EU Expert Group on HSPA Conclusions and recommendations

of the report on quality of care

HSPA seminar on quality measurement Ljubljana, 28 September 2016

Federico Paoli

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In February 2014, the Council Work Party on Public Health at Senior Level invited Member States and the Commission to set up an Expert Group on HSPA.

Our Mission 1. Provide participating Member States with a

forum for exchange of experience on the use of HSPA at national level.

2. Support national policy-makers by identifying tools and methodologies for developing HSPA.

3. Define criteria and procedures for selecting priority areas for HSPA at national and EU level.

4. Intensify EU cooperation with international organisations, in particular the OECD and the WHO.

Terms of reference

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In February 2014, the Council Work Party on Public Health at Senior Level invited Member States and the Commission to set up an Expert Group on HSPA.

Terms of reference

28 EU Member States

+

Norway

OECD WHO

European

Observatory

Selection of priority topics (2015)

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Quality of care Integrated care

Effectiveness of care

Primary care Chronic diseases

management

Access Patient experience

40

50

60

70

80

90

100

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Quality report

Five meetings between November 2014 and December

2015 + 1 policy focus group

April 2016

Quality of care

Section 1: General findings

I. Background, assumptions, and goals II. Main findings from countries' experiences III. Interpreting cross-country variation in quality indicators VI. Conclusions

Section 2: Countries' experiences

Strategies across Europe to assess quality of care

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Reference framework

Quality of care

Section 1: General findings

I. Background, assumptions, and goals II. Main findings from countries' experiences III. Interpreting cross-country variation in quality indicators VI. Conclusions

Section 2: Countries' experiences

Strategies across Europe to assess quality of care

So what?

Main findings from countries experiences

Whom to address quality assessment reporting to?

How are the findings of quality assessment presented?

General challenges in using quality assessment for policy action

Quality assessment to support legal or strategic initiatives

Use of indicators for quality and organisational improvement

Quality assessment for benchmarking

Main findings

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Quality of care

Section 1: General findings

I. Background, assumptions, and goals II. Main findings from countries' experiences III. Interpreting cross-country variation in quality indicators VI. Conclusions

Section 2: Countries' experiences

Strategies across Europe to assess quality of care

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Few reflections:

Robust indicator

But, caution in interpreting data

Catalyst for further in-depth within-country analysis

To be combined with other data (to monitor quality of care for diabetes patients)

It also provides some information on (depending from the context):

Secondary/hospital care

Integration of care

Socio-economic status

But, caution in interpreting data

So what? Interpreting

variations

Quality of care

Section 1: General findings

I. Background, assumptions, and goals II. Main findings from countries' experiences III. Interpreting cross-country variation in quality indicators VI. Conclusions

Section 2: Countries' experiences

Strategies across Europe to assess quality of care

So what?

1. Quality assessment is a piece of a bigger puzzle

Put quality into a broader framework

Adopt large boundaries for health systems

Define the level and goal of quality assessment

Define targets and benchmarks

Independence between the assessment phases

Put the patient at the centre

Lessons learnt

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2. Choice of indicators and concerns on data quality

Indicators only indicate

Complement process with outcome indicators

Use of old data reduce their explanatory power

Rely on powerful health information systems

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So what? Lessons learnt

3. Communicate results and follow them up

Present findings which are easy to read and understand

Share assessment findings transparently

Present concrete recommendations

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So what? Lessons learnt

EU Expert Group on Health Systems Performance Assessment

http://ec.europa.eu/health/systems_performance_assessment/policy/expert_group/index_en.htm

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