EIP - AHA
3rd Conference of Partners
Scaling Up Good Practices
Reference Site Collaborative Network –
Supporting Knowledge Exchange,
Partnership Working and Scaling Up
Maddalena Illario
EIP-AHA Reference Site Collaborative Network
Campania EIP-AHA Reference Site
1 December 2014
Population: 5,77 M (30 nov 2013)
PIL pro capite: 16.400,00 EUR (2008)
Inhabitants/km²: 429
Ageing index 102,7%
GPs
Hospital
Beds
Medici di medicina generale
Posti letto ospedalieri ordinari
Ultimo
disponibile
Ultimo
disponibile
CAMPANIA
16823
CAMPANIA
4474
Superiore
Superiore
4-a
4-a
Indice di invecchiamento M+F
3-a
3-a
2-a
2-a
Inferiore
Inferiore
No dati
No dati
Min = 1200
Min = 231
Ultimo
disponibile
CAMPANIA
100.68
Popolazione residente M+F
Numero ASL
Health
Districts
Superiore
4-a
3-a
2-a
Inferiore
No dati
Min = 87.74
Ultimo
disponibile
CAMPANIA
13
Aging
Population
Residents
Ultimo
disponibile
CAMPANIA
5799240
Superiore
Superiore
4-a
4-a
3-a
3-a
2-a
2-a
Inferiore
No dati
Min = 1
Inferiore
No dati
Min = 286217
COMMITMENT B3
COMMITMENT A3
COMMITMENT A1
CAMPANIA
REFERENCE SITE
Campania Reference Site: INNOCARE. Bridging Health Care Innovation to Europe.
Commitment A1: An integrated Adherence Monitoring System regarding patients
with chronic conditions (AMS).
Commitment A3: An integrated model of care, cure and prevention for fraility
osteoporosis and its complications (OSTEOCARE).
Commitment B3: An integrated, web-based network to improve the management of
high risk fragile elderly patients (Campania nel cuore (HeArtBit).
Good Practice1. Implementing innovative prevention and health promotion strategies to tackle frailty through:
 Health Campus:
- health promotion activities on the territory
- screenings and detect frailty and pre-frailty conditions
- pilots on nutritional interventions
 CIRFF for Prescription adherence:
- monitoring of administrative health databases (mainly prescription and hospitalization data flows)
- Annual Regional Report about correct drug utilization aimed to Regional authorities.
•
- Clinical audits about specific diseases of relevance (eg COPD) aimed to general practitioners.
•
- Informative campaigns aimed to citizens and involving pharmacists
Good Practice2. Use of ICT for the integrated care of chronic patients: through “Campania nel Cuore” :
- Increase the number of patients affected by chronic cardiovascular diseases that are enrolled in the
telematic follow-up for Napoli Area.
- Extend the use of the ICT model to the Salerno Area at the AOU San Giovanni di Dio e Ruggi
d’Aragona University hospital.
- Increase the number of patients enrolled in the telematic follow-up by scaling up the model to the
Salerno Area.
Good Practice3. Campania Integrated Regional ICT Health Network through:
- infrastructural set-up ( broad and ultra-broad band) for an integrated ICT regional network
- start with a centralized management and accounting system in Health (eHealth) and a central
dashboard, fully integrated with the systems of territory health units (ASL) monitoring not only
administrative and accounting data, but also supporting management data related to the
implementation of the LEA (Essential Levels of Care), integrating in a coherent way the services
offered by the different regional providers.
Campania Region Resolution N° 622 of November 13, 2012
@
http://www.policlinico.unina.it
Federico II University Hospital Mission
Integration of health care services with research and training
Federico II Hospital is oriented on the centrality of the
person, defined as:
 Patient / user
 Professionals
 Students.
Towards the patient/user, Federico II Hospital aims to
provide services not only to meet his health needs, but
also the emotional, socio-cultural and psychological ones.
Buildings :
Surface Mq:
Beds:
Employes:
Budged:
Departments :
Student >
21
440.000
1000
2000
210 ML euro
6
40.000
European Transparency Register N° 686681213892-44
Organization Deed FOUND Decree N°198, May 20, 2013
Since the RSCN…
…EXAMPLES OF ALLIGNEMENT OF EXISTING INSTRUMENTS
• “Campania Bioscience” district (PON-REC)
-In the context of the Intervention Line 8 (“New therapies”): we are currently
submitting 2 projects for internationalization and support of horizontal
activities, in collaboration with our RSCN partners.
• Public Procurement
- PON-REC 2007-2013 call N° 437 March 2013
Project «MEDICATE»: financed for 1.2ME
Focus on frailty, multimorbidity, politherapy and prescription adherence
• Horizon 2020
- Project PIEMM 3
Focus on frailty, multimorbidity, politherapy and prescription adherence
• Perssilaa (FP7 STREP/ICT)
• Beyond Sylos (CIP)
The EIP-AHA context provided the background to
maximise the local impact of EU-supported projects
Sharper focus on adoption & exploitation
What the RSCN supported for Campania:
 broadening regional agenda on internationalization
 moving up Campania into national agenda
 increasing the local impact of international projects
 providing examples of GPs and on their implementation in different context
 providing multi-disciplinary highest level expertise
KEY ENABLERS:
 EIP-AHA RSCN
 EIP-AHA ACTION GROUPS
 synergy with national internationalization strategies: MATTONE INTERNAZIONALE
NUTRITION AG COORDINATION :
 facilitated approach of Campania RS through focused
operational strategies
 provided the AG with broader perspectives
 provided the RSCN with bottom-up perspective
POTENTIATE BIDIRECTIONAL COMMUNICATION STRATEGIES
BETWEEN
REFERENCE SITES AND ACTION GROUPS
European Scaling-up Strategy in Active and Healthy Ageing
Based on robust evidence
(a) knowledge learning and sharing across Reference Sites;
b) agreements at regional and national level to scale up
IDENTIFICATION OF SUSTAINABLE AND EFFECTIVE IMPLEMENTATION STRATEGIES
What can Campania RS do to contribute to the EIP-AHA and the RSCN agenda
EIP-AHA CAMPANIA RS
THREE-FOLD LEVELS STRATEGY ACROSS
EUROPEAN, NATIONAL AND REGIONAL LEVELS
RSCN
OTHER NETWORKS
EC
MATTONE
INTERNAZIONALE
HEALTH MINISTRY
OTHER REGIONS
•
•
•
•
•
IDENTIFICATION OF WORKING GROUPS
VALORIZATION OF ONGOING LOCAL INITIATIVES
NETWORKING
COORDINATION
LIASING WITH DISTRICTS/CENTERS OF EXPERTISE
ICT-INTEROPERABILITY
SOCIO-SANITARY INTEGRATION
HEALTH LITERACY
INTERNATIONAL
APPROACH
PRIORITY ISSUES
RSCN
KEY ROLE in facilitating the RS engage at Regional, National and International level.
MULTI-DIMENSIONAL APPROACH TO AGEING
Thank you