Maddalena Illario

R&D, Federico II University Hospital

DISMET, Federico II University

Il Reference Site EIP on AHA della Campania:

attività e prospettive

Federico II Department of Pharmacy, September 17th, 2015

Horizon 2020 STRUMENTO FINANZIARIO per implementare l’UNIONE DELL’INNOVAZIONE ed

assicurare la COMPETITIVITA’ EUROPEA. In vigore dal 2014 al 2020 con un budget

di €80 miliardi.

PRIORITA’

Programmazione EU in ambito sanitario 2014-2020

• IMPLEMENTAZIONE ED ADOZIONE SU LARGA SCALA DI GOOD PRACTICES:

da isolate a «MAINSTREAM»

• Riforma dei Sistemi Sanitari nell’ottica della sostenibilità per mantenere i livelli

qualitativi raggiunti. Utilizzo dei supporti ICT.

• La salute come driver di sviluppo: perché settore ad elevato tasso di innovazione

• «Silver Economy»: il cambiamento demografico come opportunità di sviluppo

socio-economico. Dietro l’aging si nasconde una dinamica di crescita!

• Generare dati di monitoraggio relativi al ritorno economico dell’innovazione (costi

evitati, ricadute sugli outcome di salute etc)

France invests in the "silver economy"

The national strategy includes regional deployments and

applications: first initiative was launched at Ivry-sur-seine

(eastern Paris) last 1st July with the creation of the "Silver

Valley". Promoted by the cluster SOLIAGE, the project aims at

creating a specific silver sector in the eastern area of Paris.Fabien Verdier

Economy, Rights and Policy of the Age Advisor, France

Innovation Union key initiatives

EUROPEAN INNOVATION PARTNERSHIPS

European Innovation Partnerships (EIPs) are a new approach to EU research and innovation.

EIPs are challenge-driven, focusing on societal benefits and a rapid modernisation of the associated sectors and markets.

EIPs act across the whole research and innovation chain, bringing together all relevant actors at EU, national and regional

levels in order to: (i) step up research and development efforts; (ii) coordinate investments in demonstration and pilots; (iii)

anticipate and fast-track any necessary regulation and standards; and (iv) mobilise ‘demand’ in particular through better

coordinated public procurement to ensure that any breakthroughs are quickly brought to market. Rather than taking the

above steps independently, as is currently the case, the aim of the EIPs is to design and implement them in parallel to cut

lead times.

EIPs streamline, simplify and better coordinate existing instruments and initiatives and complement them with new actions

where necessary. This should make it easier for partners to co-operate and achieve better and faster results compared to

what exists already. Therefore, they build upon relevant existing tools and actions and, where this makes sense, they

integrate them into a single coherent policy framework. Flexibility is important; there is not a 'one-size-fits-all' framework.

EIPs are launched only in areas, and consist only of activities, in which government intervention is clearly justified and

where combining EU, national and regional efforts in R&D and demand-side measures will achieve the target quicker

and more efficiently.

ECOSYSTEM: a complex and changing network of

interactions

ECOSYSTEM PRIORITY AREA

Medicines Management

Big Data

eHealth Strategies

Integrated Care

H2020

Socio-sanitary integration

Social Inclusion

Community Planning

Health promotion

Disease prevention

FUTURE HEALTH ECOSYSTEM

Headline Objective: incresing by 2 the number of Europeans

HEALTHY LIFE YEARS

Population: 5,77 M (30 nov 2013)

PIL pro capite: 16.400,00 EUR (2008)

Inhabitants/km²: 429

Ageing index 102,7%

Superiore

4-a

3-a

2-a

Inferiore

No dati

Min = 1200

Posti letto ospedalieri ordinari

Ultimo

disponibileCAMPANIA

16823

Superiore

4-a

3-a

2-a

Inferiore

No dati

Min = 286217

Popolazione residente M+F

Ultimo

disponibileCAMPANIA

5799240

Residents

Superiore

4-a

3-a

2-a

Inferiore

No dati

Min = 1

Numero ASL

Ultimo

disponibileCAMPANIA

13

Superiore

4-a

3-a

2-a

Inferiore

No dati

Min = 231

Medici di medicina generale

Ultimo

disponibileCAMPANIA

4474

GPs

Health

Districts

Superiore

4-a

3-a

2-a

Inferiore

No dati

Min = 87.74

Indice di invecchiamento M+F

Ultimo

disponibileCAMPANIA

100.68

Aging

Population

Hospital

Beds

SDA Bocconi 2012

Fondazione ISTUD, 2013

Good Practice1. Implementing innovative prevention and health promotion strategies to tackle frailty through:

Health Campus:

- health promotion activities on the territory

- screenings and detect frailty and pre-frailty conditions

- pilots on nutritional interventions

CIRFF for Prescription adherence:

- monitoring of administrative health databases (mainly prescription and hospitalization data flows)

- Annual Regional Report about correct drug utilization aimed to Regional authorities.

• - Clinical audits about specific diseases of relevance (eg COPD) aimed to general practitioners.

• - Informative campaigns aimed to citizens and involving pharmacists

Good Practice2. Use of ICT for the integrated care of chronic patients: through “Campania nel Cuore” :

- Increase the number of patients affected by chronic cardiovascular diseases that are enrolled in the

telematic follow-up for Napoli Area.

- Extend the use of the ICT model to the Salerno Area at the AOU San Giovanni di Dio e Ruggi

d’Aragona University hospital.

- Increase the number of patients enrolled in the telematic follow-up by scaling up the model to the

Salerno Area.

Good Practice3. Campania Integrated Regional ICT Health Network through:

- infrastructural set-up ( broad and ultra-broad band) for an integrated ICT regional network

- start with a centralized management and accounting system in Health (eHealth) and a central

dashboard, fully integrated with the systems of territory health units (ASL) monitoring not only

administrative and accounting data, but also supporting management data related to the

implementation of the LEA (Essential Levels of Care), integrating in a coherent way the services

offered by the different regional providers.

Campania Region Resolution N° 622 of November 13, 2012

Federico II Hospital is oriented on the centrality of the

person, defined as:

Patient / user

Professionals

Students.

Towards the patient/user, Federico II Hospital aims to

provide services not only to meet his health needs, but

also the emotional, socio-cultural and psychological ones.

Integration of health care services with research and training

Organization Deed FOUND Decree N°198, May 20, 2013

Federico II University Hospital Mission

http://www.policlinico.unina.it

European Transparency Register N° 686681213892-44

Buildings : 21

Surface Mq: 440.000

Beds: 1000

Employes: 2000

Budged: 210 ML euro

Departments : 6

Student > 40.000

@

CAMPANIA

REFERENCE SITE

CO

MM

ITM

EN

T A

1

Commitment A1: An integrated Adherence Monitoring System regarding patients

with chronic conditions (AMS).

CO

MM

ITM

EN

T A

3

Commitment A3: An integrated model of care, cure and prevention for fraility

osteoporosis and its complications (OSTEOCARE).C

OM

MIT

ME

NT

B3

Commitment B3: An integrated, web-based network to improve the management of

high risk fragile elderly patients (Campania nel cuore (HeArtBit).

Campania Reference Site: INNOCARE. Bridging Health Care Innovation to Europe.

The Italian Reference Site Connection

Campania

Emilia Romagna

Liguria

Piemonte

Joint participation to national strategic projects:

- Joint Action on Frailty

- Interreg: Innovative Technology and Integrated Services for Active and Healthy Ageing

Joint dissemination strategy:

- Mattone Internazionale backbone

- Reference Site Collaborative Network

National Position Paper on Prevention

Joint participation to international documents

Since the RSCN…

…EXAMPLES OF ALLIGNEMENT OF EXISTING INSTRUMENTS

• “Campania Bioscience” district (PON-REC)

Line of Intervention 8: New therapies from the bench to the bedside

• Public Procurement

PON-REC 2007-2013 call N° 437 March 2013

Focus on frailty, multimorbidity, politherapy and prescription adherence

• Perssilaa (FP7 STREP/ICT)

• Beyond Sylos (CIP)

The EIP-AHA context provided the background to

maximise the local impact of EU-supported projects

Sharper focus on adoption & exploitation

• Horizon 2020

- SYMPATHY

Focus on frailty, multimorbidity, politherapy and prescription adherence

- SUNFRAIL

To improve set up, test and validate an integrated model supporting the

identification, prevention and management of frailty and care of multimorbidity in

community dwelling persons (over 65) in the loco-regional settings of different

EU Countries.

DISSEMINATION ACTIVITIESMeetings

- The European Innovation Partnership on Active and Healthy Ageing as an

operational tool of innovation

Naples, April 19, 2013

- Essentiali elements for the internationalization of regional health systems

Naples, November 12, 2013

- EIP on AHA workshop on Nutrition, Rome 2014

- Living Together Atelier on Age Friendly Environment, Naples 2015

- EXPO meeting: Synergies of the nutritional approach to AHA, 2015

Publications- Special Issue: «Active Ageing and Independent Living»,

J. of Ageing Res, 2015

- Special Issue: «Proceedings of the EIP on AHA»,

Translational Medicine @Unisa, 2015

- Position Paper of the NutritionAction Group, 2015

- Special Issue: «Active Ageing and Independent Living»,

J. of Ageing Res, 2016

INCLUSIVENESS

- Support locoregional,national and international stakeholders to join the EIP on AHA

following the EC procedures

- Promote and empower no-profit, third sector, patients and citizens organization to

be involved in a co-creation approach to AHA

- Provide updated information on ongoing activities through R&D webpage

- Ensure and support the participation of relevant locoregional stakeholders to

coherent projects

- Support the territory to carry out internationalization activities: the CosMiC Net

to enter AGE PLATFORM Europe

IMPACT of the RS activities for Campania:

broadening regional agenda on internationalization

moving up Campania into national agenda

increasing the local impact of international projects

providing examples of GPs and on their implementation in different context

providing multi-disciplinary highest level expertise

NUTRITION AG COORDINATION :

facilitated approach of Campania RS through focused

operational strategies

provided the AG with broader perspectives

provided the RSCN with bottom-up perspective

POTENTIATE BIDIRECTIONAL COMMUNICATION STRATEGIES

BETWEEN

REFERENCE SITES AND ACTION GROUPS

EIP-AHA CAMPANIA RS

THREE-FOLD LEVELS STRATEGY ACROSS

EUROPEAN, NATIONAL AND REGIONAL LEVELS

RSCN

OTHER NETWORKS

EC

MATTONE

INTERNAZIONALE

HEALTH MINISTRY

OTHER REGIONS

• IDENTIFICATION OF WORKING GROUPS

• VALORIZATION OF ONGOING LOCAL INITIATIVES

• NETWORKING

• COORDINATION

• LIASING WITH DISTRICTS/CENTERS OF EXPERTISE

ICT-INTEROPERABILITY

HEALTH LITERACY

PR

IOR

ITY

IS

SU

ES

SOCIO-SANITARY INTEGRATION

MULTI-DIMENSIONAL APPROACH TO AGEING

INT

ER

NA

TIO

NA

L

AP

PR

OA

CH

Reference Site

KEY ROLE in facilitating key stakeholders engage at Regional, National and

International level.

European Scaling-up Strategy in Active and Healthy Ageing

(a) knowledge learning and sharing across Reference Sites;

Based on robust evidence

IDENTIFICATION OF SUSTAINABLE AND EFFECTIVE IMPLEMENTATION STRATEGIES

b) agreements at regional and national level to scale up

What can Campania RS do to contribute to the EIP-AHA and the RSCN agenda

KEY ENABLERS:

FOUND Management & administrative offices

Campania EIP on AHA CHAMPIONS: Unina (DISMET, DMCC, DMMBM,

CIRFF, DIARC) & Unisa (Dept. Medicine, and Dept. Pharmacy)

Campania Region Health Care Authority, ASL Salerno, ASL NA1 & CRIUV

EIP-AHA Italian RS coalition and the RSCN

EIP-AHA ACTION GROUPS

synergy with national internationalization strategies:

MATTONE INTERNAZIONALE