j

Chronic condi-tions30%

Chronic conditions including telehealth

35%

Patient self care/Education

9%

Patient self care/Education including tele-

health 4%

Elderly at home 4%

Elderly at home including tele-

health 9%

Transitional care/post discharge including telehealth

9%

ACT healthcare Programmes

YES57%

NO43%

Does your service utilise Telehealth, Telecare or Telemedicine?

Barriers to implementation (all Programmes)

Patient skills in using devices Lack of IT skills of GPs and elderly patients Lack of financial support Lack of a defined business case Lack of consensus among main stakeholders Health professionals and patients resistant to change Difficulties with team working and sharing

responsibilities Breaking division between social and health care

Working towards integration: Advancing Care Coordination & TeleHealth Deployment (ACT) ProgrammeRosemary Davidson*, Cristina Bescos** and Stanton Newman* and the ACT Consortium* School of Health Sciences, City University London, Northampton Square, London, UK**Philips Healthcare, Home Healthcare Solutions, Boeblingen, Germany

The work leading to these results is funded by the European Community’s Health Programme under grant agreement 0121209. The ACT programme is fully aligned with the European Innovation Partnership in Active and Healthy Ageing objectives to deploy integrated care for chronically ill patients.We acknowledge the contribution of the following researchers participating in ACT: C. Westerteicher (Philips Healthcare); S. Pauws, H. Schonenberg (Philips Research); P. Natsiavas, D. Filos, C. Maramis, I. Chouvarda, N. Maglaveras (Aristotle University Thessaloniki); J. Roca (IDIBAPS); J. Escarrabill, M. Moharra (AQuAS); J. Cleland (Imperial College); D. Barrett, J. Hatfield, S. Nabb (University of Hull); N. Hart (Guy's and St Thomas' NHS Trust); M.David, J. Mora, E. de Manuel (Kronikgune); E. Buskens, M. Lahr (UMCG); M. Romano, M. Nalin, I. Baroni (Telbios); J. Rasmussen, A. Pavlickova (NHS 24/SCTT); S. Störk, C. Wahl (University of Würzburg).

European Region

Programme focus

Lombardy 1 Expert Patients 2 Remote patient monitoring 3 Chronic patients

Basque Country

4 Active Patients 5 Chronic heart failure 6 Diabetes 7 COPD 8 Multimorbidity

Groningen 9 Chronic heart failure 10 Diabetes 11 Elderly care 12 Asthma/COPD

Catalonia 13 Oxygen therapy 14 Chronic care model 15 Heart failure + comorbidities 16 Comorbidities (3+ chronic conditions) 17 COPD, Diabetes, Heart failure 18 Diabetes – early diagnosis 19 COPD + Heart failure – post discharge 20 Diabetes – enhanced care

Scotland 21 Reablement & crisis care 22 Home safety service 23 Rapid elderly assessment care team

Correspondence: Rosemary.Davidson.1@city.ac.uk