AHSRI Seminar by Professor Fabrizio Carinci (Professor of Health Systems and Policy, University of Surrey): OECD Health Care Quality Indicators and related international projects: methodological advances, new challenges and the future of health statistics
The OECD is a leading organization in the international measurement of health system performance. The OECD Expert Group on Health Care Quality Indicators (HCQI) has recently revised the performance framework, identifying core indicators and highlighting new directions. Although improving, the capacity of countries to deliver a broad range of standardized indicators still needs to be fostered.
In his talk, Fabrizio Carinci presented recent developments in OECD projects, including:
- state of the art in the definition of OECD performance indicators
- challenges emerging from R&D studies in the HCQI project, with a particular application on amputation rates in diabetes
- transferability and use of definitions at sub-national and provider level
- applicability for hospital performance benchmarking and geographical variation
- limitations imposed by the legislation on privacy and data protection
- recommendations for routine data collection of patient reported experiences and outcomes (PREMs/PROMs).
Through practical examples drawn from his direct experience as Member of the Bureau of the HCQI and other relevant Boards, Prof. Fabrizio Carinci discussed the state of the art, the role played by national governments (including Australia) and the potential avenues for research collaboration.
Fabrizio Carinci, Italian Australian, is Professor of Health Systems and Policy at the University of Surrey, Member of the OECD Health Care Quality Indicators Expert Group and Advisory Panel on Health Information infrastructure. An international expert in biostatistics and health information for policy, his background includes 25 years of experience at the interface of policy and the academia. He has worked for various organizations, including world class Universities (Harvard, Monash, Perugia and Surrey), research institutes (Mario Negri), governmental bodies (Italian Ministry of Health, National Agency of Regional Health Services and several Italian Regions) and international organizations (OECD, WHO Europe, and the European Commission). An early pioneer of privacy-enhanced, distributed statistical meta-analysis of linked health databases, he has conceived an original approach specifically developed and implemented in the field of diabetes in the EU projects BIRO and EUBIROD (2005-2012), currently extended within BRIDGE HEALTH (2015-2017). His constant presence in international policy dialogues has influenced the use of health indicators for comparative evaluation of health systems performance, strengthening the information infrastructure for research, policy and practice. The foundations of these developments were originally laid in the early 2000s in Melbourne as Director of the Centre of Health Systems Research, Monash Institute of Health Services Research, under the Direction of the late Prof.Chris Silagy.
- Carinci F et al. (2015) Towards actionable international comparisons of health system performance: expert revision of the OECD framework and quality indicators. International Journal for Quality in Health Care, 27 (2): 137-46.
- Strengthening International Comparison of Health System Performance. Implementing Instruments for the International Assessment of Outcomes. Draft conclusions from the high-level reflection group on health statistics, OECD Paris, 3-4 December 2015.
- Geographic variations in health care: what do we know and what can be done to improve health system performance? OECD 2014.
- Health Data Governance: Privacy, Monitoring and Research, OECD Health Policy Studies, Paris 2015.
- Presentations at OECD Health Division Project Meetings.
- Di Iorio CT, Carinci F, Oderkirk J (2014) Health Research and Systems’ Governance are at risk: should the right to data protection override health? J Med Ethics, 40 (7): 488-92.
- Oderkirk J, Ronchi E, Klazinga N (2013) International comparisons of health system performance among OECD countries: opportunities and data privacy protection challenges. Health Policy, 112 (1-2): 9-18.