Il Reference Site EIP on AHA della Campania: attività e prospettive - Maddalena Illario R&D, Federico II University Hospital - CIRFF
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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
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’
Programmazione EU in ambito sanitario 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: 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
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.
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
Headline Objective: incresing by 2 the number of Europeans
HEALTHY LIFE YEARS
Population: 5,77 M (30 nov 2013) PIL pro capite: 16.400,00 EUR (2008) Inhabitants/km²: 429 Ageing index 102,7%
Posti letto ospedalieri ordinari
GPs
Medici di medicina generale
Hospital
Beds
Ultimo
Ultimo
disponibile
disponibile CAMPANIA
CAMPANIA 16823
4474
Superiore
Superiore
4-a
4-a
3-a
Indice di invecchiamento M+F 3-a
2-a
2-a
Inferiore
Inferiore
No dati
No dati
Min = 1200
Min = 231
Ultimo
disponibile
CAMPANIA
100.68
Numero ASL Popolazione residente M+F
Residents
Superiore
Health 4-a
3-a
Aging
Districts
2-a
Inferiore
No dati
Min = 87.74
Population
Ultimo
Ultimo disponibile
disponibile CAMPANIA
CAMPANIA 5799240
13
Superiore
Superiore 4-a
4-a 3-a
3-a 2-a
2-a Inferiore
Inferiore No dati
Min = 286217
No dati
Min = 1
Fondazione ISTUD, 2013 SDA Bocconi 2012
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@
http://www.policlinico.unina.it
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: 440.000
Beds: 1000
Employes: 2000
Budged: 210 ML euro European Transparency Register N° 686681213892-44
Departments : 6
Student > 40.000
Organization Deed FOUND Decree N°198, May 20, 2013CAMPANIA
REFERENCE SITE
COMMITMENT A3
COMMITMENT B3
COMMITMENT A1
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).
Commitment B3: An integrated, web-based network to improve the management of
high risk fragile elderly patients (Campania nel cuore (HeArtBit).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 National Position Paper on Prevention
- Reference Site Collaborative Network Joint participation to international documentsSince 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 2007-2013 call N° 437 March 2013
Focus on frailty, multimorbidity, politherapy and prescription adherence
• Perssilaa (FP7 STREP/ICT)
The EIP-AHA context provided the background to
maximise the local impact of EU-supported projects
• Beyond Sylos (CIP) Sharper focus on adoption & exploitation
• Horizon 2020
- 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.DISSEMINATION ACTIVITIES
Meetings
- The European Innovation Partnership on Active and Healthy Ageing as an
operational tool of innovation
Naples, April 19, 2013
- Essentiali elements for the internationalization of regional health systems
Naples, November 12, 2013
- EIP on AHA workshop on Nutrition, Rome 2014
- Living Together Atelier on Age Friendly Environment, Naples 2015
- EXPO meeting: Synergies of the nutritional approach to AHA, 2015
Publications
- Special Issue: «Active Ageing and Independent Living»,
J. of Ageing Res, 2015
- Special Issue: «Proceedings of the EIP on AHA»,
Translational Medicine @Unisa, 2015
- Position Paper of the NutritionAction Group, 2015
- Special Issue: «Active Ageing and Independent Living»,
J. of Ageing Res, 2016INCLUSIVENESS - 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
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 GROUPSEIP-AHA CAMPANIA RS
THREE-FOLD LEVELS STRATEGY ACROSS
EUROPEAN, NATIONAL AND REGIONAL LEVELS
RSCN • IDENTIFICATION OF WORKING GROUPS
MATTONE • VALORIZATION OF ONGOING LOCAL INITIATIVES
OTHER NETWORKS
INTERNAZIONALE • NETWORKING
EC • COORDINATION
HEALTH MINISTRY
OTHER REGIONS • LIASING WITH DISTRICTS/CENTERS OF EXPERTISE
Reference Site
KEY ROLE in facilitating key stakeholders engage at Regional, National and
International level.
INTERNATIONAL
PRIORITY ISSUES
ICT-INTEROPERABILITY
APPROACH
SOCIO-SANITARY INTEGRATION
HEALTH LITERACY
MULTI-DIMENSIONAL APPROACH TO AGEINGEuropean 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 STRATEGIESWhat can Campania RS do to contribute to the EIP-AHA and the RSCN agenda
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
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