FfW 2012 Summit_FBK
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Transcript of FfW 2012 Summit_FBK
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How should HTAs respond to the
growing burden of Chronic Diseases in
the working-age population ?Finn Brlum Kristensen, MD, PhD
Secretariat for EUnetHTA
Danish Health and Medicines AuthorityChairman, European network for HTA (EUnetHTA) Executive Committee
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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 20102012
The aim of HTA is to inform theformulation of safe, effective,health policies that are patient
focused and seek to achieve bestvalue
HTA must always be firmly rooted
in research and the scientificmethod
HTA aim
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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 20102012
HTA is a multidisciplinary processthat summarises information aboutthe medical, social, economic and
ethical issues related to the use ofa health technology in asystematic, transparent, unbiased,robust manner
HTA definition
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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 20102012
EUnetHTA Joint Action 20102012 | www.eunethta.eu
European network for HTA
Joint Actions 2010-15 between EuropeanCommission and EU Member States
A total of 37 government appointed organisations from 26 EU Member
States, Norway and Croatia and a large number of regional agencies andnon-for-profit organisations that produce or contribute to HTA
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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 20102012
1. Health problem and current use of technology
2. Description and technical characteristics
3. Safety
4. Clinical effectiveness
5. Costs and economic evaluation
6. Ethical analysis
7. Organisational aspects8. Social aspects
9. Legal aspects
Domains of the HTA Core Model
RAPID
FULL
Scope
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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 20102012
Domains
1. Health problem and currentuse of the technology
2. Description and technical
characteristics
3. Safety
4. Clinical effectiveness
5. Costs and economic
evaluation
6. Ethical analysis
7. Organisational aspects8. Social aspects
9. Legal aspects
Clinical effectiveness:
Topics
Mortality
Morbidity
Function
HRQL
Patient satisfaction
Change-in-management
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7/12EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 20102012
Domain: Clinical effectiveness
Topic: Morbidity
Issues:How does the intervention modify the
progression of disease?
How does the intervention modify theseverity and frequency of symptomsand findings?
How does the technology modify theeffectiveness of subsequentinterventions?
etc
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8/12EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 20102012
Domain: Social aspects
Topic: Major life areas
Issues:What kinds of changes does the use of the
technology generate in the patient's role in themajor life areas?
Who are the important others that the use of thetechnology may affect in addition to the patient?
What kind of support and resources are needed ormight be released as the technology is put to use?
etc
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9/12EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 20102012
Stakeholder
Forum
Plenary Assembly
(policy setting)
Secretariat
reporting control
reporting control
reporting support/control
coordination /
exchange of
info
Determine
activities
Work
Package
EUInstitutions
info
Executive Committee
(strategic planning of activities)
Work
PackageWork
PackageWork
PackageWork
PackageWork
PackageWork
PackageWork
Package
info
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Composition of the Stakeholder Forum
PayersProviders
Patients /citizens Industry
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11/12EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 20102012
Directive 2011/24 EU on cross-border healthcare
Article 15 Cooperation on health technology assessment
1. The Union shall support and facilitate cooperation and theexchange ofscientific information among Member Stateswithin a voluntary network connecting national authoritiesor bodies responsible for health technology assessment
designated by the Member States. That network shall bebased on the principle ofgood governance including
transparency, objectivity, independence of expertise, fairness
of procedure and appropriate stakeholder consultations
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12/12EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 201020121212
The time-line of reaching a sustainable andpermanent HTA network in Europe
2006-08
EUnetHTAProject
2005Call forproject
proposals
2009Call forJoint
Action
2008 - 11
Draft Cross BorderHealthcare DirectiveArticle on HTA network
2011 - 13CBHC DirectiveExpert Group
for
HTA networkimplementation
2014+
Europeannetwork for
HTA
Legal basis:
Cross BorderHealthcareDirective
Financialsupport:
1) EU Budget
2) MemberStates
2009EUnetHTA
Collaboration
2010 -12
EUnetHTAJA
2012 -15
EUnetHTAJA 2
2011Call forJoint
Action
HealthProgramme
Legislation2011CBHC
Directive
nowdecided
DG R&I2011 FP7-Health
2012-Innovation-1New methodologies
for HTA
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