Transcript Document

1 Billion
(WHO 2003)
1 Billion
(WHO 2003)
Nutrition in the process of care
Health Disease Health
Functional nutrition?
The patient’s journey
Integrated perioperative protocol (ERAS)
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POST-OP WARD
CLINIC
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PRE-
HOME
SURGERY /
ANESTHESIA
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P
RECOVERY
Interactive Team audit of outcomes & compliance
From Ljungqvist JPEN 2014
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The patient’s journey
Integrated perioperativer protocol (ERAS)
P
R
E
A
D
M
I
S
S
I
O
N
POST-OP WARD
CLINIC
OP
PRE-
HOME
SURGERY /
ANESTHESIA
U
P
RECOVERY
Interactive Team audit of outcomes & compliance
From Ljungqvist JPEN 2014
F
O
L
L
O
W
3
0
D
A
Y
New
vision
Global strategy
Clinical
practice
Research
&
Education
Politics &
Ressources
Patients
Fight Against Malnutrition
Fight Against
Malnutrition
Fight Against
Malnutrition
What did we achieve?
Progress & Support EP
EP plenary votes September 25 + October 9, 2008,‘Together for Health’
2008 – 2013 and 2010 European Partnership Action Against Cancer:
Urges the Commission .. to make malnutrition, alongside
obesity, a key priority in the field of health …
Nutrition Day Conference 2010
European Parliament - EU Presidency - ENHA - ESPEN
Chair EP Public Health Committee Alojz Peterle :
“Malnutrition requires a cross-cutting solution; a good first step
would be mandatory nutrition risk screening across Europe,…..”
Strategic Alliance
European Patient Organisations
 Memorandum of Understanding
Signed April 2012
Shared agenda
Conference EPF/EGAN – ENHA – MNI 4 July
Brussels
Support ENHA mission and objectives
Support implementation activities in countries
Drive awareness nutrition among European
patient groups
Next step: EU Irish Presidency European patients
workshop undernutrition, Dublin 2013
Strategic Alliance
World Health Organisation - Europe
 Alignment work programmes & collaboration
June 2012
European Innovation Partnership on Active and
Healthy Ageing
Structure
Seven General Objectives:
1. Management of Functional
decline and frailty
Under
nutrition
2. Empowerment
3. Screening
Frailty
Functional
decline
4. Integrated Pathways of Care
5. Research & Methods
6. Sustainability
7. Co-operation (cross sector)
Fight Against
Malnutrition
Optimal Nutritional
Care for All
National Nutritional
Care Plans: a Europewide implementation
Campaign
Optimal Nutritional Care for All
‘
Boost implementation of nutritional screening
and follow up care across Europe
Fight against
malnutrition/
undernutrition
> 2014
Optimal
Nutritional
Care for All
2014 >
• Multi-stakeholder initiative
• To facilitate greater screening for risk of disease-related
malnutrition and nutritional care implementation across Europe
Key Objective & Strategy
‘Optimal Nutritional Care for All’
Country based
nutritional
screening
campaign
Partnership
with
European
Patient Orgs
WHO EURO
Food & Nutrition
Plan 2015 - 2020
Key drivers for implementation
European Union
EIP Active &
Healthy Ageing
Key steps in the ONCA campaign
Focus countries:
Croatia, Germany, Spain, Turkey
Engagement
with national
stakeholders
Implementation
conference,
Brussels, 4-5
November
Observer countries:
France, Israel, Poland, Slovenia
Action plan
and follow up
Nutritional Screening Implementation Conference 2014 “Optimal Nutritional Care for All”
Steering Committee
Conference strategy, engagement national members and co-branding
 Olle Ljungqvist, Chair
 Jean Pierre Baeyens, EUGMS
 Pierre Singer, ESPEN
 John Chave, PGEU
 Pascal Garel, HOPE
 Anne de Looy, EFAD
 Ceri Green, MNI
 Cees Smit, EGA/EPF
 Frank de Man, ENHA
Nutritional Screening Implementation Conference 2014
“Optimal Nutritional Care for All”
- Draft programme November 4 & 5, Brussels -
Objectives
• To inspire and facilitate countries
to form/strengthen national multistakeholder alliances and to focus
on implementation of “optimal
nutritional care for all”
• To benchmark current state of play
of nutritional care in focus countries
• To align and implement the ENHA
strategy with key stakeholder
platforms per country
• To define and deploy measures of
progress and impact per year
Participants /stakeholders
• National delegates from patient
groups, professional societies,
national associations, Ministries of
Health
• focus countries (40)
• observer countries (20)
• ENHA members (15)
• EU EIP AHA, WHO EURO (3)
• Key experts (3)
Optimal nutritional care for all
Prevalence DRM
Reimbursement
>80% reimbursement
Provide % DRM risk
per healthcare setting if available
Regional reimbursement,
insurance company
specific, or co-pay
Public health
National
Regional/local
None
Policy and standards
No reimbursement
(100% self-pay)
Education
Mandatory
Nutrition Day
> 1000 patients + very effective
Small/moderate + moderate
None + limited
Economic data
National data
Local data
Limited/no data
Stakeholder groups
Presence
Sound legal basis with
implementing measures
Soft policy/standards
None
Optional/regional
Established national group
Regional group
None
Limited/no group
Implementation
Engagement
Guidelines
Structural, > 80%
Focus on DRM/
nutritional care
Local, 20-80%
Peripheral interest
Screening + care pathways
Partial guidelines
None
Limited, < 20%
Limited/no interest