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Healthcare services & knowledge economy: economy and social development

Healthcare services & knowledge economy: economy and social development. PROJECT OUTCOMES AND THE FUTURE I.P. INTERREG IIIC “Grip – It”: SWG HealthY Economy GIANLUIGI CARLINI University of Trieste (Italy) - Project Coordinator -. SWG HealthY Economy – Matera, June, 26 th , 2007. +80,79%.

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Healthcare services & knowledge economy: economy and social development

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  1. Healthcare services & knowledge economy: economy and social development PROJECT OUTCOMES AND THE FUTURE I.P. INTERREG IIIC “Grip – It”: SWG HealthY Economy GIANLUIGI CARLINI University of Trieste (Italy) - Project Coordinator - SWG HealthY Economy – Matera, June, 26th, 2007

  2. +80,79% HEALTH NUMBERS: DATA — HEALTH OPERATORS KNOWS WELL THESE DATA… AND THEIR REASONS … • OBJECTIVEs REASONs: STRUCTURALs, DEMOGRAPICs, CULTURALs… • AND COMMONPLACEs (CULTURALs TOO) SWG HealthY Economy – Matera, June, 26th, 2007

  3. HealthY Economy PROJECT HOSPITALS & SMEs FOR HEALTHCARE ECONOMIC CLUSTERS: OPPORTUNITIES FOR THE LOCAL ECONOMY, QUALITY OF CARE AND COST OF CARE REDUCTION AIM (GOAL): STARTING A CULTURAL PROCESS IN OPPOSITION TO ONE COMMONPLACE ON HEALTHCARE: HEALTH COSTS ARE NOT ONLY A CHARGE FOR THE CITIZENS HEALTH BUT ALSO AN ECONOMIC AND CULTURAL INVESTMENT FOR THE REGION SWG HealthY Economy – Matera, June, 26th, 2007

  4. We will breefly consider GENERAL ECONOMIC FOREWORDs A CASE STUDY (an italian district) THE NOWADAY PROJECT OUTCOME FUTURE OUTLOOKs & AN INTEGRATED PROJECT PROPOSAL SWG HealthY Economy – Matera, June, 26th, 2007

  5. THE HEALTHCARE VALUE CHAIN HEALTH NUMBERS: DATA + How and how much the activities for producing goods and services for the healthcare sector contribute to the country economy ? SWG HealthY Economy – Matera, June, 26th, 2007

  6. HEALTH NUMBERS: DATA + THE HEALTHCARE VALUE CHAIN Hospital services, social healthcare services etc. Companies and cooperatives providing healthcare services Fabrication of pharmaceuticals and chemicals for medical purposes Fabrication of biomedical devices, surgicals, orthopedics etc. Great and little distribution/commercial related activities SWG HealthY Economy – Matera, June, 26th, 2007

  7. Positive impact on formation and territory culture Highly qualified labour places HEALTHCARE NUMBERS + (Italy) … YES, BUT IT WORKS JUST IN THE GREAT INDUSTRIAL AREAS … 250.000 economic local units for healthcare related activities OR NOT ? 1.400.000 labour places (6% of the total) 5,4 % GDP PARTLY YES AND PARTLY NO 138.000 € added value for each worker (106 k€average) High ratio Added Value vs GDP 5,44 % (60% + of the food sector) AND ON THE “PARTLY NO” IT’S POSSIBLE TO WORK SWG HealthY Economy – Matera, June, 26th, 2007

  8. 23 years ago: activation of the new hospital in Trieste Update of the hospital “offer” re-qualification • investment in technologies: • 15% of the total new hospital costs • new trained personnel for the technology • management (clinical engineering services) development A PROVINCE CASE STUDY IT WAS A REPLY TO THE BIG MEDICINE CHANGE OF THAT TIME, ABOVE ALL IN THE FIELD OF NEW DIAGNOSTIC DEVICES AND METHODOLOGIES: THE EFFORT DONE BECAME AN “INVESTMENT” that enriched the territory of the province

  9. ECONOMIC-CULTURAL-TRAINING CONSEQUENCES 1984 • research projects (CNR, MURST…) • technology transfer in Area Science Park • faculty development at the University of Trieste • CLINICAL ENGINEERING MASTER (2 YEARS) • NEW RADIOLOGY (TAC ’81 – operative in the new hosp.) • support to Ministry of Health for the regulation of biomedical devices • industrial spin-off with a European size company • 700 employees, 100 milions € turnover • + induced 2007 • Molecular Biomedicine District SWG HealthY Economy – Matera, June, 26th, 2007

  10. Tecnical/scientific • Demographic • Socio-cultural • Politic – • organization – • economic BUT HEALTHCARE WORLD IS STILL CHANGING • New clinical protocols • High pressure for technology and • pharmaceutical innovation • Increasing cronic and elderly cares • Higher expectation for the quality of care • Valorisation of the person and of the • individual rights • decision partecipations-sharing • Responsability condivision (diffusa) • Compatibility between healthcare • demandand available resources SWG HealthY Economy – Matera, June, 26th, 2007

  11. SIGNIFICATIVE PREDICTABLE CHANGES • increasing ambulatory and surgery day-hospital • increasing endovascular surgery • increasing laparoscipic and mini-invasive surgery • new technologies of genetic-genomic-proteomic • enhanced imaging technologies • telemedicine development • tele-surgery, tele-consulting SWG HealthY Economy – Matera, June, 26th, 2007

  12. ONCE MORE HEALTHACARE OPERATORS HAS TO DRIVE CHANGES AND ONCE MORE THIS EFFORT COULD BECOME AN OPPORTUNITY FOR THE CULTURAL AND ECONOMIC DEVELOPMENT OF THE TERRITORY ONCE MORE HOSPITAL AND TERRITORY CAN EXCHANGE AND SHARE COMPETENCES THIS TIME WE HAVE ONE MORE OPPORTUNITY: EUROPEAN UNION SWG HealthY Economy – Matera, June, 26th, 2007

  13. New Children Hospital Food and restoration area HRADEC KRALOVE ACTION OF SWG HEALTHY Trainig Area 10.000 mq for molecular medicine and innovation (ICT, elderly) New street MATERA The new Hospital District of Trieste • SURVEY OF COMPETENCES IN HEALTHCARE, TRAINING, SCIENCE AND INDUSTRY (common and complementar) • DEFINITION OF AREAS OF COOPERATIVE DEVELOPMENT • DESIGN OF COMMON PROJECT TO LAUNCH IN 2007- 2013 PROGRAMMES SWG HealthY Economy – Matera, June, 26th, 2007

  14. Areas of cooperative development for I.P. Hradec Kralove Trieste Matera Elderly care ICT “Integrated Home Care” PILOT Healthcare training ICT “STROKE” PILOT Elderly care ICT Healthcare training Integrated Project Integrated Project + NEW PARTNERs SWG HealthY Economy – Matera, June, 26th, 2007

  15. Izola Hosp.(SLO) Villach Hospital Strasbourg Biovalley Extending the partnership for the I.P. ICT - “STROKE” ICT - “STROKE” Matera Trieste Hradec NEW ANTIBIOTICS (peptides) … and so on: clustering European life scienecs SWG HealthY Economy – Matera, June, 26th, 2007

  16. IMPLEMENT MODULES OF ELECTRONIC PATIENT RECORD (EPR) AND HOSPITAL INFORMATION SYSTEM (HIS) + TRAINING MODULES AN EXAMPLE: For ICT platform – eHealth, we mean A COMMON PLATFORM TO: EXCHANGE THE BEST PRACTICES FOR HEALTHCARE COSTS CONTROL SHARE THE BEST PRACTICES - CLINICAL PROTOCOLS (pilot experim. on stroke) TRAIN PHYSICIANS AND NURSES TOGETHERWITH ICT COMPANIES LOCATED IN THE AREA – KNOWLEDGE ECONOMY DEVELOPMENT

  17. What we are going to integrate in the I.P. INTEGRATE EU-FUNDING TOOLS (META-PROJECT ENGINEERING) INTEGRATE DIFFERENT KIND OF PARTICIPANTS • HOSPITALS • UNIVERSITIES • INDUSTRY ASSOCIATIONS – DEVELOPMENT AGENCIES INTEGRATE PROJECT MANAGEMENT TOOLS INTEGRATE TERRITORIAL COOPERATION OBJECTIVES • SHARING REGIONAL EXPERTISES FOR HEALTH • ICT & eHEALTH • RESEARCH • IMPLEMENTING KNOWLEDGE ECONOMY PROCESSES • TRAINING

  18. “Particular attention should be paid to ensuring complementarity, synergy and consistency among all Community policies, and in particular the Seventh Framework Programme, ERDF and cohesion policies, European Social Fund (ESF)” [1] [1] REGULATION (EC) No 1080/2006 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 5 July 2006 on the European Regional Development Fund FP 7 ESF CEUS INTERREG IV C Interreg IV A ITA-SLO Interreg IV A ITA-AUT Interreg IV A CZE-POL …….. MED PROJECT ENGINEERING

  19. ONE OBJECTIVE, DIFFERENT TOOLS IV A – HOSPITALS COOPERATION & eHEALTH - ICT FP 7 – RESEARCH & DEVELOPMENT ESF – TRAINING IV C – KNOWLEDGE ECONOMY, TRANS-NATIONAL CLUSTERING (coordination tool) SWG HealthY Economy – Matera, June, 26th, 2007

  20. Method: INTEGRATING funding tools, partners typology, management tools, cooperation objectives Pilots: integrated home care, stroke therapy, new antibiotics et al. all pilots ICT – eHealth based EU priorities: healthcare best practices, eHealth, knowledge economy, training COMMON METHODOLOGY, DIFFERENT PILOT PROJECTS, DIFFERENT EU PRIORITIES SWG HealthY Economy – Matera, June, 26th, 2007

  21. THE STROKE PILOT OBJECTIVES: ADAPT STROKE MODELS TO DIFFERENT SOCIO-ECONOMIC CONTESTS BENCHMARK CLINICAL EFFICACY AND COST OF CARE EXCHANGE CLINICAL PRACTICES DEVELOP E.P.R. & H.I.S. MODULES FOR STROKE (INVOLVING INDUSTRY) EXCHANGE PERSONNEL FOR TRAINING TELE - TRAINING SWG HealthY Economy – Matera, June, 26th, 2007

  22. 1 - ACUTE STROKE UNIT – “German model” Hyper-intensive care t < 3-5 gg Rehabilitation 2 - COMPREHENSIVE STROKE UNIT – “English model” intensive care Rehabilitation 3 - STROKE TEAM No stroke unit, a team follows the patient in the different hospital departments 3 STROKE MODELS TO BENCHMARK SWG HealthY Economy – Matera, June, 26th, 2007

  23. F (model, socio-economic contest) = SMEs involvement ARCHITECTURE OF THE STROKE PILOT clinical outcomes cost-effectiveness WP1 – Methodology for comparison WP 2 – Tools development eHealth / ICT WP 3 – Training and exchange of personnel SWG HealthY Economy – Matera, June, 26th, 2007

  24. INTERESTED IN PARTICIPATING UNIVERSITY OF TRIESTE (ITA) INDUSTRY ASSOCIATION OF TRIESTE (ITA) MEDICAL HOLDING HRADEC KRALOVE (CZE) A.S.L. 4 – MATERA (ITA) VILLACH HOSPITAL (AUT) IZOLA HOSPITAL (SLO) UNIVERSITY OF KLAGENFURT (AUT) …………ET AL.……………………. SWG HealthY Economy – Matera, June, 26th, 2007

  25. SAME IDEA ON THE OTHER PILOTS Thank you very much SWG HealthY Economy – Matera, June, 26th, 2007

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