This section describes the main service delivery scenarios based on the Technical Structure.

  1. Passive Telecare service provision, where either a Telecare user activates a trigger to generate an alarm call which is answered and dealt with by an operator, and where in addition an environmental trigger such as a smoke detector or fall detector connected wirelessly to the Telecare unit generates an alarm call. There is no regular outbound communication programme in place from call centre to end user (see next section, proactive Telecare).
  2. Proactive Telecare service provision, where in addition to passive Telecare, the call centre makes outbound calls on a regular basis, and records information based on the conversation with the end user, with a view to providing follow-up support. This service layer has benefits not only for the social care system, by enabling people to stay for longer in their own home before needed additional social care resources, but also on the health system, where programmes such as flu vaccine promotion, medication reminders, and tailored recommendations during adverse environmental conditions such as heat waves or high pollen counts are offered.
  3. IoT Med, where data coming for multiple devices is captured, sent, analysed and correlated to identify potential health and social risks. The source of the data includes a wide range of devices, from traditional vital signs monitors (pulse oximeter, blood pressure monitor, glucometer, etc.) most of which are considered medical devices, to non-medical devices that provide valuable data for prevention (from activity trackers and wearables, to alarm equipment such as presence detectors, falls detectors, etc.). Based on this data, and with the help of decision-support algorithms, service providers can deliver patient-specific preventive services that reduce the possibility of adverse health events and allows the patient to live independently for a longer time. Some examples of these services are wellbeing promotion and improvement of healthy lifestyles, or patient empowerment programmes IoT Med opens the possibility of delivering not only diagnostic, monitoring and preventive support services, but also predictive services, where intelligent algorithms can detect risk situations even before they occur.