Italy and Ligurian Regional HTA Network Abstract Number: 169775

Abstract Number: 169775

Mini HTA: an effective tool for clinical governance, resource allocation and conflict management at local (Regional) level. Gaddo Flego MD, Francesco Cardinale MD, ASL Nr 4 "Chiavarese", Italy and Ligurian Regional HTA Network

The Italian National Health System is centrally governed by the Ministry of Health and by Local Health Authorities (ASL) at Regional level. The Region of Liguria is divided into 5 ASL. Each ASL governs hospitals in the territory of competence. Liguria, for the government of technological innovation, approved with a formal act in 2011 (DGR 295) the creation of a Regional HTA Network in order to implement the process of Health Technology Assessment and to develop the concept of Evidence Based Medicine. The main point of the resolution is the introduction of a Mini HTA grid, that must be filled by proponents before the introduction of any technological innovation.

Regional HTA Workflow Since 2011 the Ligurian Network Regional HTA Network has Organisation & Role Hospitals require innovative evaluated the following technologies through Mini devices: Director HTA grid compilation 1) Virtual Colonoscopy CAD Coordination group 2) Porcine Dermal Collagen Surgery Consists of all Professionals who Grid submission to Scientific 3) Sling for urinary incontinence may be involved in the Secretariat 4) Collagen Matrix for sutures evaluation, depending on the 5) Fixation device in surgery device to be evaluated: doctors 6) Sterilization devices with different specialisations, Analysis of quality of data 7) Implantable device for Glaucoma clinical engineers, chemists, produced in the grid, 8) Intravascular Catheter context and scientific health economists and 9) Optical Coherence Tomography literature by the Scientific 10) Pneumothorax drainage system representatives of the citizens. Secretariat 11) Tecar Therapy device Scientific Secretariat 12) CT Contrast Agent Injector Consists of a doctor with specific Assessment and 13) Blood glucose controlling device skills in clinical research and HTA Dissemination 14) Warmed nest methodology, who draft a evidence 15) Implantable Intrathecal Pumps summary and share the 16) Hysterosalpingo-foam Sonography assessment with the Director and The Mini HTA grid explores gel with the other stakeholders the main dimensions of 17) Polysomnography portable device involved before the dissemination. technology : 18) Allux valgus surgery device 1. Efficacy 19) Orthopedic lithotripsy device Hospital coordinators 2. Safety 20) Phlebologic surgery device In every Hospital local health care 3. Budget Impact 21) Drug eluting stent Professionals assist the Applicant in 4. Cost Effectiveness 22) Vascular surgery devices 5. Organizational impact the Mini HTA grid compilation. 23) Scaffold for nerve regeneration 6. Sustainability 24) Carpal tunnel syndrome surgery device 25) Cyberknife Since 2011, the HTA Network has evaluated around 40 devices. The 26) Laryngeal masks Mini HTA Grids and the corresponding responses are available on the 27) Wound irrigation gel website http://www.liguriainformasalute.it/lirgw/sanita/ep/home.do 28) UV Therapy sistem where it’s present a dedicated space for the HTA Regional Network. 29) Haemostatic Patch This rigorous evaluation path has allowed us to: 30) Radiofrequency scalpel 1. Avoid premature insertion in clinical practice of devices which 31) Sensor-augmented insulin pump were not adequately assessed. 32) HPV test for screening of cervical 2. Use a EBM method to handle clinicians requests and govern the cancer 33) Children audiometry device introduction of innovative devices 34) Electronic stapler 3. Modify some health care practices following new indications from 35) Pulsed Radiofrequency device new clinical studies 36) Electronic health records 4. Optimize and control health care expenditure keeping a high 37) Water filtration device quality of care 5. Disinvest from obsolete technologies 38) Trichotomy devices