HTA and evidence-based policy making: the Queensland

Health experience

Hong Ju, Kaye HewsonHTA Team, Queensland

Health, Australia

Image Credits © Vasi.

Background• Primary healthcare

agency to provide public health services for – over 4.5 million

people – the State of

Queensland (1.8 million km2), Australia

HTA Program StructureQPACT

MNCQACT NQACT SQACT GCACT PaedACT

Health Economics

Clinical Knowledge

HTA Process • Staged approach

– Stage I• Evaluation• Decision-making

– Stage II• Local data collection• System-wide policy

development

Submission of applications by clinicians (EOIs)

Prioritisation of applications according to pre-defined criteria

HTA team conducts due diligence on shortlisted submissions

QPACT makes evidence-based decision on the technologies

Policy recommendation

Policy decision on system-wide diffusion of the technology

Piloting

Trial data collection on:Clinical

Patient-relatedOrganisationalEconomic

Field evaluation if uncertainty remains

Clinical audit data on:Clinical

OrganisationalEconomic

Process – stage I

• Pre-implementation– Evaluation through

due diligence process

– Evidence-based decision-making

Submission of applications by clinicians (EOIs)

Prioritisation of applications according to pre-defined criteria

HTA team conducts due diligence on shortlisted submissions

QPACT makes evidence-based decision on the technologies

Policy recommendation

Process – stage II• Post-implementation

– Local data collection• Piloting• Field evaluation

– Policy decision on system-wide diffusion

QPACT makes evidence-based decision on the technologies

Policy recommendation

Policy decision on system-wide diffusion

of the technology

Piloting

Trial data collectionClinical

Patient-relatedOrganisationalEconomic

Field evaluation

Clinical audit dataClinical

OrganisationalEconomic

Outcomes • Assisted health administrators in prioritising their

health technology agendas (QPACT)– 72 EOIs for new technologies received for evaluation – 23 were short-listed and went through due diligence process– 15 were funded for piloting – 3 undergoing field evaluation– 2 were evaluated through full HTA

• Multiple rapid evidence scans for district committees to assist decision making

• Gained trust and wide support from policy makers and clinicians

• Increasingly used to support funding allocations

Conclusion

• Evidence-based policy decision making requires a comprehensive approach

• HTA is a valuable process to assist such policy development

Thank you! Any questions?

HTA: secretariat_hta@health.qld.gov.au