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This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020) Stimulating Innovation Management of Polypharmacy and Adherence in the Elderly Alpana Mair, Project Coordinator SIMPATHY, @alpanamair Head of Effective Prescribing & Therapeutics, Scottish Government WHO polypharmacy Lead This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

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Page 1: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Stimulating Innovation Management of Polypharmacy and Adherence in the

Elderly

Alpana Mair, Project Coordinator SIMPATHY, @alpanamair

Head of Effective Prescribing & Therapeutics, Scottish Government

WHO polypharmacy Lead

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Page 2: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

SIMPATHY Consortium

SIMPATHY Consortium

Page 3: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Hospital

Intermediate / Care homes

Primary care

Community pharmacy

National

Regional

Pilot

No programme

Scope

Setting

Programmes across the consortium

Page 4: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Why is change required?

Page 5: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Population in 2015 and projections in 2050 (WHO)

Survival at younger age & socioeconomic development

Page 6: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Multiple morbidity is common

Page 7: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

People: Impact of Frailty- renal and liver disease

SIMPATHY©

Page 8: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Taking Medicines through life……

Page 9: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Page 10: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Urgency: Public health challenge :address @initiation & @review of medication

186 countries: 4% of total avoidable costs due to polypharmacy. Total of 0.3% global health expenditure could be saved = $18bn

Page 11: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Addressing Health inequalities

Page 12: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

SIMPATHY PROJECT

Delphi findings

Page 13: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Key Recommendations

Page 14: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Approach to implement change @ Scale for all Citizens

Page 15: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

1. Multidisciplinary Leadership with Systems approach- Innovation =pharmacist in the team

Page 16: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

2. Culture that prioritises Safety &Quality

Page 17: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

3. Patients shared decision making: Patient advocate

Page 18: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

4. Data to Drive Change

Page 19: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Page 20: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

• EU evaluation: 5 countries with guidance- 3 scored highly• BEERS, STOP START• Australian- deprescribing

Page 21: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Develop and Share tools for implementation

Page 22: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

• DQUIP study

• PINCER study

• USA

• Spanish

• Chinese: National Essential Medicines Scheme

• India

• America

• Australian deprescribing

5. Bias to action: What has been successful?

Page 23: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

6. Share Tools and guidance

what matters to me?

Aims

Need

Effectiveness

Safety

Cost effective

Patient centred

Page 24: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Sustaining Change: Economics

Page 25: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Page 26: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

EU commitment: Signing pledge to Global

Page 27: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

Lets not have this….

Page 28: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)

@alpanamair @Simpathyproject

@alpanamair @Simpathyproject

Page 29: Stimulating Innovation Management of Polypharmacy and ...Apresentação do PowerPoint Author: João Constantino Created Date: 2/27/2018 12:26:11 PM

This presentation is part of the SIMPATHY project (663082) which has received funding from the European Union’s Health Programme (2014-2020)The SIMPATHY project has received funding from the European Union’s Health Programme (2014-2020)

www.simpathy.eu

https://twitter.com/simpathyproject