IMPACT

IMplementation of quality indicators in PAlliative Care sTudy

Coordinatore	STICHTING KATHOLIEKE UNIVERSITEIT    more  Organization address address: GEERT GROOTEPLEIN NOORD 9 city: NIJMEGEN postcode: 6525 EZ contact info Titolo: Mr. Nome: Maarten Cognome: Van Langen Email: send email Telefono: +31 24 3619791 Fax: +31 24 3540529
Nazionalità Coordinatore	Netherlands [NL]
Sito del progetto	http://www.impactpalliativecare.eu
Totale costo	3˙903˙020 €
EC contributo	2˙999˙900 €
Programma	FP7-HEALTH Specific Programme "Cooperation": Health
Code Call	FP7-HEALTH-2010-two-stage
Funding Scheme	CP-FP
Anno di inizio	2011
Periodo (anno-mese-giorno)	2011-02-01   -   2015-01-31

 Partecipanti

#	participant	country	role	EC contrib. [€]
1	STICHTING KATHOLIEKE UNIVERSITEIT  Organization address address: GEERT GROOTEPLEIN NOORD 9 city: NIJMEGEN postcode: 6525 EZ contact info Titolo: Mr. Nome: Maarten Cognome: Van Langen Email: send email Telefono: +31 24 3619791 Fax: +31 24 3540529	NL (NIJMEGEN)	coordinator	987˙200.00
2	NORGES TEKNISK-NATURVITENSKAPELIGEUNIVERSITET NTNU  Organization address address: HOGSKOLERINGEN 1 city: TRONDHEIM postcode: 7491 contact info Titolo: Mr. Nome: Patrick Cognome: Reurink Email: send email Telefono: +47 728 26065 Fax: +47 728 26 028	NO (TRONDHEIM)	participant	543˙900.00
3	UNIVERSITAETSKLINIKUM BONN  Organization address address: Sigmund-Freud-Strasse 25 city: BONN postcode: 53105 contact info Titolo: Ms. Nome: Beate Cognome: Becker Email: send email Telefono: +49 228 28719454 Fax: +49 228 28714635	DE (BONN)	participant	452˙700.00
4	UNIVERSITY COLLEGE LONDON  Organization address address: GOWER STREET city: LONDON postcode: WC1E 6BT contact info Titolo: Ms. Nome: Greta Cognome: Borg-Carbott Email: send email Telefono: +44 20 3108 3033 Fax: +44 20 7812 2849	UK (LONDON)	participant	396˙300.00
5	ALMA MATER STUDIORUM-UNIVERSITA DI BOLOGNA  Organization address address: Via Zamboni 33 city: BOLOGNA postcode: 40126 contact info Titolo: Mr. Nome: Diego Cognome: Torresan Email: send email Telefono: +39 051 2099373 Fax: +39 051 2098115	IT (BOLOGNA)	participant	300˙600.00
6	ASSISTANCE PUBLIQUE - HOPITAUX DE PARIS  Organization address address: 3 Avenue Victoria city: PARIS postcode: 75004 contact info Titolo: Ms. Nome: Véronique Cognome: Ferracci Email: send email Telefono: +33 1 44 083599 Fax: +33 1 44 083510	FR (PARIS)	participant	45˙600.00
7	FUNDACION INTRAS  Organization address address: CALLE SANTA LUCIA 19 city: VALLADOLID postcode: 47005 contact info Titolo: Ms. Nome: Henar Cognome: Conde Email: send email Telefono: +34 983399633 Fax: +34 983 217565	ES (VALLADOLID)	participant	45˙600.00
8	KATHOLIEKE UNIVERSITEIT LEUVEN  Organization address address: Oude Markt 13 city: LEUVEN postcode: 3000 contact info Titolo: Dr. Nome: Elke Cognome: Lammertyn Email: send email Telefono: +32 16 32 06 21 Fax: +32 16 32 65 15	BE (LEUVEN)	participant	45˙600.00
9	KING'S COLLEGE LONDON  Organization address address: Strand city: LONDON postcode: WC2R 2LS contact info Titolo: Dr. Nome: Paul Cognome: Labbett Email: send email Telefono: +44 20 78488184 Fax: +44 20 78488187	UK (LONDON)	participant	45˙600.00
10	THE UNIVERSITY OF SHEFFIELD  Organization address address: FIRTH COURT WESTERN BANK city: SHEFFIELD postcode: S10 2TN contact info Titolo: Ms. Nome: Joanne Cognome: Watson Email: send email Telefono: 441142000000 Fax: 441142000000	UK (SHEFFIELD)	participant	45˙600.00
11	UNIWERSYTET MEDYCZNY IM KAROLA MARCINKOWSKIEGO W POZNANIU  Organization address address: Ul. Fredry 10 city: POZNAN postcode: 61 701 contact info Titolo: Ms. Nome: Bozena Cognome: Raducha Email: send email Telefono: +48 61 854 60 36 Fax: +48 61 854 62 28	PL (POZNAN)	participant	45˙600.00
12	VERENIGING VOOR CHRISTELIJK HOGER ONDERWIJS WETENSCHAPPELIJK ONDERZOEK EN PATIENTENZORG  Organization address address: De Boelelaan 1105 city: AMSTERDAM postcode: 1081 HV contact info Titolo: Mr. Nome: Barry Cognome: De Wit Email: send email Telefono: +31 20 4449653 Fax: +31 20 4448181	NL (AMSTERDAM)	participant	45˙600.00
13	STICHTING VU-VUMC  Organization address address: DE BOELELAAN 1105 city: AMSTERDAM postcode: 1081 HV contact info Titolo: Mr. Nome: Barry Cognome: De Wit Email: send email Telefono: +31 2 044 49653 Fax: +31 2 04448181	NL (AMSTERDAM)	participant	0.00

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 Obiettivo del progetto (Objective)

'New knowledge is not necessarily readily applied in medicine, even when there is evidence of its effectiveness. As a result of the gap between knowing and doing, policy makers, professional care providers, patients and their families have benefited too little from new developments. Implementation research has developed models for stepwise implementation but it is still unclear which strategies are effective for whom and which factors influence the effectiveness of implementation strategies. From the point of view of implementation sciences changing palliative care is a major challenge, since adequate organization of palliative care requires collaboration between a range of different professionals and healthcare organizations. Besides, as a consequence of the ageing population, the number of people in need for cancer and dementia palliative care will rise. Therefore we will focus on implementation strategies in palliative care. The overall aim of this project is to develop optimal implementation strategies for using quality indicators to improve the organization of palliative cancer and dementia care in Europe and to study factors influencing the effectiveness of the strategies. We will focus on the implementation process and concentrate the work packages on: the organization of palliative care, the development of a set of setting-specific implementation strategies including an interactive website and instruction by consultants, the evaluation of the use of selected strategies to improve the organization of palliative care and factors influencing the effectiveness of the implementation strategies. This information will be used to build a conceptual model that should be applicable across diverse healthcare settings and that allows rigorous assessment of the effectiveness of implementation strategies. Dissemination of the results will be enhanced by involving stakeholders, including two European networks related to the subject of this implementation process study.'

Introduzione (Teaser)

Collaboration between a range of professionals and health care organisations is necessary for the ongoing care of the infirm and elderly. This project identified quality indicators (QIs) specifically to improve the care of cancer and dementia patients in Europe.

Descrizione progetto (Article)

Palliative care focuses on relieving disease symptoms and preventing the suffering of patients. A multidisciplinary approach to patient care, this type of care relies on input from physicians, pharmacists, social workers, psychologists and other health sector professionals. Together they formulate care plans to relieve suffering in all areas of a patient's life.

The objective of the project 'Implementation of quality indicators in palliative care study' (http://impactpalliativecare.eu/ (IMPACT)) was to identify particular strategies and factors that make this care more effective. Project partners have examined several cases of palliative care organisations in Europe and identified a set of quality indicators derived from patients' feedback.

Team members also looked into specific barriers to and facilitators of the anticipated use of these indicators. They developed a web-based system to register feedback from the organisations' assessments.

The set of QIs developed will be published in a scientific paper in 2014. Five countries participated in the pilot test (Germany, Italy, the Netherlands, Norway and the United Kingdom). The four types of settings used were hospitals, hospices, nursing homes and primary care facilities. In these settings, a consultant invited the professional team to assess the quality of their organisation with the help of the set of QIs. The team also chose goals for improvement. Based on quality improvement steps, the teams improved the organisation of their setting. Finally, the effects were measured with the QI set.

At the end of this project, other countries will be able to use the QIs. The final outcome will be an instruction manual that will include how to use QIs, how to start improvement projects, and strategies for QI implementation. Data will continue to be collected for QI adjustments and to create a larger data set. Enabling additional comparisons, case-mix adjustments and further studies on this rich material, the data will contribute to an innovative, multi-professional, holistic health care system in Europe.