Work Package 7

Work package 7 members at the CHRODIS PLUS kick-off meeting


FOSTERING THE QUALITY OF CARE

WORK PACKAGE 7

FOSTERING HIGH QUALITY CARE FOR PEOPLE WITH CHRONIC DISEASES

Objectives

The aim of WP7 is to foster high-quality care for people with chronic diseases through the implementation of a set of quality criteria and recommendations defined in the previous Joint Action CHRODIS.

The Quality Criteria and Recommendations Tool will be applied in a series of pilot actions conducted by eight project partners in different settings, domains, and health care organisations. The Quality Criteria and Recommendations Tool constitutes a valuable and practical analytical framework that can be used by decision-makers, healthcare personnel, and patients to support the implementation of good practices, and to improve, monitor, and evaluate the quality of chronic disease prevention and care.

The adoption of an agreed-upon core set of quality criteria will also help to decrease inequalities in access to health services, and it will contribute to the cultural shift needed to redesign the care systems with and around the needs of people with chronic diseases.

Key Experts & Organisations

Marina Maggini - National Institute of Health, ItalyJelka Zekatel - National Institute of Public Health, Slovenia
LEADER MISSION STATEMENT

“We were very happy to see how the “CHRODIS family“ was assembled during the last joint action. Now that the network of enthusiastic colleagues is getting stronger and bigger, we are able to produce breakthrough ideas, successfully manage the process in line with the results and still keep our minds open to ideas of others. The CHRODIS PLUS Joint Action has the opportunity to open many doors, that may lead to better health in EU, and we believe that 'chrodisians' have the knowledge, experience, energy and wisdom to make it happen. From producing results at the personal/patient level to working with policy makers from Member States, and doing all of that with passion, is how we personally see the CHRODIS PLUS family”.

LEADERS

MARINA MAGGINI and JELKA ZALETEL leading work package on FOSTERING QUALITY OF CARE FOR PEOPLE WITH CHRONIC DISEASES

Organisations:

NATIONAL INSTITUTE OF HEALTH, ITALY (Marina Maggini)

NATIONAL INSTITUTE OF PUBLIC HEALTH, SLOVENIA (Jelka Zaletel)

MEMBER ORGANISATIONS

MEMBERS

  • WP Leader: National Institute of Health (ISS), Italy. Marina Maggini, marina.maggini@iss.it
  • WP Co-Leader: National Institute of Public Health (NIJZ), Slovenia. Jelka Zaletel, jelka.zaletel@kclj.si
  • International Centre of Excellence in Chronicity Research (KRONIKGUNE), Spain
  • European Patient Forum (EPF)
  • University of Ulm (UULM), Germany
  • Croatian Institute of Public Health (CIPH), Croatia
  • University Hospital Regensburg (UHREG), Germany
  • Aristotle University of Thessaloniki (AUTH), Greece
  • Centre for Research & Technology Hellas (CERTH), Greece
  • Otto von Guericke University Magdeburg (OVGU), Germany
  • Cantabrian Health Service (CSC), Spain
  • National Institute for Health and Welfare (THL), Finland
  • National Center of Public Health and Analyses (NCPHA), Bulgaria
  • Faculty of Medicine at the University of Belgrade (UBEO), Serbia

IMPLEMENTERS

  • Slovenia – National Institute of Public Health (NIJZ) – General Hospital Novo Mesto, and at the Primary Healthcare Centre Novo Mesto
  • Serbia – Faculty of Medicine, University of Belgrade (UBEO) – Primary Care Units in close cooperation with the Institute of Public Health of Serbia and the Ministry of Health of the Republic of Serbia
  • Croatia – Primary Health Care Centres (PHCC) in collaboration with the Croatian Institute of Public Health (CIPH)
  • Finland – National Institute for Health and Welfare (THL), Primary Health Care and Family Federation of Finland
  • Greece – Aristotle University of Thessaloniki (AUTH), Specialised Care Management and Integrated Care Call Centre
  • Spain – Cantabrian Health Service (CSC)
  • Bulgaria – National Center of Public Health and Analyses (NCPHA)
  • Germany – University Hospital Regensburg (UHREG)

COLLABORATING PARTNERS

  • European Health Futures Forum (David Somekh)
  • Danish Committee for Health Education (Lars Munter), Denmark
  • VTT - Technical Research Institute (Johanna Leväsluoto), Finland
  • UEF - University of Eastern Finland (Leila Karhunen), Finland

Main Tasks

TASK 1: BASELINE ANALYSIS AND DEFINING PILOT ACTION DESIGN

Leader: International Centre of Excellence in Chronicity Research (KRONIKGUNE) – Spain

Baseline and context analysis will be performed by WP7 partners to reveal gaps, key facilitators and positive forces that support the applicability of the Quality Criteria and Recommendations (QCR) Tool. What will also be identified are actual/potential barriers that need to be recognised and addressed, as well as an evaluation of their transferability across countries. It will also enable WP partners to share their vision, ideas, knowledge, expertise and experiences in a structured way.

TASK 2: PILOTING THE QUALITY CRITERIA AND RECOMMENDATIONS TOOL THROUGH PILOT ACTIONS ACROSS DIFFERENT COUNTRIES

Leader: National Institute of Public Health (NIJZ) – Slovenia

Task 2.1 – Implementation of JA-CHRODIS Recommendations – learning from pilot actions across several EU countries.

Task leader: National Institute of Public Health (NIJZ)

The QCR Tool, based on the JA-CHRODIS recommendations, will be tested in a series of pilot actions to improve and evaluate existing practices. Parts of the tool referring to different domains will be implemented in different countries. This will provide a wealth of information on the barriers and facilitators related to any of the specific QCRs, as well as the contextual elements of each healthcare system where they are to be implemented.

The QCR Tool will be implemented by partners at the following pilot sites:

  • Slovenia – General Hospital Novo Mesto, and at the Primary Healthcare Centre Novo Mesto;
  • Serbia – Primary Care Units in close cooperation with the Institute of Public Health of Serbia and the Ministry of Health of the Republic of Serbia,
  • Croatia – Primary Health Care Centres in collaboration with the Croatian Institute of Public Health;
  • Finland – Primary Health Care and Family Federation of Finland
  • Greece – Specialised Care Management and Integrated Care Call Centre

 

Task 2.2 Workshop on the interim follow-up of pilot actions and study visits.

Task leader: European Patient Forum (EPF).

A workshop and study visits are planned in the early phases of the pilot actions to foster activities via an exchange of knowledge and experiences. Both workshop and study visits will be designed from a patient/person perspective to assess if the pilot activities meet patients’/persons’ expectations with a special emphasis given to the respective QCR Tool, on empowering the target population, as well as education and training to promote empowerment. A summary report on the workshop and study visits will be produced.

The main outcome of Task 2 will be the Guide for the implementation of the QCR Tool (Deliverable 7.2) to improve the quality of care for people with chronic diseases. The deliverable will describe the overall implementation process (including the potential for applying it to other contexts), indicate implications for using it in practice, as well as the suggested next steps for fostering quality care for people with chronic diseases. The document will report on the key lessons learnt from the implementation of the QCR Tool, including facilitators and barriers.

TASK 3: PILOT ACTIONS ON THE IMPLEMENTATION OF MHEALTH TOOLS FOR FOSTERING QUALITY CARE FOR PATIENTS WITH CHRONIC DISEASES

Leader: University of Ulm (UULM) – Germany

Three different partner sites will conduct pilots on mobile IT tools for self-empowering CD patients:

  • Cantabrian Health Service – CSC in Spain
  • National Center of Public Health and Analyses – NCPHA in Bulgaria
  • University Hospital Regensburg – UHREG in Germany

IT can play a role in improving the self-management of chronic diseases, thereby giving patients the opportunity to become involved in their own healthcare process, thus facilitating behavioural changes.

Rüdiger Pryss, Ulm University, Germany, Leader of pilots on  mobile IT tools

TASK 4: GUIDE FOR THE IMPLEMENTATION OF THE QUALITY CRITERIA AND RECOMMENDATION TOOL

Leader: National Institute of Health (ISS)  – Italy

This task aims to support WP7 partners in reporting baseline and context analyses regarding the applicability and transferability of the QCR Tool, and in preparing the Individual Pilot Action Reports.

The main outcome will be the report on designing pilot actions (Deliverable 7.1), which describes baseline and context analyses, and the design for each pilot action implementation, while also providing a framework for the implementation of pilot actions using the JA-CHRODIS QCR Tool.

Core documents:

Timeline of Key Activities

TIMELINE
  • September 2017- Kick-off meeting to support coordination and cooperation among partners, to create a common vision, and to discuss and agree on work organisation, decision-making processes, communication and dissemination activities.
  • November 2018 – Workshop on interim follow up to share experiences, discuss interim analyses, describe study visits, and support networking among partners.
  • D7.1 – Pilot action design: a blue print for action
    • April 2019 – WP7 conference to present and discuss the results of the first phase of the implementation activities, and to support coordination and cooperation among partners.
    • April 2020 – Final WP conference with partners, experts, patients, policymakers and other stakeholders, to present the deliverables and share the results of the WP.
  • D7.2 – Guide for the implementation of the JA-CHRODIS QCR Tool to improve the quality of care for people with chronic diseases – Lessons learnt based on experiences from the pilot actions in at least three countries.

 

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