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Page 1: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

11 BillionBillion(WHO 2003)(WHO 2003)

11 BillionBillion(WHO 2003)(WHO 2003)

Page 2: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Functional nutrition?

Health Disease Health

Nutrition in the process of Nutrition in the process of

carecare

Page 3: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

The patient’s journey

CLINIC PRE-OP

POST-OP WARD HOME

RECOVERY

SURGERY /ANESTHESIA

Interactive Team audit of outcomes & complianceInteractive Team audit of outcomes & compliance

PRE ADMISSION

FOLLOW UP

30DAY

Integrated perioperative protocol (ERAS)Integrated perioperative protocol (ERAS)

From Ljungqvist JPEN 2014

Page 4: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

The patient’s journey

CLINIC PRE-OP

POST-OP WARD HOME

RECOVERY

SURGERY /ANESTHESIA

Interactive Team audit of outcomes & complianceInteractive Team audit of outcomes & compliance

PRE ADMISSION

FOLLOW UP

30DAY

Integrated perioperativer protocol (ERAS)Integrated perioperativer protocol (ERAS)

From Ljungqvist JPEN 2014

Multi professional Multi stakeholder

Page 5: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

New

visio

n

Page 6: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Politics &Politics &RessourceRessource

ss

PatientsPatientsResearch Research

& & EducatioEducatio

nn

ClinicalClinicalpracticpractic

ee

Global strategy

Page 7: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Fight Against Malnutrition

Page 8: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Fight Against Malnutrition

Page 9: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Fight Against Malnutrition

What did we achieve?

Page 10: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Progress & Support EP

Nutrition Day Conference 2010European Parliament - EU Presidency - ENHA - ESPEN

Chair EP Public Health Committee Alojz Peterle :

“Malnutrition requires a cross-cutting solution; a good first step would be mandatory nutrition risk screening across Europe,…..”

EP plenary votes September 25 + October 9, 2008,‘Together for Health’ 2008 – 2013 and 2010 European Partnership Action Against Cancer:

Urges the Commission .. to make malnutrition, alongside obesity, a key priority in the field of health …

Page 11: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Strategic Alliance European Patient Organisations

Memorandum of Understanding

Signed April 2012

Shared agendaConference EPF/EGAN – ENHA – MNI 4 July

Brussels Support ENHA mission and objectivesSupport implementation activities in countriesDrive awareness nutrition among European

patient groupsNext step: EU Irish Presidency European patients

workshop undernutrition, Dublin 2013

Page 12: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Strategic Alliance World Health Organisation - Europe

Alignment work programmes & collaboration

June 2012

Page 13: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

StructureSeven General Objectives:

1.Management of Functionaldecline and frailty

2. Empowerment

3. Screening

4. Integrated Pathways of Care

5. Research & Methods

6. Sustainability

7. Co-operation (cross sector)

European Innovation Partnership on Active and Healthy Ageing

Page 14: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Fight Against Malnutrition

Page 15: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Optimal Nutritional Care for All

National Nutritional Care Plans: a Europe-wide implementation Campaign

Page 16: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Optimal Nutritional Care for All

Page 17: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Fight against malnutrition/undernutrition

Optimal Nutritional Care for All

• Multi-stakeholder initiative

• To facilitate greater screening for risk of disease-related malnutrition and nutritional care implementation across Europe

‘Boost implementation of nutritional screening

and follow up care across Europe

> 2014 2014 >

Page 18: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Key Objective & Strategy

‘Optimal Nutritional Care for All’

European UnionEIP Active &

Healthy Ageing

Country based nutritional screening campaign

Partnership with

European Patient Orgs

WHO EURO Food & NutritionPlan 2015 - 2020

Key drivers for implementation

Page 19: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Key steps in the ONCA campaign

Focus countries:Croatia, Germany, Spain,

Turkey

Observer countries:France, Israel, Poland,

Slovenia

Page 20: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Nutritional Screening Implementation Conference 2014 -“Optimal Nutritional Care for All”

Steering Committee

Conference strategy, engagement national members and co-branding

Olle Ljungqvist, Chair

Jean Pierre Baeyens, EUGMS

Pierre Singer, ESPEN

John Chave, PGEU

Pascal Garel, HOPE

Anne de Looy, EFAD

Ceri Green, MNI

Cees Smit, EGA/EPF

Frank de Man, ENHA

Page 21: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Nutritional Screening Implementation Conference 2014“Optimal Nutritional Care for All”

- Draft programme November 4 & 5, Brussels -

Participants /stakeholders• National delegates from patient groups, professional societies, national associations, Ministries of Health

• focus countries (40)• observer countries (20)

• ENHA members (15)

• EU EIP AHA, WHO EURO (3)

• Key experts (3)

Objectives• To inspire and facilitate countries to form/strengthen national multi-stakeholder alliances and to focus on implementation of “optimal nutritional care for all”

• To benchmark current state of play of nutritional care in focus countries

• To align and implement the ENHA strategy with key stakeholder platforms per country

• To define and deploy measures of progress and impact per year

Page 22: 1 Billion (WHO 2003) 1 Billion (WHO 2003). Functional nutrition? Health Disease Health Nutrition in the process of care

Optimal nutritional care for all

Education

Public health

Implementation

Nutrition Day

NationalRegional/localNone

Stakeholder groups

Policy and standards

Guidelines

Mandatory

Optional/regional

None

Economic data

Presence

Prevalence DRM Reimbursement

Provide % DRM risk per healthcare setting if available

Sound legal basis with implementing measures

Soft policy/standards

None

Screening + care pathways

Partial guidelines

None

>80% reimbursement

Regional reimbursement,insurance company specific, or co-pay

No reimbursement (100% self-pay)

Structural, > 80%

Local, 20-80%

Limited, < 20%

National data

Local data

Limited/no data

> 1000 patients + very effectiveSmall/moderate + moderateNone + limited

Established national group

Regional group

Limited/no group

Engagement

Focus on DRM/nutritional care

Peripheral interest

Limited/no interest


OPTICAL NETWORKS EVOLUTION l Accelerated deployment of fiber-optic cabling Optical Networking Market n 1999 - $12 billion n 2003 - $30 billion l Squeeze

Www.schoolsandhealth.org. School Health & Nutrition Web Site: hits/month, January 2003 – January 2007

© Copyright _ Bro’s Place 2003 Americans spend approximately $25 billion each year on beer. Americans spend approximately $25 billion each year on beer

Sports Nutrition - Amway€¦ · with sports nutrition products to ... Guarantee amway ... 5 billion per serve at the point of manufacture of the mix HEALTH / Sports Nutrition 44

• Healthy eating, nutrition, and weight loss: $574.2 billion ~ $647.8 billion • Preventative and personalized medicine: $432.7 billion ~ $534.3 billion • Complementary and alternative

ab Financial Report 2003 · 11.8%, invested assets of CHF 2.2 trillion, shareholders’ equity of CHF 35.4 billion and market capitalization of CHF 95.4 billion on 31 December 2003

Devices change the picture 2003 2010 201 5 2020 50 billion

RANGE ANIMAL NUTRITION AND PRODUCTION AnS 477 Feb. 6, 2003

Maternal and Child Nutrition 3 Nutrition-sensitive ...assets.fsnforum.fao.org.s3-eu-west-1.amazonaws.com... · 6/6/2013  · provide cash or food transfers to a billion poor people

BACKGROUND – ABOUT UNILEVERec.europa.eu/health/archive/ph_determinants/life_style/nutrition/green_paper/nutrition...Marketing Principles for Food and Beverages’ in 2003 that include

Developing the Indo-Pacific region and Developing the ......Food & Nutrition Security •2.7 billion people live on

SKF Annual General Meeting 2014 · SEK 27 billion . in accumulated approved savings for customers 2003– 2013 . 2003 SEK 623 million . 2013 SEK 27 billion

MID-YEAR ECONOMIC AND FISCAL OUTLOOK 2003-04 · An underlying cash surplus of $4.6 billion is anticipated in 2003-04, an increase of $2.5 billion since the 2003 -04 Budget. This largely

Sullivan Cromwell LLP Frankfurt · Porsche Automobil Holding* 04/2011 €4.988 billion Allianz* 04/2003 €4.482 billiion Volkswagen 04/2010 €4.219 billion Munich Re** 10/2003 €3.971

May 2003 Are you safe? © British Nutrition Foundation 2003

2003 Archived Review - Nutrition: School-Based Programs ... · Archived Review Summary Nutrition: School-Based Programs Promoting Nutrition and Physical Activity (2003 Archived Review)

WINSS 2003 Abstracts - Waltham Centre for Pet Nutrition

Child Nutrition Programs: Spending and Policy …...CHILD NUTRITION PROGRAMS: SPENDING AND POLICY OPTIONS SEPTEMBER 2015 4 reduce projected federal spending by about a third, $81 billion,

New York – November 17 th, 2003. HIGHLIGHTS 9M03 09.30.2003 Gross SalesUS$ 4.0 billion Net SalesUS$ 3.4 billion EBITDAUS$ 692 million Net IncomeUS$ 272

NUCLEAR FAMINE: A BILLION PEOPLE AT · PDF fileNUCLEAR FAMINE: A BILLION PEOPLE AT RISK Global Impacts of Limited Nuclear War on Agriculture, Food Supplies, and Human Nutrition

CENTAUR NETWORK Background Supplement 2003. CENTAUR NETWORK The population of the world 19804,4 billion 2002around 6,4 billion 2015around 7,1 billion

Open Water Nutrition - USA Swimming...• According to the 2011 ‘‘Sports Nutrition and Weight Loss Report,’ – 9% annual sales growth – $22.7 billion in total sales were noted

Australia’s Complementary Medicines Industry Audit 2019 · Vitamin & Dietary Supplements: $2.94 billion Sports Nutrition: $1.11 billion Herbal / Traditional Products: $0.72 billion

World Carbon Dioxide Emissions by Region, 2003-2030 (Billion Metric Tons of Carbon

Budget in Brief - Homeland SecurityFISCAL YEAR 2005 OVERVIEW FY 2003 FY 20041 FY 2005 Change 2004 to 2005 Total Resources $31.2 billion $36.5 billion $40.2 billion $3.6 billion Mandatory

Nigeria Food Consumption and Nutrition Survey 2001–2003

My Feb 2003 HPCA9 Keynote Slides - Billion Transistor Processor Chips

History of NZ Dairy Industry Tony Baldwin Law + policy specialist Wellington Intelact Nutrition 9 June 2003 2003 Conference

Supplemental Nutrition Assistance Program STATE ACTIVITY ... · Supplemental Nutrition Assistance Program (SNAP) benefits, a 4.5 percent decrease from $69.7 billion in FY 2015. These

Maternal Nutrition: Issues and Interventionspdf.usaid.gov/pdf_docs/PNACS879.pdf ·  · 2003-04-15Maternal Nutrition: Issues and Interventions will provide nutrition advo- ... Maternal

SPORTS NUTRITION - d118ospkkl5uqf.cloudfront.net. Peptan...Sports nutrition is a major growth market worldwide. Due to reach an estimated value of USD 37.7 billion in ... athletic

Value Chains for Nutrition - Food and Agriculture Organization · 08/06/2011  · Value Chains for Nutrition 1. Introduction 1.1 Background and objective CURRENTLY, CLOSE TO 1 BILLION

Customerbcmcorp.annualreports.com/HostedData/AnnualReport... · “2004 was a strong year with record orders of $25.7 billion; sales of $20.2 billion – a 12% increase over 2003;

BIENVENIDOS. Dana - Hoy 2003 Ventas………………….$ 9.5 Billion Personas…………………………….70,000 Plantas……………………..300 Paises…………………………….34

Unmet Health Needs of Two Billion - Harvard University · iii Health, Nutrition, and Population Discussion Paper Unmet Health Needs of Two Billion: Is Community Financing a Solution?