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Results of the EUnetHTA Joint Action
1. Results of the EUnetHTA
Joint Action
Gdansk, Poland
December 8, 2011
EUnetHTA Joint Action 2010–2012 | www.eunethta.eu
EUnetHTA | 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 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 Joint Action 2010–2012 | www.eunethta.eu
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
3. Article 15
EUnetHTA 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 Financial
Legislation 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 processes
EUnetHTA | 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
• Evaluation
EUnetHTA | 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 language
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
7. 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. 8 EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
9. LP=KCE, co-LP=DIMDI
9 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.eu
EUnetHTA | 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 Schlömer
15 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.eu
EUnetHTA | 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.eu
EUnetHTA | 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 and
adaptation (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 AE
HTA 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.eu
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
34 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 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
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.eu
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
41. 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
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
20
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
46. Involvement of stakeholders
European network for HTA, EUnetHTA | www.eunethta.net
EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012
47. Plenary Assembly
(policy setting)
reporting control
EU 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 Stakeholder
Forum
Payers Providers
CPME
AIM
HOPE
Work
ESIP Package
specific
Industry
Stakeholder
Patient/Consumers Advisory
EFPIA
EUCOMED
BEUC EGA Groups
ECPC
EPF
COCIR (SAGs)
EURORDIS
EDMA
EuropaBio
EFNA AESGP
GIRP
EUnetHTA | 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