future cooperation thoughout europe in the spatial … · 10/7/2013 · future cooperation...
TRANSCRIPT
Future cooperation thoughout Europe in the spatial domain –
AHUD
Athens AND Lund
Menno Hinkema & Klaus-Peter Schipper On behalf of the EIP AHA D4 Spatiatl Context
Presentations selected from EU EIP AHA Meetings 2013-2014
Health in Europe 2020 Europe 2020 flagships for smart, sustainable and inclusive growth
Innovation Union
New Skills and New Jobs
Digital Agenda
Youth on the Move
New Industrial
Policy
Platform against Poverty
Resource Efficiency
• innovation for tackling societal challenges, e.g. ageing and health
• innovation for addressing the weaknesses & removing obstacles in the European
innovation system
Innovation Union
• ICTs for tackling societal issues - ageing, health care delivery
• sustainable healthcare & ICT-based support for dignified & independent living
Digital Agenda for
Europe
European Innovation Partnership on Active and Healthy Ageing
EIP on Active and Healthy Ageing
APPROACH:
• Ownership of key stakeholders
• High-level political commitment
• Very large-scale deployment & innovation
• Awareness and best-practice sharing across Europe
• Combining demand and supply sides of innovation
• Building on existing instruments and new ones
••• 3
health & quality of
life of European citizens
growth & expansion of EU industry
Sustainable & efficient
care systems
+2 Healthy Life Years by 2020 Triple win for Europe
Priorities
Social Necessity
Major Opportunity
••• 4
Dependency Ratio
•From 1:4 to 1:2
•80+ doubles by 2025
• 65+: 81 –> 151 million
Cost of Care
•Up by 4-8 % of GDP by 2025
Human Resources
•Shrinking work force •Lacking 20 million carers by 2020
Empowerment
•Active Ageing
New Care & Cure Models
•Integrated care
•Large Efficiency gains
Growth and Markets
•3000 B€ Wealth
•85 Million Consumers and growing
••• 4
Why EIP – AHA?
The EIP Specific Actions
• Action on prescriptions and adherence at regional level • Personal management of health, starting with initiative on prevention of falls • Action for prevention of functional decline & frailty • Replicating and tutoring integrated care for chronic diseases, including remote monitoring, at regional level • Development of interoperable independent living solutions, including guidelines for business models • Promoting innovation for age-friendly and accessible buildings, cities and environments
1,000 regions & municipalities
1 billion euro mobilised
30 mio citizens, >2 mio patients
> 500 commitments
3,000 partners
Marketplace >30,000 visits
>650 registered users
Building up EIP scale and critical mass
32 Reference Sites
develop policy on active & healthy ageing
Political added value of the EIP
EC: facilitator & supporter
align policy priorities with funding
support from the ground
mobilise efforts & resources
inspire for policy action
identify good practices working in real life
High level conferences (e-health, Gastein Forum, Conference of Partners,
Frailty and Adherence Conferences)
Alignment of priorities in Horizon 2020, CIP 2013, PHP 2013 etc.
Joint Action on Chronic Diseases and Healthy Ageing (28 countries + 5
networks)
Influencing regional and national policies
Reflection process of the MS: Towards modern, responsive and sustainable
health systems
Regions’ role in the EIP
Active actors in governance and active partners
proposing and designing concrete actions
Developers of health & aged-related innovations in care
The "real" implementers, regionally and locally
Municipalities’ role in the EIP
Active partner in advancing and implementing
concrete actions
Front runners of health & aged-related innovations in care
The "real" users, work together with the elderly and patients
Added value for involvement in the EIP
Strengthened political advocacy of regions at the EU level
Assistance in overcoming barriers to innovation process
Modernised health & social care systems towards sustainable and more efficient and integrated delivery of care
More effective use of structural funds for health investments
Reducing health inequalities and improving health and quality of life outcomes
Indicators of results
11
Key Indicator Findings
Industry as leader of AAL projects In average 40% of projects are industry led
SME participation More than 40% SME participation in funded projects
IPR secured Nearly 50% of the projects covered by the survey have already secured the IPR for the results arising from the projects.
Financing secured for going to the market after the project end
25% of the projects covered by the survey have already secured financing for going to the market
AAL related products and services emerging in the market
Many AAL projects intending to deliver new ICT products and services to the market
AAL Joint Programme under H2020
• 17 countries sponsored new proposal
• EU Budget 175 M€/MS budget at least 175M€
• Part of H2020 Societal Challenge 1
• Major contribution to EIP-AHA
• EC proposal for co-decision adopted 10/7/2013
• Possible adoption April 2014
12
Example Holland Monitoring the effects of transitions
in living, care and well-being Development of a neighbourhood-dashboard
Aims and design Monitor • Aim
• Provide insight into trends in different policy areas
• Identification of relevant indicators
• Benchmarking
• Design
• Insight in relevant indicators, domain-knowledge
• Analysis and model-based support
• Geographical view
Method
Collection and manipulation of data
Monitor GIS
Visualisation
Analysis
Indicators
Ordering and operationalization
Relevant factors for each policy aim Benchmark
April 2012 December 2013
Case: Urban monitor Assisted Living in Rotterdam
• Aims
• Implementation programme to develop 16 ALA
• Chart developments at city and city-district level to share good practices in relevant policy areas
• Comparative analysis of and explanatory framework of differences between ALA’s
• Offer tools and instrument for timely optimization of policy interventions
• Profile Rotterdam as city of innovative care concepts
1 Social connectedness*
2 Primary care facilities
3 Social services
4 Citizen-driven organisations, clubs etc.
5 Collective ADL-facilities*
6 Contact point of services
7 Adapted housing
8 Accessible complexes, facilities
9 Accessible outdoor
10 Presence service/nursing centres
11 Meeting point/ community space
12 Safety
13 Shops for groceries
14 Meeting places outside
15 Sociocultural and community services
16 Traffic outside*
17 Lifestyles (DGWT)
18 Number of elderly, people with disability
19 Age
20 Ethnicity
21 Income/financial status
22 Property ownership
23 Living conditions
24 Chronic diseases
25 Medication
26 Subjective health
27 Level of vulnerability
28 Previous admission to hospital/nursing home
29 Fractures
30 Cognitive impairment/ Dementia
Indicators ALA: policy, research, practice
Operationalization The challenge is data!
Manipulation of data?
• Network analysis (walking distances)
• Regression analyses c.q. machine learning
• Combination of quantitative and qualitative data
• Combined indicators
• Quality check
• Scaling data sets
• Individual visualizations
Visualization: data level
Area 6-digit zip code 4-digit zip code
Neighbourhood Building Address
Monitor in GIS web
• Elderly with younger partner
• Distance to nearest child
Social connectedness
Mean age living (not) longer at home
ALA (Neighbourhood)n
ame
Service
flat+
Intramural
Intramural
1 Stadsdriehoek 81.09 83.03
2 Oude Westen 80.00 82.15
3 Schiebroek 84.70 85.87
4 Hoogvliet-Zuid 83.73 83.91
5 Oud-Mathenesse 83.23 83.34
6
Tussendijken
80.27 82.24 Bospolder
Schiemond
7 De Esch 80.23 84.89
8 Rubroek 83.96 85.22
9 Kralingen-West 82.61 85.32
10 Kralingen-Oost 82.75 85.79
11 Het Lage Land
81.18 85.52 Prinsenland
12 Vreewijk 81.53 82.70
13 Lombardijen 80.21 81.76
14 Zuidwijk 82.78 84.27
15 Oud-Charlois 82.93 83.63
16 Blijdorp
82.54 86.74 Provenierswijk
17 Dorp 83.44 85.40
Benchmark ALA’s Number and percentage elderly
Benchmark ALA’s Elderly with little to no disability
Distance to children and presence partner
LEGENDA % met partner
Proximity child
Service flat + intramural
Intramural
% natives - - +
SES-score - -
% 65 ++ + 65+ with little to no need for care + ++
65+ with severe psychogeriatric care needs +
Number of service flats - -
Turnover rate + Social connectedness +
% children in neighbourhood <100m + % children in neighbourhood 2,5-10km + Distance to pharmacy (- -) - Sport facilities for elderly, hours/wk & amount ++
% satisfied with safe pavements ++
% satisfied with condition pavements ++
% satisfied with safe cycle paths ++
% 65+ with adjustments at home +
% 65+ with mobility scooter (Social Support Law) ++ % 65+ with customized transport (Social Support
Law) +
Benchmark ALA’s Number of elderly in custom homes (service flats)
Beperkingen
Beperkingsprofielen
Benchmark ALA’s % 65+ with mobility scooter
• Geographical entity • District, town, region,….
• Target group • elderly, youth, people with disabilities....
• Once or periodically
• Policy aim • Use of care
• Decentralizations effects
• Participation
• Vitality
• Safety
• ….
Applicable to any..
Neighbourhood dashboard
Hoek van Holland, Delfshaven & Schiebroek
Walking distance to support centre(s)
Market (potential) and internal consistency
• Community : Groningen; fase 1:quickscan Selwerd op based on Monitor Rotterdam
fase 2: Monitor Groningen
Rotterdam; follow up for post-test (repeat)
Hardenberg; Social neighbourhood scans
Tilburg; install living lab and innovation session
Roosendaal; install living lab and innovation session
Regio Noordoost Brabant (20 communities); install living lab and innovation session
Lelystad; Community-based approach, case housing and care (GGZ and GHZ)
Breda; Case housing and care (V&V)
Den Haag; Intervention and evaluation
Zwolle and Almere; Methodology and visualization
• NL en EU: VWS, VP and linking with Health Dashboard, EU CALLS (o.a. PHC4)
• TNO: DuCHA, LS, UE&S, MS&G – Smart cities & EQ, Healthy Living
Examples throughout Europe
Let us join to set the agenda!
• Thank you! More information EIP Marketplace: https://webgate.ec.europa.eu/eipaha Active and Healthy Ageing Partnership http://ec.europa.eu/active-healthy-ageing
Lund and Athens
eHealth
2014