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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

EUnetHTA Joint Action 2010–2012 | www.eunethta.eu

Results of the EUnetHTA

Joint Action

Gdansk, Poland

December 8, 2011

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

EUnetHTA Joint Action 2010–2012 | www.eunethta.eu

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 | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

The time-line of reaching a sustainable and

permanent HTA network in Europe

2006-08

EUnetHTA

Project

2005 Call for

project

proposals

2009 Call for

Joint

Action

2008 - 11

Draft Cross Border Healthcare Directive

Article on HTA network

2011 - 13 CBHC Directive

Expert Group

for

HTA network

implementation

2014+

European

network for

HTA

Legal basis:

Cross Border

Healthcare

Directive

Financial

support: 1) EU Budget

2) Member

States

2009 EUnetHTA

Collaboration

2010 -12

EUnetHTA

JA

2012 -15

EUnetHTA

JA 2

2011 Call for

Joint

Action

Health

Programme

Legislation

2011 CBHC

Directive

now

decided

DG R&I

2011 FP7-Health 2012-Innovation-1 New methodologies

for HTA

EUnetHTA Project

proposal

EUnetHTA Collaboration

founded

EUnetHTA Joint Action 1

proposal

Article 15 permanent voluntary Network EUnetHTA

Joint Action 2 proposal

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

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

• 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 Joint Action 2010-12

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

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

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

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 9

LP=KCE, co-LP=DIMDI

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 10

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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 12

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

EUnetHTA Joint Action 2010–2012 | www.eunethta.eu

Planned and Ongoing Projects

The POP Database

WP7

Strand B

co-LP=LBI

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

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

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

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

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

EUnetHTA Joint Action 2010–2012 | www.eunethta.eu

EUnetHTA Ressources

WP1, WP2, WP6 - and other WPs

LPs= NBoH, NIPH, KCE – and others

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 19

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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

EUnetHTA Joint Action 2010–2012 | www.eunethta.eu

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 25

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 26

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EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

EUnetHTA Joint Action 2010–2012 | www.eunethta.eu

HTA Core Model, piloting and

adaptation (WP4)

LP=THL co-LP=AGENAS

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

The HTA Core Model

ONTOLOGY

Questions that an HTA

should answer

METHODOLOGICAL

GUIDANCE

How to answer

the questions

REPORTING

STRUCTURE

How to present

the answers

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

H T

A C

o r

e

M o

d e

l

Domain 4

Domain 3

Domain 2

Domain 1

HTA Core Model® and its

application

AE AE

AE AE

AE

AE AE

AE

AE

AE

AE

AE

AE

AE AE

AE

AE

AE

AE

AE

Pool of

Structured HTA Information CORE HTA

Takes into

account local

epidemiology,

resources,

values, etc.

LOCAL REPORTING* AE AE

AE

AE

AE AE

AE

AE

AE

AE

AE

AE AE

AE

AE

AE

AE

AE

INFO

INFO

INFO

AE = Core element

AE = Non-core element

INFO = Locally produced

information that does not

follow HTA Core model

AE = Assessment element

Structured information

for Rapid HTA

Structured information

for REA

AE

AE

AE

AE

AE

AE

AE

AE

*) 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!

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

EUnetHTA Joint Action 2010–2012 | www.eunethta.eu

New Technologies WP 7

LP=HAS, co-LP=LBI

Strand A: Facilitating evidence

generation on new health technologies

Strand B: Facilitating collaboration on assessments

- Planned and Ongoing Projects (POP) Database

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

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

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

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

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

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

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

EUnetHTA Joint Action 2010–2012 | www.eunethta.eu

HTA training and capacity building activities –

Two lines of activity in WP 8

Lead=ICIII, Lead=AHTAPOL

Training Line

Capacity Building Line : Presented later today

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

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

Surveys results

2010 SURVEY

• Response rate 88%

154 of the 175 surveyed

• Demographics:

– Age distribution:

• 20-29 years: 11% (n= 17)

• 30-39 years: 34% (n=53)

• 40-49 years: 32% (n=49)

• 50-59 years: 20% (n=31)

• 60+ years: 3% (n=4)

2011 SURVEY

• Response rate 86%

172 of the 201 surveyed

• Demographics:

– Age distribution:

• 20-29 years: 13% (n= 23)

• 30-39 years: 29% (n=49)

• 40-49 years: 34% (n=59)

• 50-59 years: 19% (n=33)

• 60+ years: 4% (n=6)

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

Use and awareness of EUnetHTA tools.

2010 Survey Results

76

15

2

6

57

34

4 5

55

32

5

8

34

38

5

22

33

39

3

25

30

56

8

5

26

38

6

29

22

31

15

33

21

41

8

30

15

41

12

33

11

28

8

54

10

38

4

48

10

46

11

33

0%

20%

40%

60%

80%

100%

Not aware of it

Aware & unlikely to use in future

Aware & might use in future

Have used it

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

Use and awareness of EUnetHTA tools.

2011 Survey Results

81

14

1 5

74

16

4

7

63

29

3 5

48

42

8

2

46

36

5

12

38

43

3

16

34

44

6

16

30

30

15

25

19

45

13

23

18

21

11

50

15

31

18

36

10

50

15

25

7

47

16

29

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Not aware of it

Aware & unlikely to

use in future

Aware & might use in

future

Have used it

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

POP Database. Use and awareness.

2010-2011 Surveys

26

38

6

29

46

36

5

12

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2010

2011

Not aware of it

Aware & unlikely use in

future

Aware & might use in

future

Have used it

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

European network for HTA, EUnetHTA | www.eunethta.net

Involvement of stakeholders

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

Stakeholder

Forum

Plenary Assembly

(policy setting)

Secretariat

reporting control

reporting control

reporting support/control

coordination /

exchange of

info

Determine

activities

Work

Package

EU

Institu

tions

info

Executive Committee

(strategic planning of activities)

Work

Package Work

Package Work

Package Work

Package Work

Package Work

Package Work

Package

info

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

Composition of the Stakeholder

Forum Payers

AIM

ESIP

Providers

CPME

HOPE

Patient/Consumers

BEUC

ECPC

EPF

EURORDIS

EFNA

Industry

EFPIA

EUCOMED

EGA

COCIR

EDMA

EuropaBio

AESGP

GIRP

Work

Package

specific

Stakeholder

Advisory

Groups

(SAGs)

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012 49

EUnetHTA | European network for Health Technology Assessment | www.eunethta.eu Joint Action 2010–2012

EUnetHTA Joint Action 2010–2012 | www.eunethta.eu

Relative Effectiveness (WP5)

Assessment of Pharmaceuticals

LP=CVZ, co-LP=HAS

On tomorrow’s programme

December 9, 2011