EU Expert Group on HSPA - · PDF fileEU Expert Group on HSPA Conclusions and recommendations...
Transcript of EU Expert Group on HSPA - · PDF fileEU Expert Group on HSPA Conclusions and recommendations...
EU Expert Group on HSPA Conclusions and recommendations
of the report on quality of care
HSPA seminar on quality measurement Ljubljana, 28 September 2016
Federico Paoli
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In February 2014, the Council Work Party on Public Health at Senior Level invited Member States and the Commission to set up an Expert Group on HSPA.
Our Mission 1. Provide participating Member States with a
forum for exchange of experience on the use of HSPA at national level.
2. Support national policy-makers by identifying tools and methodologies for developing HSPA.
3. Define criteria and procedures for selecting priority areas for HSPA at national and EU level.
4. Intensify EU cooperation with international organisations, in particular the OECD and the WHO.
Terms of reference
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In February 2014, the Council Work Party on Public Health at Senior Level invited Member States and the Commission to set up an Expert Group on HSPA.
Terms of reference
28 EU Member States
+
Norway
OECD WHO
European
Observatory
Selection of priority topics (2015)
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Quality of care Integrated care
Effectiveness of care
Primary care Chronic diseases
management
Access Patient experience
40
50
60
70
80
90
100
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Quality report
Five meetings between November 2014 and December
2015 + 1 policy focus group
April 2016
Quality of care
Section 1: General findings
I. Background, assumptions, and goals II. Main findings from countries' experiences III. Interpreting cross-country variation in quality indicators VI. Conclusions
Section 2: Countries' experiences
Strategies across Europe to assess quality of care
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Reference framework
Quality of care
Section 1: General findings
I. Background, assumptions, and goals II. Main findings from countries' experiences III. Interpreting cross-country variation in quality indicators VI. Conclusions
Section 2: Countries' experiences
Strategies across Europe to assess quality of care
So what?
Main findings from countries experiences
Whom to address quality assessment reporting to?
How are the findings of quality assessment presented?
General challenges in using quality assessment for policy action
Quality assessment to support legal or strategic initiatives
Use of indicators for quality and organisational improvement
Quality assessment for benchmarking
Main findings
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Quality of care
Section 1: General findings
I. Background, assumptions, and goals II. Main findings from countries' experiences III. Interpreting cross-country variation in quality indicators VI. Conclusions
Section 2: Countries' experiences
Strategies across Europe to assess quality of care
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Few reflections:
Robust indicator
But, caution in interpreting data
Catalyst for further in-depth within-country analysis
To be combined with other data (to monitor quality of care for diabetes patients)
It also provides some information on (depending from the context):
Secondary/hospital care
Integration of care
Socio-economic status
But, caution in interpreting data
So what? Interpreting
variations
Quality of care
Section 1: General findings
I. Background, assumptions, and goals II. Main findings from countries' experiences III. Interpreting cross-country variation in quality indicators VI. Conclusions
Section 2: Countries' experiences
Strategies across Europe to assess quality of care
So what?
1. Quality assessment is a piece of a bigger puzzle
Put quality into a broader framework
Adopt large boundaries for health systems
Define the level and goal of quality assessment
Define targets and benchmarks
Independence between the assessment phases
Put the patient at the centre
Lessons learnt
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2. Choice of indicators and concerns on data quality
Indicators only indicate
Complement process with outcome indicators
Use of old data reduce their explanatory power
Rely on powerful health information systems
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So what? Lessons learnt
3. Communicate results and follow them up
Present findings which are easy to read and understand
Share assessment findings transparently
Present concrete recommendations
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So what? Lessons learnt
EU Expert Group on Health Systems Performance Assessment
http://ec.europa.eu/health/systems_performance_assessment/policy/expert_group/index_en.htm
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