[PDF] Hospital Based Health Technology Assessment eBook

Author : Laura Sampietro-Colom
Publisher : Springer
Page : 384 pages
File Size : 43,82 MB
Release : 2017-01-23
Category : Medical
ISBN : 3319392050

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A timely work describing how localized hospital-based health technology assessment (HB-HTA) complements general, ‘arms-length’ HTA agency efforts, and what has been the collective global impact of HB-HTA across the globe. While HB-HTA has gained significant momentum over the past few years, expertise in the field, and information on the operation and organization of HB-HTA, has been scattered. This book serves to bring this information together to inform those who are currently working in the field of HTA at the hospital, regional, national or global level. In addition, this book is intended for decision-makers and policy-makers with a stake in determining the uptake and decommissioning of new and established technologies in the hospital setting. HTA has traditionally been performed at the National/Regional level by HTA Agencies, typically linked to governments. Yet hospitals are the main entry door for most health technologies (HTs). Hospital decision-makers must undertake multiple high stakes investment and disinvestment decisions annually for innovative HTs, usually without adequate information. Despite the existence of arms-length HTA Agencies, inadequate information is available to hospital decision-makers either because relevant HTA reports are not yet released at the time of entry of new technologies to the field, or because even when the report exists, the information contained is insufficient to clarify the contextualized informational needs of hospital decision makers. Therefore, there has recently been a rising trend toward hospital-based HTA units and programs. These units/programs complement the work of National/Regional HTA Agencies by providing the key and relevant evidence needed by hospital decision makers in their specific hospital context, and within required decision-making timelines. The emergence of HB-HTA is creating a comprehensive HTA ecosystem across health care levels, which creates better bridges for knowledge translation through relevance and timeliness.

Author : Juan E. del Llano-Señarís
Publisher : Springer
Page : 164 pages
File Size : 15,92 MB
Release : 2015-01-08
Category : Business & Economics
ISBN : 3319150049

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This book disentangles the issues in connection with the advancement of Health Technology Assessment (HTA) and its interface with health policy. It highlights the factors that should shape its progress in the near future. Interdisciplinary and critical views from a number of professionals are put together in a prescient order to cast some light and make recommendations as to the next steps HTA should take to be fit for purpose. A wealth of documents dealing with HTA have been published over the last three decades. HTA allegedly is one of the bedrocks of regulation and medical decision making. However, counter vailing visions contend that geographical variations in the role that HTA is actually playing within countries pinpoints specific room for improvement. Given our social preferences, cherry-picking HTA’s features and successes over the last decades moves it away from its possibility frontier. Some of the most noteworthy hindrances that HTA faces, in several countries, to making headway towards its consolidation as an efficient tool for regulation and decision making are as follows: insufficient resources, delays in assessment, inadequate priority setting, regulatory capture, public distrust, actual influence on regulatory decisions, the need for strengthening international cooperation and harmony, the lack of sound and consistent assessments of diagnostic tests, medical devices and surgical innovations and limited dissemination. Time has come for HTA to take a renewed stand. There is a pressing need to submit HTA to in-depth critical scrutiny.

Author : Karen M. Facey
Publisher : Springer
Page : 431 pages
File Size : 29,88 MB
Release : 2017-05-15
Category : Medical
ISBN : 9811040680

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This is the first book to offer a comprehensive guide to involving patients in health technology assessment (HTA). Defining patient involvement as patient participation in the HTA process and research into patient aspects, this book includes detailed explanations of approaches to participation and research, as well as case studies. Patient Involvement in HTA enables researchers, postgraduate students, HTA professionals and experts in the HTA community to study these complementary ways of taking account of patients’ knowledge, experiences, needs and preferences. Part I includes chapters discussing the ethical rationale, terminology, patient-based evidence, participation and patient input. Part II sets out methodology including: Qualitative Evidence Synthesis, Discrete Choice Experiments, Analytical Hierarchy Processes, Ethnographic Fieldwork, Deliberative Methods, Social Media Analysis, Patient-Reported Outcome Measures, patients as collaborative research partners and evaluation. Part III contains 15 case studies setting out current activities by HTA bodies on five continents, health technology developers and patient organisations. Each part includes discussion chapters from leading experts in patient involvement. A final chapter reflects on the need to clearly define the goals for patient involvement within the context of the HTA to identify the optimal approach. With cohesive contributions from more than 80 authors from a variety of disciplines around the globe, it is hoped this book will serve as a catalyst for collaboration to further develop patient involvement to improve HTA. "If you’re not involving patients, you're not doing HTA!" - Dr. Brian O’Rourke, President and CEO of CADTH, Chair of INAHTA

Author : OECD
Publisher : OECD Publishing
Page : 447 pages
File Size : 31,70 MB
Release : 2019-10-17
Category :
ISBN : 9264805907

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This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Author : Marcial Velasco Garrido
Publisher : WHO Regional Office Europe
Page : 198 pages
File Size : 12,9 MB
Release : 2008
Category : Medical
ISBN : 9289042931

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New technologies with the potential to improve the health of populations are continuously being introduced. But not every technological development results in clear health gains. Health technology assessment provides evidence-based information on the coverage and usage of health technologies, enabling them to be evaluated properly and applied to health care efficaciously, promoting the most effective ones while also taking into account organizational, societal and ethical issues. This book reviews the relationship between health technology assessment and policy-making, and examines how to increase the contribution such research makes to policy- and decision-making processes. By communicating the value and potential of health technology assessment to a wider audience, both within and beyond decision-making and health care management, it aims ultimately to contribute to improve the health status of the population through the delivery of optimum health services.

Author : Robert B. Hopkins MA MBA PhD
Publisher : CRC Press
Page : 268 pages
File Size : 15,46 MB
Release : 2015-04-10
Category : Business & Economics
ISBN : 1482244535

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The term health technology refers to drugs, devices, and programs that can improve and extend quality of life. As decision-makers struggle to find ways to reduce costs while improving health care delivery, health technology assessments (HTA) provide the evidence required to make better-informed decisions.This is the first book that focuses on the s

Author : Rossana Rivas
Publisher : Academic Press
Page : 205 pages
File Size : 34,5 MB
Release : 2017-07-17
Category : Technology & Engineering
ISBN : 0128115602

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Healthcare Technology Management Systems provides a model for implementing an effective healthcare technology management (HTM) system in hospitals and healthcare provider settings, as well as promoting a new analysis of hospital organization for decision-making regarding technology. Despite healthcare complexity and challenges, current models of management and organization of technology in hospitals still has evolved over those established 40-50 years ago, according to totally different circumstances and technologies available now. The current health context based on new technologies demands working with an updated model of management and organization, which requires a re-engineering perspective to achieve appropriate levels of clinical effectiveness, efficiency, safety and quality. Healthcare Technology Management Systems presents best practices for implementing procedures for effective technology management focused on human resources, as well as aspects related to liability, and the appropriate procedures for implementation. Presents a new model for hospital organization for Clinical Engineers and administrators to implement Healthcare Technology Management (HTM) Understand how to implement Healthcare Technology Management (HTM) and Health Technology Assessment (HTA) within all types of organizations, including Human Resource impact, Technology Policy and Regulations, Health Technology Planning (HTP) and Acquisition, as well as Asset and Risk Management Transfer of knowledge from applied research in CE, HTM, HTP and HTA, from award-winning authors who are active in international health organizations such as the World Health Organization (WHO), Pan American Health Organization (PAHO), American College of Clinical Engineering (ACCE) and International Federation for Medical and Biological Engineering (IFMBE)

Author : Erik John Landaas
Publisher :
Page : 56 pages
File Size : 50,54 MB
Release : 2021
Category :
ISBN :

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One of the primary cost drivers for the increase in healthcare costs is new technology, and thirty percent of the overall healthcare spend is from hospitals in the United States. Health technology assessment (HTA) improves new technology adoption decisions by providing a framework within which only those technologies supported by strong evidence are adopted. This dissertation studied the development, implementation and experience of a new hospital-based health technology assessment (HB-HTA) program called Smart Innovation at UW Medicine. Smart Innovation established a formal decision framework including clinicians and executives as well as representatives from supply chain and finance. We describe the methods developed to evaluate new medical technologies, provide the HTA decisions that were made, and report the results of the initiative. In the first two years of the program, we reviewed eleven new technologies and achieved an estimated $ 5.8 million dollars in potential cost savings/avoidance. As part of our analysis, we conducted a case study of one HB-HTA, a new molecular test for bladder cancer (Cxbladder) that underwent review by Smart Innovation. The new and less invasive test appeared to be promising, however, there were concerns about its high cost and low specificity. By not covering Cxbladder at UW Medicine, we estimated annual cost savings and avoidance of $1.5 million dollars. The new test was not adopted system-wide; however, a pilot study was conducted to test the diagnostic yield in a narrow patient context. The pilot was a case series that compared two similar groups that were being monitored for recurrent bladder cancer, one that received the new test (Cxbladder) and one that did not. The pilot study evaluated whether the new test changed patient management, and also if the test in question reduced the number of other diagnostic tests ordered. We also studied the impact of Smart Innovation by comparing technology use at the University of Washington Medical Center (UWMC) to technology use at seventeen similar academic medical centers. The analysis included two technologies, one that underwent Smart Innovation review and one that did not. Specifically, the study compared differences in the number of quarterly surgical procedures and the overall costs between UWMC and control hospitals. Our findings indicated that when UWMC adopted new technologies without HB-HTA review there were no observed differences in utilization compared to control institutions, but when UWMC used HB-HTA methods, there was a reduction in observed utilization and overall costs. Smart Innovation was successfully implemented at UW Medicine and promoted efficiency in its constituent hospitals. The program reduced costs and utilization, and it also provided a framework under which new technologies of uncertain benefit could be piloted. The work presented in this dissertation research thus impacted hospital policy and improved UW Medicine’s approach to new technology adoption. Smart Innovation started as a pilot program funded by a grant, but following implementation and promising early results, it was incorporated into UW Medicine’s Supply Chain Management process. The results of the Cxbladder pilot study likewise changed the institution’s clinical practice for ordering the new molecular test for bladder cancer at UW Medicine. Thus, Smart Innovation improved UW Medicine’s overall approach to new medical technology review and adoption, as it provided an objective and efficient decision framework and process for reviewing new medical technologies.

Author : Dalila Patrizia Greco
Publisher : Springer
Page : 234 pages
File Size : 44,23 MB
Release : 2019-03-28
Category : Medical
ISBN : 3030024261

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This book presents different patient-oriented perspectives from surgeons, economic evaluation and management researchers, and business companies active in the healthcare sector, striking a balance between the appropriateness/effectiveness of treatment and efficiency/cost. It does not include technical surgical details, but instead provides the necessary knowledge regarding different groups of patients to help economic and management researchers make accurate evaluations. Although partially based on the specific case of abdominal wall surgery in the Italian health system, the book defines a model that can, with the necessary adaptations, be applied in other national contexts. It also analyzes different reimbursement systems and methods of data collection. This approach supports the evolution from evidence-based medicine (EBM) to the future of real-world data (big data analysis). Further, it highlights the critical issue of “silos” reimbursement, which is the pillar of DRG, and proposes methodology to evaluate the direct and indirect benefit and costs of surgery (for example quality of care, costs incurred in cases of surgical complications due to the use of inappropriate, low-cost material or due to surgical procedure. It is a valuable resource for clinicians, surgeons, policymakers and managers in the field.

Author : Helena Legido-Quigley
Publisher : World Health Organization
Page : 242 pages
File Size : 17,67 MB
Release : 2008
Category : Medical
ISBN : 9289071931

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People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?" This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.