ROSIA (Remote Rehabilitation Service for Isolated Areas). Improving rehabilitation access for isolated areas through the development of cutting-edge digital solutions.

Introduction: Access to rehabilitation is a basic human right yet often, accessing services is a challenge, especially in remote areas. Rehabilitation reduces disability, improves quality of life and saves money. Technology has the potential to transform rehabilitation by revolutionising service delivery. Healthcare systems globally face combined challenges of limited resources and increasing demand for rehabilitation and healthcare services. Remote and isolated areas face increased challenges, where the proportion of older people is higher and distances for accessing healthcare services greater. The ROSIA pre-commercial procurement project is creating a co-produced Innovation Ecosystem to pave the way for an extensive deployment of the self-care model for long-term conditions and disabilities, by generating a scalable model of Integrated care, organised around tele-rehabilitation and supported self-management of care. The project is funded by the EU H2020 research and innovation programme. The 12 ROSIA healthcare partners include 3 procurers from Ireland, Spain, and Portugal. Methodology: In PCP, public procurers buy R&D from several competing suppliers in parallel to compare alternative solution approaches and identify the best value for money solutions that the market can deliver to address their needs. R&D is split into phases (solution design, prototyping, original development and validation/testing of a limited set of products) with the number of competing R&D providers being reduced after each R&D phase. The preparatory phase included: A state-of-the-Art (SotA) analysis: the SCaling IntegRated Care in COntext (SCIROCCO) Self-assessment Tool for Integrated Care, Literature Reviews, Telehealth Capacity and Readiness Assessments, Stakeholder Needs Analysis and an Open Market Consultation. The ROSIA design process includes: Phase 1 - Design of ROSIA’s model based on evidence informed iterative work of co-creation with patients, clinicians and technical partners Phase 2 - Prototype Development of three proposed solutions selected from Phase 1. Phase 3 - Development and testing of the completed solution. Results to date: Through an Open Tender process, successful bidders were selected, leading to a first step in the design of a cutting-edge digital solution to support community integrated care. The ROSIA Innovation Ecosystem comprises three elements: -Development of an Open Platform to host shared services. -Developers Tools. -ROSIA Catalogue of certified ICT and telehealth solutions. Applications and devices will connect to an open platform with integration of community supported self-care into patients’ care plans. Phase 2: Functional demonstrations of each contractor's prototypes have been organised online providing clinicians and patients with the opportunity to engage with the contractors in a dynamic interaction and provide feedback for further prototypes development. Next steps: Phase 3, commencing February 2024 for 14 months, involves developing and testing the completed solution for clinical effectiveness, economic analysis and patients’ personal experience. ROSIA provides interoperable solutions validated by end users across all three ‘procurer’ countries. Innovation procurement will provide valuable learning for an international audience. Conclusion: ROSIA will allow a model shift from hospital-based rehabilitation to tele-rehabilitation under follow-up of clinicians and self-management at home, optimising quality of care, patient experience and the use of clinical resources helping achieve the quintuple aim.