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Vivago

Summary

Description

Operational Information

Evaluation

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Summary

The Vivago company is a pioneer in personal health care technology and provides telecare solutions. It was established in 1994 to develop, sell and market automatic safety solutions that can also monitor well-being and functional ability.

The service is built around the Vivago CARE Watch which collects data from the user 24 hours-a-day, 7 days-a-week. It provides telecare LTC solutions in home and institutional (hospital) setting. The Vivago CARE Watch is an intelligent telecare system. Services can cover nurse calling systems, automatic alarm systems, wandering detection and continuous well-being monitoring.

Vivago is owned by Sitra (The Finnish Innovation Fund) and private investors. The company structure is made of a professional staff, a board and a management team. All products are designed and made in Finland.

All services were evaluated by Vivago and results are reported on the website. The services seems to have a positive impact on the quality of life of care recipients, and indirectly informal carers, in terms of independence, increased safety and timely care. At the meso level, private care organisations enjoy savings as they are alerted only in real emergencies and they can act timely to changes in the well-being of care recipients and plan visits better. At the macro level, cost reductions can also produced for the National Health System (NHS), by optimising financial and human resources and ensuring appropriate, efficient and efficacious care.

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

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Vivago
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Finland, Sweden, England, Ireland, Germany, Austria, France, Belgium, Luxemburg, Switzerland, Holland, Italy, UK, China, Japan
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1994
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The main goal was to develop the world's first telecare device to automatically monitor, 24 hours a day, a person's well-being and functional ability with an innovative “bodycode” technology of sensors and algorithms. The bodycode technology integrates the telecare alarms (reactive measures) with health monitoring (preventive measures) in one single device.

Vivago's solutions provide security even when the client cannot press the alarm button. They help older care recipients to remain in their own homes, alerting their informal and/or formal carers in case of falls, changes in life parameters and unconsciousness.

 

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The main policy driver was “ageing well” i.e., enhancing older people’s well-being, independence and quality of life. A care driver was that 4 out of 5 seniors do not push the button when they are in need of help and only 46 % of traditional alarm pendants are in use (the usage rate of the Vivago CARE watch is 94 %). A social driver was to demonstrate its usefulness for health and social care services.

 

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

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Not available

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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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Vivago provides different kinds of services for elderly living at home, for those in care house and in sheltered homes or in hospital. In detail:

1) Vivago Home solutions:

a) Vivago CARE watch measures the activity from the wrist and if it recognizes anything abnormal (for example if the person falls down and goes unconscious) it’s able to make an automatic alarm . The watch is able to detect micro and macro movements. The activity information is sent to Vivago’s software where the automatic analyzation is being done. Based on the activity information the software is able to give wellbeing reports over the users’ functional ability and changes in it.

b) Vivago DOMI is a care phone sending automatic alarm in case of emergency and well-being follow-up, based on the Vivago CARE watch but also connected with a home care staff that can intervene in case of need.

2) Vivago Seniors’ (retirement) houses:

a) Vivago Care watch: it is a solution for senior living that combines traditional safety phones and alarm buttons. Additionally, Vivago could provide automatic safety whenever the elderly person is unable to call for help on his or her own. The Vivago CARE watch could provide better safety with its automatic alarms and could improve the quality of care by providing valuable well-being information.

b) Room point room device: is installed in those rooms that need voice connection. Collects the information from wireless and wired alarm devices and sends the information forward to Vista software. In an alarm situation the nurse gets information from which room the alarm has been sent from. If Room Point recognizes something unusual in its function, it automatically sends a notification to the person in charge.

3) Vivago Sheltered housing and Hospital:

a) Vivago VIVA: it’s a combination of Vivago CARE watch, Vivago VISTA software and the POINT base station, which forward all the data collected by the watch and other alarm devices to the Vista software. The Vista software is the product of a development process in which nursing staff played a major role. In emergency situations the health staff receives information about the caller, the nature of the alarm, and the location in the building from where the call was made.

b) Vivago GO: The Vivago VIVA safety solution can be complemented with Vivago GO wandering detection. The GO solution consists of the GO POINT (a wandering detection base station) base station and the Vivago CARE wandering detection watch. Wandering detection can also be added at a later date, in response to changes in the needs of the resident.

c) Vivago VITA: it is a system to monitor the well-being and health of the resident. It provides detailed information about how the resident's well-being is evolving and makes proactive care easier and helps to devise a treatment plan. The VITA solution also notifies the health staff about whether the resident is sleeping or moving around, which is particularly helpful for nurses working the night shift.

d) Vivago Personal/staff Safety: provides nursing staff with a quick but discreet way to call for help when under threat. The solution is based on the VivagoCARE watch specifically designed for health staff. It can also automatically raise the alarm when the health staff cannot, for instance due to unconsciousness.

 

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Each service uses a particular device:

1) Vivago CARE watch, is a wristwatch that measures the person’s daily activity and if it detects abnormal activity, for example if the person falls and loses consciousness, automatically sends an alarm. The Vivago CARE watch has an alarm button but additionally the watch is measuring the person’s wellbeing when the watch comes in contact with the skin on the wrist. The home care staff as well as relatives will always get information of there’s a sudden change or a change that has occurred during a longer period of time. This way it’s possible to put effort into preventive health care.

2) Vivago DOMI is a care phone that automatically sends an alarm, in emergencies, accompanied by a well-being follow-up measured through Vivago CARE watch..

3) Vivago VIVA is a combination of Vivago CARE watch, Vivago VISTA software and the POINT base station, which forward all the data collected by the watch and other alarm devices to the Vista software. The Vista software is the product of a development process in which nursing staff played a major role. Vivago's sheltered housing solution brings safety to the entire building. Because the alarm functions anywhere inside the building, the residents are free to move around. In emergency situations the health staff receives information about the caller, the nature of the alarm, and the location in the building from where the call was made.

c) Vivago VITA is is based on Vivago CARE watch: the sensors on the back plate of the watch monitor the activity level of the patient. The collected data is then sent via the base station to the Vista software. It provides detailed information about how the resident's well-being is evolving and makes proactive care easier and helps to devise a treatment plan. The VITA solution also notifies the health staff about whether the resident is sleeping or moving around, which is particularly helpful for nurses working the night shift.

d) Vivago Personal/staff Safety is an emergency alarm device that provides nursing staff with a quick but discreet way to call for help when under threat. The solution is based on the VivagoCARE watch specifically designed for health staff, which can automatically send an alarm, for instance during unconsciousness.

 

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 research funding: local, regional, national, European and international funds for research, development and implementation of innovative initiatives
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National funds for research, development and implementation of innovative initiatives (the Finnish national fund for research and development (SITRA).

 

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Other: please specify
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Private companies: Financial Services Group FIN

Private insurance-based

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Business plan

Purposes: The initiative intended to help informal carers and healthcare professionals working in home care centres and hospitals feel more secure concerning their older care recipient living alone at home. However, the initiative has been focused mainly on care recipients and available information only regard this latter category.

Vivago is owned by Sitra (The Finnish Innovation Fund), Finnish insurance companies and pension institution. In December 2012 (most recent data available ), the total number of shareholders was 119 (Sitra, 33.42 %; Seppo Sairanen, 28.09 %; Markku Kaloniemi, 19.74 %).

 

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Focusing on reliability and proof-of-concept was crucial for market penetration and up take. Moreover, it was fundamental for Vivago to have in-depth knowledge of how health and social care services are organised and operate. Furthermore, the sustainability strategy involved building up and maintaining good working relationships with health and social care practitioners and decision makers.

Vivago has managed to enter into a niche area of behavioural research, namely algorithms concerning sleep quality, as well as breaking into a newer area of personal wellness management based on activity monitoring. As a result, the likelihood of sustained future joint or partial funding with external research bodies is high given the company's strong track record of successfully bringing a telecare prototype to the market. In addition, future prospects to increase the number of users are promising.

 

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€ 10,000 - 50,000
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Not available

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

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Vivago works in close cooperation with Siemens Enterprise Communications, Fastroi, MLB, Etelävartiointi, Relacom, Mirasys, Salwe (Strategic Centre for Science, Technology and Innovation in Health and Well-being), Doro, Legrand, Schneider Electric, and Verklizan.

 

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Not involved
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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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20 employees, of which half were researchers, according to the most recent data from 2012. They collaborate with health and social care practitioners and decision makers to increase the presence of Vivago in these markets.

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Not involved

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There were over 60,000 Vivago users spread across 500 sheltered housing facilities and private homes in Europe. Vivago solutions are used by, among others, Rome (IT), Sophia (DE), Orange Telecom Healthcare (FR), Armeé du Salut (FR), and numerous Finnish health care providers that depend on high quality.

 

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A list of abstracts and publications of research on the Vivago website and participation in exhibitions and shows.

 

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

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All the services were evaluated by Vivago company and were reported in the Vivago website. A possible conflict of interest needs to be taken into account.

The service may have a positive impact on the quality of life of:

- Informal carers and paid assistants by helping them reconcile care and work, improving their social life and health. Giving respite for informal carers.

- Older people by supporting their independence and self confidence.

Other benefits:

ICT acceptability by informal carers and care recipients, as the system is user friendly and intuitive (Kääriä, 2014).

 

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The service may benefit:

- Private organisations that provide care such as nursing homes, retirement seniors homes and private hospitals, by helping to save costs and optimise resources as they are alerted only in case of real emergency. Service providers may intervene in possible problem situations before they become a threat to well-being. Furthermore, the webpage dedicated to professionals offers training courses for nurses and there is a section about research and development illustrating the professional skills required by different care institutions (nursing homes and hospitals)- Companies and the labour market by helping the informal carer reconcile work and caring tasks the service helps avoid added costs for substituting/replacing the worker (Kääriä, 2014).

 

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The service benefits the National Health System and social care services by helping to save the costs of home caring and hospitalisation, by reducing the cost for unnecessary professionals and preventing falls and other accidents (Kääriä, 2014).

 

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Strengths:

  1. Vivago is ISO 9001:2008 and ISO 13485:2003 quality standards certified. In 2012 Vivago adopted the ISO 26000 corporate social responsibility standard.
  2. Studies on clinical trials using quantitative research methods revealed the potential for telematic activity monitoring to detect changes in older adults’ health status in their normal environments and as a more personalised tool for individual health promotion and health management at an affordable cost.

  3. The service’s home page is very detailed, user friendly and rich in information for care recipients including technical watch details.

  4. Vivago is linked to local service providers so that it is integrated in the general care system contributing to deliver integrated services for health and social care.

  5. Vivago received several international awards:

  1. German design award 2014 special mention

  2. Silver medal best eHealth-innovation 2013

  3. High Impact Innovation catalogue front page, NHS 2013

  4. red dot design award, 2012

  5. Best telecare koncept, Ernst&Young 2010

  6. Frost&Sullivan innovation award 2006

Opportunities:

  1. Vivago Care Watch targets older users, formal care providers and informal carers as information can be sent directly to them. However, available data have not been analysed from the informal family caregivers’ perspective – more in-depth interviews are required as they are a good opportunity to increase the market penetration.

Threats:

  1. The main barrier is the significant time it took to break into the health and social care markets, which required building up and maintaining good working relationships with professionals and gaining a deep understanding of health and social care services and systems.

 

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The service has an international coverage, as it is used by over 60,000 users and approx. 500 institutions in Rome (IT), Sophia (DE), Orange Telecom Healthcare (FR) and Armeé du Salut (FR), in many quality-oriented care professionals in Finland and Japan.

The telecare product was commercialised towards the end of 2000 and is owned by the Vivago company, which in turn, is owned by several insurance companies and pension institutions. In 1993 the original evaluation studies were carried out with the first prototype, which was then field tested in 1998.

 

More Information
includes contacts, publications and accompanying documents

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References:

Updating by Mrs Katja Kääriä, Vivago CEO Manager, in January 20

Vivago, Vivago Bodycode Measurement Technology Abstracts of research & publications document, available at http://vivago.studio.crasman.fi/pub/web/Misc/vivago_abstract_mail.pdf

Resources:

www.vivago.com

 

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Adress: Vivago Oy: Itsehallintokuja 6 02600 Espoo Finland

Telephone: 0035 8 10 2190 610
Email: info@vivago.com

Sales: sales@vivago.com

Orders: orders@vivago.com

Customer support: support@vivago.com

-CEO: Katja Kääriä katja.kaaria@vivago.com

-Account Manger: Janna Ranta Key account manager

Telephone: 0035 8 44 346 8643

E-mail: janna.ranta@vivago.com