Proposition of a Shared and Value-Oriented Work Structure for Hospital-Based Health Technology Assessment and Enterprise Risk Management Processes

Int J Technol Assess Health Care. 2019 Jan;35(3):195-203. doi: 10.1017/S0266462319000242. Epub 2019 Apr 26.

Abstract

Background: Healthcare organizations have invested efforts on hospital-based health technology assessment (HB-HTA) and enterprise risk management (ERM) processes for novel systems to obtain more accurate data on which to base strategic decisions. This study proposes to analyze how HB-HTA and ERM processes can share personal resources and skills to achieve principles with value-oriented results.

Methods: Literature on ERM and HB-HTA and data from interviews with healthcare managers compose the research data sources, which were submitted to a qualitative data analysis. It was oriented to identify the association between ERM and HB-HTA application in hospitals and the common principles between both processes, in addition to proposing the capability to share personal resources between both teams in a matrix.

Results: The common principles and personal background suggested for HB-HTA and ERM teams allowed the build of a matrix identifying how both teams can work in an integrated manner being more effective and value-oriented. The shared resource matrix reports how each professional (with a specific background) may interact with each activity associated to HB-HTA or ERM implementation guidelines.

Conclusions: The identification of common principles and capabilities between ERM and HB-HTA suggested advances with the literature from both research areas. The opportunity to share personal resources also contributes to the implementation of those processes in hospitals with less financial resources, approaching its own management to be more efficient with the care chain.

Keywords: Corporate governance; Enterprise risk management; HTA; Healthcare management; Hospital-based HTA; Risk education; Risk management.

MeSH terms

  • Cooperative Behavior
  • Decision Making, Organizational*
  • Hospital Administration*
  • Humans
  • Inservice Training
  • Risk Management / organization & administration*
  • Risk Management / standards
  • Technology Assessment, Biomedical / organization & administration*
  • Technology Assessment, Biomedical / standards