Hartmut Buchow, Margarida Carvalho, Anke Weber

Implementing Regulation on Health Care Non-monetary Statistics Background, Status quo & Next Steps Hartmut Buchow, Margarida Carvalho, Anke Weber

Implementing Regulation on non-monetary Health Care (IR HCARE) Legal basis Background: EU Health Policy IR HCARE Action Plan Task Force IR HCARE First results The next steps 23-24 October 2014 Health Data Correspondents OECD 2

Legal basis Framework Regulation (EC) no 1338/2008 to implement statistics for European Community Health indicators (ECHI) and other indicators with explicit focus on health care Commission Regulation on health care expenditure statistics: adoption planned for Jan. 2015 WGPH December 2013: Start on implementing regulation for non-monetary health care statistics in 2014 23-24 October 2014 Health Data Correspondents OECD 3

Background: EU Health Policy (1) Health - part of the Europe 2020 policy framework Council request in December 2013: 1. A sustainable and integrated EU health information system 2. The adequate representation of health in the framework of the Europe 2020 Strategy 3. Invitation to Member States: develop peer reviewed health system performance assessments (HSPA) for policymaking 23-24 October 2014 Health Data Correspondents OECD 4

Background: EU Health Policy (2) Since 11/2013 - Joint Assessment Framework (JAF) for Health Part of the Europe 2020 strategy and the European Semester Evidence-based tool for country specific recommendations (CSR) Pilot results for Member States presented in June 2014 Major concern: Data gaps and data quality at EU-28 level Limitations in quality of coverage and cross-country comparability 23-24 October 2014 Health Data Correspondents OECD 5

IR HCARE The challenge Joint Questionnaire with OECD and WHO Major improvements through coordinated action with OECD and WHO in data collections However: Gaps and differences in quality of data Main goal for IR HCARE: Comparable data for all EU-28 Mandatory variables as subset of JQNMHC Ensure availability and robustness for all EU-28 "data shall be compiled mainly from administrative sources" (reg. 1338/2008) 23-24 October 2014 Health Data Correspondents OECD 6

Action Plan Member States nominate a Task Force (TF) IR HCARE Delegates from Belgium; Germany; Ireland; Italy; Latvia; Luxembourg; the Netherlands; Finland, and the United Kingdom Objectives Propose a set of mandatory variables for the IR HCARE Propose a manual for those variables with Clear definitions Some methodological recommendations, e.g. on estimates, to reach comparable data for all EU-28 IR HCARE for adoption by 2016 23-24 October 2014 Health Data Correspondents OECD 7

General TF IR HCARE First results Focus on relevant variables for mandatory reporting No competition to the JQ: Collection of additional voluntary variables will remain Quality in coverage and comparability will be an issue Work on definitions - crucial Estimates for non-available data - to be considered 23-24 October 2014 Health Data Correspondents OECD 8

TF IR HCARE First results (2) Agreement on step-wise approach 1 st Step: Assess policy relevance for mandatory reporting EU requirements for indicators, e.g. on ECHI, JAF; consultations with policy DGs National requirements for country-specific recommendations (CSR) on health system performance Done. Open to upcoming policy needs. 23-24 October 2014 Health Data Correspondents OECD 9

TF IR HCARE First results (3) 2 nd Step: Assess availability & quality of those data Gaps in data reporting may reflect non-accessibility or missing clarity of definitions On-going Screening of data availability and compliance with definition Work on clear definitions (more explanations with examples) Identify need for improved metadata 23-24 October 2014 Health Data Correspondents OECD 10

TF IR HCARE The next steps 1. Come forward with improvements More precise definitions with examples (consultations with OECD/WHO); Sharing of best practices for estimates 2. Present draft proposal of mandatory variables to WG Public Health Dec. 2014 3. Continue work in 2015 Task Force meeting & written consultation with TG CARE/WG PH 4. First draft of regulation End-2015 23-24 October 2014 Health Data Correspondents OECD 11