Transcript ECHI JH presentation Bucharest Feb 4 2016 ROx

Why ranking health
systems performance?
Johan Hjertqvist
Founder & President HCP Ltd.
Health Policy Roundtable
Bucharest Feb 4, 2016
The 2015 ranking in Euro
Health Consumer Index (EHCI)
Areas covered by EHCI
Top country/countries
Sub-discipline
Score
Maximum score
Netherlands, Norway
1. Patient rights and information
146
150
Belgium, Switzerland
2. Accessibility
225!
225
Iceland, Netherlands, Norway
3. Outcomes
240
250
Finland, Netherlands, Sweden
4. Range and reach of services
144
150
Norway
5. Prevention
113
125
Finland, Germany, Ireland, Netherlands, UK
6. Pharmaceuticals
86
100
HCP fundaments
• Assessing performance and repeatedly
publishing the outcomes drives
improvement
• Healthcare is a most complex activity,
generally (still) hampered by lack of
data
• Patient/consumer empowerment
requires transparency in every field;
HCP takes the consumer side
• Health systems outcomes are more
important than plans and policies.
Outcomes heavier than policy
Index sources
”All relevant data that contribute to the
description and understanding of the
problem”
• Public, pan-European statistics
• National data
• Academic/scientific reports etc.
• HCP own research (such as quality
registry analysis, news media a s f)
• HCP patient group surveys.
”Structural Antiquity” Index for
healthcare systems
Index methodology/process
• Selection of countries
• Decision on Index design (2015; six
segments)
• Selection of indicators (2015; 48) - External
Expert Panel
• Data mining
• Weight of segments
• Country interaction on preliminary results
• Performance ranking
• Conclusions, policy recommendations
• Public presentation; follow-up of comments.
EU has got it!
• “We know the Euro Health Consumer Index
(EHCI) is today the leading public measurement
of how national healthcare systems perform ...We
have recently learned that the European
Commission after assessing various benchmarks
has found the EHCI to be the most accurate and
reliable comparison".
Dr. Vytenini Andriukaitis, 2015 (today the EU health
commissioner)
• During 2016 the European Commission will start developing
a system to monitor and assess the cost-efficiency of
member state health systems
• In the next step, the aim will be to form and implement a
EU best best practice and guidelines.
Thank you!
All information available for
free:
www.healthpowerhouse.com