February 26th, 2018

Espace Monte Paschi BelgioAvenue d’Auderghem 22-28-1040-Brussels

RSCN Meeting & General Assembly

Co-chairs : J Bousquet (MACVIA-France), M Illario (Campania)/ Vice-Chairs: N Batey (Wales), A Carriazo (Andalucia) /Treasurer: J Malva (Ageing@Coimbra) / Scientific adviser: N Guldemond (Delta Medica, NL) / Members: E Colgan(Northern Ireland), J Hajjam (Pays de la Loire) / Adviser: J Farrell.

Reference Site Collaborative NetworkRSCN Meeting & General Assembly

Espace Monte Paschi BelgioAvenue d’Auderghem 22-28-1040-Brussels

February 26th, 2018

The RSCN Maddalena Illario, Campania RS – Co Chair of the RSCN

RSCN: the opportunity of a new and strong network

74 Reference Sites from 24 CountriesCommitted to supporting the transfer

and scaling up of Innovations across the EU

RSCN Strategy

Strategy

The overarching goals of the RSCN are to promote cooperation, share and transfer good practice and solutions in the development and scaling up of health and care strategies, policies and service delivery models. The RSCN will contribute to improved health and care outcomes for citizens across Europe, and the development of sustainable economic growth and the creation of jobs. More specifically the RSCN will:

• Facilitate members to develop, promote, share and adopt good practice and innovative solutions and technologies at scale.• Influence and provide strategic input to bodies such as the EC, WHO, building on the knowledge and expertise of our regional members.• Provide thought leadership through expert working groups integrated with AGs of the EIP on AHA, Commission and participate in international projects.• Provide a range of advisory and management services to members.

Leadership and Governance

Executive Board2 DEPUTY CHAIRPERSONS

1 or 2 CHAIRPERSONS

1 TREASURER

General Assembly

10 members (appointed for 3 years):8 from Strategic Members

2 nominated by General Assembly

Working Groups- established from time to time to take forward work delegated to it by the Executive Board- open to all Full Members, Strategic Members, Honorary Members and Affiliate/Associate Members of the RSCN.

Observers may be invited to participate in Working Groups

1 SCIENTIFIC ADVISOR

2 MEMBERS

1 ADVISOR

The Executive Board

Reference Sites have elected an RSCNExecutive Board composed 8 StrategicMembers and 2 Full Membersappointed by the General Assembly(GA). All RSs are eligible to participatein the GA, and one vote is allocated toeach RS when conducting business. TheExecutive Board has appointed two co-Chairs, two Deputy Vice Chairs and aTreasurer (Table 2).

Executive Board

Co-chairs J Bousquet (MACVIA-France), M Illario (Campania- Italy)

Vice-chairs N Batey (Wales- UK), A Carriazo (Andalucia- Spain)

Treasurer J Malva (Ageing@Coimbra- Portugal)

Scientific Adviser N Guldemond (Medical Delta, The Netherlands)

Members E Colgan (Northern Ireland, UK), J Hajjam (Pays de la Loire, France)

Adviser J Farrell (Lanua, Northern Ireland)

Bousquet et al, “Change management in active and healthy ageing: the role of the EIP on AHA Reference Site Collaborative Network, European Innovation Partnership on Active and Healthy Ageing”, Manuscript in preparation, 2018

The Executive Board determines the strategies and actions of the CollaborativeNetwork. It will identify specific thematic Working Groups aimed at producing commonoperational projects in support of the EIP on AHA objectives.

ELECTIONS will be held in 2019

EIP on AHA new cycle infographic

Proposed Initial Working Areas➢ The European Commission’s Blueprint for Digital

Innovation, including ICT based health and care solutions

➢ Frailty prevention➢ Chronic Disease Management➢ Integrated Care Pathways➢ Self Management Assessment, including Health and ICT

literacy gaps➢ Independent Living Technology➢ Medicines Management / Adherence

Issues Which Will Be Addressed➢ Strategies and Policies in place➢ Pathways and delivery models in place➢ Comparative indicators and evidence bases➢ Information requirements ➢ Inequalities ➢ Research and Development ➢ Health and Care improvement, at both operational

and organisational levels

EIP on AHA background and vision (2018-2020)

The EIP on AHA has its foundations on two main pillars: Action Groups and Reference Sites. The Blueprint, Innovation to Market (I2M) and MAFEIP are the three crosscutting horizontal initiatives that feed the EIP on AHA:

• The Blueprint aims to innovate health and care in Europe and is the follow-up of the EIP on AHA Scaling Up Strategy. It reflects the policy vision of the EIP on AHA partners. It is the channel for the EIP on AHA partners for giving and receiving policy inputs. A “back-and-forth” mechanism operates between the EC and stakeholders (policy makers and other key opinion leaders) to evolve, update and implement the Blueprint;

• I2M targets the scale-up of digital health and care solutions in a cross-border context. This horizontal action is part of the EC strategy on Digital transformation of health and care in the Digital Single Market;

• MAFEIP is the Monitoring and Assessment Framework initially developed in response to the EIP on AHA specific monitoring needs. It is to be used as an impact assessment tool to support evidence-based decision-making process for all institutions and users in the health and care sector.

Background and vision

WE4AHA objectives

WE4AHA …

… is the CSA funded by the EU H2020 aimed at providing support to administration, external communication and coordination of the stakeholder groups and partners engaged in the development and implementation of the EIP on AHA and its horizontal initiatives: Blueprint, I2M and MAFEIP.

... is advancing the effective large uptake and impact of Digital Innovation for Active and Healthy Ageing building upon a comprehensive set of support and promotion services aimed at reinforcing the EIP on AHA stakeholders engagement.

… is specifically conceived to support the definition and execution of an I2M plan, the further Blueprint development to drive the policy vision on digital innovation, the broad use of the MAFEIP tool, and the consolidation of EIP on AHA Action Groups and Reference Sites.

WE4AHA key activities and outputs

Strategies, concepts & principles

WE4AHA is

- Policy oriented

- Stakeholders driven

- Content delivering

Partnership, experts, stakeholders

Advisory Board

Questions for Recommendations

Question 1

Recommendations➢ Clearly identify social and health inequalities as a target of innovative approaches➢ Strengthening citizens engagement in the digital transformation of health and care by early involvement when designing

and implementing innovations, through a life-long learning approach that keeps the citizen at the center, individually and as a community.

➢ Take into account specific efforts (ex. Targeted health & ICT literacy etc) to reach out for low sociocultural background populations that are outside of the main intervention streams (connecting with no profit organizations, with municipalities, schools etc).

➢ Promote broad interdisciplinary approaches and integrated strategies connecting existent health, social and community services. This should be embedded in activities aimed at joint planning and funding forecasts involving relevant stakeholders from the national, regional and local level.

Question 2

➢ Address the challenge of implementation and evaluation. Support the use of the evidence to create a compelling local story and use existing structures to drive adoption where possible by strengthening the engagement of relevant authorities at the national, regional and local level.

➢ AHA implies tackling issues across a number of physical, social and environmental determinants of health such as – but not limited to- frailty, air pollution, food, that are relevant to an increasing proportion of European population. It will be greater added value in addressing this at EU level creating shared frameworks and benchmarks between RS. This can be carried out through international cooperation by ensuring adequate funding to promote and activate the process.

Recommendations

➢ Emphasise the creation and use of evidences to support implementation, also incentivising network of innovative procurers

Question 3

➢ Reinforce the message to the national level to strengthen alignment with priorities at locoregional level➢ Reinforce the message to policy makers across Europe that :

• innovations are fundamental to sustainability and health outcomes by improving coordination of care and social services, strengthening health promotion and disease prevention, improving medicines management and prescription adherence etc

• international cooperation is essential to speed-up the process and needs a stronger commitment

➢ Use existing structures to accelerate good practices exchange, such as Scientific Societies, EU networks and national agencies

Recommendations

• More effort should be put into promoting different funding opportunities the EIP on AHA stakeholders can utilise to achieve the Partnership’s goals

• Facilitate the assessment of impact of digitally enabled innovations in a uniform way

➢ Facilitate efforts of EIP on AHA stakeholders to collaborate at different levels and tap into regional, national, international and EU support and identify funding streams

Question 4

Recommendations

➢ Strengthen the capacity of the EIP to improve the dialog space between buyers, users and suppliers around social, health and care needs

➢ Envision a connected architecture of RSCN and AGs for a shared structured governance board

➢ Build the value chain of Commitments and Good Practices to channel the activities of the EIP partners, basedupon the maturity

➢ Strengthen the twinning scheme by investing more and learning from previous experience to act the Blueprintin the framework of the Digital Single Market

➢ Improve inter-institutional collaboration: horizontally and vertically to deliver on the policy objectives of the Europe 2020 flagships

➢ Targeting existing fuding instruments to the EIP on AHA Goals

RSCN Workshops 2018 plan

1. RSCN W01_2018: ProMis workshop on Health Tourism. Bruxelles, February 26, 2018

2. RSCN/A3 W02_2018: A3 F2F Meeting, Verona. Focus on digitally supported lifestyleapproach: physical activity and food

3. RSCN W03_2018: Taking forward a shared Health Tourism Strategy: focus on the thesupply side. Campania, 2018

4. RSCN W04_2018: ProMis EIP on AHA event focusing on bridging health, tourism,economy and sustainable development. Rome, June 2018

5. RSCN W0X_2018: Self Management and shared decision making, Paris, December 2018

Acknowledgments

• The Executive Board:

Jean Bousquet, Nick Batey, Ana Carriazo, Nick Guldemond, Joao Malva, Mark Lee/Elaine Colgan, Jawad Hajjam

John Farrell (Strategic Adviser to the Board)

• Gabrielle Onorato, Giovanni Tramontano & Vincenzo De Luca

• WE4AHA CSA:

Roberto Zuffada & Jose Usero

• The European Commission

Thank you!https://ec.europa.eu/eip/ageing/home_en