HEALTH CARE DATA IN QATAR Daoud Al-Badriyeh, PhD President, ISPOR Qatar Chapter and Assistant Professor of Pharmacoeconomics College of Pharmacy, Qatar University Doha, Qatar Health Care Data The problem: o Health care data in Qatar is lacking Accuracy, comprehension and availability Quality standards and management Implementation in effective e-health system Current response: o Qatar National Health Strategy (NHS), 2011-2016 Goal 2: Integrated system of health care 20 May 2013 2 1
Data Accuracy and Availability Lack of accurate and comprehensive health care metrics o Death data o National health care expenses data o Health care quality metrics Causes o Institutional causes o Data-entry related causes o Qatar-specific causes 20 May 2013 3 Current status Data Accuracy and Availability Health care data project o A comprehensive program of data requirements and reporting Define national nomenclature Define minimum data reporting requirements Enable capabilities cross all providers Establish a national quality management process o E-health 20 May 2013 4 2
Data Accuracy and Availability Health care data project Task force set up Align key stakeholder national data requirement Health Metric Network framework Baseline data availability and accuracy Align with e-heath project and others Define a health care dataset based on best practice Disseminate data reporting requirements for providers Define a national nomenclature and coding standards Ensure providers set up adequate training for data entry Establish national quality process for data accuracy Develop health care information privacy policy Set up disease registries for identified priority diseases 2010 2011 2012 2013 20 May 2013 5 Quality Management No national system for quality management Limited integration between providers in Qatar s current health care system Narrow scope of evidence-based medicine and clinical pathways Impossible comparison of quality standards within Qatar, or with other nations 20 May 2013 6 3
Quality Management Current status Quality improvement project Standardization of procedures Process integration Concept of quality improvement Health quality metrics Performance agreement 20 May 2013 7 Quality Management Quality improvement project Establish project team Identify priority diseases in Qatar Define national clinical guidelines Review clinical processes in priority disease areas Define patient pathways and its implementation requirements Develop national standards for referral and discharge Establish the concept of individuals-facility-based quality Framework for a continuous clinical process improvement Establish a national audit process for clinical outcomes Publish provider quality outcomes to enable patient choice Develop healthcare key performance indictors Incorporate indicators in performance agreements and reporting 2010 2011 2012 2013 2014 20 May 2013 8 4
E-Health E-health in Qatar has been negatively impacted The change in ownership for a national e-health plan from Qatar to the SCH Limited coordination between key stakeholders regarding e- health implementation 20 May 2013 9 E-Health Current status E-health establishment project Enabling participation of all health service providers Dedicated governance framework National standards, nomenclature, operating protocols Data confidentiality and security Sustained investment Education and training programs 20 May 2013 10 5
E-Health E-health establishment project 2010 2011 2012 2013 Draft E-health legislation Define policies on data confidentiality Develop governance framework Recommend system functionality requirements Clearly define scope of E-health Ensure full compatibility across all levels Recommend data and information exchange standards Link with needs of insurance system Design phases for implementation Ensure sufficient funding 20 May 2013 11 Drug Reimbursement in Qatar - Future Stages of Health Insurance Scheme Implementation Stage 1: Enrolled population: Female nationals (approximately 5% of population) Scope of Service: All womens services Timeline: Pilot start Stage 2: Enrolled population: All nationals (approximately 14% of population) Scope of service: All services in private providers; inpatient services at selected HMC facilities Timeline: 9 months after Stage I commences Stage 3: Enrolled population: All nationals Scope of services: All services in private providers; inpatient services at all HMC facilities Timeline: 3 months after Stage II commences Stage 4: Enrolled population: All nationals Scope of service: All services in private providers, inpatient services at all public providers, 50% of outpatient services at public providers Timeline: 9 months after Stage III commences Stage 5: Enrolled population: All residents and visitors in Qatar Scope of service: All services at all hospital providers Timeline: By December 2014 20 May 2013 12 6