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L’invecchiamento Sano ed Attivo
secondo
la Partnership Europea per l’Innovazione
nell’esperienza Campana
ASL Roma D
6 Febbraio 2014
Maddalena Illario
Coordinatore EIP-AHA Campania Reference Site
Coordinatore Tavolo Tecnico R&S, AOU Federico II
DISMET, Università Federico II
Tavola rotonda
Dalla varietà dei bisogni all’integrazione degli interventi:
il ruolo delle Istituzioni.
Workshop
«SALUTE E INVECCHIAMENTO ATTIVO NEL LAZIO:
POLITICHE E INTERVENTI IN EUROPA, E RUOLO DELLA
SORVEGLIANZA DI POPOLAZIONE
PER LA GOVERNANCE DEL SISTEMA».
A Europe 2020 initiative: EIP-AHA
European Partnership on Active & Healthy Aging
L’OPPORTUNITA’ EUROPEA:
INNOVATION UNION
Maximising regional and social benefits
To avoid an "innovation divide" between the strongest innovating regions and the
others, the Commission will assist Member States to use better the remaining part
of the €86 billion of structural funds programmed for 2007-2013 for research and
innovation projects.
Innovation Union, key initiatives
The Innovation Union contains over thirty action points including ground-
breaking proposals like the European Innovation Partnerships. For example, the
pilot Partnership on active and healthy ageing aims to add an average of two
years of healthy life for everyone in Europe
Opportunities for INNOVATION
INTERNATIONALIZATION
Is the process of planning and implementing products and services so that they can easily be adapted to
specific local languages and cultures, a process called localization. The internationalization process is
sometimes called translation or localization enablement.
A successfully localized service or product is one that appears to have been
developed within the local culture.
LOCALIZATION is the process of adapting a product or service to a particular language, culture, and desired
local "look-and-feel." Ideally, a product or service is developed so that localization is relatively easy to achieve -
for example, by creating technical illustrations for manuals in which the text can easily be changed to another
language and allowing some expansion room for this purpose. This enabling process is
termed INTERNATIONALIZATION. An internationalized product or service is therefore easier to localize. The
process of first enabling a product to be localized and then localizing it for different national audiences is
sometimes known as GLOBALIZATION.
In localizing a product, in addition to idiomatic language translation, such details as time zones, money, national
holidays, local color sensitivities, product or service names, gender roles, and geographic examples must all be
considered
ENABLEMENT includes:
User interfaces (ICT-hardware, help pages, online menus, softwares- cultural, administrative, organizational,
language);
Develop products that can support international “character sets”
Creating print or Web site graphic images so that their text labels can be translated inexpensively
Using written examples that have global meaning
For software, ensuring data space so that messages can be translated from languages with single-byte
character codes (such as English) into languages requiring multiple-byte character codes (such as Japanese
Kanji).
INTERNAZIONALIZZAZIONE
SANITARIA
IL CONTESTO
- The White Paper: Together for Health
- Health Programme 2014-2020
- PSN
- PSR
SOCIETAL CHALLENGES
Health inequalities in Europe (SOCIAL DETERMINANTS OF HEALTH)
Equity of access and treatment
New models in healthcare delivery
Social solidarity
Ageing population The population aged 65 and over in the WHO European Region
Is projected to rise to 224 million by 2050.
An ageing population, health inequalities and the social determinants of health present significant
challenges to healthcare systems that go beyond medical problems. Ensuring a MULTILEVEL AND
HOLISTIC RESPONSE BY GOVERNMENTS will be important in tackling these challenges
Consideration of quality in healthcare requires examination of the different dimensions of quality, the
impact of rationing devices, professional organization and new models of healthcare delivery
Healthcare costs have steadily increased in recent years, although this is not necessarily driven by
increased need. Cost-effectiveness, value for money considerations, pharmaceutical pricing, new
technologies and diversity of provision are all important elements in exploring how to reduce health costs
While states remain the main actors in healthcare policy in Europe, EU policies and law can influence
healthcare delivery, particularly when considered in terms of the inter-relation between health and other
sectors. While internal market rules ensuring the free movement of people and services can challenge
domestic health sectors, there are also tangible benefits and opportunities of collaborating at EU level, not
least the potential for coordinated policy
Future in Health Care 2011
1. Health is more than a medical problem
2. Maintaining high-quality healthcare
3. Maintaining access to healthcare
4. Managing the costs of healthcare
When
opportunities
Knocks
Open
the door
- INSUFFICIENTE ALLINEAMENTO DEGLI OBIETTIVI E DELLA
PROGRAMMAZIONE TRA AMBITO RICERCA (IRCCS, UNIVERSITA’, Centri
di Ricerca etc) ED AMBITO SANITA’
- DISALLINEAMENTO, ASSENZA DI COORDINAMENTO E DI
COLLEGAMENTI EFFICACI TRA I DIVERSI LIVELLI DI PROGETTAZIONE E
PROGRAMMAZIONE, CON IMPATTO NEGATIVO SULL’UTILIZZO
SISTEMATICO DELLE INNOVAZIONI E SUL LORO TRASFERIMENTO AL
SETTORE PRODUTTIVO
DEBOLEZZA DELLE AZIONI DI SISTEMA E
PERDITA DI OPPORTUNITA’ DI FINANZIAMENTI EU
IL BLOCCO DEL TURNOVER PREGIUDICA SCALE-UP DELLE GOOD PRACTICES
E LA LORO MESSA A SISTEMA
Primo vincolo: divieto di spese non obbligatorie.
Secondo vincolo: blocco del turnover.
PARTE INTEGRANTE DEL
CONTESTO DI RIFERIMENTO: LE
REGIONI IN PIANO DI RIENTRO
La spinta di innovazione all’interno di una
REGIONE IN PIANO DI RIENTRO.
Deve essere soddisfatta all’interno di vincoli normativi ed
economici.
Conseguente scarsità delle risorse disponibili:
economiche molto ridotte, e risorse umane sottodimensionate.
Horizon 2020 STRUMENTO FINANZIARIO per implementare l’UNIONE
DELL’INNOVAZIONE ed assicurare la COMPETITIVITA’ EUROPEA. In
vigore dal 2014 al 2020 con un budget di €80 miliardi.
STRUMENTI DI IMPLEMENTAZIONE:
Accordi di Cooperazione Scientifica e Tecnologica per definire ed implementare le tabelle di
marcia
I dialoghi politici stabiliti a livello regionale.
PRIORITA’
Programmazione EU 2014-2020
• IMPLEMENTAZIONE ED ADOZIONE SU LARGA SCALA DI GOOD PRACTICES:
da isolate a «MAINSTREAM»
• Riforma dei Sistemi Sanitari nell’ottica della sostenibilità per mantenere i livelli
qualitativi raggiunti. Utilizzo dei supporti ICT.
• La salute come driver di sviluppo: perché settore ad elevato tasso di innovazione
• «Silver Economy»: il cambiamento demografico come opportunità di sviluppo socio-
economico. Dietro l’aging si nasconde una dinamica di crescita!
• Generare dati di monitoraggio relativi al ritorno economico dell’innovazione (costi
evitati, ricadute sugli outcome di salute etc)
France invests in the "silver economy"
The national strategy includes regional deployments and
applications: a first initiative was launched at Ivry-sur-seine
(eastern Paris) last 1st July with the creation of the "Silver
Valley". Promoted by the cluster SOLIAGE, the project aims at
creating a specific silver sector in the eastern area of Paris. The
site already hosts important stakeholders like the Pôle
Allongement de la vie de l'hôpital Charles Foix, research teams
from the University Pierre et Marie Curie and from the Institut de
la vision, as well as entreprises. Fabien Verdier
Economy, Rights and Policy of the Age Advisor, France
STRUCTURAL FUNDS:
EU common strategic framework for regional development
32 RS approvati dalla Commissione EU CON PROCEDURA
PEER REVIEW: 5 RS ITALIANI
CAMPANIA
REFERENCE SITE
CO
MM
ITM
EN
T A
1
Commitment A1: An integrated Adherence Monitoring System regarding patients
with chronic conditions (AMS).
CO
MM
ITM
EN
T A
3
Commitment A3: An integrated model of care, cure and prevention for fraility
osteoporosis and its complications (OSTEOCARE).
CO
MM
ITM
EN
T B
3
Commitment B3: Campania nel cuore (HeArtBit). An integrated, web-based network
to improve the management of the high risk of fragile elderly patients.
Campania Reference Site: INNOCARE. Bridging Health Care Innovation to Europe.
COMMITMENTS
presentati dalla CAMPANIA
alla SECONDA CALL
Titolo Acronimo
EURO MEDITERRANEAN REGISTRY OF
OSTEOPOROSIS
EMEROS
Assessment of the impact of climate change on
senior citizens
ClimAge
Awareness of Risk of Cardiovascular events in
High Risk populations
ARCHR
Getting Optimise Ageing Life-quality GOAL
Strategies for the development of new healthy
foods for the management of frailty
and ageing.
NEW AGE FOODS
FUNCTIONAL FOODS AND MICROBIAL
COMPONENTS ABLE TO IMPROVE
THE WELLBEING IN OLDER PEOPLE.
FFoAM-WeOP
Accounting and Information Management System AIMS
New molecular determinants and pathogenic
mechanisms in age-related
diseases
MOLAGE
Easy Aging Strategic Industrial Innovations EASII
Biomedical Enterprises Leading Over Various
Elderly Diseases
BELOVED
campania nel cuore HeArtBit
ECONOMIC DATA GENERATION AOU Federico II- Adelaide Ippolito
ASSESSMENT ASL NA 1 Centro: Sara Diamare
TRAINING AOU Federico II- R&S- Maddalena Illario
Ufficio Formazione- Grazia Isabella Continisio
TWINNING AOU Federico II- R&S- Maddalena Illario
NETWORKING Unisa- Pietro Campiglia
COMMITMENTS
&
FUTURE COMMITMENTS
ACTION PLAN A1
ACTION PLAN A3
ACTION PLAN A2
ACTION PLAN B3
ACTION PLAN D4
CIRFF- Enrica Menditto
Imprens Pomelia- Alberto Maria della Ratta
AOU Federico II- R&S- Maddalena Illario
Unisa- Guido Iaccarino
ASL NA 3- Katia Giova
Nunzia Montuori
DISMET
DISSEMINATION AOU Federico II- R&S- Maddalena Illario
FUTURE COMMITMENTS
«IMMUNONUTRITION»: ALLERGIE ALIMENTARI, CELIACHIA, OBESITA’, SINDROME METABOLICA
Roberto Berni Canani
CAMPANIA REFERENCE SITE ACTIVITIES
Campania Reference Site: INNOCARE.
Bridging Health Care Innovation to Europe
Commitment A3: An integrated model of care, cure and prevention for fraility osteoporosis and its complications:
(OSTEOCARE). M. Illario-C. Di Somma, A. Colao, Unina
Commitment B3: Campania nel cuore: HeArtBit. G. Iaccarino, Unisa
Commitment A1: An integrated Adherence Monitoring System regarding patients with chronic
conditions (AMS). E. Menditto, CIRFF
CALL I
Functional foods and microbial components able to improve the wellbeing in older people: FFoAM-WeOP
(M. Succi, Unimol)
Assessment of the impact of climate change on senior citizens: ClimAge (E. Menditto, Pasquale Schiano, Italian
Aerospace Research Center-CIRA)
EURO MEDITERRANEAN REGISTRY OF OSTEOPOROSIS: EMEROS (Prisco Priscitelli, ISBEM – ISTITUTO SCIENTIFICO
BIOMEDICO EURO MEDITERRANEO)
Strategies for the development of new healthy foods for the management of frailty and ageing : NEW AGE FOODS
(A. Reale, ISA-CNR)
Easy Aging Strategic Industrial Innovations: EASII (A. Della Ratta, Imprens Pomelia; Katia Giova, ASL NA-3)
Getting Optimise Ageing Life-quality: GOAL (Z. Simonova, L. Russo, D. Tramontano, M. Di Girolamo)
Accounting and Information Management System: AIMS (L. Natale, Dipartimento Salute e Risorse Naturali,
Regione Campania)
New molecular determinants and pathogenic mechanisms in age-related diseases: MOLAGE (Montuori, Illario,
Iaccarino, Kisslinger) Biomedical Enterprises Leading Over Various Elderly Diseases: BELOVED (G. Lamberti, Unisa)
CALL II
A3 SUB-GROUPS: frailty in general;
cognitive decline; physical activity;
care-givers; nutrition; functional
decline
ORGANIZATION
TASK COORDINATORS TASKS
WHAT’S NEXT
In 2014 the EIP will have to demonstrate tangible results taking stock of what has been achieved.
The main focus of EIP work in 2014 will be on the individual commitments (progress in
implementing actions) and the collaborative work
Work under Action Group will be conducted in 2 TRACKS:
an INDIVIDUAL COMMITMENT TRACK – drawing on the commitments that A3 EIP partners
submitted on the occasion of the 1st and 2nd invitation for commitment
a second track initiated recently on COMMON WORK – drawing on the willingness and interest
shown by some of the A3 partners to conduct collaborative work in addition to the individual
commitments.
Quality of work and individual commitments
Synergies across AG
Incorporation of new members to the AG is restricted and only allowed following
the formal procedures in place for all the EIP.
From BOTTLENECKS…
What is expected from the individual commitments and collaborative work.
To MAINSTREAM
USEFUL TOOLS:
Joining EU networks
“ALLEANZE STRATEGICHE”
• TWINNING e NETWORKING CON ALTRE REGIONI (EU ed ITA)
• VALORIZZAZIONE DELLE ECCELLENZE REGIONALI
• CREAZIONE E POTENZIAMENTO DELLE COLLABORAZIONI
SSR/UNIVERSITA’
• ALLINEAMENTO DELLE PRIORITA’ FACILITANDO CIRCOLAZIONE
DELLE INFORMAZIONI
Per il Reference Site Campania rispetto all’EIP-AHA:
- Il supporto Regionale: Lara Natale, Mariateresa Giuliano
Dipartimento Salute e Risorse Naturali
- Il Progetto Mattone Internazionale
- La Commissione EU
- l’Università
- Il Ministero della Salute
• - WORKSHOP -
• "I fondi strutturali nella programmazione 2014-2020: quale spazio per la salute”
• Roma, 21 febbraio 2014
• il sotto-progetto del PMI
• "programma di formazione interregionale per l'utilizzo dei Fondi del Quadro
stategico comune 2014-2020 nel settore sanitario"
• che intende realizzare attività di coordinamento, informazione e formazione
sull'utilizzo dei fondi strutturali in sanità rivolte al personale amministrativo e
sanitario del Ministero della salute, delle Regioni italiane nonchè delle Aziende
Sanitarie e Ospedaliere.
PROGETTO MATTONE
INTERNAZIONALE http://www.progettomattoneinternazionale.it
STRUTTURA DI COORDINAMENTO TIPO NHS-24
AIM: effective screening & prevention
of FRAILTY/pre-FRAILTY
SHIFT from reactive disease
management to screening, triage and
anticipatory care
PERSSILAA’s CORE STRUCTURE
FOUND/ENDOCARE
PLATFORMS
PERSSILAA service protocols TRAINING MODULES BUSINESS MODELS
PERSSILAA in Campania
Campania Key-players
http://www.campussalute.it/
Health Campus
Health Campus Mission:
Carry out a constant dissemination and promotion of
prevention through health and educational initiatives.
Two major objectives:
specialist visits and services to prevent and detect
health risks
dissemination of a culture of prevention that
encourages changes in lifestyle
http://www.chiesadinapoli.it/
Caritas network
Caritas Charity Mission:
- Welcoming and Listening
- Retrieve and distribute aid
- Social Commitment
- Opening to the territory
Federico II University Hospital http://www.policlinico.unina.it/
Endocrinology Section of the
Department of Clinical Medicine and Surgery &
Endocare Network
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