scholarly journals PP037 Quality Criteria And Good Practices In The Health Technology Assessment Spanish Network

2017 ◽  
Vol 33 (S1) ◽  
pp. 86-87
Author(s):  
Sergio Márquez-Peláez ◽  
Carmen Navarro-Palenzuela ◽  
Teresa Molina-Lopez ◽  
María del Mar Castellano-Zurera ◽  
José Luis Castro-Campos

INTRODUCTION:The Spanish Network of Agencies for Health Technology Assessment (REDETS) is a group of eight agencies, units and services, depending on National and Regional Governments that coordinate their work within a common methodological framework, guided by the principles of mutual recognition and cooperation. In this work, guided by the necessity of implementing a Quality Management System, we present the process to achieve this objective.METHODS:As an initial step, a review was carried out based on a structured search strategy in the main electronic databases Medline and EMBASE, and a manual search in websites of national and international agencies (March 2016) in order to collate previous knowledge and experiences. Through the information included in this review, a proposal to create a quality, self-evaluating tool is necessary.RESULTS:In total, 800 references were found and finally 6 studies were included in the review (1-3). All had a similar structure. Some lists of good practices, classified in dimensions related to different quality aspects in Health Technology Assessment (HTA) organizations, were found. Also some information about questions for evaluating quality standards was indicated. Taking all this information, a proposal of sixty-six standard titles was put forward. These standards were then grouped into twelve quality criteria structured in four dimensions: I Responsibility, II Clients and Stakeholders, III Production Process and IV Resources.CONCLUSIONS:Based on the systematic review, we developed a proposal for a self-evaluating tool and this is the baseline for a common Quality Management System for the Spanish Network of HTA Agencies. The quality management process will require the development of a handbook by each member of REDETS that will be based on agreed quality standards.

2019 ◽  
Vol 35 (S1) ◽  
pp. 36-37
Author(s):  
Sergio Márquez-Peláez ◽  
Isabel Viguera-Guerra ◽  
Teresa Molina-Lopez ◽  
Juan-Antonio Blasco Amaro ◽  

IntroductionThe Spanish network of health technology assessment (HTA) agencies (REDETS) is a collaboration of eight agencies, units and services, commissioned by the national and regional governments. The network coordinates work within a common methodological and work framework, guided by the principles of mutual recognition and cooperation. In 2016, a common self-assessment quality tool was developed for the implementation of an overall Quality Management System. Currently we are working on the second step that deals with actions about management, joint activities as a network, and organizational aspects of the network.MethodsA structured search strategy in the main electronic databases and a manual search in websites of networks national and international agencies were carried out in June 2017, in order to gather previous knowledge and developed standards. Through the information included in this review, and with the collaboration of all members, a group of standards for REDETS was developed. Finally, standards proposed were discussed in a face-to face meeting until an agreement was reached.ResultsA proposal of 31 standards was put forward taking all the collected information. The aim of each standard was defined, and its level of compliance was specified. Those standards were grouped under nine quality criteria structured in four dimensions: (i) Responsibility and Resources, (ii) Performance and Membership, (iii) Procedures, and (iv) Relations.ConclusionsBased on the gathered information and the agreement of the all members, we developed a toolkit embracing a group of standards for the joint activities within the Spanish Network, network administration and management. It is a complementary instrument of the previous self-evaluating tool, following the establishment of an overall quality management system and under the philosophy of continuous improvement processes.


Author(s):  
Miriam Luhnen ◽  
Sari Susanna Ormstad ◽  
Anne Willemsen ◽  
Chaienna Schreuder-Morel ◽  
Catharina Helmink ◽  
...  

Abstract Objectives The European Network for Health Technology Assessment (EUnetHTA) was established in 2006 and comprises over eighty organizations from thirty European countries. In its fifth project phase (Joint Action 3), EUnetHTA set up a quality management system (QMS) to improve the efficiency and standardization of joint work. This article presents EUnetHTA's new QMS and outlines experiences and challenges during its implementation. Methods Several working groups defined processes and methods to support assessment teams in creating high-quality assessment reports. Existing guidelines, templates, and tools were refined and missing parts were newly created and integrated into the new QMS framework. EUnetHTA has contributed to Health Technology Assessment (HTA) capacity building through training and knowledge sharing. Continuous evaluation helped to identify gaps and shortcomings in processes and structures. Results Based on a common quality management concept and defined development and revision procedures, twenty-seven partner organizations jointly developed and maintained around forty standard operating procedures and other components of the QMS. All outputs were incorporated into a web-based platform, the EUnetHTA Companion Guide, which was launched in May 2018. Concerted efforts of working groups were required to ensure consistency and avoid duplication. Conclusions With the establishment of a QMS for jointly produced assessment reports, EUnetHTA has taken a significant step toward a sustainable model for scientific and technical collaboration within European HTA. However, the definition of processes and methods meeting the numerous requirements of healthcare systems across Europe remains an ongoing and challenging task.


2017 ◽  
Vol 33 (S1) ◽  
pp. 156-157
Author(s):  
Sergio Márquez-Peláez ◽  
Iñaki Gutiérrez-Ibarluzea ◽  
José Asua ◽  
Teresa Molina-Lopez ◽  
José Luis Castro-Campos ◽  
...  

INTRODUCTION:The Spanish National Network (REDETS) is a group of eight agencies, units and services, depending on National and Regional Governments that coordinate their work within a common methodological framework, guided by the principles of mutual recognition and cooperation. The necessity of considering a Quality Management System has been detected and, consequently, a common tool for all the members needs to be developed. We describe in this study the process to achieve that goal.METHODS:Based on both a review of previous literature and the proposal for a self-evaluating tool, a group of experts from each agency through consensus have developed a tool for self-evaluation in Health Technology Assessment (HTA) agencies. Through the structure described in the handbook of the Andalusian Agency for Healthcare Quality (ACSA), each standard should have a statement or proposal that needs to also include evidence or good practices, and the corresponding evaluation questions. In separate workgroups, the definition of these proposals, evidence and evaluation questions were developed. One face-to-face meeting and two meetings via teleconference were necessary to achieve a final document with all the quality standards.RESULTS:From a proposed structure of sixty-six standards, the titles, definitions, statements and evidence as well as good practices and evaluation questions were established in workgroups with consensus among all of the members (1 - 3). The final version of the self-assessment tool was composed of sixty-eight standards, grouped in twelve quality criteria structured in four dimensions: I Responsibility, II Clients and Stakeholders, III Production Process, and IV Resources.CONCLUSIONS:Quality management requires an evaluation tool and this version, based on a systematic review and consensus, is a useful and practical instrument for developing a handbook by each member of REDETS. An online version of the tool is in process of development.


2015 ◽  
Vol 31 (6) ◽  
pp. 457-465 ◽  
Author(s):  
Laura Sampietro-Colom ◽  
Krzysztof Lach ◽  
Iris Pasternack ◽  
Jean-Blaise Wasserfallen ◽  
Americo Cicchetti ◽  
...  

Objectives: Health technology assessment (HTA) carried out for policy decision making has well-established principles unlike hospital-based HTA (HB-HTA), which differs from the former in the context characteristics and ways of operation. This study proposes principles for good practices in HB-HTA units.Methods: A framework for good practice criteria was built inspired by the EFQM excellence business model and information from six literature reviews, 107 face-to-face interviews, forty case studies, large-scale survey, focus group, Delphi survey, as well as local and international validation. In total, 385 people from twenty countries have participated in defining the principles for good practices in HB-HTA units.Results: Fifteen guiding principles for good practices in HB-HTA units are grouped in four dimensions. Dimension 1 deals with principles of the assessment process aimed at providing contextualized information for hospital decision makers. Dimension 2 describes leadership, strategy and partnerships of HB-HTA units which govern and facilitate the assessment process. Dimension 3 focuses on adequate resources that ensure the operation of HB-HTA units. Dimension 4 deals with measuring the short- and long-term impact of the overall performance of HB-HTA units. Finally, nine core guiding principles were selected as essential requirements for HB-HTA units based on the expertise of the HB-HTA units participating in the project.Conclusions: Guiding principles for good practices set up a benchmark for HB-HTA because they represent the ideal performance of HB-HTA units; nevertheless, when performing HTA at hospital level, context also matters; therefore, they should be adapted to ensure their applicability in the local context.


2010 ◽  
Vol 5 (4) ◽  
Author(s):  
Frank Fladerer

Numerous pilot- and demonstration projects for appropriate waste water management solutions for the urban poor in developing countries have been conducted and can be considered as good practices. In order to have a chance to achieve the MDGs it is urgently necessary to scale those pilot implementations up and reach a mass dissemination. However, the task to multiply those pilots and mainstream the “good practice” to become mass dissemination is a challenge where most approaches have failed so far. The paper reflects on the experiences gained in Indonesia during the up-scaling of DEWATS implementation by a community of practitioners. It shows the process of the development of “good practices” from a small number of applications to a “Quality Management System with internal certification” for large numbers of implementation packages. The main components of the system are:The Quality Management System for technical aspects of DEWATS planning and implementationThe Certification system for Human resources who occupy key positions in the implementation process of DEWATSThe Certification system for the implemented DEWATS service packagesThe organizational setup to maintain such a system. The paper describes each of those components as well as the challenges and lessons learned during its application.


2020 ◽  
Vol 10 (9) ◽  
pp. 2026-2035
Author(s):  
I.M. Pozharitskaya ◽  

The article examines the genesis of resource management in the system of standards dedicated to quality management. It was found that most publications consider the quality management system as a tool to improve the organizations’ efficiency without detailing the elements of this system. Basing on the analysisof different versions of quality standards, the differences in the methodological approach of different versions of standards from 1994 to 2015 were identified. Various approaches to the place and role of resource management have been identified, ranging from mere mention to assigning a leading role in financing the implementation and operation of quality management systems. At the same time, national adaptations of international versions of quality standards have their own nuances of translation and interpretation. The terminology and differences between resource control and resource management are identified, since the latter term is broader. However, in the latest version of the quality management system standards, the term resource management has been simplified and replaced by resource provision. The constituent elements of the resource management system are identified. The original composition this system, in addition to human resources, organizational environment and infrastructure, was supplemented with knowledge and resources for monitoring and measurement. It is the last elements that come to the fore for the successful long-term functioning of the organization in the conditions of market competition. The goals of the leadership in the genesis of different versions of the standards are established and the terminology in the resource management system is clarified. The interconnection of the process approach based on risk-based thinking in the latest version of the standard allows re-evaluating the role of resource management. The use of risk management tools and a systematic approach will allow the company’s managers to focus on the strategy and tactics of implementing the quality management system.


2019 ◽  
Vol 22 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Finn Børlum Kristensen ◽  
Don Husereau ◽  
Mirjana Huić ◽  
Michael Drummond ◽  
Marc L. Berger ◽  
...  

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