Summer School In Public Health Policy, Economics and Management Bridging the Gap between Evidence and Policy Making August 28 September 02, 2017 1. Profile of facilitators Name and title: Professor Andrew Street Current position and affiliation: Professor of Health Economics Director, Health Policy team Director, Economics of Social and Health Care Research Unit Centre for Health Economics University of York YORK YO10 5DD ph +44 (0) 1904 321445 fax +44 (0) 1904 321454 webpage http://www.york.ac.uk/che/staff/research/andrew-street/ Areas of interest: Curriculum Vitae: Publications: Health economics, efficiency and productivity measurement, health care financing, diagnosis related groups, statistics and econometrics Andrew Street has a MSc in Health Economics (1990), a MA in Public Administration and Public Policy (2000) and a PhD in Economics (2002), all awarded by the University of York. He is a Professor of Health Economics and Director of the Health Policy team in the Centre for Health Economics and Director of the Economics of Social and Health Care Research Unit (ESHCRU), a joint collaboration with the Personal Social Services Research Unit (PSSRU) at the London School of Economics and the University of Kent. He is an editor of the Journal of Health Economics, and currently serves as a board member on the UK s NIHR Health Services and Delivery Research programme board.
Selected publications: - Bojke C, Castelli A, Grašič K, Street A, Productivity growth in the English National Health Service from 1998/1999 to 2013/2014, Health Economics, 2016 DOI: 10.1002/hec.3338 - Russell H, Street A, Ho V. How Well Do All Patient Refined Diagnosis-Related Groups Explain Costs of Pediatric Cancer Chemotherapy Admissions in the United States? Journal of Oncology Practice, 2016 12(5), 564-575. - Rodgers M, Thomas S, Harden M, Parker G, Street A, Eastwood A. Developing a methodological framework for organisational case studies: a rapid review and consensus development process. Health Serv Deliv Res January 2016 4;1 DOI: http://dx.doi.org/10.3310/hsdr04010 - Martin S, Street A, Han L, Hutton J. 2015. Have hospital readmissions increased in the face of reductions in length of stay? Evidence from England. Health Policy, 2016 120(1): 89-99 doi:10.1016/j.healthpol.2015.11.003 - Dalton J, Chambers D, Harden M, Street A, Parker G, and Eastwood A. Service user engagement in health service reconfiguration: a rapid evidence synthesis. J Health Serv Res Policy July 2016 vol. 21 no. 3 195-205 - Castelli A, Daidone S, Jacobs R, Kasteridis P, Street A. The determinants of costs and length of stay for hip fracture patients. PLoS One 2015;doi:10.1371/journal.pone.013354 - Grašič K, Mason A, Street A. Paying for the quantity and quality of hospital care: the foundations and evolution of payment policy in England, Health Economics Review, June 2015; 5:15. - Kasteridis P, Street A, Dolman M, Gallier L, Hudson K, Martin J, Wyer I. Who would benefit most for improved integrated care? Implementing an analytical strategy in South Somerset. International Journal of Integrated Care, Vol 15, January-March 2015, 1-11 - Gomes M, Gutacker N, Street A, Bojke C. Addressing missing data in patient-reported outcome measures (PROMs): implications for the use of PROMs for comparing provider performance. Health Economics, 2016;58(5), 515-528;doi:10.1002/hec.3173 - Gutacker N, Street A, Gomes M, Bojke C. Should English healthcare providers be penalised for failing to collect patient-reported outcome measures (PROMs)? Journal of the Royal Society of Medicine, 2015; 108: 317-324 DOI: 10.1177/0141076815576700 - Castelli A, Street A, Verzulli R, Ward P. Examining variations in hospital productivity in the English NHS. European Journal of Health Economics, 2015, 16 (3), 243-254; DOI 10.1007/s10198-014-0569-5. 2. Course description
Objectives: Content of the course: Prerequisites: This course is designed to provide insight into: (i) the nature of policy challenges, including trade-offs and the need for priorisation; (ii) to how evidence can inform policy design; (iii) the challenges involved in evaluating policy implementation and analytical approaches to meeting these challenges; (iv) examples of policy evaluations and performance measurement drawn from primary care and hospital care, and of national and international comparisons Setting priorities: Who should have priority for treatment? What treatments should have priority? Introduces concepts of: Priority setting; Efficiency-equity trade-offs A sustainable health system? Introduces concepts of: Supply and demand; Comparative performance of the health systems Evaluating hospital performance. Is there a trade-off between costs and quality? Introduces concepts of: QALYs, Patient reported outcomes, EQ5D; Econometric models; Risk adjustment; Evaluation of hospital performance across multiple dimensions Can primary care physicians reduce the use of hospital care? Introduces concepts of: Gatekeeping, primary-secondary interface; Fundholding and budget-holding; Team working; Evaluation over time and space: difference-in-difference analysis Multi-morbidity matters! Explaining utilisation and costs across health and social care settings Introduces concepts of: Long-term conditions; multi-morbidity; capitation budgets; predicting individual utilisation and costs Hospital configuration and bed modelling: How many hospital beds do you need? Where should they be? Introduces concepts of: Bed modelling; fixed, semi-fixed, variable costs; hospital re-configuration Comparing health system performance: Who has the best health system? Introduces concepts of: International comparisons;who measurement of health performance; Commonwealth Fund evaluation of performance; Econometric, panel data and stochastic frontier analysis Basic understanding of economics and statistics would be helpful but not essential. Pedagogical method: Mixture of lectures, discussion, individual and group paper exercises
3. Detailed content and structure of course Morning 11 am - 1 pm Content Method Afternoon 2 pm 5 pm Content Method Day 1 Lecture 1 1 Setting priorities Exercise 1: Who should have priority for treatment? Exercise 2: Which treatments should have priority? Lecture 1 2 A sustainable health system? Comparative performance of the health systems Lecture and icebreaker exercises, allowing individual and group work Day 1 Exercise 3: Hospital Payment and Quality Lecture 1 3: Evaluating hospital performance. Is there a trade off between costs and quality? Exercise 4: PROMs Linking payment to outcomes Lecture and group work Day 2 Lecture 2 1: can primary care physicians reduce the use of hospital care? Exercise 5: General practitioners as gatekeepers to hospital care Lecture and discussion Day 2 Lecture 2 2 Multi morbidity matters! Explaining utilisation and costs across health and social care settings Exercise 6: Improving integrated care arrangements Lecture and group work Day 3 Lecture 3.1 Hospital configuration and bed modelling: How many hospital beds do you need? Where should they be? Lecture and exercise Day 3 Lecture 3 2: Comparing health system performance: Who has the best health system? Lecture Exercise 7: Bed modelling
4. Self study and assessment procedure Self study: Not applicable Assessment procedure: Completion of exercise, presentations during classes, participation in class discussions