Il Reference Site EIP on AHA della Campania: attività e prospettive

Transcription

1 Il Reference Site EIP on AHA della Campania: attività e prospettive Federico II Department of Pharmacy, September 17th, 2015 Maddalena Illario R&D, Federico II University Hospital DISMET, Federico II University

2 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. PRIORITA

3 Programmazione EU in ambito sanitario 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: 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. Fabien Verdier Economy, Rights and Policy of the Age Advisor, France

4 Innovation Union key initiatives EUROPEAN INNOVATION PARTNERSHIPS European Innovation Partnerships (EIPs) are a new approach to EU research and innovation. EIPs are challenge-driven, focusing on societal benefits and a rapid modernisation of the associated sectors and markets. EIPs act across the whole research and innovation chain, bringing together all relevant actors at EU, national and regional levels in order to: (i) step up research and development efforts; (ii) coordinate investments in demonstration and pilots; (iii) anticipate and fast-track any necessary regulation and standards; and (iv) mobilise demand in particular through better coordinated public procurement to ensure that any breakthroughs are quickly brought to market. Rather than taking the above steps independently, as is currently the case, the aim of the EIPs is to design and implement them in parallel to cut lead times. EIPs streamline, simplify and better coordinate existing instruments and initiatives and complement them with new actions where necessary. This should make it easier for partners to co-operate and achieve better and faster results compared to what exists already. Therefore, they build upon relevant existing tools and actions and, where this makes sense, they integrate them into a single coherent policy framework. Flexibility is important; there is not a 'one-size-fits-all' framework. EIPs are launched only in areas, and consist only of activities, in which government intervention is clearly justified and where combining EU, national and regional efforts in R&D and demand-side measures will achieve the target quicker and more efficiently.

5 ECOSYSTEM: a complex and changing network of interactions FUTURE HEALTH ECOSYSTEM ECOSYSTEM PRIORITY AREA Medicines Management Big Data ehealth Strategies Integrated Care H2020 Socio-sanitary integration Social Inclusion Community Planning Health promotion Disease prevention

6 Headline Objective: incresing by 2 the number of Europeans HEALTHY LIFE YEARS

7 Population: 5,77 M (30 nov 2013) PIL pro capite: ,00 EUR (2008) Inhabitants/km²: 429 Ageing index 102,7%

8 GPs Medici di medicina generale Hospital Beds Posti letto ospedalieri ordinari Ultimo disponibile CAMPANIA 4474 Ultimo disponibile CAMPANIA Superiore 4-a 3-a 2-a Inferiore No dati Min = 231 Indice di invecchiamento M+F Superiore 4-a 3-a 2-a Inferiore No dati Min = 1200 Ultimo disponibile CAMPANIA Health Districts Numero ASL Superiore 4-a 3-a 2-a Inferiore No dati Min = Aging Population Residents Popolazione residente M+F Ultimo disponibile CAMPANIA 13 Ultimo disponibile CAMPANIA Superiore Superiore 4-a 4-a 3-a 3-a 2-a Inferiore No dati Min = 1 2-a Inferiore No dati Min =

9 SDA Bocconi 2012 Fondazione ISTUD, 2013

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11 Good Practice1. Implementing innovative prevention and health promotion strategies to tackle frailty through: Health Campus: - health promotion activities on the territory - screenings and detect frailty and pre-frailty conditions - pilots on nutritional interventions CIRFF for Prescription adherence: - monitoring of administrative health databases (mainly prescription and hospitalization data flows) - Annual Regional Report about correct drug utilization aimed to Regional authorities. - Clinical audits about specific diseases of relevance (eg COPD) aimed to general practitioners. - Informative campaigns aimed to citizens and involving pharmacists Good Practice2. Use of ICT for the integrated care of chronic patients: through Campania nel Cuore : - Increase the number of patients affected by chronic cardiovascular diseases that are enrolled in the telematic follow-up for Napoli Area. - Extend the use of the ICT model to the Salerno Area at the AOU San Giovanni di Dio e Ruggi d Aragona University hospital. - Increase the number of patients enrolled in the telematic follow-up by scaling up the model to the Salerno Area. Good Practice3. Campania Integrated Regional ICT Health Network through: - infrastructural set-up ( broad and ultra-broad band) for an integrated ICT regional network - start with a centralized management and accounting system in Health (ehealth) and a central dashboard, fully integrated with the systems of territory health units (ASL) monitoring not only administrative and accounting data, but also supporting management data related to the implementation of the LEA (Essential Levels of Care), integrating in a coherent way the services offered by the different regional providers. Campania Region Resolution N 622 of November 13, 2012

12 @ Federico II University Hospital Mission Integration of health care services with research and training Federico II Hospital is oriented on the centrality of the person, defined as: Patient / user Professionals Students. Towards the patient/user, Federico II Hospital aims to provide services not only to meet his health needs, but also the emotional, socio-cultural and psychological ones. Buildings : 21 Surface Mq: Beds: 1000 Employes: 2000 Budged: 210 ML euro Departments : 6 Student > European Transparency Register N Organization Deed FOUND Decree N 198, May 20, 2013

13 COMMITMENT A1 COMMITMENT A3 Commitment B3: An integrated, web-based network to improve the management of high risk fragile elderly patients (Campania nel cuore (HeArtBit). COMMITMENT B3 CAMPANIA REFERENCE SITE Campania Reference Site: INNOCARE. Bridging Health Care Innovation to Europe. Commitment A1: An integrated Adherence Monitoring System regarding patients with chronic conditions (AMS). Commitment A3: An integrated model of care, cure and prevention for fraility osteoporosis and its complications (OSTEOCARE).

14 The Italian Reference Site Connection Campania Emilia Romagna Liguria Piemonte Joint participation to national strategic projects: - Joint Action on Frailty - Interreg: Innovative Technology and Integrated Services for Active and Healthy Ageing Joint dissemination strategy: - Mattone Internazionale backbone - Reference Site Collaborative Network National Position Paper on Prevention Joint participation to international documents

15 Since the RSCN EXAMPLES OF ALLIGNEMENT OF EXISTING INSTRUMENTS Campania Bioscience district (PON-REC) Line of Intervention 8: New therapies from the bench to the bedside Public Procurement PON-REC call N 437 March 2013 Focus on frailty, multimorbidity, politherapy and prescription adherence Perssilaa (FP7 STREP/ICT) Beyond Sylos (CIP) The EIP-AHA context provided the background to maximise the local impact of EU-supported projects Sharper focus on adoption & exploitation Horizon SYMPATHY Focus on frailty, multimorbidity, politherapy and prescription adherence - SUNFRAIL To improve set up, test and validate an integrated model supporting the identification, prevention and management of frailty and care of multimorbidity in community dwelling persons (over 65) in the loco-regional settings of different EU Countries.

16 Meetings DISSEMINATION ACTIVITIES - The European Innovation Partnership on Active and Healthy Ageing as an operational tool of innovation Naples, April 19, Essentiali elements for the internationalization of regional health systems Naples, November 12, EIP on AHA workshop on Nutrition, Rome Living Together Atelier on Age Friendly Environment, Naples EXPO meeting: Synergies of the nutritional approach to AHA, 2015 Publications - Special Issue: «Active Ageing and Independent Living», J. of Ageing Res, Special Issue: «Proceedings of the EIP on AHA», Translational Position Paper of the NutritionAction Group, Special Issue: «Active Ageing and Independent Living», J. of Ageing Res, 2016

17 INCLUSIVENESS - Support locoregional,national and international stakeholders to join the EIP on AHA following the EC procedures - Promote and empower no-profit, third sector, patients and citizens organization to be involved in a co-creation approach to AHA - Provide updated information on ongoing activities through R&D webpage - Ensure and support the participation of relevant locoregional stakeholders to coherent projects - Support the territory to carry out internationalization activities: the CosMiC Net to enter AGE PLATFORM Europe

18 IMPACT of the RS activities for Campania: broadening regional agenda on internationalization moving up Campania into national agenda increasing the local impact of international projects providing examples of GPs and on their implementation in different context providing multi-disciplinary highest level expertise NUTRITION AG COORDINATION : facilitated approach of Campania RS through focused operational strategies provided the AG with broader perspectives provided the RSCN with bottom-up perspective POTENTIATE BIDIRECTIONAL COMMUNICATION STRATEGIES BETWEEN REFERENCE SITES AND ACTION GROUPS

19 PRIORITY ISSUES EIP-AHA CAMPANIA RS THREE-FOLD LEVELS STRATEGY ACROSS EUROPEAN, NATIONAL AND REGIONAL LEVELS RSCN OTHER NETWORKS EC MATTONE INTERNAZIONALE HEALTH MINISTRY OTHER REGIONS IDENTIFICATION OF WORKING GROUPS VALORIZATION OF ONGOING LOCAL INITIATIVES NETWORKING COORDINATION LIASING WITH DISTRICTS/CENTERS OF EXPERTISE Reference Site KEY ROLE in facilitating key stakeholders engage at Regional, National and International level. ICT-INTEROPERABILITY SOCIO-SANITARY INTEGRATION HEALTH LITERACY MULTI-DIMENSIONAL APPROACH TO AGEING INTERNATIONAL APPROACH

20 European Scaling-up Strategy in Active and Healthy Ageing Based on robust evidence (a) knowledge learning and sharing across Reference Sites; b) agreements at regional and national level to scale up IDENTIFICATION OF SUSTAINABLE AND EFFECTIVE IMPLEMENTATION STRATEGIES

21 What can Campania RS do to contribute to the EIP-AHA and the RSCN agenda

22 KEY ENABLERS: FOUND Management & administrative offices Campania EIP on AHA CHAMPIONS: Unina (DISMET, DMCC, DMMBM, CIRFF, DIARC) & Unisa (Dept. Medicine, and Dept. Pharmacy) Campania Region Health Care Authority, ASL Salerno, ASL NA1 & CRIUV EIP-AHA Italian RS coalition and the RSCN EIP-AHA ACTION GROUPS synergy with national internationalization strategies: MATTONE INTERNAZIONALE