The pilot aims to define a standardized methodology to calculate indicators in order to be able to compare outcomes of the selected pathologies and procedures across the participating countries.
Based on the results obtained during the survey phase, using existing recent population-based registers to fit predictive functions of outcome after the selected procedures then testing these functions on routinely collected hospital discharge data was feasible and more effective for the project’s aims. Moreover, it was easier to implement the outputs produced in the routine health information flow systems. Therefore, the pilot phase was organized so as to use only these types of data. Orthopaedic and cardiovascular areas were considered for the pilot because of their high clinical and public health priorities and because all the participants were able to provide information in these areas. Prof. Jaume Marrugat (partner IMIM, Spain) and Dr Gerold Labek (partner EFORT-EAR, Austria) were appointed leaders of the cardiovascular and orthopaedic pilots respectively. Special efforts were made to enlarge the consortium by including as many countries and databases as possible. Furthermore, the activities related to risk adjustment and, if required, the statistical support given to the pilots were provided within the work package “Available sources of information in participant countries and development of a standardized methodology for comparative evaluation of outcomes” (Risk adjustment and statistics) led by Danilo Fusco (partner DEASL, Italy).