What can the European level do to take it further?

ILIAS IAKOVIDIS – Acting Head of Unit ICT for Inclusion at DG INFSO (soon to be DG CONNECT), European Commission

Active ageing –

“Home automation at the service of Active ageing”

External meeting and seminar of the Committee of the Regions ECOS Commission and Marche Region

EU 2020, DAE and EIP AHA

Ageing: from … burden to opportunity

Social Necessity Major Opportunity

••• 3

+2 HEALTHY LIFE YEARS by 2020

A TRIPLE WIN FOR EUROPE

+2 HEALTHY LIFE YEARS by 2020

A TRIPLE WIN FOR EUROPE

health & quality of life of European citizens, incl. older peopleImprovingImproving

long-term sustainability & efficiency of Europe’s health and social care systems

long-term sustainability & efficiency of Europe’s health and social care systemsSupportingSupporting

competitiveness & markets for innovative products & services = growth and jobs

FosteringFostering

EIP-AHA Target:

Collaborative innovation

bringing together interested stakeholders from public and private sectors

across the entire innovation value cycle

to cooperate, share same vision and aim to deliver

innovative solutions for an ageing society,

responding to their needs and demands

bringing together interested stakeholders from public and private sectors

across the entire innovation value cycle

to cooperate, share same vision and aim to deliver

innovative solutions for an ageing society,

responding to their needs and demands

EIP-AHA Added Value:

Building synergies

FACILITATING SCALING UP & MULTIPLYING

BRIDGING GAPS &SPEEDING UP INNOVATION PROCESS

IMPROVING FRAMEWORK CONDITIONS

JOINING UPRESOURCES

& EXPERTISE

EIP-AHA Added Value:

Stakeholders’ involvement

WHY TO ENGAGE?

Learn from the others’ good practices

Combine evidence

Collaboration leading to efficiency in (re-)design and validation of innovative care services

Efficiency of design leading to expansion of services to larger population - with the same level of investment

Being stronger in application for funding at local/national level

Local industry seeing a larger market, beyond the “local border”

Political support

WHY TO ENGAGE?

Learn from the others’ good practices

Combine evidence

Collaboration leading to efficiency in (re-)design and validation of innovative care services

Efficiency of design leading to expansion of services to larger population - with the same level of investment

Being stronger in application for funding at local/national level

Local industry seeing a larger market, beyond the “local border”

Political support

EIP-AHA Added Value:

Prevention, screening & early diagnosis

Care & Cure

•Guidelines for care, workforce (multimorbidity,

• and R&D

•

•

•

•

• Regulatory and standardisation conditions, effective funding • Building evidence base, reference examples

-

• Marketplace to facilitate cooperation among various stakeholders • Platform for innovation for age friendly buildings, cities and environments

••

EIP ACTIVE AND HEALTHY AGEING

multimorbidity

Active ageing & independent living

Polypharmacy, frailty and collaborative care)

Multimorbidity

Capacity building and replicabilityof successful

integrated care systems

Assisted daily living for older people with cognitive impairment

Flexible and interoperable ICT solutions for active and independent living

Innovation improving social inclusion of older

people

Vision / Foundation

• Focus on holistic and multidisciplinary approach• Development of dynamic and sustainable care

systems of tomorrow

• New paradigm of ageing

• Innovation in service of the elderly people

Prevention, screening Care & Cure

Health literacy, patient empowerment, ethics and

adherence

Personal health management

Prevention, early diagnosis of functional and cognitive decline

Guidelines for care, workforce

• Regulatory and standardisation conditions, effective funding • Building evidence base, reference examples

• Marketplace to facilitate cooperation among various stakeholders • Platform for innovation for age friendly buildings, cities and environments

Horizontal issues

9

EIP example: falls prevention

• 1/3 of people over 65 falls at least once a year.• 1/8 of falls results in hospital admission

Many appliances and applications for balance monitoring, physical and cognitive training and personalised medication advice: THESE DO NOT REACH ELDER PEOPLE

EIP APPROACH:

• General strategy, based on present practice• Reduce financial shortage by bringing together public

and private insurers and funding agencies• Evidence building and business cases as guidance for

procurement • Improve interoperability by uniting standard-

developers, industry and users• Multi-disciplinary research on fall prevention by

linking researchers with doctors, care professionals and elder people.

• ICT-enabled integration health and social care services ("beyond silos")

• improve Quality of life for people with chronic disease and their families.

• 12 partners, 400 users, 4 MS • Evidence building+ evaluation for further

improvement and wider uptake

Effects: • improved communication between

health and social care providers • reduced anxiety and improved health for

people with chronic conditions• Independent living: Fass largest centre

for social alarm in Europe with over 90,000 clients across Andalusia (Spain).

Example: CommonWell

Whole Systems demonstrator (UK)

Since 2009:

•integrated telehealth en telecare

•for 6191 patients and 238 GP's (COPD, heart condition...)

•in Newham, Kent and Cornwall (UK)

Results:

• 15% less visits to doctors

• 20% less emergency admissions

• 14% less admissions and

hospital days

• 8% less tariff costs

• 45% less mortality

Next Steps:

Interim deadline for “Invitation for commitments” / Candidate Reference Sites 31st May

Meetings of Action Groups, Action Plans June - October

Conference of Partners, launch actions 6 November

The Commission will develop (with support of the Joint Research Centre) a monitoring and assessment framework

The assessment framework will facilitate:

- The establishment of casual links - The measurement of impacts

between:

Monitoring and Evaluation:

A first version of the monitoring and assessment framework should be in place by early 2013

A first version of the monitoring and assessment framework should be in place by early 2013

Individual Actions of the Stakeholders

Individual Actions of the Stakeholders

Partnership’s main objectives (triple win)

Partnership’s main objectives (triple win)

Specific Actions of the PlanSpecific Actions of the Plan Partnership’s key objectivesPartnership’s key objectives

Ageing and care? Smart innovation can change the game!

From burden to opportunity• From low to high value jobs• From red tape to hands free for

care • From institutional care to active

and healthy living• From cost issue to investment

in economic growth• From national problem to

European market.

Conclusion

EIP Active and Healthy Ageing

Http://ec.europa.eu/active-healthy-ageing

EC-EIP-AHA@ec.europa.eu

http://twitter.com/#!/EIP_AHA

••• 15

Prescription and adherence action at regional level

WHO: pharmacists, health professionals, carers, patients

HOW: advanced clinical analytical ICT‑enabled toolsapplication of clinical protocols

AIM: identification of non‑adherent patients & counselling them on the use of medication

Personal health management, starting with a falls prevention

initiative WHO: science/academia, regulatory authorities, industry, care providers, patients, carers

HOW: innovative tools for screening (e.g. sarcopenia)

AIM: fall prevention for older people - monitoring & keeping balance functionality/exercising

Action for prevention of functional decline & frailtyWHO: care providers, regulatory

HOW: early diagnostic tool-set (e.g. Functional Capacity Evaluation tool), new medical devices

AIM: identification of pre-frailty conditions

EIP Specific Actions

Integrated care for chronic diseases, including remote

monitoring, at regional levelWHO: public & private,

care providers, health professionals, patients, social carers

HOW: network, standardised survey tool identifying health status of mulitmorbid patients

AIM: communication & integration between different health & social care providers; avoidance of hospitalisation of older patients

Interoperable independent living solutions, including

guidelines for business modelsWHO: regulatory authorities, industry, venture capitalists, procurers, patients/older people & carers

HOW: joined-up procurement of independent living solutions; open standards for multi vendor solutions

AIM: guidelines and standards on a variety of solutions for safety, mobility & personal communications with family together; sustaining independence in daily life of older persons

EIP Specific Actions

Framework conditions Funding

WHO: EC, national authorities (MSs)

HOW: legislation revision, standardisation for interoperability, data protection, EC funding alignment

AIM: clarity, flexibility & robustness of legal framework; efficient use of resources; facilitation of innovation deployment

Evidence Repository for age-

friendly innovation

Marketplace to facilitate cooperation among various stakeholders

WHO: EC, national authorities (MSs), stakeholders

HOW: reference examples, common data base, platform of cities/regions for age friendly environment

AIM: sound and robust data, reliable methodologies

WHO: stakeholdersHOW: stakeholders’ networking, exchange of good practicesAIM: facilitation of innovation, knowledge, good practice transfer/sharing

EIP Horizontal Actions

A process enabling to submit a commitment to be an active partner in the EIP implementation

A process enabling to submit an intention to be a candidate for an

EIP Reference Site

An interactive and open online/digital platform

ALL STAKEHOLDERS

- ready to get involved and committed to implement the EIP Plan- ready to mobilise sufficient resources- form a partnership with other stakeholders- meet a set of conditions based on the EIP principles(engagement, inclusiveness and partnership, critical mass, delivery, advocacy)

PUBLIC HEALTH/CARE SECTOR STAKEHOLDERS

- form a partnership with other actors- provide proven and successful innovative solutions in an integrated way- implementing substantial part of Specific Actions across 3 pillars of the EIP- making available the solutions to other actors

ALL STAKEHOLDERS

- interested in the EIP, but still not ready to submit a Commitment to a Specific Action- looking for partners and to build networks- searching for up-to-date initiatives, events, and wanting to post their own ones- ready to share their ideas with wider public through social media

COMMITMENTEXPRESSION OF

INTENT‘REFERENCE SITE’

MARKETPLACE

WHAT

HOW

WHO

WHEN 29 February – 31 May 2012

By submitting your Commitment via an online

tool

By submitting your Expression of Intent via

an online tool

By being a passive or an active registered member

of the free platform

29 February – 31 May 2012

April 2012 -

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