives / community SOCIAL CARE ALARM assisted living infrastructure procurement TELCO / ISP SCAIP Social Care Alarm Internet Protocol
Benefits of a common language Fit for purpose. It s designed to fit social alarms from ground up. Includes speech communication, social alarm message codes and a structure that allows implementation in resource limited embedded systems running on different networks. A few mandatory elements supports a quick implementation for basic functionalities. Many supported elements allows complex functionalities when needed. Non-media dependent for speech connection, allows GSM, PSTN, SIP etc. Facilitates coexistence of alarms from several providers
Participants in the social care service chain Municipal Alarm receiver operator User Telecom provider (IP) Social alarm provider
All parts need to be changed The experience of the large scale field trials and the more than 2 MEUR investment from the Swedish Government show that you have to address the whole ecosystem of the service, not only the supplier side nor the public procurement or executing side. A system can not be fundamentally changed by only one stakeholder; Next step in the standardisation work, (CEN/TC 431), offers a way to handle all parts of the dependent service chain to be covered in order to do a full and imminent technology shift ; A technology shift in Sweden is not a singularity. The global market for telecommunications is asking for services using digital/internet protocol based communication; Problems with provisioning of social care alarms to 5% of the users will induce higher costs than conducting the technology shift.
Nationally coordinated procurement 200 000 units in ordinary housing in Sweden Only IP-based Social care alarm internet protocol SCAIP 253 municipalities behind 100 municipalities purchase during first year
The Players their roles in the service chain The national Gov ernments and legislation Municipality security officer Mayor of municipality EU Commission and national, regional, local authorities User org Procurers Municipality ICT National insurance system Standards: CEN, CENELEC, ETSI Social care management Relativ es Telecom operators Dev ice suppliers The changing infrastructure Social alarm receiving Users Care personnel Technology support System suppliers
Current activities funded by government Nationwide information to municipalities Tailor made information for all levels of staff From budget level to daily care routines A central source of information Examples of routines used Organisational examples Knowledge centre Monitoring technology development Tools and practices within the social care field New developments in Telecommunication Organisation and technology Best practices Sharing experience Building an organisation on a new set of tools
Thank You Contacts: Speaker, Johnny Leidegren phone: +46 707196220 e-mail johnny@leidegren.se Project Manager, Oskar Jonsson phone: +46 8 600 8422 e-mail Oskar.Jonsson@mfd.se Project Manager, Björn Nilsson phone: +46 8 555 522 97 SIS, Swedish Standards Institute e-mail bjorn.nilsson@sis.se
Creation of CEN/TC 431 Service chain for social care alarms Based on the background given in this presentation and the urgent need for standardisation around social care alarms, Sweden sent a proposal in fall of 2013 to CEN the European Committee for Standardization to create a new Technical Committee (TC) The proposal was accepted and early 2014 the CEN/TC 431 was created with the Swedish Standards Institute (SIS) as the Secretariat The first meeting of CEN/TC 431 is taking place in Stockholm, May 12-13, 2014 How to participate in the work of CEN/TC 431? Contact your national standardization organisation.