MINISTRY OF HEALTH SERBIA HEALTH PROJECT - additional financing. Estimated cost in 000 EUR. Contracted. Type. CS Blank IC 7

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1 re Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Component I: Information Technology RS-SHPAF-7695YF-CS-CQ-10-A.1.1 A.1.1 RS-SHPAF-7695YF-CS-IC-10-A.1.2 A.1.2 Capacity building for organization of IT service, Seal 2010 and ISO sertification. Local consultants doing the work of IT Agency. Consultants for software compatibility assessment and hardware technical specification preparation. MINISTRY OF HEALTH Sub-component A.1 - Initial Steps on Implementation of IT Strategy in Health and Introduction of Supervisory Body for Health IT with MoH award CS CQ Prior single Oct-10 Feb-11 Mar-11 Mar-11 Nov-11 procurement in progress CS IC 7 RS-DILS-7510YF-CS-IC-09-D f-1/MoH A.1.2.a IT Field coordinator 1 Goran Videnovi CS IC Post 1 May-09 Jun-10 Jun-10 Jun-10 Dec-12 RS-DILS-7510YF-CS-IC-09-D f-2/MoH A.1.2.b IT Field coordinator 2 Dušan Velisavljev CS IC Post 1 May-10 Jun-10 Jun-10 Jun-10 Dec-12 RS-SHPAF-7695YF-CS-IC-10-A.1.2.c A.1.2.c Consultancy for wide area network specialist CS IC Post 1 Jun-10 Jul-10 Aug-10 Sep-10 May-11 RS-SHPAF-7695YF-CS-IC-10-A.1.2.d A.1.2.d ICT Unit administrative assistant CS IC Post 1 Jul-10 Jul-10 Aug-10 Sep-10 Dec-12 Expert commission for assessment of software RS-SHPAF-7695YF-CS-IC-10-A.1.2.e A.1.2.e compliance with MOH standards (1 leading expert CS IC Prior 3 Sep-10 Oct-10 Oct-10 Nov-10 Dec experts) RS-SHPAF-7695YF-TR-10-A.1.3 A.1.3 Training of HCI staff related to IT Strategy in Health. International study visits. TR Jun-10 Dec-11 A.1.3.a EuroRec Tallin June 2010 TR Jun-10 Jun-10 A.1.3.b EuroRec Sofia TR Dec-10 Dec-10 Completed Subtotal A.1 A.1.3.c Trainings for component I according to training plan TR Unallocated for Sub-component A.1 Sub-component A.2 - Establishing IT Network among Healthcare Institutions in Serbia WAN installations and networking of all healthcare RS-SHPAF-7695YF-G-10-A.2.1 A.2.1 G 1st ICB Prior single Dec-10 Jan-11 Mar-11 Apr-11 Oct-11 Procurement in progress institutions RS-SHPAF-7695YF-CS-CQ-10-A.2.2 A.2.2 WAN monitoring CS CQ Prior single Feb-11 Mar-11 Apr-11 May-11 Dec-11 not started Subtotal A.2 Sub-component A.3 - Improvement of Hospital Softwares and Equipment Purchase for Hospitals RS-SHPAF-7695YF-G-ICB-10-A RS-SHPAF-7695YF-G-ICB-10-A A A RS-SHPAF-7695YF-G-ICB-10-A.3.2 A.3.2 RS-SHPAF-7695YF-G-ICB-10-A.3.3 A.3.3 Development/implementation of the Laboratory Information System (LIS) and intergration with Hospital Information System (HIS). Development/implementation of the Radiology Information System (RIS) and intergration with Hospital Information System (HIS). Adjustment, installation, testing and training related to new (improved) hospital softwares. Purchasing of IT hardware and establishment of IT network in hospitals G 1st ICB Prior single Feb-11 Feb-11 Apr-11 May-11 Nov-11 Not started G 1st ICB Prior single Mar-11 Apr-11 Jun-11 Jul-11 Nov-11 Not started G 1st ICB Prior single Feb-11 Feb-11 Apr-11 May-11 Nov-11 procurement in progress G 1st ICB Prior single Jul-10 Oct-10 Dec-10 Jan-11 Jul-11 A.3.4 IT equipment - servers (cofinancing with DILS) G Feb-11 Nov-11 procurment in progress RS-SHPAF-7695YF-CS-CQ-10-A.3.5 A.3.5 Digital archiving of hospital paper documentation CS CQ Prior single Mar-11 Apr-11 May-11 Jun-11 Nov-11 not started A.3.6 Support and monitoring of HIS implementation CS IC post 3 Feb-11 Mar-11 Mar-11 Apr-11 Dec-11 not started Subtotal A.3 Sub-component A.4 - Improvement of System Softwares: Database of Insurees (DoI) and Central Information System (CIS) 1

2 award RS-SHPAF-7695YF-G-ICB-10-A A Support for implementation of CIS and further improvement CS CQ Prior single Feb-11 Mar-11 Apr-11 May-11 Dec-11 Not started RS-SHPAF-7695YF-CS-IC-10-A.4.2 A.4.2 Local consultant for institutionalization and utilization improvement of CIS CS IC Post single Aug-10 Oct-10 Oct-10 Nov-10 Dec-11 RS-SHPAF-7695YF-CS-IC-10-A.4.3 A.4.3 IT Specialist for migration of regional databases CS IC Post 2 Feb-11 Mar-11 Mar-11 Apr-11 Nov-11 not started Subtotal A.4 2

3 award Total Component I Component II: Hospital Management and Quality Improvement Sub-component B.1 - Institutionalization of Health Management International consultant that will assist CHIS in new RS-SHPAF-7695YF-CS-IC-10-B.1.1 B.1.1 operations. Local consultants that will be working in CHIS on RS-SHPAF-7695YF-CS-IC-10-B.1.2 B.1.2 creation of database and evaluation of available courses in health management. Assessment of financial management of investments and RS-SHPAF-7695YF-CS-IC-10-B.1.2.a B.1.2.a debts in participating hospitals CS IC Post single Mar-11 Apr-11 Apr-11 May-11 Dec-11 not started CS IC Post 2 May-10 Dec-11 cs IC Post single Mar-10 Apr-10 Apr-10 May-10 Nov-10 RS-SHPAF-7695YF-CS-IC-10-B.1.2.b Consultant to support CHIS in development of resource B.1.2.b base and methodology for evaluation of available courses and educational programs in health management cs IC Post single Jul-10 Sep-10 Oct-10 Oct-10 Dec-11 RS-SHPAF-7695YF-CS-IC-10-B.1.3 B.1.3 Local consultant that will be working in CHIS on creation of criteria for health managers performance assessment CS IC Post single Nov-10 Nov-10 Dec-10 Jan-11 Dec-11 RS-SHPAF-7695YF-TR-10-B.1.4 B.1.4 Local and international trainings for B.1 TR n/a n/a n/a Dec-10 Dec-11 Not started RS-SHPAF-7695YF-IOC-10-B.1.5 B.1.5 Operational expenses of CHIS IOC n/a n/a n/a Dec-10 Dec-11 not started Subtotal B.1 Sub-component B.2 - Quality Improvement and Control RS-SHPAF-7695YF-CS-IC-10-B B Consultant for introduction of pharmacoeconomics and its principles in CPGs. CS IC post multi Apr-11 Apr-11 May-11 Jun-11 Nov-11 Not started RS-SHPAF-7695YF-CS-IC-10-B.2.2 B.2.2 Development or revision of 6 CPGs TR Feb-11 Mar-11 Nov-11 Not started Accreditation of participating hospitals that did not RS-SHPAF-7695YF-CS-SSS-10-B.2.3 B.2.3 pass the accreditation process in 2007 (Project is covering only part of the cost). CS SSS Prior 13 Oct-10 n/a n/a Nov-10 Dec-10 procurement in progress RS-DILS-7510YF-CS-IC-09-C.3.2/MoH B.2.4 Local cconsultant for development of clinical pathways (shared with DILS)* CS IC Prior n/a n/a n/a n/a Sep-09 Dec-12 RS-SHPAF-7695YF-TR-10-B.2.8 B.2.8 Workshops and seminars TR Mar-10 n/a n/a Apr-10 Dec-11 Ongoing Workshops for working groups in Health Care Institutions(HCI Feb-10 Apr-10 completed Workshops for working groups in Health Care Institutions may-10 Jun-10 completed Workshops for working groups in Health Care Institutions Sep-10 oct-10 completed Workshops for working groups in Health Care Institutions Nov-10 Nov-10 completed Workshops for working groups for HCIs stage II and III Feb-11 Mar-11 Procurement in progress Workshop "Healthcare Quality and Accreditation in South-East Europe" Mar-11 Mar-11 not started Capacity building for self-assessment in 13 hospitals Mar-11 Sep-11 procurement in progress RS-SHPAF-7695YF-TR-10-B.2.10 B.2.10 Study visits and trainings related to clinical pathways TR multi Oct-10 n/a n/a Dec-10 Dec-11 B.2.10.a Study visit to Slovenia Nov-10 n/a n/a Dec-10 Dec-10 RS-SHPAF-7695YF-IOC-10-B.2.11 B.2.11 Operating costs - component B.2 IOC Feb-10 n/a n/a Feb-10 Dec-11 for the lifetime of the project 3

4 award RS-DILS-7510YF-CS-IC-09- B.2.12 C.2.5.1/MOH Administrative Assistant for Component C of DILS CS Prior single n/a n/a n/a Aug-09 Dec-11 Subtotal B.2 B.2.13 Access to Cochrane Collaboration database G Post single Mar-11 Mar-11 B.2.14 Software for implementation of CPGs G Post single Aug-11 Sep-11 Nov-11 4

5 award Sub-component B.3 - Implementation of the New Reporting System RS-SHPAF-7695YF-G-DC-10-B.3.1 B.3.1 Purchase of license for DRG system G DC Prior single Sep-10 n/a n/a Mar-11 Mar-11 procurement in progress RS-SHPAF-7695YF-G-LIB-10-B.3.2 B.3.2 Purchase of grouper software G Sh Prior single Mar-11 Apr-11 Apr-11 May-11 May-11 Procurement in progress RS-SHPAF-7695YF-G-SH-10-B.3.4 B.3.4 E-Book participating hospitals and HIF G Sh Post single Mar-11 Apr-11 Apr-11 May-11 May-11 Procurement in progress Training for quality reporting in participating hospitals, RS-SHPAF-7695YF-TR-10-B.3.5 B.3.5 and usage of new, available information in every day work of hospital. TR RS-SHPAF-7695YF-TR-10-B.3.5.a B.3.5.a Training for trainers in AR-DRG system TR Aug-10 Apr-11 Apr-11 procurement in progress RS-SHPAF-7695YF-TR-10-B.3.5.b B.3.5.b B.3.5.c RS-SHPAF-7695YF-CS-IC-10-B.3.7 B.3.7 Subtotal B.3 B.3.8 B.3.8.a B.3.8.b B.3.9 B.3.10 Sub-component B.4 - Internal Monitoring and Evaluation of Hospital Work Subtotal B.4 Total Component II B.4.3 Training of participating hospitals staff in new reporting system Training for chief doctors and nurses about new classification of health interventions in acute healthcare Manager responsible for project activities on introduction and institutionalization of new reporting mechanism (DRG based) of the inpatient healthcare institutions, and performance analysis of those institutions. Support to data gathering, monitoring and improving quality of data Local consultant for analysis and improvement of data flow in hospitals Local consultant for improvement of data quality monitoring in hospitals Consultant for development of methodology for HIF quality audit of reported hospital data Development of common Serbian terminology related to DRG Unallocated for DRG Analysis of DRG system implementation impact to delivery, access and equity of healthcare Component III: Monitoring, Evaluation and Communication in MoH & HIF Sub-component C.1 - Institutionalization of Reporting According to DRG System TR Oct-10 May-11 Jun-11 Procurement in progress TR Nov-10 Apr-11 May-11 Procurement in progress CS IC Prior single Feb-10 Mar-10 May-10 Dec-11 CS IC Post 2 CS IC Post single Feb-11 Feb-11 Mar-11 Apr-11 Dec-11 not started CS IC Post single Feb-11 Feb-11 Mar-11 Apr-11 Jul-11 procurement in progress CS IC Post single Mar-11 Apr-11 May-11 Jun-11 Sep-11 not started CS IC Post single Mar-11 Apr-11 May-11 Jun-11 Nov-11 not started CS IC Prior single Feb-11 Mar-11 Apr-11 May-11 Dec-11 Not started RS-SHPAF-7695YF-CS-IC-10-C.1.1 C.1.1 International consultant for legal framework analysis. CS IC Prior single Feb-10 Mar-10 Apr-10 Apr-10 Jun-11 RS-DILS-7510YF-CS-IC C.1.3 Website (co paymanet with DILS) G SH Post n/a n/a n/a Nov-09 Dec-12 RS-SHPAF-7695YF-CS-FB-10-C.1.4 C.1.4 Operational cost for printing, publishing etc... IOC Dec-10 Dec-11 RS-SHPAF-7695YF-CS-IC-10-C.1.5 C.1.5 Local Assistant for legal framework analysis (new Medical Records Law) CS IC Post single Feb-11 Feb-11 Mar-11 Apr-11 Dec-11 not started Subtotal C.1 Unallocated for Sub-component C.1 Sub-component C.2 - Providers Performance Analysis 5

6 award RS-SHPAF-7695YF-CS-IC-10-C.2.1 C.2.1 RS-SHPAF-7695YF-TR-10-C.2.2 C.2.2 Local consultants for real-time support to hospitals regarding new reporting system Training and specialization of stakeholders regarding DRG based reporting and payment system. CS IC Prior 2 Mar-11 May-11 Jun-11 Jul-10 Dec-11 Not started TR n/a n/a n/a Oct-10 Dec-11 C.2.2.a Study visit to Ireland - regarding AR-DRG implementation TR Mar-11 n/a n/a Apr-11 May-11 Not started C.2.2.b PCSI International Case-mix winter school " CaseMix-Based Financing of Healthcare" TR Oct-10 n/a n/a Jan-11 Jan-11 Completed Equiping the offices within HIF for formation of a RS-SHPAF-7695YF-G-SH-10-C.2.3 C.2.3 Center for support to hospitals for new reporting system. G Sh Post single Mar-11 Mar-11 Mar-11 Apr-11 May-11 Not started International consultant for analysis of the possibilities RS-SHPAF-7695YF-CS-IC-11-C.2.4 C.2.4 of setting appropriate system of referrals from primary to higher levels of care in a new provider payment system setting. CS IC Post single Mar-11 Apr-11 May-11 Jun-11 Oct-11 Not started RS-SHPAF-7695YF-TR-11-C.2.5 C.2.5 Training of professionals in MoH, IPH TR n/a n/a n/a Feb-11 Dec-11 IPH-PCSI Casemix Classification Summer School, June 14th-18th, Evora, Portugal Jun-10 Completed Subtotal C.2 6

7 award Sub-component C.3 - Analysis and Health Policy Setting RS-SHPAF-7695YF-CS-IC-10-C.3.1 C.3.1 Local Consultants (HTA Capacity building) CS IC Post 2 Oct-10 Oct-10 Dec-10 Jan-11 Dec-11 Local consultant for harmonization of medical C equipment nomenclature and supervising medical equipoment inventory CS IC Post single Feb-11 Mar-11 Mar-11 Apr-11 Nov-11 not started Inclusion of health technology assessment (HTA) and RS-SHPAF-7695YF-CS-IC-10-C.3.2 C.3.2 CPGs in decision-making, including inventory of medical equipment and priority decision-making process CS QCBS Prior Single Nov-10 Feb-11 Apr-11 Apr-11 Oct-11 procurement in progress RS-SHPAF-7695YF-TR-10-C.3.3 C.3.3 Development and capacity building for decisionmaking process based on the principles of HTA TR Oct-10 n/a n/a Aug-11 Nov-11 C.3.3.a Academic specialization TR Oct-10 Mar-11 Oct-11 procurement in progress Study tour related to quality indicators and quality C.3.3.b TR Mar-11 May-11 May-11 not started improvement SAM-SHP-3768YF-IC-050-B5-CS-09 C.3.4 Support to the expert bodies on the national level CS IC Post single Sep-09 Sep-09 Oct-09 Jan-10 Dec-11 RS-DILS-7510YF-CS-IC-09- C.2.2.a/MoH* C.3.5 RS-SHPAF-3695YF-TR-10-C.3.6 C.3.6 Consultancy on Global Strategy for Improvement of Patients Rights Protection and Quality of Health Care Services Training related to conducting survey on Hospital Infections CS IC Post n/a n/a n/a n/a Jan-10 Dec-11 TR Aug-10 Sep-10 Apr-11 Ongoing RS-SHPAF-3695YF-TR-10-C.3.7 C.3.7 Training related to conducting survey on Patient Safety TR Feb-11 Apr-11 Sep-11 Not started Subtotal C.3 Total Component III Component IV: Project Management C.3.8 Part of the costs that are not covered by DILS + Operational costs Trainings for implementation of Integrated Plan of Quality Improvement TR 14 Feb-11 Mar-11 Apr-11 Not started RS-DILS-7510YF-CS-IC /MoH* D.1.1 Component A Coordinator and SHP AF* CS Prior n/a n/a n/a n/a Sep-09 Dec-12 RS-SHPAF-7695YF-CS-IC-10-D.1.2 D.1.2 Administrative Assistance for SHPAF CS Post single May-10 May-10 Jun-10 Aug-10 Dec-11 RS-DILS-7510YF-CS-IC /MoH* D.1.3 ICT Unit Coordinator CS Prior n/a n/a n/a n/a Sep-09 Dec-12 RS-DILS-7510YF-CS-IC /MoH D.1.4 Project Component Coordinator Quality Assurance CS Prior n/a n/a n/a n/a Sep-09 Dec-12 RS-SHPAF-7695YF-TR-10-D.1.5 D.1.5 Workshops, seminars and conferences for SHPAF TR Feb-10 Dec-11 Luxemburg TR n/a n/a n/a n/a Mar-10 completed Meeting with hospital directors TR n/a n/a n/a n/a Feb-10 completed Barcelona TR n/a n/a n/a n/a Mar-10 completed Hospital Infections, Paris July TR Jul-10 completed 7

8 award Barceona EuroDRG Oct 2010 TR Oct-10 completed ISPOR Prague TR Nov-10 completed International symposium EBHC CEESTAHC-Krakow TR Nov-10 completed RS-SHPAF-7695YF-IOC-10-D.1.6 D.1.6 Operational Costs IOC Feb-10 Dec-11 during the lifetime of the project RS-DILS-7510YF-G-SH b D.1.7 Vehicle Prior n/a n/a n/a Mar-10 May-10 RS-DILS-7510YF-IOC-09/FSU- D.1.8 ITQ/03/09 Office furnituire post n/a n/a n/a Feb-10 Mar-10 RS-DILS-7510YF-G-SH a D.1.9 Office IT equipment prior n/a n/a n/a Mar-10 May-10 D.1.11 Funds for Impact Evaluation RS-SHPAF-7695YF-CS-LCS-10-D.1.12 D.1.12 Financial Audit of the SHPAF Project LCS Prior Nov-10 Dec-10 Dec-10 Dec-10 Dec-11 procurement in progress D.2 FSU Staff CS Prior 8 Sep-10 Dec-11 RS-DILS-7510YF-CS-SSS /FSU RS-DILS-7510YF-CS-SSS /FSU RS-DILS-7510YF-CS-SSS /FSU RS-DILS-7510YF-CS-SSS /FSU RS-DILS-7510YF-CS-SSS /FSU RS-DILS-7510YF-CS-IC /FSU FSU Coordinator Financial specialist Grant Administrator Assistant FM Assistant PM Office manager / translator CS SSS Prior Single Feb-09 n/a n/a May-09 Dec-11 CS SSS Prior Single Feb-09 n/a n/a May-09 Dec-11 CS SSS Prior Single Feb-09 n/a n/a May-09 Dec-11 CS SSS Prior Single Feb-09 n/a n/a May-09 Dec-11 CS SSS Prior Single Feb-09 n/a n/a May-09 Dec-11 CS IC Prior Single Apr-09 n/a n/a May-09 Dec-11 D.2.a Financial specialist assistant for FSU CS IC single Aug-10 Sep-10 Sep-10 Sep-10 Dec-11 Total Component IV TOTAL ALL COMPONENTS D.3 Translator/interpreter for SHPAF and DILS projects CS Unallocated IC Single Feb-11 Feb-11 Feb-11 Mar-11 Dec-11 Procurement in progress * consultant was selected and contracted from DILS, to be co financed from SHPAF for 23 months 8

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