A General Overview of Health Transformation Program

1
A General Overview of Health Transformation
Program

• Sabahattin Aydin MD, PhD
• Deputy Undersecretary, Ministry of Health of
  Turkey
• 1 April 2006, Istanbul

2
Components of HTP

• New role of MoH
• Universal health insurance
• Broad, accessable, smiling face health service
• Skilled, motivated human resources
• Academic istutitions for health policy
• Quality and acreditation in health care
• Rational drug and medical device management
• Health information system

3

• Health Transformation Programme is continuing
• Health Reforms
• Ongoing rehabilitation / development

4
Ministry of Health

• MoH
• Hospitals
• 830
• Primary Health Centers
• 6.000
• Human resources
• 300.000
• Financial management
• 7 5 billion YTL

• New role of MoH
• Policy making
• Stewardship

5
Decentralisation

• Autonomous Hospitals
• More qualified health care
• Efficiency
• Familiy Medicine
• More effective primary health care
• Equal and easy access
• Motivated health personnel

6
Administrative decentralisation

• Deconcentration
• Already being done
• Delegation
• Hospital boards ?
• Devolution
• Provincial governments ?

7
Financial policy

• Splitting health financing and provision
• SSK hospital reform (from Smashco model)
• Developing
• reimbursment
• agencies
• and policies

8
Mobilising all sources for health care

• Public hospitals
• Harmonisation
• Outsourcing
• Private hospitals and clinics
• Health care for public agencies
• (SSK limitations for clinics)
• Military Hospitals
• Revolving funds

9
Equal and easy access (equity)

• to health service delivery
• SSK hospital reform
• Released ES limitations (private hospitals)
• Released SSK limitations (public and private
  hospitals)
• Released GC limitations (outpatient facilities)
• to medicines
• SSK free access to pharmacies
• GC free access to pharmacies

10
Universal Coverage

• Harmonisation in reimbursment policy
• Improving GC
• purchasing health care
• purchasing medicines
• Common data warehouse
• health information system
• Universal Health Insurence
• legislation process

11
Human recources

• Motivating, Mobilising, Qualifying
• various forms of employment
• personnel distribution scales
• giving incentives (performance based payment)

12
Quality in Health Care

• Institutional Performance Measurement
• Accessibility to health serices (doktors
  offices)
• Selected 100 criteria from JCI Hospital
  Accreditation criteria
• Regular control for physical infrastructure and
  basic facilities
• Monitoring patient satisfaction

13
Health Information System

• National Health Data Dictionary
• (USVS Ulusal Saglik Veri Sözlügü)
• Health Info Reference Services
• (SBRS Saglik Bilgi Referans Sunucusu)
• Physician data base
• Institutions
• Disease codes (ICD10)
• Causes of death
• Essentialy reported deseases
• Codes od drugs (ATC, Barcode)
• Medical speciality
• Vaccines
• etc
• Minimal Health Data Sets
• (MSVS Minimum Saglik Veri Setleri)
• Electronic Health Records
• (ESK Elektronik Saglik Kaydi)

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Health Information System
- Healthy information - Health management
MVS
MVS
MVS
MVS
15

• Three years ago, it was not as good as today,
• It will be much better from now on.

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Saglik Bilgi Sistemi
- Saglikli bilgi, - Saglikli yönetim
MVS
MVS
MVS
MVS