Summary Objectives: The purpose of this workis to develop a health information platform connecting most health facilities in the Rhône-Alpes region. The health platform called SIS-RA is used through a Web interface. An iconic interface is dedicated to the platform and presents information in a unique way for all users. Methods: Newtechniques have been used to develop this platform which will be used by a great number of Rhône-Alpes doctors in the future. We chose a user-centered design which takes into account doctors’ requirements (hospital and GP). We also consider that no system has to be rebuilt, but a direct connection to the legacysystems should be provided. Results: The platform permits fast and more appropriate medical decisions than those made without this information system. The iconic interface presents all medical documents in a uniform way. Currently, 11 healthcare facilities and 15 community health networks are connected to SIS-RA sharing more than 60,000 records with 1.2 million indexed items. 3200 doctors use the system. Conclusion: The platform is approved by French supervision authorities (regional hospitals association (ARH)), regional practitioners union (URML) and Rhônes-Alpes region administration and is known as the official shared health record.

A 3 4 7 -A 7 6 6 A629 the impact of increased HCBS investment on elderly Medicaid beneficiaries' care pathways. In this paper, we explore the impact of state Medicaid HCBS investment on the elderly beneficiaries' risks of nursing home admission using four waves of the Health and Retirement Study (2006-2013). Methods: We use a simulated instrument of Medicaid eligibility that depends only on the state's eligibility rules. We draw a random sample of 5,000 observations from our sample at wave 10 (2010-2011), and calculate the fraction of elders who would be eligible for Medicaid HCBS in each state. We then instrument the actual eligibility variable with that simulated instrument. Results: We find that Medicaid eligibility significantly increases higher risk of nursing home admission (1% level). On average, an increase in the Medicaid generosity for HCBS reduces the effect of Medicaid eligibility on the use of nursing homes. For a $1 increase in Medicaid per-capita spending towards HCBS, the average reduction in the predicted conditional probability of nursing home admission is 0.002 percentage points. ConClusions: Our results support the idea that investing in HCBS can lead to long-term cost savings, which is useful in the perspective of framing a Federal-level strategy to develop a high performing system of LTSS for elderly people.objeCtives: Evidence-based and successful policy requires making investment decisions -on all level of health care investments -should be based on objective and verifiable methods. Health technology assessment (HTA) plays an important role in evidence-based decision-making and by the help of HTA optimal health outcomes and efficient use of available resources could be achieved. Methods: A literature review was conducted to define the number of health care investments that was introduced to Hungary between 2010 and 2015 and real, independent HTA Department managed assessments were introduced with validated methods to define the effects of investments on long-term from policy point of view. The aim of the literature review was also to show the opportunities of the involvement of HTA Department, Hungary into the coming EU or member state financed projects e.g. in primary care, screening or public health programs to avoid developing diabetes and the need for expensive interventions. Results: According to the literature review the role of HTA is more and more important in all level of decision making. Despite the investment decision making and assessment of programs are not based on HTA. The Hungarian HTA Department was not involved into any program assessment till the end of 2015 when the Health Services Management Training Centre (HSMTC) of Semmelweis University initiated a cooperation aiming the HTA of diabetes, hypertension and smoking interventions of the Public Health focused Primary Care Model Program of the Swiss-Hungarian Cooperation. ConClusions: More transparency in EU financed health-care related programs ensure an unbiased decision-making process. By the help of the HTA Department...