LUCID National Data Stream

Low Value of Care in Medical Hospitalized Patients - a National Data Stream on Quality of Care in Swiss University Hospitals

Started
September 1, 2022
Status
In Progress
Share this project

Abstract

The LUCID (Low Value of Care in Hospitalized Patients) National Data Stream aims to improve hospital quality of care in Switzerland by monitoring and reducing unnecessary low value care procedures. Guided by value-driven, patient-centered, and evidence-based healthcare principles it connects the five Swiss university hospitals through a secure data infrastructure. The project analyzes routinely collected hospital data and a subset of roughly 1000 Patient Reported Outcomes (PROs) to improve care efficiency and quality, initially focusing on medical inpatients, with a framework adaptable to other hospital specialties.


This project has been funded by SPHN and PHRT from 2022 to 2025 with equal in-kind contribution from SDSC and participating hospitals (CHUV; HUG; USB; USZ; Inselspital).

People

Collaborators

SDSC Team:
Guillaume Obozinski
Oksana Riba Grognuz
Stefan Milosavljevic
Cyril Matthey-Doret
Hannah Casey
Robin Franken
Alessandro Mari
Federico Amato
David Brüggemann
Paul Rolland
Jimena Dupré
Almut Lütge
Martin Fontanet
Gabriel Nützi
Luana Martelli

PI | Partners:

Main PIs

Pr. med. Marie Méan (CHUV)

Prof. Dr. Guillaume Obozinski (SDSC)

Project consortium (in 2025)

Prof. Dr. med. Christian Lovis (UniGE/HUG), Prof. Dr. Jean Louis Raisaro (CHUV), Prof. Dr. med. Drahomir Aujesky (Inselspital), Prof. Dr. med. Stefano Bassetti (USB), Prof. Dr. med. Christophe Meier (USZ), Dr. med. Jerome Stirnemann (HUG), Prof. Dr. med. Alexander Leichtle (Inselspital), Prof. Dr. med. Carole Aubert (Inselspital), Prof. Dr. med. Florence Vallelian (USZ), Dr. Bram Stieltjes (USB), Dr. Oksana Riba-Grognuz (SDSC), Dr. med. Florian Rüter (USB), Prof. Dr. Manuela Eicher(CHUV), Prof. Dr. med. Dr. Phil. Arnaud Chiolero (UniFr), Dr. Jérémie Despraz(CHUV)

Project manager

Dr. Jean Regina (CHUV)

Data managers

Dr. Stefan Milosavljevic (SDSC)

Dr. Cyril Matthey-Doret (SDSC)

Patient partners

Beat Meyer, Ute Studer, Ursula Ganz-Blätter, Michael Laurac

description

Motivation

National Data Streams, a joint program of the Personalized Health and Related Technologies (PHRT) and the Swiss Personalized Health Network (SPHN), play an important role in making Swiss health-related data FAIR.

The LUCID National Data Stream focuses on hospital inpatient quality of care and aims to find ways of improving healthcare processes in Swiss hospitals. As both the number of patients and the cost of acute care are expected to increase in the future, promoting the most efficient practices and an optimal use of resources is key for the Swiss healthcare system to evolve.

For more effective, cost-efficient, data-driven, and evidence-based care, an important aspect is to avoid low-value care, which refers to clinical practices that provide little or no benefit to the patient, incur unnecessary costs, and may cause harm. Examples include prescribing sedatives to hospitalized older patients for sleep despite increased fall risk or routinely measuring vital signs at night when not clinically necessary, thereby disrupting sleep.

Objectives

The overarching scope of LUCID NDS is to improve quality of care, and the project is running in 2 phases: First phase 2022-2025; Second Phase 2026-2028.

Thus, the LUCID initial project (2022-2026) investigated trends in Swiss clinical practice and low-value care over the past decade, focusing on the impact of the 2016 Smarter Medicine recommendations and consequences of low value care [1].

In the future, the LUCID NDS aims to establish a sustainable national registry to support future research on quality of care in Switzerland. The registry is already enabling several projects, including the development of machine learning models for hospital length of stay estimation in a collaboration between the SDSC and Prof. Jean Louis Raisaro’s team at CHUV.

Data flow and infrastructure

The NDS collects harmonized clinical from consenting patients hospitalized in Switzerland’s five university hospitals: University Hospital Zurich (USZ),University Hospital Basel (USB), Inselspital Bern, Lausanne University Hospital ( CHUV) and Geneva University Hospital (HUG). The data consists of routinely collected hospital information (which includes, patient demographics, medical history, diagnoses, lab tests, and administrative data generated during regular care).

A subset of Patient Reported Outcomes (PROs) which convey information on the health status as perceived by the patient are also available, however this is not yet routinely collected data in most of the hospitals.

All data are integrated into a dedicated medical registry that forms the basis for developing and analyzing indicators of low-value care and study further projects on quality of care.

 

SDSC contributions

1. Building a robust data infrastructure and management framework

The current dataset comprises nearly 300’000 hospital stays from the five Swiss university hospitals, spanning 2014 to 2024. Preparing this data for research analysis requires substantial preliminary work. As a first step, the incoming data must be harmonized according to predefined semantic standards.

The LUCID data infrastructure is hosted on the BioMedIT platform developed together with SPHN, and uses data transfer protocols, a data model, and a Resource Description Framework (RDF) encoding schema provided by the SPHN Data Coordination Center (DCC).

In close collaboration with SPHN, the DCC, and the IT units of the five university hospitals, the SDSC has established the operational data stream. SDSC data science engineers laid out the technical and governance foundations for the LUCID medical registry, including:

Trusted Architecture & Data Governance

  • Configuration of a two-tier architecture that separates registry operations from research, with isolated environments and additional de-identification for each project.
  • Processes for patient consent management, supported by automated workflows to remove data in case of consent withdrawal.
  • Procedures enabling digitalized data access request handling via a Data Access Committee (DAC) Portal developed by SDSC.

Interoperable, Reusable Datasets with Quality Guarantees

  • Production-grade ingestion pipelines enabling secure, FAIR-aligned data flows (DOI:10.5281/zenodo.14726408) from five Swiss university hospitals.
  • Semantic data validation and a fast, secure pseudonymization pipeline applied to RDF graphs, supporting interoperable and privacy-preserving data structures.
  • Pipelines generating AI-ready tabular datasets, enriched with statistical outlier detection and data quality checks developed by SDSC data scientists.

Value Creation for Hospitals and Patients

  •  Feedback loops returning data quality insights to hospitals.
  • Active involvement of patients in co-creating the LUCID website to ensure it  reflects their needs and real experiences.
  • Dashboard (work in progress).
  • Website (www.LUCID-nds.ch)

2. Measuring low-value care through clinical practice data

SDSC data scientists have been working closely with the CHUV researchers and clinicians to jointly define numerical low value care (LVC) indicators that quantify care procedures deviating from the recommended best practices.

The analysis of LVC trends helps to shed light on how care practices have evolved over time across Switzerland’s university hospitals, to assess the long-term impact of the 2016 Smarter Medicine campaign, and to identify opportunities for further improvement in clinical practice.

Statistical analyses are shared with the Clinical Trial Unit (CTU) at the Department of Clinical Research (DCR) of the University of Bern.

Significance | Impact

Reducing low value care is a major yet untapped opportunity to improve healthcare outcomes and efficiency at a given cost while reducing unnecessary and even risky practices.

The LUCID NDS has established a nationwide system to document and analyze the trends in low value care among hospitalized patients. By comparing data from before and after the best practice recommendations, the project will evaluate both their impact and the level of adherence.

The insights gained support from health authorities, hospitals, clinicians, and patients in developing targeted strategies to reduce LVC. Beyond this evaluation, the project may enable continuous monitoring and benchmarking of care value, strengthen data sharing, and contribute to improved hospital care quality across Switzerland. Ultimately, it can promote a learning healthcare system focused on quality, efficiency, and the active inclusion of patient and public perspective. Additionally, the LUCID medical registry will be enabling data reuse in third-party research projects.

While LUCID focuses on hospitalized medical patients – who represent most hospitalizations – the project’s infrastructure and processes are designed to be scalable and applicable to patients from other clinical specialties.

Footnotes:

[1] Smarter Medicine – Choosing Wisely Switzerland: https://www.smartermedicine.ch/en

[2] FAIR principles: The FAIR principles are a set of guidelines for data management that stand for Findable, Accessible, Interoperable, and Reusable.Their goal is to make data more discoverable and reusable by both humans and machines, which helps increase research exposure and promotes wider sharing and reuse.

Gallery

Annexe

Additional resources

Bibliography

Publications

More projects

Syngenta: Steam consumption optimization

Completed
Reliable strategies to save energy in Syngenta’s Kaisten plant
Energy & Sustainability
Private sector

Pilot project ENERBAT

Completed
Data-Driven Pathways to Net Zero for the Canton of Vaud’s Building Portfolio
Energy & Sustainability
Climate & Environment
Public sector

EKZ: Synthetic Load Profile Generation

Completed
Reliable electricity load monitoring for non-metered nodes
Energy & Sustainability
Public sector

OneDoc: Ask Doki

Completed
Enhancing Healthcare Access with GenAI-empowered Booking Assistance
Digital Society
Health & Biomedical
Private sector

News

Latest news

Coding the Future: Energy Data Hackdays Expand to French-speaking Switzerland
May 7, 2026

Coding the Future: Energy Data Hackdays Expand to French-speaking Switzerland

Coding the Future: Energy Data Hackdays Expand to French-speaking Switzerland

Held at the SDSC headquarters at Biopôle, the Energy Data Hackdays gather 100 experts to tackle 5 energy and grid challenges.
Science des données : le SDSC et le Canton de Vaud soutiennent quatre projets appliqués
April 30, 2026

Science des données : le SDSC et le Canton de Vaud soutiennent quatre projets appliqués

Science des données : le SDSC et le Canton de Vaud soutiennent quatre projets appliqués

Le SDSC et le Canton de Vaud ont retenu quatre projets parmi les 57 soumissions reçues lors de leur deuxième appel à projets.
Le Swiss Data Science Center inaugure son siège au Biopôle de Lausanne
March 12, 2026

Le Swiss Data Science Center inaugure son siège au Biopôle de Lausanne

Le Swiss Data Science Center inaugure son siège au Biopôle de Lausanne

Le SDSC inaugure aujourd'hui son siège au campus Biopôle de Lausanne, dans le cadre d'un partenariat stratégique avec l'État de Vaud.

Contact us

Let’s talk Data Science

Do you need our services or expertise?
Contact us for your next Data Science project!