The European Collaboration for Healthcare Optimization (ECHO Project) and the OECD Health Care Quality Indicators Project exemplify a trend to develop such data quality schemes globally.

In the report ‘Delivering quality health services. A global imperative for universal health coverage’

The ECHO Tool: a web-based system comparing healthcare performance at geographical level. The ECHO project aims to assess variations in healthcare performance and provide evidence to inform policy decision with the assistance of the created software ECHO.

The EU Health Innovation Marketplace is an online community where Innovation Providers and Innovation Developers can meet each other. Through an inventory of best practices and by implementing and promoting this Marketplace, UTILE (H2020 project funded by the European Commission ) will foster the sustainable exploitation of current and future Health project outcomes, gather data from the demand and supply sides, and encourage and promote dialog and collaboration.

Our sheet in this EU Health Innovation Marketplace:

The ECHO Project participates in this report with the chapter ‘C-SECTIONS IN LOW-RISK DELIVERIES: IDENTIFYING LOW VALUE CARE’ by Enrique Bernal-Delgado and Sandra García-Armesto on behalf of the ECHO consortium

The report provides a multistakeholder perspective on value in health systems and the use of health outcome measures to enhance value.

The final report launched at he European Parliament on 25 september 2018.

Report available here:

More information:

The Value of Health: Improving Outcomes multi-stakeholder initiative began in 2014 with the aim of providing a European level, health community response to debates on health system sustainability and reform. The initiative brought together a broad section of the health community – patients, medical professionals, public health experts, academics, and industry – in dialogue with each other, and with policy makers.

Bridge-Health Final Report: ‘Building a platform for healthcare administrative data for the assessment of health system performance’.

Autors: Bernal-Delgado E, Estupiñán-Romero F, Launa-Garcés R, and Martínez-Lizaga N on behalf of BRIDGE Health WP#10 partners.

Access to the BRIDGE-HEALTH Final Report.pdf


Information about WP#10 partners:

WP 10 ‘Building a Platform for administrative data on healthcare’. More information about this WP:

Nils Gutacker, Karen Bloor, Richard Cookson, Chris P. Gale, Alan Maynard, Domenico Pagano, José Pomar, Enrique Bernal-Delgado and as part of the ECHO collaboration. Hospital Surgical Volumes and Mortality after Coronary Artery Bypass Grafting: Using International Comparisons to Determine a Safe Threshold.  Health Service Research Version of Record online: MAY 2016 DOI: 10.1111/1475-6773.12508


‘Unwarranted variations in health care: magnitude, underlying causes and potential remedies’ by E.Bernal-Delgado in The 20th National Health Economics Conference 2018 in Oslo

Presentation by E.Bernal-Delgado:

More info:

cv3Atlas Num.3 on Coronary revascularisation
Mortality and morbidity from cardiovascular disease are considered a public health issue. In fact, coronary ischaemic disease is one of the leading causes of death in Europe. The study of systematic variation on its surgical management, and associated outcomes, offers a critical view on how healthcare organizations provide care to patients.

CV Denmark     CV England     CV Portugal     CV Slovenia       CV Spain

PAH3Atlas Num.2 on Potentially Avoidable Hospitalisations (PAH)
The study of systematic variations in Potentially Avoidable Hospitalizations (PAH) offers a critical view on how healthcare organizations provide care to patients with chronic conditions. In particular, it signals how effectively they are managed in the ambulatory setting. Access Atlas reports by country, click on the links below

PAH Denmark  PAH England  PAH Portugal  PAH Slovenia  PAH Spain

LVC3Atlas Num.1 on Lower Value Care (LVC)
Health Systems bear substantial opportunity costs by using interventions that are deemed lower-value. Quantifying the utilisation of this type of care and its systematic variation across policy-relevant geographical units offers insight at a glance into the local potential for enhancing efficiency (i.e., value-based provision of care).

LVC Denmark      LVC England     LVC Portugal     LVC Slovenia      LVC Spain

Enrique Bernal-Delgado MD, PhD
Health Services and Policy Research Unit

Presentation available:


echohealthBig Data & Health in H2020 en CONFERENCIA H2020 Y SALUD, Madrid