After an action packed first day, the second day of the conference continued with a plenary session focussing on the co-investment opportunities with member states and regions. Three break-out sessions were held leading discussions on the main priorities of the EIPonAHA including the Innovation to Market (I2M) programme, the Blueprint on the digital transformation of health and care for the ageing society and the MAFEIP tool. Later on in the day, participants gathered back in the main hall for a plenary session to discuss the needs and opportunities for capacity building and knowledge transfer to support the scaling-up of digital health solutions for AHA. Finally, each of the action groups were able to meet and discuss their achievements and what is to come in the future. This second day rounded off a productive conference that has helped to shape the future of the European Innovation Partnership on Active and Healthy Ageing (EIPonAHA).
A summary of the main conclusions, key quotes and statistics can be seen below. Some presentations from the speakers are also available for download.
The large-scale deployment of innovative integrated care model – which are digitally-enabled and organised around people’s needs – requires significant financial investment. This session discussed the needs and opportunities for leveraging national, regional and private investments towards this objective, in particular for active and healthy ageing.
“While investment has been made in both infrastructures and medical innovation, the development of new care models and services has not received significant investment – maybe because it takes some time to see the results and to get a return on investment.”
Edoardo Reviglio, European Association of Long-term Investors, Belgium: Only 20% of all infrastructures in the European Union are social infrastructures. The European Investment Bank has invested over 28 billion€ in the last 30 years in the health sector.
This session was about bringing innovation in health and care to the market: assessing and prioritising potential actions that can be implemented so as to fill in identified market gaps in the Active and Healthy Ageing sector in Europe.
Brian O’Connor, WE4AHA and ECHAlliance: “Mindsets are sometimes the problem; funding is not”.
Alexia Zurkuhlen, WE4AHA and ECHAlliance: There was a low percentage of respondents to the Innovation to Market (I2M) survey: 36 out of 400 small-and medium-sized enterprises and start-ups that were contacted. This quote can be interpreted as a comment on what are the needs of these firms: they simply do not have sufficient resources to even answer a short questionnaire.
The Blueprint on digital transformation of health and care, which was adopted in 2016, will be updated during the new 2018-2020 cycle, with the contribution of the Partnership. It will enable people to agree on a number of priorities and concerted actions to boost the deployment of digital health solutions.
Anne Auffret, European Commission and Veli Stroetmann, WE4AHA and empirica: “The revision and update of the Blueprint in the WE4AHA coordination and support action started with the identification of four priority topic areas. The process of elaboration and further development has involved a large number of stakeholders including people from industry, public administrations (mainly representing the Reference Sites), academia, companies involved in innovation, and ICT expertise. Panellists on each topic area reported on the main agreed recommendations.”
Marc Lange, EHTEL, Belgium: Allocate resources for developing, validating and packaging a set of tools and methods to help implementers.
This session showcased the new MAFEIP 2.0 tool. It showed how the tool can be used to assess the cost-effectiveness of interventions and assist people with appropriate decision-making.
Francisco Lupiáñez-Villanueva, WE4AHA and Open Evidence: “The tool can help you whether you are a policy-maker, a health and social care provider, a researcher or a company.”
Francisco Lupiáñez-Villanueva, WE4AHA and Open Evidence: “The tool uses 3-state, 4-state, and 5-state Markov models to calculate evidence.”
This session discussed the needs and opportunities for capacity building and knowledge transfer to support the scaling-up of digital health solutions for AHA. The panellists presented lessons learned from twinning actions and their practical experience with implementing digital solutions for integrated care.
Veli Stroetmann, WE4AHA and empirica: In the frame of the 2016 initiative on twinning, 43 twinning organisations from 13 countries have been involved as either adopters of innovations and/or originators of one.
Leo Lewis, International Foundation for Integrated Care, United Kingdom: According to the literature, social connection and discussion is 14 times more effective than the written word.
Adherence to medical treatments for ageing people should evolve from a patient-centric to a person-centric approach, and leverage empowerment and education – both for professionals and citizens – dissemination, cooperation among academics, public authorities, communities and industries, and ICT.
Anna Giardini, ICS Maugeri, SpA SB, Italy: “Adherence is a concept that should be cross-cutting all the EIP on AHA Action Groups, since is a determinant.”
A book entitled “Adherence to medical plans for Active and Healthy Ageing” was co-edited by Action Group A1 members (Costa, Giardini, and Monaco) with the contribution of a further 56 members of the Action Group:
https://ec.europa.eu/eip/ageing/content/•-book- chapter-adherence-medical-plans- active-and- healthy-ageing- has-been- published-nova_en
The overall goal of the joint session between C2 and D4 Action Groups was to pilot a new bottom-up, participatory, co-creational and cross-cutting way of working among Action Groups. This was seen as a potential new model of governance and was intended to promote alignment between Action Groups in the EIP on AHA. This new model should enable more effective contributions to the Digital Single Market’s and the Blueprint’s ambitions. Further expansion of joint working is also likely to be explored.
“We want to see what is the ‘common ground’ and what are the complementarities between this European Innovation Partnership and the Partnership on Smart Cities and Communities!” https://eu-smartcities.eu
Almost 70 people present in the room voted on their preferred approaches to collaborating on “living environments” and committed themselves to working on these in the future.
This session focused on potential next steps around lifespan health promotion; tackling frailty was also covered in the discussions. The potential recommendations targeted joint planning, joint funding, and the bridging of silos, as well as cooperation – including international – with other prominent and important institutions and organisations.
“Action Groups need stronger alignment with Reference Sites.”
Twinning programmes need broader funding, especially for scaling-up processes.
This group responded to the challenge of how it can become a knowledge hub and cited close to 30 possibilities for action in the future. A Prezi presentation was shown that highlighted the group’s many achievements.
Rachelle Kaye, Assuta Medical Centers, Israel: “Integrated care is a people process. Organisations need to be willing to change their processes, so that they can work together more effectively.”
Over eight hundred people are enrolled in this Action Group on the Yammer social networking service. Almost all the 4* Reference Sites are associated with the group. In terms of Commitments, Spain has made over 60, and Italy and Portugal around 30 each.
This session explored advances made by the Action Group. It examined how to apply various tools and methods to measure injuries and falls, and identified the challenges implicit in scaling-up and how twinning and coaching can help.
Isabella Springhetti, Fondazione Salvatore Maugeri, Italy: “The CAF-AHA tool is an enrichment of MAFEIP, applied to pain, falls, and e.g., hip surgery.”
Ann Murray, National Falls Programme, Scotland, quoting a use case on the Scottish Ambulance Service: “They really know what they are doing in relation to falls.”
Two initiatives focus on 4-step and 5-step approaches to scaling-up: they are an approach developed by the National Institute for Health and Welfare (Finland) and the EIP on AHA scaling-up procedure.
The session presented the closing remarks by two representatives of the European Commission, Tapani Piha and Miguel González-Sancho.
Miguel González-Sancho, DG CONNECT: “No matter what the EIP becomes after 2020, we can today say that the EIP is alive.”
A1 Adherence to prescription, A2 Falls prevention, A3 Functional decline and frailty, B3 Integrated care, C2 Independent living solutions, D4 Age friendly environments