The main goal of the DECI project is the following: “defining an innovative business model to supply assistance services, allowing independent living for elderly people, especially for those affected by Cognitive Impairment or dementia, granting high levels of quality of life”. According to this goal, the innovative outputs produced by the DECI project are the following: The Integrated platform and related integration interfaces that include:
- Integrated Care platform: Web-based interface for clinical professionals to share information about the patients (e.g. clinical data, assistance project, relevant clinical events)
- Activity monitoring system: activity monitoring system worn by the patients based on an actigraphy smartwatch which allows registering the number of steps, intensity of the physical activity and where it took place
- Coaching and training system: mobile application for the patients to interact with the Case Manager or access to educational material, follow a computer based cognitive simulation, follow a computer based physical activity program
- Cognitive games: an interactive program for the patients that features thousands of interactive exercises for cognitive stimulation, with different levels of difficulties which allow the stimulation and empowerment of all the mental skills
The Service and Organizational model that includes a remote monitoring of patients’ physical activities and of the adherence to cognitive and physical exercises and a continuous communication among clinicians and patients/caregivers. This is provided within a new organizational model that includes a Case Manager who follows the patient during his/her overall care path and accesses the DECI system. In Sweden, there is an additional innovation: the DECI mobile team consists of a multidisciplinary team visiting patient’s home.
The general Business Model and the Coherence Matrix: the methodological approach to the design of a new technological, service and organizational model for elderly people affected by MCI and MD in every EU Country and its evaluation. The Consortium designed a Coherence Matrix that supports each EU Country in defining its own business model, according to its specific needs. The tool also underlines the common needs and technological functionalities among the different EU Countries.
These results were implemented in the four pilot sites: Italy (Fondazione Don Carlo Gnocchi Onlus), Israel (Maccabi Healthcare Services), Spain (Hospital Universitario de Getafe) and Sweden (Skaraborg Hospital). The Consortium enrolled more than 500 patients in the four pilots.