INDICATORS

3.3. Additions to the ECHI shortlist
The ECHIM agreement on the new version of the shortlist included two elements:
one to divide it into two sections, and one on additions. Annex 1 gives the full ECHI
shortlist in its new edition, with comments to the proposals for additions.
Instead of the present three sections, the proposal is to have two sections:
• The “Implementation section” is intended for gradual implementation over the
next few years, although there may still remain some data problems. This section
would largely merge the earlier sections 1. “readily available, reasonably comparable”
and 2. “partly available and/or sizeable comparability problems”. The distinction
between 1 and 2 is often not clear-cut, and specific data issues and problems are to
be clarified in the Documentation Sheets.
• The “Development section” intended to cover typical policy relevant issues but
not yet developed into properly defined indicators. This section would cover the
old section 3. “not available, need for development” plus a few poorly defined or
otherwise difficult items previously placed in section 2. On the basis of progress
made, it should be possible to move indicators from the development section to
the implementation section.
In terms of additions to the ECHI shortlist, the following proposals are made:
To add in the “Implementation section”:
• incidence of selected communicable diseases, including a few vaccine-preventable
diseases
• influenza vaccination rate in the elderly
• 30-day in-hospital case-fatality for AMI and stroke.
To include in the “Development section”:
• pregnant women attending regular visits
• excess mortality by heat waves
• colon cancer screening
• psychological well-being
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