Roma 2 Local Health Authority and Fondazione Baroni for the safety and accessibility of care: aninnovative telerehabilitation project for patients withspinal cord injuries.

The COVID-19 emergency has forced a rapid reorganization of healthcare services, suspending many non-urgent outpatient services and redefining the offering based on companies' potential for process and resource optimization and adapting it to the new context. In this period, therefore, it became necessary to use digital media and to verify the possibility of ensuring remote services for chronic patients. In light of this experience, ASL ROMA 2 has implemented a research project to ensure the remote rehabilitation of chronic patients with motor impairments, in particular with spinal cord injury. The project was funded by the Baroni Foundation Objectives: Since 2023, ROMA 2 local health authority (ASL ROMA 2) has launched a project for the use of a platform dedicated to telerehabilitation, funded by the Baroni Foundation, with the following objectives: Objectives: Since 2023, ROMA 2 local health authority (ASL ROMA 2) has launched a project for the use of a platform dedicated to telerehabilitation, funded by the Baroni Foundation, with the following objectives: ensure access and continuity of care, including continued rehabilitation at home. improve rehabilitation interventions through the appropriate use of remote services and capabilities; these allow for better tailoring of treatment frequency and intensity to the needs and preferences of The platform can be integrated with other healthcare systems and supports protocol and plan definition, wearable device integration, telerehabilitation, schedule management, clinical monitoring, and more. The technology architecture is based on open-source software solutions such as Kafka, Kubernetes, Java, Typescript, PostgreSQL, MongoDB, TimescaleDB, AWS, KeyCloak, Drools, DSL, Strapi, and Workflow Engine. increase the efficiency of home rehabilitation services, allowing for the provision of care to a greater number of patients requiring assistance. promote monitoring, health education, and/or the adoption of appropriate self-care practices. These objectives are consistent with the objectives outlined in the National Recovery and Resilience Plan (PNRR) Mission 6 - Health Component 1 (M6C1) Proximity networks, facilities, and telemedicine for community care. This paper describes the results of the research project "Fleexi-Rehab-Care-Tech (FRCT)" by ASL ROMA 2, focusing on tele-assistance and the provision of physiotherapy and occupational therapy for patients with motor and neuromotor injuries.