MUNROS is funded by the European Commission FP7 programme .

MUNROS is funded by the European Commission FP7 programme www.abdn.ac.uk/munros

http://www.abdn.ac.uk/munros

Bond, Christine

Extracting from slide 18 we could say somethign like:The overarching aim is to describe the contribution of the new professional roles to delivering healthcare services in Europe and propose cost effective workforce models to inform future planning for quality care




Project Aims

• Identify the most important (numbers and contribution) of the new professional roles

• Detail the nature, scope and contribution of these new professional roles

• Evaluate their impact on clinical practice and outcomes and identify their scope to improve the integration of care

• Conduct economic evaluation to identify the cost effectiveness of the new professional roles

• Identify optimal models for delivery of health care

• Explore consequences of these for management of human resources and workforce planning



Project Phase Lead Partner and Support Partner Work packages included

1. Mapping health system integration, skill mix and competencies

Scotland and Turkey WP 1 Understanding health systems

Netherlands and Norway WP 2 Mapping skill mix

2. Methodology and Study Design

Netherlands and Scotland WP 3 Case studies

Scotland and Netherlands WP 4 Questionnaire design

3. Data Collection, Data Management and Analysis

England and Germany WP 5 Impact on clinical practice and organisation of care

Italy and Poland WP 6 Outcomes: the Patient Experience

Norway and Czech Republic WP 7 Outcomes: Process, Productivity and Clinical Effect

Netherlands and Norway WP 8 Changes in Costs and Benefits

4. Translation into Policy: Delivering Impact

Germany and Scotland WP 9 New Professional Roles and the Integration of Care

England and ItalyWP 10 Management of Human Resources and Successful Workforce Planning

Scotland WP 11 Scientific Structure, Policy Engagement, Impact and Dissemination

5. Scientific Coordination

Scotland WP 12 Scientific Co-ordination

Structure of Research



Phase 1. Mapping Health System Integration, Skill Mix and Competencies

WP 1 and WP 2

• Gather data for the countries of the EU, associate and applicant countries, to: • Detail the key features of the health delivery systems

• Detail skill mix of health workforce in primary and secondary care sectors

• Identify new professional roles: numbers, clinical areas of employment

• Identify contribution of new professional roles to the delivery of health care

• Identify and evaluate a framework for mapping the skills and competencies of the health workforce

• Collect secondary data required for the economic evaluation in WP8



Phase 2. Methodology and Study Design

WP 3• Select two care pathways as the focus of subsequent research

• Conduct case studies to inform construction of the questionnaires used in WP 5, 6, and 7.

WP 4• Develop the empirical framework:

Develop the questionnaires, accompanying documentation and sampling frames

Finalise the detailed study protocol: submitted to either national or local ethical committees (as appropriate) for approval.



Phase 3. Data Collection, Data Management and Analysis

WP 5 • Conduct questionnaire survey of health care professionals and managers

• Extract, process and analyse data generated and build databases

• Produce report ‘The impact of the new professional roles on clinical practice and the organisation of care’.

WP 6• Conduct a questionnaire survey of patient’s to distinguish experience and

satisfaction

• Extract, process and analyse data generated and build databases

• Produce report 'The impact of the new professional roles on patient experience and satisfaction'.



Phase 3. Data Collection, Data Management and Analysis

WP 7 • Collect and analyse new data on hospital processes, productivity and

health outcomes which can be used to assess the impact of the new professional roles

• Construct a detailed study protocol which will be submitted to either national or local ethical committees (as appropriate) for approval.

• Produce report Hospital processes, productivity and health outcomes

WP 8• Economic evaluation to model the costs and effects associated with

the new professional roles.

• Investigate balance of cost and benefits and to identify incentives for an increased role for the new professional roles.



Phase 4. Translation into Policy: Delivering Impact

WP 9• Synthesise the results of the previous analysis

• Detail how the new professional roles might be employed to improve the integration of care within care pathways.

• Describe new optimal models of care for the selected care pathways

• Identify solutions to barriers identified at organisational and team level informed by examples of good practice

• Produce examples of care integration and of the costs associated with financing these pathways



Phase 4. Translation into Policy: Delivering Impact

WP 10

• Build workforce planning model for each care pathway

• Construct a skill mix benchmark for optimal models of care to enable service providers to evaluate efficiency of existing skill mix

• Detail improvements in data on skill mix and methods required for improved workforce planning



PartnersGermany, Technische Universitat Berlin

Prof. Reinhard Busse, Reinhard is Head of the Department of Health Care Management at the Berlin University of Technology, Germany.

The Netherlands, Erasmus University Rotterdam

Antoinette de Bont, Antoinette is associate professor of Health Governance. She has more than 10 years experience of evaluation studies of care innovation and published many scientific publication about the new roles of professions in health care organizations. She has coordinated many interdisciplinary research projects. Last year, she worked as a Harkness Fellow at Kaiser Permanente where she studied integrated ambulatory care.



PartnersItaly, Universita Cattolica Del Sacro Cuore

Prof Matteo Ruggeri, Matteo Ruggeri is a Health Economist at the Università Cattolica del Sacro Cuore. He gained a PhD in Health Economics and Management at the Università Cattolica del Sacro Cuore and a MSc in Economics, a MA in Business Engineering and a Laurea (BA) in Economics at the Università di Roma “Tor Vergata”. His main research interest focuses on economic evaluation and experimental economics.

Poland, Uniwersytet Warszawski

Michal Mijal, Assistant Professor, specialises in social aspects of management and determinants of Organisational activities. Author of many articles on labour migration, proprietary issues, corporate social responsibility and games and simulations in management, co-author of book on bibliometry, projectmanager of an EU-funded research project (Human Capital Operational Program).



Partners Czech Republic, Univerzita Karlova V Praze

Hana Svobodová, Hana Svobodová is a graduate of the School of Philosophy, Charles University Prague (teaching – care of patients, Mgr.), and PhD student in the Medical School, Charles University Prague (medical ethics). She has long practice as a coronary unit nurse in Vinohrady University Hospital and as a teacher of nursing clinical practice at Nursing School Ruská, Prague

Economic Policy Research Foundation of Turkey

Dr Ümit Özlale, Ümit Özlale (Project Leader) is an Economist. He earned his PhD degree in Economics in Boston College in 2001 and joined Bilkent University, Department of Economics. He received his associate professor degree from The Council of Higher Education in 2006. In addition to his academic studies, he worked as a consultant in theCentral Bank of Republic of Turkey and did several projects with Ministry of Finance and the World Bank



PartnersNorway, Uni Research Norway

Jan Erik Askildsen, Jan Erik Askildsen is Director of the Stein Rokkan Centre for Social Studies, Uni Research, (Uni Rokkan Centre) and Professor of Economics at the Department of Economics, University of Bergen. He has been the research manager of HEB from its start until 2007, when he became the director of Uni Rokkan Centre.

England, University of Manchester

Prof Matt Sutton, Matt Sutton is Professor of Health Economics and current leader of the “Health Sciences Research Group” on which the new Institute of Population Health will be founded in September 2012. He is associate editor of Health Economics and a member of the Medical Research Council College of Experts.



Spread of expertise

Health Economics

Public Health

Medicine

Pharmacy

Nursing

Health Services Research

Business

Health Care Management

Workforce

Statistics


http://1.bp.blogspot.com/_Mu9_I5w6PmM/SxEmTupfYfI/AAAAAAAAB-E/nzZy4XTktyM/s1600/StAndrewsCross.jpg






Progress to Date: Seven months in..• Expert Advisory Board, Project Management Team, Project

Coordinating Centre established

• Country Expert Advisory Groups established

• First General Assembly held Erasmus January 2013

• Web-site established

• Template for Engagement and Dissemination in Draft

• Presentations at various research institutes and government departments



Progress to Date: Seven months in..

WP1 and WP 2

• Initial data collection completed

• Literature review underway

• Developing analytical framework for data analysis

WP3

• Prague Workshop to distinguish care pathways in September 2013



Impact: we said

“The project is expected to have a major impact on health policy in Europe. It will produce evidence of the contribution of the new professional roles to delivering health services in Europe and it will for the first time produce robust evidence of their impact on practice, outcomes and costs, to allow evaluation of their clinical and cost effectiveness. At a time when health service budgets are under severe pressure more cost effective workforce models are key to continued high quality service delivery”.



Engaging the policy and practitioner community........

• Establishing a high level Expert Advisory Board, to facilitate and advise on high level engagement with key European stakeholders and International Organisations including the EC.

• Establishing Country Expert Advisory Groups (CEAGs), and a Country Impact and Dissemination Plan (CIDP) for each partner.

• Engaging key stakeholders through a series of Practitioner and Policy Workshops

• Engaging stakeholders in each partner country through Country Stakeholder Workshops

• Disseminating key results of the research through International Conferences and presenting at the leading scientific conferences



Engaging the policy and practitioner community........

And through:

• Policy Briefings

• Project Briefing Papers

• Developing a Project web-site

• Publication in leading scientific journals

• Linking with other EU projects



Country Expert Advisory Groups (CEAGs)

Comprise 4-5 key stakeholders and policy makers drawn from among: • Workforce Planners; • representatives from key professional groups (e.g. Doctors, Nurses,

APNs etc) central to study; • HR experts; • Patient representatives and; • Human Resource Managers in health services

Remit to ensure research: • Is conducted appropriately for local context • Is effectively disseminated at country level • Is relevant to local policy • Interprets research findings to meet country needs • Identifies factors that might impede the impact of findings



Acknowledgements

We thank• European Commission for funding this research

programme ‘Health Care Reform: The iMpact on practice, oUtcomes and cost of New ROles for health profeSsionals (MUNROS), under the European Community’s Seventh Framework Programme (FP7 HEALTH-2012-INNOVATION-1) grant agreement number HEALTH-F3-2012-305467EC .



Appendix A: Timetable of Activities



Work package

Months1 (Oct 12)

2 (Nov)

3 (Dec)

4 (Jan)

5 (Feb)

6 (Mar)

7 (April)

8 (May)

9 (June)

10 (July)

11 (Aug)

12 (Sep)

13 (Oct 13)

14 (Nov)

15 (Dec)

16 (Jan)

17 (Feb)

18 (Mar)

19 (April)

20 (May)

21 (June)

22 (July)

23 (Aug)

24 (Sept)

25 (Oct 14)

26 (Nov)

27 (Dec)

28 (Jan)

29 (Feb)

30 (Mar)

31 (April)

32 (May)

33 (June)

34 (July)

35 (Aug)

36 (Sept)

37 (Oct 15)

38 (Nov)

39 (Dec)

40 (Jan)

41 (Feb)

42 (Mar)

43 (April)

44 (May)

45 (June)

46 (July)

47 (Aug)

48 (Sept)

WP1:

WP2:

Stakeholder Workshop

*

CEAG Workshop 1

*

WP Workshop 1*

WP3:

WP4:

WP5:

P&P Workshop 1

*

WP6:

WP7:

P &P Workshop 2

*

CEAG Workshop 2

*

WP8:

WP9: G

P & P Workshop 3

*

WP10:

WP Workshop 2*

Appendix B: Workshop and Activities


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MUNROS is funded by the European Commission FP7 programme .

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