1. Eng. Robert Moorhead Director, National Health Strategy PMO Directorate of Policy Affairs 10 December 2013 STATISTICS AND HEALTH STRATEGY

2. SLIDE 2 STATISICS AND HEALTH STRATEGY THE CASE FOR INVESTMENT STATISTICS AND HEALTH STRATEGY

3. 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

4. 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

5. SLIDE 5STATISTICS AND HEALTH STRATEGY Health Care Publications www.nhsq.info

6. 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 activity 71.3% 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 tobacco 16.4 % According to the QSA in 2011 NCDs represent four of the top five causes of death in Qatar in terms of total population.

7. 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

8. SLIDE 8 The NHS 2011-16 STATISTICS AND HEALTH STRATEGY 39 projects with high level plans to deliver significant improvements to healthcare

9. 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

10. 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

11. 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

12. 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

13. 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+2013 2014 SHI min dataset 2013-2016 Disease min datasets 2013 + NHS Vision for Health Informatics – 2016+ National statistics m-Health e-Health 2015

14. 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

15. SLIDE 15 THANK YOU! STATISTICS AND HEALTH STRATEGY For further information, please visit: www.nhsq.info