IBenC – Identifying best practices for care-dependent elderly by benchmarking costs and outcomes of community care

What aims and scope

To identify best practices in community care delivery for dependent elderly by benchmarking the cost-effectiveness of health care systems and taking into account the costs and quality of care, and organisation of European community care groups.

How it became possible 

IBenC capitalised on a standardised instrument, the Resident Assessment Instrument for Home Care (interRAI-HC). This tool has been used in routine care provisioning to assess patient outcomes, care use and quality of care. 

Building on existing data from the former FP5 project AdHOC (n=4010) and new data collection (n≥2750), the project developed a novel method to benchmark community care organisations. In other words, the quality and cost of community care would be compared in one measurement. 

Based on the interRAI-HC, a summary measure for organisation performance per quality indicators was developed. The interRAI-HC was validated for cost-of-care assessments from a societal perspective. To enable an in-depth interpretation of the best-performing practices, the project rigorously studied the contexts and characteristics of community care organisations.

Where EHMA delivered

As a supporting partner for communications and dissemination activities, EHMA promoted the project to inform and involve potential users and stakeholder groups such as conferences and events.


EU logoThe research leading to these results has received funding from the European Community’s Seventh Framework Programme (FP7/2007-2013) under grant agreement number 242189. This page and the publications contained herein only reflect the author’s views. The European Union is not liable for any use that might be made of the information contained in this page and publications.


You can make the most of a novel method for benchmarking community care practices on macro and meso levels regarding costs and quality of care to improve insights into the cost-effectiveness of European health care delivery.

You will have an objective method to identify best practices and can use the benchmark method for benchmarking care models in other care settings in the future. 

Finally, this tool can provide you with easy access to healthcare policymakers and providers to generate knowledge on the cost-effectiveness and organisation of European community care.


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I have been active in EHMA since the first years of the '90s and I have seen its evolution from a small association of members interested in sharing knowledge on health management practices to the current status of reference and advisory key player for EU, health systems and organisations, stakeholders associations, industry and universities. EHMA is now a unique knowledge hub, policy advisor, community of practice and network of best in class organisations involved in health policy and management. A place where health managers can build their competences, policy-makers and stakeholder associations envision how to implement and sustain change through health management, industry leaders understand how to engage more effectively with health organisations and systems. The right place to nurture and grow health management capabilities and capacity for every stakeholder of health systems.

Prof. Federico Lega, University of Milan, Italy

Health management has a crucial function in shaping public health and health system challenges. The Medical University of Varna, Bulgaria had success in collaborating with EHMA on EU-funded projects that has resourced us to create new health management competencies for the future workforce. In addition to all classical definitions, health management is a science dealing with individuals, groups, and society at large. It is an art contributing to the beauty of our lives and an interactive communication process at all levels of institutions and human energy. I have also had the pleasure to chair the South Eastern European Special Interest Group which gives members a space to discuss and tools to address how health systems are managed in our regions.

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EHMA is a pre-eminent organisation for everyone working in planning, managing and delivering health services across Europe. As a long standing member of EHMA I have always been impressed by the vibrant community of managers, researchers and academics it has created and by the many opportunities for sharing knowledge and funding opportunities it has brought to its members. Its international scope is impressive and its impact is often felt in management and research across European and national health systems.

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