1. minna.Pikkarainen@vtt.fi / minna.Pikkarainen@oulu.fi
Emercare Future Intelligent data driven decision making systems for emergency care
Minna Pikkarainen /
Heidi Similä
Emercare Future

2. WHY / AIM
WHY
Emergency medical services = ambulance services or paramedic services providing out-of-hospital acute medical care, transport to emergency care
A significant increase in the average age of the population – Older people are statistically more likely to use urgent care and emergency medical services. 
Due to financial restrictions there is a strong pressure to be more and more cost-efficient.
AIM:
To build an intelligent data driven support for professionals (at home care, elderly homes, hospital emergency units) in the emergency care decision making

3. Use case example 80 years old woman, type II diapetes and hypertension
Anticoagulant medication
Measures EKG, blood pressure etc at home
Regular visits by home care
Get sudden pain in her chest at home

4. Actors & steps in emergency care in this case
Regulators cv
Professional associations
Academia
Nursing home
municipalities provinces
Authotities
Emergency Response centre / some other new player
Resque department
1. Home Care & Monitoring (healthcare professionals & individuals)
Health care players /Hospital emergency unit
Home care / nursing home technology providers, remote healthcare connections
2. Call for help & status evaluation
(healthcare professionals & individuals)
Health care payers, insurance, employers)
Emercare services e.g. location, ambulance, decision making systems, video connectivity solutions
Municipalities provinces
3. Consultancy & decision making
(healthcare professionals & individuals)
Decision making systems, Data analytics, platforms, virtual communication, vitality devices
4. Transportation / Further service
(healthcare professionals & individuals)
Third sector actors (individuals and communities)
Urgent care service providers, transportation providers

5. Real-time information exchange – technical architecture
Measurements made at home and/or in the ambulance
EKG
Oxygen saturation
Blood pressure
Other metrics and wireless devices (locationing etc.)
Video
IoT Platform
HealthShare
Global
Information analytics
Decision making system
Measurements made in hospitals & elderly homes etc
Patient recording system
Emergency care system
/Home care system
Transportation to hospital
Home care
Elderly home
Social service
Home hospital

6. Innovation
Intelligent real time data integration and analysis for emergency decision making (for consumers, doctors, home care players)
Use of connected health technologies & home measurements & wearable medical technologies in the decision making.
European Urgent Care Service Platform
The standardization E.g. Nordic countries utilize the NEMSIS classification and harmonized data

7. Results
Clear practices and roles for emergency & home care in relevant patient journeys
Demonstration& visualizations of the data driven decision making systems & communication solutions
Concrete usage demonstrations of the home monitoring data in emergency decision making
European level urgent care service platform 

8. Countries involved Finland (country leader VTT)
The Netherlands (country leader Thales)
France (country leader Institute Mines Telecom)
Belgium (country leader Sirris)