Health System PerformanceAssessment Frameworkfor the Slovak Republic This work is issued under the responsibility of the Secretary-General of the OECD, and does not necessarily reflect theofficial views of OECD Member countries. This document was produced with the financial assistance of the European Union. The views expressed herein can inno way be taken to reflect the official opinion of the European Union. This document, as well as any data and map included herein, are without prejudice to the status of or sovereignty overany territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area. Photo credits:Cover © Freedomz/Shutterstock.com. Attribution 4.0 International (CC BY 4.0) This work is made available under the Creative Commons Attribution 4.0 International licence. By using this work, you accept to be bound by the terms of this licence(https://creativecommons.org/licenses/by/4.0/).Attribution– you must cite the work.Translations– you must cite the original work, identify changes to the original and add the following text:In the event of any discrepancy between the original work and thetranslation, only the text of the original work should be considered valid.Adaptations– you must cite the original work and add the following text:This is an adaptation of an original work by the OECD. The opinions expressed and arguments employed inthis adaptation should not be reported as representing the official views of the OECD or of its Member countries.Third-party material– the licence does not apply to third-party material in the work. If using such material, you are responsible for obtaining permission from the third party and forany claims of infringement.You must not use the OECD logo, visual identity or cover image without express permission or suggest the OECD endorses your use of the work.Any dispute arising under this licence shall be settled by arbitration in accordance with the Permanent Court of Arbitration (PCA) Arbitration Rules 2012. The seat of arbitration shallbe Paris (France). The number of arbitrators shall be one. Foreword Healthdata are essential for managing and improving health system performance,strengtheninghealthcare quality, addressing major public health challenges and advancing scientific discoveries. Asdigitalisation and health data infrastructure advance, the key challenge shifts from ensuring that informationexists to ensuring that it is meaningfullyused for the benefit of society, and that priority is given to the mostrelevant data. In 2024, OECD Health Ministers endorsed a renewed OECD HSPA framework to guidefurther development of internationally comparable measurements. In these contexts, country-specificHealth System Performance Assessment (HSPA) frameworks have increasingly been developed acrossOECD countries and regions to highlight key performancemetrics and to structure health data for shared,informed policy and decision making. The OECD has a long-standing role in supporting its member countries in health system performance andcare quality assessments, as well as providing direct support to national HSPA efforts. Beyond developingmetrics, the OECD has been providing country-specific support to strengthen national capacity forevidence-based health system improvement. To date, the OECD Secretariat has provided direct technicalassistance to fourmember countries to help design their national HSPA frameworks through participatoryand inclusive processes and provided guidance and support to several others. Such an approach ensuresthat HSPA frameworks remain nationally relevant, enable international comparison, build sustainablecapacity, and promote stakeholder ownership–all essential to achieving evidence-based improvementsin health system performance. In 2024, the SlovakRepublic’s authorities decided to develop a national HSPA and requested assistancefromthe European Commission and consequently the OECD.The HSPA framework for theSlovakRepublic presented in this report is the result of activities led by the OECD in co-operation with theMinistry of Health of the SlovakRepublic and the European Commission’s SG REFORM under the project“24LU02 & 24SK01 Developing Health System Performance Assessment Frameworks for Luxembourgand Slovakia”. As part ofthis project, the OECD provided technical support to help the SlovakRepublicand Luxembourg design their national HSPA frameworks, strengthen the capacity of national authoritiesto produce regular HSPA reports, and support them in the preparation of their first HSPA reports. Theproject was structured as a multi-country initiative, with Luxembourg and the SlovakRepublic developingtheir national HSPAs simultaneously and participating in joint activities to enhance cross-country learningand mutual experience sharing. This Report forms part of the Project’s Output4:Methodological Reporton HSPA in the SlovakRepublic. Acknowledgements This report was produced in the framework