Statistics & Health Strategy: The Case for Investment

1. Eng. Robert Moorhead Director, National Health Strategy PMO Directorate of Policy Affairs 10 December 2013 STATISTICS AND HEALTH STRATEGY

2. STATISICS AND HEALTH STRATEGY THE CASE FOR INVESTMENT Statistics and health strategy

3. Statistics and health strategy Healthcare Policy Challenges • With most developed nations, we face a number of healthcare challenges: • Quality : Monitoring the quality of health services. • Access: Planning required services when and where they are needed. • Appropriate Model of Care: That the models of care are consistent with international best practice and meet the needs of Qatar’s unique demography and culture. • Long-term Financing Sustainability: As Qatar’s economy diversifies and the population ages, the health service remains on a sound financial footing. • Health Promotion and prevention: Improved public awareness and self management

4. Statistics and health strategy Health Care Data Requirements • Health Care Policy significant data requirements: • Planning: Infrastructure, workforce and services. • Regulation: Patient safety and quality of care. • Policy Development: Evidence base for policy formulation and adjustment. • Financing: Payment for service, outcomes and quality. • Surveys: Patient experience, population risk factors, attitudes. • Benchmarking: Between providers / internationally. • Accountability: Progress against plans, service improvement etc

5. Statistics and health strategy Health Care Publications www.nhsq.info

6. Statistics and health strategy Healthcare Policy Challenges Based on the STEPwise Survey 2012 data of these are modifiable risk factors (Qatari population only). According to the QSA in 2011 NCDs represent four of the top five causes of death in Qatar in terms of total population.

7. NHS 2011-2016 Statistics and health strategy 7 Overarching Goals to support the QNV and National Development Strategy • Comprehensive world-class health care system, whose services are accessible to the whole population • Integrated system of health care, offering high-quality services, through public and private institutions • Preventive health care, accounting for the needs of men, women and children • Skilled national workforce, capable of providing high-quality health services • National health policy that sets and monitors standards; • Effective, affordable services with the principle of partnership in bearing the costs of health care • High-caliber research directed at improving health care effectiveness and quality

8. The NHS 2011-16 Statistics and health strategy 39 projects with high level plans to deliver significant improvements to healthcare

9. NHS: Availability of comprehensive and reliable health care data is key constraint to effective policy formulation Statistics and health strategy 2.3: Improving Health Care Data 2.4: E-Health Establishment • Informatics framework & standards • - National informatics strategy • - National coding standards • - Central information management unit • - Information governance • Considerable unnecessary variation and cost incurred in the treatment of patients with similar conditions • Inter-operable National Infrastructure • - Develop e-Health technical capacity • - Stakeholder engagement • - Governance framework • - National e-Health strategy • - Technical standards & protocols • - Confidentiality and security • Standardise differences in the case mix of hospitals and use as method of payment

10. Health Care Informatics – 2012 Data users National statistics • User business intelligence: • Public health • Research • Publications • Planning • Policy SCH Policy Teams DATA REQUESTS Providers Legacy IT systems

11. Health Informatics – 2013 Data users National statistics Ministry of Interior Patient (Identity) • User business intelligence: • Public health • Research • Publications • Planning • Policy 2013 Social Health Insurance SCH Policy Teams NHS project 6.3 NHS project 2.3 (2.4) SHI min dataset 2013-2016 DATA REQUESTS Providers Clinical & Business Information Systems Projects

12. Health Informatics – 2014 Data users National statistics Ministry of Interior Patient (Identity) • User business intelligence: • Public health • Research • Publications • Planning • Policy 2013 SCH National Observatory Social Health Insurance 2014-2016 NHS project 6.3 NHS project 2.3 (2.4) Data Requests / National datasets 2014-2016 SHI min dataset 2013-2016 Providers Clinical & Business Information Systems Projects

13. NHS Vision for Health Informatics – 2016+ Data users National statistics Personal Health Accounts Ministry of Interior Patient (Identity) • User business intelligence: • Public health • Research • Publications • Planning • Policy 2015 2014 2016+ 2013 SCH National Observatory Social Health Insurance 2014-2016 NHS project 6.3 2015 Disease Registries (e.g. Cancer, Diabetes etc) NHS project 2.3 (2.4) SHI min dataset 2013-2016 National datasets 2014-2016 Disease min datasets 2013 + m-Health e-Health Providers Clinical & Business Information Systems

14. Statistics and health strategy Opportunities and Challenges • Planning: A nationally led process whereby key planning assumptions can be aligned and tested (e.g. population growth and stratification) • Surveys / Census: Continue to develop the excellent support and processes around national surveys • Develop an “Informatics” community of practice: Continuing professional development, national standards and practices • Statistical Resources: Continue to develop the QSA statistical resources. Develop an outreach capability to support public and private planning and policy studies. • Clarity of Mandate: Methodical data collections are required across a number of organisations / sectors

15. For further information, please visit: www.nhsq.info Statistics and health strategy THANK YOU!