Mapping of HTA national organisations, programmes and ......use HTA information from other...

83
Written by Julia Chamova, Stellalliance AB – May - 2017 Mapping of HTA national organisations, programmes and processes in EU and Norway Annexes

Transcript of Mapping of HTA national organisations, programmes and ......use HTA information from other...

Page 1: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

Written by Julia Chamova Stellalliance AB ndash

May - 2017

Mapping of HTA national

organisations programmes and

processes in EU and Norway Annexes

EUROPEAN COMMISSION

Directorate-General for Health and Food Safety

Directorate B mdash Health systems medical products and innovation

Unit B4mdash Medicinal Products quality safety innovation

E-mail SANTE-HTAeceuropaeu

European Commission

B-1049 Brussels

EUROPEAN COMMISSION

Mapping of HTA national

organisations programmes

and processes in EU and

Norway

Annexes

Directorate-General for Health and Food Safety

LEGAL NOTICE

This document has been prepared for the European Commission however it reflects the views only of the authors and the Commission cannot be held responsible for any use which may be made of the information contained therein

More information on the European Union is available on the Internet (httpwwweuropaeu)

Luxembourg Publications Office of the European Union 2017

ISBN 978-92-79-77937-4 doi 102875131490 copy European Union 2017

Reproduction is authorised provided the source is acknowledged

Europe Direct is a service to help you find answers

to your questions about the European Union

Freephone number ()

00 800 6 7 8 9 10 11

() The information given is free as are most calls (though some operators phone boxes or hotels may charge you)

2

Disclaimer

The information and views set out in this study are those of the author and do not necessarily reflect the official

opinion of the Commission The Commission does not guarantee the accuracy of the data included in this study

Neither the Commission nor any person acting on the Commissionrsquos behalf may be held responsible for the use

which may be made of the information contained therein

3

Contents Appendix 1 - Roles and Tasks of HTA bodies 4

Appendix 2 ndash Scope of HTA by country and HTA body 8

Appendix 3 ndash Organisational framework 12

Appendix 4 ndash Financing HTA bodies 20

Appendix 5 ndash Workforce 26

Appendix 6ndash Use of HTA from other jurisdictions 28

Appendix 7 ndash EUnetHTA output use 32

Appendix 8ndash HTA system organisation 42

Appendix 9ndash HTA bodies - other tasks 44

Appendix 10ndash National HTA processes organisation 45

Appendix 11ndash Info provision to HTA 63

Appendix 12ndash Decision making on the basis of HTA 67

Appendix 13ndash Stakeholder engagement in HTA 70

Appendix 15ndash HTA Bodies 74

Appendix 16ndash Country profile template 77

Appendix 17ndash Questionnaire 78

4

Appendix 1 - Roles and Tasks of HTA bodies

5

6

7

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 2: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

EUROPEAN COMMISSION

Directorate-General for Health and Food Safety

Directorate B mdash Health systems medical products and innovation

Unit B4mdash Medicinal Products quality safety innovation

E-mail SANTE-HTAeceuropaeu

European Commission

B-1049 Brussels

EUROPEAN COMMISSION

Mapping of HTA national

organisations programmes

and processes in EU and

Norway

Annexes

Directorate-General for Health and Food Safety

LEGAL NOTICE

This document has been prepared for the European Commission however it reflects the views only of the authors and the Commission cannot be held responsible for any use which may be made of the information contained therein

More information on the European Union is available on the Internet (httpwwweuropaeu)

Luxembourg Publications Office of the European Union 2017

ISBN 978-92-79-77937-4 doi 102875131490 copy European Union 2017

Reproduction is authorised provided the source is acknowledged

Europe Direct is a service to help you find answers

to your questions about the European Union

Freephone number ()

00 800 6 7 8 9 10 11

() The information given is free as are most calls (though some operators phone boxes or hotels may charge you)

2

Disclaimer

The information and views set out in this study are those of the author and do not necessarily reflect the official

opinion of the Commission The Commission does not guarantee the accuracy of the data included in this study

Neither the Commission nor any person acting on the Commissionrsquos behalf may be held responsible for the use

which may be made of the information contained therein

3

Contents Appendix 1 - Roles and Tasks of HTA bodies 4

Appendix 2 ndash Scope of HTA by country and HTA body 8

Appendix 3 ndash Organisational framework 12

Appendix 4 ndash Financing HTA bodies 20

Appendix 5 ndash Workforce 26

Appendix 6ndash Use of HTA from other jurisdictions 28

Appendix 7 ndash EUnetHTA output use 32

Appendix 8ndash HTA system organisation 42

Appendix 9ndash HTA bodies - other tasks 44

Appendix 10ndash National HTA processes organisation 45

Appendix 11ndash Info provision to HTA 63

Appendix 12ndash Decision making on the basis of HTA 67

Appendix 13ndash Stakeholder engagement in HTA 70

Appendix 15ndash HTA Bodies 74

Appendix 16ndash Country profile template 77

Appendix 17ndash Questionnaire 78

4

Appendix 1 - Roles and Tasks of HTA bodies

5

6

7

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 3: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

EUROPEAN COMMISSION

Mapping of HTA national

organisations programmes

and processes in EU and

Norway

Annexes

Directorate-General for Health and Food Safety

LEGAL NOTICE

This document has been prepared for the European Commission however it reflects the views only of the authors and the Commission cannot be held responsible for any use which may be made of the information contained therein

More information on the European Union is available on the Internet (httpwwweuropaeu)

Luxembourg Publications Office of the European Union 2017

ISBN 978-92-79-77937-4 doi 102875131490 copy European Union 2017

Reproduction is authorised provided the source is acknowledged

Europe Direct is a service to help you find answers

to your questions about the European Union

Freephone number ()

00 800 6 7 8 9 10 11

() The information given is free as are most calls (though some operators phone boxes or hotels may charge you)

2

Disclaimer

The information and views set out in this study are those of the author and do not necessarily reflect the official

opinion of the Commission The Commission does not guarantee the accuracy of the data included in this study

Neither the Commission nor any person acting on the Commissionrsquos behalf may be held responsible for the use

which may be made of the information contained therein

3

Contents Appendix 1 - Roles and Tasks of HTA bodies 4

Appendix 2 ndash Scope of HTA by country and HTA body 8

Appendix 3 ndash Organisational framework 12

Appendix 4 ndash Financing HTA bodies 20

Appendix 5 ndash Workforce 26

Appendix 6ndash Use of HTA from other jurisdictions 28

Appendix 7 ndash EUnetHTA output use 32

Appendix 8ndash HTA system organisation 42

Appendix 9ndash HTA bodies - other tasks 44

Appendix 10ndash National HTA processes organisation 45

Appendix 11ndash Info provision to HTA 63

Appendix 12ndash Decision making on the basis of HTA 67

Appendix 13ndash Stakeholder engagement in HTA 70

Appendix 15ndash HTA Bodies 74

Appendix 16ndash Country profile template 77

Appendix 17ndash Questionnaire 78

4

Appendix 1 - Roles and Tasks of HTA bodies

5

6

7

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 4: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

LEGAL NOTICE

This document has been prepared for the European Commission however it reflects the views only of the authors and the Commission cannot be held responsible for any use which may be made of the information contained therein

More information on the European Union is available on the Internet (httpwwweuropaeu)

Luxembourg Publications Office of the European Union 2017

ISBN 978-92-79-77937-4 doi 102875131490 copy European Union 2017

Reproduction is authorised provided the source is acknowledged

Europe Direct is a service to help you find answers

to your questions about the European Union

Freephone number ()

00 800 6 7 8 9 10 11

() The information given is free as are most calls (though some operators phone boxes or hotels may charge you)

2

Disclaimer

The information and views set out in this study are those of the author and do not necessarily reflect the official

opinion of the Commission The Commission does not guarantee the accuracy of the data included in this study

Neither the Commission nor any person acting on the Commissionrsquos behalf may be held responsible for the use

which may be made of the information contained therein

3

Contents Appendix 1 - Roles and Tasks of HTA bodies 4

Appendix 2 ndash Scope of HTA by country and HTA body 8

Appendix 3 ndash Organisational framework 12

Appendix 4 ndash Financing HTA bodies 20

Appendix 5 ndash Workforce 26

Appendix 6ndash Use of HTA from other jurisdictions 28

Appendix 7 ndash EUnetHTA output use 32

Appendix 8ndash HTA system organisation 42

Appendix 9ndash HTA bodies - other tasks 44

Appendix 10ndash National HTA processes organisation 45

Appendix 11ndash Info provision to HTA 63

Appendix 12ndash Decision making on the basis of HTA 67

Appendix 13ndash Stakeholder engagement in HTA 70

Appendix 15ndash HTA Bodies 74

Appendix 16ndash Country profile template 77

Appendix 17ndash Questionnaire 78

4

Appendix 1 - Roles and Tasks of HTA bodies

5

6

7

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 5: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

2

Disclaimer

The information and views set out in this study are those of the author and do not necessarily reflect the official

opinion of the Commission The Commission does not guarantee the accuracy of the data included in this study

Neither the Commission nor any person acting on the Commissionrsquos behalf may be held responsible for the use

which may be made of the information contained therein

3

Contents Appendix 1 - Roles and Tasks of HTA bodies 4

Appendix 2 ndash Scope of HTA by country and HTA body 8

Appendix 3 ndash Organisational framework 12

Appendix 4 ndash Financing HTA bodies 20

Appendix 5 ndash Workforce 26

Appendix 6ndash Use of HTA from other jurisdictions 28

Appendix 7 ndash EUnetHTA output use 32

Appendix 8ndash HTA system organisation 42

Appendix 9ndash HTA bodies - other tasks 44

Appendix 10ndash National HTA processes organisation 45

Appendix 11ndash Info provision to HTA 63

Appendix 12ndash Decision making on the basis of HTA 67

Appendix 13ndash Stakeholder engagement in HTA 70

Appendix 15ndash HTA Bodies 74

Appendix 16ndash Country profile template 77

Appendix 17ndash Questionnaire 78

4

Appendix 1 - Roles and Tasks of HTA bodies

5

6

7

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 6: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

3

Contents Appendix 1 - Roles and Tasks of HTA bodies 4

Appendix 2 ndash Scope of HTA by country and HTA body 8

Appendix 3 ndash Organisational framework 12

Appendix 4 ndash Financing HTA bodies 20

Appendix 5 ndash Workforce 26

Appendix 6ndash Use of HTA from other jurisdictions 28

Appendix 7 ndash EUnetHTA output use 32

Appendix 8ndash HTA system organisation 42

Appendix 9ndash HTA bodies - other tasks 44

Appendix 10ndash National HTA processes organisation 45

Appendix 11ndash Info provision to HTA 63

Appendix 12ndash Decision making on the basis of HTA 67

Appendix 13ndash Stakeholder engagement in HTA 70

Appendix 15ndash HTA Bodies 74

Appendix 16ndash Country profile template 77

Appendix 17ndash Questionnaire 78

4

Appendix 1 - Roles and Tasks of HTA bodies

5

6

7

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 7: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

4

Appendix 1 - Roles and Tasks of HTA bodies

5

6

7

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 8: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

5

6

7

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 9: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

6

7

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 10: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

7

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 11: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

8

Appendix 2 ndash Scope of HTA by country and HTA body

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 12: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

9

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 13: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

10

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 14: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

11

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 15: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

12

Appendix 3 ndash Organisational framework

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 16: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

13

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 17: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

14

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 18: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

15

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 19: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

16

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 20: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

17

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 21: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

18

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 22: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

19

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 23: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

20

Appendix 4 ndash Financing HTA bodies

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 24: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

21

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 25: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

22

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 26: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

23

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 27: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

24

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 28: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

25

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 29: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

26

Appendix 5 ndash Workforce

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 30: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

27

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 31: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

28

Appendix 6ndash Use of HTA from other jurisdictions

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 32: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

29

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 33: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

30

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 34: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

31

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 35: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

32

Appendix 7 ndash EUnetHTA output use

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 36: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

33

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 37: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

34

35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

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35

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 39: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

36

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 40: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

37

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 41: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

38

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 42: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

39

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 43: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

40

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 44: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

41

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 45: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

42

Appendix 8ndash HTA system organisation

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 46: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

43

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 47: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

44

Appendix 9ndash HTA bodies - other tasks

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 48: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

45

Appendix 10ndash National HTA processes organisation

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 49: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 50: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 51: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 52: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 53: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

50

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 54: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

51

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 55: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

52

53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

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53

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 57: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

54

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 58: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

55

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 59: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

56

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 60: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

57

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 61: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

58

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 62: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

59

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 63: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

60

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 64: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

61

62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

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62

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 66: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

63

Appendix 11ndash Info provision to HTA

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 67: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

64

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 68: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

65

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 69: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

66

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 70: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

67

Appendix 12ndash Decision making on the basis of HTA

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 71: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

68

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 72: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

69

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 73: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

70

Appendix 13ndash Stakeholder engagement in HTA

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 74: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

71

72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

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72

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 76: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

73

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 77: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

74

Appendix 15ndash HTA Bodies

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 78: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

75

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 79: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

76

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 80: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

77

Appendix 16ndash Country profile template

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 81: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

78

Appendix 17ndash Questionnaire Mapping of HTA national organisations programmes and processes in EU

Contract SANTE2016B4020

QUESTIONNAIRE1

To be completed by 22 August 2016 and sent back to

jcstellalliancese and SANTE-HTA-NETWORKeceuropaeu ndash THANK YOU

Country

Organisation

Contact information2 Name

E-mail

Tel (with country code please)

Legal mandate of the organisation Short description free text answer

Organisationrsquos main role Please indicate all that are applicable

1 Develop and issue HTA recommendations 2 Regulation of health technologies 3 Pricing of health technologies 4 Reimbursement of health technologies 5 Other ndash please specify

Other tasks carried out by the organisation Tick all that apply

Quality Standards Development of clinical guidelines Healthcare promotion Detection of new technologies (eg horizon scanning) Registries Education Early Dialogues and Scientific Advice Other please specify

HTA staff competenceexpertise and education

Please indicate - Total number of FTEs (internal staff only) - Technical positions (number of FTEs) and qualifications required to fill

in the positions (eg Economist (MSc or PhD) Librarian (MSc) Epidemiologist etc)

Comments

Budget for HTA activities in your organisation

Please indicate for the bodydepartment performing HTA - Overall budget - Budget allocated to HTA assessments (including REA full HTA re-

1 This questionnaire is to inform research being contracted by the European Commission on behalf of the HTA Network

2 Contact details of the person completing the questionnaire

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 82: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

79

In absolute terms (in Euro) and in to the total budget of organisation

3

assessments appraisals based on dossiers submitted by industry) - Budget for contracting external experts

Comments

Methods to finance HTA activities (eg Budget only submission fee other ndash please indicate)

Comments

Does your organisation have a formal official conflict of interest policy and procedure

YesNo Comments

Does your organisation use HTA information from other jurisdictions

YesNo If yes please specify if it is

- Information used about horizon scanning and topic selection - Information used about HTA assessment (eg other agency scopes

reports evidence submissions) - Information used about HTA advice and decision making (eg other

agency recommendations and decisions)

Does your organisation use joint assessments prepared by EUnetHTA

YesNo If yes which EUnetHTA joint assessments were utilised If No could you please list major barriers to utilisation as perceived by your organisation

Does your organisation use any of the EUnetHTA tools to produce your HTA information

YesNo If yes please select from the list below

1 HTA Core Modelreg 2 POP Database 3 EVIDENT database 4 EUnetHTA Evidence Submission templates 5 EUnetHTA Guidelines 6 EUnetHTA Intranet 7 Other please specify

Comments

3 Data for 2015 or the last year available

EW-07

-17-1

56

-EN-N

Page 83: Mapping of HTA national organisations, programmes and ......use HTA information from other jurisdictions? Yes/No If yes, please specify if it is - Information used about horizon scanning

EW-07

-17-1

56

-EN-N