1. Recent developments in health administrative data Item 8 of the agenda
DSS Meeting 1 and 2 March 2018

2. Health data from administrative sources
Covered by EP & Council Regulation adopted in on public health and health & safety at work
Regulation foresees implementing measures for 5 statistical domains:
Health status & health determinants
Healthcare
Causes of death
Accidents at work
Occupational diseases
Eurostat

3. Health status & health determinants
Morbidity statistics: under development
Work started in 2007
In 2017: agreement by the WG on Public Health statistics to have pilot data collection in some countries using a shortlist of diseases and methodological guidance
Dedicated TF set up from March (9 countries)
Grants in 2018 (15 countries?)
DSS consultation in 2021: data collection on a GA basis before a possible regulation is prepared?

4. Health care Annual joint data collection with OECD & WHO on:
Health care non-expenditure (facilities, human resources and utilisation)
As of now: GA, but Regulation to be prepared & adopted in 2021 for a core set of data (high policy needs)
Grants in 2018 to improve data quality (including coverage)
Health care expenditure
Regulation adopted in 2015 (with sunset clause)
Dedicated TG set up in 2017; new TF from 2018
for methodological work; new Regulation (2021)

5. Causes of death Regulation adopted in 2011
Need to anticipate the 24 months deadline to send national annual data
ICD on-going revision will have an impact
On-going discussion on the definitions of amenable and preventable deaths (together with OECD and MS)

6. Accidents at work Regulation adopted in 2011
Annual micro data on accidents
Main issue: under-reporting especially for countries with a data collection system based on information provided by labour inspections (compared to data from insurance companies); dedicated study to be launched in 2019

7. Occupational diseases
Work started in 2003: annual data collection on a GA basis till 2009
Work stopped as reliability and comparability issues
Agreement to relaunch a simplified project in 2015 (high policy needs)
Pilot data collections in 2017 & 2018 (simplified list of diseases and characteristics)
DSS consultation in 2020: data collection on a GA basis?

8. Conclusion
DSS is invited to take note of the recent developments on health administrative data, in particular:
DSS consultation in 2020 on "what next?" for occupational diseases statistics
DSS consultation in 2021 on "what next?" for morbidity statistics
Preparation of a Regulation (to be adopted in 2021) on healthcare data (both non-expenditure and expenditure)
Eurostat