ONE is EDGE’s response to the COVID-19 pandemic and it presents a digital solution that allows healthcare organisations and authorities to manage the progression of the epidemics (specifically COVID-19), relying on citizens using the App to report and share their health and wellbeing parameters with healthcare authorities.

Developed to support healthcare organisations with the remote monitoring of COVID-19 patients being treated at home, EDGE’s ONE System efficiently improves the connection and communication between patients and healthcare professionals throughout the epidemic episode. ONE combines smart technologies and connected mobile applications that, manually or automatically, collect the patients’ health and wellbeing data, stemming from low cost sensors and smart wearable devices. Upon the patients’ explicit consent, the data is shared with the patients’ healthcare team, allowing them to remotely follow the evolution of the patients’ condition and to act promptly if the conditions worsen, to decide the patient’s immediate hospitalisation.

ONE fosters an open, integrated and standardised Remote Monitoring Platform that allows for the continuous remote monitoring of health and wellbeing parameters of COVID-19 patients being treated at home, individuals suspected of being infected and non-infected individuals counselled to remain in quarantine at home, in line with existing EU data protection regulation. EDGE’s ONE System monitors in a responsible and ethical way the individuals’ health and wellbeing state, even early identifying worrisome signs of disease progression and deterioration. The adoption of mobile technology, low cost sensors, medical and health devices and smart wearables, as well as intelligent home environments, enable the gathering of relevant data on the levels of activity, comfort and psychophysiological parameters that empower early diagnosis, prevention measures and adjustment of treatment plans on-the-fly, to the benefit of patients.

Using the ONE App, citizens identify their COVID-19 status (subject to validation by authorities) and any pre-existing medical conditions and, on a periodic basis (e.g., once or twice per day), report specific symptoms, health and wellbeing parameters associated with the disease. Aside from registering temperature and oxygen saturation measurements, the patient may provide overall wellbeing status and indicate the level of severity of specific COVID-19 related symptoms: fever, respiratory distress, cough, pain, headaches and tiredness.

Upon the patients’ explicit consent, this data is shared to the ONE System at point of care, where the healthcare professionals (care team) responsible for accompanying the patients can remotely view the (self)reported health and wellbeing parameters of monitored patients, easily update the patients’ health and wellbeing status during domiciliary visits or following telemedicine consults or phone calls, follow the evolution of the patients’ condition and act promptly if needed (e.g., adjustment of medication, change of treatment, immediate phone contact or redirect to nearest COVID-19

hospital). Healthcare professionals may use ONE’s intuitive dashboards and rich visualisation tools to be always aware of localised risks of relapse or hospitalisation, and the patients’ individual condition at all times, receiving notifications or alerts in case any patient’s symptoms become severe and their condition worsens, thus warranting the patient’s immediate hospitalisation. These dashboards are specifically designed to allow health professionals to easily and efficiently monitor the health and wellbeing parameters of a large number of patients under their care (significant high scalability is given to the one-to-many monitoring healthcare model), while delivering evidence-based results, successful patient treatment options and effective prevention, protection and control measures.

EDGE’s ONE System will support the Pan-European Pilot Campaign of the SHAPES Project, which will undergo for 24 months and involve 15 pilot sites from 10 European countries and more than 2000 older individuals. This effort will clearly demonstrate how the ONE System aims to promote the overall improvement of (1) the quality of care for COVID-19 patients and infection suspects being treated at home (digital solutions support care delivery at home), (2) the preparedness and protection of the general population abiding to social distancing measures (remote digital solutions reduce need for physical proximity to frontline healthcarers), (3) the protection (remote digital solutions reduce the need for physical proximity to frontline healthcarers) and workload reduction (automation replaces manual processes) of frontline healthcare professionals and (4) the preparedness and response of public health systems to the COVID-19 pandemic and future outbreaks (digital solution with intelligent features and automation brings high scalability in care delivery for the masses).

From left to right, the image presents (i) the ONE dashboard, displaying the latest mood and the latest temperature measurement reported by the patient, and the buttons to report on temperature levels, mood state and severity of symptoms and to read the relevant COVID-19 recommendations; (ii) the ONE COVID-19 status screen, in which patients identify themselves as infected, not infected or suspected of being infected with the COVID-19 disease; (iii) the ONE mood screen, showing a smiley Likert scale to establish the prevailing patient mood; (iv) the ONE symptoms displaying of the specific COVID-19 symptoms, to select the appropriate severity level using a smiley Likert scale; (v) the ONE medical conditions monitor presenting the pre-existing medical conditions of the patient; and (vi) the ONE COVID-19 advice card, providing guidance through text and a visual aid on how to proceed when coughing or sneezing to mitigate the risk of transmitting the COVID-19 disease.