smart environments and integrated care: helping europeans
TRANSCRIPT
@Kronikgune
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
@Kronikgune
• 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