A Delphi study about the “Smart Functionalities” in Integrated Care


Please fill in the questionnaire to provide your input to the Delphi study, before May 15

Which functionalities embody the innovation in integrated care? 

  • What makes the care and cure processes innovative in the scenario of Integrated Care we are going to face in our locality?
  • How can we split the complexity of our scenario into a number of Focus Groups among parties with different cultures, not yet accustomed to collaborate?
  • Which is the most appropriate tool to stratify the citizens in our scenario?
  • Which locations have experience to deal with alerts from remote devices?
  • Which good practice was focusing on therapeutic education?
  • How can we support the activities of a care manager?

This page concerns a Delphi study managed by Federsanità ANCI within the Action Group B3 of the European Innovation Partnership on Active and Healthy Ageing (EIPonAHA).

The study regards the classification of “Smart Functionalities”, i.e. the building blocks that may determine the innovation into a model of Integrated Care. At the bottom of the page, you can find a link to provide your comments on the classification.

The classification of Smart Functionalities

The deployment of Integrated Care entails a combination of many functionalities. Among them, some “Smart Functionalities” embody the innovation in the care and cure processes, i.e. they are able to represent in a systematic way WHAT is the content of a disruptive scenario of health innovation.

As a partner of the STOPandGO project, Federsanità analysed the content of several good practices, to work out a classification on Smart Functionalities. It may reduce the complexity of Integrated Care and facilitate the collaboration among parties with different cultures, because they allow to separately face the challenges within each relevant class and among the classes. Moreover, the related technology-enabled solutions may be reused for different conditions, in multiple scenarios, in various localities 

You are asked to take part to a Delphi study to validate this classification 

 A questionnaire allows you to provide your input to the study. Here are some supporting measures:

A new release of the classification, taking into account the comments received, will be relased in the first half of May; a second cycle of the Delphi study is foreseen in the second half of May.

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How does the Delphi study work?

You can read the detailed description of the classes of Smart Functionalities in the Handbook. A web questionnaire presents the classes and you can input your (typographical, minor, major) comments. We estimate that it will require 10' to 30', depending on the amount of your comments.

We will consider all the comments and revise the handbook as required. Then you will be asked to perform a second cycle of revision.

We feel that after the second cycle the classification is ready to be tested widely on the field, collecting the lessons learned. Perhaps next year there will be another release.

Why I should use the classification?

The planning and the deployment of Integrated Care is complex, every initiative must obey to local circumstances.

By dividing the problem area into smaller pieces, one could better focus on the potential solutions.

What is the benefit in the design of my local initiative?

You can organise a Focus Group for each relevant class in your care model, involving participants with the diverse cultures (management, procurement, clinical, technological, ...).

If other good practices are described accoding to the classification, you could be able to select the ones that have an approach compatible with the local situation and learn how they were dealing with each class of functionalities.

In addition, if in future the Open Market Consultations in the procurement processes and the solutions available in the market will be described according to the classes of Smart Functionalities, the related information could be cumulated and you will have access to a very large body of knowledge.

Finally, within your locality you can identify which classes may be relevant across initiatives that cope with different scenarios, and make a plan of re-use and harmonisation of organisational and technological solutions to avoid a heavy reorganisation afterwards.

What is the benefit for a region?

At regional level, it is possible to organise Focus Groups involving various localities, and to assign tasks to each locality to be the champion on a particular class, coordinating the deployments among the other localities.

Does the classification provide hints about which are the most relevant functionalities and their usage to build an innovative model?

No, the clasification provides a way to systematise your design activities, to support discussions among parties with different cultures (policy makers, clinicians, managers, vendors, patient associations), to discover commonalities that should be emphasised, to identify unnecessary differences that should be reduced. The functionalities are as far possible generic and non-technical, let let every party be able to express his/her view. The classes don't give you solutions, but hints to let you better systematise a scenario or classify a solution available in the market.

The classification may help to perform activities (e.g. the Open Market Consultation in a procurement process) in a comparable way across the Integrated Care community, to build incrementally a shared knowledge base.

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This Delhpi study is an activity managed by Federsanità as part of the Sprint Activity TIMIC-L (Technology-enabled Innovative Models towards Integrated Care, “TheLanguage”), in the context of the Action Group B3 of the European Innovation Partnership on Active and Healthy Ageing (EIPonAHA). It stems from the work carried out within the STOPandGO Project (Horizon 2020, contract 621013, under the Program CIP-ICT-PSP 2013), as a refinement of the interim version included in its Deliverable D2.2. 

The classification on Smart Functionalities belongs to a set of four classifications, which include also:

  • the Structural Preconditions that enable the deployment of the Local Initiatives;
  • the Technology-oriented Requirements that may fit with the functionalities;
  • the Innovation-enabling Technological solutions .

All together, these classifications make up the “European Specification Template” (EST) on technology-enabled innovation in Integrated Care, which allow to systematically express the content of regional Action Plans and Local Initiatives and to support the related procurement processes. These classifications are being tested in a number of procurement processes by the partners in the PPI Pilot of the STOPandGo project. The infrastructures (e.g. the broadband networks), the operational functionalities (e.g. the digital prescriptions) and the context (e.g. the economic and regulatory issues) are out of scope of the present activities.

The ultimate goal is to facilitate the scaling up of disruptive Health Innovation towards a full deployment of Integrated Care, with a special focus on Active and Healthy Ageing.