Projects Chair of Health Care Management Overview of current projects EuroQol Seed Grant - Investigation potential of clinical dashboards incorporating patient-reported outcome measures The project’s focus lies on clinical dashboards, which are data-driven clinical decision support tools capable of querying multiple databases and providing a visual representation of key performance indicators in a single report. Visualizing data on clinical dashboards has been shown to decrease time spent on data gathering and to improve situation awareness and compliance with evidence-based safety guidelines. The use of PROMs in clinical dashboards supports the clinician’s understanding of how treatments impact symptoms scores and it enables the identification of health-related quality of life (HRQoL) deterioration or improvement at an early stage. Details SLHS - Swiss Learning Health System Health systems around the world are facing increasing challenges associated with changing clinical patterns of communicable and non-communicable diseases, demographic aging and increasing technological progress, as well as growing resource constraints. The Swiss Learning Health System (SLHS) is a collaborative project of ten Swiss universities and universities of applied sciences to establish a long-term national platform for health systems and health care research, policy and practice. Details DigitalRadar - digital maturity measure The mission of the «DigitalRadar» is to evaluate the maturity level of hospitals with regard to digitization according to § 14b KHG. The maturity model enables a standardized and comprehensive evaluation of the degree of digitization of hospitals by means of conducting and evaluating a survey or self-assessment of the hospitals. The overall objective is to examine and evaluate the basic status of digitization in German hospitals, as well as the effects of funding with regard to the degree of digitization and the improvement of patient care and regional care structures. Details COPdha - Uncovering the need for daily support of COPD patients for developing a digital health assistant COPD (chronic obstructive pulmonary disease) is a chronic lung disease which - depending on its stage - severely restricts patients in their daily lives. With the help of a survey, we would like to find out in which areas there are difficulties in dealing with COPD and where possible care deficits can be identified. Depending on the feedback from the participants, a healthcare service will be developed to support patients in dealing with their disease. In order to find out whether and in what way such a health service is desired, a needs analysis in the form of this survey should provide clarity. Details Low Value Care - Study on financial incentives for the overutilization of healthcare services Compulsory healthcare insurance in Switzerland entails a deductible system. The fact that the insuree pays only a small amount of health care expenses as soon as the deductible is reached, or none at all after the maximum co-payment, could create an incentive to use services that are not beneficial in the individual context and thus lead to unnecessary consumption of resources. The objective of this research project is to identify and quantify the overuse of healthcare services by insurees who exceeded the annual deductible and completed their co-payment. Additionally, we aim at exploring the extent to which such overuse of healthcare services is mediated by structures on the supply-side, e.g., as measured by physician density. Details Overview of completed projects Low-Value Care (I) Low-Value Care is defined as services that in an individual context (a) provide little or no benefit to patients, (b) potentially cause harm, (c) incur unnecessary costs, and/or (d) do not use scarce health care resources in a benefit-oriented manner compared to the use of alternative services or the use in an alternative patient group. The systematic identification and quantification of Low-Value Care is challenging. Insurance invoice data have not been used for this purpose so far. The study aims to examine parts of the care path of two exemplary service areas for Low-Value Care with the help of insurance data. Details Cesarean Section Rate in Switzerland - Differences between elective and medically indicated cesarean sections In Switzerland, approximately every third child is born by cesarean section. In Germany, about 10% of all cesarean sections are classified as elective. In Switzerland, such data are currently lacking. The aim of this research project is to identify factors for the identification of elective cesarean sections and to analyze to what extent they differ from medically justified interventions. Details What if gender can determine the outcome? This research project deals with the influence of gender on the healing process using the examples of hip and knee prostheses. The questions are which variables (pre- but also post-operative, e.g. age, ASA score, etc.) have an influence on the total score as well as the subdimensions of PROMs (Patient-Reported Outcome Measures). Preliminary analyses have shown that male patients often have a better score for the same patient characteristics when compared to female patients. The data come from two hospitals in Germany. Details Analysis and further development of Swiss hospital cost accounting: How can comparable and usable cost data be collected transparently? The costs in the Swiss healthcare system are continuously rising. As a result, the pressure on healthcare providers to get the costs of inpatient treatments under control is increasing. In this context, the importance of correct costing at the case level is very high, be it for internal hospital management, for efficient hospital planning of a canton or for tariff structure development at the national level. In order to investigate the validity of cost data, a systematic analysis and review of further development possibilities of Swiss hospital cost accounting will be carried out in this project. Details Hospital Planning – Experience from Switzerland (Canton Zurich) Switzerland has a highly decentralized healthcare system. The responsibilities at the national and cantonal levels are strictly determined by the Federal Health Insurance Law (Krankenversicherungsgesetz KVG). This law requires the 26 Swiss cantons to plan and to coordinate hospital care in their respective cantons. In 2012, the service-based hospital planning approach was introduced by the cantonal health department of the Canton of Zurich. This approach was successful and all other cantons in Switzerland adopted and adjusted it according to their cantonal specifications. The purpose of this project is to introduce the hospital capacity planning model of the Canton of Zurich into the actual version of 2021. The project further examines the possibilities for extensions of the model's evaluation criteria. Details Outcome transparency and its impact on quality of care in hospitals Due to information asymmetries between patients and physicians, patients have little or no possibility to assess the treatment process and its chances of success a priori. In the past decade, it has been shown internationally that there is a strong quality variance between healthcare providers. This points to the need to make treatment quality transparent through measurement and publication, and to anchor it as a target variable in the healthcare system. Details