Tuesday6th June2017,HorizonLeeds

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)

LeadingthewayOur Ambitionforthefuture

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 health.innovation@regione.campania.it

THANKS FOR YOUR ATTENTION!