Results of the EUnetHTA Joint Action - 5026.makemeweb.net · Results of the EUnetHTA Joint Action...
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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA Joint Action 2010–2012 | www.eunethta.eu
Results of the EUnetHTA
Joint Action
Gdansk, Poland
December 8, 2011
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA Joint Action 2010–2012 | www.eunethta.eu
European network for HTA
Joint Action between European
Commission and EU Member States
A total of 35 government appointed organisations from 24 EU Member
States, Norway and Croatia and a large number of regional agencies and
non-for-profit organisations that produce or contribute to HTA
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
The time-line of reaching a sustainable and
permanent HTA network in Europe
2006-08
EUnetHTA
Project
2005 Call for
project
proposals
2009 Call for
Joint
Action
2008 - 11
Draft Cross Border Healthcare Directive
Article on HTA network
2011 - 13 CBHC Directive
Expert Group
for
HTA network
implementation
2014+
European
network for
HTA
Legal basis:
Cross Border
Healthcare
Directive
Financial
support: 1) EU Budget
2) Member
States
2009 EUnetHTA
Collaboration
2010 -12
EUnetHTA
JA
2012 -15
EUnetHTA
JA 2
2011 Call for
Joint
Action
Health
Programme
Legislation
2011 CBHC
Directive
now
decided
DG R&I
2011 FP7-Health 2012-Innovation-1 New methodologies
for HTA
EUnetHTA Project
proposal
EUnetHTA Collaboration
founded
EUnetHTA Joint Action 1
proposal
Article 15 permanent voluntary Network EUnetHTA
Joint Action 2 proposal
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA Joint Action 2010-12
Focus on HTA in Europe to
• facilitate efficient use of resources available for HTA,
• create a sustainable system of HTA knowledge sharing, and
• promote good practice in HTA methods and processes
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
• Coordination
• Core HTA including adaptation
• Relative Effectiveness Assessment (REA) of Pharmaceuticals
• New Technologies. Facilitating Evidence Generation and Collaboration on (Pre-coverage) Assessments
• Information management system
• Strategy development (Business model for sustainability including capacity building to do HTA)
• Communication
• Evaluation
EUnetHTA Joint Action 2010-12
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
Redundancies in HTA: Can we
work together?
– Yes, when
• we know what the others do
• the timing is right
• we trust each other
• we use same templates
• we use same language
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
Imagine you’re a researcher, who works in a
European HTA body, and you’ve just been
given a new topic for an HTA project….....
– How could you make practical use of EUnetHTA results if you wanted to look outside your country?
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 8
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 9
LP=KCE, co-LP=DIMDI
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 10
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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA Joint Action 2010–2012 | www.eunethta.eu
Planned and Ongoing Projects
The POP Database
WP7
Strand B
co-LP=LBI
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
POP database development (1)
Objectives:
• facilitating collaboration among European HTA agencies
• reduce duplication of work
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
POP database development (2)
WP7 Co-LP: Project leader Gerda Hinterreiter, Marisa Warmuth
WP6 LP: Project coordinator Patrice Chalon
WP6 Co-LP: Software developer Peter Krämer, Aida Jertila, Peter Schlömer
15
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
6th POP request, June 2012 (1)
56 EUnetHTA JA partners
• 38 responded AND sent a list of projects
• 2 responded but did not sent a list of
projects (=71%)
• 16 did not respond (= 29%)
Access-rights !!
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
Results of 6th POP request (2)
• 1,154 planned, ongoing & recently
finished projects
• 148 identical (alert) topics (=13%)
• 450 similar projects (39%)
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA Joint Action 2010–2012 | www.eunethta.eu
EUnetHTA Ressources
WP1, WP2, WP6 - and other WPs
LPs= NBoH, NIPH, KCE – and others
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 19
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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 21
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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA Joint Action 2010–2012 | www.eunethta.eu
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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA Joint Action 2010–2012 | www.eunethta.eu
HTA Core Model, piloting and
adaptation (WP4)
LP=THL co-LP=AGENAS
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
The HTA Core Model
ONTOLOGY
Questions that an HTA
should answer
METHODOLOGICAL
GUIDANCE
How to answer
the questions
REPORTING
STRUCTURE
How to present
the answers
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
H T
A C
o r
e
M o
d e
l
Domain 4
Domain 3
Domain 2
Domain 1
HTA Core Model® and its
application
AE AE
AE AE
AE
AE AE
AE
AE
AE
AE
AE
AE
AE AE
AE
AE
AE
AE
AE
Pool of
Structured HTA Information CORE HTA
Takes into
account local
epidemiology,
resources,
values, etc.
LOCAL REPORTING* AE AE
AE
AE
AE AE
AE
AE
AE
AE
AE
AE AE
AE
AE
AE
AE
AE
INFO
INFO
INFO
AE = Core element
AE = Non-core element
INFO = Locally produced
information that does not
follow HTA Core model
AE = Assessment element
Structured information
for Rapid HTA
Structured information
for REA
AE
AE
AE
AE
AE
AE
AE
AE
*) e.g. Full HTA, Rapid HTA, REA
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 32
Update on WP4 Core HTA
• Two Core HTAs are ongoing – 3 genetic tests (uPA/PA1 – MammaPrint® – OncotypeDx) in the
management of Breast Cancer
– Abdominal Aorta Aneurysm Screening
• First training workshop on HTA Core Model Electronic Tool in October was a success – Next in HTAi Bilbao June 2012
• Policies for the use of HTA Core Model: Survey completed, currently being analysed
• Screening model (third HTA Core Model application) public consultation ended Nov 30!
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA Joint Action 2010–2012 | www.eunethta.eu
New Technologies WP 7
LP=HAS, co-LP=LBI
Strand A: Facilitating evidence
generation on new health technologies
Strand B: Facilitating collaboration on assessments
- Planned and Ongoing Projects (POP) Database
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 34
Evidence Database on New
Technologies (EVIDENT)
WP 7A Facilitating Evidence Generation of New HT
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA 2010-12: WP 7a
• Work package 7: “New Technologies. Facilitating Evidence Generation and Collaboration on (Pre-coverage) Assessments”
• strand A (lead partner: HAS, France): facilitating evidence generation on new HT
→ database (EVIDENT) to share information & facilitate collaboration on additional evidence generation
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EVIDENT Database
• Content = information on: – health technologies (assessment status, evidence gaps, research
questions, required additional studies, coverage decision status)
– studies (request, initial development, protocols, results, PICO structure)
• scope: – all types of technologies (drugs, devices, procedures)
– studies requested by European HTA bodies following a HTA,
– studies in a very early stage of development
• goal: – promote European collaboration in conducting studies
– facilitate generation of further evidence (coherent mass of data)
– enable global analysis of consistent results
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
Data submission process
1. HTA body enters information on evidence gaps and
consequent Additional Data Collection (ADC) in EVIDENT
>To promote collaboration, information on studies should be
entered at the earliest stage possible (while still in
development)
2. Alert sent to all database users informing of a new entry
3. All users are asked to input the minimum set of information
• on the related technology and related HTA process
• on similar studies if requested or planned.
> Overview of technology’s status in Europe
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EVIDENT functionalities • Matching alerts, assisted entries, encapsulated
Mesh browser (facilitating study registration)
• Modify (edit) a study
• List of recently registered studies
• Search engine:
– basic search (name of the technology, study title)
– advanced search
– encapsulated search (other databases)
• Summary of results, print facilities, .csv export
• Panoramic view / map (of technology’s status in Europe)
• Alerts
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 39
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA Joint Action 2010–2012 | www.eunethta.eu
HTA training and capacity building activities –
Two lines of activity in WP 8
Lead=ICIII, Lead=AHTAPOL
Training Line
Capacity Building Line : Presented later today
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
HTA training and capacity building
activities
1. Survey on use, barriers and training needs of
EUnetHTA tools - Done
2. Document on “HTA training and capacity
building on the EUnetHTA tools” – Delivered
3. A course for training on the EUnetHTA tools –
First course given
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
Surveys results
2010 SURVEY
• Response rate 88%
154 of the 175 surveyed
• Demographics:
– Age distribution:
• 20-29 years: 11% (n= 17)
• 30-39 years: 34% (n=53)
• 40-49 years: 32% (n=49)
• 50-59 years: 20% (n=31)
• 60+ years: 3% (n=4)
2011 SURVEY
• Response rate 86%
172 of the 201 surveyed
• Demographics:
– Age distribution:
• 20-29 years: 13% (n= 23)
• 30-39 years: 29% (n=49)
• 40-49 years: 34% (n=59)
• 50-59 years: 19% (n=33)
• 60+ years: 4% (n=6)
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
Use and awareness of EUnetHTA tools.
2010 Survey Results
76
15
2
6
57
34
4 5
55
32
5
8
34
38
5
22
33
39
3
25
30
56
8
5
26
38
6
29
22
31
15
33
21
41
8
30
15
41
12
33
11
28
8
54
10
38
4
48
10
46
11
33
0%
20%
40%
60%
80%
100%
Not aware of it
Aware & unlikely to use in future
Aware & might use in future
Have used it
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
Use and awareness of EUnetHTA tools.
2011 Survey Results
81
14
1 5
74
16
4
7
63
29
3 5
48
42
8
2
46
36
5
12
38
43
3
16
34
44
6
16
30
30
15
25
19
45
13
23
18
21
11
50
15
31
18
36
10
50
15
25
7
47
16
29
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Not aware of it
Aware & unlikely to
use in future
Aware & might use in
future
Have used it
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
POP Database. Use and awareness.
2010-2011 Surveys
26
38
6
29
46
36
5
12
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2010
2011
Not aware of it
Aware & unlikely use in
future
Aware & might use in
future
Have used it
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
European network for HTA, EUnetHTA | www.eunethta.net
Involvement of stakeholders
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
Stakeholder
Forum
Plenary Assembly
(policy setting)
Secretariat
reporting control
reporting control
reporting support/control
coordination /
exchange of
info
Determine
activities
Work
Package
EU
Institu
tions
info
Executive Committee
(strategic planning of activities)
Work
Package Work
Package Work
Package Work
Package Work
Package Work
Package Work
Package
info
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
Composition of the Stakeholder
Forum Payers
AIM
ESIP
Providers
CPME
HOPE
Patient/Consumers
BEUC
ECPC
EPF
EURORDIS
EFNA
Industry
EFPIA
EUCOMED
EGA
COCIR
EDMA
EuropaBio
AESGP
GIRP
Work
Package
specific
Stakeholder
Advisory
Groups
(SAGs)
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 49
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
EUnetHTA Joint Action 2010–2012 | www.eunethta.eu
Relative Effectiveness (WP5)
Assessment of Pharmaceuticals
LP=CVZ, co-LP=HAS
On tomorrow’s programme
December 9, 2011