HTA & ICTs: Can they interface?Plenary Session 27.6.2012

HTAi2012 Bilbao, Spain

Dr. Persephone Doupi

Information Department, THL, Finland

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eHealth on the road to evidence: proposed approaches

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STARE-HI – reporting of evaluation studies in Health Informatics

• Follow up to the Declaration of Innsbruck (2004)

• Endorsed by EFMI, AMIA (2007) and IMIA (2008)

• Objectives:– Increase study transparency– Place studies in context– Allow assessment of validity and transferrability

ULTIMATELY:

IMPROVE QUALITY of Health Informatics studies

Contribute to:

Vision of EBM-based Health Informatics

(combining quantitative & qualitative aspects)

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GEP-HI: Guideline for good evaluation practice in Health Informatics

Product of lengthy, informal consensus seeking (2004-10)

OBJECTIVE:

• Development of a good practice guideline to plan and perform scientifically robust evaluation studies in health informatics.

• A comprehensive list of issues to be addressed presented as a guideline for good evaluation practice in health informatics (GEP-HI).

• Support better handling of an evaluation study, potentially leading to a higher quality of evaluation studies.

• Step towards building stronger evidence and thus progressing towards evidence-based health informatics.

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ISO Health informatics — Quality criteria for services and systems for telehealth

• ISO/DTS 13131 - ISO/TC 215/WG 2

• growing number of initiatives in various countries around the world, most of them small-scale that label themselves as telemedicine or telehealth

• Normalization can contribute to the alignment and harmonization of telehealth activities.

• important to define telehealth more clearly for a safe, speedy and socio-economic acceptable introduction of the healthcare delivery at a distance.

• Aim of this document: improve communications among the various interested parties and stimulate the application of telehealth in the health and healthcare sector.

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The MAST model: bringing the HTA approach to telemedicine evaluation

MAST = Model for ASsessment of TelemedicineInternational Journal of Technology Assessment in Health Care, 28:1 (2012), 44–51

• Product of the MethoTelemed project (EC-funded, 2008)

• Based on workshops and using the EUnetHTA Core HTA Model as a starting point

• A multidisciplinary process that summarizes and evaluates information about the clinical, economic, organizational and socio-ethical issues related to the use of telemedicine, in a systematic, unbiased and robust manner.

• Renewing Health: large-scale project (18 pilot sites, in 8 groups, distributed over 9 EU regions) on real-life implementation of TM services uses & validates MAST

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Back to synergies: eHealth for HTA?

• Era of discipline convergence• Largely triggered by availability of (electronic)

data and IT-tools• eHealth/Health Informatics:

focus & expertise on representation, collection, analysis and dissemination of health (and social care) data, information & knowledge

• High quality data – essential to reliable HTA results

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PARENT- cross border PAtient REgistries iNiTiative: Joint Action Profile

• Start: May 2012

• Duration: 30 months(end: 10/2014)

• Budget: 3.4 M€ (60% EC)

• 11 Associated partners

• 12+ Collaborating partners

• Kick-off meeting and first workshop (Introduction to EU level patient registries state of the art) – Brussels, 13.6.2012

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MAIN AND ASSOCIATED PARTNERS

Country Partner

Slovenia National Institute of Public Health, MoH

Malta Ministry of Health, the Elderly & Community Care

Slovakia Národné centrum zdravotníckych informácií

Portugal Direcção-Geral da Saúde

Croatia National Institute of Public Health

Finland National Institute of Health and Welfare

Hungary National Institute for Quality- and Organizational Development in Healthcare and Medicines

Italy MoH

Spain Centro Superior De Investigación En Salud Pública/Dirección General De Salud Pública

Greece National and Kapodistrian University of Athens

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COLLABORATING PARTNERS

Country Partner

Austria MoH

Poland MoH

Estonia MoSocial Affairs

Belgium Public Health, Food Chain Control and Environment

Cyprus MoH

Denmark National Board of Health

Spain MoH

Sweden National Board of Health and Welfare

EU/UK European Medicines Agency

Romania National Health Insurance House

France Institut national de la santé et de la recherché medicale

Intl./UK European Academy of Allergy and Clinical Immunology

Latvia The Centre of Health Economics

and others.

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Thank you!

Contact for further detailspersephone.doupi@thl.fi