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SALVEO

Summary

Description

Operational Information

Evaluation

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Summary

The SALVEO system is composed of a network of sensors wirelessly connected to a small base station. Several motion sensors detect and assess the older user's movements, and in case of a presumed emergency situation the system can alert the carer(s) automatically, without the need of the user's intervention, like pressing a button. Carers also have access to a web portal which informs them of the older person’s real-time state.

The service aims at improving the quality of life of older people and their carers. Being monitored around the clock, care recipients can live independently in their homes. In addition, their formal and informal carers are reassured by being constantly informed in case of critical circumstances.

The SALVEO tele-assistance was created by the French ICT Company PERVAYA, with a budget less than 10,000 euros, to benefit aging in place. The service is partially funded by the government. From 2007 the state covers half of the subscription through a tax credit, i.e. the Barloo Law, that regulates the domestic services sector also to old people, since 2006 introduced different tax advantages for households who can write off 50% of legal expenditure for domestic services against private income tax up to 12,000 Euros p.a. Furthermore, this law established that employers 70 years old or more had not to pay any social contribution for directly employed workers (IWAK, 2011) Users are required to pay a monthly fee subscription of 39€, which can be covered by the General Council under the APA (Allocation Personalisee d'Autonomie) depending on the subscriber’s state of dependency and financial resources. Each type of subscription provides a different ICT. Installation does not require any wiring as it is activated by means of infrared wireless sensors and is connected to a telephone line.

Up to now, no impact assessment has been carried out, although the service seems to have a positive effect both on the ability of older people to live independently and safely, as well as on their carers’ quality of life.

Description
refers to the target users, kind of service provided, ICTs typologies and devices used

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SALVEO
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France
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2005
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SALVEO’s fundamental purpose is to increase the quality of life of carers (formal and informal) and care recipients by detecting and analysing the latter’s daily activities.

SALVEO’s objectives are to:

-Alert carers during an emergency;

-Gather data, in realtime, on the older person's state of activity;

-Prevent and anticipate eventual emergencies;

-Reduce emotional stress.

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SALVEO tele-assistance was created by PERVAYA, a French technology company founded in 2005 with the main goal to support aging in place by developing an active telecare system based on ambient intelligence technology.

An important economic and technical driver was to differentiate the SALVEO tele-assistance, from classical tele-assistance systems, by not requiring the older person to wear an accessory or to push an emergency button. Such classical tele-assistance systems, which are passive, have been available for more than 20 years without undergoing significant changes, other than bracelet tuning. Moreover, experience has shown that accessories that have to be worn and manually activated, are rarely effective. In fact, 2/3 of older people did not wear them. But more importantly, 50% of the them were physically unable to push the bracelet button during an emergency.

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Yes Care Recipients
Yes Informal carers
Yes Paid assistants
Yes Formal carers

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Yes Independent Living
No Information and learning for carers
No Personal Support and Social Integration for carer
Yes Care coordination

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These services help older people to living independently in their homes for as long as possible and support their formal and informal carers’ peace of mind, monitoring the care recipient continuously. A demo is available at http://www.pervaya.com/en/demo.html.

The movements of care recipients are constantly monitored and automatically analysed by a remote computer in order to generate an alarm, which is sent to a carer, in the case of a fall, for example.

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-Telephone line/ADSL-Ethernet/GSM–3G

-Network of wireless sensors;

-Ambient temperature sensor;

-Frontdoor sensor;

-Central database of the information from the sensors which are analysed by a SALVEO remote server.

The provided ICT devices change according to the kind of subscription (see BUSINESS PLAN section, operational process).

Operational Information
refers to the type of funding, budget, sustainability and organisations involved

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Both public and private
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Public service funding: Government, Regional, Local Authorities, non-profit public entities
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Private out of pocket: users pay the service by themselves
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Not available

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Operational process:

The SALVEO system is composed of a network of sensors wirelessly connected to a small base. Several motion sensors analyse the older person’s activity to allow the detection of an eventual fall. A sensor allows constant monitoring of the ambient temperature to detect extremes caused by heating system problems. A front door sensor detects extended, unscheduled absences. The central base gathers data from the different sensors and sends it via a telephone line (ADSL or 3G) to a SALVEO remote server for automatic analysis. If an abnormal change in the older person's movements is detected, an alarm message is sent to a call centre, who then alerts a carer. Care recipients are not required to wear an accessory or to push a button.

Purpose and strategies:

To allow the older person to remain at home in a secure environment by automatically monitoring movement without the use of accessories or the assistance of carers. SALVEO respects older people’s privacy, while decreasing their risk of health problems.

Trading practices:

Since May 15, 2007 the State covers 50% of the subscription cost through a tax credit (Borloo law). The price, starting from 39€ per month, includes:

  • a subscription to the server
  • a helpline for home support for older and disabled people
  • 4 discs and motion sensors placed in the bedroom, the bathroom, the kitchen and the living room
  • a front door sensor
  • a temperature sensor in the room where the older person spends most of his/her time.
  • a base station that wirelessly collects data from the various sensors and performs an initial data analysis
  • data transmission to and analysis by a remote central server

In addition, the cost of the subscription can be covered by the General Council under the APA (Allocation Personalisee d'Autonomie) depending on the state of dependency and resources of the subscriber. The equipment includes:

  • a base station transmitter
  • a set of four motion sensors for the bedroom, living room, kitchen and bathroom
  • a temperature sensor for the living room or bedroom
  • a front door sensor

An optional 7€/month (reduced 50% after tax credit) have to be added in the case of a subscription to a medical board when alerts are not taken into consideration. Given the value of the equipment, a deposit is required, which will be fully refunded when the equipment is returned at the end of the contract.

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Since the company has received a number of awards, the likelihood of future funding appears high. Furthermore the PERVAYA Company is looking for distributors across Europe and North America to expand its client base.

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€ 0 - 10,000
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Not available

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Yes Authorities
No Private Care Sector
Yes Health and Social Care Systems
No Third Sector
Yes Private Companies

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Not available

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Not applicable
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No Informal Carers
Yes Health Professionals
Yes Social Care Professionals
No Privately-Hired Care Assistants (inc. Migrant Care Workers)
No Volunteers

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Not available

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Not involved

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Not available

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The main promotion strategy is the SALVEO website as well as partnerships with local care organizations for older people.

Evaluation
refers to the impact of the service on end-users, care organisations and authorities

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In the opinion of the initiative’s coordinator, this service can positively impact on the quality of life of :

- Informal carers, as it can reconcile care and work and improve their social life and health.

- Elderly, as it helps them to continue living independently and safely in their homes (Nehme, 2013).

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This service positively impacts on:

- Companies and labour market, as it can help informal carers to reconcile paid work and caring tasks so it can avoid added costs for replacing the worker who has to stay at home with the care recipient (Nehme, 2013)

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This service benefits public authorities, the NHS and social care services, as it could preventand anticipate eventual accidents, thus helping to save the costs of home caring and hospitalisation and optimises financial and human resources (Nehme, 2013).

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Strengths:

  1. No need for the older person to wear a bracelet or other accessory. The carer can monitor the old relative at distance without a direct intervention.
  2. Respect for the older person’s privacy, as it does not use any video camera or voice recording. Data gathered by the different sensors are only used for Analysis and alert generation. Family members and carers can have access to the Senior's SALVEO web page through secret user name and password.
  3. Detection of abnormal situations before they become critical. It takes into consideration the everyday habits of the person using a learning algorithm.
  4. Installation does not require any wiring. The infrared sensors are wirelessly connected to the base station. The latter is connected to the phone line and plugged into an electrical outlet for power. The base station is setup with default parameters beforehand and runs in a learning mode for the first few days in order to adapt to the person's routines. SALVEO is operational from the first day of installation and triggers alarms in case of emergencies.
  1. PERVAYA won the "Innovation Trophy" at the 2007 International EASY event attended by early stage investors for high growth businesses with 350 attendees co-financed by the European Commission. See: http://www.clubic.com/actualite-72275-pervaya-alenty-leirios-mobile-tag-remportent-troph.html
  2. PERVAYA is also the winner of a demonstration pilot project funded by the CNAV (Caisse Nationale d'Assistance Vieillesse), the French public body that manages the social security for 11.5 million pensioners.

Weaknesses:

  1. The SALVEO home page is available in English, French and Spanish. Unfortunately all other documents concerning the service (such as under the “Recent News” section) are only in French and, for those who do not understand French, it can be difficult to evaluate the system on the basis of the qualitative and quantitative data provided.
  2. No service impact assessment has been carried out as far.
  3. The service is not well integrated with the NHS for the management of patients requiring health care: there is not direct connection between the need’s detection and the Emergency Care Departments.

Opportunities:

  1. Since the SALVEO initiative supports the ageing in place policy and is relevant for many general macro-level policy goals for dependent older people and their carers (informal and formal), it has a good chance to increase the number of its target users and market share.
  2. The service is highly innovative and has very low costs. Therefore it is competitive and is easily transferable to other countries.
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Today the SALVEO system is mainly delivered in France directly or through a network of distributors and partners. However the company is looking for distributors and partners all over Europe and America. SALVEO is operatively mature, but is not well integrated into the national health system. Nevertheless its competitive advantage eliminating the need of the care recipient to wear any accessories or to push a button, could increase its scalability and transferability.

More Information
includes contacts, publications and accompanying documents

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References:

IWAK (Institut fur Wirtschaft. Arbeit und Kultur. Zentrum der Goethe-Universitat Frankfurt am Main (2011) Creating Formal Employment Relationships in the Domestic Services Sector: Successful Strategies. Insights from the Project “Labour Market Measures for Reducing Illegal Employment in Private Households of the Elderly”, www.iwak-frankfurt.de/documents/

Resources:

http://www.pervaya.com/en/benefices.html

http://www.clubic.com/actualite-72275-pervaya-alenty-leirios-mobile-tag-remportent-troph.html

Ziad Nehme, Pervaya Director, case-study updating, November 2013

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PERVAYA

Address: 38 rue Dunois
75013, Paris
FRANCE

Telephone: 00 33 9 51 08 97 50
E-mail: contact@pervaya.com