Symposium 'In Zukunft Leben'

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In Zukunft Leben 29.10.2014

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Agenda

1. Healthy Ageing

2. Future of Health Care

3. Healthy Ageing Europe and the Northern Netherlands 4. Programme Healthy Ageing Hanze UAS

5. Centre of Expertise Healthy Ageing 6. Prepare for health care in the future

2 In Zukunft Leben 29.10.2014

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Life expectancy

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Prognosis

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Societal benefit

From young to old age

Ambition

Healthy Ageing: Longer healthy

Interventions Prevention Age He alt h

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Graph Remaining (healthy) life expectancy

Remaining (healthy) life expectancy

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Challenges

Demographic changes touch socially and economically for example on:

• Pensions

• Labour market • Health care

• Living environment/Housing • Healthy ageing

That is why high on European agenda

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A number of facts

The Netherlands

• Population of 65+ increases from 2,6 million (2011) to 4,6 million (2040) • Costs for health care for the elderly increase with 2,5% per year

• Demand for health care personnel increases with 1,4% per year • Supply of personnel decreases with 0,2% per year

Over a period of 29 years 75% of the care supplied by nursing practitioners is for patients of 65 +

Professionals prepare for the upcoming changes

The future of health care

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Future of health care

• Ageing society: - More elderly

- More chronically ill people - More singles

• Cost reduction is imperative

• Emphasis on prevention and independency

• Technical innovations and telehealth technology • Patient is well informed

• More healthy years

• Big changes long term and residential care funds • WMO and youth care: municipalities responsible • Multidisciplinary teams

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Active & Healthy Ageing in Europe Definition WHO (2002)

Active & Healthy Ageing is:

• The process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age.

• Active ageing applies to both individuals and population groups.

• It allows people to realize their potential for physical, social and mental well-being

throughout their lives and to participate in society according to their needs, desires and capacities,

• while providing them with adequate protection, security and care when they require assistance (WHO 2002)

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Decision making to approach the target healthy ageing in the Northern Netherlands

Focussing on the issues and challenges the region is faced with as described in the above slides the University Medical Centre Groningen (UMCG) took action about 8 years ago.

This was followed up by for example the Akkoord van Groningen, in which the following stakeholders took part:

• University of Groningen (RUG) • Hanze UAS

• Municipality of Groningen

Later on the provinces of Groningen, Friesland and Drenthe gave their support and through the SNN (Co-operation in the Northern Netherlands) also the 4 most important municipalities of Groningen, Leeuwarden, Assen and Emmen.

After this the subject was included as one of the main targets in the regional plans. At present it is still 1 of the 4 key issues in RIS3 (Research and Innovation Strategy for Smart Specialization).

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Active and Healthy Ageing hot topic in EU

2012: Year of Active Ageing

• European Innovation Partnership on

Active and Healthy Ageing

• Effect of themes EIP AHA in Horizon

2020 programmes

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Programme Healthy Ageing Hanze UAS

Focus: Life style (incl. prevention,participation,

quality of life, for young and old)

Themes: Exercise and nutrition

Context: Labour and housing

(relation eHealth/entrepreneurship) - Multidisciplinary approach

- Cooperation/comakership

- Connection Education & Research - Innovation partner in the region - Economic regional development

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Innovation is indispensable to healthy ageing

Active and Healthy Ageing in Europe

Active and Healthy Ageing

The challenge

To universities (of applied sciences)

AHA

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Challenge for education

Education should prepare professionals for the future Example:

Study programmes for nursing and medical educations: * only 3% is about ageing & care for the elderly

* 45% of the nursing students do not want to work with older people

(source: article “health education has blind spot for care for older people” Dec.2011)

Education

Social innovation

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Healthy Ageing in Education

Active and Healthy Ageing is component in: 20 bachelor studies in all domains, for example

• Health Care studies (Physiotherapy/Dental Hygiene, etc.) • Social studies

• Sport studies

• Engineering/ ICT/HIT

Also in masters/honours & minors, for example • Minor Healthy growing/

healthy ageing

• Minor Care and technology

• Honours programme Healthy Ageing • Master active ageing

• Topminor Future in health

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Healthy Ageing in Education

More knowledge about older people/ageing in study programmes of for example Nursing and Social studies Imaging: Better educational materials/roll models

Knowledge of subjects as independent living/e-health,

organization of health care, healthy life style and behaviour change

Competencies in the area research/entrepreneurship/ multidisciplinary working essential for innovation

How do we prepare our students?

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Healthy Ageing in Research

5 out of 6 centres of applied research

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UAS Centre of Expertise Healthy Ageing

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Labour Market

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Entrepreneurship

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Area Development

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Art and Society •> 20 professorships •> 75 lecturer/researchers •18 PhD students

•5 out of 6 centres of applied research involved •10 big and many little projects

•Many students involved

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Internationalization of research

EIP-AHA

_{1. Prescription and adherence}

2. Fall prevention

3. Functional decline and frailty, malnutrition

4. Integrated care models

5. Interoperable independent living solutions

6. Age friendly buildings, cities and environments

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Healthy Lifestyle - examples

Food

• Healthy Food & Eating habits • Malnutrition

• Development of new products (eg in project Food Circle with SME) • Involvement in European Innovation Partnership

Physical activity

• Programmes for special groups (elderly, handicapped) eg Delfgoud project

• Role of ICT/self tracking

• Exercise friendly environment

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Entrepreneurship examples

E-health

• Springboard (medical technology) • Serious gaming

• Development of apps

Entrepreneurship

• Marketing in health care organizations • Quantified self: new business

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Strategic decision to establish a Centre of Expertise Healthy Ageing

Within the Ministry of Education, Culture and Science the initiative was born to establish Centres of Expertise throughout the country. These centres had to focus on a theme. The aim was to concentrate money on certain developments instead of dispersing initiatives all over the

country. Thereupon the president of Hanze UAS Henk Pijlman and the programme director Healthy Ageing Joost Degenaar submitted an

application with the Ministry for the establishment of a centre of

expertise around the theme of Healthy Ageing. Regarding to this goal partnerships have been established between the 4 Universities of

Applied Science in the Northern Netherlands. This has been confirmed in the ‘Sectorplan Noord’.

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Centre of Expertise Healthy Ageing

We started writing the Businessplan in January 2013

Applicant: Hanze UAS

Partners: from 35 to 140 partners

Scale: 16 million Euro in total in 4 years

Functions: research, innovation of practice,

innovation of education, business development with eg SME (small and medium sized enterprises)

Form: regional living labs

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Themes and funtions CoE

Themes: innovation of Care and Wellbeing

- Prevention; Citizens; Participation

- Exercise and Nutrition; Housing & Labour - Technology & ICT (eHealth)

- Cost reduction health care - Role professionals

Functions:

- Applied research/Practice-oriented innovation - Education development/Business development - Information/PR/Communication

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CoE / Research

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Need with partners care/wellbeing for research of innovation (zero measurements, effect measurements) and Evidence Based

Working

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Need with companies for testing/validating of new products

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Motivation from professorships to use CoE and innovation labs for

reinforcement and preserving cooperation with external partners on applied research

Key performance indicators (KPI’s) Businessplan: number of research programmes and projects

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Opportunities for professors, lecturers and students

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Opportunities for connecting Research and Education

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CoE: Initiative and Connection

The search for balance between:

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Well considered beginning & Dynamic start

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Quality assurance & No bureaucracy

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Central direction & Decentral implementation

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Research & Education

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Partners CoE HA

• 4 Northern Universities of Applied Sciences • 5 Regional Educational Centres

• UMCG, University of Groningen

• Care and Wellbeing: more than 50 partners • Businesses: more than 50 partners

• Authorities: 7 local, 2 regional

• Further: HANNN, ZorgInnovatieForum (network

organizations)

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Reasons for the development of the PPP (public-private partnership)

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PPP has been the opportunity for Hanze UAS to reinforce the strategic theme Healthy Ageing and to further raising the profile of Hanze UAS, especially on the themes of entrepreneurship and with that also the development of the strategic themes. Whereas at first PPP was the domain of the institutes for basic research (universities), there now is a shift to the universities of applied science, because more market designed products and services are developed this way and it does not end with basic research.

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Innovation labs

Form Triple helix (institutes for care and wellbeing, businesses, knowledge institutes) Aim Realising innovative solutions (products, services) to practise-based questions in

care and well-being

Cooperation Educational institutions, institutions for health care and wellbeing, businesses, regional and local authorities, researchers, lecturers and students

Realisation Spring 2014: 23 innovation labs

Themes: 1. Active Life Style & Sports, 2. eHealth & Technology, 3. Healthy Food,

4. Youth & Life Style, 5. Living, Leisure & Care, 6. Healthy Ageing at Work, 7. Wellbeing & Care

Output New products and services

At the end of 2014: about 25 innovation labs

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Innovations

Vision on innovation:

The CoE HA focuses on realising practice-based innovation. This

concerns the improvement and further development of existing products, services and education and the implementation of practical innovations. We lead towards innovations which are developed in such a way that they are reproducible and upgradable. There is a relatively large chance we will succeed by making the best possible use of existing expertise. In addition the CoE HA wishes to realise a number of disruptive innovations with

completely new services and products.

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Centre of Expertise/Education

KPI’s businessplan CoE for example:

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Duplication of the number of credits for care of the elderly in study programmes of

nursing, health practitioners, social work and related studies VET (vocational education and training) and higher professional education

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Duplication of the number of credits for technology and eHealth studies

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Duplication of volume of education with input from partners

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Duplication of number of placement students from VET and higher professional education

Critical success factors:

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Working with long term vision placement/graduation/projects

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The same for assignments minors and research assignments

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Quality of coaching, students, products

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Not only initial education, but also Life Long Learning

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Results CoE HA after 1.5 year

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Over 7 million € on innovation programmes started

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Growth from 35 to 140 partners

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118 partners active in 23 innovation labs

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Growth to 25 innovation labs at the end of 2014

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Over 160 students from VET and higher education involved

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21 research programmes, 71 research projects

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11 innovative products and services

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New educational programmes in higher professional education and VET

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12 new companies on healthy ageing

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Een aantal feiten

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Example: Innovation labs Active Life Style & Sports

Active Ageing for the Elderly

Initiator Hanze UAS; partners eg ZuidOostZorg, VitalinQ and Sense. Aim: Keep older people healthy for as long as

possible with the aid of prevention and increasing their social and work participation, for example life style programmes, apps, refresher courses for professionals

Active Ageing for People with a Mental Impairment

Initiator prof. Aly Waninge Centre of Expertise HA; partners eg De Zijlen, Visio, VitalinQ and Sense. Aim: Keep people with

a mental impairment physically healthy for as long as possible with the aid of prevention and increasing their social and work participation, for example life style programmes, apps, refresher courses for professionals

Active Ageing Diabetes

Initiator dr. Martijn de Groot Centre of Expertise HA; partners eg Bethesda Diabetes Research Centre, companies. Aim:

Keep people with diabetes as healthy as possible for as long as possible with the aid of prevention and increasing their social and work participation, for example life style programmes, apps, refresher courses for professionals

Sports and Healthy Ageing

Initiator: UMC and University Groningen (Human Movement Sciences), partners: Lode, HG Aim: multi-disciplinary prevention and medical supervision of the (injured) athlete

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Example: Innovation labs eHealth & Technology

eHealth / Serious Gaming:

Initiator prof. Ate Dijkstra NHL; partners eg Noorderbreedte, VET, Lable Care,

Grendel Games, Limis.

Aim: Making it possible for older people to stay in their own homes for longer by

means of serious games, e-learning, eHealth coaching; through practice based research, educational innovation, business development.

Exergaming for Children with Motorial Impairments

Initiator dr. Ant Lettinga UMCG/Department of Rehabilitation; partners eg Hanze

UAS, NHL, CGI, KPN, Ordina.

Aim: By using exergaming and modern media in the rehabilitation of children with

a motorial impairment organising and evaluating their own home environment in a smarter and more efficient way

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Example: Innovation Labs Healthy Food

Health, Food & Technology

Initiator prof. Feike v.d. Leij VHL; partners eg NHL, VET, food companies Telson,

Koopmans.

Aim: innovations in the field of healthy food (new sources of fibres from residual

waste of shrimps and new applications of proteins from dairy products: slow carb and high protein).

Clinical Malnutrition

Initiator prof. Harriët Jager UMCG; partners eg Hanze UAS, VET, Friesland

Campina, Ordina. Aim: To increase the knowledge concerning diet and exercise for patients who are in danger of malnutrition.

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Example Innovation Labs Wellbeing & Care

Social participation of people with a psychiatric impairment

Initiator GGZ Friesland; partners eg Hanze UAS, NHL, RGOc/UMCG, Timpaan, municipality of Leeuwarden. Aim: Combining practice based scientific research with the implementation of new interventions and the

training of professionals, so that more insight will be gained into the success factors and the impediments the target group experiences when it starts to participate in society as a result of reallocation of functions from the Dutch Association of Mental Health and Addiction Care to the local authorities.

Wellfare and Health Care Elderly People: Innovation through Learning

Initiator prof. Evelyn Finnema NHL; partners eg ZuidOostZorg, VET, Hanze UAS Aim: To set up a learning community by means of co-makership.

Introduction of Social District Teams in the Municipality of Emmen

Initiators Sedna (Tinten) and Promens Care; Partners eg Municipality of Emmen, institutions for care and

wellbeing, Hanze UAS

Aim: To develop a managerial and support model which does justice to the multi-level question within the

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Healthy Ageing: your/our future

http://www.youtube.com/watch?v=LL-TJjCJPaI

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Prepare for a working life with an ageing population

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Other ways of working:

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Innovative

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More technology/telehealth

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Multidisciplinary

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More grouplike, exercise programmes

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Role in prevention and care independency

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Societal and economical benefits

Investing in knowledge about Healthy Ageing – ageing healthily and actively – will result in considerable societal and economical benefits. Loss of health as a result of ageing can be reduced by one third and care expenses can in the most optimistic scenario in 2050 be reduced to a small 18% of the Gross Domestic Product. Furthermore it favours extra labour participation, which can amount to over 150.000 persons in 2050. This was pointed out by

economist Marc Pomp in his research assigned by the University Medical Centre Groningen.

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For more information and/or

questions

www.healthyageing.net

Manager Business Development Peter Boonstra p.h.boonstra@pl.hanze.nl