Agenzia sanitaria e sociale regionale Strategie per l’innovazione sanitaria L’esperienza dell’Emilia-Romagna Tania Salandin Governance della ricerca Agenzia sanitaria e sociale regionale dell’Emilia-Romagna Agenzia sanitaria e sociale regionale The Region in a nutshell Resident population 4.471.104 January 2013 • Local Health Trusts 11 • Univ.-Hosp. Trusts & H- Trusts 5 • Research Hospitals 4 Agenzia sanitaria e sociale regionale Long-term, systemic and radical innovative transformations Sustainability of innovations Agenzia sanitaria e sociale regionale Which funding instruments are available for regions to bridge the gap between research 2222 and health policy? Agenzia sanitaria e sociale regionale Programma di ricerca RegioneRegione-Università REGIONAL LAW 29, 2004 R&D as the core duty of the Regional Health Service Close collaboration with the Regional University system key to make R&D effort successful and to improve its quality and sustainability 2 editions 2007 - 2009: 30 mil € = 71 projects 2010 - 2012: 30 mil € = 51 projects 122 projects Programme peculiarities 3 Areas: Innovative research; Clinical governance; Training Two-step assessment process: Maieutic Approach Research Prioritarization: selecting research themes and research questions Programme for Young Investigators Agenzia sanitaria e sociale regionale Letter of Intent Pre-selection Individual Evaluation Focus on strenght and weakness / suggestions for the Full Prpposal preparation WORKSHOP Selection FULL PROPOSAL Individual Evaluation Final Comments STUDY SESSION Ranking approval List of eligible and not-eligible proposals evalutation process Agenzia sanitaria e sociale regionale Programma di ricerca Regione-Università 122 Projects funded in the 2007-2012 period Agenzia sanitaria e sociale regionale 60 mil € in the 2007-2012 timeframe 774 € in coordination activities Agenzia sanitaria e sociale regionale Focusing on better research for better health Project monitoring Proposal evaluation Call definition Priority setting Research Pay back Regional Health Services Agenzia sanitaria e sociale regionale …setting priorities Agenzia sanitaria e sociale regionale What are the regional methodologies for priority setting? How do regions align their local priorities with those of the EU institutions? Agenzia sanitaria e sociale regionale Priority setting on clinical research Clinical questions or thematic have been identified through a priority setting mechanism for Healthcare involving: Regional health Authorities Regional health care guidelines Local clinical specialist and opinion leaders Consultation with panel of experts Literature analysis Agenzia sanitaria e sociale regionale Identifying clinical questions Questionnaire sent to the Units of the DG Health and Social Services of the Regione EmiliaRomagna Region and R&I Units of Local Health Trusts and public IRCCS of the region. 151 questions in 24 thematic areas Unification and selection according to the regional strategic planning 25 questions in 11 thematic areas 6 questions focusing on Geriatrics Agenzia sanitaria e sociale regionale The Emilia-Romagna Commitments A1 Novel approach for improvement adherence to medical plans, medication and management of Bioresources and Pharma A2 Prevention of falls initiative in Emilia-Romagna A3 Cognitive component in the frailty syndrome B3 Delivering Integrated Care Models C2 Working together for independent living at regional level SOLE / FSE Project PROFITER Project ARIA Project Agenzia sanitaria e sociale regionale Programma di ricerca Regione-Università Research for Clinical Governance Call 2013 2,5 million Euros 6 out of 25 research questions on Geriatrics 9 project have been submitted out of which 4 will be funded Agenzia sanitaria e sociale regionale Output from the research Number of Publications 80 70 60 50 40 30 20 10 0 Innovative Research (other) Regenerative Medicine Clinical Governance Research Training Open Access Publications 50 40 30 20 10 0 Innovative Research (other) Regenerative Medicine Open Access Publications Clinical Governance Research Training Non Open Access Publications Agenzia sanitaria e sociale regionale Output from the research Multicenter studies 70 60 50 40 30 20 10 0 YES NO Innovative Regenerative Research (other) Medicine Clinical Governance Research Training www.laniusletter.it Agenzia sanitaria e sociale regionale Agenzia sanitaria e sociale regionale The Liberati Principles as a good starting point towards a better research Agenzia sanitaria e sociale regionale Conclusions The Emilia-Romagna Region dedicate special efforts for the promotion of a better research for better health care (The Liberati Principle) These efforts have been directed towards: testing and subsequently enhancing specific funding instruments to grow regional research capacity investigating models to produce new knowledge (registries - PRI E-R ) enhancing international connections to develop benchmarking exercises on how regional health care systems support research activities useful for better health care (EUREGHA HLC) Agenzia sanitaria e sociale regionale Grazie Maggiori informazioni: Sito ASSR http://assr.regione.emilia-romagna.it Sito laNiUslettER http://laniusletter.it oppure scrivete a: [email protected]