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Hta & Hit Evaluation

Health information evaluation and health technology assessment

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Hta & Hit Evaluation

  1. 1. Health Informatics Evaluation and Health Technology Assessment: Lessons and Warnings Juzwishin, D., Borycki, E., Kushniruk, Nohr, C University of Victoria & Aalborg University June 2010 Dublin, Ireland
  2. 2. Objectives • Foundations • Emergent issues • Compare and contrast • Strengths and weaknesses • Opportunities for collaboration 2
  3. 3. Foundations of HTA & HIT Evaluation • HTA • HIT Evaluation – Focus on broad spectrum – Focus on IT and software of health care interventions – System safety, effectiveness and efficiency but non-IT focus – System Usability – Safety – Integration and interoperability – Efficacy – Cost effectiveness – Clinical effectiveness – Accuracy and Correctness of Information/Data and Processing – Cost effectiveness – Reusability and Extensibility – Social contextualization – System Reliability – Perspective – Outcome as well as increasing focus on Process Oriented Evaluation (i.e. – Outcomes oriented – e.g. both quantitative and qualitative) clinical controlled trials 3
  4. 4. Emergent issues • HTA • HIT – Integration of medical – Problems with Large Scale devices and information Deployments (e.g. local, systems regional and national efforts) – In Canada patient – Socio-technical fit management software – Adoption issues fits the definition of a – Usability medical device – System interoperability – Uncertainty surrounding – Integration with medical effectiveness devices – Examples of harm – Proof of financial benefits emerging from IS elements of health interventions – Slow progress 4
  5. 5. 2010 World Health IT Conference and the EU Ministerial High Level Conference on eHealth • "eHealth Conference Declaration" adopted. • "... we consider that the following points should be addressed: • 2a ... To evaluate eHealth, as much as possible in a standardised manner, with respect to health outcomes, benefits and cost effectiveness, including patient safety, accessibility to care and quality of care" 5
  6. 6. Strengths from collaboration • Establish a working linkage between International HIT and International HTA community • Undertake an exploratory paper to Identify issues of common interest, responsibility, and opportunity • Identify mutually beneficial methodologies and approaches • Test the level of interest 6
  7. 7. Resources • STARE-HI—Statement on reporting of evaluation studies in Health Informatics – http://www.imia.org/endorsed/Stare-HI_as_published.pdf • Health IT Evaluation Database – http://evaldb.umit.at – 1400 evaluation papers 1980 – 2009 • Bad Health Informatics can Kill – http://iig.umit.at/efmi • INAHTA Checklist – http://www.inahta.org/HTA/Checklist/ 7

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