HTAi 2012                                                                               Bilbao, June 25th 2012     Criteri...
The Norwegian health system                                    Northern Norway RHA Population: 5 millions 4 Regional Hea...
National system for evaluation of new technologies              in the specialist health servicesReasons: Unequal practic...
HTA supports decision-making processes at the national                    level when introducing new technologies         ...
Mini-HTA will support decision-making processes when           introducing new health technologies at the hospital level  ...
The Norwegian mini-HTA-formThe form is divided into 3 parts:Part 1: Completed by the proposer        physician, nurse, he...
Mini-HTA-formPart 1: Completed by the proposerContent:1. About the new technology2. The evidence (effectiveness, safety)3....
Criteria for using mini-HTA prior to introduction of           new technologies in hospitals1. When should mini-HTA be use...
Criteria for using mini-HTA prior to introduction of        new technologies in hospitals (continued)  1. When should mini...
Criteria for using mini-HTA prior to introduction of        new technologies in hospitals (continued)2. When should mini-H...
How the results of the mini-HTA will be used as         a basis for further decisions If the effectiveness, safety and co...
How the results of the mini-HTA will be used as         a basis for further decisions     Uncertainty remains concerning ...
The national mini-HTA-database
Summary A new system for evaluation of new  technologies in the Norwegian health service  will be introduced in 2012 Thi...
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Criteria for assessment of new technologies at the hospital level (mini-HTA) and the national level (HTA)

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Criteria for assessment of new technologies at the hospital level (mini-HTA) and the national level (HTA)

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Criteria for assessment of new technologies at the hospital level (mini-HTA) and the national level (HTA)

  1. 1. HTAi 2012 Bilbao, June 25th 2012 Criteria for assessment of new technologies at the hospital level (mini-HTA) and the national level (HTA)Helene Arentz-Hansen, Senior researcher PhD, Norwegian Knowledge Centre for the Health Services
  2. 2. The Norwegian health system Northern Norway RHA Population: 5 millions 4 Regional Health Authorities (RHA) 27 Local Health Authorities Central Norway RHA Western Norway RHA South-Eastern Norway RHA
  3. 3. National system for evaluation of new technologies in the specialist health servicesReasons: Unequal practices for decision-making processes around introduction of new technologies into the health care system Ensure equal access to established treatment Ensure reasonable use of health resources A need for evidence-based, systematic introduction of new technologies HTA and mini-HTA
  4. 4. HTA supports decision-making processes at the national level when introducing new technologies HTA-report PolicyClinical Assessing the Impact Nationalresearch literature assessment guidelines Clinical effectiveness Ethics Safety Legal aspects Clinical Cost-effectiveness Patient perspective practice etc. 22. oktober 2012
  5. 5. Mini-HTA will support decision-making processes when introducing new health technologies at the hospital level Mini-HTA PolicyClinical Assessing the Impact Nationalresearch literature assessment guidelines Clinical effectiveness Organisation Safety Ethics Clinical Costs practice Mini-HTA is performed locally and take a few days (~ 5 days) 22. oktober 2012
  6. 6. The Norwegian mini-HTA-formThe form is divided into 3 parts:Part 1: Completed by the proposer  physician, nurse, head of department etc.Part 2: Completed by a peer reviewer  An ”unbiased” person, for instance from another hospital  Is the evaluation in part one performed satisfactorily?Part 3: Recommendation for decision-maker  Head of the department, managing director etc.  Should the new technology be introduced into the health service?
  7. 7. Mini-HTA-formPart 1: Completed by the proposerContent:1. About the new technology2. The evidence (effectiveness, safety)3. Ethics4. Organisation5. Costs6. Summary and conclusions
  8. 8. Criteria for using mini-HTA prior to introduction of new technologies in hospitals1. When should mini-HTA be used?2. When should mini-HTA not be used?
  9. 9. Criteria for using mini-HTA prior to introduction of new technologies in hospitals (continued) 1. When should mini-HTA be used?  Uncertainty or disagreement regarding effectiveness or safety  Ethical issues
  10. 10. Criteria for using mini-HTA prior to introduction of new technologies in hospitals (continued)2. When should mini-HTA not be used? A) The effectiveness and safety are known. No ethical issues. B) It is obvious that the evidence concerning effectiveness and safety is limited C) Type of technologies that should be evaluated at the national level  Screening  Highly specialised health care  Drugs  Health economic evaluations
  11. 11. How the results of the mini-HTA will be used as a basis for further decisions If the effectiveness, safety and costs of the new technology are acceptable The hospital can decide to introduce the new technology
  12. 12. How the results of the mini-HTA will be used as a basis for further decisions  Uncertainty remains concerning effectiveness and safety  Exceeding of financial or organisational limits  Ethical considerations of general interest  May lead to differences in services between hospitals  Need for assessment of cost-effectiveness The decision concerning introduction of the new technology should be lifted to a regional or national level
  13. 13. The national mini-HTA-database
  14. 14. Summary A new system for evaluation of new technologies in the Norwegian health service will be introduced in 2012 This system is based on Health Technology Assessment as basis for decisions Mini-HTA at the local level HTA at the national level

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