MINISTRY OF HEALTH SERBIA HEALTH PROJECT - 2 (SHP - 2) Prior/Post review No of packages. Doc. Preparation. Proc. Method. Type

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1 re Authorized Component I: Information Technology Sub-component A.1 - Initial Steps on Implementation of IT Strategy in Health and Introduction of Supervisory Body for Health IT with MoH MINISTRY OF HEALTH Capacity building for organization of IT service, Seal 2010 and A.1.1 CQ-10-A.1.1 ISO sertification. CS CQ Prior single Oct-10 Feb-11 Mar-11 May-11 v-11 Contracted/ongoing Local consultants doing the work of IT Agency. Consultants for A.1.2 software compatibility assessment and hardware technical 10-A.1.2 specification preparation. CS IC A.1.2.a D f-1/MoH IT Field coordinator 1 Goran Videnovi CS IC Post 1 May-09 Jun-10 Jun-10 Jun-10 Dec-12 Contracted/ongoing copayment with DILS 09- A.1.2.b D f-2/MoH IT Field coordinator 2 Dušan Velisavljev CS IC Post 1 May-10 Jun-10 Jun-10 Jun-10 Dec-12 Contracted/ongoing copayment with DILS 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 Contracted/ongoing 10- A.1.2.d A.1.2.d ICT UNIT ADMINISTRATIVE ASSISTANT CS IC 1 Jul-10 Jul-10 Aug-10 Sep-10 Dec-11 Contracted/ongoing 10- Expert commission for assessment of software compliance with A.1.2.e A.1.2.e MOH standards (1 leading expert + 2 experts) CS IC Prior 3 Sep-10 Oct-10 Oct-10 v-10 Dec-11 Contracted/ongoing Training of HCI staff related to IT Strategy in Health. International A.1.3 A.1.3 study visits. TR multi Jun-10 Dec-11 A.1.3.a EuroRec Tallin June 2010 Prior Jun-10 Jun-10 completed A.1.3.b A.1.3.b EuroRec Sofia Dec-10 Dec-10 Completed A.1.3.c A.1.3.c Trainings for component I according to training plan Post Ongoing SEE e-health Conf Feb-11 Feb-11 Feb-11 completed ISO training Mar-11 Mar-11 Mar-11 completed WOHIT 2011 Apr-11 May-11 May-11 completed Subtotal A.1 Sub-component A.2 - Establishing IT Network among Healthcare Institutions in Serbia ICB-10-A.2.1 CQ-10-A.2.2 Subtotal A.2 ICB-10-A A.2.1 WAN installations and networking of all healthcare institutions G 1st ICB Prior single Dec-10 Jan-11 Mar-11 Jun-11 v-11 Procurement in progress A.2.2 WAN monitoring CS CQ Prior single Feb-11 Mar-11 Apr-11 May-11 Dec-11 procurement in progress Sub-component A.3 - Improvement of Hospital Softwares and Equipment Purchase for Hospitals A ICB- A A ICB-10-A.3.2 A.3.2 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. (LOT1 and LOT2) Purchasing of IT hardware and establishment of IT network in G 1st ICB prior single Feb-11 Apr-11 Jun-11 Jul-11 v-11 procurement in progress G 1st ICB prior single May-11 May-11 Jul-11 Sep-11 v-11 Procurement in progress G 1st ICB prior 2 Feb-11 Feb-11 Apr-11 Jun-11 v-11 procurement in progress G 1st ICB prior single Jul-10 Oct-10 Dec-10 Feb-11 Sep-11 Contracted/ongoing Ammandment on the contract planned. A.3.4 IT equipment - servers (cofinancing with DILS) G Apr-11 v-11 Tender conducted under DILS. Contract signed, Contracted/ongoing implementation in progress. Ammandment planned 75k. CQ- A A.3.5 Digital archiving of hospital paper documentation CS CQ Prior single May-11 Jun-11 Jun-11 Jul-11 v-11 not started A A.3.6 Support and monitoring of HIS implementation CS IC Post 3 May-11 Jun-11 Jun-11 Jul-11 Dec-11 not started Local consultant for analysis and harmonization of the existing A A.3.7 softwares that are not removed by introduction of HIS CS IC Post single May-11 Jun-11 Jun-11 Jul-11 Dec-11 not started Training of Radiology and other hospital departments for operating A.3.8 A.3.8 RIS TR single Jul-11 n/a n/a Sep-11 v-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 CQ-11-A A A.4.2 A Support for implementation of CIS and further improvement CS CQ Prior single Apr-11 May-11 Jun-11 Jul-11 Dec-11 Procurement in progress Local consultant for institutionalization and utilization improvement of CIS CS IC post single Aug-10 Oct-10 Oct-10 v-10 Dec-11 Contracted/ongoing A.4.3 IT Specialist for migration of regional databases CS IC Post 1 Feb-11 Mar-11 May-11 Jun-11 v-11 procurement in progress 10-A.4.3 Subtotal A.4 Total Component I Component II: Hospital Management and Quality Improvement Sub-component B.1 - Institutionalization of Health Management 11-B.1.1 B B B.1.2.a 10-B.1.2.b B.1.1 International consultant that will assist CHIS in new operations. CS IC Prior single Jun-11 Jun-11 Jul-11 Aug-11 Dec-11 not started B.1.2.a Local consultants that will be working in CHIS on creation of database and evaluation of available courses in health management. Assessment of financial management of investments and debts in participating Consultant to support CHIS in development of resource base and B.1.2.b methodology for evaluation of available courses and educational programs in health management CS IC 2 May-10 Dec-11 cs IC Prior single Mar-10 Apr-10 Apr-10 May-10 v-10 contracted/ongoing cs IC Post single Jul-10 Sep-10 Oct-10 Oct-10 Dec-11 contracted/ongoing Local consultant that will be working in CHIS on creation of B B.1.3 criteria for health managers performance assessment CS IC Prior single v-10 v-10 Dec-10 Jan-11 Dec-11 Contracted/ongoing B.1.4 B.1.4 Local and international trainings for B.1 TR multi n/a n/a n/a Dec-10 Dec-11 Ongoing Conference "Leaders in Healthcare" Apr-11 May-11 May-11 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 B.1.6 Video conferencing system for CHIS G May-11 Jun-11 Jul-11 Aug-11 Aug-11 not started Subtotal B.1 Sub-component B.2 - Quality Improvement and Control Workshop for introduction of pharmacoeconomics and its principles B B in CPGs TR single Jun-11 Oct-11 Oct-11 t started B.2.2 B.2.2 Training for implementation of CPGs TR Prior single Apr-11 May-11 v-11 procurement in progress SSS-10-B C.3.2/MoH B.2.8 B C.2.5.1/MOH B.2.3 B.2.4 Accreditation of participating that did not pass the accreditation process in 2007 (Project is covering only part of the cost). Local cconsultant for development of clinical pathways (shared with DILS)* CS SSS Prior 13 Oct-10 n/a n/a May-11 Dec-11 procurement in progress Consultant contracted for six months. Subject to satisfactory performance contract will be prolonged till the end of the project i.e. for additional 7 months. Ongoing, Copayment with DILS, procurement process CS IC Prior n/a n/a n/a n/a Sep-09 Dec-12 Contracted/ongoing conducted B.2.8 Workshops and seminars TR multi Mar-10 n/a n/a Apr-10 Dec-11 Ongoing Workshops for working groups in Health Care Institutions(HCI Prior Feb-10 Apr-10 completed Workshops for working groups in Health Care Institutions(HCI May-10 Jun-10 completed Workshops for working groups in Health Care Institutions(HCI Sep-10 Oct-10 completed Workshops for working groups in Health care Institutions (HCI) vemner 2010 v-10 v-10 completed Workshops for working groups for HCIs stage II and III Feb-11 May-11 ongoing Workshop "Healthcare Quality and Accreditation in South-East Europe" Mar-11 Mar-11 completed Capacity building for self-assessment in 13 Mar-11 Sep-11 ongoing Conference "Pharmacoeconomics in practice" May-11 May-11 ongoing B.2.10 Study visits and trainings related to clinical pathways TR multi Oct-10 n/a n/a Dec-10 Dec-11 ongoing B.2.10.a Study visit to Slovenia v-10 n/a n/a Dec-10 Dec-10 completed Training workshop for healthcare inspection staff regarding clinical pathways Jan-11 Jan-11 Jan-11 completed Study tour to Hungary Apr-11 Apr-11 Apr-11 completed Assistant works for SHPAF as well. Copayment with B.2.12 Administrative Assistant for Component C of DILS CS Prior single n/a n/a n/a Aug-09 Dec-11 contracted/ongoing DILS, procurement process conducted through DILS project,this is SHPAF portion B.2.13 Access to Cochrane Collaboration database G Sh Post single May-11 Jun-11 Jun-11 Jul-11 Jul-11 2

3 ICB- B B.2.15 Medical equipment for participating to support accreditation G ICB Prior single Jun-11 Jul-11 Aug-11 Sep-11 v-11 not started Subtotal B.2 Sub-component B.3 - Implementation of the New Reporting System DC- B B.3.1 Purchase of license for DRG system G DC Prior single Sep-10 n/a n/a Mar-11 Mar-11 completed B B.3.2 Purchase of grouper software G Sh Prior single Mar-11 Apr-11 Apr-11 May-11 May-11 Procurement in progress B B.3.4 E-Book participating 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, and usage of B.3.5 B.3.5 new, available information in every day work of hospital. TR 3 B.3.5.a B.3.5.a Trainings for trainers in AR-DRG system TR 2 Aug-10 Apr-11 Jun-11 ongoing TOR sent to the Bank for NO B.3.5.b Training of participating staff in new reporting system TR Oct-10 May-11 Jun-11 Procurement in progress B.3.5.b Budget to be resent to the Bank Training for chief doctors and nurses about new classification of B.3.5.c B.3.5.c health interventions in acute healthcare TR 4 v-10 Apr-11 May-11 ongoing Manager responsible for project activities on introduction and institutionalization of new reporting mechanism (DRG based) of B B.3.7 the inpatient healthcare institutions, and performance analysis of those institutions. CS IC Prior single Feb-10 Mar-10 May-10 Dec-11 Contracted/ongoing B.3.8 Support to data gathering, monitoring and improving quality of data CS IC 2 Local consultant for analysis and improvement of data flow in B.3.8.a 11-B.3.8.a CS IC Post 1 Apr-11 May-11 May-11 Jun-11 Dec-11 procurement in progress Local consultant for improvement of data quality monitoring in B.3.8.b 11-B.3.8.b CS IC Post 1 Feb-11 Feb-11 Mar-11 Apr-11 Jul-11 contracted/ongoing B B.3.10 Development of common Serbian terminology related to DRG CS IC Post single Mar-11 Apr-11 May-11 Jun-11 v-11 not started Local consultants to support HIF in changing electronic invoicing B B.3.11 system CS IC Post 2 May-11 May-11 Jun-11 Jul-11 Dec-11 not started B B.3.12 Local consultants to produce local version of DRG grouper software CS IC Post 2 May-11 May-11 Jun-11 Jul-11 Dec-11 not started Assistant for organization of trainings in, to assist SHPAF B B.3.13 and HIF. CS IC Post single May-11 May-11 Jun-11 Jul-11 Dec-11 not started Local consultants to assist IPH in developing workplan for HCIs for B B according to new reporting requirements CS IC Prior 10 May-11 Jun-11 Jun-11 Jul-11 Dec-11 not started Subtotal B.3 Sub-component B.4 - Internal Monitoring and Evaluation of Hospital Work B.4.3 Training for monitoring staff in HIF regarding new reporting system TR single Jun-11 Jul-11 Jul-11 t started Subtotal B.4 Total Component II Component III: Monitoring, Evaluation and Communication in MoH & HIF Sub-component C.1 - Institutionalization of Reporting According to DRG System C.1.1 International consultant for legal framework analysis. CS IC Prior Feb-10 Mar-10 Apr-10 Apr-10 Jun-11 Contracted/ongoing 10-C.1.1 C.1.3 Website (co payment with DILS) G SH Post n/a n/a n/a v-09 Dec-12 contracted/ongoing C.1.4 Operational cost for printing, publishing etc... G Sh Post multi Dec-10 Dec C.1.4 Local Assistant for legal framework analysis (new Medical Records C.1.5 CS IC Post multi Jun-11 Jun-11 Jul-11 Aug-11 Dec-11 not started 11-C.1.5 Law) C.1.6 IT equipment for IPH Planning Department G Sh Post multi May-11 Jun-11 Jun-11 Jul-11 Dec-11 not started 11-C.1.6 Subtotal C.1 Sub-component C.2 - Providers Performance Analysis 3

4 Local consultants to work in HIF on introduction of DRG (HIF DRG C C.2.1 unit). 8 junior and 2 senior consultants. CS IC Post 10 Apr-11 May-11 May-11 Jun-11 Dec-11 procurement in progress Training and specialization of stakeholders regarding DRG based C.2.2 C.2.2 reporting and payment system. TR multi n/a n/a n/a Oct-10 Dec-11 C.2.2.a C.2.2.a Study visits regarding AR-DRG implementation TR Jun-11 n/a n/a Oct-11 v-11 t started PCSI International Case-mix winter school " CaseMix-Based C.2.2.b C.2.2.b Financing of Healthcare" TR Oct-10 n/a n/a Jan-11 Jan-11 Completed C C.2.3 Equipping the offices within HIF for formation of a HIF DRG Unit G Sh 3 C.2.3.a Furniture for HIF DRG Unit G Sh Post May-11 May-11 Jun-11 Jun-11 Aug-11 not started C.2.3.b IT and other office equipment for HIF DRG Unit G Sh Post May-11 May-11 Jun-11 Jun-11 Sep-11 not started C.2.3.c Vehicles for HIF DRG Unit G Sh Prior May-11 Jun-11 Jun-11 Jul-11 Sep-11 not started 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 Jun-10 Completed Training related to changes in Workplan of HCIs for 2012 May-11 Jul-11 Jul-11 RS-SHPAF-7695YF-IOC-11- C.2.6 C.2.6 Operating expenses for HIF DRG Unit IOC Jun-11 Dec-11 not started Subtotal C.2 Sub-component C.3 - Analysis and Health Policy Setting C C.3.1 Local Consultants (HTA Capacity building) CS IC Post 2 C.3.1.a Local Consultant for HTA Capacity Building CS IC Post single Oct-10 Oct-10 Dec-10 Jan-11 Dec-11 contracted/ongoing C.3.1.b Local Consultant for HTA Capacity Building CS IC Post single Oct-10 Oct-10 Dec-10 Jan-11 Dec-11 contracted/ongoing C RS-SHPAF-7695YF-QCBS- C C.3.2 C.3.3 C.3.3 SAM-SHP-3768YF-IC-050- B5-CS-09 C C.2.2.a/MoH* C.3.6 C.3.7 C.3.8 C.3.9 C.3.10 C.3.10 C.3.11 C.3.11 Subtotal C.3 Total Component III Component IV: Project Management Local consultant for harmonization of medical equipment nomenclature and supervising medical equipoment inventory Inclusion of health technology assessment (HTA) and CPGs in decision-making, including inventory of medical equipment and priority decision-making process Development and capacity building for decision-making process based on the principles of HTA CS IC multi Feb-11 Mar-11 Mar-11 Apr-11 Dec-11 contracted/ongoing CS QCBS Prior Single v-10 Feb-11 May-11 Jun-11 v-11 procurement in progress TR multi Oct-10 n/a n/a Aug-11 v-11 C.3.3.a Academic specialization TR Oct-10 Mar-11 Oct-11 ongoing C.3.3.b Study tour related to quality indicators and quality improvement TR May-11 Jun-11 Jun-11 procurement in progress Berlin HTA conference Mar-11 Mar-11 completed Copayment with SHP 3768YF, procurement process 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 contracted/ongoing conducted through SHP project,this is SHPAF portion Consultancy on Global Strategy for Improvement of Patients Rights Protection and Quality of Health Care Services CS IC Post n/a n/a n/a n/a Jan-10 Dec-11 contracted/ongoing C.3.6 Training related to conducting survey on Hospital Infections TR Aug-10 Sep-10 Sep-11 Ongoing C.3.7 Training related to conducting survey on Patient Safety TR May-11 Jul-11 Sep-11 t started Trainings for implementation of Integrated Plan of Quality Improvement Analysis and proposal of changes of legal framework for changing of the accounting system in HCIs New equipment nomenclature codes purchasing with terminology and information Bar code labels for medical equipment inventory Part of the costs that are not covered by DILS + Operational costs TR 14 Feb-11 Mar-11 Apr-11 Completed CS CQ Prior single Jun-11 Jul-11 Aug-11 Sep-11 v-11 not started G Sh Jun-11 Jul-11 v-11 not started G Sh Jun-11 Jul-11 v-11 not started 4

5 09-013/MoH* D.1.1 Component A Coordinator and SHP AF* CS prior n/a n/a n/a n/a Sep-09 Dec-12 contracted/ongoing D.1.2 Administrative Assistance for SHPAF CS post single May-10 May-10 Jun-10 Aug-10 Dec-11 contracted/ongoing 10-D /MoH* D.1.3 ICT Unit Coordinator CS prior n/a n/a n/a n/a Sep-09 Dec-12 contracted/ongoing D.1.4 Project Component Coordinator Quality Assurance CS prior n/a n/a n/a n/a Sep-09 Dec-12 contracted/ongoing /MoH D.1.5 D.1.5 Workshops, seminars and conferences for SHPAF TR multi Feb-10 Dec-11 Luxemburg n/a n/a n/a n/a Mar-10 completed Meeting with hospital directors n/a n/a n/a n/a Feb-10 completed Barcelona n/a n/a n/a n/a Mar-10 completed Hospital Infections, Paris July Jul-10 completed Barceona EuroDRG Oct 2010 Oct-10 completed ISPOR Prague v-10 completed International symposium EBHC CEESTAHC-Krakow v-10 completed LIsabon completed RS-SHPAF-7695YF-IOC-10- during the lifetime of the D.1.6 Operational Costs IOC Feb-10 Dec-11 D.1.6 project RS-DILS-7510YF-G-SH-09- D.1.7 Vehicle prior n/a n/a n/a Mar-10 May-10 contracted/ongoing 023.b RS-DILS-7510YF-IOC- D.1.8 Office furniture post n/a n/a n/a Feb-10 Mar-10 contracted/ongoing 09/FSU-ITQ/03/09 RS-DILS-7510YF-G-SH-09- D.1.9 Office IT equipment prior n/a n/a n/a Mar-10 May-10 contracted/ongoing 023.a LCS-10-D.1.12 D.1.12 Financial Audit of the SHPAF Project LCS Prior v-10 Dec-10 Dec-10 Dec-10 Dec-11 contracted/ongoing D.2 FSU Staff CS Prior 8 Sep-10 Dec /FSU FSU Coordinator /FSU Financial specialist /FSU Grant Administrator /FSU Assistant FM /FSU Procurement Specialist /FSU Office manager / translator RS-SHPAF-7695YF-IC-11- D.2.a D.2.a Financial specialist assistant for FSU RS-SHPAF-7695YF-IC-11- D.3 D.3 Translator/interpreter for SHPAF and DILS projects CS CS IC Prior Single Apr-09 n/a n/a May-09 Dec-11 contracted/ongoing CS IC Post single Aug-10 Sep-10 Sep-10 Sep-10 Dec-11 contracted/ongoing IC Post Single Feb-11 Feb-11 Feb-11 Mar-11 Dec-11 Procurement in progress Total Component IV TOTAL ALL COMPONENTS D.4 Van for SHPAF project G Post Single May-11 Jun-11 Jul-11 Aug-11 Aug-11 not started 5