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Health Technology Assessment update from the Health Information and Quality Authority

Health Technology Assessment update from the Health Information and Quality Authority. Martin Flattery Head of HTA Research and Planning. Outline of presentation. Some background Establishment of HIQA and its roles Current HTA structures and workplans Other HTA activity in Ireland

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Health Technology Assessment update from the Health Information and Quality Authority

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  1. Health Technology Assessment update from the Health Information and Quality Authority Martin Flattery Head of HTA Research and Planning

  2. Outline of presentation • Some background • Establishment of HIQA and its roles • Current HTA structures and workplans • Other HTA activity in Ireland • How will HTA progress in Ireland?

  3. Background • Ireland has been relatively late entry to field of HTA • Brennan Report of 2003 • Systems not designed to develop cost consciousness among those who make decisions to commit resources and provide no incentives to manage costs effectively

  4. Background • Quality and Fairness 2001 – National Health Strategy. Healthcare system needs to • introduce technologies speedily with proven, significant health benefits, • prevent the introduction of technologies which fail to meet the requirements of evidence based analysis, and • continuously monitor the effectiveness of technologies after their introduction.

  5. Health Information & Quality Authority • Established under Health Act 2007 • Independent Body, reporting directly to the Minister for Health and Children

  6. Health Information and Quality Authority: Functions • Setting Standards • Monitoring Quality and Safety in Healthcare • Inspecting Social Services • Health Information • Health Technology Assessment Driving safer better care

  7. Health Technology Assessment functions The functions of the Authority are as follows…. - “To evaluate the clinical and cost-effectiveness of health technologies including drugs and provide advice arising out of the evaluation to the Minister and the Executive” - “To review and make recommendations as the Authority thinks fit in respect of the services, to ensure the best outcomes for the resources available…”

  8. Health Technology Assessment – structure in HIQA Director Aug 2007 Personal Assistant Aug 2007 Head of Research March 2010 and Planning Head of Assessment April 2010 Senior Health Economist Sept 2010 Statistician/Mathematician May 2010 Assessment Manager April 2010 Information Manager Feb 2010

  9. Groups feeding into HTA Structure Board Office of the Chief Executive In-house Groups International Groups Expert Advisory Groups HTAi Health Technology Assessment Scientific Advisory Group INAHTA EUnetHTA Programme Advisory Group

  10. Work completed to date • Scientific Advisory Group incl published guidelines and piloted adapted mini HTA process in HSE • Programme advisory group, discussing work programmes of the Authority and priorities • Linkage and collaboration with external decision makers, agencies, service providers • Quality Assurance Framework • Linkages with international HTA providers • HTAi 2010 • 4 HTAs/Evaluations, and 2 underway

  11. Scientific advisory group • Broad based multidisciplinary stakeholder group • Guidelines for economic evaluations • Budget impact analysis • Adapted mini-HTA processes piloted • Targeted programme of work

  12. Budget impact matters – even when a technology is deemed cost effective ? Irish Times November 5th 2008

  13. Programme advisory group • Broad based multidisciplinary stakeholder group • Recently constituted • Advises authority on work programmes and priority criteria, and how best to work with external groups • Some targeted consultations, planned and completed

  14. Completed HTAs • HPV vaccines in reducing the risk of cervical cancer in Ireland • Population-based colorectal cancer screening programme in Ireland • Evaluation of the use of resources available to the population-based cancer screening services and associated services • Prion filtration of red cell concentrates in reducing the risk of TT vCJD

  15. Other HTA work in Ireland • National Centre for Pharmacoeconomics • Industry based • Academic groups

  16. www.ncpe.ie

  17. HTA landscape in Ireland • HTAs of national significance by HIQA • use of independent economic models • informs national policy (Dept of Health) and national service (Health Service Executive) decisions • ‘Rapid HTA’: under HSE/IPHA agreement • Mini-HTA: to inform local level decision-making

  18. How will HTA progress – some current issues • HTA policy document from DoHC • National clinical effectiveness committee • HSE service plan 2011- development of HTA capacity • Horizon scanning • Draft national standards for safer better healthcare

  19. Role of HIQA • HTA of “national significance” • Guideline development • Work with HSE to develop HTA capacity and methods • Continue to collaborate with NCPE • Work with NCEC • Information resource • Horizon scanning • Ireland representative on international collaborations • Develop prioritisation criteria

  20. Draft HIQA Prioritisation Criteria • Priority Diseases • High budget • Safety concerns • Organisational issues • Horizon Scanning • National impact • Linked to a decision

  21. Thank You

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