ASOCIACION CENTRO DE EXCELENCIA INTERNACIONAL EN INVESTIGACION SOBRE CRONICIDAD [ KRONIKGUNE ]

TORRE DEL BEC, Ronda de Azkue 1 48902 Barakaldo, BIZKAIA - Spain

Involved in the following projects during the 3rd programme

3rd Health Programme (2014-2020)
Managing Frailty. A comprehensive approach to promote a disability-free advanced age in Europe: the ADVANTAGE initiative [ADVANTAGE]
Managing Frailty. A comprehensive approach to promote a disability-free advanced age: the ADVANTAGE initiative
ADVANTAGE will build a common understanding on frailty to be used by Member States on...
Managing Frailty. A comprehensive approach to promote a disability-free advanced age: the ADVANTAGE initiative
ADVANTAGE will build a common understanding on frailty to be used by Member States on which to base a common management approach of older people who are frail or at risk for developing frailty in the European Union.
The identification of the core components of frailty and its management should promote the needed changes in the organization and the implementation of the Health and Social Systems to provide those models of care that, stemming from the particular health profile of each Member State (MS), will allow them to face the challenge of frailty within a common framework.
ADVANTAGE will summarise the current State of the Art for the different components of frailty and its management, both at individual and population level, will collect information on the development of programs to manage frailty in older adults in the EU and will propose, as its main outcome, a common European model to approach frailty. This model will include a road map that, considering the degree of frailty policies� development, will propose interventions for frail and at risk people and will establish tailored milestones for each MS in order to achieve a comprehensive approach to promote a disability-free advanced age. Furthermore, the model will identify gaps of knowledge in the field that would benefit from further research.
Start date: 01/01/2017 - End date: 31/12/2019
Keywords : [ Ageing ] [ Frailty ] [ Function ]

Call: Health Programme Adhoc Call for invited (named) beneficiaries
Topic: Prevention of frailty
3rd Health Programme (2014-2020)
Personalised Knowledge Transfer and Access to Tailored Evidence-Based Assets on Integrated Care: SCIROCCO Exchange [SCIROCCO Exchange]
The project builds upon the preliminary achievements of the B3 Action Group on Integrated Care of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) that first developed the...
The project builds upon the preliminary achievements of the B3 Action Group on Integrated Care of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) that first developed the concept of the B3 Maturity Model. Through the activities of the EU Health Programme funded project SCIROCCO, the Model has been further refined and is supported by a validated online self-assessment tool for integrated care. The ambition of the SCIROCCO Exchange project is to maximise the value and impact of the Model and Tool. The purpose of this hub is to facilitate the process of “matching” the needs of the regions with existing evidence on integrated care, good practices, tools and guidelines and thus facilitate the learning and exchange of good practices. The project will deliver improved coding of available evidence on integrated care and make the learning readily available to potential adopters. The project also explores the readiness of local environment for the adoption of integrated care, using the SCIROCCO online self-assessment tool, in order to understand the local needs and the ground for the transition. This will serve as a basis to design a tailored capacity-building approach and personalised assistance to national and regional health and social care authorities. The project will capture the learning from the process of transferability and knowledge transfer in order to inform improvement planning for integrated care. Finally, the project will also be an opportunity to explore the potential expansion of the SCIROCCO Maturity Model and its online self-assessment tool for integrated care to other relevant areas of active and healthy ageing.
Start date: 01/01/2019 - End date: 28/02/2022

Call: Call for Proposals for Projects 2018
Topic: Scaling up integrated care
3rd Health Programme (2014-2020)
SCALING INTEGRATED CARE IN CONTEXT [SCIROCCO]
Grounded in the extensive experience of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA), SCIROCCO aims to provide a validated and tested tool that facilitates the success...
Grounded in the extensive experience of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA), SCIROCCO aims to provide a validated and tested tool that facilitates the successful scaling-up and transfer of good practices in integrated care across European regions. SCIROCCO will specifically focus on successful local interventions (good practices) that have demonstrated significant benefits to citizens, communities and service providers and that feature moving towards community-based, integrated health and social care service models.SCIROCCO will deliver an assessment of the contextual requirements necessary for the scale-up of these interventions and the capacity of regions to adopt them. SCIROCCO will also compare the readiness of five European regions to adopt good practices in the provision of integrated care, to demonstrate the effectiveness of the tool in practice.SCIROCCO explores how matching regions that have complementary strengths and weaknesses can deliver two major benefits: a strong basis for successful twinning and coaching that facilitates shared learning and effective knowledge transfer; and practical support for the scaling-up of good practices that promote active and healthy ageing and participation in the community.Finally, SCIROCCO captures the lessons learned from twinning, coaching and knowledge transfer activities as a significant contribution to supporting the broader implementation and scaling-up of local integrated care interventions in Europe, in line with the European Commission's 'European Scaling-up Strategy in Active & Healthy Ageing'.
Start date: 01/04/2016 - End date: 30/11/2018

Call: Call for Proposals for Projects 2015
Topic: Support for the implementation and scaling up of good practices in the areas of integrated care, frailty prevention, adherence to medical plans and age-friendly communities
3rd Health Programme (2014-2020)
YOUNG50 #Stay Healthy - Cardiovascular Risk Prevention [YOUNG50]
Cardiovascular diseases (CVDs) are a leading cause of mortality in the European Union causing over 1.8 million deaths per year (EHN Cardiovascular Disease Statistics) as well as a great loss in poten...
Cardiovascular diseases (CVDs) are a leading cause of mortality in the European Union causing over 1.8 million deaths per year (EHN Cardiovascular Disease Statistics) as well as a great loss in potential life years.
YOUNG50 project will transfer the Italian best practice CARDIO 50 project in Lithuania, Romania, Luxembourg among 50 years olds.
The objectives of CARDIO 50 were to estimate cardiovascular risk among the 50 years old population, identify persons with inadequate life styles, new cases of hypertension, hyperglycemia and hyper cholesterolemia, activate an integrated model of assistance to help modify or reduce risk factors among healthy subjects, promote interventions to change unhealthy lifestyles and increase knowledge and perceptions of CVD risks among the general population.
The implementation of YOUNG 50 will be divided into 3 phases. Phase1 will assess the feasibility of the implementation in each MSs though a situation analysis and adaptation of the existing materials and IT tools to the local context with support from Spain. In Phase2 the YOUNG50 programme will be piloted in selected regions or cities, with the involvement of health professionals and prevention programs. Phase3 will evaluate the impact of the action and explore its institutionalization.
With early detection, treatment of risk factors and follow up it is envisaged to have results regarding people who receive counseling and improve their lifestyles or medical parameters. Participating countries can beneficiate from the dissemination of the program, since the needs assessment in these countries indicated a need for such a project. Countries can take advantage of transfer and scaling-up of innovative prevention models, including the use of information and communication technology.
Outcomes expected are synergy among prevention programs, inclusion of CVD prevention in Regional or National Health Plan, development of recommendations and Policy Guidelines.
Start date: 01/05/2019 - End date: 31/01/2023

Call: Call for Proposals for Projects 2018 - Implementation of best practices to promote health and prevent non-communicable diseases and to reduce health inequalities
Topic: Transferring the Italian CARDIO 50 programme to other countries
3rd Health Programme (2014-2020)
CHRODIS-PLUS: Implementing good practices for chronic diseases [CHRODIS-PLUS]
Europe is paying a heavy price for chronic diseases (CD): it has been estimated that CD cost EU economies 115 billion € or 0.8% of GDP annually; and this figure does not include the additional loss ...
Europe is paying a heavy price for chronic diseases (CD): it has been estimated that CD cost EU economies 115 billion € or 0.8% of GDP annually; and this figure does not include the additional loss in terms of lower employment rates and productivity of people living with chronic health problems. However, the aspiration is a health-promoting Europe, free of preventable CD, premature death and avoidable disability could be possible. Initiatives on CD should build on four cornerstones: health promotion and primary prevention as a way to reduce the burden of CD; patient empowerment; tackling functional decline and quality of life as the main consequences of CD, and making health systems sustainable and responsive to the aging of our populations associated with the epidemiological transition (an increase in incidence of CD and extended life expectancy) whose consequence is an increasing prevalence of CD. In this Joint Action, CHRODIS-PLUS, our goal is to support Member States through cross-national initiatives identified in JA-CHRODIS to reduce the burden of CD, while assuring health systems sustainability and responsiveness. CHRODIS-PLUS aims to promote the implementation of policies and practices with demonstrated success in each of the four cornerstones mentioned, in closely monitored implementation experiences that can be validated before scaling them up. For this, a total of 42 beneficiaries representing 20 European countries will collaborate to implement pilots and generate practical lessons that could contribute to the uptake and use of CHRODIS-PLUS results. Practices to be implemented will be based on the collection of policies, strategies and interventions that started in JA-CHRODIS and in its outputs such as the Integrated Multimorbidity Care Model or the Recommendations for Diabetes Quality criteria or national plans. During the 36-month life CHRODIS-PLUS will disseminate its activities and monitor and evaluate them to verify the progress and impact of the action. CHRODIS-PLUS will look for synergies with international/regional/local policy initiatives in CD. CHRODIS-PLUS will count on the Governing Board of representatives from European Ministries of Health, key to CHRODIS-PLUS development and sustainability, an Executive Board and a General Assembly where all associated partners will gather. A proposal for the EU added value of cross-country collaboration in the field of CD and the sustainability of the results from JA-CHRODIS and CHRODIS-PLUS beyond 2020, when this project ends, will be approved.
Start date: 01/09/2017 - End date: 30/11/2020

Call: Joint Actions 2016
Topic: Action on chronic diseases
3rd Health Programme (2014-2020)
Joint Action on implementation of digitally enabled integrated person-centred care [JADECARE]
The journey of care delivery transformation in Europe is just at the beginning, and the underlying digital health technologies that will support the transformation of health and care need to be purpos...
The journey of care delivery transformation in Europe is just at the beginning, and the underlying digital health technologies that will support the transformation of health and care need to be purposefully designed, developed, and must demonstrate cost-effectiveness potential.
The EU has launched a series of initiatives to support facing these challenges, as the EIP-AHA with actual twinning amongst partners, various Joint Actions and EU funded projects. Based on this previous work, four early adopters´ original Good Practice (oGP) were selected to be transferred to other EU countries (next adopters). concerning integration, chronic conditions, multimorbidities, frail people and patients with complex needs, self-care, prevention and population health, disease management and case management.
JADECARE intends to reinforce the capacity of health authorities to successfully address important aspects of health system transformation, in particular the transition to digitally-enabled, integrated, person-centred care and support the best practice transfer from the systems of the “early adopters” to the ones of the “next adopters”.
JADECARE is focusing on the transfer and adoption of four Good Practices, so-called oGPs: Basque Health strategy in ageing and chronicity: integrated care, Catalan open innovation hub on ICT-supported integrated care services for chronic patients, The OptiMedis Model-Population-based integrated care (Germany) and Digital roadmap towards an integrated health care sector (Denmark).
JADECARE will involve partners from 17 countries all around Europe. providing a complete scenario of the idiosyncrasy and differences that can be found. The local context, maturity of integrated care models, legal frameworks, culture/values and relevant leaders are going to be considered for each of the 23 “next adopters”. The methodology will allow the transference in different contexts: socioeconomic, cultural, legal, models and maturity of health syst
Start date: 01/10/2020 - End date: 30/09/2023

Call: Joint Actions under the Annual Work Programme 2019 of 3HP
Topic: Joint Action on implementation of digitally enabled integrated person-centred care
3rd Health Programme (2014-2020)
Advancing Care Coordination and Telehealth deployment at Scale [ACT-at-Scale]
ACT@Scale is an innovative partnership of leading European health care regions, industry and academia that have the true potential to transform cure and care delivery services from pilots and experime...
ACT@Scale is an innovative partnership of leading European health care regions, industry and academia that have the true potential to transform cure and care delivery services from pilots and experiments to scaled up, routine management of frail elderly and chronically ill. ACT@Scale will develop, test and consolidate “best practice” Care Coordination and Telehealth (CC & TH) concepts that can be leveraged by the participating healthcare regions to expedite scaling-up their services, but also transferred to other regions through Europe and beyond. The scaling-up of “best practice” ACT@Scale CC & TH concepts is fully in line with the EIP on AHA and the EC scaling-up strategy, will facilitates concrete decision-making at EU policy level, and shows payers, practitioners and providers how patient care can be improved in light of an ageing society and under restricted budgets.ACT@Scale is targeting integrated care good practices in Basque Country, Catalonia, Groningen, Northern Ireland and South Denmark that are all in the process of implementing novel CC&TH processes at scale. The target groups are populations of chronic patients and elderly people with special needs including social services, frailty and psychiatric morbidities. The key challenges to be studied are:• Political, legal and financial alignment• Sufficient coverage of dynamic population needs• Coordination between care delivery partners• Commitment to changing care delivery• Patient role is his own care• Monitoring and evaluating scaling-upThese key areas will show over the three year course of ACT@Scale how technology and services can ensure the best clinical and economic outcomes. A holistic assessment will be performed based on an agreed minimum dataset of indicators and with the support of a distributed Evaluation Engine.The ACT@Scale activity builds on the expertise and experiences of the ACT program and will use tested and tried collaborative methods and tools to implement improvements
Start date: 04/03/2016 - End date: 03/03/2019

Call: Call for Proposals for Projects 2015
Topic: Support for the implementation and scaling up of good practices in the areas of integrated care, frailty prevention, adherence to medical plans and age-friendly communities