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This project is funded by
the Health Programme of
the European Union
Milan, 2015 17th October
Platform on administrative data
meant to evaluate health care
Enrique	
  Bernal-­‐Delgado	
  on	
  behalf	
  of	
  WP#10	
  team	
  
ebernal.iacs@aragon.es	
  
This project is funded by
the Health Programme of
the European Union
www.echo-health.eu
This project is funded by
the Health Programme of
the European Union
Basics
–  ECHO employs routinely collected administrative data –
hospital discharges, demographic and socioeconomic data,
supply features.
–  ECHO has set about the task of bringing together patient-level
data from Austria, Denmark, England, Portugal, Slovenia and
Spain, making them comparable – 200 million episodes, 922
health care areas and 850 hospitals.
–  ECHO is expanding the usual approach in healthcare
performance international comparison (built upon average
values and average benchmark), adding variation within and
across countries.
–  Unwarranted variation is shown for a variety of comparable
performance indicators …
This project is funded by
the Health Programme of
the European Union
Some methodological keys
–  Building a homogeneous knowledge infrastructure
http://www.echo-health.eu/handbook/infrastructure.html
–  Developing comparable indicators across different languages
http://www.echo-health.eu/handbook/getting-indicators.html
–  Dealing with population size heterogeneity
http://www.echo-health.eu/handbook/unit_analysis.html
–  Measuring differences in hospitals rather than differences in
patients (risk adjustment measures)
http://eurpub.oxfordjournals.org/content/25/suppl_1/15
–  Using proper analyses meant to elicit systematic and unwarranted
differences in performance
http://www.echo-health.eu/handbook/metrics.html
This project is funded by
the Health Programme of
the European Union
What’s new in BRIDGEHEALTH?
1.  Not all administrative datasets were assessed in ECHO
2.  ECHO data-model enabled episodes follow-up; however, not
patients tracking (e.g. readmissions, etc.)
3.  Expand privacy-by-design elements.
4.  New countries – i.e. more varied set of health systems.
5.  More indicators and population subgroup analyses.
6.  Updated data - Longer series – i.e. more robust reporting &
more effective transfer to policy-making.
This project is funded by
the Health Programme of
the European Union
Data sources schema
This project is funded by
the Health Programme of
the European Union
What’s new in BRIDGEHEALTH?
1.  Not all administrative datasets were assessed in ECHO
2.  ECHO data-model enabled episodes follow-up; however, not
patients tracking (e.g. readmissions, etc.)
3.  Expand privacy-by-design elements.
4.  New countries – i.e. more varied set of health systems.
5.  More indicators and population subgroup analyses.
6.  Updated data - Longer series – i.e. more robust reporting &
more effective transfer to policy-making.
This project is funded by
the Health Programme of
the European Union
AIM
WP#10 is meant to provide insight on how to build a data
infrastructure, exploring the integration of individual-level
routinely collected administrative data, from different European
experiences, with a view of producing relevant information for
healthcare performance assessment, at different levels of interest
(i.e. patient, provider, healthcare area, region, country).
This project is funded by
the Health Programme of
the European Union
Main deliverable
–  Introduction
–  Health systems institutional context
–  In-country legal provisions
–  Health care performance assessment (HPA) using administrative data
–  National health information systems inventory and analysis
–  Sources of information: description and usefulness
–  Dimensions of health care performance that could be studied
–  Accuracy, coverage, timeliness, etc. in the study of those dimensions
–  What is feasible to do in the short-term?
–  Description of the empirical exercise
–  Barriers and opportunities (e.g., Linkage, Legal and ethical aspects)
–  Technical approach - Case study (Data model and quality report)
–  What should be done in the long run?
–  Recommendations
This project is funded by
the Health Programme of
the European Union
www.bridge-health.eu
bridge.coordination@wiv-isp.be

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Platform on administrative data meant to evaluate health care. Wp10 eph euph milan 20151017

  • 1. This project is funded by the Health Programme of the European Union Milan, 2015 17th October Platform on administrative data meant to evaluate health care Enrique  Bernal-­‐Delgado  on  behalf  of  WP#10  team   ebernal.iacs@aragon.es  
  • 2. This project is funded by the Health Programme of the European Union www.echo-health.eu
  • 3. This project is funded by the Health Programme of the European Union Basics –  ECHO employs routinely collected administrative data – hospital discharges, demographic and socioeconomic data, supply features. –  ECHO has set about the task of bringing together patient-level data from Austria, Denmark, England, Portugal, Slovenia and Spain, making them comparable – 200 million episodes, 922 health care areas and 850 hospitals. –  ECHO is expanding the usual approach in healthcare performance international comparison (built upon average values and average benchmark), adding variation within and across countries. –  Unwarranted variation is shown for a variety of comparable performance indicators …
  • 4. This project is funded by the Health Programme of the European Union Some methodological keys –  Building a homogeneous knowledge infrastructure http://www.echo-health.eu/handbook/infrastructure.html –  Developing comparable indicators across different languages http://www.echo-health.eu/handbook/getting-indicators.html –  Dealing with population size heterogeneity http://www.echo-health.eu/handbook/unit_analysis.html –  Measuring differences in hospitals rather than differences in patients (risk adjustment measures) http://eurpub.oxfordjournals.org/content/25/suppl_1/15 –  Using proper analyses meant to elicit systematic and unwarranted differences in performance http://www.echo-health.eu/handbook/metrics.html
  • 5. This project is funded by the Health Programme of the European Union What’s new in BRIDGEHEALTH? 1.  Not all administrative datasets were assessed in ECHO 2.  ECHO data-model enabled episodes follow-up; however, not patients tracking (e.g. readmissions, etc.) 3.  Expand privacy-by-design elements. 4.  New countries – i.e. more varied set of health systems. 5.  More indicators and population subgroup analyses. 6.  Updated data - Longer series – i.e. more robust reporting & more effective transfer to policy-making.
  • 6. This project is funded by the Health Programme of the European Union Data sources schema
  • 7. This project is funded by the Health Programme of the European Union What’s new in BRIDGEHEALTH? 1.  Not all administrative datasets were assessed in ECHO 2.  ECHO data-model enabled episodes follow-up; however, not patients tracking (e.g. readmissions, etc.) 3.  Expand privacy-by-design elements. 4.  New countries – i.e. more varied set of health systems. 5.  More indicators and population subgroup analyses. 6.  Updated data - Longer series – i.e. more robust reporting & more effective transfer to policy-making.
  • 8. This project is funded by the Health Programme of the European Union AIM WP#10 is meant to provide insight on how to build a data infrastructure, exploring the integration of individual-level routinely collected administrative data, from different European experiences, with a view of producing relevant information for healthcare performance assessment, at different levels of interest (i.e. patient, provider, healthcare area, region, country).
  • 9. This project is funded by the Health Programme of the European Union Main deliverable –  Introduction –  Health systems institutional context –  In-country legal provisions –  Health care performance assessment (HPA) using administrative data –  National health information systems inventory and analysis –  Sources of information: description and usefulness –  Dimensions of health care performance that could be studied –  Accuracy, coverage, timeliness, etc. in the study of those dimensions –  What is feasible to do in the short-term? –  Description of the empirical exercise –  Barriers and opportunities (e.g., Linkage, Legal and ethical aspects) –  Technical approach - Case study (Data model and quality report) –  What should be done in the long run? –  Recommendations
  • 10. This project is funded by the Health Programme of the European Union www.bridge-health.eu bridge.coordination@wiv-isp.be