drivers G OOD P RACTICE supply planning demand FORECASTING PHARMACISTS 2013 /2015 MOBILITY D OCTORS Health professions Work Package 5 «Minimum data set» workshop Milan, 19 th and 20 th of September 2013

Giovanni LEONARDI & Michel VAN HOEGAERDEN Joint Action on European Health Workforce Planning and Forecasting

 CONSIDERING THE GOAL OF THE WORKSHOP  CONSIDERING THE RESULTS OF YESTERDAY’S SESSION  DEFINE THE SCOPE OF TODAY’S WORKSHOP AND OF THE MDS DELIVERED BY THIS JOINT ACTION

TargetVotes 1.Affordability of the production9 2.Demand of health care7 3.Quality of care6 4. Access to post-graduate education6 5. Regional (i.e. by language) distribution4 6. Balance of the demand for care between General care and Specialized care (horizontal) and betwen the professions (vertical) 4

TargetVotes 7. Mapping movements of specialized professionals between countries 2 8.Reaching a set of indicators (i.e. doctors per 1000 abitants) 2 9. Retention of professionals within the country2 10.Controlling the retention process1 11. Affordability of training1

 REAL POLITICAL LIFE ◦ Many priority 1 requirements from many important stakeholders ◦ Feeling that even though there is a split between priorities, the amount of “priority one’s” is blocking Main Principles (groups)Main Targets (groups) Availability of serviceNumbers needed on current people Numbers needed on population & geography Adapting Education to the needs of Healthcare Numbers needed on future skills & needs Cost Effectiveness is importantNumbers needed on cost & Effectiveness Planning help evaluating current situation and new initiatives Relation between current reality, scenarios and cost effectiveness

Principles Planning & forecasting are must do’s to allow both monitoring and policy making Shortages are no options as it is a threat to the coverage and quality Universal coverage Affordability Effectiveness Education to meet Healthcare needs Quality of work/private balance Targets Current HWF Benchmark against population information's (incl. real coverage) Measuring the impact of policies Monitoring the effect of HWF on cost Monitoring the effectiveness of HWF Monitoring HWF workload Evaluate potential new strategies

 WE NEED TO ISSUE A DEFINITION OF MINIMAL DATA SET  WE NEED TO POPULATE IT TODAY  PART 1 / ◦ WE PROPOSE AN OPTION (DEFINITION OF MINIMAL)  PART 2 / ◦ WORKSHOP CHALLENGING THE OPTION  PART 3 / ◦ WORKSHOP FOR POPULATING THE CHOOSEN OPTION

Michel Van Hoegaerden Giovanni Lombardi … & you

 WP5 ◦ By Month 7: Minimal Data Planning Requirements ◦ By Month 18: Handbook on planning methodologies ◦ By Month 36: Report on the pilot studies  WP7 (sustainability) ◦ By Month 8: Technical recommandations version 1 ◦ By Month 20: Technical recommandations version 2 ◦ By Month 36: Final technical recommandations

VersionWhat MDS 1aToday, focus on a subset of the principles and targets listed yesterday that, within the priority one items, are the very obvious and feasible. Delivery: Minimal Data Set Month 7 MDS 1bDuring the Joint Action, focus on an additionnal subset of the principles and targets listed yesterday taking main number of priority one items on board Delivery: Together with the handbook on methodology Month 18 MDS 2Together with WP7, listing the most important proposed enhancement to the methodology and the data set which could be subjects for future actions Delivery : Within the final recommendation Month 36

 We need to agree on criteria's !  Assumption – Real Life decision making process on a short (1-3) to mid-term (4-9) threat Civil Society calls for attention on a potential threat Validation of the threat If validated, building of scenarios and evaluations 1a1b & 2

 WP5 should focus to share current experience with non planning countries WP5: Planning decisions with visible impact Slow healthcare context evolutions WP6: Planning scenarios with long term impact Healthcare context evolutions (medium to fast)

 1a should: ◦ Be feasible ◦ Allow the identification of acute overall shortages  1a should not ◦ Take into account International reporting requirements

1a Identify high level shortage vs. overall evaluation demand of Healthcare Monitor overall coverage … 1b Identify detailed shortage Monitor geographical variances of coverage Identify if in land production meets the needs Identify major costs aspects of HWF First evaluation on impact of shortages on quality … 2 Impact on scenario like skills transfert Impact on scenario on coverage Impact on scenario on updating the in-land production Evaluate effectiveness & cost vs. Results Balance between primary care & Specialized care International migration aspects …

 Now: ◦ 2 Groups (same composition as yesterday  Ragnar & Lieve / group A  Giovanni & Achille / group B Objective : Discuss the proposed split & criteria’s  Then: ◦ Plenary reconciliation  And after the break ◦ 3 groups populating 1a and 1b list of data