The project ICT model for improving intrinsic capacity, INTEGRA-CAM, proposes an innovative technological ecosystem that allows home monitoring and follow-up of the intrinsic capacity of the elderly. Intrinsic capacity is defined by the World Health Organization as the composite of individual capacities in physical, mental, and psychological terms, which includes frailty.

This ecosystem is intended to enable a comprehensive care model in which all relevant actors are connected: patients, caregivers and health professionals from primary care and specialised care, particularly geriatrics.

The personalised intervention proposed in INTEGRA-CAM is based on the previous research experience of the Getafe University Hospital team in European projects such as VIVIFRAIL (physical activity programme) or MIDFRAIL (multicomponent intervention: education, physical exercise, and nutrition) as well as on other accepted criteria such as STOPP-START (polypharmacy).

Watch the video of the technical workshop of the PMC

millons euros for Phase 1

The project has a total budget for Phase I of €2.5 million (R&D&I Phase), under the collaboration agreement signed by the Ministry of Health of the Community of Madrid and the Ministry of Science and Innovation in December 2020, within the framework of the Line of Promotion of Demand-Side Innovation (FID) of the third call for proposals) to promote the Public Procurement of Innovation (PPI) in health services.

INTEGRA-CAM is 50% co-financed by the European Regional Development Fund (ERDF), through a grant awarded by the Ministry of Science and Innovation, which is part of the of the Pluri-Regional Operational Programme of Spain (POPE) 2014-2020. It reinforces the Community of Madrid’s commitment to this instrument to continue modernising the Administration and improving public services for citizens. It also favours business competitiveness and strengthens public-private collaboration.

This project will run from 25 September 2019 through 30 June 2023.

General objectives

  • Early detection of the onset of frailty to prevent disability and dependence.
  • Improve the quality of life of the elderly and their environment.
  • Contribute to improving the sustainability of the healthcare system.
  • Integrate all relevant actors in the integral care of the elderly: patients, caregivers, and health professionals (primary and specialised care).
  • Shifting health care to a home and community setting.

Specific objectives

Refine and integrate the INTEGRA-CAM technological ecosystem.
Carry out training interventions for primary care professionals focused on the comprehensive, coordinated, and continuous management of frailty and intrinsic capacity.
To evaluate the impact of INTEGRA-CAM through a randomised clinical trial.

Expected results

INTEGRA-CAM INTEGRA-CAM will allow the generation of a technological ecosystem that facilitates the implementation of a new organisational model of care for the elderly, who, through a low-cost monitoring system, are being continuously monitored by all the actors involved in their integral care: primary care, geriatrics, and caregivers.

Home monitoring system:

  • Subsystem for monitoring the patient’s functional status (through the SPPB test -balance, timed walk, and chair stand-).
  • Unintentional weight loss monitoring subsystem.

Service provision platform:

  • Comprehensive geriatric evaluation subsystem.
  • Subsystem for generating alarms for worrisome deterioration for caregivers and health professionals.
  • Subsystem for generating direct feedback signals for patients (trends, alarms, and recommendations).
  • Questionnaires for the evaluation of mood and nutritional status of the elderly, based on the standard tests GDS (Geriatric Depression Scale) and MNA (Mini Nutritional Assessment) respectively.
  • Interactive therapeutic content of the VIVIFRAIL programme.
  • Prescription of multifactorial treatments.
  • Storage and access to clinical information.
  • Communication between the different actors involved (patient-caregiver, patient-primary care physician, primary care physician-geriatrician).
  • Decision support system for primary care.
  • Big-data system.

The model proposed by INTEGRA-CAM offers an improvement in the prevention, diagnosis, and treatment of frailty, guaranteeing a follow-up of the clinical condition of patients and maintaining and even improving their IQ.

Through home monitoring and the facilitation of bidirectional interaction between the different actors involved in the system, it allows:

  • Clinical follow-up of patients, adopting early intervention measures to avoid adverse events while maintaining IQ.
  • Empowering both patients and caregivers in the managing of their pathology and to help them become involved in it.
  • Enabling patients to make sure that their IQ is not declining or ideally to increase it, improving their performance in basic day-to-day activities.
  • Caregivers are less overburdened because of the safety provided by being included in the direct adverse event reporting loop.
  • Healthcare institutions improve the quality of care provided, given that patients will be approached from a multidisciplinary perspective, bringing the management of frailty closer to the community environment.