What can the European level do to take it further? ILIAS IAKOVIDIS – Acting Head of Unit ICT for Inclusion at DG INFSO (soon to be DG CONNECT), European Commission Active ageing – Home automation at the service of Active ageing External meeting and seminar of the Committee of the Regions ECOS Commission and Marche Region

EU 2020, DAEand EIP AHA

Ageing: from …burden to opportunity Social Necessity Major Opportunity 3 Dependency Ratio From 1:4 to 1:2 80+ doubles by 2025 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 Models Integrated care Large Efficiency gains Growth and Markets 3000 B Wealth 85 Million Consumers and growing

+2 HEALTHY LIFE YEARS by 2020 A TRIPLE WIN FOR EUROPE health & quality of life of European citizens, incl. older people Improving long-term sustainability & efficiency of Europes health and social care systems Supporting competitiveness & markets for innovative products & services = growth and jobs Fostering EIP-AHA Target:

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 BRIDGING GAPS & SPEEDING UP INNOVATION PROCESS IMPROVING FRAMEWORK CONDITIONS JOINING UP RESOURCES & EXPERTISE 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-AHA Added Value:

Prevention, screening & early diagnosis Care & Cure Guidelines for care, workforce (multimorbidity, and R&D Regulatory and standardisation conditions, effective funding Building evidence base, reference examples - Marketplace to facilitate cooperation among various stakeholders Platform for innovation for age friendly buildings, cities and environments EIP ACTIVE AND HEALTHY AGEING multimorbidity Active ageing & independent living Polypharmacy, frailty and collaborative care) Multimorbidity Capacity building and replicabilityof successful integrated care systems Assisted daily living for older people with cognitive impairment Flexible and interoperable ICT solutions for active and independent living Innovation improving social inclusion of older people Vision / Foundation Focus on holistic and multidisciplinary approach Development of dynamic and sustainable care systems of tomorrow New paradigm of ageing Innovation in service of the elderly people Prevention, screening Care & Cure Health literacy, patient empowerment, ethics and adherence Personal health management Prevention, early diagnosis of functional and cognitive decline Guidelines for care, workforce Regulatory and standardisation conditions, effective funding Building evidence base, reference examples Marketplace to facilitate cooperation among various stakeholders Platform for innovation for age friendly buildings, cities and environments Horizontal issues

9 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 standard- developers, industry and users Multi-disciplinary research on fall prevention by linking researchers with doctors, care professionals and elder people.

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). Example: 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 Sites31st May Meetings of Action Groups, Action PlansJune - October Conference of Partners, launch actions6 November

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: Monitoring and Evaluation: A first version of the monitoring and assessment framework should be in place by early 2013 Individual Actions of the Stakeholders Partnerships main objectives (triple win) Specific Actions of the PlanPartnerships key objectives

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. Conclusion

EIP Active and Healthy Ageing

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 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 HOW: network, standardised survey tool identifying health status of mulitmorbid patients AIM: communication & integration between different health & social care providers; avoidance of hospitalisation of older patients Interoperable independent living solutions, including guidelines for business models WHO: regulatory authorities, industry, venture capitalists, procurers, patients/older people & carers HOW: joined-up procurement of independent living solutions; open standards for multi vendor solutions 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 Specific Actions

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 Evidence Repository for age-friendly innovation Marketplace to facilitate cooperation among various stakeholders 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 WHO: stakeholders HOW: stakeholders networking, exchange of good practices AIM: facilitation of innovation, knowledge, good practice transfer/sharing EIP Horizontal Actions

HOW TO ENGAGE