1. Why ranking health systems performance? Johan Hjertqvist Founder & President HCP Ltd. Health Policy Roundtable Bucharest Feb 4, 2016

2. The 2015 ranking in Euro Health Consumer Index (EHCI)

3. Areas covered by EHCI Top country/countries Sub-discipline ScoreMaximum score Netherlands, Norway 1. Patient rights and information 146 150 Belgium, Switzerland 2. Accessibility 225! 225 Iceland, Netherlands, Norway 3. Outcomes 240 250 Finland, Netherlands, Sweden 4. Range and reach of services 144 150 Norway 5. Prevention 113 125 Finland, Germany, Ireland, Netherlands, UK 6. Pharmaceuticals 86 100

5. HCP fundaments Assessing performance and repeatedly publishing the outcomes drives improvement Healthcare is a most complex activity, generally (still) hampered by lack of data Patient/consumer empowerment requires transparency in every field; HCP takes the consumer side Health systems outcomes are more important than plans and policies.

6. Outcomes heavier than policy

7. Index sources ”All relevant data that contribute to the description and understanding of the problem” Public, pan-European statistics National data Academic/scientific reports etc. HCP own research (such as quality registry analysis, news media a s f) HCP patient group surveys.

8. ”Structural Antiquity” Index for healthcare systems

9. Index methodology/process Selection of countries Decision on Index design (2015; six segments) Selection of indicators (2015; 48) - External Expert Panel Data mining Weight of segments Country interaction on preliminary results Performance ranking Conclusions, policy recommendations Public presentation; follow-up of comments.

10. EU has got it! “We know the Euro Health Consumer Index (EHCI) is today the leading public measurement of how national healthcare systems perform...We have recently learned that the European Commission after assessing various benchmarks has found the EHCI to be the most accurate and reliable comparison". Dr. Vytenini Andriukaitis, 2015 (today the EU health commissioner) During 2016 the European Commission will start developing a system to monitor and assess the cost-efficiency of member state health systems In the next step, the aim will be to form and implement a EU best best practice and guidelines.

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