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Data Availability and Collection in European Healthcare

Data Availability and Collection in European Healthcare. Dr. Arne Björnberg 05.03.2009 Prague. What performance and quality indicators should be measured?. Data, which healthcare professionals have to gather anyway to do their job: input for patient records prescription data

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Data Availability and Collection in European Healthcare

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  1. Data Availability and Collection in European Healthcare Dr. Arne Björnberg 05.03.2009 Prague

  2. What performance and quality indicators should be measured? • Data, which healthcare professionals have to gather anyway to do their job: • input for patient records • prescription data • administrative data required for clinic remuneration • … • Imposing any "extracurricular" data gathering is doomed! • Patients' key areas of interest: outcomes and accessibility!

  3. Public Enemy #1 for performance and quality measurements • Global grant budgeting!!! • Healthcare providers, financed for what they do and how well they do it, have a strong inherent drive to monitor and report. • U.S. healthcare, for all its equity problems, is a service INDUSTRY; performance and quality measurement lightyears ahead of Europe.

  4. EHCI Characteristics • Overall picture of healthcare systems seen from the customer/patient’s point of view (hard and soft data) • Concentrates on indicators reflecting properties and performance of healthcare systems • stays away from public health indicators! • stays away from indicators closely correlated with GDP/capita

  5. Euro Health Consumer Index 2008 • All 27 EU member states + Switzerland & Norway + candidatecountries Croatia and FYR Macedonia = 31 countries • 34 indicators in sixsub-disciplines; • 1054 scores in the EHCI matrix

  6. Sources:"anysource that can provide reasonably solid data" • Indata not symmetric for all countries - multiple data sources on the same indicator frequently used. • "Objective hard facts": WHO, OECD or other statistics, decided policies, regulations, legislation • Soft data: interviews, patient surveys • Survey to Patient Organisations regarding waiting times and 5 other indicators commissioned from Patient View: 539 organisations responded in 2008

  7. Sources(2):The concept of "CUTS" • CUTS: "Comprehensive Uniform Trustworthy Source" • On any indicator where data could be found from one single source based on a well-defined methodology such as WHO databases, OECD Health data, Special Eurobarometers, or scientific papers, CUTS data was used. • European healthcare suffers from an extreme CUTS shortage!

  8. Verification • Extensive work to establish national contacts with cardiac societies, Ministries of Health, National Health Boards, etc. • MoH's / National Health Agencies are given the opportunity to validate/update their national data and scores by receiving "Single Country Score Sheets"

  9. Scoring system • Country scores in three grades under each indicator: 3 (green): good ( ) 2 (amber): intermediate () 1 (red): not-so-good (); "n.a." = 1 • Total score: • Max score: 1000 • Minimum score: 333 • calculated as % of maximum score under each sub-discipline - many indicators in one area does not give added weight!

  10. Indicators that wewouldhaveliked to include(buthad to omitdue to lack of data)

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