For effective implementation of health reform in Ukraine it is necessary to standardize state tariffs for medical services procured by public funds (DECLARATION of participants, Yalta Conference, September, 23-25, 2005)

Study Tour in Romania

June 26 - July 3, 2005

TRAINING AGENDA

Day 1
  Pick-up at airport/bus station
Contact:
Telephone #:
Check in at hotel
Opening Dinner/Orientation (Reception of the participants)
Day 2
9,00-11,00 Topic of session #1 - Introduction of Social Health Insurance System in Romania
Presentation of the trainees and the training plan;
The two countries health care systems reform would be presented in a comparative way. Short presentation of main elements of health care reform - the changing from the state salaries to a reimbursement based on contracted services. The role of the main actors in the health care system will be underlined by the benefits of such a health insurance system.

Venue: National Health Insurance House - Conference Room
Presenters: PROF.DR.CRISTIAN VLADESCU - PRESIDENT OF NATIONAL HEALTH INSURANCE HOUSE
11,30-13,30 Topic of session #2 - Site visit to National Health Insurance House
Short presentation of main functions and responsibilities of Contracting, Accreditation and Informatics Departments.

Venue: National Health Insurance House
Presenters: PROF.DR.CRISTIAN VLADESCU - PRESIDENT OF NATIONAL HEALTH INSURANCE HOUSE, AND REPRESENTATIVES OF EACH DEPARTMENT
14,00-15,00 Lunch Break
15,30-17,30 Topic of session #3 - site visit at the Ministry of Health
Tasks and responsibility of the Ministry of health and District Health autorities in the Health insurance system
The autonomy of the health providers

Venue: Ministry of Health - Council Room
Presenters:
PROF.DR. MIRCEA CINTEZA - MINISTRY OF HEALTH
DR. ALIN STANESCU - CONCELER OF MINISTRY OF HEALTH
DR.STEFAN BARTHA - CONSULAR OF MINISTRY OF HEALTH
17,30-18,00 Debrief of the day
19,00 Dinner
Venue: Bucharest
Day 3
9,00-11,00 Travel to a district (Arges or Brasov)
11,30-13,30 Topic of session #1 - site visit to a District Health Insurance House (Arges or Brasov)
Visit to Budget, contract, medical, accreditation departments
Presentation of Health financial planning; reimbursement mechanisms; package and volume of services contracting; monitoring and control of contracts;

Venue: Pitesti or Brasov
Presenters: REPRESENTATIVES OF EACH VISITED DEPARTMENT
14-15 Lunch Break
15,30-17,30 Topic of session #2 - site visit to a district public health authority (Pitesti or Brasov)
Main tasks and responsibilities
Role of district public health authority in planning of services, financial planning, human resource planning, planning of equipments.

Venue: Pitesti or Brasov
Presenters: REPRESENTATIVES OF EACH VISITED DEPARTMENT
17,30-19,00 Topic of session #3 - site visit to a district hospital (Pitesti or Brasov)
Global budget and hospital management; Contract negotiation;
Reporting System - focus on type of provided services under the contract;
Hospital information system;
Quality parameters for accreditation and quality assurance

Venue: Pitesti or Brasov
Presenters: REPRESENTATIVES OF EACH VISITED DEPARTMENT
20,30 Dinner
Venue: Sinaia
Day 4
9,00-11,00 Topic of session #1 - Health care system reform - transition from tax- based system to an pluralistic social health insurance system
Shift from an integrated, centralized, state owned and controlled tax-based system to a more decentralized and pluralistic social health insurance system, with contractual relationships between health insurance funds as purchasers and health care providers;

Venue: Sinaia
Presenters: DR.SILVIU RADULESCU - HEALTH ADVISER, WORLD BANK ROMANIA
11,30-13,30 Topic of session #2 - Financial Planning of a Health Care System in transition.
The experience from pilot projects; the budget planning process for main sectors of health care provision; new criteria of financial resources allocation and the changes implemented in the transition period.

Venue: Sinaia
Presenters: EC. EUGENIA ERHAN - DIRECTOR OF BUDGET DIRECTORATE, MINISTRY OF HEALTH
14-15 Lunch Break
15,30-17,30 Topic of session #3 - Legislation framework
Elaboration of important laws concerning the structure and organization of the new Romanian health care system (Social Health Insurance Law, College of Physicians law, Public Health Law and Hospital Law)
Policy issues, interests of main actors, resistance to change and change management.

Venue: Sinaia
Presenters:
DR. VICTOR OLSZAVSKY - HEALTH OFFICER, WHO ROMANIA
DR.STEFAN BARTHA - CONSULAR OF MINISTRY OF HEALTH
17,30-18,00 Debrief of the day
20,30 Dinner
Venue: Sinaia
Day 5
9,00-10,00 Topic of session #1 - Organisation and management of social health insurance network; parallel health sectors and their insurance houses.
Statute of national and district health insurance houses; particularities of parallel insurance houses; framework contract; adapting a provisional benefits package to available resource levels - defining the package of services to be purchased; management and decision making process in social health insurance network.

Venue: Sinaia
Presenters:
EC.GABRIELA ION - PRESIDENT OF TRANSPORTATION HEALTH INSURANCE HOUSE
DR. VICTOR OLSZAVSKY - HEALTH OFFICER, WHO ROMANIA
10,30-13,30 Topic of session #2 - Management information system, reports and monitoring
The aim of this session is to present the main data collected in electronic format; information flow; reporting system; control and monitoring of contracted services;

Venue: Sinaia
Presenters:
DR. DANIEL CIUREA - MIS EXPERT, NATIONAL INSTITUTE FOR RESEARCH AND DEVELOPMENT IN HEALTH
14-15 Lunch Break
15,30- 17,30 Topic of session #3 - Main elements of the Romanian contract of health services
The aim of this session is to demonstrate how the contractual parties (medical services providers and DHIF as a financial organization) are negotiating in order to obtain benefits: a high quality level service to the insured people and a higher payment for medical providers. Presentation of different model of contracts and contracting process, lesson learnt from Romanian experience

Venue: Sinaia
Presenters:
EC.GABRIELA ION - PRESIDENT OF TRANSPORTATION HEALTH INSURANCE HOUSE
DR. ALIN STANESCU - CONSULAR OF MINISTRY OF HEALTH
17,30-18,00 Debrief of the day
20,30 Dinner
Venue: Sinaia
Day 6
9,00-11,00 Topic of session #1 - Action Plan workshop
Based on the recommendation for strategic plan, and lessons learnt the participants will develop specific implementation plan for the proposed changes in the Ukrainian health care system.

Venue: Sinaia
Presenters:
Dr.Aurora Dragomiristeanu - GVG expert
Dr. Dana Otilia Farcasanu - president of Center for Health Policy and Services
11,30-13,30 Topic of session #2 - presentation of Action Plans
Venue: Sinaia
Presenters:
Dr.Aurora Dragomiristeanu - GVG expert
Dr. Dana Otilia Farcasanu - president of Center for Health Policy and Services
13,30 -14,00 Topic of session #3 - training evaluation
Venue: Sinaia
Presenters:
14-15 Lunch Break
15,30-19,00 Visit to Peles Castle and/or Bran Castle (Dracula castel)
20,30 Dinner
Venue: Sinaia
Day 7
  Transfer to airport/bus station
Contact:
Telephone #:

Program Personnel

Key trainers:
Prof.Dr. Cristian Vladescu - president of national Health Insurance House
Dr. Silviu Radulescu - health officer, WB Romania
Dr. Victor Olshavsky - health officer, WHO, Romania
Ec. Gabriela Ion - president of Transportation Health Insurance House
Dr. Vasile Cepoi - president of Iasi Health Insurance House
Dr. Alin Stanescu - consular of Ministry of Health
Ec.Eugenia Erhan - deputy director of budget department, Ministry of Health
Dr. Daniel Ciurea - MIS expert, National Institute for Research and Development in Health
Dr.Stefan Bartha - consular of Ministry of Health

Program facilitators:
Dr.Aurora Dragomiristeanu - GVG expert
Dr. Dana Otilia Farcasanu - president of Center for Health Policy and Services

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