solutions in Member States

Transcription

1 Strengthening capacity building for digital health solutions in Member States and regions

2 Strengthening capacity building for digital health solutions in Member States and regions This session will discuss needs and opportunities for capacity building and knowledge transfer to support the scaling-up of digital health solutions for AHA. Lessons learned from twinning actions and practical experience with implementing digital solutions for integrated care will be highlighted. Chair: Loukianos Gatzoulis, DG SANTE Scene-setter: Veli Stroetmann, empirica Panellists: Jawad Hajjam, Pays De La Loire (France) Elisio Costa, Porto4Ageing (Portugal) Tomasz Kostka, Medical University of Lodz (Poland) Leo Lewis, International Foundation for Integrated Care

3 Veli Stroetmann, empirica, Germany, ScaleAHA study Strengthening capacity building There exist a multitude of innovative digital health solutions for active and healthy ageing in Europe Good examples are catalogued within the EIP on AHA following the European scaling-up strategy The EIP on AHA is focusing on steps 4-5 to spread good practices and scale up solutions Capacity building and knowledge transfer is key in order to enable all health and care authorities in Europe to mutually benefit from existing solutions The focus of this session is on learning from the EC s twinning efforts to support this capacity building, as well other EC initiatives and instruments that support digital solutions, especially in integrated care

4 Twinning as an instrument for capacity building The twinning scheme Pilot scheme that supports expenses incurred to facilitate the transfer of innovative practices for implementation in another region Focus on digitally-enabled innovative ICT solutions for health and care delivery for the ageing population Visits between two types of organisations: o Organisation adopting the innovative practice (receiving/adopter organisation) o Organisation transferring the innovative practice (originator organisation), Focus topics in the pilot: online health portals, ICT-supported integration of health and care services, assessment tools, adherence to care plans, homecare, telemonitoring and mhealth systems, regional/national EHR systems, etc.

5 Twinning overview The 2016 call enjoyed participation from around Europe, with particular success in attracting eight Reference Sites from Eastern Europe. New regions should be motivated to participate through new calls in the coming years, thus increasing the impact of the EIP on AHA and contributing to the Digital Single Market (DSM) Strategy s priority for large-scale deployment of digital solutions that can support chronic disease management.

6 Twinning archetypes Type Description Number Example twinnings Knowledge exchange & training, digital skills Focus on knowledge (know-how) exchange and training, a central aspect of the innovation are the required staff skills 4 Gastrological approach to malnutrition: Rotterdam - Campania SAT Andalusian Telecare Service: Andalusia Kraljevo Risk Stratification: Basque Country Scotland Teleswallowing: NWCE - OBK Adaptation A mature innovation is being adopted by adjusting it to local conditions (e.g. translation into local language) 6 ADD protection: Campania Asturias ADD protection: Campania - Olomouc STEPSelect: Northern Ireland Catalonia STEPSelect: Northern Ireland NWCE STEPSelect: Northern Ireland Olomouc Risk Stratification: Basque Country Nouvelle-Aquitaine Partial adoption Elements or aspects of the innovation (product, service, methodology, strategy) are being implemented using locally available infrastructure 8 IANUS: Galicia Zagreb FrailSurvey app: Lazio Porto Diraya: Andalusia Zagreb Qmci under RAPCOG: Ireland Telerevalidatie: Twente Campania Porto4Aging, Campania, Catalonia Living It Up: Scotland Basque Risk Stratification: Basque Country Country Liguria Living It Up: Scotland Andalusia Full adoption The innovation (product, service, methodology, strategy) is being implemented in its full scope by using local infrastructure i.e. the innovation is transferred and managed fully by the adopter 1 ALOHA: Pays de la Loire - Porto Acquisition The innovation is being implemented in its full scope by using the originator s infrastructure (paid for or free of charge), i.e. the originator still has primary ownership, but a license for use is granted to and acquired by the adopter 1 MASK Allergy Diary: MACVIA- France 10 adopters: Campania, Catalonia, Ageing@Coimbra, Lodz4Generations, Medical Delta, Northern Ireland, Regione Piemonte, Region of Southern Denmark, GARD Turkey (National Program on Chronic Airway Diseases)

7 Lessons learnt and insights (ScaleAHA) Different twinnings require different budget & financing and timelines More frequent calls for twinnings, focusing on current EC priorities, are required Some twinning activities resulted in creation of new pilots and joint work on H2020 proposals - national and EU Having a clear comprehensive twinning plan with clearly identified staff with the right expertise (e.g. business, technical, clinical depending on the topic) is a must. Example: 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 The Basque Country Twinning Plan Analysis of and potential adaptation of the innovative practice Provide further information, organize webinars and training sessions

8 Barriers and success factors Important for capacity building is to document the experience of the twinning partners The ScaleAHA report ( provides useful information and guidance by documenting barriers, success factors to scaling up, tools and methodologies used, etc. Barriers to scaling up innovation in AHA Success factors to scaling up innovation in AHA 10 Organisational structures related barriers Mapping scaling up tools and methodologies 21 Clear vision and strong political commitment 21 Previous research and piloting 9 Lack of interdisciplinary communication and cooperation 21 Networking and collaboration 9 Lack of interoperability and system integration 28 Addressing current healthcare needs and embedding the new system into present healthcare policies 9 Lack of awareness among professionals and patients Public and private partnerships New business models and innovations 8 Time and effort related barriers 16 Training and education of staff 8 Financial and reimbursement problems Product development in close collaboration with the end-users User experience design, user acceptance 8 Technical barriers (infrastructure, connectivity) 20 Local services, integration of the new solution into the existing environment 5 Low digital literacy / Addressing the target group 19 Faster benefit realisation of the innovative practices 4 Resistance to change / Scepticism about effectiveness 17 Marketing and business communication 20 Funding, financial incentives and investments

9 ScaleAHA study recommendations

10 Jawad Hajjam, Pays De La Loire (France) RS Pays De La Loire s experience

11 RS Pays De La Loire s experience

12 RS Pays De La Loire s experience

13 RS Pays De La Loire s experience

14 RS Pays De La Loire s experience

15 RS Pays De La Loire s experience

16 Elísio Costa, University of Porto and Porto4ageing RS, Portugal

17 Transfer of innovation on allergic rhinitis and asthma multimorbidity in the elderly (MACVIA-ARIA) Originator France MACVIA-France Adopters Spain Andalucia Catalonia Portugal Coimbra Porto4ageing Poland Lodz The Netherlands Medical Delta Ireland Northern Ireland Czech Republic Olomouc France Region Pays de Loire Italy Regione Piemonte Regione Campania Denmark Region of Southern Denmark Turkey Global Alliance Chronic Respiratory Diseases Regional Network Allergy Diary Patient-centred that allows the assessment of rhinitis control by patients themselves and includes a clinical decision support system. Medications is recorded daily. Mobile phone messaging facilitates the management of allergic rinites, providing prompts to assess disease control, take medication, and visit a health care provider, if appropriate.

18 Adaptation of a successful French good practice to the Metropolitan Region of Porto and nationwide: the ALOHA initiative The first European platform dedicated to the prevention of infection diseases in Senior citizens: ALOHA - Acting for LOngevity and Healthy Ageing This is a web portal to inform, educate and engage seniors and healthcare professionals on prevention (vaccination, nutrition, physical activity, controlled use of antibiotics) providing tools for personal and tailored recommendations, in order to empower users and enable them to make correct and good preventive choices.

19 A community-based program to prevent or manage frailty in communitydwelling Older Adults, available on PCs and on mobile devices FRAILSURVEY mobile phone application for self assessment of frailty DEP - Lazio Regional Health Service (originator) has a web-based ICT tool for screening of frailty associated with a community intervention. However, as in our region we don t have yet conditions to do a full implementation of the ICT tool and the community intervention, we decide develop a tool, using the experience of DEP - Lazio Regional Health Service Reference Site: a mobile phone app for self-assessment of frailty. Validation of FRAILSURVEY App FrailSurvey includes : - Sociodemographic Data - Social Resources - Self Perception - Time Occupation - Groningen Frailty Indicator

20 Good Practices and Lodz4Generations Reference Site Prof. Tomasz Kostka, Medical University of Lodz, Poland Diagnosis of the situation - Demographic background The population of Lodz is ,8 % of the Lodz s population is over 60 ( Lodz citizens aged 60+ in 2017) Lodz has the highest percentage of elderly citizens compared to other cities in Poland This will rise to 33% by 2020 In 2035, senior citizens will form the majority of the city s population. Successes and challenges

21 Achievements HARC FP7 Regpot ( ) SUNFRAIL, SCOPE Lodz Region EIP AHA Reference Site 2016 EIT Health & Innostars

22 From vision to implementation EIP AHA RS Twinning: MACVIA ARIA CoActive Project: 5 District Centres of Active Seniors - classes in 4 areas: lectures, physical activity, computer, culture Reverse teaching Managed Senior Care - new 3-year studies at the Medical University of Lodz from 2017 Social inclusion creating inclusion areas for seniors in the revitalised Lodz Jobs for the seniors Senior Citizens Council 15 members Website with information for seniors Courtesy of Aneta Andrzejczyk and Aleksandra Olejnik

23 Beyond organisational and workforce capacity building Leo Lewis, International Foundation for Integrated Care What is the best way to spread new knowledge? Social connection/discussion is 14 times more effective than the written word / best practice databases / toolkits etc. Source of data: Nick Milton

24 Capacity building and relationships Patients who experience a good relationship with their health care professionals are more likely to engage in positive behaviour change.

25 Capacity building and relationships and self-management Real patient-centred care provides holistic care that builds capacity and empowerment for self-management through patient and caregiver engagement that takes into account the context of their culture, unique needs, preferences, and values.

26 Capacity building, relationships, self-management and empowerment Empowerment is a multidimensional process that helps people gain control over their own lives and increases their capacity to act on issues that they themselves define as important. Collective empowerment is a process through which individuals and communities are able to express their needs, present their concerns, devise strategies for involvement in decision-making, and take political, social, and cultural action to meet those needs.

27 Thank you! If you would like to share your insights, please contact