Eng. Robert MoorheadDirector, National Health Strategy PMODirectorate of Policy Affairs

10 December 2013

STATISTICS AND HEALTH STRATEGY

SLIDE 2

STATISICS AND HEALTH STRATEGY

THE CASE FOR INVESTMENT

STATISTICS AND HEALTH STRATEGY

SLIDE 3STATISTICS AND HEALTH STRATEGY

Healthcare Policy Challenges

With most developed nations, we face a number of healthcare challenges:

• Quality : Monitoring the quality of health services.

• Access: Planning required services when and where they are needed.

• Appropriate Model of Care: That the models of care are consistent with

international best practice and meet the needs of Qatar’s unique

demography and culture.

• Long-term Financing Sustainability: As Qatar’s economy diversifies and the

population ages, the health service remains on a sound financial footing.

• Health Promotion and prevention: Improved public awareness and self

management

SLIDE 4STATISTICS AND HEALTH STRATEGY

Health Care Data Requirements

Health Care Policy significant data requirements:

• Planning: Infrastructure, workforce and services.

• Regulation: Patient safety and quality of care.

• Policy Development: Evidence base for policy formulation and adjustment.

• Financing: Payment for service, outcomes and quality.

• Surveys: Patient experience, population risk factors, attitudes.

• Benchmarking: Between providers / internationally.

• Accountability: Progress against plans, service improvement etc

SLIDE 5STATISTICS AND HEALTH STRATEGY

Health Care Publications

www.nhsq.info

SLIDE 6STATISTICS AND HEALTH STRATEGY

Healthcare Policy Challenges

Based on the STEPwise Survey 2012 data of these are modifiable risk factors (Qatari population only).

Percentage who ate less than 5 servings of fruit and/or vegetables on average per day

91.1%

Percentage not engaging in vigorous activity71.3%

Percentage who are obese (BMI ≥ 30 kg/m2)41.4%

Percentage with raised BP (SBP ≥ 140 and/or DBP ≥ 90 mmHg or currently on medication for raised BP)

32.9%

Percentage with raised total cholesterol (≥ 5.0 mmol/L or ≥ 190 mg/dl or currently on medication for raised cholesterol)

21.9%

Percentage with raised fasting blood glucose as defined below or currently on medication for raised blood glucose (capillary whole blood value ≥ 6.1 mmol/L (110 mg/dl))

16.7%

Percentage who currently smoke tobacco16.4 %According to the QSA in 2011 NCDs represent four of the top five causes of

death in Qatar in terms of total population.

SLIDE 7

NHS 2011-2016

STATISTICS AND HEALTH STRATEGY

1. Comprehensive world-class health care system, whose services are accessible to the whole population

2. Integrated system of health care, offering high-quality services, through public and private institutions

3. Preventive health care, accounting for the needs of men, women and children

4. Skilled national workforce, capable of providing high-quality health services

5. National health policy that sets and monitors standards;

6. Effective, affordable services with the principle of partnership in bearing the costs of health care

7. High-caliber research directed at improving health care effectiveness and quality

7 Overarching Goals to support the QNV and National Development Strategy

SLIDE 8

The NHS 2011-16

STATISTICS AND HEALTH STRATEGY

39 projects with high level plans to deliver significant improvements to healthcare

SLIDE 9

NHS: Availability of comprehensive and reliable health care data is key constraint to effective policy formulation

STATISTICS AND HEALTH STRATEGY

Informatics framework & standards

- National informatics strategy - National coding standards

- Central information management unit - Information governance

Considerable unnecessary variation and cost incurred in the treatment of patients with similar conditions

2.3 :Improving Health Care Data

Inter-operable National Infrastructure

- Develop e-Health technical capacity - Stakeholder engagement

- Governance framework - National e-Health strategy

- Technical standards & protocols - Confidentiality and security

Standardise differences in the case mix of hospitals and use as method of payment

2.4 :E-Health Establishment

Providers

Data users

User business intelligence:

•Public health•Research•Publications•Planning•Policy

Legacy IT systems

DATA REQUESTS

Health Care Informatics – 2012

National statistics

SCH Policy Teams

Providers

Ministry of Interior Patient

(Identity)

Data users

SCH Policy Teams Social Health Insurance NHS project

6.3

NHS project 2.3 (2.4)

User business intelligence:

•Public health•Research•Publications•Planning•Policy

Clinical & Business Information Systems Projects

2013

SHI min dataset 2013-2016

Health Informatics – 2013

National statistics

DATA REQUESTS

Providers

Ministry of Interior Patient

(Identity)

Data users

SCH National Observatory

Social Health Insurance NHS project

6.3

NHS project 2.3 (2.4)

User business intelligence:

•Public health•Research•Publications•Planning•Policy

Clinical & Business Information Systems Projects

Data Requests/ National datasets

2014-2016

2014-2016

2013

SHI min dataset 2013-2016

Health Informatics – 2014

National statistics

Personal Health

Accounts

Providers

Ministry of Interior Patient

(Identity)

Data users

SCH National Observatory

Social Health Insurance NHS project

6.3

NHS project 2.3 (2.4)

User business intelligence:

•Public health•Research•Publications•Planning•Policy

Disease Registries (e.g. Cancer, Diabetes etc)

Clinical & Business Information Systems

National datasets 2014-2016

2015

2014-2016

2016+ 20132014

SHI min dataset 2013-2016

Disease min datasets 2013+

NHS Vision for Health Informatics – 2016+

National statistics

m-Healthe-Health

2015

SLIDE 14STATISTICS AND HEALTH STRATEGY

Opportunities and Challenges

• Planning: A nationally led process whereby key planning assumptions can

be aligned and tested )e.g. population growth and stratification(

• Surveys / Census: Continue to develop the excellent support and

processes around national surveys

• Develop an “Informatics” community of practice: Continuing professional

development, national standards and practices

• Statistical Resources: Continue to develop the QSA statistical resources.

Develop an outreach capability to support public and private planning and

policy studies.

• Clarity of Mandate: Methodical data collections are required across a

number of organisations / sectors

SLIDE 15

THANK YOU!

STATISTICS AND HEALTH STRATEGY

For further information, please visit : www.nhsq.info