WORK PACKAGE 8
Analysis of economic evaluation methods for hospital-based assessment
Objectives
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To outline improved methods for measuring performance in secondary care settings, which are central to hospital quality improvement, linking performance measurement with related organizational models
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To identify which and to which extent organizational/contextual factors impact the benefit generated by health technologies
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To produce a standardized method to measure the clinical variability with respect to the different organizational models in secondary care settings based on evidence from a selection of therapeutic areas
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Methodology
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Based on a prior extensive literature review, multiple case studies and quantitative methods (e.g. regression analysis) will be applied to identify a minimum set of indicators capturing variability in hospital performance
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A pilot study involving a network of collaborating hospitals will validate the methodology and the tool developed through a multiple case study approach
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Based on this, and building on AdHopHTA (www.adhophta.eu), a standard approach to assess organizational factors affecting health technologies’ effectiveness and the subsequent variability in the cost of care will be inferred
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Literature research and analysis on relationship between clinical decision making and organizational factors
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Analysis of two case studies: (1) Diagnostic use of high sensitivity troponin and its impact on NSTEMI myocardial infarction (Non-ST elevation myocardial infarction) diagnosis and treatment; (2) Use of robotic surgery with Da Vinci Robot
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Outcomes
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Toolkit including a list of relevant indicators to capture hospital performance variability and standard methodology to identify key organizational variables responsible for hospital performance
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Toolkit to assess the transferability of evidence produced in other jurisdictions and decision-making levels
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Toolkit to identify the clinical variability and its impact on the use of health technology compared to purely organizational variables, which will include a checklist to appraise the variability and a projection model on clinical outcomes
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Research Update
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January 2019 – IMPACT HTA 2nd Project Meeting (Presentation PDF)
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January 2020 – IMPACT HTA 3rd Project Meeting (Presentation PPT)
Leads
Università Cattolica del Sacro Cuore
Istituto Superiore di Sanita
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Principal Investigators
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