Section I. 1Annex 1b

Added value at the EU level

Target groups of the WP work

The primary group targeted by the WP is

• 
  Health Care professionals with a key position or decision maker’s role which enables them to spread knowledge gained, or to take steps to implement the Good Clinical Practices (GCP) at local clinical level. Their involvement will contribute to improve the clinical work within PS and management in the MS. The WP will aim at qualifying and committing them to GCP aiming for better safety in the services provided to the EU population.
  

• 
  Health Care professionals may be engaged in clinical work, or work at institutions/ organisations/ associations involved in PS and QC management in the MS.
  
• 
  Patient’s involvement will be promoted indirectly through the activities.
  

What we want to achieve

A selection of good practices relevant to the needs expressed by most MS will be made by the participating MS and stakeholder organisations. It will be based on transferability, existing implementation and evaluation tools.

The selection will aim at good practices addressing patient involvement and involving primary care and secondary care where applicable. The good practices should not demand too much extra resources. A procedure will be followed with MS and stakeholders selecting the good practices.

The WHO Patient Safety High 5s' project and other examples will be used to assist this choice.

HCOs will be selected in each participating MS considering their motivation and experience in the field.
Standard implementation tools will than be adapted to the needs of the HCOs of the participating MS.

They will address the following dimensions:

• 
  PS culture development,
  
• 
  reporting and learning,
  
• 
  training,
  
• 
  patient involvement,
  
• 
  evaluation.
  

Another part of the execution will be to share information on the implementation process and the result of the implementation. The infrastructure developed by EUNetPaS (extranet) may be used for this purpose as well as other existing European collaborations dealing with PS like LINNEAUS or EQUIP.

Process indicators and outcome indicators and qualitative information can be used to support the exchange of information.

Implementation of good practices takes commitment from all involved. This process will be facilitated by using of national networks (with the support of EU stakeholder organisations through their members) and by having the support of MS having already implemented the selected GP and of international organisations like WHO. The JA may give MS an opportunity to work with experts in different fields from the involved stakeholder organisations.

Organisation within WP5

The WP is lead by The Agency for Quality in Medicine (AquMed). The work package has 25 APs involved. There is a co-lead with the European Hospital and Healthcare Federation (HOPE) and a core group with

• 
  National and Kapodistrian University of Athens (EL)
  
• 
  European Federation of Nurses Associations (EFN)
  
• 
  The Standing Committee of European Doctors (CPME)
  
• 
  European Patients' Forum (EPF)
  
• 
  European Health Management Association (EHMA)
  

The WP Leader will act as the contact to the Coordinator (HAS, France) of the project in procedural and administrative matters. The WP Leader will be responsible for coordinating activities within the WP and will assist the task leaders in their work.

Among them, task leaders will be appointed for the following tasks according to expertise and preference:

1. 
   Terminology & framework
   
2. 
   Retrieval of information
   
3. 
   Selection of good practices (GPs) for implementation
   
4. 
   Selection of HCOs for implementation of GPs
   
5. 
   Outline for an Internet platform for dissemination
   
6. 
   Definition and selection of evaluation criteria
   
7. 
   Defining and monitoring of implementation process
   
8. 
   Training of multiplicators (Training)
   
9. 
   Site-visits & exchange mechanisms
   
10. 
    Findings on GPs will be described and shared through an interactive IT platform.
    
11. 
    Report describing the PS good practices Implementation (selection of good practices, feasibility of implementation, impact measurement)
    

Roles of core group members and rest of APs are to be defined.

AQuMed (WP Leader) will act as the contact to the main partner of the project (HAS) in procedural and administrative matters. AQuMed and HOPE will be responsible for coordinating activities within the WP and will assist the task leaders in their work.

Coordination and communication

General communication among APs (Mail + conference calls)

Communication within task groups (Mail + conference calls)

Communication within task leaders (Mail + conference calls)

Coordination meetings will be organized at month 5 and month 22

External communication and coordination with other WPs

Decision making and approval of work

The final WP work plan will be developed by the WP Leader and validated by the AP shortly after the kick-off meeting of the JA. If later modifications are required, a request for modification will be presented to all WP partners and approved.

In general, decision making in the WP will rest upon input from all partners and consensus will be striven for. It is the task of the WP Leader to ensure consensus or facilitate negotiation and reach compromises in the WP. For the approval of the specified task milestones, the task group must reach consensus. The TL is responsible for the approval of milestones in the task group and among TLs.

For the final approval of the WP deliverable each partner must feed back through their appointed main contact. When the WP Leader has gained all comments from the partners and revised the deliverable accordingly it will be circulated among partners again for validation. When validated, the deliverable will be processed by the WP Leader to the JA project organisation for approval.

In case of problems in reaching consensus in approving tasks, milestones or deliverables the WP Leader will consult the Coordinator and find a solution.