Active ageing –
What can the European level do to take
it further?
“Home automation at the service of Active ageing”
External meeting and seminar of the Committee of the
Regions ECOS Commission and Marche Region
ILIAS IAKOVIDIS – Acting Head of Unit ICT for Inclusion at
DG INFSO (soon to be DG CONNECT), European Commission
EU 2020, DAE
and EIP AHA
Ageing: from …
burden to
opportunity
Social Necessity
Major Opportunity
Dependency Ratio
Empowerment
•From 1:4 to 1:2
•80+ doubles by 2025
•Active Ageing
Cost of Care
New Care Models
•Up by 4-8 % of GDP by
2025
•Integrated care
Human Resources
Growth and Markets
•Shrinking work force
•Lacking 20 million carers by
2020
•3000 B€ Wealth
•85 Million Consumers and
growing
•Large Efficiency gains
••• 3
EIP-AHA
Target:
+2 HEALTHY LIFE YEARS by 2020
A TRIPLE WIN FOR EUROPE
Improving
Supporting
Fostering
health & quality of life of European
citizens, incl. older people
long-term sustainability & efficiency of
Europe’s health and social care systems
competitiveness & markets for innovative
products & services = growth and jobs
EIP-AHA
Added Value:
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
EIP-AHA
Added Value:
Building synergies
FACILITATING SCALING UP & MULTIPLYING
JOINING UP
RESOURCES
&
EXPERTISE
BRIDGING
GAPS &
SPEEDING UP
INNOVATION
PROCESS
IMPROVING FRAMEWORK CONDITIONS
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
EIP ACTIVE AND
HEALTHY AGEING
Horizontal
issues
• Regulatory and standardisation
conditions,
effective funding
• Building evidence base, reference examples
• Regulatory
and standardisation
effective
funding
• Marketplace
to facilitate
cooperation conditions,
among various
stakeholders
• Building
evidence base,
reference
examples cities and environments
• Platform
for innovation
for age
friendly buildings,
• Marketplace to facilitate cooperation among various stakeholders
• Platform for innovation for age friendly buildings, cities and environments
Prevention, screening
& early diagnosis
Care & Cure
Care & Cure
Prevention, screening
Health literacy, patient
empowerment, ethics and
adherence
Personal health
management
Prevention, early
diagnosis of functional
and cognitive decline
•
•Guidelines for care,
workforce
Guidelines for care,
(multimorbidity,
multimorbidity
workforce
Polypharmacy, frailty
and collaborative care)
•
•
Assisted daily living for
older people with
cognitive impairment
•
Flexible and
interoperable ICT
solutions for active and
independent living
and R&D
Multimorbidity
•
Capacity building and
replicability of successful
integrated care systems
Active ageing &
independent living
Innovation improving
social inclusion of older
people
Vision / Foundation
• New paradigm of ageing
•
• Focus on holistic and multidisciplinary approach
•
• Innovation in service of the elderly people
• Development of dynamic and sustainable care
systems of tomorrow
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 standarddevelopers, industry and users
Multi-disciplinary research on fall prevention by linking
researchers with doctors, care professionals and elder
people.
9
Example:
• 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).
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
Meetings of Action Groups, Action Plans
Conference of Partners, launch actions
31st May
June - October
6 November
Monitoring and
Evaluation:
 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:
Individual Actions of the
Stakeholders
Partnership’s main objectives
(triple win)
Specific Actions of the Plan
Partnership’s key objectives
 A first version of the monitoring and assessment framework
should be in place by early 2013
Conclusion
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.
EIP Active and Healthy Ageing
Http://ec.europa.eu/active-healthy-ageing
EC-EIP-AHA@ec.europa.eu
http://twitter.com/#!/EIP_AHA
••• 15
EIP
Prescription and adherence
action at regional level
WHO: pharmacists, health
professionals, carers, patients
HOW: advanced clinical
analytical ICT-enabled tools
application of clinical protocols
AIM: identification of
non-adherent patients &
counselling them on the use of
medication
Specific Actions
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 & frailty
WHO: 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
level
WHO: public & private,
care providers, health
professionals, patients,
social carers
Interoperable independent living
solutions, including guidelines for
business models
WHO: regulatory authorities,
industry, venture capitalists,
procurers, patients/older people &
carers
HOW: network,
standardised survey tool
identifying health status of
mulitmorbid patients
HOW: joined-up procurement of
independent living solutions; open
standards for multi vendor
solutions
AIM: communication &
integration between
different health & social
care providers; avoidance
of hospitalisation of older
patients
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
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
Horizontal Actions
Evidence
Repository for age-friendly
innovation
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
Marketplace to facilitate cooperation among various
stakeholders
WHO: stakeholders
HOW: stakeholders’ networking, exchange of good practices
AIM: facilitation of innovation, knowledge, good practice
transfer/sharing
WHAT
COMMITMENT
EXPRESSION OF
INTENT
‘REFERENCE SITE’
MARKETPLACE
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
WHO
- 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
HOW
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
WHEN
29 February –
31 May 2012
29 February –
31 May 2012
April 2012 -