Sweden – Since 1998, Sweden's national Cataract Registry has collected nationwide data on postoperative endophthalmitis (PE), which, although rare, results in blindness in between 30 and 50 per cent of patients. The Registry enables the identification of specific risk factors, which has contributed to a decline in PE from 0.11 per cent of all cataract surgery cases in 1998, to 0.02 per cent in 2009.

The Netherlands – In the Netherlands, healthcare professionals have helped to develop the outcome indicators for registries of quality and outcome data. In exchange for reported data, hospitals are provided with a weekly dashboard to help identify best practice and how outcomes can be improved. Outcomes have included a ~30 per cent decrease in mortality after resection in colorectal cancers between 2010 and 2012.

Germany – Since 2006, Gesundes Kinzigtal (GK) has been contractually accountable for the whole health care service budget for ~50 per cent of the 69.000 people in the town of Hausach. Through targeted planning, which incorporates a focus on prevention and wellness, and continuous evaluation, GK has reduced the per person healthcare cost by €151 and reduced the mortality rate by 53 per cent.