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The New Contract with the Health Centers

The New Contract with the Health Centers. 1. The new contracting system 2. Autonomy of HC 3. How to finance services 4. The services to be delivered 5. Next steps. Dr. Flora Hobdari. Single purchaser Decision of 16.12.2005 by CoM.

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The New Contract with the Health Centers

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  1. The New Contract with the Health Centers 1. The new contracting system 2. Autonomy of HC 3. How to finance services 4. The services to be delivered 5. Next steps Dr. Flora Hobdari

  2. Single purchaser Decision of 16.12.2005 by CoM Single source financing: HII as the sole pooler and financer of PHC services - (improving transparency, accountability and better use of scarce resources) More performance contracting: (to bust productivity, efficiency, quality and demand) Autonomy of providers: (better quality, more target health care, transparency and accountability)

  3. Where are we now? – More history December 2005: Decision by COM January 2006: The Working Group elaborated the new draft Contract and the Common Regulation January – April 2006: Two Technical Teams (legal and financing) scrutinized the drafts April 26th 2006: Approval of the Contract and the Common Regulation by the Work Group– final draft

  4. The new contract system Today: HII, Communes, MOH Staff Contr./pay Future: HII HC Staff Contract Contract

  5. The functions related to the HC

  6. The functions related to the HC

  7. The functions related to the HC

  8. The new payment system HII - HC • Fixed payment – 85% • 2) Performance – 10% • 3) Bonus – 5%

  9. How the services are defined in the Contract and the Regulation • The list of Services – the Annex : • Based on: • Existing knowledge/skills • Equipment that will be provided during 2007 • The wish increasingly to provide FM services But not enough: no costing, no need assessment

  10. Where we are/Next steps • Draft Contract and Regulation • Discuss Contract and Regulation • 3. Decision on Contract and Regulation • 4. Elaborate employee contract (HC –Staff) • 5. Elaborate associated guidelines etc. • 6. Negotiate and conclude contract • 7. Start of implementation in Berat and Lezhe per January 1st 2007 • 8. Monitor the implementation

  11. Thank you

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