Periodic Reporting for period 1 - DELIVER (Deliberative improvement of oral care quality)
Berichtszeitraum: 2022-08-01 bis 2024-01-31
DELIVER creates a synergistic problem-solving ecosystem to improve the quality of oral care
Objective 1 (phase 1) - Priority setting:
DELIVER co-develops a set of QI indicators for applicability on the practice-, community-, and policy-levels. The indicators will be fed into an EU-wide monitoring framework. Situational analyses will explore the social worlds and arenas of action for QI in Europe (WP2).
Objective 2 (phase 2) - In depth analysis of select Quality Improvement (QI) approaches:
DELIVER carries out multi-country case studies to develop and test novel QI interventions: (i) PROMs/PREMs-based QI in dental practices (WP3); (ii) community-based QI in vulnerable groups (WP4); (iii) quality-oriented commissioning of oral health services (WP5). Interactive digital tools (WP6) and the regulatory determinants of oral care quality improvement (WP7) are leveraged to support all QI approaches examined in the project.
Objective 3 (phase 3) - Integrative synthesis of knowledge:
DELIVER merges the knowledge gained from into the DELIVER Quality Toolkit with manuals and tools for actionable and context-adaptive approaches for oral care quality improvement (WP8).
Objective 1 (phase 1) - Priority setting:
DELIVER co-develops a set of QI indicators for applicability on the practice-, community-, and policy-levels. The indicators will be fed into an EU-wide monitoring framework. Situational analyses will explore the social worlds and arenas of action for QI in Europe (WP2).
Objective 2 (phase 2) - In depth analysis of select Quality Improvement (QI) approaches:
DELIVER carries out multi-country case studies to develop and test novel QI interventions: (i) PROMs/PREMs-based QI in dental practices (WP3); (ii) community-based QI in vulnerable groups (WP4); (iii) quality-oriented commissioning of oral health services (WP5). Interactive digital tools (WP6) and the regulatory determinants of oral care quality improvement (WP7) are leveraged to support all QI approaches examined in the project.
Objective 3 (phase 3) - Integrative synthesis of knowledge:
DELIVER merges the knowledge gained from into the DELIVER Quality Toolkit with manuals and tools for actionable and context-adaptive approaches for oral care quality improvement (WP8).
WP1
Key tasks performed and main achievement:
1. Intra-consortium communication is set-up, minutes and action points have been distributed. A DELIVER project postbus and TEAMS platform are introduced.
2. Regular meetings have been carried out (for the DELIVER Management support team, Executive Board and General Assembly).
3. Keeping deadlines to ensure timely completion of the deliverables and milestones and submitting them to the EC.
4. Composition of the scientific and financial reports for the EC and the Reviewers.
5. Facilitation of Consortium requested amendment No AMD-101057077-9.
6. Set up of an Ethical and Legal Advisory Board and a Scientific Advisory Board and the production of a Data Management Plan.
7. Monitoring on progress for Innovation management.
Objective 1 (phase 1) - Priority setting
WP2
Key tasks performed and main achievement:
Through consensus forming exercises with stakeholder DELIVER has co-developed:
1. a definition of oral care quality.
2. a list of pressing issues concerning oral care quality improvement.
3. a list of quality indicators for practice-, community-, and policy-levels. These inputs will be foundational for the monitoring framework.
Furthermore, situational analysis of the status quo of quality improvement at practice, community, national policy, and global/EU policy levels have been conducted through desk research and semi-structured interviews. This has led to insights into this complex field from different perspectives, that can guide following efforts for oral care. As such objectives 1, 2, 3, and 4 of WP2 have been achieved.
Objective 2 (phase 2) - In depth analysis of select Quality Improvement (QI) approaches
Work package 3
Key tasks performed and main achievement: Work began on developing the PROMs and PREMs dashboard and action implementation toolkit that will form the basis of in-practice case studies. This includes:
1. Scoping exercises to identify PROMs and PREMs for dashboard.
2. Deliberative Stakeholder Consultations to determine which PROMs and PREMs should be used in the dashboard.
3. Development of IT platform.
4. Scoping review of the literature supporting natural language processing of unstructured patient feedback of health services.
5. Identification of training corpus to train a topic model.
6. Model Visualisation.
7. Development of detailed protocol and programme theories.
8. Development of stakeholder panel and meeting materials.
Work package 4
Key tasks performed and main achievement:
1. Ethics for Community-level QI in vulnerable populations.
2. Recruitment of stakeholders from both urban and rural areas in the Netherlands and Denmark.
3. A first group of citizens who struggle with access to dental care and diverse community actors convened to co-design a structure and processes for deliberative oral care problem-solving.
Work package 5
Key tasks performed and main achievement:
1. Protocol development and ethics approval.
2. Establishing stakeholder networks.
3. Identification of suitable case studies.
Work package 6
Key tasks performed and main achievement:
1. Website setup and hosting.
2. Platform development.
3. PROMs and PREMs dashboard (Collaboration with WP3).
4. Action implementation toolbox.
5. User identity specification.
6. Decision Aid Tool for Policymakers (Collaboration with WP5).
7. Data model for decision aid tool.
Work package 7
Key tasks performed and main achievement:
A questionnaire was developed with focus to elicit the regulatory basis for oral care quality improvement in DELIVER participant countries with respect to:
1. Practice-level QI: regulation of clinical guidelines, professional licensure, ISO standards.
2. Community-level QI: extent of public insurance coverage for dental care, regulation - if any - of dental workforce planning, liability for consequences of limited access and limited affordability of oral care.
3. Policy-level QI: regulation of commissioning of oral health services, regulation of payment systems, regulation of price-setting for oral care.
The survey was answered by experts from seven countries represented in the DELIVER consortium.
Objective 3 (phase 3) - Integrative synthesis of knowledge
Work package 8
Key tasks performed and main achievement:
1. Communication tools were created for use during conferences, meetings, workshops and webinars to promote the recognition of the DELIVER project.
2. DELIVER website has been set up.
3. DELIVER social media accounts have been set up.
4. Two DELIVER newsletters were produced and disseminated electronically to the consortium members, expert scientific advisors, direct contacts of consortium members and dental organisations in 2023.
5. Dissemination and Communication activities have been carried out to multiple target audiences.
Key tasks performed and main achievement:
1. Intra-consortium communication is set-up, minutes and action points have been distributed. A DELIVER project postbus and TEAMS platform are introduced.
2. Regular meetings have been carried out (for the DELIVER Management support team, Executive Board and General Assembly).
3. Keeping deadlines to ensure timely completion of the deliverables and milestones and submitting them to the EC.
4. Composition of the scientific and financial reports for the EC and the Reviewers.
5. Facilitation of Consortium requested amendment No AMD-101057077-9.
6. Set up of an Ethical and Legal Advisory Board and a Scientific Advisory Board and the production of a Data Management Plan.
7. Monitoring on progress for Innovation management.
Objective 1 (phase 1) - Priority setting
WP2
Key tasks performed and main achievement:
Through consensus forming exercises with stakeholder DELIVER has co-developed:
1. a definition of oral care quality.
2. a list of pressing issues concerning oral care quality improvement.
3. a list of quality indicators for practice-, community-, and policy-levels. These inputs will be foundational for the monitoring framework.
Furthermore, situational analysis of the status quo of quality improvement at practice, community, national policy, and global/EU policy levels have been conducted through desk research and semi-structured interviews. This has led to insights into this complex field from different perspectives, that can guide following efforts for oral care. As such objectives 1, 2, 3, and 4 of WP2 have been achieved.
Objective 2 (phase 2) - In depth analysis of select Quality Improvement (QI) approaches
Work package 3
Key tasks performed and main achievement: Work began on developing the PROMs and PREMs dashboard and action implementation toolkit that will form the basis of in-practice case studies. This includes:
1. Scoping exercises to identify PROMs and PREMs for dashboard.
2. Deliberative Stakeholder Consultations to determine which PROMs and PREMs should be used in the dashboard.
3. Development of IT platform.
4. Scoping review of the literature supporting natural language processing of unstructured patient feedback of health services.
5. Identification of training corpus to train a topic model.
6. Model Visualisation.
7. Development of detailed protocol and programme theories.
8. Development of stakeholder panel and meeting materials.
Work package 4
Key tasks performed and main achievement:
1. Ethics for Community-level QI in vulnerable populations.
2. Recruitment of stakeholders from both urban and rural areas in the Netherlands and Denmark.
3. A first group of citizens who struggle with access to dental care and diverse community actors convened to co-design a structure and processes for deliberative oral care problem-solving.
Work package 5
Key tasks performed and main achievement:
1. Protocol development and ethics approval.
2. Establishing stakeholder networks.
3. Identification of suitable case studies.
Work package 6
Key tasks performed and main achievement:
1. Website setup and hosting.
2. Platform development.
3. PROMs and PREMs dashboard (Collaboration with WP3).
4. Action implementation toolbox.
5. User identity specification.
6. Decision Aid Tool for Policymakers (Collaboration with WP5).
7. Data model for decision aid tool.
Work package 7
Key tasks performed and main achievement:
A questionnaire was developed with focus to elicit the regulatory basis for oral care quality improvement in DELIVER participant countries with respect to:
1. Practice-level QI: regulation of clinical guidelines, professional licensure, ISO standards.
2. Community-level QI: extent of public insurance coverage for dental care, regulation - if any - of dental workforce planning, liability for consequences of limited access and limited affordability of oral care.
3. Policy-level QI: regulation of commissioning of oral health services, regulation of payment systems, regulation of price-setting for oral care.
The survey was answered by experts from seven countries represented in the DELIVER consortium.
Objective 3 (phase 3) - Integrative synthesis of knowledge
Work package 8
Key tasks performed and main achievement:
1. Communication tools were created for use during conferences, meetings, workshops and webinars to promote the recognition of the DELIVER project.
2. DELIVER website has been set up.
3. DELIVER social media accounts have been set up.
4. Two DELIVER newsletters were produced and disseminated electronically to the consortium members, expert scientific advisors, direct contacts of consortium members and dental organisations in 2023.
5. Dissemination and Communication activities have been carried out to multiple target audiences.
(Expected) Results:
- Consented definition of quality oral healthcare
- Core set of consented quality indicators practice-, community-, and country-levels
- List of pressing issues for oral care quality improvement
- Situational Analyses of quality of care improvement efforts across levels of care and policy
- DELIVER Quality Improvement Toolkit
- Know-how for quality improvement on practice-, community-, and policy-levels
- Know-how for governance/regulation of oral care quality
- Information system (one-stop-shop):
Dashboards for quality indicators
Decision aids
Inventory of patient empowerment apps
To ensure further uptake and success further research, demonstration, access to markets and finance, commercialisation, IPR support, Internationalisation, supportive regulatory and standardisation framework are needed.
- Consented definition of quality oral healthcare
- Core set of consented quality indicators practice-, community-, and country-levels
- List of pressing issues for oral care quality improvement
- Situational Analyses of quality of care improvement efforts across levels of care and policy
- DELIVER Quality Improvement Toolkit
- Know-how for quality improvement on practice-, community-, and policy-levels
- Know-how for governance/regulation of oral care quality
- Information system (one-stop-shop):
Dashboards for quality indicators
Decision aids
Inventory of patient empowerment apps
To ensure further uptake and success further research, demonstration, access to markets and finance, commercialisation, IPR support, Internationalisation, supportive regulatory and standardisation framework are needed.