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Results of the EUnetHTA Joint Action

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Borlum Kristensen Finn. Results of the EUnetHTA Joint Action, EUnetHTA Conference, Gdansk, Poland, 08-09 Dec. 2011

Borlum Kristensen Finn. Results of the EUnetHTA Joint Action, EUnetHTA Conference, Gdansk, Poland, 08-09 Dec. 2011

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  • 1. Results of the EUnetHTA Joint Action Gdansk, Poland December 8, 2011 EUnetHTA Joint Action 2010–2012 | www.eunethta.euEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 2. European network for HTA Joint Action between European Commission and EU Member StatesA 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 Joint Action 2010–2012 | www.eunethta.eu EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 3. Article 15EUnetHTA EUnetHTA permanent Project Collaboration proposal The time-line of reaching a sustainable and founded EUnetHTA voluntary Network Joint Action 2 permanent HTA network in Europe EUnetHTA proposal Joint Action 1 Health proposal Programme 2005 2009 2011 2014+ Call for Call for Call for European project Joint Joint proposals Action Action network for HTA 2006-08 2009 2010 -12 2012 -15 Legal basis: EUnetHTA EUnetHTA EUnetHTA EUnetHTACross Border Collaboration Project JA JA 2 Healthcare Directive 2008 - 11 2011 2011 - 13 FinancialLegislation CBHC CBHC Directive Draft Cross Border Directive Expert Group support: Healthcare Directive now for 1) EU Budget HTA network 2) Member Article on HTA network decided implementation States DG R&I 2011 FP7-Health 2012-Innovation-1 New methodologies for HTA EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 4. 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 processesEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 5. EUnetHTA Joint Action 2010-12• 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• EvaluationEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 6. 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 languageEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 7. Imagine you’re a researcher, who works in aEuropean HTA body, and you’ve just beengiven 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. 8 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 9. LP=KCE, co-LP=DIMDI9 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 10. 10 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 11. 11 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 12. 12 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 13. Planned and Ongoing Projects The POP Database WP7 Strand B co-LP=LBI EUnetHTA Joint Action 2010–2012 | www.eunethta.euEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 14. 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
  • 15. 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 Schlömer15 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 16. 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
  • 17. 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
  • 18. EUnetHTA Ressources WP1, WP2, WP6 - and other WPs LPs= NBoH, NIPH, KCE – and others EUnetHTA Joint Action 2010–2012 | www.eunethta.euEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 19. 19 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 20. 20 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 21. 21 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 22. 22 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 23. 23 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 24. EUnetHTA Joint Action 2010–2012 | www.eunethta.euEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 25. 25 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 26. 26 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 27. 27 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 28. 28 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 29. HTA Core Model, piloting andadaptation (WP4) LP=THL co-LP=AGENAS EUnetHTA Joint Action 2010–2012 | www.eunethta.eu EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 30. The HTA Core Model METHODOLOGICAL ONTOLOGY GUIDANCE Questions that an HTA How to answer should answer the questions REPORTING STRUCTURE How to present the answers EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 31. HTA Core Model® and its AE AE = Assessment element = Core element application AE INFO = Non-core = Locally element produced information that does not Pool of follow HTA Core model Structured HTA Information CORE HTA LOCAL REPORTING* AE AE AE AE AE AE AEHTA Core Model AE Domain 1 AE AE AE AE INFO AE AE AE AE AE AE INFO AE Domain 2 AE AE AE AE AE INFO Structured information AE AE AE AE AE AE for Rapid HTA Domain 3 AE AE AE AE AE AE AE Structured information Takes into AE AE for REA account local Domain 4 AE epidemiology, AE AE AE AE resources, AE values, etc. *) 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!32 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 33. New Technologies WP 7 Strand A: Facilitating evidence generation on new health technologies Strand B: Facilitating collaboration on assessments - Planned and Ongoing Projects (POP) Database LP=HAS, co-LP=LBI EUnetHTA Joint Action 2010–2012 | www.eunethta.euEUnetHTA | 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 HT34 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 35. 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
  • 36. 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
  • 37. Data submission process1. 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 entry3. 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
  • 38. 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. 39 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 40. HTA training and capacity building activities – Two lines of activity in WP 8 Training Line Capacity Building Line : Presented later today Lead=ICIII, Lead=AHTAPOL EUnetHTA Joint Action 2010–2012 | www.eunethta.euEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 41. HTA training and capacity buildingactivities 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 givenEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 42. Surveys results 2010 SURVEY 2011 SURVEY• Response rate 88% • Response rate 86% 154 of the 175 surveyed 172 of the 201 surveyed• Demographics: • Demographics: – Age distribution: – Age distribution: • 20-29 years: 11% (n= 17) • 20-29 years: 13% (n= 23) • 30-39 years: 34% (n=53) • 30-39 years: 29% (n=49) • 40-49 years: 32% (n=49) • 40-49 years: 34% (n=59) • 50-59 years: 20% (n=31) • 50-59 years: 19% (n=33) • 60+ years: 3% (n=4) • 60+ years: 4% (n=6) EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 43. Use and awareness of EUnetHTA tools. 2010 Survey Results 100% 6 5 5 8 4 8 2 5 22 25 29 33 30 33 33 15 80% 5 48 34 3 54 32 6 8 Not aware of it 15 12 11 60% 56 Aware & unlikely to 38 39 use in future 4 38 Aware & might use in 41 8 future 40% 76 31 41 46 Have used it 57 55 38 28 20% 34 33 30 26 22 21 15 11 10 10 0%EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 44. Use and awareness of EUnetHTA tools. 2011 Survey Results 100% 5 5 2 1 7 3 8 12 4 16 16 90% 14 25 23 25 5 29 16 3 36 6 80% 29 50 70% 13 42 15 15 Not aware of it 36 16 60% 43 44 18 Aware & unlikely to use in future 50% 30 Aware & might use in 11 81 45 future 40% 74 Have used it 50 63 31 47 30% 21 48 46 20% 38 34 30 10% 19 18 15 10 7 0%EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 45. POP Database. Use and awareness. 2010-2011 Surveys 100% 12 90% 29 5 80% Not aware of it 70% 6 36 Aware & unlikely use in 60% future Aware & might use in 50% 38 future Have used it 40% 30% 46 20% 26 10% 0% 10 11 20 20EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 46. Involvement of stakeholders European network for HTA, EUnetHTA | www.eunethta.netEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 47. Plenary Assembly (policy setting) reporting controlEU Institutions Executive Committee Stakeholder Forum info (strategic planning of activities) info reporting control coordination / Determine exchange of Secretariat activities info reporting support/control Work Work Work Work Work Work Work Work Package Package Package Package Package Package Package Package EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 48. Composition of the StakeholderForum Payers Providers CPME AIM HOPE Work ESIP Package specific Industry StakeholderPatient/Consumers Advisory EFPIA EUCOMED BEUC EGA Groups ECPC EPF COCIR (SAGs) EURORDIS EDMA EuropaBio EFNA AESGP GIRPEUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 49. 49 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
  • 50. Relative Effectiveness (WP5)Assessment of Pharmaceuticals On tomorrow’s programme December 9, 2011 LP=CVZ, co-LP=HAS EUnetHTA Joint Action 2010–2012 | www.eunethta.eu EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

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