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HTA & ICTs: Can they interface?
   Plenary Session 27.6.2012
       HTAi2012 Bilbao, Spain
          Dr. Persephone Doupi
   Information Department, THL, Finland
eHealth on the road to evidence:
                 proposed approaches




11.10.2012               HTAi 2012 / Dr. P. Doupi   2
11.10.2012   HTAi 2012 / Dr. P. Doupi   3
11.10.2012   HTAi 2012 / Dr. P. Doupi   4
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)

11.10.2012                      HTAi 2012 / Dr. P. Doupi         5
11.10.2012   HTAi 2012 / Dr. P. Doupi   6
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.


11.10.2012                 HTAi 2012 / Dr. P. Doupi              7
11.10.2012   HTAi 2012 / Dr. P. Doupi   8
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.


11.10.2012                HTAi 2012 / Dr. P. Doupi                 9
The MAST model: bringing the HTA approach
to telemedicine evaluation
MAST = Model for ASsessment of Telemedicine
International 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


11.10.2012                         HTAi 2012 / Dr. P. Doupi                         10
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


11.10.2012            HTAi 2012 / Dr. P. Doupi        11
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




11.10.2012                         HTAi 2012 / Dr. P. Doupi   12
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




11.10.2012                HTAi 2012 / Dr. P. Doupi                   13
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.
11.10.2012                      HTAi 2012 / Dr. P. Doupi                 14
Thank you!
             Contact for further details
             persephone.doupi@thl.fi




11.10.2012           HTAi 2012 / Dr. P. Doupi   15

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Can HTA & ICTs Interface? Approaches to eHealth Evidence

  • 1. HTA & ICTs: Can they interface? Plenary Session 27.6.2012 HTAi2012 Bilbao, Spain Dr. Persephone Doupi Information Department, THL, Finland
  • 2. eHealth on the road to evidence: proposed approaches 11.10.2012 HTAi 2012 / Dr. P. Doupi 2
  • 3. 11.10.2012 HTAi 2012 / Dr. P. Doupi 3
  • 4. 11.10.2012 HTAi 2012 / Dr. P. Doupi 4
  • 5. 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) 11.10.2012 HTAi 2012 / Dr. P. Doupi 5
  • 6. 11.10.2012 HTAi 2012 / Dr. P. Doupi 6
  • 7. 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. 11.10.2012 HTAi 2012 / Dr. P. Doupi 7
  • 8. 11.10.2012 HTAi 2012 / Dr. P. Doupi 8
  • 9. 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. 11.10.2012 HTAi 2012 / Dr. P. Doupi 9
  • 10. The MAST model: bringing the HTA approach to telemedicine evaluation MAST = Model for ASsessment of Telemedicine International 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 11.10.2012 HTAi 2012 / Dr. P. Doupi 10
  • 11. 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 11.10.2012 HTAi 2012 / Dr. P. Doupi 11
  • 12. 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 11.10.2012 HTAi 2012 / Dr. P. Doupi 12
  • 13. 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 11.10.2012 HTAi 2012 / Dr. P. Doupi 13
  • 14. 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. 11.10.2012 HTAi 2012 / Dr. P. Doupi 14
  • 15. Thank you! Contact for further details persephone.doupi@thl.fi 11.10.2012 HTAi 2012 / Dr. P. Doupi 15