Prof. Jose M Valderas leads the Health Service & Policy Research at the University of Exeter. His research interests focus on the use of patient reports on their own health for decision making in clinical practice and health policy, and the improvement of processes of care (quality and safety), with a particular interest in patients with multiple conditions (multimorbidity). He has led or participated in over 40 research projects, has authored over 200 publications, and has provided expert policy advice to the World Health Organization, Organization for the Economic Cooperation and Development, and NHS England, among others. He has served as elected President of the International Society for Quality of Life Research currently and currently serves as Field Chief Editor for Frontiers in Health Services.

Decision-makers around the world face a series of common problems when considering options for improving health care performance. In previous decades, efforts have been direct to optimising quality and safety in health care delivery, with a focus on the delivery of care that is evidence-based and the implementation of a range of mechanisms that reward performance based on the adherence to the best evidence. A fundamental shift is now taking place with the explicit focus being placed on the outcomes of care, rather than the processes by which those outcomes are achieved. This value-based health care approach places particular importance on those outcomes that matter most to patients and makes patient reported outcomes and experiences critical to the measurement of value. Crucially, it can be instrumental in reorienting health care for meeting the needs of people who suffer from multiple health conditions (multimorbidity).

In this keynote, Prof. Valderas will provide an overview of the principles of value-based health care, the evidence for the impact of information on patient reported outcomes on health care delivery and recent developments in the identification of metrics and relevant international experiences (ICHOM, UKPROMS, OECD PaRIS).

The 4^th French Health and Environment Plan recalls that 23% of deaths and 25% of chronic diseases worldwide can be attributed to environmental and behavioural factors and that the health system is a major player in environmental health in more than one way.
AP-HP is engaged in this "preventive shift" with regard in particular to the chronic diseases which becomes a major field of prevention: their prevalence could be reduced through health promotion and prevention actions. These actions are essential at any stage of the disease, throughout the health care chain, to improve health outcomes and quality of life.
Prevention and promotion activities can only develop fully if integrated into care with an integration into the practice of health professionals. We must not think of an organization of preventive care parallel to the organization of curative care. Promotion and prevention must be perceived by each actor in the health system as one of its "natural" missions and not as an "optional" activity.
L’AP-HP is very active in screening, health education and prevention, particularly in cancer, sexual health and addiction, and with transversal actions too, like adapted physical activity, therapeutic education of the patient, especially for chronic diseases, in its health territory.
In his next medical strategic plan, AP-HP sets out to operate its health data warehouse for public health purposes: analysis of the links between certain environmental factors and their effects on health leads to a better understanding of diseases and, above all, to the definition of preventive actions.
AP-HP will develop screening and prevention: in the care (new tools, informations, synergy of the actors in the screening channels; connected objects, artificial intelligence, e-cohorts of chronic patients ,…); in education and communication (teaching of preventive medicine among students and medical practitioners; communication to target audiences and the general public); and in research prevention and screening as a valued area of research in French universitary hospitals).
The AP-HP will be firmly committed to sustainable development and ecological transition, especially with his new environmental health  project of eco-responsible maternities.

Prof Dr Oliver Groene is CEO of the International Network of Health Promoting Hospitals and Health Services and Vice Chairman of the Board at the population health management company OptiMedis AG, where the Network´s secretariat is hosted. He also holds the position of Professor at the Department of Management, Economics and Society at the University of Witten/Herdecke, Germany. Previously, he was Associate Professor in Health Services Research at the London School of Hygiene and Tropical Medicine and Manager of the ´Quality of Health Systems Programme´ at the World Health Organization. He holds an MSc and PhD in Public Health and an MA in medical sociology and organizational sciences. Oliver Groene publishes widely on quality of care and health services research topics (H-index: 45).

Initiated by the WHO in 1988, the International Network of Health Promoting Hospitals and Health Services (HPH) supports members to systematically incorporate health promotion concepts, values, frameworks, and evidence into the governance, management, structure, culture, and operations of hospitals and health services. HPH aims to optimize health gains of patients, staff and populations served to support sustainable societies by utilizing the setting in which people live, learn, work, and use various services.
The 2020 Standards for Health Promoting Hospitals and Health services reflect various areas of policy, practice, and evidence to support a broad implementation of the HPH vision. The HPH Standards build upon years of work and experience within the HPH Network. They further address current opportunities and challenges recognized by leading international organizations, such as those defined in the United Nations Sustainable Development Goals. Five overarching HPH Standards have been identified that focus on organizational commitment, ensuring access to services, enhancing people-centered health care and user involvement, creating a healthy workplace and healthy setting, and promoting health in the wider society. Standards encourage the refocusing of a hospital or health service’s strategy towards health orientation and health outcomes to truly transform the organization into a health promoting setting.
To operationalize the 2020 Standards, the International HPH Network conducted a process to define a list of concrete measurable elements for each Standard and substandard. These will be complied into a self-assessment manual which can be used to complete performance assessments in relation to an organization’s uptake of the standards, track progress over time, and to stimulate continual internal improvement processes. The International HPH Network will further create tools like an online platform, which will allow linkage to relevant outputs, such as publications, HPH Task Force and Working Group initiatives, and best-practice examples to their corresponding Standards. The 2020 HPH Standards and Self-Assessment manual indicate a new era for HPH as we continue to advance and adapt the HPH vision and work towards increasing health gain for patients, staff, communities, populations, and the environment.