Regional Meeting of Practice Guidelines and IX RedETSA Meeting: Integration of HTA mechanisms and Practice Guidelines to inform and implement decision making towards Universal Health 14 – 16 November 2017, Panama

 

During the days of November 14 to 16, the Regional Meeting of Practice Guidelines and IX RedETSA Meeting:  Integration of HTA mechanisms and Practice Guidelines to inform and implement decision making towards Universal Health took place in Panama City, where 52 people from 16 countries and 33 different organizations were present. For the first time, those responsible for the practice guidelines in the Region of the Americas and the  Network for Health Technologies Assessment of the Americas together organized a presential meeting that aimed to advance in the integration of HTA mechanisms and Practice Guidelines to inform decision making and monitor its application to advance toward Universal Health.

The first day of the meeting the topics related to the HTA and RedETSA were discussed, as an update of activities by the secretariat (PAHO) and the members, updating Collaborating Centers and defining priorities for 2018. There were also panels and discussion on Medical Devices (evaluation methodologies, priority medical devices, prices, management) and on Economic Assessment (transferability, models, and high cost diseases).

On the second day of the meeting the topics related to Practice Guidelines were discussed. The participants presented the advances and difficulties in the area; the “Manual for the Strengthening of National Programs of Evidence-informed Guides: A Tool for Adaptation and Implementation of Guidelines in the Americas” was presented, and there was a group discussion and work on adapting guides informed by the evidence in the Region.

The third day dealt with the integration of HTA mechanisms and Practice Guidelines. The incorporation of the perspective of the patients in the HTA processes and of the Practice Guidelines and a methodology for the preparation of short reports were discussed, and several participants presented experiences of integration of mechanisms to support the decision making of coverage in their countries.  Finally, the groups discussed the best ways to strengthen the institutionalization and integration of mechanisms to support coverage decisions, and agreed on the next steps.

Bellow you can see the agenda of the meeting, have access to the links of the presentations and the list of participants.

Day 1 - Tuesday, November 14   
IX Meeting of the Health Technology Assessment Network of the Americas and guests
TimeThemePresenter / Facilitator
8 : 3 0 – 8 : 4 5Opening Ministry of Health of Panama
PAHO Panama
8 : 45 – 9 : 00Objectives of the meeting and summary of the
activities developed in 2017

http://redetsa.org/wp/wp-content/uploads/2017/11/resumen_-2017.pptx
Alexandre Lemgruber, PAHO
9 : 0 0 – 9 : 4 5Launch of the HTA Reporting Base of RedETSA

http://redetsa.org/wp/wp-content/uploads/2017/11/Presentation-BRISA-Francisco.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/presentacion-brisa-redetsa-lancamiento.pdf
Francisco Caccavo, PAHO
Renato Murasaki, BIREME/PAHO
9 : 45 – 10: 15Presentation of new members

http://redetsa.org/wp/wp-content/uploads/2017/12/CCATES-Apresentação_RedETSA.pptx
http://redetsa.org/wp/wp-content/uploads/2017/12/CC-2017_presentacion-CMD-1.ppt
Ministry of Health of Panama
CCATES (Brazil)
CUFAR (Argentina)
10:15- 1 1 :15Main achievements of the countries in HTA and in decision-making in 2017

http://redetsa.org/wp/wp-content/uploads/2017/11/REDEARETS-Argentina.docx
http://redetsa.org/wp/wp-content/uploads/2017/11/Red-ETSA-ETS-BOLIVIA.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/14novembro2107_Redetsa-Conitec.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/INESSS-Canada.docx
(5 min per institution)
Mininstry of Health of Argentina
RedArets (Argentina)
Ministry of Health of Bolivia
Ministry of Health of Brazil
ANVISA (Brazil)
INC (Brazil)
INESSS (Canada)
Ministry of Health of Chile
ISP (Chile)
Ministry of Health of Colombia
IETS (Colombia)
1 1 : 3 0 -12:45Main achievements of the countries in HTA and in decision-making in 2017

http://redetsa.org/wp/wp-content/uploads/2017/11/MS-Costa-Rica.docx
http://redetsa.org/wp/wp-content/uploads/2017/11/CCSS-Costa-Rica.docx
http://redetsa.org/wp/wp-content/uploads/2017/11/Cuba-TALLER-DE-PANAMÁ-ETS-GPC-2017.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/SV-Presentación-Panamá-RedETSA.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Honduras-ARSA.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Mexico-Avances-ETES_Redetsa-2017_2.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/INS-Peru.Panama14NOV2017.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Peru-IETSI-Redetsa.nov2017.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Presentación-Evaluación-Tecnología-RD.-Panamá-2017.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/2017-Minsa-Uruguay.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/ORAS-ETS-Panamá.ppt
Ministry of Health of Costa Rica
CCSS (Costa Rica)
Ministry of Health Cuba
Ministry of Health of Ecuador
Ministry of Health of El Salvador
ISSS (El Salvador)
CENETEC (Mexico)Ministry of Health of Paraguay
INS (Peru)
IETSI (Peru)
DIGEMAPS (Dominic Republic)
Ministry of Health of Uruguay
FNR (Uruguay)
Organismo Andino de Salud
1 2 :45- 1 3 :15Update of Collaborating Centers

http://redetsa.org/wp/wp-content/uploads/2017/11/IECS-Argentina.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/CC-2017_presentacion-CMD.ppt
http://redetsa.org/wp/wp-content/uploads/2017/11/Canada-Carols-CC-Presentation.pptx
IECS (Argentina)
IEB/UFSC (Brazil)
University of Ottawa (Canada)
1 4 : 3 0 - 1 6 :00Medical Devices Panel
(evaluation methodologies; priority medical devices; prices; management)

http://redetsa.org/wp/wp-content/uploads/2017/11/2.-REDETSA_Murilo.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Dispositivos-médicos-esenciales-para-el-primer-nivel.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/1.-Atención-Primaria-Desafíos-para-la-Gestión-y-ETS.pptx
Moderator: Murilo Contó, PAHO Brazil
PAHO
IEB/UFSC
1 6 : 1 5 - 1 7 :30Panel sobre Evaluaciones Económicas
(transferibilidad; modelos; enfermedades de
alto costo)Panel on Economic Evaluations
(transferability; models;
high cost disease)

http://redetsa.org/wp/wp-content/uploads/2017/11/Uruguay-transferibilidad2017.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/IECS_EE.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/ETES-EN-SGSSS-OPS.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Apresentacao_Panama-revista.1.ppt
Moderator: Alexandre Lemgruber, PAHO
Ministry of Health of Uruguay
IECS
IETS
ANVISA
1 7 :30- 1 8 : 3 0Definition of priorities for 2018
Day 2 - Wednesday, November 15
Regional Meeting of Practice Guidelines
TimeThemePresenter/Facilitator
9:00 – 9:15Opening
Objectives of the meeting
Ludovic Reveiz, PAHO
9:15 – 11:30Advances and challenges of each institution in the preparation / adaptation of guides, rapid response, implementation and articulation of inter-institutional plans (governance, establishment
of priorities, capabilities, products, quality
etc)

http://redetsa.org/wp/wp-content/uploads/2017/11/Brasil-15novembro2107_Guias.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Costa-Rica-Presentación-Avances-GPC-AR_MD.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Chile-implementacion.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Presentación-El-Salvador.pptx
http://redetsa.org/wp/wp-content/uploads/2017/12/presentación-gpc-PN-Ecuador.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Mexico-_PANAMA_GPC_2017.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Panama-ELABORACIÓN-DE-UNA-GUÍA-DE-PRÁCTICA.pptm
http://redetsa.org/wp/wp-content/uploads/2017/11/Presentación-Reunion-Panama-PERU-INS-MINSA-IETSI-final.pptx
http://redetsa.org/wp/wp-content/uploads/2017/11/Presentación-Republica-Dominicana.pptx
http://redetsa.org/wp/wp-content/uploads/2017/12/URUGUAYGPC.pptx
(10 min per country)
Brazil
Costa Rica
Colombia
Chile
El Salvador
Ecuador
Mexico
Panama
Peru
Dominic Republic
Uruguay
11:30 – 12:00Presentation of the handbook for the strengthening of the national programs of guides informed by the evidence: a tool for the adaptation and implementation of guides in the Americas

http://redetsa.org/wp/wp-content/uploads/2017/11/DIRECTRIZ-PARA-EL-FORTALECIMIENTO-DE-LOS-PROGRAMAS-NACIONALES-02.pptx
Marcela Torres, PAHO
12:00 – 12:30Regional prioritization of priority topics for developing / adapting guides in the Americas: case of the Colombian programMinistry of Health and Social Protection of Colombia
13:30 – 13:40Mecanismos regionales para la adaptación de guías informadas por la evidencia en la región Ludovic Reveiz, PAHO
13:40 – 15:15Advances and inter-institutional challenges in the preparation / adaptation of guides: opportunities for regional cooperationWork groups
15:15 – 15:30Advances and inter-institutional challenges in the preparation / adaptation of guides: opportunities for regional cooperationReport of the groups
15:45 – 16:00Plan de Implementación de los programas de guías informadas por la evidencia: oportunidades de cooperación regionalMarcela Torres, PAHO
16:00 – 17:15Advances and inter-institutional challenges in the preparation / adaptation of guides: opportunities for regional cooperationWork groups
17:15 – 17:30Advances and inter-institutional challenges in the preparation / adaptation of guides: opportunities for regional cooperationReport of the groups
Day 3 - Thursday, November 16
Integration of mechanisms
TimeThemePresenter/Facilitator
8:30 – 8:45Opening
Objectives of the meeting
Integrated mechanisms for informed decision-making towards Universal Health
Alexandre Lemgruber, PAHO

Ludovic Reveiz, PAHO
8:45 – 9:30 Integration of mechanisms for the implementation of HTA and Practice Guidelines: international reference experiencesHector Castro, MSH
10:45 – 11:30Methodology for preparing short reportsIECS (Argentina)
11:30 – 13:00Panel:
Experiences of integration of mechanisms to support coverage decision making: Health Technologies Assessment, Selection of medicines and other technologies, Practice Guidelines, Policies informed by the evidence
Moderator: Ministry of Health of Panama
IETS (Colombia)
Ministry of Health of Chile
Ministry of Health of Brazil
INS (Peru)
CENETEC (Mexico)
INESSS (Canada)
(15 min for each presentation)
14:00 – 15:30How can we strengthen the institutionalization and integration of mechanisms (HTA, Practice Guidelines, the selection of medicines and other technologies, policies) to support coverage decisions, with a focus on implementation?
Institutionalization of integrated mechanisms, synergies and inter-institutional collaboration at the national and regional levels
Analysis
(D) weaknesses (O) opportunities
(F) strengths (A) threats
Work group
15:45 – 16:45
Presentation of the working groups and discussion
What are the priorities at the regional level?
Guide and next steps for the development of a plan to integrate the various mechanisms and strengthen regional cooperation
Moderators:
Alexandre Lemgruber
Ludovic Reveiz
17:30Closing

Participants’ List

COUNTRYNAMEINSTITUTION
ArgentinaCristian DoratiCentro Universitario de Farmacologia
ArgentinaMaría Clara ZerbinoMinisterio de Salud de Argentina
ArgentinaSantiago HasdeuMinisterio de Salud de Argentina
ArgentinaSebastian Garcia MartíIntituto de Efectividad Clínica y Sanitária - IECS
BoliviaMirka Susana ZuñigaLa Agencia Estatal de Medicamentos y Tecnologías de Salud - AGEMED
BrazilFlávio Maurício Garcia PezzolaInstituto de Engenharia Biomédica da Universidade Federal de Santa Catarina - CCOPAS/IEB - UFSC
Brazil Leandro SafatleAgência Nacional de Vigilância Sanitária - ANVISA
Brazil Livia LemosCentro Colaborador de Avaliação de Tecnologias de Saúde - CCATES Brasil
Barzil Marisa SantosInstituto Nacional de Cardiologia - INC
Brazil Priscila Avelar Instituto de Engenharia Biomédica da Universidade Federal de Santa Catarina - CCOPAS/IEB - UFSC
Brazil Renato GarciaInstituto de Engenharia Biomédica da Universidade Federal de Santa Catarina - CCOPAS/IEB - UFSC
Brazil Vania Canuto SantosMinistério da Saúde do Brasil
CanadaAlicia FramarinIntitut Nationale d' Excelence en Santé - INESS
CanadaCarol VlassoffUniversity of Ottawa
ChilePatricia del Carmen Kraemer GomezMinisterio de Salud de Chile
ChileVictoria Hurtado MenesesMinisterio de Salud de Chile
ChileYohanna ValderasInstituto de Salud Pública de Chile - ISPCH
ColombiaJaime Calderon Instituto de Evaluación Tecnológica en Salud - IETS
Colombia Rodrigo PardoUniversidad Nacional de Colombia
Costa Rica Ana Eduviges Sancho Ministerio de Salud de Costa Rica
Costa Rica Angie RamirezCaja Costaricense de Seguro Social - CCSS
Costa Rica Mauricio Duarte Caja Costaricense de Seguro Social - CCSS
Cuba Ana Margarita ToledoMinisterio de Salud de Cuba
EcuadorAdriana Granizo MartinezMinisterio de Salud Publica de Ecuador
EcuadorJacinto Esteban Bonilla EscobarMinisterio de Salud Publica de Ecuador
El SalvadorRicardo H. RuanoMinisterio de Salud de El Salvador
El SalvadorRoberto QuijadaInstituto Salvadoreño del Seguro Social - ISSS
HondurasGerardo PinedeARSA Honduras
MexicoJesús Ojino SosaCentro Nacional de Excelencia Tecnologíca en Salud - CENETEC
MexicoVeronica GallegosCentro Nacional de Excelencia Tecnologíca en Salud - CENETEC
PAHOAlexandre LemgruberPanamerican Health Organization
PAHOAna Marcela TorresPanamerican Health Organization
PAHOFrancisco CaccavoPanamerican Health Organization
PAHOLudovic ReveizPanamerican Health Organization
PAHOMurilo ContóPanamerican Health Organization
PAHOSonia QuezadaPanamerican Health Organization
PAHORita CasolPanamerican Health Organization
PAHOJose GonzalezPanamerican Health Organization
PAHOHilda LealPanamerican Health Organization
PAHOItzel ThomasPanamerican Health Organization
PAHOIsaías MontillaPanamerican Health Organization
PanamaPedro ContrerasMinisterio de Salud de Panamá
PanamaJeremias BernalMinisterio de Salud de Panamá
Peru Karina Alicia Gil LoayzaMinisterio de Salud de Perú
Peru Marianella Villalta ContrerasOrganismo Andino de Salud - ORAS CONHU
Peru Nora Reyes Instituto Nacional de Salud - INS
Peru Patricia PimentelInstituto de Evaluación Tecnológica en Salud - IETS
Peru Zila Patricia CaballeroInstituto Nacional de Salud - INS
Dominic RepublicAndelys De la Rosa Ministerio de Salud Publica de Republica Dominicana
Dominic RepublicEscarlen HerediaDirección General de Medicamentos, Alimentos y Productos Sanitarios - DIGEMAPS MSP
UruguayAlarico RodriguezFondo Nacional de Recursos - FNR
UruguayAna PerezMinisterio de Salud Publicade Uruguay