Health Technology Assessment
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Health Technology Assessment
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Health Technology Assessment. What is ECRI Institute?. A ‘not for profit’ health services research agency chartered in 1955 International – Offices in Europe, Middle East, Far East, USA 11,500 m 2 Head Office - PowerPoint PPT Presentation
Transcript of Health Technology Assessment
Health Technology Assessment
What is ECRI Institute? A ‘not for profit’ health services research agency chartered in
1955 International – Offices in Europe, Middle East, Far East, USA 11,500 m2 Head Office One of the world’s most comprehensive source of information
on healthcare practices and technology employing over 300 staff
A Collaborating Centre for WHO.
Our mission……..
To improve the safety, efficacy, delivery and cost-effectiveness of healthcare through an informed consumer.
Why we are different…... ‘Not for profit’ (similar to a charitable trust) and not a
corporation or a company We are totally independent, which maintains our
objectivity and integrity We accept no royalties, gifts or commissions Neither ECRI Institute nor its staff are permitted to own
shares in or consult for the medical device or pharmaceutical companies
…….strict conflict of interest rules.
Our services…... Applied research Publications Software Databases Information services (web access) Risk Management including Accident and Forensic
services Consultancy.
Health Technology Assessment
What is Health Technology include?
DrugsDevices ProceduresBiotechnology Information technologySystems technology.
Definition: Technology Assessment
Technology Assessment-- a practical process of determining the value of a new or emerging technology in and of itself or against existing or competing technologies using efficacy, effectiveness, outcome, risk management, strategic, financial and competitive criteria.
Purpose of Technology Assessment
Determining the safety, efficacy and cost-effectiveness of medical technology
Discriminate between the appropriate and inappropriate indications of use of medical technologies
To advise upon the formulation of safe, effective, health policies that are patient focused and seek to achieve best value.
The Current Environment Enormous duplication of services Technology changing faster than clinical practice Pressure for information on the value of new approaches Pressure on providers to deliver care in a capitated
environment Integration and consolidation Pressure from payers for less costly services
The Challenge of Technology Assessment
Encourage the development of new technologyAvoid inappropriate diffusionAlign payers, providers, and manufacturers in the
assessment of technologyPropagate complex issues in an intelligible form..
Issues in the Health Care Debate
Wide variations in practices among clinicians locally, regionally, nationally and internationally
No match between resources used and needs Information ABOUT technology diffuses faster than
information about the VALUE of technologyHow do we empower the clinician for the rational
use of technology?
How Do Hospitals Assess and Acquire Technology?
By careful review of value and other criteria?By comparison against competing and existing
technology?By buying what clinicians want?By buying what the manufacturers tell them?By listening to the BBC?Google?
The Technology Chasm
Don’t just look for the big “splash” in the pond—follow the ripples; few reach shore
Pushing the technology edge is critical—but real-world use and real-world benefits must be demanded
Whether a technology becomes successful depends on much more than whether it works well
Never underestimate psychology and emotion.
Technology Assessment SpectrumMacro Micro
Holistic Regional/National
Local Pre-purchaseEvaluation
Procurement
EfficacySafetyCost-effectivenessLegal issuesEthical issues
EpidemiologyPatient demographicsHealth prioritiesResource allocation
Patient demographicsCompetitionBusiness feasibilityFinancial benefitsAssimilation capabilityUser expertise
SafetyEffectivenessPerformanceFeaturesEase of useLife-cycle costUser expertiseUser supportTrainingService
SpecificationBid analysisSelectionFinancing
Source: Gartner, http://www.gartner.com/technology/research/methodologies/hype-cycle.jsp
Gartner Hype Cycle
How a technology is used determines whether it will
be cost-effective
In God we trust, all others bring data.
-Anonymous
The First Rule of Technology Assessment
The Second Rule of Technology Assessment
Data is not the plural of anecdote.
- Donald Berwick
Putt’s Law
Technology is dominated by two types of people: those who understand what they do not manage, and those who manage what they do not understand.
Thank you for your attention
