Quality of care - Projects MANAGED OUTCOMES Operations management and demand-based approaches to healthcare outcomes
and cost benefits research 
 www.managedoutcomes.eu
Managed Outcomes is a research project launched in 2010 within the EU Framework Programme 7. Its main goal is to develop and disseminate practical conceptual models as well as a toolkit of the healthcare service production system by analysing the healthcare systems in each EU country and its main parameters.
The main goal of this project is to develop and disseminate theoretically rich but practical conceptual models and toolkit of the healthcare service production system.
This main goal can be divided in seven specific objectives:
- Develop more effective and efficient healthcare systems models with new a scientific approach building on service operations management
- Develop tools, methods, and models to create more sustainable health systems to encounter universal challenges of healthcare demand
- Investigate relationships among quality of care, cost, efficiency and accessibility
- Understand the relationship between healthcare outcomes and cost-benefits using technical, allocative and economic efficiency measures of service production systems
- Identify different demand segments of healthcare
- Enhance cooperation between researchers in Europe to promote the integration and excellence of European healthcare systems research
- Develop future European healthcare system model scenarios
EURHOBOP European hospital benchmarking by outcomes in acute coronary syndrome processes www.eurhobop.eu EURopean HOspital Benchmarking by Outcomes in acute coronary syndrome Processes, also called EURHOBOP, is a project co-funded by the EU Commission, under the Second Public Health Programme 2008–2013. It contributes to pursue the objective of “generating and disseminating health information and knowledge” and is based on the preliminary results obtained in the EUPHORIC ( www.euphoric-project.eu) cardiovascular pilot study.
The project started on 1 September 2009 and will end on 31 August 2012.
EURHOBOP aims to allow hospitals to benchmark themselves about the quality of the management of myocardial infarction or unstable angina patients by providing a set of validated mathematical functions that include determinants of in-hospitals case fatality outcome indicator. EURHOBOP is also intended to create valid standardized and adjusted benchmarking tools that permit European hospitals to monitor their outcomes in key procedures used in coronary artery disease.
EUPHORIC established a set of functions predictive of EU Hospital performance in terms of management of coronary heart disease patients and some procedures used in their admission which were successfully wound up. Under EURHOBOP the functions will be validated on real life data by enrolling a large number of hospitals and the possibility of including other variables of severity will be tested. As project partners, HOPE is in charge of benchmarking testing with hospital real life data.
Hospitals are requested to provide data of 200 consecutive patients with discharge diagnosis of MI or UA retrospectively recruited. Hospital enrollment will be carried out in two phases:
- Through the already established network of the associated beneficiaries
(10 hospitals per country, enrolled as Associated collaborating partners);
- Opening the invitation to all the EU hospitals (enrolled as Affiliated collaborating partners) www.eurhobop.eu/?q=node/155
Outcomes of EURHOBOP will be double. By benchmarking hospital performance, the quality of healthcare delivered to European citizens will be guaranteed and improved. Moreover, by considering as a hard, standardized end-point, the outcome "in-hospital case-fatality after the procedure", it will make it easy to retrieve data from medical records and administrative discharge records. DUQuE Deepening our understanding of quality improvement in Europe 
www.duque.eu HOPE joined the research project financed by the EU 7th Research Framework Programme. This 42 months' project started in November 2009 and its end is foreseen for April 2013.
The main goal of the DUQuE project is to study the effectiveness of quality improvement systems in European hospitals. This will be done by assessing the relationship of organisational quality improvement systems/management and culture, professionals’ involvement, and patient empowerment with the quality of hospital care (including clinical effectiveness, patient safety and patient involvement).
Two main research outputs are expected:
- Hospital guidance - an in-depth overview on the effectiveness of quality and safety strategies and on how to integrate them in hospitals
- Appraisal scheme for purchasers - identifying the core quality and safety strategies that should be in place in European hospitals.
MARQuIS Methods of Assessing Response to Quality Improvement Strategies 
www.marquis.be HOPE was part of a consortium that obtained support within the EU Sixth Framework programme of research and technological development. This project was called Marquis (Methods of Assessing Response to Quality Improvement Strategies) and was within the priority “Providing Health, Security and Opportunity to the People of Europe”.
Marquis project had four main objectives:
- To identify, compare and assess the formal adoption by EU member states and accession countries of different quality strategies at a national level (including accreditation, certification, peer review (visitatie), clinical guidelines, performance indicators, patient surveys etc);
- To identify and synthesize the quality requirements for cross-border patients as expressed by European regulation, jurisprudence, guidance and research, and other sources as insurance contracts and patients' expressed needs;
- To describe in a sample of states how hospitals have applied national quality strategies, met the defined requirements of cross-border patients and variables of organization and methodology associated with meeting them;
- To use these data to draw conclusions about the association of various national quality strategies and compliance with defined requirements and the need for developing formal quality procedures at EU level.
This three-year project officially started on 28 January 2005. In 2006, partners worked on the description in a sample of state hospitals to identify how they have applied national quality strategies. A questionnaire answered by 400 hospitals was analyzed. In first semester of 2007 HOPE was supervising the “audit” which enabled the visit of 100 hospitals. On 7 December 2007, the final MARQuIS project conference took place in Venice (Palazzo Cavallo Franchetti). The results of this research project on quality were presented. The quality strategies, quality requirements for cross-border patients, questions on how hospitals have applied national quality strategies were the key topics of the conference. |
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