JHAQ 2016 Data Collection & Practical Aspects for Implementing the Commission Regulation

1. JHAQ 2016 Data collection & Practical Aspects for Implementing the Commission RegulationItem 7.2 of the agenda Orestis Tsigkas ESTAT-F5 Working Group Public Health

2. JHAQ 2016 Data collection • In 2016, the data collection of health care expenditure and financing statistics will be mandatory for all EU MSs and EEA countries under the new Commission Regulation on healthcare expenditure and financing statistics. • Based on SHA 2011 methodology Working Group Public Health

3. Commission Regulation • Published on 4 March 2015 in the Official Journal (OJ) of the European Union. • Commission Regulation (EU) 2015/359 of 4 March 2015 implementing Regulation (EC) No 1338/2008 of the European Parliament and of the Council as regards statistics on healthcare expenditure and financing • Commission Implementing Decision (EU) 2015/365 of 4 March 2015 granting derogations to certain Member States with respect to the transmission of statistics pursuant to Regulation (EC) No 1338/2008 of the European Parliament and of the Council, as regards statistics on healthcare expenditure and financing Working Group Public Health

4. Gentlemen's Agreement • Agreed by the Working Group Public Health (WGPH) in December 2013 • Unanimously approved by the meeting of the Directors of Social Statistics on 3-4 April 2014 • Not legally binding by definition  countries are kindly invited, on a purely voluntary basis, to do their best to respect the provisions of the gentlemen's agreement. Working Group Public Health

5. Gentlemen's Agreement • Historical data  as many as possible (at least 3 years) • Metadata • Deadline for data transmission  31st March • Revisions Working Group Public Health

6. JHAQ 2016 Data collectionPractical arrangements • Data to be submitted • Template for submitting the Data • Template for submitting the Metadata • Electronic submission of Data & Metadata (eDAMIS) • Calendar • Validation and other clarifications • New IT production tool in Eurostat • Dissemination of results Working Group Public Health

7. JHAQ 2016 Data collection1. Data to be submitted • Article 5(2) of the Commission Regulation (CR) • Special focus on CR variables • All other variables on a voluntary basis • Continuation of reporting at the most detailed level possible • Reporting of policy relevant spending items: • Preliminary data for t-1 • “HCR.1 Long-term (social)” • Total Pharmaceutical Expenditure • Breakdowns of HFxFS, HKxHP, HPxFP Working Group Public Health

8. JHAQ 2016 Data collection1. Data to be submitted • Use of blanks and zeros • Use a zero "0" when an item can be measured and it is measured to be equal or approximately equal to zero • Use of blanks when data are missing: • Category does not exist in the national health system • Data not available • Category reported elsewhere Working Group Public Health

9. JHAQ 2016 Data collection1. Data to be submitted • Please avoid the use of any characters other than numbers • Whitespaces: difficult to detect • Dashes: difficult to correct Working Group Public Health

10. JHAQ 2016 Data collection2. Template for submitting the Data • SHA 2011 JHAQ  template used for filling in data and submitting them to the IHAT • JHAQ 2016 package • SHA data tables; • Methodological questionnaire • Explanatory notes/guidelines, including guidelines on the use of eDAMIS and the description of the practical working arrangements of the Joint data collection. Working Group Public Health

11. JHAQ 2016 Data collection2. Template for submitting the Data • An “empty” default file will be sent to countries for filling in their data for the reference year 2014. • Countries are encouraged to use this “empty” default file in case they want to re-submit revised SHA data tables, as no prefilled historical data files will be sent to them in 2016. Working Group Public Health

12. JHAQ 2016 Data collection3. Template for submitting the Metadata • Article 5(2)  Requirements for the metadata to be submitted • Structure and content of SHA11-MN file to be retained with some additions • Additional guidelines on the completion of the methodological file to be provided Working Group Public Health

13. JHAQ 2016 Data collection3. Template for submitting the Metadata • "Sources  and methods" Tab:   • Section II.1 a column on “Period covered” to be added • Section II.1  Information on FS, FP, HK to be provided by countries if they report the corresponding categories • Section II.2  better guidelines to be give, possibly restrict it to parts of the accounts that mostly rely on estimations • "Data comparability" Tab: • Two Sections on "Breaks on time-series" and "Atypical entries to be added" • New Tab "ICHA implementation" to be added • Metadata on categories through a tabular representation similar to the SHA 1.0 methodological file Working Group Public Health

14. JHAQ 2016 Data collection4. Electronic submission of Data and Metadata – eDAMIS • Article 4(2)  use of eDAMIS for data submission • Dataset identifiers: • HCSHA_2011NAT_A_ (for the data) • HCSHA_2011MET_A_ (for methodological information) • Dataset Identifiers for SHA 2011 are distinctively different from those used for SHA 1.0 data • Automatic forwarding of files to OECD and WHO • Use eDAMIS also for submitting revised data Working Group Public Health

15. JHAQ 2016 Data collection5. Calendar • Mid-January 2016: JHAQ 2016 sent to countries (reference year: 2014) • Article 4(6)  Deadline: 31 May 2016 • Gentlemen’s Agreement (DSS, April 2014): • countries are kindly requested to submit their data by 31 March 2016, whenever this is possible. • countries will make all possible efforts to deliver as soon as possible to Eurostat data for as many historical years (before 2014) as possible. Working Group Public Health

16. JHAQ 2016 Data collection6. Validation and other clarifications • Common (OECD, Eurostat, WHO) data validation • All correspondence concerning the SHA data collection should be addressed to all three organisations • If countries need to submit a revised version of the joint questionnaire, they shall use eDAMIS also for the submission of the revised data. Working Group Public Health

17. JHAQ 2016 Data collection7. New IT tools in Eurostat • Eurostat: new corporate IT solution for the production of statistics on health expenditure and financing according to the standards set out in the CR • The whole production chain is covered: • reception of data through eDAMIS, validation of data, computation of indicators and publication on Eurobase • Excel files are supported • any future developments regarding SDMX will coexist with modules based on Excel Working Group Public Health

18. JHAQ 2016 Data collection7. New IT tools in Eurostat • Minimum requirements for the IT tool: • The format of the Questionnaire is not to be modified in any way (i.e. no new row/columns are either deleted or added) • All filled data are in numerical format (e.g. the use of dashes or white spaces will result in an error) • All data and metadata are to be submitted through eDAMIS • All revisions of data and metadata are also to submitted through eDAMIS Working Group Public Health

19. JHAQ 2016 Data collection8. Dissemination of results • Data dissemination is subject to completion of data validation. • A specific metadata file will have to be compiled for user benefits, based on the information provided by countries and the results of the validation process. • New dissemination Tables for SHA 2011 data Working Group Public Health

20. Conclusions • The Working Group is invited to: • take note of the publication of the CR on the Official Journal in March 2015 • take note of the practical requirements for implementing the Commission Regulation. • provide their feedback on the suggested changes on the methodological file to be used for the JHAQ 2016 data collection Working Group Public Health