update on oecd work - european commission · 06/12/2016 · update on oecd work ... expert group...
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UPDATE ON OECD WORK
Gaetan Lafortune, OECD Health Division
Expert Group on Health Information, 6 December 2016
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1) OECD health database and Health at a Glance (in cooperation with EC for European edition)
2) Quality of care and patient safety (in cooperation with EC)
3) Efficiency and value for money in health systems (in cooperation with EC)
4) Access to care and inequalities in health status
5) Health workforce (in cooperation with EC and WHO)
6) Economics of prevention
7) Ageing and long-term care (in cooperation with EC)
OECD Health Ministerial Meeting and Policy Forum (16-17 January 2017)
OECD Programme of Work
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Separate
Separate
OECD
WHO EU
Separate
Separate and Joint Work of OECD with the EU and WHO
Join
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1) Expenditure: Joint Health Accounts Questionnaire:
Started in 2005 (based on SHA 2000)
2016: Full transition to new JHAQ (based on SHA 2011)
2) Non-expenditure: Joint Questionnaire on Non-
Monetary Health Care Statistics:
Started in 2010: Health employment and education, and
physical and technical resources
Extended in 2013 (Health care activities) and 2015
(Health workforce migration)
Two joint data collections with Eurostat
and WHO (Headquarters and Euro)
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Reduce data collection burden on countries
Promote consistent use of international standard
classifications (e.g., SHA, ICD, ISCO)
Improve consistency of data reported by
international organisations
Aims of joint data collections
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1) One questionnaire sent to designated focal point(s) in each country (December)
2) One data submission by national focal point(s) to the three international organisations (end February for non-expenditure, end March for expenditure)
3) Data validation shared by the three international organisations (March/May)
4) One final set of data agreed by the three international organisations (June)
5) Three organisations disseminate final dataset in their own databases (Summer)
Annual process for joint data collections
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OTHER OECD WORK
• Preparation for 2017 HCQI data collection:
– Including pilot data collection on dementia and hospital
performance indicators
• Focus on Patient Safety:
– Paper on Economics of Patient Safety for Global
Ministerial Summit on Patient Safety hosted by
Germany, March 2017
– Support from EC to explore member state experiences
and policy use of OECD patient safety indicators
– Explore expansion of existing indicators, including
patient reported incidents and prescribing safety
Health Care Quality Indicators
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• Qualitative information on health financing and coverage, health care provision, governance and resource allocation have been collected for 31 countries
• Responses to the 2012 and 2016 surveys available in a database on a dedicated webpage: http://qdd.oecd.org/subject.aspx?Subject=hsc
Health Systems Characteristics Survey Results from 2016 survey
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• Analysing health system efficiency at three levels: • System-wide level
• Sectoral level (hospital, primary care, pharmaceutical)
• Disease-specific level
• Measuring efficiency through both: • output-based measures (e.g., volume of activities in relation to inputs)
• outcomes-based measures (e.g., cost-effectiveness)
• Expected deliverable: • Scoping paper on health system efficiency measurement (by end of 2016)
• Complement work on identifying waste in health systems
Work in collaboration with EC
Improving health system efficiency
Work on long-term care
Social protection
Dementia
LTC workforce
• Measures financial protection against the cost of LTC
• Phase 2 started in July 2016 and runs for 3 years aims to
increase country coverage from 15 countries of phase 1
• Developing a model to simulate a wider range of scenarios
and deliver more advanced analysis
• Pilot collection of indicators of the quality of dementia care
planned for early 2017
• HCQI Expert Group will review results in May
• Report to be published late 2017
• New 2-year project starts in the first half of 2017
• To explore how countries can develop a LTC workforce to
meet the needs of future populations
• Supported by EC
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OECD MINISTERIAL MEETING AND POLICY FORUM
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Draft Agenda Ministerial Meeting Tuesday, 17 January 2017
Releasing Health System Resources for Better Value Care: Tackling Ineffective Health Spending and Waste (Note: New OECD publication to be released on 10 January 2017)
Tackling High-Cost Treatments and Personalised Medicine
Reforming Health Professionals’ Roles
Governing Big Data in Health Care
Chair: Jeremy Hunt, Secretary of State for Health, UK
30 other Ministers have confirmed their participation
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Expected outcomes and mandates
from OECD Ministerial meeting
• Making the most of health data for improving people’s health and health system performance
o Endorsement of OECD Council Recommendation on health data governance (if adopted on 30 November)
• Future OECD work (in cooperation with EC and others)
o Enhance people focus (develop patient-reported experience and outcomes measures – PREMs and PROMs)
o Make health system more knowledge based
o Modernise delivery models
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Draft Agenda Policy Forum Monday, 16 January 2017
Welcoming remarks by OECD Secretary-General, Mr. Angel Gurría
Step into the future: realising the goal of person-centred care Don Berwick, Olivia Wigzell , Petra Wilson , Nicole Denjoy
Caring for people with complex needs Robin Osborn , Cecilia Rodriguez , Toyin Ajayi , Samir Sinha , Isabelle Durand-Zaleski
Measuring what matters: Outcomes and patient experiences as a catalyst for change? Michael Porter , Ran Balicer, Diana Delnoij, Felicia Knaul , Christopher Murray
A conversation with Health Ministers A small group of Health Ministers will discuss what policies decision-makers can and should implement to make health systems more person-centred.
People interested in participating in this Forum should contact:
Health Ministerial website: http://www.oecd.org/health/ministerial/
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