Implementations
Enhancing Type 2 Diabetes Care by an Individualized and Group-Based Therapeutic Patient Education Program
Description:
Cluster randomized controlled trial evaluating an interdisciplinary type 2 diabetes (T2D) management program combining therapeutic patient education (TPE), individualized care plans, group-based quality circles, and regular PROM collection and feedback. The study aims to improve clinical outcomes, health-related quality of life, patient experience, self-management behaviors, and assess cost-effectiveness compared with standard care.
Conditions covered: Type 2 Diabetes (T2D), Chronic disease management, Diabetes self-management and patient education, Health-related quality of life, Psychological well-being and diabetes-related distress
Organisation: Réseau Delta (Geneva, Switzerland), in collaboration with the University of St. Gallen School of Medicine, Groupe Mutuel Services AG, and SOKLE.
Status: Ongoing clinical study (Cluster Randomized Controlled Trial). Recruitment started in 2025 and the study is expected to run until September 2026.
Type: Studies or Conceptual Work
Dr. Philippe Schaller, MD (Principal Investigator / Trial Sponsor)
August 14, 2026
Cancer Coach – For an Integrated Outpatient Care Pathway for Cancer Patients in the Canton of Zurich
Description:
The Cancer Coach serves as a personal, non-medical point of contact for people with cancer and their relatives, supporting them throughout their care journey and beyond. As a dedicated contact person outside the hospital, the Cancer Coach helps patients navigate psychosocial, practical, and social challenges alongside cancer treatment.
The Cancer Coach coordinates non-medical support alongside medical treatment, connects patients and families with appropriate services, and facilitates collaboration between healthcare and social care providers. By identifying individual needs early and ensuring seamless coordination, the project aims to create a more integrated, patient-centred care pathway and improve quality of life.
The pilot project also evaluates the impact of this new model to support its continuous improvement and long-term implementation in outpatient oncology care.
Conditions covered: Oncology; Life-Course / General Quality of Life
Organisation: Stadtspital Zürich, Krebsliga Zürich, MSD and uma collective
Status: Pilotphase
Type: Projects and Initiatives
Carina Roost | uma collective GmbH
August 14, 2026
Implementing value-based healthcare in primary care
Description:
On January 1, 2025, Groupe Mutuel launched a pilot project with Reseau DELTA Santé in Geneva to test an enhanced primary care model based on its OptiMed alternative health insurance product. The initiative combines advanced budgetary co-responsibility with a range of innovations designed to improve patient outcomes, experience, and access to care. These include free nurse-led consultations at 3 Points de Santé for minor medical emergencies, free prevention programs for chronic conditions and healthy ageing, consultations without co-payment (QP) with DELTA general practitioners, and systematic collection of Patient-Reported Outcome Measures (PROMs). The pilot has grown to more than 22,000 insured persons and continues to serve as a platform for developing and evaluating value-based healthcare approaches. Groupe Mutuel and Reseau DELTA Santé are working together to ensure the long-term sustainability and expansion of this integrated care model.
Conditions covered: primary care, heart failure, chronic obstructive pulmonary disease (COPD), obesity, and healthy ageing
Organisation: Groupe Mutuel & Reseau DELTA Santé (Geneva)
Status: Ongoing (Pilot project launched in 2025)
Type: Project and Initiatives
Ksenia Tugay, Groupe Mutuel
August 14, 2026
Patient Empowerment Initiative
Description:
The Patient Empowerment Initiative aims to align reimbursement within the Swiss inpatient tariff system more closely with the quality of care and patient outcomes. By linking financial incentives to treatment quality and patient benefit, the initiative seeks to reduce underuse, overuse, and inappropriate care while rewarding high-quality clinical decision-making and outcomes.
Based on the principles of Value-Based Healthcare, the initiative explores how quality-oriented reimbursement can be implemented within the Swiss tariff system. Its long-term goal is to introduce a dynamic base rate that incorporates both treatment volumes and quality outcomes, thereby integrating outcome measurement directly into reimbursement.
Conditions covered: Musculoskeletal
Organisation: KSW, USB, CSS, Swica (PwC)
Status: Early implementation (few users involved)
Type: Projects and Initiatives
Paul Sailer
July 14, 2026
Plateforme valaisanne d'échange autour des PROMs
Description:
This PROMs Incubator is a learning hub set up by Kanton Wallis to encourage a set of five hospital to share experience and learn together about best practices in the use of PROMs. The Incubator is set up for two cycles of three years and the hospitals commit to share the lessons learned with a wider circle of healthcare institutions from Wallis at the end of the three years.
Conditions covered: Musculoskeletal
Organisation: 5 hospitals with pilot projects in Kanton Wallis
Status: Routined / institutionalized
Type: Projects and Initiatives
Anthony Staines
July 14, 2026
Medidux
Description:
Medidux™ is a patient-centered software application that enables patients to record their well-being and symptoms as well as vital signs and the intake of medications in a structured and standardized way (ePROs). In this way, medidux™ inspires communication between patients and their treatment teams.
Conditions covered: Oncology
Organisation: mobile Health AG
Status: Preliminary results available and analysed
Type: Tools, Products and Services
Prof. Dr. med. Andreas Trojan
July 14, 2026
Pay for Patient Value
Description:
Pay for Patient Value (P4PV) aims at improving the quality of life for patients receiving a total hip replacement by incentivizing providers to deliver higher outcomes. We developed a reimbursement model for hip and knee replacements that links payment to what matters to patients, i.e. clinical outcomes, patient-reported outcome measures (PROMs) and indication quality. The P4PV model is compatible with existing Swiss registries and payment systems.
Conditions covered: Musculoskeletal
Organisation: Groupe Mutuel, Universitätsspital Basel, Luzerner Kantonsspital, Spital Wallis, University of St Gallen (School of Medicine)
Status: Exploration phase is completed.
Type: Projects and Initiatives
Claire Galesne
July 14, 2026
Evaluation of the Implementation of an Integrated Patient Journey for Breast Cancer Patients
Description:
This bachelor thesis evaluates the implementation of an integrated patient journey for breast cancer patients at Bürgerspital Solothurn. Using literature review and qualitative interviews, the project assesses how interdisciplinary care pathways can improve patient-centered care while remaining economically sustainable. The study identifies opportunities to strengthen communication, coordination, evaluation methods, and resource allocation, and proposes an improved patient journey model together with an evaluation framework to support long-term value creation.
Conditions covered: Breast cancer
Organisation: Solothurner Spitäler AG (Bürgerspital Solothurn)
Status: Completed (Bachelor thesis, 2025)
Type: Studies or Conceptual Work
More Information: https://studierendenprojekte.wirtschaft.fhnw.ch/view/4235
Olga Schibli (Supervisor, FHNW)
July 9, 2026
Becoming One of the Big Five in Orthopaedics / Business Case Poland: Becoming Shoulder Arthroplasty Leader
Description:
This bachelor thesis explores strategies to strengthen a leading orthopaedics company's position in the Polish market by expanding the underdeveloped shoulder arthroplasty segment. Based on market analysis, stakeholder interviews, and strategic business tools, the study recommends establishing a specialised shoulder arthroplasty competence centre and implementing Value-Based Healthcare principles to improve surgeon training, patient outcomes, and market leadership.
Conditions covered: Shoulder disorders requiring arthroplasty; orthopaedic surgery
Organisation: Leading orthopaedics company (Poland)
Status: Completed (Bachelor thesis, 2024)
Type: Studies or Conceptual Work
More Information: https://studierendenprojekte.wirtschaft.fhnw.ch/view/3607
Olga Schibli (Supervisor, FHNW)
July 9, 2026
Business Plan for the Implementation of the Value-Based Patients’ Online Community
Description:
This bachelor thesis develops a business plan for a value-based online community for amputee patients at Rehaklinik Bellikon. The platform aims to support continuous, patient-centred care from diagnosis or amputation through rehabilitation and return to daily life. Based on qualitative interviews and an Innosuisse business plan template, the project outlines financing, implementation, risk analysis, and expected benefits, including improved patient satisfaction, independence, and cost-efficient care.
Conditions covered: Amputation; rehabilitation
Organisation: Rehaklinik Bellikon
Status: Completed (Bachelor thesis, 2023)
Type: Studies or Conceptual Work
More Information: https://studierendenprojekte.wirtschaft.fhnw.ch/view/2615
Olga Schibli (Supervisor, FHNW)
July 9, 2026
Ask the Patient: Improving Swiss Healthcare Value through Patient-Reported Outcomes (PROMs)
Description:
A research project aiming to scientifically validate a generic Patient-Reported Outcome Measure (PROM), specifically PROMIS-29, for use in Switzerland. The project assesses psychometric properties, feasibility, and comparability with established instruments to support routine use of PROMs in Swiss healthcare.
Conditions covered: Not disease-specific. The project focuses on general health and quality-of-life domains measured via generic PROMs.
Organisation: University of Zurich (UZH), Institute of Biomedical Ethics and History of Medicine (IBME), Zurich University of Applied Sciences (ZHAW), Institute of Public Health
Status: Ongoing, Project duration: November 2023 – May 2027
Type: Studies or Conceptual Work
Dr. Matthew J. Kerry-Krause (Project Lead, ZHAW Institute of Public Health)
February 27, 2026
PrimaryPROMS
Description:
PrimaryPROMS is a digital health feedback system designed to routinely collect information on patients’ health status and personal experiences via short questionnaires completed before or between primary care visits. The responses are analysed and delivered back as reports to both participating patients and general practitioners, helping guide consultations and identify health needs proactively.
Conditions covered: General health and well-being; includes aspects such as signs of depression, independence, social isolation, advance directives, vaccinations and overall quality of life — not limited to a specific disease group.
Organisation: Developed by the EQUAM Foundation in collaboration with family physicians, patients, and health insurers; broadly supported by stakeholders involved in Swiss primary care quality and value-based health care.
Status: Active
Type: Projectes and Initiatives
Joel Lehmann, EQUAM Foundation
February 27, 2026
Carity
Description:
Carity is a toolset to support patients and care teams during cardiac rehabilitation after myocardial infarction or intervention. For Patient it is a mobile app and and a wearable. For HCPs it is a regular PDF report on patient adherence, designed to save time and help them to adjust rehabilitation targets and have a meaningful discussion with Patient, even when part of training is remote.
Conditions covered: Cardiometabolic
Organisation: KSSG, USZ
Status: Preliminary results available and analysed
Type: Tools, Products and Services
Aliaksei Tsitovich
October 30, 2024
Pilotprojekt zur Implementierung von PROMs in der Schweiz, Implementierung von PROMs bei älteren Patient/innen im Raum Zürich
Description:
The pilot project aims to (wanted to) carry out PRO-measurements systematically in the geriatric setting for elderly patients in the Zurich area across sectors (family practices, homecare (Spitex) as well as inpatient). The measurements are aimed at regularly recording and presenting the general physical and mental health of the patients during the course of treatment. The aim is to create added value for the patients themselves, their relatives/caregivers; for the treating professionals, and (in the medium term) for decision-makers in healthcare. The responsibility for data collection and information feedback/feed-forward would lie with the EQUAM Foundation and not with the service providers.
Conditions covered: Life-Course / General Quality of Life; Mental Health
Organisation: mediX Zürich, Spitex Zürich, EQUAM Stiftung, Ecoplan, an unnamed Hospital, SPO
Status: Written concept
Type: Studies or Conceptual Work
Joel Lehmann
September 5, 2023
Digital platform for Hypertensive Patient Reported Outcomes - HYPROM
Description:
The present project aims to implement patient-reported outcomes (PROMs) in an interprofessional
setting, using a digital bilingual (French and German) communication platform, called HYPROM, dedicated to hypertensive (HT) patients. The platform will be used to implement PROMs by ICHOM, linking three existing digital tools (i.e. MIDATA, DATAMAMA and eMediplan). HYPROM will be
developed iteratively by bringing together patients, healthcare providers and health informatics professionals. It will be used in a pilot study, assessing usability and adherence to HYPROM in 500 HT patients. Enrollment will be made through healthcare providers, regardless of the patient’s place on the care pathway (e.g. starting medication, long-term care, hospitalized, followed-up in primary care).
Conditions covered: Cardiometabolic; Life-Course / General Quality of Life
Organisation: BIHAM, HEIG-VD, PharmaSuisse, EQUAM Stiftung and others
Status: Written concept
Type: Projects and Initiatives
Joel Lehmann
September 4, 2023
Pilotprojekt zu PROMS in der Hausarztpraxis
Description:
The project evaluated a low-cost approach to the integration of PROMs in family medicine practices. As part of a project funded by the Swiss Agency for Innovation Promotion (Innosuisse), a service was developed to collect data on health-related quality of life of patients in the outpatient setting, as a quality improvement measure. A prototype was designed and its implementation was tested in two pilot practices to determine whether the service can be used in practice in a pragmatic and beneficial way for patients and their GPs. Furthermore, a report was generated describing different ways of utilizing the data and generating value.
Conditions covered: Life-Course / General Quality of Life
Organisation: EQUAM Stiftung, ZHAW, Pilatus Praxis (Luzern), Praxis Morillon (Bern), Innosuisse
Status: Completed InnoSuisse project
Type: Projects and Initiatives
Joel Lehmann
September 4, 2023
Bessere-Therapie.ch
Description:
We want to raise the quality of ambulatory therapy (start with Physio) in switzerland.
Conditions covered: Musculoskeletal; Mental Health; Neurology
Organisation: T-Physio GmbH
Status: applied in own practice, getting developed for further use
Type: Projects and Initiatives
Simon Alexander Greiner
June 29, 2023
Value-based contracting around atrial fibrillation
Description:
Value-based contract that monitors the clinical outcome as the reintervention rate to incentivise the supplier to help the provider to achieve excellent outcomes
Conditions covered: Cardiometabolic
Organisation: Hôpital de La Tour, J&J, Lyfgen
Status: Routined / institutionalized
Type: Projects and Initiatives
Florian Rossiaud-Fischer
June 29, 2023
VBHC Transformation @ Hôpital de La Tour
Description:
In 2019, Hôpital de La Tour launched a hospital-wide initiative to implement the VBHC framework (following Michael Porter and Elizabeth Olmsted Teisberg concept) to increase outcomes and quality for patients. Concretely, we have gradually adapted the hospital's organisational structure to build integrated and interprofessional practice units (IPUs) around areas of excellence. For each of these practice units, we started collecting and measuring outcomes reported by both clinicians and patients, integrating these outcomes in the strategic and operational discussions within the IPUs, looking at data over time and also starting to benchmark against best practices known from the scientific literature. In order to scale these actions to more IPUs and more patients, we quickly started building a digital ecosystem with a patient-facing interface, automated dashboards and a hospital-wide data structure.
Conditions covered: Cardiometabolic; Musculoskeletal; Oncology
Organisation: Hôpital de La Tour
Status: Preliminary results available and analysed
Type: Projects and Initiatives
Florian Rossiaud-Fischer
June 29, 2023
OpenPROMS
Description:
The Federal Quality Commission (FQC) of the Federal Office of Public Health (FOPH) announced the funding of one or more pilot projects promoting the cross-sectoral use of PROMs sets as an integrated part of the care. Patients suffering from widespread medical conditions showing a heavy burden of disease and leading to a high cost of care e.g. chronic non-communicable diseases (NCDs) are targeted in priority. As identified by the national strategy for cardiovascular diseases, stroke, and diabetes from 2017 to 2024, cardiovascular diseases require a high level of attention in terms of prevention, quality of care (including rehabilitation and aftercare), and patient involvement. To this end, internationally validated PROMs questionnaires will serve to monitor the quality of care through progresses in multidimensional aspects of patients’ health status as they perceive it, while fostering communication between patients and professionals. The medium-term goal of the FQC is to implement a systematic collection and use of PROMs for data-based, cross-sectoral, national, and local quality development in consultation with patients in Switzerland.
Conditions covered: Oncology; Cardiometabolic; Musculoskeletal
Organisation: BFH, MIDATA, Brigthfish, Inssel group, HUG, further clinics
Status: Early implementation (few users involved)
Type: Projects and Initiatives
Serge Bignens
June 29, 2023
Measuring Patient Value after Total Shoulder Arthroplasty
Description:
The objective of the study was to present a calculation method based on Michael Porter’s formula and standard references to estimate patient value delivered by total shoulder arthroplasty (TSA). We retrospectively reviewed the records of 116 consecutive TSAs performed between June 2015 and June 2019 where patient value was defined as quality of care divided by direct costs of surgery. Quality metrics included intra- and postoperative complications as well as weighted improvements in three different patient-reported outcome measures at a minimum of one-year follow-up and direct costs of surgery were retrieved from the management accounting analyses. Substantial clinical benefit (SCB) thresholds and the standard reimbursement system were used as references for quality and cost dimensions and a multivariable linear regression was performed to identify factors associated with patient delivered value.
Conditions covered: Musculoskeletal
Organisation: Hôpital de La Tour
Status: Preliminary results available and analysed
Type: Studies or Conceptual Work
Florian Rossiaud-Fischer
June 29, 2023
Partnerschaft zu VBHC beim Lungenkarzinom
Description:
Conditions covered: Oncology
Organisation: USB & Roche
Status: Preliminary results available and analysed
Type: Projects and Initiatives
Jessica Thürmer
June 28, 2023
Value Based E-Health Patient Online Community
Description:
Conditions covered: Mental Health; Life-Course / General Quality of Life
Organisation: FHNW, Hochschule für Wirtschaft / Reha Klinik Bellikon
Status: Early implementation (few users involved)
Type: Projects and Initiatives
Olga Schibli
June 22, 2023
Developing a EQ-5D-5L value set for Switzerland
Description:
The project's goal is to develop a Swiss value set for the EQ5D Quality of Life measurement, which is presently lacking. EQ-5D is the most widely used instrument to assess the quality of life for health economic evaluations and in PROMs-implementations in general. To date, no EQ-5D value set has been derived for Switzerland, and economic evaluations of healthcare interventions based on EQ-5D data have been made using German or French value sets. Based on the international experience, whether the German and French populations’ preferences over different EQ-5D health states represent the Swiss population’s preferences well is questionable.
Conditions covered: Any
Organisation: Zurich University of Applied Sciences, Unisanté, BFH, University of Basel
Status: Written concept
Type: Projects and Initiatives
Marc Höglinger
June 15, 2023
