Active Ageing with Type 2 Diabetes as Model

Active Ageing with Type 2 Diabetes as Model for the Development and Implementation of Innovative Chronic Care Management in Europe Prof. Dr. med. habil. Peter Schwarz, MBA University of Dresden, Germany Universitätsklinikum Carl Gustav Carus Dresden Division for Prevention and Care of Diabetes Medizinische Klinik und Poliklinik III

MANAGE CARE Patrick Timpel, Kristin Kemple, Christin Kusche, Caroline Lang, Henna Riemenschneider, Gabriele Müller, Jaqueline Schwaz, Christina Ruch, Peter Schwarz, Katrien Benhalima, Katrien Rouffé, Nadine Pardon, Sophie Peresson, Lala Rabemananjara, Stella de Sabata, Dimitrios Kakoulis, Mayur Mandalia, Bernhard Paulweber, Lars Stechemesser, Johan Wens, Esther van Leeuwen, IKD: Karsten Müssig, Michael Roden, IBE: Wolfgang Rathmann, Brenda Bongaerts, Oliver Kuss, Toni Dedeu, Juan Carlos Contel Segura, Konstantinos Makrilakis, George Dafoulas, Stavros Liatis, Marian Benroubi, Elpida Athanasopoulou, Peter Kronsbein, Jutta Genz, João Filipe Raposo, Rogério Ribeiro, Zdravko Kamenov, Dzilda Velickiene, Rasa Verkauskiene, Markku Peltonen, Jaana Lindström, Andrej Zeyfang, Irene Feucht, Aleksandra Gilis-Januszewska, Daniel Tolks, Martin Adler, Sari Koski, Bernd Stratmann, Young Hee. Lee-Barkey, Diethelm Tschöpe, Volker Amelung, Valerie Dorow, Susanne Ozegowski, Anne de Vries, Katrien Benhalima, Katrien Rouffé, Nadine Pardon

Slide Date no 4 Quality of life drives adherence Behaviour Change works in stages Interventions based on individual needs

IMAGE project MANAGE-CARE 1 2 1 Development of a European practice-oriented guideline for prevention of type 2 diabetes 2 Development of a European curriculum for the training of prevention managers 3 Development of European standards for continuous quality control and evaluation of prevention programs for type 2 diabetes 4 Development of a European e-health training portal for prevention managers 3 4 a systematic assessment about disease management models addressing elderly with chronic diseases 30 partners from the EU – a growing cosortium A technical handbook with an new innovative Chronic From 18 EU countries Management Model A European Practice Compendium on disease management in Europe Care A European e-health training portal for medical professionals MANAGE-CARE will have the A patient empowerment booklet and e-health portal on active ageing 5 with chronicto diseases potential address the needs of 10 care-standard recommendations as a roadmap to integrated chronic 6 patients care management with Diabetes and diabetes prevention in Europe A toolkit to guide development and implementation Chronic Care 7 Management Models in Europe

Chronic Care Management Acronym: MANAGE-CARE Title: Active Ageing with Type 2 Diabetes as Model for the Development and Implementation of Innovative Chronic Care Management in Europe

MANAGE CARE Products • State-of-the-art report on existing disease management models and on scientific evidence of care for elderly with T 2 DM • Identification of patients’ needs and priorities to formulate requirements for innovative and patient-centred chronic care • Development of an innovative chronic care management model • e-Health portal with MANAGE-CARE PRO training curriculum for healthcare professionals • Patient empowerment booklet and e-Health portal on active ageing with T 2 DM • Development and discussion of the MANAGE-CARE Toolkit including care-standard recommendations as a roadmap to innovative Chronic Care Management.

MANAGE CARE Products State-of-the-art report on existing disease management models and on scientific evidence of care for elderly with T 2 DM • 9, 464 publications screened • Only seven cluster randomized controlled trials included for review Ø Limited evidence from RCT suggests that the effects of multifactorial care on Hb. A 1 c concentration, cholesterol levels and blood pressure in older type 2 diabetes patients are only small.

MANAGE CARE Products Identification of patients’ needs and priorities to formulate requirements for innovative and patient-centred chronic care • Expert Workshop • MC Survey • MC Online Survey

MANAGE CARE Products Development of an innovative chronic care management model

MANAGE CARE Products e-Health portal with MANAGE-CARE PRO training curriculum for healthcare professionals Main modules Øe-learning Øtelemedicine Øcommunication Ønew chronic care model (after publication) Øpatient empowerment booklet

12 MANAGE CARE Products Further developed from Bachmann et al. „A European consensus on learning objectives for a core communication curriculum in health care professions“

MANAGE CARE Products Patient empowerment booklet and e-Health portal on active ageing with T 2 DM The contents of the booklet include the following chapters: • Nutrition • Physical activity • Self-monitoring • Injectables • Hypoglycaemia • Blood pressure • Foot care • Social networks.

MANAGE CARE Products Development and discussion of the MANAGE-CARE Toolkit including care-standard recommendations as a roadmap to innovative Chronic Care Management. 1 Education 2 Individual needs 3 Prevention & Health Promotion 4 Social support & Community Engagement 5 Accessibility 6 Cooperation/ coordination 7 Sharing information 8 e. Health 9 Fairness 10 Business 11 Evaluation

MANAGE CARE Products MANAGE CARE European Practice Compendium

Next steps • Comparing the effectiveness of existing healthcare interventions in the adult population • Promoting mental health and well-being in the young • Personalised coaching for well-being and care of people as they age

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