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11 BillionBillion(WHO 2003)(WHO 2003)
11 BillionBillion(WHO 2003)(WHO 2003)
Functional nutrition?
Health Disease Health
Nutrition in the process of Nutrition in the process of
carecare
The patient’s journey
CLINIC PRE-OP
POST-OP WARD HOME
RECOVERY
SURGERY /ANESTHESIA
Interactive Team audit of outcomes & complianceInteractive Team audit of outcomes & compliance
PRE ADMISSION
FOLLOW UP
30DAY
Integrated perioperative protocol (ERAS)Integrated perioperative protocol (ERAS)
From Ljungqvist JPEN 2014
The patient’s journey
CLINIC PRE-OP
POST-OP WARD HOME
RECOVERY
SURGERY /ANESTHESIA
Interactive Team audit of outcomes & complianceInteractive Team audit of outcomes & compliance
PRE ADMISSION
FOLLOW UP
30DAY
Integrated perioperativer protocol (ERAS)Integrated perioperativer protocol (ERAS)
From Ljungqvist JPEN 2014
Multi professional Multi stakeholder
New
visio
n
Politics &Politics &RessourceRessource
ss
PatientsPatientsResearch Research
& & EducatioEducatio
nn
ClinicalClinicalpracticpractic
ee
Global strategy
Fight Against Malnutrition
Fight Against Malnutrition
Fight Against Malnutrition
What did we achieve?
Progress & Support EP
Nutrition Day Conference 2010European 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,…..”
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 …
Strategic Alliance European Patient Organisations
Memorandum of Understanding
Signed April 2012
Shared agendaConference EPF/EGAN – ENHA – MNI 4 July
Brussels Support ENHA mission and objectivesSupport implementation activities in countriesDrive awareness nutrition among European
patient groupsNext step: EU Irish Presidency European patients
workshop undernutrition, Dublin 2013
Strategic Alliance World Health Organisation - Europe
Alignment work programmes & collaboration
June 2012
StructureSeven General Objectives:
1.Management of Functionaldecline and frailty
2. Empowerment
3. Screening
4. Integrated Pathways of Care
5. Research & Methods
6. Sustainability
7. Co-operation (cross sector)
European Innovation Partnership on Active and Healthy Ageing
Fight Against Malnutrition
Optimal Nutritional Care for All
National Nutritional Care Plans: a Europe-wide implementation Campaign
Optimal Nutritional Care for All
Fight against malnutrition/undernutrition
Optimal Nutritional Care for All
• Multi-stakeholder initiative
• To facilitate greater screening for risk of disease-related malnutrition and nutritional care implementation across Europe
‘Boost implementation of nutritional screening
and follow up care across Europe
> 2014 2014 >
Key Objective & Strategy
‘Optimal Nutritional Care for All’
European UnionEIP Active &
Healthy Ageing
Country based nutritional screening campaign
Partnership with
European Patient Orgs
WHO EURO Food & NutritionPlan 2015 - 2020
Key drivers for implementation
Key steps in the ONCA campaign
Focus countries:Croatia, Germany, Spain,
Turkey
Observer countries:France, Israel, Poland,
Slovenia
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 -
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)
Objectives• To inspire and facilitate countries to form/strengthen national multi-stakeholder 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
Optimal nutritional care for all
Education
Public health
Implementation
Nutrition Day
NationalRegional/localNone
Stakeholder groups
Policy and standards
Guidelines
Mandatory
Optional/regional
None
Economic data
Presence
Prevalence DRM Reimbursement
Provide % DRM risk per healthcare setting if available
Sound legal basis with implementing measures
Soft policy/standards
None
Screening + care pathways
Partial guidelines
None
>80% reimbursement
Regional reimbursement,insurance company specific, or co-pay
No reimbursement (100% self-pay)
Structural, > 80%
Local, 20-80%
Limited, < 20%
National data
Local data
Limited/no data
> 1000 patients + very effectiveSmall/moderate + moderateNone + limited
Established national group
Regional group
Limited/no group
Engagement
Focus on DRM/nutritional care
Peripheral interest
Limited/no interest