Delphi Study on Smart Functionalities

Welcome to the questionnaire on the “Smart Functionalities”, i.e. the building blocks that may determine the innovation into a model of Integrated Care.


It was produced by Federsanità ANCI for the Sprint Activity TIMIC-L (Technology-enabled Innovative Models towards Integrated Care, “TheLanguage”), in the context of the Action Group B3 of the European Innovation Partnership on Active and Healthy Ageing (EIPonAHA).

The questionnaire presents the current status of the classification of the Smart Functionalities – with the related systematic descriptions – as the first iteration of a Delphi validation study.


The classification identifies 23 classes, organised in 9 Areas and then in 3 Pillars:

1.                   COL - Collaboration among the parties in the innovative model of health management

2.                   ACT- Activation of patient and caregiver and promotion of independent living

3.                   DEC - Strategic, managerial and clinical decisions

They were distilled by the through an ontological analysis of the explicit and implicit content of several regional Action Plans and good practices.


Each local initiative relies on a coherent subset of functionalities to realise the innovation in a particular model of health management, with care and cure services that should be interoperable with the usual services both from an organisational and technological point of view, also across the initiatives.


It is worth noting that the innovation is not necessarily arising within each individual building block (either care service or technological component), but typically it can be achieved by their appropriate combination into a suitable and comprehensive model. In other words, these functionalities take under control the innovation across the huge diversity in the models among the localities – and in the involved market.


The innovation in the diverse Local Initiatives towards the future complete realisation of Integrated Care will arise from the same comprehensive set of Smart Functionalities. Several good practices attest the crucial role of digital technologies in this transformation, through a combined design of organizational model and technological solutions, to support a holistic perspective on "health".