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European Innovation Partnership
on Active and Healthy Ageing
Wojciech Dziworski
Innovation for Health and Consumers
DG SANCO, European Commission
ECHAlliance @ Mobile World Congress, February 2014
Dependency Ratio
•From 1:4 to 1:2
•80+ doubles by 2025
Cost of Care
•Up by 4-8 % of GDP by 2025
Human Resources
•Shrinking work force
•Lacking 20 mio carers by 2020
Empowerment
•Active Ageing
•Health literacy
New Care Models
•Integrated & Community care
•Large efficiency gains
Growth and Markets
•3000 B€ Wealth
•85 Million Consumers
New paradigm of ageing
from to
societal challenge major opportunity
burden asset
passive care pro-active care
curing diseases improved functioning
European Innovation Partnership on Active & Healthy Ageing
health &
quality of
life of
European
citizens
growth &
expansion
of EU
industry
sustainabl
e&
efficient
care
systems
+2 HLY by 2020
Triple win for Europe
Improving prescriptions and
adherence to treatment
Better management of health:
preventing falls
Preventing functional decline
& frailty
Integrated care for chronic
conditions, inc. telecare
ICT solutions for independent
living & active ageing
Age-friendly cities and
environments
Specific Actions
crosscutting, connecting & engaging stakeholders across sectors, from private & public sector
Pillar I
Preventio
n
screening
early
diagnosis
Pillar II
Care &
cure
Pillar III
Independe
nt living &
active
ageing
Pooling European
Resources and
Expertise
Recognising
Excellence
Reaching
Scale
European Innovation Partnership
'grass roots' models of excellence
32 reference sites with
evidence-based innovation
6 Action Groups
3,000 partners & 300 leading
organisations
>300 Good Practices
30 million citizens,
>2 million patients
ACTION GROUPS
36%
13%17%
9%
9%
5%
11%
Research/academia
Advocacy organisations
Health provider
Care provider
Industry - SME
Industry - large
Other
Participation in the EIP
More integrated, more
efficient services
A1. Prescriptions and adherence to treatment
A2. Preventing falls
A3. Preventing functional decline & frailty
B3. Integrated care incl. remote monitoring
C2. Independent Living
D4. Age-friendly cities and environments
Mapping of
innovative practices
Practical
Toolkits
Implementation on large
scale
provide input and expertise
through an open
collaboration
Commitments of the partners
Better professional cooperation:
standards, guidelines
Pooling Resources
GOOD
PRACTICES
IN TOTAL
PER
COUNTRY
DK
5
FR
1
0
DE
10
I
L
3
IT
5
6
NL
14
PT
3
5
ES
10
8
TR
1
UK
3
9
BE
4
C
Y
1
CZ
1
EL
2
IE
6
NO
1
PL
3
RO
2
SE
5
Examples of Good Practices
Prescription and adherence to medical plans: Medicines management
initiative for older people, Northern Ireland. Integrated working of health
professionals, community pharmacist and involvement of industry. Return on
Investment: 4:1
Preventing functional decline & frailty: Optimizing nutrition, physical and
cognitive performance in elderly people after a major osteoporotic fracture
in Tuscany, Italy. Target population: 5.350 patients; estimated potential
savings: 250.000 € per year.
Integrated Care: Integrated Care Health Insurance Contract for Back Pain,
Germany. With financial incentives for a targeted rehabilitation programme,
participants are able to return on average 72 days earlier to their workplace.
Age-Friendly environment: Assisted Living Areas Rotterdam
developing 16 areas with optimal conditions for elderly citizens
or people with a handicap
Preliminary achievements of the EIP
• mapping the good practices in the EU and beyond (over 300
examples)
• identification of benchmarks on physical and cognitive decline;
• testing of protocols on frailty in larger cohorts;
• improvement of screening methods for detecting early dementia;
• building of international networks for innovation and evidence
development;
• mapping the risk stratification tools for targeted care
• matrix of necessary ICT services for integrated care
• replication of best practices in new regions and scaling-up
existing innovative solutions for healthy ageing.
REFERENCE SITES
Region
Skane
University
Hospital
Olomouc
City of
Oulu
Coimbra
Southern
Denmark
Collage
(3)
Saxony
Ile-de-France
Pays de la Loire
Lower-Rhine Council
Languedoc-Roussillon
Liguria
Campania
Friuli Venezia Giulia
Emilia-Romagna
Piemonte
Northern Netherlands
Twente
Province of Gelderland and
Overjssel
South Holland
Province Noord-Brabant:
Slimmer Leven
Galicia
Basque Country
Madrid
Catalonia
Valencia
Andalusia
Liverpool
Scotland
Northern Ireland
Wales
Yorkshire
Reference Sites - coverage
32 RSs =>12 MSs
selected for self-assessment
and peer-review
(innovation, scalability,
outcomes)
71 good practices of
innovation-based integrated
care models with sound impact
on the ground
1 July 2013 – Star Ceremony
announcement of best RSs
with stars, ready for
replication and coaching13 Reference Sites
12 Reference Sites
7 Reference Sites
develop policy on active & healthy ageing
Political added value of the EIP
EC: facilitator & supporter
align policy priorities with funding
evidence base
mobilise efforts & resources
inspire for policy action
identify good practices working in real life
High level conferences (e-Health, Gastein
Forum, Conference of Partners, Frailty
and Adherence Conferences, EUPHA,
Chronic Diseases Summit)
Alignment of priorities in H2020, CIP
2013, PHP 2013, Structural Funds etc.
Joint Action on Chronic Diseases and
Healthy Ageing (28 countries + 5
networks)
Reflection process of the MS: Towards
modern, responsive and sustainable
health systems
Knowledge and Innovation CommunitiesEIP Partners: bottom up innovation
Input for policies on frailty, chronic
diseases, e-health, long term care, health
workforce, etc.
1,000 regions &
municipalities
1 billion euro
mobilised
30 mio citizens,
>2 mio patients
> 500 commitments
3,000 partners & 300
leading organisations
Marketplace
>72,500 visits >1,240
registered users
Reaching Scale
Thank you for your attention!
wojciech.dziworski@ec.europa.eu
EIP on AHA Website
http://ec.europa.eu/active-healthy-ageing
DG SANCO Website
http://ec.europa.eu/health

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Wojciech Dziworski EU #MWC14 #mHealth

  • 1. European Innovation Partnership on Active and Healthy Ageing Wojciech Dziworski Innovation for Health and Consumers DG SANCO, European Commission ECHAlliance @ Mobile World Congress, February 2014
  • 2. Dependency Ratio •From 1:4 to 1:2 •80+ doubles by 2025 Cost of Care •Up by 4-8 % of GDP by 2025 Human Resources •Shrinking work force •Lacking 20 mio carers by 2020 Empowerment •Active Ageing •Health literacy New Care Models •Integrated & Community care •Large efficiency gains Growth and Markets •3000 B€ Wealth •85 Million Consumers New paradigm of ageing from to societal challenge major opportunity burden asset passive care pro-active care curing diseases improved functioning
  • 3. European Innovation Partnership on Active & Healthy Ageing health & quality of life of European citizens growth & expansion of EU industry sustainabl e& efficient care systems +2 HLY by 2020 Triple win for Europe Improving prescriptions and adherence to treatment Better management of health: preventing falls Preventing functional decline & frailty Integrated care for chronic conditions, inc. telecare ICT solutions for independent living & active ageing Age-friendly cities and environments Specific Actions crosscutting, connecting & engaging stakeholders across sectors, from private & public sector Pillar I Preventio n screening early diagnosis Pillar II Care & cure Pillar III Independe nt living & active ageing
  • 4. Pooling European Resources and Expertise Recognising Excellence Reaching Scale European Innovation Partnership 'grass roots' models of excellence 32 reference sites with evidence-based innovation 6 Action Groups 3,000 partners & 300 leading organisations >300 Good Practices 30 million citizens, >2 million patients
  • 6. 36% 13%17% 9% 9% 5% 11% Research/academia Advocacy organisations Health provider Care provider Industry - SME Industry - large Other Participation in the EIP
  • 7. More integrated, more efficient services A1. Prescriptions and adherence to treatment A2. Preventing falls A3. Preventing functional decline & frailty B3. Integrated care incl. remote monitoring C2. Independent Living D4. Age-friendly cities and environments Mapping of innovative practices Practical Toolkits Implementation on large scale provide input and expertise through an open collaboration Commitments of the partners Better professional cooperation: standards, guidelines Pooling Resources
  • 9. Examples of Good Practices Prescription and adherence to medical plans: Medicines management initiative for older people, Northern Ireland. Integrated working of health professionals, community pharmacist and involvement of industry. Return on Investment: 4:1 Preventing functional decline & frailty: Optimizing nutrition, physical and cognitive performance in elderly people after a major osteoporotic fracture in Tuscany, Italy. Target population: 5.350 patients; estimated potential savings: 250.000 € per year. Integrated Care: Integrated Care Health Insurance Contract for Back Pain, Germany. With financial incentives for a targeted rehabilitation programme, participants are able to return on average 72 days earlier to their workplace. Age-Friendly environment: Assisted Living Areas Rotterdam developing 16 areas with optimal conditions for elderly citizens or people with a handicap
  • 10. Preliminary achievements of the EIP • mapping the good practices in the EU and beyond (over 300 examples) • identification of benchmarks on physical and cognitive decline; • testing of protocols on frailty in larger cohorts; • improvement of screening methods for detecting early dementia; • building of international networks for innovation and evidence development; • mapping the risk stratification tools for targeted care • matrix of necessary ICT services for integrated care • replication of best practices in new regions and scaling-up existing innovative solutions for healthy ageing.
  • 12. Region Skane University Hospital Olomouc City of Oulu Coimbra Southern Denmark Collage (3) Saxony Ile-de-France Pays de la Loire Lower-Rhine Council Languedoc-Roussillon Liguria Campania Friuli Venezia Giulia Emilia-Romagna Piemonte Northern Netherlands Twente Province of Gelderland and Overjssel South Holland Province Noord-Brabant: Slimmer Leven Galicia Basque Country Madrid Catalonia Valencia Andalusia Liverpool Scotland Northern Ireland Wales Yorkshire Reference Sites - coverage 32 RSs =>12 MSs selected for self-assessment and peer-review (innovation, scalability, outcomes) 71 good practices of innovation-based integrated care models with sound impact on the ground 1 July 2013 – Star Ceremony announcement of best RSs with stars, ready for replication and coaching13 Reference Sites 12 Reference Sites 7 Reference Sites
  • 13. develop policy on active & healthy ageing Political added value of the EIP EC: facilitator & supporter align policy priorities with funding evidence base mobilise efforts & resources inspire for policy action identify good practices working in real life High level conferences (e-Health, Gastein Forum, Conference of Partners, Frailty and Adherence Conferences, EUPHA, Chronic Diseases Summit) Alignment of priorities in H2020, CIP 2013, PHP 2013, Structural Funds etc. Joint Action on Chronic Diseases and Healthy Ageing (28 countries + 5 networks) Reflection process of the MS: Towards modern, responsive and sustainable health systems Knowledge and Innovation CommunitiesEIP Partners: bottom up innovation Input for policies on frailty, chronic diseases, e-health, long term care, health workforce, etc.
  • 14. 1,000 regions & municipalities 1 billion euro mobilised 30 mio citizens, >2 mio patients > 500 commitments 3,000 partners & 300 leading organisations Marketplace >72,500 visits >1,240 registered users Reaching Scale
  • 15. Thank you for your attention! wojciech.dziworski@ec.europa.eu EIP on AHA Website http://ec.europa.eu/active-healthy-ageing DG SANCO Website http://ec.europa.eu/health