NEJM Catalyst

Tanja Stamm, Nick Bott, Rob Thwaites, Erika Mosor, Margaret R. Andrews, Joris Borgdorff, Yolima Cossio-Gil, Simona de Portu, Marc Ferrante, Felix Fischer, Farhan Hameed, Jan Hazelzet, David Hopkins, Dipak Kalra, Thomas Metcalfe, Eva Molero, Rachel Newson, Francesco Patalano, Fabian Prasser, Matthias Rose, Mikkel Lindskov Sachs, Jeannette Soderberg, Valentina Strammiello, Lonneke van de Poll & Meni Styliadou. Building a Value-Based Care Infrastructure in Europe: The Health Outcomes Observatory, NEJM Catalyst Innovations in Care Delivery, June 2021. DOI: 10.1056/CAT.21.0146


Sustainable health care systems should be focused on outcomes instead of reimbursing for the services provided. Critical levers for accelerating this are patient engagement and a more comprehensive, standardized collection of patient outcomes. Also, more expertise is required on how these data can best be incorporated into the care process. The Innovative Medicines Initiative project, a public-private partnership in the European Union, has launched Health Outcomes Observatory (H2O), a multi-jurisdictional ecosystem to incorporate patient-reported and other health outcomes into health care decision-making across Europe. This initiative will initially focus on diabetes, cancer, and inflammatory bowel disease, evaluating and selecting meaningful outcome standards in a way that ensures broad acceptability among all stakeholders. H2O will provide digital tools for patients and implement a state-of-the-art governance system that gives patients autonomy to control their data flows and allows for ethical data sharing, while enabling value-based care and driving better outcomes for patients.

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