On June 27-28 Moscow hosted the International Scientific and Practical Conference “Health Technology Assessment: Perspectives of Integration in the Commonwealth of Independent States” (hereinafter referred to as “the Conference”). The Conference was attended by representatives of the Ministry of Health of the Russian Federation, the World Health Organization, ministries of health and medical insurance funds of the CIS countries, the Eurasian Economic Collegium, members of the Federation Council, representatives of federal executive authorities, regional public authorities of the Russian Federation, foreign and international health technology assessment organizations (HTAi, EUnetHTA, INAHTA), the Guidelines International Network (G-I-N) as well as leading medical experts, members of scientific and professional organizations, and mass media.

 

 

The Conference was focused on the experience of integrating HTA into the decision-making system in the Russian Federation and the European Union and introducing clinical guidelines into healthcare practice in the CIS countries.   

 

In her welcoming address, T. Kusaiko noted that the Federation Council and its Committee on Social Policy invest and will continue investing their maximum efforts to execute measures aimed at introducing the system of health technology assessment. “We have the Healthcare Expert Board at the Committee on Social Policy of the Federation Council which is actively working in this direction. Being in close coordination with our expert community and relying on specialists’ opinion, we will further contribute to the establishing of a legal framework for implementing health technology assessment in all healthcare sectors,” the Senator emphasized.

 

 

D. Kostennikov, State Secretary and Deputy Minister of Health of the Russian Federation, said that the Ministry of Health traditionally pays great attention to developing relations with our immediate neighbor countries – CIS members – in the field of healthcare first of all. The Ministry sees significant prospects in enhancing integration processes and will do its best on its part to develop them on the basis of mutual respect and consideration of mutual interests. Presently the Russian Federation is changing its legislation on implementing clinical guidelines. According to D. Kostennikov, changes in the legislative environment contribute to the developing of effective, safe and economically rational healthcare system; however it should be noted that the establishing of such system is impossible without HTA tools which ensure fair assessment of data on medical interventions and rational allocation of healthcare system resources in the context of limited finance. This approach is implemented in Russia for the first time and this will promote accumulation of helpful experience for other countries.

 

 

Yu. Necheporenko, Deputy Chairman of the Federal Compulsory Medical Insurance Fund, emphasized the increasingly large role of health technology assessment concept in optimization and rational use of budget funds as well as the necessity for international cooperation in HTA which will help to avoid duplicating efforts and improve transparency, effectiveness and practical significance of HTA. 

Other participants who addressed the audience with their welcoming speech were Senior Advisor and Expert for Public Healthcare, WHO representative Amélie Schmitt; Head of the Center for Rational Use of Drugs and Medical Technologies of the Republican Center for Health Development of the Ministry of Healthcare of the Republic of Kazakhstan Adlet Tabarov; Head of the Department for Healthcare Policy and Reforms of the Center for Public Healthcare and Reforms of the Ministry of Health of the Republic of Azerbaijan Nabil Seyidov, Director of the Academy of Medical Sciences of the Ministry of Health and Social Protection of Population of the Republic of Tajikistan Alijon Gaibov; Chief External Specialist for Pharmacology of the Ministry of Health of the Kyrgyz Republic Aida Zurdinova; senior researcher of the laboratory for standardization fundamentals and health technology assessment of the Republican Scientific and Practical Center of Health Technologies, Informatization, Management and Economics of Public Health, Minsk, the Republic of Belarus, Irina Kozhanova.

 

 

In his presentation, General Director of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation Vitaly Omelyanovskiy pointed out the importance of international cooperation in implementation and development of the HTA institution. “It’s gratifying to note that the subject of health technology assessment development is discussed with the participation of representatives of the CIS member countries. This demonstrates that our countries have started to recognize the necessity of establishing expert assessment institution to ensure informed decision-making in healthcare. In Russia this trend has been supported at the legislative level, which has been reflected in the introducing of the comprehensive assessment regulation. In order to enforce this regulation, according to the instruction of the Ministry of Health of the Russian Federation an organization has been established whose responsibility is conducting comprehensive health technology assessment. Russia’s experience may serve as an example of implementing HTA for other CIS countries. Besides, I would like to emphasize that we have established the Working Group for HTA harmonization and development including CIS representatives. As a result of the Conference the list of its members will be extended to include all nine CIS countries and a roadmap for HTA integration and harmonization in these countries will be developed,” informed Vitaly Omelyanovskiy.

 

 

The international experience of HTA integration was presented by Chair of the Executive Board of the European Network for Health Technology Assessment (EUnetHTA) Niklas Hedberg discussing effectiveness and achievements of the European Network in HTA; Scientific Advisor of the National Institute for Health and Care Excellence Irina Voicechovskaya focusing on the role and place of clinical guidelines in the UK healthcare; First President of the Health Technology Assessment International Alicia Granados speaking about global HTA evolution in fast-developing healthcare; Professor of the Institute of Health and Society, University of Oslo Norway, representative of the Guidelines International Network (G-I-N) Per Olav Vandvic presenting global achievements in the developing and implementing of clinical guidelines; and representative of the Institute of Health and Society, University of Oslo Norway and the MAGIC Evidence Ecosystem Foundation Linn Brandt demonstrating digital ‘live’ Cochrane systematic reviews and reliable clinical guidelines.

 

 

The schedule of the Conference included the round table meeting “Organization and Funding of Oncological Aid: Best World Practices”. The session “Main directions of improving the training of medical personnel for oncological care” was opened by the Deputy Minister of Health of the Russian Federation Tatiana Semenova. In her presentation “Human resourcing in medical care” she pointed out the importance of revising the educational standard and using the multidisciplinary approach to train young professionals. One of the participants of the round table was the Deputy Head of the Analytical Center under the Government of the Russian Federation Nelly Naigovzina who spoke about approaches to improving oncological aid effectiveness. Other speakers were WHO Advisor, Global Special Advisor of the Fund City Cancer Challenge Rolando Camacho Rodriguez, Professor, Head of the Cancer Institute, Soroka Medical Center & Ben-Gurion University in Israel Nir Peled, Professor of the School of Public Health of the Seoul National University, President of the Korean Health Economics Association Soonman Kwon, Scientific Co-ordinator of the Innovative Partnership for Action agaisnt Cancer, the National Institute of Public Health, Slovenia Tit Albreht.

 

 

At the conclusion of the Conference its participants signed a resolution addressing their proposals to the professional community of the CIS member countries, CIS governments, the Federation Council, the State Duma, the Government of the Russian Federation, the Ministry of Health of the Russian Federation, and heads of highest executive authorities of the regions of the Russian Federation.

ORGANIZERS

 

Ministry of Health of the Russian Federation Federal Compulsory Medical Insurance Fund

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation   Financial Research Institute of the Ministry of Finance of the Russian Federation

National Center for Health Technology Assessment

Russia HTA Chapter of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR)

Health Technology Assessment Association


CIS Business Center for Economic Development

 

 

Organizing Committee

of the International scientific and practical conference: «Health Technology Assessment: Perspectives of Integration in the Commonwealth of Independent States»

2019 Moscow, June 27-28

 

 

Dmitry Kostennikov - State Secretary/Deputy Minister of Health of the Russian Federation
Sergey Muravyev – Director of the Department for International Cooperation and Public Relations of the Ministry of Health of the Russian Federation
Natalia Stadchenko – Chair of the Federal Compulsory Medical Insurance Fund
Vitaly Omelyanovskiy – General Director of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation
Vladimir Nazarov – Director of the Financial Research Institute of the Ministry of Finance of the Russian Federation
Elena Derkach – Director of the National Center for Health Technology Assessment
Georgy Khachatryan – Executive Director of the Russia HTA Chapter of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR)
Nuriya Musina – Director of the Health Technology Assessment Association


Moscow, 27 June 2019


ROUND TABLE 

 ORGANIZATION AND FUNDING OF ONCOLOGICAL AID.

BEST WORLD PRACTICES

 

 

 

09:00-09:30

REGISTRATION OF PARTICIPANTS

 

Aleksandrovskiy Ballroom

 

09:30-10:30

WELCOMING ADDRESS

Vitaly Omelyanovskiy - General Director of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation
Dr. Dorjsuren Bayarsaikhan - Senior Health System Advisor, P4H Coordination Desk, Department for Health Systems Governance and Finance, WHO HQ, Geneva

 

10:30-11:00

CURRENT AND FUTURE CHALLENGES OF CANCER CONTROL ORGANISATION AND PRACTICE

Tit Albreht, MD, PhD, Scientific Co-ordinator of iPAAC , National Institute of Public Health, Slovenia

 

11:00-11:15

COFFEE BREAK

 

11:15-13:00

Session I

Oncological aid organization models. Best world practices

Presentation

Prof. Nir Peled, Head of the Cancer Institute, Soroka Medical Center & Ben-Gurion University, Beer-Sheva, Israel
Nelly Naigovzina, Deputy head of the Аnalytical center of the Government of the Russian Federation

Panel discussion


Moderator: Nikolai Zhukov, Head of the Interdisciplinary Oncology Department of the Dmitry Rogachev National Medical Research Center for Pediatric Hematology, Oncology and Immunology of the Ministry of Health of the Russian Federation 

Participants

Galina Alekseyeva – Deputy General Director of the National Medical Research Radiological Center of the Ministry of Health of the Russian Federation
Amelie Schmitt - Public Health Senior Advisor, WHO
Dmitry Baturin – Deputy Director of the Department for Medical Aid Organization and Health Resort Care 
Alexey Belyaev – Director of the N.N. Petrov National Medical Research Oncology Center of the Ministry of Health of the Russian Federation
Igor Kudryavtsev – Deputy Chief Medical Officer of the Kaluga Regional Clinical Oncologic Dispensary,  chief oncologist of Kaluga region
Prof. Nir Peled - Head of the Cancer Institute, Soroka Medical Center & Ben-Gurion University, Beer-Sheva, Israel
Vitaly Omelyanovskiy - General Director of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation
Leonid Pechatnikov — Dean of the Department for Medicine and Healthcare Governance of the Institute of Industry Management of the Russian Presidential Academy of National Economy and Public Administration 
Серяков Александр Павлович - Врач-онколог, врач-гематолог, врач-радиолог (лучевой терапевт) высшей категории, д.м.н., профессор, руководитель онкологической службы "СМ-Клиника"
Ivan Stilidi – Director of the N.N. Blokhin National Medical Research Centre of Oncology of the Ministry of Health of the Russian Federation
Tit Albreht - MD, PhD, Scientific Co-ordinator of iPAAC , National Institute of Public Health, Slovenia
Rustem Khasanov – Director of the Kazan State Medical Academy – branch of the Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, associate member of the Russian Academy of Sciences
Ervand Khidishyan – Chief Medical Officer of the Republican Oncological Dispensary of the Republic of Karelia

Subjects to be discussed

- Oncological patient routing 

- Oncological patient management (at facilities or function-based, patient management continuity)

- Early diagnostics and screening 

- Diagnostics and management of patients with premalignant conditions

- System of reference centers and organizations

 

13:00-14:00

LUNCH

 

 

14:00-15:30

Session II

Main directions of improving the training of medical personnel for oncological care

Presentation

Prof. Rolando Camacho Rodriguez – Fund City Cancer Challenge, Global Special Advisor, Technical Assistance, Spain, WHO consultant

Tatiana Semenova – Deputy Minister of Health of the Russian Federation

Panel discussion

Moderator: David Zaridze, Head of the Epidemiology and Prevention Department of the N.N.  Blokhin National Medical Research Centre of Oncology  of the Ministry of Health of the Russian Federation, associate member of the Russian Academy of Sciences

Participants

Alla Domozhirova – Deputy Director of the Russian Scientific Center of Roentgen Radiology of the Ministry of Health of the Russian Federation 
Aleksandr Zakharenko – Deputy Chief Medical Officer for Oncology, Head of the Oncological Surgery Department of the Research Institute of Surgery and Emergency Care, Professor of the Oncology Department 
Nikolay Kosykh – Professor, Head of the oncology and medical radiology program of the Surgery and Clinical Surgery Division of the General Medicine Department of the Far-Eastern State Medical University of the Ministry of Health of the Russian Federation 
Mikhail Kramarov - Head of the Department of Special Programs Implementation of the Department of Medical Care and Sanatorium Care at the Ministry of Health of Russia
Tatiana Kusaiko – member of the Committee on Social Policy of the Federation Council 
Larisa Moshetova – President of the Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, academician of the Russian Academy of Sciences 
Nelly Naigovzina - Deputy head of the Аnalytical center of the Government of the Russian Federation
Irina Poddubnaya - Vice-Rector for Medical Work and International Cooperation of the Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation, Academician of the Russian Academy of Sciences
Igor Reshetov – Head of the Oncology, Radiation Therapy and Plastic Surgery Department of the I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
Dmitry Sychev – Rector of the Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, associate member of the Russian Academy of Sciences

Rustem Khasanov – Director of the Kazan State Medical Academy – Branch of the Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, associate member of the Russian Academy of Sciences

Subjects to be discussed

- System of oncologist training 

- System of mid-level medical personnel training

- Training doctors of other specialties

- Training direct health care coordinators

 

15:30-16:00

COFFEE BREAK

 

16:00-17:30

P4H Session

Oncological aid funding, public private partnership, private medical organizations

Presentation

Prof. Soonman Kwon – PhD, School of Public Health, Seoul National University, President, Korean Health Economics Association

Panel discussion

Moderator: Dmitry Kryazhev, publisher and editor-in-chief of Vademecum

Participants

Sergey Aristov - Leader in Healthcare, VEB.RF State Development Corporation
Sergey Gerasimov - Head of the Department of Planning and Organization of Medical Aid of the Central Direction for Healthcare – branch of JSC Russian Railways
Dr. Dorjsuren Bayarsaikhan - Senior Health System Advisor, P4H Coordination Desk, Department for Health Systems Governance and Finance, WHO HQ, Geneva 
Evgeniya Maksimova  - Deputy Head of the Administration for Compulsory Medical Insurance System Modernization of the Federal Compulsory Medical Insurance Fund
Arkady Stolpner – Board Chairman of the Sergey  Berezin Medical Institute group
Aleksandr Filimonov – General Director of PET Technology (Balashikha, Podolsk)
Ildar Khairullin – First Deputy General Director of the International Medical Cluster Foundation 
Tatiana Shapovalenko – board member of JSC Medsi Group, Chief Medical Officer of Multi-Specialty Clinical Hospital No. 1
Andrey Yanovsky – General Director of the  holding company of the European Medical Center (EMC)

Subjects to be discussed

- Contracting and public and private partnership in cancer care 

- Ensuring value for money in oncology services 

- Position of private medical organizations in the oncological medical care system 

- Outsourcing, consulting, insurance organizations

- Which technologies should be publicly funded and which of them should be patients’ responsibility?

 

17:30-18:00

CONCLUSION

 

 

 

Moscow, 28 June 2019


PROGRAM

 

 

 


09:00-10:00

REGISTRATION OF PARTICIPANTS

 

Andreyevskiy Ballroom

 

10:00-11:45

WELCOMING ADDRESS


Tatiana Kusaiko – Member of the Committee on Social Policy of the Federation Council

Dmitry Kostennikov – State Secretary/Deputy Minister of Health of the Russian Federation

Yuriy Necheporenko – Deputy Chair of the Federal Compulsory Medical Insurance Fund

Amelie Schmitt - Public Health Senior Advisor WHO Representative to the Russian Federation

Niklas Hedberg - Chief Pharmacist and Chair of EUnetHTA Executive Board
Adlet Tabarov - Head of the Center for Rational Use of Drugs and Medical Technologies of the Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan
Nabil Seyidov - Head of the Department for Healthcare Policy and Reforms of the Center for Public Healthcare and Reforms of the Ministry of Health of the Republic of Azerbaijan
Alijohn Gaibov - Director, Academy of Medical Sciences, Ministry of Health and Social Protection of the Population of the Tajikistan Republic
Zurdinova Aida - Chief Pharmacology Specialist, Ministry of Health of the Kyrgyz Republic
Irina Kozhanova - senior researcher of the laboratory for health technology assessment standardization fundamentals of the Republican Scientific and Practical Center of Health Technologies, Informatization, Management and Economics of Public Health

 

11:45-12:00

Coffee break 

 

 

Health technology assessment in the CIS countries 

Political and socio-economic prerequisites for the creation of the national HTA system - Vitaly Omelyanovskiy, General Director of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation
European Network for Health Technology Assessment – Niklas Hedberg, Chief Pharmacist and Chair of EUnetHTA Executive Board
The global evolution of HTA in a fast evolving  healthcare – Alicia Granados, First President of HTAi
System of Health Technology Assessment in the Russian Federation.  Current status and development directions – Elena Maksimkina,  Director of the Department of Pharmaceutical Supply and Circulation Control of Medical Devices of the Ministry of Health of the Russian Federation
Health Technology Assessment in Kazakhstan  – Adlet Tabarov, Head of the Center for Rational Use of Drugs and Medical Technologies of the Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan

HTA development in Belorussia – Marina Sachek, Director of the Republican Scientific and Practical Center of Health Technologies, Informatization, Management and Economics of Public Health /Irina Kozhanova, senior researcher of the laboratory for health technology assessment standardization fundamentals of the Republican Scientific and Practical Center of Health Technologies, Informatization, Management and Economics of Public Health
Perspectives for HTA integration in the CIS countries - Georgy Khachatryan – Head of the Department for HTA Methodological Support of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

 

 

14:00-15:00

LUNCH

Clinical guidelines

Trustworthy guidelines in the Evidence Ecosystem, for Russia moving forward? - Per Olav Vandvic, ​ Professor of Medicine, University of Oslo and Norwegian Institute of Public Health, Head of MAGIC (non-profit), BMJ Rapid Recommendations and the Evidence Ecosystem project Board of Trustees member, The Guidelines International Network (G-I-N)
Digital and living Guidelines Globalstandards andpossibilities– Linn Brandt,  University of Oslo and Norwegian Institute of Public Health, MAGIC and the Evidence Ecosystem Foundation/ Liliya Ziganshina, Director of Cochrane Russia, Professor of the Kazan (Volga Regional) Federal University
The Role and place of clinical guidelines in the UK healthcare.  NICE experience –Irina Voicechovskaja, Scientific Adviser, The National Institute for Health and Care Excellence (NICE)
Implementation of clinical guidelines and protocols in the Kyrgyz Republic  – Bermet Baryktybasova, evidence-based medicine expert, the Ministry of Health of the Kyrgyz Republic
Ensuring healthcare quality: standardization through clinical protocols and evidence-based medicine in Azerbaijan – Nabil Seyidov, Head of the Department for Healthcare Policy and Reforms of the Center for Public Healthcare and Reforms of the Ministry of Health of the Republic of Azerbaijan
Role of clinical guidelines in the organizing and funding of medical care  – the way the system will develop - Vitaly Omelyanovskiy, General Director of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation/ Olga A. Sukhorukikh, Head of Department of Medical Standardization of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation, MD

 

16:30-17:00

Conclusion


Political and socio-economic prerequisites for the creation of the national HTA system - Vitaly Omelyanovskiy, General Director of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation


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