Monday, 23rd September 2019  
The EU of Health at work with UEHP
A new elected European Parliament is organising projects and laws based on a European framework concerning Health with a new generation of MEPs.
We welcome the recent appointment of the new Health Commissioner Stella Kyriakides and we look forward to listening to her priorities to be discussed at the European Parliament during her official hearing scheduled on 1st October.
After reading her letter of appointment, we see a lot of common points with her predecessor Commissioner Andriukaitis, assuring a great continuity in her mandate which can only be beneficial to all stakeholders involved in the healthcare sector.
UEHP also relayed to its members World Patient Safety Day which took place on 17th September reflecting a common engagement on quality and safety for our patients.
UEHP is at work and we invite you to join us on 11th October in Budapest for our Council Meeting.
Following the last meeting in Bucharest, we reinforce our commitment to develop Private Hospitals cooperation in all Europe for innovative medicine.
Dr Paul Garassus
President of UEHP
New European Commission - Focus on the new Commissioner for Health, Stella Kyriakides
The new Von der Leyen European Commission has been presented today in Brussels. In the file attached you can find the new Commission in full.
As for the new Health Commissioner, Stella Kyriakides, her priorities will be discussed during her hearing in the European parliament at the end of the month (first week of October).
Stella Kyriakides – Cyprus
Born under British rule, she trained in Britain as a child psychologist. As vice president of the Democratic Rally party since 2013, she’s President Nicos Anastasiades’ right arm. Career politician. Pushed for a law in 2018 decriminalizing abortion. This would be her first Brussels gig, but she’s known in Europe for her stint as president of the Council of Europe’s Parliamentary Assembly.
Key priorities : Medicines access, implementation of the medical device regulations, e-health, AMR and cancer.
Please find here the official letter of appointement.
Open letter to the Members of the European Parliament on the importance to sustain EU progress in fighting against antimicrobial resistance (AMR)
On Septembre 12, UEHP co-signed an open letter to MEPs, together with other 17 health organizations in Brussels, calling for antimicrobial resistance to be on the agenda for inter-institutional discussions (including during hearings for commissioners-designate) and a “dedicated, holistic AMR parliamentary group.”
The letter is the final step of a collective reflection with other 17 organisations active in human and animal health on the urge to bring antimicrobial resistance (AMR) to the forefront of EU interinstitutional discussions and to support the establishment of a dedicated AMR parliamentary group.
AMR is a major and complex public health threat that requires concerted efforts, involving all stakeholders. AMR is estimated to be responsible for 33,000 deaths per year in the EU alone[1] and 700, 000 deaths per year globally, including 230,000 deaths from multidrug-resistant tuberculosis[2]. It has been calculated that the extra healthcare costs and productivity losses due to multidrug-resistant bacteria in the EU total €1.5 billion each year.[3] AMR is also a threat to animals, as it can cause health and welfare problems.
The undersigned civil society organisations and stakeholders believe in the need for cooperation to sustain continued and targeted EU action to address AMR. Like many significant healthcare challenges, no single actor has the answer and wide-ranging stakeholder collaboration is needed to tackle AMR. It is only through concerted action across all sectors and stakeholders that effective solutions can be found. In other words, taking a One Health approach, as recognised by the European Commission in its 2017 European One Health Action plan against AMR.
The European Parliament has an important role to play in ensuring that the EU remains on the front line of the global battle against AMR. The signing organisations look forward to working with the Members of the European Parliament to sustain EU progress in fighting against AMR.
Survey on Surgical Site Infection (SSI) in Europe
UEHP calls for participation
On behalf of Health First Europe - HFE (an organisation where UEHP seats in the Board), UEHP encourages its members to participate to the pan-European survey to gain a greater understanding of the level of implementation of the WHO Global guidelines for the prevention of surgical site infection (SSI) in Europe.
This survey aims to assess the current level of application of the WHO guidelines in Europe and address the disparities between evidence and practice in the prevention of surgical infection. The questionnaire is completely anonymous and run through the platform Survey Monkey. It will take no more than 10 minutes and no personal questions will be asked.
The results of the survey will be collected in a Report that will be used to advocate policymakers of the European Commission, the European Parliament and the Council of the European Union, to advance concrete actions designed to significantly enhance patient safety and quality of care for all citizens among European countries.
Please participate to the survey and forward it to your own members and network in order to help us reach as many surgeons as possible.
EU Health Coalition calls for a balanced Horizon Europe
UEHP is member of the EU Health Coalition, an indipendent coalition created in Brussels in 2018 in view of the EU elections with the aim of gathering all stakeholders working in the healthcare field to propose recommendations to the EU institutions and to keep healthcare on top of the EU agenda.
In view of the open consultation on the Horizon Europe Strategic Plan (the new EU framework progamme for Research and Innovation replacing Horizon 2020), the EU Health Coalition has published a news calling on the European Commission for a balanced Horizon Europe that fosters both research and innovation and supports cross-fertilisation and collaboration across the framework programme’s pillars and clusters. 
Health research is complex, and it needs deeper and longer-term collaborative and transnational initiatives that address the current gaps in the innovation cycle. It is important that in the implementation process of Horizon Europe, health research is not scattered among different pillars and clusters.  Strong coordination between all health-related initiatives (including partnerships and the mission on cancer) will converge them into concrete solutions for patients and citizens.
Please find the full text here : https://www.euhealthsummit.eu/news/
The news has also been sent to the European Commission’s DG SANTE.
WHO first ever World Patient Safety Day
WHO organized the first ever World Patient Safety Day on September 17.
WHO is taking the opportunity to launch a new campaign to raise more awareness on patients’ safety across the globe. It notes that on average four out of ten of all patients get harmed in primary and ambulatory settings, while up to 80 percent of these cases could be avoided. “No one should be harmed in health care,” WHO said about their campaign.
WHO encourages everyone to take part in this campaign and to be actively involved in his/her personal care, by providing accurate information about personal medical history and by communicating with the health care team.
Speak up for the safety of your care! Speak up for patient safety!
EHMA workshop on "Reconfiguring and leading the value-based hospital" – Invitation
11-12 December 2019
Here is an initiative from EHMA, European Health Management Association. They organise the EHMA Executive Workshop “Reconfiguring and leading the value-based hospital” on 11-12 December in Brussels.
UEHP members can benefit from 10% discount on the registration fees.
To register : Ms Margheri (Federica Margheri federica.margheri@ehma.org) specifing that you are a UEHP member in order to benefit from the discount.
The Panhellenic Association of Private Clinics awarded by the Minister of Health
Dr Grigoris Sarafianos (3rd from right), President of the Panhellenic Association of Private Clinics
On September 5, the Panhellenic Association of Private Clinics received an award for “its contribution to promoting the health of vulnerable groups”, with the signing of a Memorandum of Understanding (MOU) for the administration of oncology medicines by Private Clinics.
A partnership has been settled. From September 5. 2019 ownwards, 21 Attica Clinics will cover 2,000 patients per month and will extend throughout Greece, as well as to other treatments that are being delivered in Private Clinics.
The award was presented by the Minister of Health Mr. Cecilia, with the presence of Deputy Minister Mr. Kontosamanis, the President of EOPYY (Greek Organization of Social Security) Mr. Plagiannakos and the Vice President Mr. Karpodini. Mr. Sarafianos, President of the Panhellenic Association of Private Clinics received the award.
The event was covered by all the TV channels in the country and broadcasted snapshots on all the Newsletters.
Such initiatives by the Government and the political leadership of the Ministry of Health will be supported and co-operated by the Panhellenic Association of Private Clinics.
APHP co-founder of the Institute for Evidence-Based Health
The new Institute for Evidence-Based Health (ISBE), presented on September 12 at the Faculty of Medicine of the University of Lisbon, has APHP as founding partner, together with the Faculties of Medicine and Pharmacy of the University of Lisbon, the Portuguese Pharmaceutical Industry Association (APIFARMA), the National Pharmacy Association (ANF) and the «Health in Dialogue» Platform.
“We will work towards making the health system more responsive to citizens 'needs and to provide objective data for health policy decisions,” explains Oscar Gaspar, president of APHP, about the founders' purposes.
This new non-profit private association aims to be "a space where Academics, Researchers, and other Partners can meet, integrate and share, with the same strong purpose of generating, disseminating and operationalizing scientific knowledge in the Health sector".
Evidence-based medicine makes use of the best available scientific information to answer questions of clinical practice. ISBE aims to help policy makers, doctors and patients to base their choices on quality scientific information.
Chaired by Ana Paula Martins, president of the Order of Pharmacists, ISBE also has António Vaz Carneiro, at the head of its Scientific Council.
“We will increasingly need high quality scientific information. [...] Everything will need information at four levels: responsible politicians must have more high-quality information to decide on public policies, doctors to decide on therapies, administrators to define strategies to use and the patient’s themselves”, explains António Vaz Carneiro, one of ISBE's associate researchers.
ISBE aims to be a place of “intellectual independence” because, he argues, “modern systems will require a massive amount of information. In five or 10 years no one will be able to make a good decision without the necessary information and institutes like this one will play a crucial role”.
Priority areas of research will be epidemiology and big data, artificial intelligence, public health and health policy, results research (for example, if a service is closed, what happens then to the hospital), health technology assessment and knowledge translation.
Press conference on current health topics
The French federation FHP organized a press conference on September 12. on current health topics.
FHP recalled its proposals for the modernization of the financing of health facilities: multiannual and tariffs increases, indexation of tariff changes to inflation ...
FHP also reacted to Health Minister Agnes Buzyn's announcements regarding the "Emergency Rebuilding Pact" in order to strengthen the use of private emergencies and to grant more emergency authorizations to private hospitals and clinics.
Klinikum Bad Gleichenberg:
Report of experiences from the 2019 HOPE-exchange program
The exchange program for employees in hospitals and healthcare facilities HOPE is an activity offered by the European Hospital and Healthcare Federation. Every year, a four-week training period in a guest hospital allows the participants to get to know another healthcare system, either in the EU, or in another European state. From May 6 to June 4 2019, Gabriele Koch, the quality management representative at the Klinikum Bad Gleichenberg, took part in the exchange program.
Gabriele Koch traveled to Denmark where she was able to act as an observer in different healthcare facilities in Middle and North Jutland as well as getting acquainted with a project planning a new hospital in Zealand.
The main focus of the 2019 exchange program was “Evidence-informed decision-making in healthcare management”. The closing event held from June 2nd to 4th was dedicated to the evaluation of all European participants in Ljubljana.
“In Denmark, we focused intensively on the topic of “Evidence-informed decision-making in healthcare management.” Regarding solution finding based on existing data, Denmark can rely on a very extensive compilation of medical records. All five Danish regions manage medical and patient data through their own business intelligence center. Every information gathered from these reports enable the healthcare system to trace all processes of change and improvement as well as to evaluate results.
It was very impressive to see how this data was used towards quality management in the facilities we visited. Each of these improvement projects begins with defining key performance indicators which show, if and how much the quality level in- or decreases during the project”, explains Gabriele Koch.
Gabriele Koch
“Here is an example: The range of ratios made it possible to compare the shortening of a hospital stay (e.g. after giving birth) with the number of complications after the release of a patient. It is possible for a mother who has given birth for the second time to leave the clinic 2 to 4 hours after delivering her child, given there were no complications. Compared to Austria, Denmark manages to keep their lay days very low; but shortening the length of patient’s stay while maintaining a certain level of quality can only be accomplished with the help of a strong medical system outside of the hospital.
The certified nurses of the DGKP (registered nurses for anesthesia and intensive care medicine) mostly take care of patients after a hospital stay. Additionally to their training, the DGKP has extra qualification and is qualified to tend to patients leaving health facilities as well as being a first contact in case of medical problems. Since patients are already informed during there stay in the hospital which nurse will be responsible for them when they leave the hospital, and what they need to pay attention to, the ones I spoke to gave me the feeling of being calm about being released “early”. Nurses have considerable responsibilities, which is very satisfactory. Knowing that a doctor will immediately help them if complications or questions arise, strengthens the sense of security.
Danish law also allows nurses with additional qualification to perform medical acts only permitted to doctors in Austria, and these “new tasks” of the nurses enable a strong interdisciplinary cooperation with the doctors. For example, a nurse will perform an endoscopy and call a doctor in case of a unclear result. In the beginning I was very surprised about that but I understood, after the exchange program, that these nurses were qualified to do so after their particular training.
From my point of view, this intensified interdisciplinary cooperation between nurses and doctors has only a positive effect on the quality of the results, the satisfaction of the employees, the management of resources, and on the expense in a healthcare system as well. The shortage of doctors, which is ever growing in Europe, could, from my point of view, be cushioned by this interdisciplinary way of working.”
Gabriele Koch, quality and risk manager
24-26 September 2019
European R&I Days
30 September 2019
EU Health Programme High Level Conference
02-04 October 2019
Bad Hofgastein, Austria
European Health Forum Gastein
11 October 2019
UEHP Council Meeting