1. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 1 THE COMOESTAS PROJECT Round Table

2. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 2 Lessons learned and future steps C. Tassorelli

3. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 3 What have we learned? 1. Importance of synergy Among the consortium Among clinical and technical partners Among similia

4. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 4 What have we learned? Definition of synergy within this project ThinkingMaking Being on time Being reliable

5. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 5 What have we learned? 2. How to make things happen

6. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 6 What have we learned? 3. Things DO happen \

7. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 Future steps 7 COMOESTAS 1 - MOH COMOESTAS 2 – Neurodegenerative diseases COMOESTAS 3…. – Chronic conditions

8. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 Future steps 8

9. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 History of Hospitals From the 17th century until about 1900, hospitals were unspecialized, multi-purpose institutions for the sick poor. Until around 1900 those able to pay doctors preferred to be treated at home. The first hospitals emerged in places where people were unable to get medical treatment by physicians in their own homes. 9

10. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 Future steps 10 Remote management of patients for - Monitoring symptoms - Detect alerts - Provide optimized drug delivery - Rehabilitation Prompt real remote-assistance based services Avoid unecessary stress to patients Prevent complications Empower the patients Improve the relationship patient-doctor Make the most out of technology

11. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 Future steps 11 From an effective research approach to a health service usable on a large scale for several chronic diseases  Cost benefit analysis  Modular solutions for different diseases, different patients, different countries

12. COMOESTAS – Grant agreement no. 215366 Final Conference, Buenos Aires, November 26 th, 2010 Future steps 12 Start by doing what's necessary; then do what's possible; and suddenly you are doing the impossible.