1. MHADIE Recommendations in the Clinical Context A European and International Perspective

2. Recall MHADIE Results ICF feasible in the Clinical Context –Along the continuum of care –Across health conditions –Over the life span ICF serves as basis for the development of clinical measurement instruments Information on functioning must complement information from the condition perspective!

3. Challenges and Approaches beyond MHADIE Develop ICF based practical tools –ICF Core Set Project Implementation of the ICF and ICF Core Sets as European and international standards –Leadership: Rehabilitation Medicine

4. Rehabilitation Medicine is the Medicine of Functioning The ICF is the Core Concept of Rehabilitation Medicine

5. The ICF, the first universal language for all health professionals involved in rehabilitation!

6. Development of ICF Core Sets International Standards for Clinical Practice, Research and Statistics WHO FIC CC Germany (DIMDI) ICF Research Branch Ludwig-Maximilian University Munich World Health Organization & European Union of Medical Specialists (UEMS) European Society of Physical and Rehabilitation Medicine (ESPRM) International Society of Physical and Rehabilitation Medicine (ISPRM) & European and International Collaboration Network

7. Testing and Validation 6 World Regions, 50 Countries, 300 Study Centers

8. The Service and Care Continuum Acute context Acute care Early post-acute context Early postacute rehabilitation Long-term context Post-acute rehab, Re-Rehab Curative Strategy Rehabilitative Strategy

9. Chronic widespread pain Low back pain Osteoarthritis Osteoporosis Rheumatoid arthritis Chonic ischemic heart disease Diabetes Obesity Obstructive pulmonary diseases Depression Breast cancer Stroke ICF Core Sets for Chronic Conditions

10. Current Developments AmputationSydneyAustralia Ankylosing SpondylitisMaastricht Netherlands Bipolar disordersBarcelona Spain HearingStockholm Sweden Oropharyngeal Cancer Munich Germany Psoriasis Arthritis Wellington New Zealand MigraineMilan Italy Multiple SclerosisValens Switzerland Scleroderma Vienna Austria SLE Vienna Austria SleepHelsinki Finland Spinal Cord Injury Nottwil Switzerland Traumatic Brain InjuryBarcelonaSpain Vision Munich Germany

11. Current Development Generic ICF Core Set

12. Project: Case studies to describe an ICF and Rehab-Cycle based rehabilitation management in Spinal Cord Injury Swiss Paraplegic Research www.icf-casestudies.org

13. ICF Evaluation Sheet

14. Applications Using information on the individual level (electronic-health-records) to generate statistics relevant for service planning and policy Patient-oriented and need-based case management across services based on European standards Quality Assurance Programs