1. Peter Scherer Head, Health Division 7 th Meeting of Health Accounts Experts and Correspondents for Health Expenditure Data Paris, 29 - 30 September 2005 Recent developments on health work at the OECD relevant to SHA implementation

2. 2 Overview of presentation Brief overview of 2005-2006 OECD health work programme Main purposes of SHA work at OECD Progress in co-ordinating health data collection at the international level (with EUROSTAT and WHO)

3. 3 Management of 2005-2006 OECD work programme on health In January 2005, the OECD Council established a Group on Health to direct and oversee the new work programme on health A new Health Division (within DELSA) was created to administer the work programme Increased funding from OECD regular budget (notably for the annual health data collection) and voluntary contributions from 24 countries

4. 4 2005-2006 work programme of OECD Health Division Main components: Health data and indicators –OECD Health Data –SHA implementation and methodological development –Health care quality indicators project Health policy analysis projects –Efficiency in health care delivery –Pharmaceutical pricing policy –Disability trends among elderly populations and implications on costs of care

5. 5 2005-06 OECD work programme (cont’d) –Economics of prevention (analysing the cost effectiveness of prevention initiatives) OECD review of national health system performance: -released earlier in 2005: Mexico -to be released later in 2005: Finland -to be completed in 2006 (jointly with WHO): Switzerland

6. 6 Main purposes of SHA work at OECD To provide policy-relevant, comparative data and analysis on health expenditure To facilitate harmonisation across national health accounting practice To further develop health accounting methodology To provide data sources for research To make country-specific SHA data and analysis more widely available Success of this work depends primarily on contributions by member countries

7. 7 Disseminating the SHA implementation experiences of OECD countries to a wider audience SHA web-page (SHA tables, OECD Health Technical Papers, materials of the Meeting of Health Accounts Experts, link to national sources, etc.) Publications (forthcoming OECD Health Technical Papers: Norway, Poland) SHA database Participation in international and national meeting –US National Health Account Conference –Fourth Global National Health Accounts (NHA) Symposium –Regional Technical Consultation: Harmonisation of the Accounts of health and the SNA in Countries of the Americas

8. 8 Disseminating the SHA implementation experiences of OECD countries to a wider audience (cont.) Training program Seminar organised by the OECD and the Joint Vienna Institute for transitional economies (November 21-25, 2005) –Topic: Sustainable financing for health care: improving information and regulation for (focusing on SHA) –Lecturers: Secretariat and experts from OECD countries

9. 9 Strengthening international co-ordination on health data work Following up on exchange of letters between OECD Chief Statistician and Director-General of Eurostat in Summer 2004, agreeing in principle on joint strategy for health data collection WHO also involved in the process Aim is to reduce data collection burden

10. 10 OECD/Eurostat/WHO meetings November 2004: Agreement to start first by common data collection of health spending (based on SHA); initial discussion on practical arrangements January 2005: Agreement in principle to harmonise shortlist of diagnostic groups for data collection on hospital discharges (agenda item for this meeting) June 2005: Advance discussion on arrangements for joint SHA-based data collection; initial discussion on other potential areas for coordinated data collection September 2005: Finalise proposal for content and arrangements for joint SHA data collection

11. 11 Next steps Report on health accounting work to the Group on Health Preparation of proposals for health accounting work in the 2007-2008 work programme Clarifying priority areas and working arrangements for strengthening international co-operation on SHA developmental work Assessment of experience of the 2006 joint data collection with involvement of experts in participating countries Assessment of the effects of joint data collection on OECD Health Data

12. 12 OECD health-related websites Health Division: www.oecd.org/els/health OECD Health Data: www.oecd.org/health/healthdata System of Health Accounts: www.oecd.org/health/sha OECD-wide health page: www.oecd.org/health