SmartCare develops and pilots integrated care pathways for older European citizens across organisations and locations, in particlar between social and health service providers. A key object of integration are existing home platforms, which monitor physiological parameters, environmental and behavioural patterns etc. In SmartCare these platforms are to be opened to cross-sectoral care teams, improving the ability of older people to better manage their chronic conditions at home and deal with their increasing frailty. The ICT platform will enable regionally customised integrated care models and care pathways (the SmartCare Pathways). The latter will be supported by workflow tools which will activate the most appropriate resources across the entire spectrum of services available for older people both for scheduled and emergency care.