Barriers and facilitators to better musculoskeletal health (WP7)

Work package Leader: Diakonhjemmet Sykehus, Norway
Duration:  M24 - M36 (13 months)

Deliverables

D 16 Report on barriers and facilitators to the implementation of these standards of care (specific to this WP).  The full report will be disseminated mainly through the project website and scientific publications. A summary will be produced and published on hard copies and distributed to the major stakeholders (health practitioners, NGOs, policy makers) at EU, national and regional level and will also be disseminated at EULAR congress to about 14'000 delegates. Target users: health practitioners, NGOs and policy makers.
D 17 Recommendations for how to achieve better implementation of these standards (Specific to this WP). The recommendations will be published and disseminated on the project website.  The Associated and Collaborating Partners will also hand them over to the relevant stakeholders (health practitioners, NGOs, policy makers) in their own Countries.  Target users: health practitioners, NGOs and policy makers.
D 18 Case study report of examples of good practice (specific to this WP). The case studies will be translated in all the EU languages and disseminated through the project website. Catchy summaries of the case studies will be published on hard copies, translated in all EU languages and disseminated at regional level through the project network's members.  A summary in English of the report will be handed out at the about 14.000 delegates at the EULAR congresses. Target users: health practitioners, NGOs and policy makers.

Tasks and methods 

1. Form a Working Group including an external consultant with a specific expertise The Working Group will be formed by 7 people drawn from the Associated Partners based on expertise relevant to the WP. The other APs, CPs and other members of the Surveillance Network will act as advisors to the WP. An external consultant will be hired with specific expertise.

2. Identify barriers and facilitators to meeting Standards of Care and Health Care Quality Indicators
The Working Group will work with a researcher under the supervision of the WP Lead to identify differences in meeting SOC and HCQI within and across MS.  An enquiry will be developed and undertaken by the researcher under the supervision of the WP Lead of all stakeholders by web-based questionnaire and interview conducted at the time of major meetings to look for barriers and facilitators to meeting SOC and HCQI that may explain the differences.

3. Identify and agree on good practices developed to overcome barriers and enhance facilitators
The Working Group will develop selection criteria of the good practices focused on overcoming barriers and enhancing facilitators. The Working Group will identify good practices based on the selection criteria. The surveillance network will reach consensus on the good practices identified via on line communication

4. Developing recommendations to overcome identified barriers
The Working Group and partners in wide on line consultation will make recommendations based on this research as to how overcome the barriers and enhance the facilitators.

5. Identification of examples of good practice
Selection criteria for the good practices will be identified based on SOC and HCQI. The Working Group will identify the good practices from this enquiry.

6. Policy recommendations for implementing SOC and HCQI
The Working Group in wide consultation with all stakeholders through EUMUSC.NET will develop evidence based policy recommendations for implementing a community strategy to achieve common high standards of care across all Member States. 
Consensus among the Working Group will be reached through the organisation of two meetings by the WP Lead of the Working Group and on line communication. These will be widely disseminated.

7. Dissemination
Examples of good practice (case studies) will be disseminated to all target groups, such as health practitioners, patients associations, advocates, NGOs, policy makers, using all means of dissemination to raise standards of care, such as brochures have you foreseen financial resources for this item?, websites, press releases, press conferences.
A full report will be prepared by the WP Lead with contribution by the Working Group.   The full report will be available in English on the Web site of the project. A summary of report and of the case studies will be prepared, translated in all the 23 EU official languages and printed for a wide distribution through the 14'000 delegates at the EULAR congresses.

Responsibilities of Work Package Leader

Oslo, Norway is responsible for the delivery of all the tasks in this Work Package and of the deliverables linked to this Work Package, according to the agreed schedule and within the agreed budget. In detail:
1. WP Lead and the Steering Committee will form a Working Group from the Associated Partners.
2. WP Lead will appoint and supervise a researcher who will, with the support of the Working Group, identify differences in meeting SOC and HCQI within and across MS.
3. The researcher, under supervision of the WP Lead, will develop and undertake an enquiry of all stakeholders by web-based questionnaire and interview conducted at the time of major meetings to look for barriers and facilitators to meeting SOC and HCQI that may explain the differences.
4. WP Lead will develop consensus recommendations as to how to overcome the barriers through wide consultation with the Working Group and partners based on this research.
5. WP Lead working with the Working Group and partners will identify examples of good practice and disseminated them to all target groups using all means of dissemination to raise standards of care.
6. WP Lead working with the Working Group in wide consultation with all stakeholders through EUMUSC.NET will develop evidence based policy recommendations for implementing a community strategy to achieve high standards of care across the MS to achieve common high standards of care across all MS. These will be widely disseminated.
7. WP Lead will reach consensus among the Working Group through on line communication and two meetings.
8. WP Lead will prepare, with contribution by the Working Group, a full report. The full report will be available in English on the Web site.
9. WP Lead will prepare, with contribution by the Working Group, a report of case studies. The report will be available in all EU languages on the Web site.
10. WP Lead will prepare a summary of the report and of the case studies. This will be translated in all the EU official languages and printed for a wide distribution.