The European Innovation Partnership for Healthy and Active Ageing B3 Action Group on Integrated Care

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The European Innovation Partnership for Healthy
and Active Ageing B3 Action Group on Integrated
Care

• Professor George Crooks
• Medical Director, NHS 24, UK
• 13th International Conference on Integrated Care
• Berlin, 11 April 2013

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Ageing society
Lack of health professionals
Chronic conditions
Financial challenges
HLY vs LE
Health inequalities
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• Keep
• itS I M P L E

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Future Service Model
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We need a new way.
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EUROPEAN INNOVATION PARTNERSHIPon Active and
Healthy Ageing An Overview

• Orsi Nagy
• Innovation for Health and Consumers
• European Commission, DG SANCO

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2 Healthy Life Years by 2020 Triple win for
Europe
Action Groups
Reference Sites
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Health in Europe 2020
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Political added value of the EIP
Joint Action on Chronic Diseases and Healthy
Ageing (28 countries 5 networks)
inspire for policy action
support from the ground
High level conferences (e-health, Gastein Forum,
Conference of Partners, Frailty and Adherence
Conferences)
identify good practices working in real life
EC facilitator supporter
Alignment of priorities in Horizon 2020, CIP
2013, PHP 2013 etc.
develop policy on active healthy ageing
align policy priorities with funding
mobilise efforts resources
Reflection process of the MS Towards modern,
responsive and sustainable health systems
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Building up EIP scale and critical mass
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Invitation For Commitments 2013
Closed 28 February 2013

• Stronger network of partners
• 10 submissions expand existing commitments
• 30 submissions involve existing AG member
• Focus on Implementation
• close to half of the committed organisations are
  care providers
• over half of the commitments are directly
  contributing to the implementation of integrated
  health and care systems

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EUROPEAN INNOVATION PARTNERSHIPon Active and
Healthy Ageing B3 Action Group

• Donna Henderson
• Scottish Centre for Telehealth and Telecare
• NHS 24

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B3 Integrated Care Collaborative
Regions, delivery organisations, patient / carers
organisations, academia, industry
collect experience, evidence to support
policy-making
provide input expertise, best practice
iterative, flexible process
inspiration
scale up innovative solutions
synergies
2 HEALTHY LIFE YEARS by 2020 A triple win for
Europe
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Current B3 Action Group Membership

• 67 EIP commitments received from
• Regions
• Delivery organisations
• Patient / carer representative organisations
• Academia
• Industry
• 199 stakeholders from committed regions /
  organisations and growing

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EIP AHA B3 Action Plan
Chronic Conditions
Integrated Care
Implementation and Scale Up of Chronic Care
Integrated Care Programmes
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Good Practice in Integrated CareAction Area
6 Patient / User EmpowermentExpert Patient
Programme from Catalonia
Dr Toni Dedeu Ministry of Health of Catalonia
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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Ministry of Health of Catalonia Spain
Catalonia 7,560,000 Target population
2,210,000
Description

• The Expert Patient Programme of Catalonia
  (EPPC) is a
• multidisciplinary initiative
• based on patient-healthcare professional
  collaboration
• and team work
• In the EPPC it is the Expert Patient (EP) who
• leads the process
• transmits knowledge about his or her disease to
  other patients who suffer from the same health
  problem
• The healthcare professional
• becomes an observer,
• and only intervenes if it becomes necessary
• The Expert Patient is a person
• suffering from a chronic disease

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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Objectives

• General Objective
• To promote change in daily life habits which will
  improve quality of patient life, with the
  exchange and transference of knowledge and
  experiences between the Expert Patient and other
  patients
• Specific objectives
• Patient involvement
• Evaluate degree of patient satisfaction
• Improve perceived quality of life of the patients
• Improve patients understanding of their disease
• Improve level of self-care in order to better
  manage the disease
• Improve treatment management
• Reduce the number of encounters with Primary care
  nurses and GPs
• Reduce hospital admissions and hospital emergency
  visits

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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Highlights Innovation, Impact and Outcomes
Innovation Involvement of patients in the
self-management of chronic conditions with the
support of multidisciplinary teams, with an
innovative learning methodology specifically
designed for the programme.
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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Methodology
The EPPC consists of

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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Target Population
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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Highlights Innovation, Impact and Outcomes
Impact Example of result of healthcare service
utilisation in groups of patients suffering from
COPD Total Participants 140
Visits Primary Care GP//Nurse 1 year before starting sessions Visits Primary Care GP//Nurse 1 year after finishing the sessions reduction Emergency visits 1 year before starting sessions Emergency visits 1 year after finishing the sessions reduction Hospital admissions 1 year before starting sessions Hospital admissions 1 year after finishing sessions reduction
2.86 1.64 42.65 0.39 0.21 46.15 0.19 0.11 42.10
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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Key change management elements the EEPC has
brought
Key change management elements the EEPC has
brought
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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Key change management elements the EEPC has
brought
Key change management elements the EEPC has
brought
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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Key change management elements the EEPC has
brought
Key change management elements the EEPC has
brought
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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Key change management elements the EEPC has
brought
Key change management elements the EEPC has
brought
? From a paternalistic approach to healthcare
from the professional point of view to a
participative process with the patient ? An
informed and co-responsible patient makes better
and more efficient use of the healthcare
services ? Patient knows better what to do
and when to ask for the support of a healthcare
professional or when to go to a healthcare
centre ? Reduce burden on resources and the use
of services such as the number of visits to
primary health centres, emergency units or
hospital admissions due to worsening of the
disease ? Increase to the sustainability of
the Health System ? Results obtained to date,
comparable with other similar International
programmes, shows that this is a cost-effective
intervention
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Good Practice in Integrated Care
Expert Patient Programme from Catalonia
Key change management elements the EEPC has
brought
Key change management elements the EEPC has
brought
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Good Practice in Integrated CareAction Area
7ICT / TeleservicesTelecardiology in Puglia'
Francesca Avolio Regional Healthcare Agency,
Puglia
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TELECARDIOLOGY applied to APULIA REGIONAL PUBLIC
HEALTH CARE NETWORK
..a good practice in Puglia Francesca
Avolio Regional Healthcare Agency
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UPDATE MARCH 2013 292 Clients in Apulia
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Scope of Service The service allows you to
perform an electrocardiogram checks
electronically through the combined use of
1. 12 derivations standard mod. CardioVox P12 e
CardioLink, supplied to users of the services.
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TELECARDIOLOGY applied to APULIA REGIONAL PUBLIC
HEALTH CARE NETWORK
Activity to 11th October 2004 - 31st March
2013
ECG referted in March 2013 9.218
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TELECARDIOLOGY applied to APULIA REGIONAL PUBLIC
HEALTH CARE NETWORK
Activity to 11th October 2004 - 31st March
551.010 ECG REPORTED
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TELECARDIOLOGY applied to APULIA REGIONAL PUBLIC
HEALTH CARE NETWORK
Activity to 11th October 2004 - 31st March
551.010 ECG REPORTED
Breakdown for Sex
Breakdown by Range Hourly
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TELECARDIOLOGY applied to APULIA REGIONAL PUBLIC
HEALTH CARE NETWORK
Activity to 11th October 2004 - 31st
March CALL/AGE REPORT

AGE DECADE
CALL NUMBER
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TELECARDIOLOGY applied to APULIA REGIONAL PUBLIC
HEALTH CARE NETWORK
Activity to 11th October 2004 - 31st March
551.010 ECG REPORTED
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TELECARDIOLOGY applied to APULIA REGIONAL PUBLIC
HEALTH CARE NETWORK
Activity to 11th October 2004 - 31st March
212.643 ECG PATHOLOGICAL
Distribution Disorders
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TELECARDIOLOGY applied to APULIA REGIONAL 118
PUBLIC HEALTH CARE NETWORK
Activity to 11th October 2004 - 31st March
551.010 ECG REPORTED
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TELECARDIOLOGY applied to APULIA REGIONAL PUBLIC
HEALTH CARE NETWORK

• Conclusions.
• Rapid intervention time (diagnosis network and
  at home)
• Appropriatness (.less hospitalization..)
• Equity(.widespread easy open access .. despite
  sex,age,time, soc/econ fcts)
• Transferability (devices, phone conections,
  networking
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  organizational model.)

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TELECARDIOLOGY applied to APULIA REGIONAL PUBLIC
HEALTH CARE and CRONICITY
Sustainability of RHS
Equity in Health
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Thank you from
.Puglia
f.avolio_at_arespuglia.it
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European Innovation Partnership on Active and
Healthy AgeingAction Group B3 - Integrated Care
Thank you
https//webgate.ec.europa.eu/eipaha/
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