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SMART ENVIRONMENTS AND INTEGRATED CARE: HELPING EUROPEANS TO LIVE BETTER NOT JUST LONGER "TWINNING ACTIONS TO IMPROVE THE CAPACITY FOR TRANSFER AND SCALING-UP OF GOOD PRACTICES” Esteban de Manuel Keenoy

Director, Kronikgune

© HIMSS Europe GmbH 2

INDEX

• EIP on AHA & Scaling up

• Basque Country Twinnings

• Twinning plan

• Lessons learned

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• European Innovation Partnership on Active and Healthy

• Objetive increase the average healthy lifespan of EU citizens by 2 years by

the year 2020.

TRIPLE WIN

Improving the health

and quality of life

Sustainability and

efficiency

The competitiveness

of EU industry

• 74 regions awarded the status of reference sites (8 regions with 4 stars)

• Basque Country received:

REFERENCE SITE 2016

Integrated Care

eHealth Euskadi Lagunkoia

Good Practices (GPs):

• Commitments are individual activities regarding the declaration of

intention on the work that one or several organizations will be doing.

• The Basque Country Health Department submitted 22 Commitments

SCALING UP & TWINNINGS

What to scale up: 1. Proven Good Practices (GPs) 2. Viability of GPs 3. Classification of GPs for

replication locally

DATABASE OF GOOD

INNOVATIVE PRACTICES

How to scale up: 4. Facilitating partnerships

5. Implementation – key success factors and lessons learnt

European Scaling up Strategy

• Accelerate the scaling-up of innovative approaches and practices in Active

and Healthy Ageing

Crosscutting, connecting & engaging stakeholders across sectors, from

private & public sector

• Objective: Transfer of innovation enabling the deployment of digitally-enabled

innovative ICT solutions for the ageing population between Reference Sites.

• Reference regions as originator (donating / transferring) and as adopter

(receiving region)

• Basque Country:

TWINNINGS

• 3 twinning as originator Region:

1. New Aquitaine

2. Scotland

3. Liguria Region

• 1 twinning as adopter Region :

4. Scotland

Risk stratification

Patient empowerment

TWINNING - RISK STRATIFICATION

• Classify patients according to their risk

• The stratification classifies more than two million citizens.

• The data are based on the previous use of health resources, demographic,

socioeconomic and clinical variables.

• The outcome is the predicted next

year healthcare costs.

• It is a proxy of patient morbidity and

severity with different needs of care.

TWINNING - PATIENT/CITIZEN EMPOWERMENT

• Scotland experience of co-designing

an online self-management hub

called Living it Up (LiU)

• LiU is a digitally enabled

community that provides holistic

opportunities to support improved

health, wellbeing and active

lifestyles.

• LiU enables people to: – Connect to their support circle (including

family, friends, informal support and health

and care professionals)

– Motivate in the using of technology to

improve their health and wellbeing

–Empower to be confident contributors to the

LiU community, sharing their experiences

and knowledge.

https://www.livingitup.scot/#

TWINNING PLAN

Creation of a Twinning Implementation Group between the transferring and the adopting organisations

Identification and involvement interested actors in the adopter and originator region

Study visit: Involving actors, Agenda, Visit, documentation

Create working groups Implement possible improvements

Analysis of and potential adaptation of the innovative practice

Provide further information, organize webinars and training sessions

ADOPTERS´ REQUISITES

Awareness of the good practice: Basque Country’s whole population risk stratification through the EIP AHA.

Similar problems and policy strategies: Chronic Care Model, patient empowerment

Previous experience: Risk prediction tools, used as part of clinical decision-making, active patients, patient centered programs,…

Existing capacities: Availability of rich individual level datasets and established expertise in modelling techniques and linkage of health and care information.

Benchmarking: Need to evaluate/develop existing initiatives: Sparra (Scotland), Multidimensional Prognostic Indices (Liguria)

Ongoing or planned projects: Extend SPARRA, model Osakidetza´s “Osasun Eskola” website,...

Desire to collaborate: Opportunity to stimulate further knowledge transfer to inform and improve how we design and deliver person-centred integrated care services.

POTENTIAL BENEFITS

• Underlines good practice locally

• Updates good practice knowledge

and documentation

• Refreshes commitments

• Improves internal communication

• Enhances local

coordination/”networking”

• External positive feedback incentive

“AS ORIGINATOR”

• Arise awareness among stakeholders

• Knowledge exchange to address gaps

• Evaluate transferability: adequacy, implementation barriers, changes needed.

• Collaborate in research to gather expertise and competences

• Improves internal communication and builds trust

“AS ADOPTER”

IMPROVEMENTS FOR TWINNING ACTIVITIES

“Manage the expectations” 1

Longer timeline 2

Larger budget 3

Detailed plans after first study visit

4

Realistic outcomes evaluation 5

More flexible and light procedure for reimbursement.

6

Visit to Scotland 15/02/2017

TWINNINGS – BASQUE COUNTRY

Visit from Scotland 21/02/2017

Visit from Liguria Region 21/03/2017

THANK YOU!

Esteban de Manuel Keenoy

Director, Kronikgune

edemanuel@kronikgune.org

@Kronikgune