H2O will strengthen the patient voice in health care with the aim of improving outcomes and fostering a value based approach in healthcare systems. This is the first-ever attempt at scale to collect and incorporate patient outcomes into health care decision making at an individual and population level. 

To achieve this vision, we have formed a strategic alliance between the public and private sectors to bring to life H2O. We intend it to be a catalyst project that stimulates a greater interest in using health outcomes data, including patient-reported outcomes, encourages the adoption of the approach in other countries and other disease areas, and ultimately, improves care and, therefore, health.   

The H2O project represents a collaborative initiative with patients, health care providers, researchers, life-sciences industry, health authorities and regulatory bodies all taking part. This project embodies an exciting innovative journey where information on patients’ views, experiences and self-reported outcomes are transformed through the Observatories into meaningful individual- and collective- knowledge thus fostering innovation in health care in Europe and beyond.


An important gap lies in our (still limited) understanding of the value of outcomes to patients, with a corresponding challenge of how this information can be incorporated into the process of care. This needs to be solved before healthcare systems can be considered value based. We are set to change the current scenario by:

Creating the governance to unleash the potential of patient health data

The network of Observatories will ensure that data is made available to all -patients, researchers, providers, health authorities, regulatory bodies, and industry – to improve care and outcomes, whilst providing the governance framework that will allow the management of this data in an ethical and compliant way in order to better safeguard this essential resource in the interest of society as a whole.

Fostering engagement to drive patient empowerment

With the support of digital tools being developed by H2O, patients will not only be able to track how they feel and visualise their information in a dashboard. They will also be able to compare how they are doing with others, and then discuss any variations with their physicians. This will be done through anonymised data voluntarily provided by patients to improve care for the whole patient community as well as their own.

Protecting patients’ privacy rights

Establishing an ethical and comprehensive governance infrastructure in Europe to safeguard data for and on behalf of patients is one of the main objectives of H2O. The observatories will ensure that patients’ privacy rights are protected and that, at the same time, they can fully benefit from the potential structured data holds in improving their health care -and this of the entire community- by allowing a dramatic advancement in research across Europe.

Developing a user-friendly system for patients and health care providers

With the patient needs in mind and their input, H2O will co-create streamlined, easy to use tools and processes to ensure that only meaningful, relevant, and comprehensible health data is introduced in a straightforward and intuitive way. Health care professionals will gain access to systematic and robust patient reported information to help them better understand the patient and more effectively provide treatment.

Building knowledge on “what really matters to patients” to foster value based health care

What really matters to patients will be systematically brought into the equation to provide a deeper understanding of burden of disease and health systems performance with a view to identify areas for potential improvement. The H2O framework will contribute to the development of valued-based approaches in health systems across Europe and beyond.

Creating Observatories, initially in 4 countries ready to operate in 3 disease areas

The H2O project will set up Observatories in four countries (plus and umbrella, European Observatory) focusing on three disease areas (initially) that will collect data and provide information not only for individual clinical care, but also for enabling evaluation of new technologies, for health care decision making and for research.