Registration 08:45– 09:30Welcome Address,RichardStubbs 09:30 – 09:45Keynote1,Professor Maddalena Illario 09:45– 10:15Keynote 2,ProfessorMartinVernon 10:15– 10:45NorthernAHAExemplarPractice– YorkshireandHumber 10:45– 11:00CoffeeBreak 11:00– 11:15NorthernAHAExemplarPractice – NorthEast 11:15 – 11:30‘Raisingthe Bar’LessonsfromWales,ScotlandandNorthernIreland
11:30– 11:50
Domestic,EuropeanandGlobal PartnershipWorking 11:50 – 12:10MorningSpeakers’PanelQ&A 12:10– 12:30LunchandGroupPhoto 12:30– 13:00
SymposiumAgenda
ACalltotheNorthARegionRisingtotheAgeingChallenge
RichardStubbs
ManagingDirectorYorkshire&HumberAcademicHealthScienceNetwork
@richarddstubbs@AHSN_YandH
IfnumberscouldspeakReasonstheageingchallengecannotbeignored
There are now more people in the UK aged 60 and above than
there are under 18
60 and above
Under 18
By 2040, nearly one in four people in the UK will be aged 65 or over
The population over 75 is projected to
double in the next 30 years
Over 75
Over 75
3.64 million people in the UK aged 65+ live alone. This is 32% of all people
aged 65+ inthe UKAlone Infographic made with statistics taken from
Age UK Later Life in the United Kingdom, April 2017
The NorthernStorySoFar
TheFourAHSNs,NewcastleUniversity'sNECoalitionforActiveandHealthyAgeingandtheNHSAhavecometogether
toformtheAHANorthProgramme
EuropeanReferenceSiteStatus
electronicfrailtyindex(eFI)
Registration 08:45– 09:30Welcome Address,RichardStubbs 09:30 – 09:45Keynote1,Professor Maddalena Illario 09:45– 10:15Keynote 2,ProfessorMartinVernon 10:15– 10:45NorthernAHAExemplarPractice– YorkshireandHumber 10:45– 11:00CoffeeBreak 11:00– 11:15NorthernAHAExemplarPractice – NorthEast 11:15 – 11:30‘Raisingthe Bar’LessonsfromWales,ScotlandandNorthernIreland
11:30– 11:50
Domestic,EuropeanandGlobal PartnershipWorking 11:50 – 12:10MorningSpeakers’PanelQ&A 12:10– 12:30LunchandGroupPhoto 12:30– 13:00
SymposiumAgenda
@ Eipaha_campania
Maddalena IllarioCoordinator of the Division for Health Innovation Campania RegionCampania Reference Site & RSCN
NorthernExcellenceinActiveandHealthyAgeingTuesday6June2017
Campania’sExperienceintheEuropeanInnovationPartnershiponActiveandHealthAgeing(EIP-AHA):ChallengesandEnablers
5,869 milion residentsThird most populated regionThe most crowded: 432 inhab/km²
Ageing index:117(2016,was 77.2in2002)Mortality rateNationalAverage:10Mortality rateinCampaniaRegion:8.9(2016,was 8.2in2002)Older adults dependency index:26.7(2016,from21.2in2002)Older adults (>65):17.9(2016,from12.3in2002)Lifeexpectancy CampaniaRegion /NationalAverage (F,2016):83.5/85.1Lifeexpectancy CampaniaRegion /NationalAverage (M,2016):78.9/80.6
Superiore
4-a
3-a
2-a
Inferiore
No datiMin = 286217
Popolazione residente M+F
UltimodisponibileCAMPANIA5799240
Residents
Superiore
4-a
3-a
2-a
Inferiore
No datiMin = 1200
Posti letto ospedalieri ordinari
UltimodisponibileCAMPANIA16823
HospitalBeds
Superiore
4-a
3-a
2-a
Inferiore
No datiMin = 231
Medici di medicina generale
UltimodisponibileCAMPANIA
4474
GPs
Dependency rate•From 1:4 to 1:2
•80+ doubles by 2025
Cost of care•Increase by 4-8 % of GDP by
2025
Human resources•Reduction of labour work force•Lack of 20 milion units by 2020
Empowerment•ActiveAgeing
Newmodelsofcare•Homecare
•Integratedcare•Effectiveness
GrowthandMarkets•3000B€wealth
•85MillionConsumers- andgrowing• Largescaleuptakeofdigitalinnovation
Fromasocietalchallenge… …toagreatopportunity
COMPLEXEUPOLICYLANDSCAPE
Chronic diseases
Empowerment
Ageing
3000 B€ Opportunity
Active Assisted Living Joint Programme
(AAL)
European Innovation
Partnership on Active and Healthy
Ageing EIP-AHA
Health policy
Health & wellbeing Integrated care Legal & market
conditionsCross-border
care Sustainable care
Ageing policy
eHealth 2020, mHealth, Silver Economy Strategy
Independent living & Active Ageing
Long term Care Strategy
Horizon 2020Societal Challenge 1 Health, Demographic Change and Wellbeing
European Institute of
Technology- KIC on Health and
Ageing
AVERYCOMPLEXEUPOLICYLANDSCAPE
54
- to integrate health and social care- promoting social transformation- containing cost and staffing levels- providing growth opportunities in sectors directly linked to these issues.- sustainable employment and job market participation for both informal
carers and for older citizens themselves- opening up avenues for investment and employment elsewhere.
Digitalinnovationcanhelpunlockthepotentialoftechnologytoaddresssocietalneeds:FromSMARTCITIEStoSMARTCITIZENS
toaddress local challenges byshared solutions
Tacklingthedigitalinnovationchallenges
EIP-AHACAMPANIARSTHREE-FOLDLEVELSSTRATEGY
ACROSSEUROPEAN,NATIONALANDREGIONALLEVELS
RSCNOTHERNETWORKSEC
ICT-INTEROPERABILITY
HEALTH & ICT LITERACY
PRIO
RIT
Y IS
SUES
SOCIAL-HEALTH INTEGRATION
MULTI-DIMENSIONAL APPROACH TO AGEING
INTER
NATIO
NA
LA
PPRO
AC
H
HEALTHMINISTRYMATTONEINTERNAZIONALE
IDENTIFICATIONOFWORKINGGROUPSVALORIZATIONOFONGOINGLOCALINITIATIVESNETWORKINGCOORDINATIONLIASINGWITHDISTRICTS/CENTERSOFEXPERTISE
••• 18
Objective 1: "connects the dots" of a very complex EU policy landscape on digital health and care and active and healthy ageing. Create an overarching "political vision" that is aligned with the major priorities of the Juncker Commission.
Objective 2: A Blueprint will establish a "common language" based on a shared and widely recognised impact assessment framework for digital health and care innovation.
Objective 3: Inform the "direction of travel" of existing and future EU initiatives on digital health and care.
Objective 4: A Blueprint will aggregate investments and commitments towards the goals identified in the "blueprint".
TRACKING INVESTMENT IN DIGITAL INNOVATION BY PUBLIC AND
PRIVATE INVESTORS
NUMBER OF REGIONS DEPLOYING INNOVATION AT LARGE SCALE
(MONITORING)
TRACKING OF BLUEPRINT COMMITMENTS – PROGRESS TOWARDS OBJECTIVES
TRACKING NUMBER OF USERS / BENEFICIARIES TARGETED WITH ACTUAL DIGITAL SOLUTIONS FOR ACTIVE AND HEALTHY AGEING
DEFINE USE-CASE SCENARIOS
QUARTER 1 / QUARTER 2
QUARTER 3 / QUARTER 4
WHAT'S NEXT
CAMPANIA INTERNATIONAL GOOD PRACTICES
PERSSILAA Campania
Education Package
ADOPTION&
EMPOWERMENT
ICT Literacy Health and Nutrition Literacy
Older adults Empowerment
BENEFITTransfertotheRegional Strategy onhealth promotion
CAMPANIA INTERNATIONAL GOOD PRACTICES
Beyond Silos Campania: ICT-supported integrated careNested in B3 Action Group of the EIP on AHA
Ø Focusing on home care servicesØ Integrating ICT supported tools for multimorbidity patientsØ Collecting data on interoperable platformØ Training workforceØ Connecting hospital and territory services
BENEFIT«ADDProtection»:aligning regional investment oninnovation through SFExploiting BeyondSilostools toimplement protected discharge
CAMPANIA INTERNATIONAL GOOD PRACTICES
ØOlder adults are likely to be prescribed multiple medicines formultimorbiditiesØPolypharmacy is one of the most pressing prescribing challengesØCase StudiesØBenchmarking EU StrategiesØPolicy and Change ManagementØKnowledge Sharing
SIMPATHYCampania:managing politherapy tofacethechallenge ofmultimorbidity intheageing populationNested inA1ActionGroupoftheEIPonAHA
Ministero della Salute«RICERCAFINALIZZATA»2016call
BENEFIT
TheNationalProgramfortheinternationalization oftheRegional Health Systems
What is it?- Started as aproject oftheMoH- Now apermanent structure- Approved bytheHealth Committee oftheConferenceoftheRegions onJuly 29th2015- Financially supported bytheRegions- Has now aworktrajectory onactive ageing supporting Italian Reference Sites
Results
- Inclusive:involved all stakeholdersofHealth at theregional andnational levels- Innovative:aneffective governance forprojects withanadded value fortheItalian regions- Enabling:scaling upmethodologies,disseminating results andsupporting stakeholdersinthesetting
ofvaluable proposals- Training:addressing tailored needs oftheregional health systems
CampaniaInternationalGood Practices
PILOTValidationof“Sunfrail tool”in
comparisontoItalianFrailtyIndex,basedondeficitsinhealth,inacohortofnon-institutionalized
elderlypeopleofCampaniaRegion
CONCEPT“Sunfrail tool”(SFt)representsaneasyandshortitemconsumptionmulti-domainscreeningtool(9items)combiningbiological/physical,socialandpsychological/cognitiveaspectsoffrailtyandmultimorbidity.Thus,theaimofthepresentstudyistovalidateSFttoIFi inacohortofnon-institutionalizedelderlypeopleofCampaniaRegion(Italy)performedbyGeriatriciansafterCGA.
Infig.1areshownpreliminarydataof80elderlysubjects.
ADVANTAGEJOINTACTION“ManagingFrailty.Acomprehensiveapproachtopromotea
disability-freeadvancedage”
35Partners24PaesiEuropei
Partner:RegioneMarche- ARS
Affiliated entities:4ReferenceSiteRegioneCampania– AOUFedericoIIRegioneEmiliaRomagna- ARSRegioneLiguriaIstitutodiRicercheEconomicheeSocialiperilPiemonte
- Coordinates DISSEMINATION- Is supported by theProMIS
PROEMPOWER:
PROCURING INNOVATIVE ICT FOR PATIENT EMPOWERMENTAND SELF-MANAGEMENT FOR TYPE 2 DIABETES MELLITUS
• Is a Pre Commercial Procurement (PCP) founded by Horizon 2020 programme. It aims toprocure a disease self-management solution to help meet the imminent threat of type 2 diabetesmellitus. Very significant synergies will be reaped by supporting all 10 action areas of diabetesmanagement in an integrated ICT solution. Early detection, personal decision support, selfmanagement and peer support are to be delivered from a platform with full interoperable andsecure access to the necessary devices and health records.
• 4 Procurers:- Ministry of Health of Turkey- Servicio Murciano de Salud, Murcia, Spain- Servico Partilhados do Ministerio de Saude, Portugal- Società Regionale per la Sanità SpA, Campania, Italy• Procurement Budget: € 3.000.000
@ Eipaha_campania
Coinvolgimentodeglistakeholders negliAGImplementinginnovativepreventionandhealthpromotionstrategiestotacklefrailty:
PrescriptionadherenceManagement ofpolitherapy,revisionofprescriptions,prescriptiveappropriateness,clinicalauditsforgeneralpractitioners., informativecampaignsaimedtocitizensandinvolvingpharmacists
UseofICTfortheintegratedcareofchronicpatients:- Designing,implementingandscaleing uptelematic follow-upformultimorbidity patients
ReferenceSitesNetworkfor.PreventionandCareof.FrailtyandChronicConditionsincommunitydwellingpersonsofEUCountries
JointActiononFrailtyPrevention:ADVANTAGE
Managing frailty.Acomprehensive approach topromote disability-freeadvanced age inEurope.
ADD ProtectionBando Innovazione 2014
PO FESR
Ministero della SaluteBANDORICERCAFINALIZZATA2016
EIPonAHA
AGA3
AGA1
AGB3
RSCN
RSCNAGA3
THE OPPORTUNITY OF MULTILEVEL SYNERGIES IN THE EIP-AHA
THE OPPORTUNITY OF MULTILEVEL SYNERGIES IN THE EIP-AHA
Loco-regionalperspective
Multi-regional perspective
Nationalperspective
Priorities:
• Health equity• Integrated health services• Innovative approaches to health
promotion & disease prevention• Integrated health record
Resources:
• Innovative procurements, H2020• Regional strategic documents on
circular economy• Structural funds: RIS 3 Strategy;
POR/FESR 2014-2020; ESF; Digital agenda
CAMPANIA COMMITMENT TO THE BLUEPRINT
@ Eipaha_campania
@ Eipaha_campania
HOW CAN OTHER STAKEHOLDERS JOIN IN
Partnerships- EIP on AHA Action Groups- RSCN- ProMIS- Other EU Networks
Twinnings- Telerevalidatie- Gastrological approach- Rhinitis- QMCI- Campania Nel CuoreInnovative Procurements- ProEmpower- CAREInternational ESF- grounded in inter-regional agreement frameworks- built on twinnings content
@ Eipaha_campania
AN INVESTMENT MAP WOULD BE USEFUL TO:
• Match demand and offer• Speed up adoption of innovations in health• Drive private investments to target areas• Stimulate public/private partnership• Improve health equity• Increase sustainability
@ Eipaha_campania
Maddalena IllarioCoordinator of the Division for Health Innovation Campania Region [email protected]
THANKS FOR YOUR ATTENTION!