Work Packages (WPs)

Page updated on April 1st, 2009

In 2007 the initial structure of the Euphoric project was modified to facilitate the writing up of standardized reports and to also guarantee the comparability of the interim reports. The new structure provides the reorganization of the project in six work packages (WP), each one linked to specific objectives and activities.

WP 1 Management of the project (Coordination: ISS)

To enhance the communication among the Euphoric partners and to establish a network with other European institutions involved in similar research projects is the main objective of the WP 1 about the management of the project. Among the foreseen activities there are: the setting up of the work plan of the project, the organization of the coordination meetings and the writing up of the interim and final reports.

WP 2 Dissemination strategy (Coordination: ISS)

This work phase provides that the results of the Euphoric project will be made available through both scientific and informative publications (addressed at policy makers, stakeholders and citizens) as well as guidelines for benchmarking hospitals and the participating member states. Among the main objectives of the WP 2 there are: the setting-up of a website, the creation of a newsletter in order to reach the largest possible number of people interested in the progress of Euphoric and the organization of the final workshop of the project.

WP 3 Liaison with other EU projects, EU programmes and health stakeholders (Coordination: STAKES)

The objective of WP 3 is to establish connections with health stakeholders as well as other EU programmes and EU projects interested in outcome research or using similar methodologies. In particular, the cooperation with the ECHIM project and the Working Party on Health Indicators guarantees that the Euphoric indicators and methods are compatible with the ECHI project.

WP 4 Indicators development (Coordination: ISS)

Outcome indicators do not only allow comparative evaluations of hospital performances, between groups of facilities with similar organizational and / or process characteristics, between populations resident in different areas or of different socioeconomic status, but also the analysis of temporal trends. The process of selecting the indicators foresees the following activities: - create a list of diseases amenable to receiving medical procedures whose quality can be assessed in terms of outcome - devise a set of theoretical indicators to assess the quality of procedures used on key diseases and based on outcome - select diseases and procedures suitable for a pilot study to test some indicators. WP 4 foresees the creation of a glossary on “Best practices / Benchmarking” and the conduction of a survey with the double objective of defining a list of outcome indicators for certain areas of diseases and their respective description in summary sheets on one hand; as well as analyzing the different types of databases and the registers that are active in the participating European countries and available for the calculation the selected outcome indicators.

WP 5 Development of adverse-outcome risk indicator in real clinical and registry databases, and its possible use in administrative systematic data bases (pilot) (Coordination: IMAS-IMIM (CV pilot), EAR (Orthopaedic pilot), DEASL (Statistics and risk adjustment))

The second phase of the project foresees the development of standardized methodologies for the calculation of the indicators in the cardiovascular (WP 5.1) and orthopaedic (WP 5.2) fields. Among the activities foreseen by WP 5 are the appointment of the leaders of the two pilots (Prof. Jaume Marrugat for the cardiovascular one and Dr Gerold Labek for the orthopaedic one, respectively) as well as the drawing-up of two protocols. WP 5.3, on the other hand, consists of developing a standardized statistical methodology for comparative outcomes evaluation. It can therefore be considered a support work package to the two pilots. The intention of this work package is to come to a comparison of the outcomes of the selected pathologies and procedures in individual hospitals within each European country, using routinely collected data (such as hospital discharge records). To develop procedures that allow comparative outcomes evaluation of routinely collected data, it is necessary to have detailed information about the structure of these databases both in terms of collected variables as well as in terms of methodology used for the data collection. The use of risk adjustment methods that take each variation in the characteristics of the studied patient population into consideration, avoids producing biased results. Risk adjustment is, in fact, a procedure to assess outcomes thus allowing adequate benchmarking of other hospitals that carry out similar activities. The partner DEASL has the task of preparing a deliverable describing the risk adjustment methodologies (pdf) to be used as a support for further activities. The aim is to provide a detailed but easy reading document that describes the different risk adjustment methodologies so as to compare health care outcomes.

WP 6 Setting up and maintaining an indicators database (Coordination: ISS)

To carry out this task, ISS collaborates with CASPUR. The objective is to set up a database of the indicators selected during the first phase of the project, the survey, and of the databases and the registers that are active in the participating European countries for the calculation of the selected outcome indicators. The database will collect all the information related to the indicators: the synthetic description of the indicators (definition, numerator and denominator) as well as the detailed information derived from the literature analysis. Particular attention will be paid in developing a user-friendly operation to easily consult the collected information about the databases available in the participating countries, choosing from the following items: country, area of pathology, adopted procedure, data source, indicator.

For further information, please consult the section “Previous events” and download the documents that are available on the page “Technical reports”.