Oliver Groene

Oliver Groene
London School of Hygiene and Tropical Medicine | LSHTM · Department of Health Services Research and Policy

Dipl Soz, MSc PH, Dipl HE, PhD

About

153
Publications
43,973
Reads
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3,474
Citations
Introduction
Dr Oliver Groene is Vice Chairman of the Board at OptiMedis AG and Honorary Senior Lecturer (US equivalent: Associate Professor) at the London School of Hygiene & Tropical Medicine. He is a health services researcher with 15 years of experience in assessing and improving the quality of care. He holds MSc's in Medical Sociology and Public Health and a PhD in Public Health. He is Deputy Editor of the International Journal for Quality in Health Care, his H-Index is 36.
Additional affiliations
November 2014 - present
Macquarie University
Position
  • Visiting Fellow
October 2014 - September 2015
London School of Hygiene and Tropical Medicine
Position
  • Senior Lecturer in Health Services Research
April 2011 - September 2014
London School of Hygiene and Tropical Medicine
Position
  • Lecturer in Health Services Research

Publications

Publications (153)
Article
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/st>To explore how European hospitals have implemented patient safety strategies (PSS) and evidence-based organization of care pathway (EBOP) recommendations and examine the extent to which implementation varies between countries and hospitals. /st>Mixed-method multilevel cross-sectional design in seven countries as part of the European Union-funde...
Article
The English National Health Service published outcome information for individual surgeons for ten specialties in June, 2013. We looked at whether individual surgeons do sufficient numbers of procedures to be able to reliably identify those with poor performance. For some specialties, the number of procedures that a surgeon does each year is low and...
Article
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High performing hospitals attain excellence across multiple measures of performance and multiple departments. Studying high performing hospitals can be valuable if factors associated with high performance can be identified and applied. Factors leading to high performance are complex and an exclusive quantitative approach may fail to identify richly...
Article
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Since 2006 the Gesundes Kinzigtal (GK) model has demonstrated how a people-centred focus on population health management can lead to significant gains in achieving the Triple Aim of better population health, improved experience of care, and reduced per capita costs. Through a strong management organization, a sophisticated data management system, a...
Article
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Background: Outcomes for oesophagogastric cancer surgery are compared with the aim of benchmarking quality of care. Adjusting for patient characteristics is crucial to avoid biased comparisons between providers. The study objective was to develop a case-mix adjustment model for comparing 30- and 90-day mortality and anastomotic leakage rates after...
Article
Objectives: We evaluate the impact of the COVID-19 pandemic on unplanned hospitalization rates for patients without COVID-19, including their length of stay, and in-hospital mortality, overall, and for acute myocardial infarction (AMI), stroke, and heart failure in the Tuscany region of Italy. Methods: We carried out a population-based controlled i...
Article
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Background: Hospitalizations of nursing home residents are associated with various health risks. Previous research indicates that, to some extent, hospitalizations of this vulnerable population may be inappropriate and even avoidable. This study aimed to develop a consensus list of hospital discharge diagnoses considered to be nursing home-sensitiv...
Article
Background: Hospitalizations of nursing home residents are associated with various health risks. Previous research indicates that, to some extent, hospitalizations of this vulnerable population may be inappropriate and even avoidable. This study aimed to develop a consensus list of hospital discharge diagnoses considered to be nursing home-sensitiv...
Preprint
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Background: Governments across the WHO European Region prioritized dashboards for reporting COVID-19 data. The ubiquitous use of dashboards for public reporting is novel. This study explores the development of COVID-19 dashboards during the pandemic's first year and common barriers, enablers and lessons from the experiences of teams responsible for...
Article
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Background The commitment of hospital managers plays a key role in decisions regarding investments in quality improvement (QI) and the implementation of quality improvement systems (QIS). With regard to the concept of social capital, successful cooperation and coordination among hospital management board members is strongly influenced by commonly s...
Article
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Context The literature on self-management interventions (SMIs) is growing exponentially, but it is characterized by heterogeneous reporting that limits comparability across studies and interventions. Building an SMI taxonomy is the first step towards creating a common language for stakeholders to drive research in this area and promote patient self...
Article
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Background: The COVID-19 pandemic is a complex global public health crisis presenting clinical, organisational and system-wide challenges. Different research perspectives on health are needed in order to manage and monitor this crisis. Performance intelligence is an approach that emphasises the need for different research perspectives in supporting...
Article
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Objective Interventions informed by behavioral economics have the potential to change behaviors governed by underlying cognitive biases. This has been explored extensively for various use in healthcare including changing patient behavior and, more recently, physician behavior. We aimed to systematically review the literature on the use and effectiv...
Article
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Zusammenfassung Hintergrund Studien aus unterschiedlichen Ländern haben gezeigt, dass eine kleine Zahl von Versicherten (Hochkostenversicherte) einen großen Teil der Leistungsausgaben im Gesundheitssektor verursacht. Gleichzeitig wird davon ausgegangen, dass ein Teil dieser Hochkosten durch besseres Management dieser Personengruppe reduziert werde...
Article
Zusammenfassung Hintergrund Der Innovationsausschuss beim Gemeinsamen Bundesausschuss (G-BA) fördert das Projekt „INTEGRAL–10-Jahres-Evaluation der populationsbezogenen Integrierten Versorgung Gesundes Kinzigtal“ (IVGK) (Förderkennzeichen 01VSF16002). Basis der Evaluation soll ein mit Routinedaten erfassbares Indikatorenset sein, mit dem zum einen...
Article
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Low health literacy is associated with poorer health and quality of life. An open question is whether a regional integrated healthcare system whose management strives to enable and empower its members with regard to health issues can contribute to a higher level of health literacy in the population. Against this background, in a cross-sectional stu...
Article
Zusammenfassung Über Register können Fragestellungen zur Gesundheitsversorgung im Alltag untersucht werden. Sie sind daher eine wesentliche Methode der Versorgungsforschung. Das Deutsche Netzwerk Versorgungsforschung (DNVF) fördert die Qualität von Registern durch einen wissenschaftlichen Austausch, durch Fortbildungsangebote sowie durch Empfehlung...
Article
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Introduction Population ageing and increasing chronic illness burden have sparked interest in innovative care models. While self-management interventions (SMIs) are drawing increasing attention, evidence of their efficacy is mostly based on pairwise meta-analysis, generally derived from randomised controlled trials comparing interventions versus a...
Chapter
The German and other health systems focus in their remuneration system on the volume of services provided to patients and not the value they generate. Consequently, there is little incentive for prevention or health-promotion that would help to maintain or regain health. On the contrary, this payment framework leads to gaps in the exchange of infor...
Article
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With this paper, we initiate the Supplement on Deepening our Understanding of Quality in Australia (DUQuA). DUQuA is an at-scale, cross-sectional research programme examining the quality activities in 32 large hospitals across Australia. It is based on, with suitable modifications and extensions, the Deepening our Understanding of Quality improveme...
Article
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Background: The purpose of our study was to develop and psychometrically test a German-language survey instrument that measures patient enablement generically and in greater detail than previous instruments. Methods: A multidisciplinary team developed 13 items to capture individual aspects of patient enablement (PEN-13). A pre-test with 26 subje...
Article
Background The EU-funded Marie Curie project HEALTHPROS aims to foster a new generation of “Healthcare Performance Intelligence Professionals” through a cohesive stream of 13 doctoral projects (www.healthpros-h2020.eu). Over 48 months, researchers will investigate key levers of healthcare improvement in 7 different countries, using methods drawn fr...
Article
Accreditation, certification and supervision are quality strategies that intend to encourage the compliance of health care organizations with published standards through external assessment. The idea is that health care organizations will increase compliance with standards in advance of a planned external inspection. Despite several common characte...
Poster
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Hintergrund: Für das vom Innovationsausschuss beim Gemeinsamen Bundesausschuss geförderte Projekt „INTEGRAL“ – „10-Jahres-Evaluation der populationsbezogenen Integrierten Versorgung Gesundes Kinzigtal“ (Förderkennzeichen 01VSF16002) wurde innerhalb eines Teilprojektes ein Qualitätsindikatoren-Set (QI-Set) entwickelt. Mittels anonymisierten AOK-Rout...
Chapter
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What are the characteristics of the strategy? Accreditation, certification and supervision are quality strategies that intend to encourage the compliance of healthcare organizations with published standards through external assessment. The idea is that healthcare organizations will increase compliance with standards in advance of a planned externa...
Article
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Health systems face significant challenges in moving towards integrated care. Despite long time policy pressures and the existence of best practice models at international level, integrated care frequently remains limited to pilot projects. There are multiple reasons why pilot projects are not scaled up. First, the internal validity of the findings...
Technical Report
Executive summary Background / Purpose of the review The NSW Health Integrated Care Strategy is focused on transforming healthcare delivery to improve health outcomes, patient experience and efficiency. Implementing integrated care involves changes at system, organisation, professional, clinical and consumer levels. The strategy recognises a broade...
Article
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Background Implementation of clinical health promotion (CHP) aiming at better health gain is slow despite its effect. CHP focuses on potentially modifiable lifestyle risks such as smoking, alcohol, diet, and physical inactivity. An operational program was created to improve implementation. It included patients, staff, and the organization, and it c...
Chapter
Dieser Beitrag beschäftigt sich mit den Rahmenbedingungen für Unternehmertum innerhalb des deutschen Gesundheitssystems und erfolgversprechenden Strategien von Entrepreneuren. Anhand eines Fallbeispiels wird gezeigt, wie sich serielles Unternehmertum in Form des Aufbaus und der Skalierung von innovativen populationsbezogenen Versorgungsmodellen ges...
Article
Aim The centralisation of oesophago-gastric (O-G) cancer services in England was recommended in 2001, partly because of evidence for a volume-outcome effect for patients having surgery. This study investigated the changes in surgical services for O-G cancer and postoperative mortality since centralisation. Methods Patients with O-G cancer who had...
Article
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Background Most studies showing a volume outcome effect in resection surgery for oesophago-gastric cancer were conducted before the centralisation of clinical services. This study evaluated the relation between hospital- and surgeon volume and different risk-adjusted outcomes after oesophago-gastric (OG) cancer surgery in England between 2011 and 2...
Data
Flow chart patient inclusion process. (DOCX)
Data
Between surgeon and between-hospital variation in 30-day, 90-day mortality and anastomotic leakage. *Median odds ratio (95% Confidence Interval). (DOCX)
Chapter
In this chapter the authors draw attention to the fact that there is a lot to be gained from bringing together transitional care programmes with approaches that address the wider health system environment in order to address the increasing complexity in the management of care transitions. The chapter reviews various models from Health System Perfor...
Chapter
‘Gesundes Kinzigtal’ is the flagship model of an Integrated Health Care System and the only fully population-based system in Germany that has been subject to rigorous external evaluation. It is based on the IHI Triple-Aim model, simultaneously pursuing to improve patient experience of care, population health and reducing per capita cost of health c...
Chapter
Millions of people are admitted to hospitals every year; about one-third of admissions are for a surgical procedure; unfortunately, some patients experience adverse events, resulting in harm or even death. This chapter presents an overview on ways to define and classify harm, methods to assess the scale of harm, estimates of actual harm, solutions...
Chapter
Der ungewöhnliche Begriff »Leistungsmanagement« ist erklärungsbedürftig. Das Konzept stellt die klassisch betriebswirtschaftliche Sachfunktion »Produktion « in den Mittelpunkt, beinhaltet in Teilen aber Forschung, Entwicklung und Vertrieb (Kap. 1). Die Anwendung im Gesundheitskontext muss einige Besonderheiten berücksichtigen, die in der folgenden...
Chapter
Die Rolle des Patienten in der Gesundheitsversorgung unterliegt einem grundlegenden Wandel. Patienten werden von vielen als „Blockbuster pill of the 21st century“ angesehen – die Patienteneinbindung sei demnach ein ebenso wichtiger Faktor zur Verbesserung der Ergebnisqualität, wie es die gängigen Produkte zur Behandlung von Cholesterol, Diabetes, B...
Article
Public reporting of surgeon outcomes has become a key strategy in the English NHS to ensure accountability and improve the quality of care. Much of the evidence that supported the design of the strategy originates from the USA. This report aims to assess how the evidence on public reporting could be harnessed for cross-country translation of this h...
Article
Background: Public reporting of surgeon outcomes has become a key strategy in the English NHS to ensure accountability and improve the quality of care. Much of the evidence that supported the design of the strategy originates from the USA. This report aims to assess how the evidence on public reporting could be harnessed for cross-country translat...
Article
Full-text available
A central goal of accountable care organizations (ACOs) is to improve the health of their accountable population. No evidence currently links ACO development to improved population health. A major challenge to establishing the evidence base for the impact of ACOs on population health is the absence of a theoretically grounded, robust, operationally...
Article
Full-text available
Background Clinical health promotion comprises services delivered in health care to address daily smoking, risky alcohol use, overweight/obesity, malnutrition and physical inactivity. Clinical health promotion significantly improves treatment results and patient safety. Accordingly, it is a core component of overall quality in hospitals. To further...
Article
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Hospital governance is broadening its orientation from cost and production controls towards 'improving performance on clinical outcomes'. Given this new focus one might assume that doctors are drawn into hospital management across OECD countries. Hospital performance in terms of patient health, quality of care and efficiency outcomes is supposed to...
Article
Background: Until recently, oesophagectomy was the treatment of choice for early oesophageal cancer. Endoscopic treatment has been introduced relatively recently. This observational national database study aimed to describe how endoscopic therapy has been introduced in England and to examine the safety of this approach. Methods: A population-bas...
Article
Objective: To explore how the output of national clinical audits in England is used by professionals and whether and how their impact could be enhanced. Methods: A mixed-methods study with the primary recipients of four national clinical audits of cancer care of 607 local audit leads, 274 (45%) completed a questionnaire and 32 participated in an...
Article
Full-text available
INTRODUCTION: Despite the growing body of research on quality and safety in healthcare, there is little evidence of the association between the way hospitals are organised for quality and patient factors, limiting our understanding of how to effect large-scale change. The 'Deepening our Understanding of Quality in Australia' (DUQuA) study aims to...
Article
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Background: Given the amount of time and resources invested in implementing quality programs in hospitals, few studies have investigated their clinical impact and what strategies could be recommended to enhance its effectiveness. Objective: To assess variations in clinical practice and explore associations with hospital- and department-level qua...
Article
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This study aimed to investigate the associations of quality management systems with teamwork and safety climate, and to describe and compare differences in perceptions of teamwork climate and safety climate among clinical leaders and frontline clinicians. We used a multi-method, cross-sectional approach to collect survey data of quality managemen...
Article
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Purpose – The spotlight has recently been placed on managers’ responsibility for patient-centred care as a result of Mid Staffordshire NHS Foundation Trust failings. In previous research, clinicians reported that managers do not have an adequate structured plan for implementing patient-centred care. The purpose of this paper is to assess the percep...
Article
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Purpose – The purpose of this paper is to review how patient and public involvement (PPI) can contribute to quality improvement functions and describe the levels of PPI in quality improvement functions at hospital and departmental level in a sample of European hospitals. Design/methodology/approach – Literature review and cross-sectional study. F...
Article
Previous studies reported significant variation in the management of patients with Barrett's esophagus. However, these are based on self-reported clinical practice. The aim of this study was to examine the management of high-grade dysplasia in Barrett's esophagus in England using patient-level data, and to compare practice with guidelines. From Apr...