L’invecchiamento Sano ed Attivo

secondo

la Partnership Europea per l’Innovazione

nell’esperienza Campana

ASL Roma D

6 Febbraio 2014

Maddalena Illario

Coordinatore EIP-AHA Campania Reference Site

Coordinatore Tavolo Tecnico R&S, AOU Federico II

DISMET, Università Federico II

Tavola rotonda

Dalla varietà dei bisogni all’integrazione degli interventi:

il ruolo delle Istituzioni.

Workshop

«SALUTE E INVECCHIAMENTO ATTIVO NEL LAZIO:

POLITICHE E INTERVENTI IN EUROPA, E RUOLO DELLA

SORVEGLIANZA DI POPOLAZIONE

PER LA GOVERNANCE DEL SISTEMA».

A Europe 2020 initiative: EIP-AHA

European Partnership on Active & Healthy Aging

L’OPPORTUNITA’ EUROPEA:

INNOVATION UNION

Maximising regional and social benefits

To avoid an "innovation divide" between the strongest innovating regions and the

others, the Commission will assist Member States to use better the remaining part

of the €86 billion of structural funds programmed for 2007-2013 for research and

innovation projects.

Innovation Union, key initiatives

The Innovation Union contains over thirty action points including ground-

breaking proposals like the European Innovation Partnerships. For example, the

pilot Partnership on active and healthy ageing aims to add an average of two

years of healthy life for everyone in Europe

Opportunities for INNOVATION

INTERNATIONALIZATION

Is the process of planning and implementing products and services so that they can easily be adapted to

specific local languages and cultures, a process called localization. The internationalization process is

sometimes called translation or localization enablement.

A successfully localized service or product is one that appears to have been

developed within the local culture.

LOCALIZATION is the process of adapting a product or service to a particular language, culture, and desired

local "look-and-feel." Ideally, a product or service is developed so that localization is relatively easy to achieve -

for example, by creating technical illustrations for manuals in which the text can easily be changed to another

language and allowing some expansion room for this purpose. This enabling process is

termed INTERNATIONALIZATION. An internationalized product or service is therefore easier to localize. The

process of first enabling a product to be localized and then localizing it for different national audiences is

sometimes known as GLOBALIZATION.

In localizing a product, in addition to idiomatic language translation, such details as time zones, money, national

holidays, local color sensitivities, product or service names, gender roles, and geographic examples must all be

considered

ENABLEMENT includes:

User interfaces (ICT-hardware, help pages, online menus, softwares- cultural, administrative, organizational,

language);

Develop products that can support international “character sets”

Creating print or Web site graphic images so that their text labels can be translated inexpensively

Using written examples that have global meaning

For software, ensuring data space so that messages can be translated from languages with single-byte

character codes (such as English) into languages requiring multiple-byte character codes (such as Japanese

Kanji).

INTERNAZIONALIZZAZIONE

SANITARIA

IL CONTESTO

- The White Paper: Together for Health

- Health Programme 2014-2020

- PSN

- PSR

SOCIETAL CHALLENGES

Health inequalities in Europe (SOCIAL DETERMINANTS OF HEALTH)

Equity of access and treatment

New models in healthcare delivery

Social solidarity

Ageing population The population aged 65 and over in the WHO European Region

Is projected to rise to 224 million by 2050.

An ageing population, health inequalities and the social determinants of health present significant

challenges to healthcare systems that go beyond medical problems. Ensuring a MULTILEVEL AND

HOLISTIC RESPONSE BY GOVERNMENTS will be important in tackling these challenges

Consideration of quality in healthcare requires examination of the different dimensions of quality, the

impact of rationing devices, professional organization and new models of healthcare delivery

Healthcare costs have steadily increased in recent years, although this is not necessarily driven by

increased need. Cost-effectiveness, value for money considerations, pharmaceutical pricing, new

technologies and diversity of provision are all important elements in exploring how to reduce health costs

While states remain the main actors in healthcare policy in Europe, EU policies and law can influence

healthcare delivery, particularly when considered in terms of the inter-relation between health and other

sectors. While internal market rules ensuring the free movement of people and services can challenge

domestic health sectors, there are also tangible benefits and opportunities of collaborating at EU level, not

least the potential for coordinated policy

Future in Health Care 2011

1. Health is more than a medical problem

2. Maintaining high-quality healthcare

3. Maintaining access to healthcare

4. Managing the costs of healthcare

When

opportunities

Knocks

Open

the door

- INSUFFICIENTE ALLINEAMENTO DEGLI OBIETTIVI E DELLA

PROGRAMMAZIONE TRA AMBITO RICERCA (IRCCS, UNIVERSITA’, Centri

di Ricerca etc) ED AMBITO SANITA’

- DISALLINEAMENTO, ASSENZA DI COORDINAMENTO E DI

COLLEGAMENTI EFFICACI TRA I DIVERSI LIVELLI DI PROGETTAZIONE E

PROGRAMMAZIONE, CON IMPATTO NEGATIVO SULL’UTILIZZO

SISTEMATICO DELLE INNOVAZIONI E SUL LORO TRASFERIMENTO AL

SETTORE PRODUTTIVO

DEBOLEZZA DELLE AZIONI DI SISTEMA E

PERDITA DI OPPORTUNITA’ DI FINANZIAMENTI EU

IL BLOCCO DEL TURNOVER PREGIUDICA SCALE-UP DELLE GOOD PRACTICES

E LA LORO MESSA A SISTEMA

Primo vincolo: divieto di spese non obbligatorie.

Secondo vincolo: blocco del turnover.

PARTE INTEGRANTE DEL

CONTESTO DI RIFERIMENTO: LE

REGIONI IN PIANO DI RIENTRO

La spinta di innovazione all’interno di una

REGIONE IN PIANO DI RIENTRO.

Deve essere soddisfatta all’interno di vincoli normativi ed

economici.

Conseguente scarsità delle risorse disponibili:

economiche molto ridotte, e risorse umane sottodimensionate.

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.

STRUMENTI DI IMPLEMENTAZIONE:

Accordi di Cooperazione Scientifica e Tecnologica per definire ed implementare le tabelle di

marcia

I dialoghi politici stabiliti a livello regionale.

PRIORITA’

Programmazione EU 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: a 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. The

site already hosts important stakeholders like the Pôle

Allongement de la vie de l'hôpital Charles Foix, research teams

from the University Pierre et Marie Curie and from the Institut de

la vision, as well as entreprises. Fabien Verdier

Economy, Rights and Policy of the Age Advisor, France

STRUCTURAL FUNDS:

EU common strategic framework for regional development

32 RS approvati dalla Commissione EU CON PROCEDURA

PEER REVIEW: 5 RS ITALIANI

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).

CO

MM

ITM

EN

T B

3

Commitment B3: Campania nel cuore (HeArtBit). An integrated, web-based network

to improve the management of the high risk of fragile elderly patients.

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

COMMITMENTS

presentati dalla CAMPANIA

alla SECONDA CALL

Titolo Acronimo

EURO MEDITERRANEAN REGISTRY OF

OSTEOPOROSIS

EMEROS

Assessment of the impact of climate change on

senior citizens

ClimAge

Awareness of Risk of Cardiovascular events in

High Risk populations

ARCHR

Getting Optimise Ageing Life-quality GOAL

Strategies for the development of new healthy

foods for the management of frailty

and ageing.

NEW AGE FOODS

FUNCTIONAL FOODS AND MICROBIAL

COMPONENTS ABLE TO IMPROVE

THE WELLBEING IN OLDER PEOPLE.

FFoAM-WeOP

Accounting and Information Management System AIMS

New molecular determinants and pathogenic

mechanisms in age-related

diseases

MOLAGE

Easy Aging Strategic Industrial Innovations EASII

Biomedical Enterprises Leading Over Various

Elderly Diseases

BELOVED

campania nel cuore HeArtBit

ECONOMIC DATA GENERATION AOU Federico II- Adelaide Ippolito

ASSESSMENT ASL NA 1 Centro: Sara Diamare

TRAINING AOU Federico II- R&S- Maddalena Illario

Ufficio Formazione- Grazia Isabella Continisio

TWINNING AOU Federico II- R&S- Maddalena Illario

NETWORKING Unisa- Pietro Campiglia

COMMITMENTS

&

FUTURE COMMITMENTS

ACTION PLAN A1

ACTION PLAN A3

ACTION PLAN A2

ACTION PLAN B3

ACTION PLAN D4

CIRFF- Enrica Menditto

Imprens Pomelia- Alberto Maria della Ratta

AOU Federico II- R&S- Maddalena Illario

Unisa- Guido Iaccarino

ASL NA 3- Katia Giova

Nunzia Montuori

DISMET

DISSEMINATION AOU Federico II- R&S- Maddalena Illario

FUTURE COMMITMENTS

«IMMUNONUTRITION»: ALLERGIE ALIMENTARI, CELIACHIA, OBESITA’, SINDROME METABOLICA

Roberto Berni Canani

CAMPANIA REFERENCE SITE ACTIVITIES

Campania Reference Site: INNOCARE.

Bridging Health Care Innovation to Europe

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

(OSTEOCARE). M. Illario-C. Di Somma, A. Colao, Unina

Commitment B3: Campania nel cuore: HeArtBit. G. Iaccarino, Unisa

Commitment A1: An integrated Adherence Monitoring System regarding patients with chronic

conditions (AMS). E. Menditto, CIRFF

CALL I

Functional foods and microbial components able to improve the wellbeing in older people: FFoAM-WeOP

(M. Succi, Unimol)

Assessment of the impact of climate change on senior citizens: ClimAge (E. Menditto, Pasquale Schiano, Italian

Aerospace Research Center-CIRA)

EURO MEDITERRANEAN REGISTRY OF OSTEOPOROSIS: EMEROS (Prisco Priscitelli, ISBEM – ISTITUTO SCIENTIFICO

BIOMEDICO EURO MEDITERRANEO)

Strategies for the development of new healthy foods for the management of frailty and ageing : NEW AGE FOODS

(A. Reale, ISA-CNR)

Easy Aging Strategic Industrial Innovations: EASII (A. Della Ratta, Imprens Pomelia; Katia Giova, ASL NA-3)

Getting Optimise Ageing Life-quality: GOAL (Z. Simonova, L. Russo, D. Tramontano, M. Di Girolamo)

Accounting and Information Management System: AIMS (L. Natale, Dipartimento Salute e Risorse Naturali,

Regione Campania)

New molecular determinants and pathogenic mechanisms in age-related diseases: MOLAGE (Montuori, Illario,

Iaccarino, Kisslinger) Biomedical Enterprises Leading Over Various Elderly Diseases: BELOVED (G. Lamberti, Unisa)

CALL II

A3 SUB-GROUPS: frailty in general;

cognitive decline; physical activity;

care-givers; nutrition; functional

decline

ORGANIZATION

TASK COORDINATORS TASKS

WHAT’S NEXT

In 2014 the EIP will have to demonstrate tangible results taking stock of what has been achieved.

The main focus of EIP work in 2014 will be on the individual commitments (progress in

implementing actions) and the collaborative work

Work under Action Group will be conducted in 2 TRACKS:

an INDIVIDUAL COMMITMENT TRACK – drawing on the commitments that A3 EIP partners

submitted on the occasion of the 1st and 2nd invitation for commitment

a second track initiated recently on COMMON WORK – drawing on the willingness and interest

shown by some of the A3 partners to conduct collaborative work in addition to the individual

commitments.

Quality of work and individual commitments

Synergies across AG

Incorporation of new members to the AG is restricted and only allowed following

the formal procedures in place for all the EIP.

From BOTTLENECKS…

What is expected from the individual commitments and collaborative work.

To MAINSTREAM

USEFUL TOOLS:

Joining EU networks

“ALLEANZE STRATEGICHE”

• TWINNING e NETWORKING CON ALTRE REGIONI (EU ed ITA)

• VALORIZZAZIONE DELLE ECCELLENZE REGIONALI

• CREAZIONE E POTENZIAMENTO DELLE COLLABORAZIONI

SSR/UNIVERSITA’

• ALLINEAMENTO DELLE PRIORITA’ FACILITANDO CIRCOLAZIONE

DELLE INFORMAZIONI

Per il Reference Site Campania rispetto all’EIP-AHA:

- Il supporto Regionale: Lara Natale, Mariateresa Giuliano

Dipartimento Salute e Risorse Naturali

- Il Progetto Mattone Internazionale

- La Commissione EU

- l’Università

- Il Ministero della Salute

• - WORKSHOP -

• "I fondi strutturali nella programmazione 2014-2020: quale spazio per la salute”

• Roma, 21 febbraio 2014

• il sotto-progetto del PMI

• "programma di formazione interregionale per l'utilizzo dei Fondi del Quadro

stategico comune 2014-2020 nel settore sanitario"

• che intende realizzare attività di coordinamento, informazione e formazione

sull'utilizzo dei fondi strutturali in sanità rivolte al personale amministrativo e

sanitario del Ministero della salute, delle Regioni italiane nonchè delle Aziende

Sanitarie e Ospedaliere.

PROGETTO MATTONE

INTERNAZIONALE http://www.progettomattoneinternazionale.it

STRUTTURA DI COORDINAMENTO TIPO NHS-24

AIM: effective screening & prevention

of FRAILTY/pre-FRAILTY

SHIFT from reactive disease

management to screening, triage and

anticipatory care

PERSSILAA’s CORE STRUCTURE

FOUND/ENDOCARE

PLATFORMS

PERSSILAA service protocols TRAINING MODULES BUSINESS MODELS

PERSSILAA in Campania

Campania Key-players

http://www.campussalute.it/

Health Campus

Health Campus Mission:

Carry out a constant dissemination and promotion of

prevention through health and educational initiatives.

Two major objectives:

specialist visits and services to prevent and detect

health risks

dissemination of a culture of prevention that

encourages changes in lifestyle

http://www.chiesadinapoli.it/

Caritas network

Caritas Charity Mission:

- Welcoming and Listening

- Retrieve and distribute aid

- Social Commitment

- Opening to the territory

Federico II University Hospital http://www.policlinico.unina.it/

Endocrinology Section of the

Department of Clinical Medicine and Surgery &

Endocare Network