Investment Planning and Facility Management

The planned result of this component, after practical experimentation, is an improved management model in secondary healthcare based on sustainable hospital infrastructure planning in pilot regions.

The concrete outputs are:

• Investment plans and financial proposals for 3 hospital network restructuring projects
• Recommendations for hospital information system specifications based on the assessment of the present situation
• Recommendations for quality management system in pilot hospitals
• Secondary health care reimbursement model adapted for the use in pilot regions

How will the work be done?

The Project will help to build up capacities and skills for change by providing workshops, seminars, study tours and training for healthcare managers in each pilot region concerning the above mentioned subjects.
Support will be given to practical experimentation of improved new management models and practices for secondary care facilities and implementation of the approved recommendations and changes within the pilot organisations. One of the key recommendations will be Quality Management System development and implementation. Another one will be recommendations on testing the feasibility of new facility management and reimbursement system tools (e.g. DRG, Diagnosis Related Groups). This will be facilitated by new information system specifications for hospital management by:

• Identifying the potential for rationalizing existing medical statistics systems
• Streamlining and improving data collection for medical statistics
• Assisting the design and improvement of health care information systems in secondary care organisations (Medical Record, Telemedicine, Laboratory systems)

Also physical infrastructure planning for investment will be supported by developing scenarios and initiating the implementation of a transition from current to new hospital infrastructures. One option is the analysis of the costs for refurbishment of the main departments for district and regional hospitals.

The planned activities are:

• Developing investment plans and financing proposals for hospital (and network) pilots in pilot regions
• Propose a financially sustainable approach to hospital facility structuring (population/hospital ratio, standard size, equipment and staffing for secondary care) based on epidemiological criteria, assumed workload, cost-considerations and accessibility
• Investment Proposals and Promotion

Particular emphasis will be placed on OECD, IFC and EIB guidelines, rules and instruments.