30,239
of 200,000 planned
people reached by the Toulouse programme in its first three years, Occitanie, February 2023.
Gérontopôle de Toulouse, ICOPE Monitor
A platform for national ICOPE programmes
Your country’s ICOPE programme, ready to run.
Capacia is the platform under a national ICOPE programme: five modules that run in your country, on your system. Assess puts ICOPE’s two steps on the older person’s own device; Insight turns results into follow-up; Studio keeps the clinical content with your clinicians; Learn trains the people who help; Collaborate, with founding partners, reaches a service that answers.
- Live, not a prototype.Running today as ICOPE Québec, in French and English, presented by Schouela CEDurable, a PAHO/WHO Collaborating Centre.
- Step 1 and Step 2 in one sitting.In France’s Occitanie rollout, fewer than 1 in 10 positive screens ever reached Step 2.1 In Assess, ICOPE’s targeted, self-administered Step 2 follows at once, on the same device.
- Your country, your system, your rules.Deployed in your cloud, fitted to your law, in your languages. You own the data.
Live
Screening by professionals does not scale. Self-screening does.
Every ICOPE programme that has published its numbers reached a fraction of the people it planned to, because a professional had to be in the room. That is what changes when ICOPE’s two steps run on the person’s own device, which is what the Assess module is for.
15
people in 15 months
screened by ten trained professionals in a Brittany implementation study, Brest, 2023 to 2024.
Université de Bretagne Occidentale, 2025
48
of 238 people at risk
consented to screening in a 2026 Spanish primary-care study; 38 finished it.
Atención Primaria, 2026
9.3%
of positive screens
reached a recorded Step 2 in Occitanie: 17,091 Step 1 alerts, 958 in-depth assessments.
Tavassoli et al., Lancet Healthy Longevity 2022
ICOPE’s two steps in one sitting, from the first question to a next step that answers.
This is WHO’s ICOPE pathway as the Assess module carries it. Insight, Studio, Learn and Collaborate work around it.
- ScreenICOPE’s Step 1: short questions and simple tasks on a phone, tablet or computer, in large type, with read-aloud and a caregiver mode.
- FlagEach of the six capacities is scored by the engine. A flag means the capacity deserves a closer look, not a diagnosis.
- Step 2 at homeA targeted in-depth instrument for each flagged capacity, at once, on the same device: MoCA, SPPB, MNA-SF, PHQ-8, HHIE-S, digits-in-noise, logMAR acuity.
- ReportA personal report in plain language, with the next step for each capacity and a crisis line where one is needed.
- Next stepToday: the family doctor or the access point. With Collaborate: a consented referral to a partner who answers, and the outcome recorded.
- Re-checkA reminder when it is time, and a re-check of one capacity or all six. Returning people are free.
What Step 2 at home does with a flag
1 in 3flags confirmed
Confirmed57
Cleared in depth32
Already in care53
Declined the test17
Follow-up due5
Of 164 Step 1 flags taken to Step 2 at home, 57 were confirmed. 85 needed no new referral: 32 were cleared by the in-depth test and 53 were already in care. 17 declined the test and 5 were due a follow-up. ICOPE Québec live data, September 2026.
Five modules on one engine.
Start with what you need and add the rest under one contract. Four modules run today in Québec; Collaborate is being built with founding partners.
Assess
The citizen’s check
ICOPE’s Step 1 and a targeted Step 2 on any phone, tablet or computer. A personal report, reminders and re-checks. Large type, read-aloud, caregiver mode.
Live in Québec
Studio
Your clinical content
Clinicians edit questions, scores and reports in each language, with a live preview. A validator flags unsafe changes before anything is published.
Live in Québec
Insight
The programme’s view
Reach, drop-off and Step 2 outcomes by region. A follow-up worklist with alerts, de-identified exports and a meeting deck.
Live in Québec
Learn
Training and certificates
One course today, for ambassadors and volunteers; more by pack. Quizzes, a server-graded exam and certificates anyone can verify.
Live in QuébecCollaborate
The loop, closed
Consented referrals to partner services, a local service directory, and outcomes followed from flag to care.
Founding partnersOne engine
under all five
under all five
- Clinical content is data. Questions, thresholds and reports change without a code release, and every answer carries the version that scored it.
- Deterministic. The same answers give the same result on every device.
- Private by design. Identity is kept apart from the research record, and every staff access to it is logged.
- Any language. French and English today; yours arrive through a country pack.
Screens from ICOPE Québec; the dashboard shows an invented demonstration cohort.
One programme is live. This is what it shows.
ICOPE Québec has run since August 2026 at icopequebec.ca, in French and English. The card is Québec’s country fit; yours gets the same card, filled in for your law.
Canada, Québec
ICOPE Québec
Live since August 2026
- Data lawQuébec’s Law 25: identity kept apart from research data; care and research consents taken separatelyin force
- Device statusHealth Canada’s medical-device rules: read as patient self-screening, not a device; the written determination is in progressin progress
- HostingMontréal cloud region (ca-central-1); data and backups in Canadain Canada
- AccessibilityBuilt to WCAG 2.2 AA, measured screen by screen up to 175% text sizemeasured
- InstrumentWHO Step 1 and a targeted Step 2, in French and Englishpublished
- Next stepsCanada’s 988 crisis line; every flag names a next step (your family doctor, or Québec’s GAP without one)in place
The programme in numbers
6capacities
7in-depth instruments
4 of 5modules live
2languages
2,100+automated tests
In your country, on your system, under your rules.
A package is only useful if it is lawful and running where your citizens live. Fitting the app to your market is our work, done with local counsel before you sign: the country fit dossier.
Pick a mode to see where it runs, who holds the data and the keys, and what you pay.
Your account, your keys, your data. We deploy, hand over and keep it current.
For pilots HostedOur cloud, in a region your law accepts. The fastest start. | The default Your cloudYour account, your keys, your data. We deploy, hand over and keep it current. | On request SovereignYour own data centre, through a local partner. | |
|---|---|---|---|
| Where it runs | Our cloud account, in a region your law accepts | Your cloud account (Supabase or AWS) and your domain | Your government cloud or data centre, as containers |
| Data and keys | Ours, as your processor, under a data-processing agreement | Yours. Keys you hold; we are not a processor | Yours entirely |
| Upgrades | We roll them out | Signed bundles, applied by us with a token you issue, or by your IT from the runbook | By the implementation partner, from signed bundles |
| Our role | Processor of health data | Software vendor | Software vendor |
| Support access | Full: it is our stack | A time-boxed, audited support role you switch on, or none | None; the partner is on site |
| Fits | Pilots, small cities, Learn alone | Ministries, regions, health systems; anywhere with residency or sovereignty rules | National programmes with a hosting mandate |
| What you pay | Licence and a hosting fee | Licence, a one-time deployment, yearly maintenance; you pay the cloud bill | Licence and the partner’s services |
We do, for the app
- Medical-device status for your market
- Data residency and a certified host where required
- Privacy-law mapping; consent and notice texts drafted
- Accessibility conformance report
- Instrument licence records (MoCA, MNA-SF)
- Security whitepaper and impact-assessment template
- All of it refreshed every year
You do, for the programme
- Data controller of record
- Clinical sign-off of the instrument
- Your counsel approves the texts
- The cloud account and a technical contact
- Ethics approval for research use
- Services and crisis lines that answer
- Procurement and the contract set
Start with a pilot. Grow under one contract.
Four packages, or modules à la carte. Licences scale with the older people covered each year, and returning people are free.
Older people covered a year
Runs in
Indicative licence
An order of magnitude in CAD, not an offer. Returning people are free; growing is a re-issued licence, never a migration.
Under CAD 2 a year per older person covered from 50,000 people, about CAD 10 per person actually screened: a fraction of one nurse-led screening visit. A licence run in your cloud carries a 1.3 × multiplier; a one-time set-up covers the pack, the fit dossier and deployment. Founding-partner terms for the first programme in each country. Indicative ranges in CAD, not an offer.
Where it could go next.
Governments at the adapt-and-pilot stage are where a configurable product fits.
PAHO’s roadmap
In August 2024 PAHO set an ICOPE roadmap for twelve states of the Americas, from Barbados to Mexico, with a Spanish handbook.
France’s law
Step 1 is in French law since 2024, taken through a digital application, with a target of two million people by 2027.
New Mexico
A state Medicaid agency and its university began in 2024 to build a phone app for the basic and much of the in-depth assessment at home.
Nobody sells it
Every ICOPE tool found is free and funded by a public body or a foundation. No vendor sells ICOPE software to governments.
Landscape research, October 2026: docs/product/research/A-icope-landscape.md.
Five steps from a conversation to a programme.
- 1WalkthroughThirty minutes on the live system, with your questions.
- 2PilotSix months, hosted by us, anonymous. The door opens with a city or a study.
- 3Country fitYour pack and your dossier: the app fitted to your law, with local counsel.
- 4ProgrammeDeployed into your cloud, handed over, kept current.
- 5ExpandMore people, more regions, more modules: a re-issued licence, never a migration.
ICOPE QuébecPresented by Schouela CEDurable, a PAHO/WHO Collaborating Centre
