Work Package 7

Work package 7 members at the kick-off meeting of CHRODIS+


FOSTERING QUALITY OF CARE

WORK PACKAGE 7

FOSTERING HIGH QUALITY CARE FOR PEOPLE WITH CHRONIC DISEASES

Objectives

The WP7 aims 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 8 project partners in different settings, domains, and health care organizations. 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 core set of quality criteria will also help to decrease inequalities in access to health services of 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 Zaletel - National Institute of Public Health, Slovenia
LEADER MISSION STATEMENT

“We were very happy to see, how the “CHRODIS family“ was built during the last joint action. Now, the network of enthusiastic colleagues is getting stronger and bigger, we are able to produce breakthrough ideas, successfully manage the process to the results and still keep our minds open to ideas of others. JA CHRODIS+ 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 person/patient level to working with policy makers from Members States, and doing all that with passion, this is how we personally see „CHRODIS+ 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
  • Center 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 with close cooperation with Institute of Public Health of Serbia and Ministry of Health Republic of Serbia
  • Croatia – Primary Health Care Centers (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)

Main Tasks

TASK 1: BASELINE ANALYSIS AND DEFINING PILOT ACTIONS 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 enablers and positive forces that support the applicability of the Quality Criteria and Recommendation (QCR) tool, and actual/ potential barriers that need to be recognized and addressed, and to evaluate their transferability across countries. It will also enable partners of WP to share their vision, ideas, knowledge, expertise and experiences in a structured way.

TASK 2: PILOTING OF THE QUALITY CRITERIA AND RECOMMENDATION 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)

QCR tool based on the JA-CHRODIS Recommendations will be tested in a series of pilot actions, to improve and evaluate existing practices. For better tool’s applicability evaluation across the EU, different tool domains will be implemented in different countries. This will provide rich information on the barriers and facilitators related to any of the specific QCRas well as the contextual elements of each of the health care systems where they are to be implemented.

The QCR tool will be implemented by partners in the following pilot sites:

  • Slovenia – General Hospital Novo Mesto, and at the Primary Healthcare Centre Novo Mesto;
  • Serbia – Primary Care Units with close cooperation with Institute of Public Health of Serbia and Ministry of Health Republic of Serbia,
  • Croatia – Primary Health Care Centers 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 interim follow-up of pilot actions and study visits.

Task leader: European Patient Forum (EPF).

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

The main outcome of task 2 is the definition of the Guide for the implementation of QCR tool (Deliverable 7.2) to improve the quality of care for people with chronic diseases. The deliverable will describe the overall implementation activity including the potential for spread to other contexts, indicate implications for practice, and suggested next steps for fostering quality of care for people with chronic diseases. The document will report on the key lessons learnt, including enablers and barriers, from the implementation of QCR tool.

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

Leader: University of Ulm (UULM) – Germany

Three different partner’s sites will conduct three pilots on mobile IT tools for self-empowering the 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 better self-management of chronic diseases giving patients the opportunity to be involved in their own healthcare process facilitating behavioural changes.

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 the reporting of baseline and context analyses regarding the applicability and transferability of the QCR tool, and in preparing the Individual Pilot Action Reports.

The main outcome is the definition of the report on pilot actions design (Deliverable 7.1) that describes baseline and context analyses, and design for each pilot action implementation, and provides a framework for the implementation of actions using JA-CHRODIS QCR tool.

 

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 organization, decision-making process, 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 JA-CHRODIS QCR tool to improve the quality of care for people with chronic diseases – Lessons learnt based on experiences in pilot actions in at least 3 countries.
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