HSDPF is an academia and private sector led, inter-ministerial, intergovernmental and health development actor knowledge and resource exchange platform. HSDPF fosters development coordination and cooperation in alignment with global and local developmental goals and works to increase participation of the private sector in health systems strengthening as well as the sectors in which social determinants of heath are nested.
Farla Medical, one of the UK's largest supliers of medical technologies, commodities and consumables shared best practices from the UK. Including in infection prevention and control, tooling HRH and improving heath service delivery efficiencies.
This document proposes the establishment of a settlement fund to address claims against the UN for its role in introducing cholera to Haiti. The fund would have two main missions: providing resources to eradicate cholera in Haiti and prevent future disease spread by UN forces. It outlines a framework for disbursing funds through impact investments in Haitian initiatives that further national health goals. Metrics would measure initiatives' impact on increasing access to water, sanitation, and healthcare. Guidelines for future peacekeeping operations aim to prevent disease introduction and recurrence through health monitoring, education and appropriate equipment.
Measuring to Manage Progress toward Universal Health CoverageBen Bellows
This document discusses measuring progress toward universal health coverage using the WHO's "UHC cube" framework of coverage of people, services, and costs. It summarizes that access, financial protection, and equitable access are still limited in many low and middle income countries based on various studies. The document then explores using a wealth index or Progress out of Poverty Index to routinely monitor equity in health program enrollment and compare clients to national distributions as part of measuring progress toward more equitable universal health coverage.
World AIDS Day 2016: Economic evaluation for HIV in South AfricaSydney Rosen
Using economic evaluation to strengthen South Africa’s national HIV program: Boston University’s experience
The document discusses Boston University's experience conducting economic evaluations to inform South Africa's national HIV program. It provides an overview of ten minutes on economic evaluation and types of evaluations. It then discusses the HIV epidemic setting in South Africa, how much HIV treatment costs in the country, examples of cost-effectiveness analyses of HIV interventions in South Africa, estimates of benefits of HIV treatment, and consideration of whether South Africa can afford its HIV treatment goals given constraints. The economic evaluations aim to help South Africa efficiently allocate its constrained healthcare resources for HIV.
Presented by Dr. Nelson Gitonga, Insight Health Advisor, Kenya during Regional AIDS Training Network (RATN) 12th General Council Meeting held in Mombasa, Kenya from 24th - 29th June 2013
The document discusses Rare Disease Day, an initiative to raise awareness of rare diseases. It provides details on the initiative's goals of creating a central website for information, gathering event listings, and encouraging social media engagement. Metrics are given on the success of the website, social media interactions, and traditional media coverage. Challenges of limited time and resources are also noted. The webinar focused on discussing how to sustain momentum from Rare Disease Day, integrate social media with other communications, and encourage more people to take action after learning about rare diseases.
This document summarizes a scan of international best practices in financial counseling for low-income individuals. Key informants in several countries were interviewed about their perspectives on best practices. Four overarching themes of best practices emerged: 1) creating a foundation for behavior change, 2) tailoring programs to specific client populations, 3) adopting client-centered practices, and 4) helping to build a viable financial counseling field. While there is consensus around these themes, more research is still needed to substantiate practices and build an evidence base to guide the evolution of the field. Behavioral economics principles have strongly influenced financial counseling approaches.
Peterborough Social Impact Bond Reduces Reoffending by 8.4%; Investors on Cou...The Rockefeller Foundation
Through a program related investment (PRI), The Rockefeller Foundation supported the Peterborough social impact bond (SIB) pilot aimed at reducing prisoner recidivism—and now, four years later, we can point to tangible success for this new innovative finance mechanism. The first ever SIB project reduced reoffending by 8.4 percent when compared to a control group. While a reduction of 10 percent was needed to trigger immediate repayment to investors, the performance of this first group indicates that investors are on track to receive positive returns in 2016. If the reduction in reoffending remains above 7.5 percent, the Ministry of Justice will make payments to investors.
Farla Medical, one of the UK's largest supliers of medical technologies, commodities and consumables shared best practices from the UK. Including in infection prevention and control, tooling HRH and improving heath service delivery efficiencies.
This document proposes the establishment of a settlement fund to address claims against the UN for its role in introducing cholera to Haiti. The fund would have two main missions: providing resources to eradicate cholera in Haiti and prevent future disease spread by UN forces. It outlines a framework for disbursing funds through impact investments in Haitian initiatives that further national health goals. Metrics would measure initiatives' impact on increasing access to water, sanitation, and healthcare. Guidelines for future peacekeeping operations aim to prevent disease introduction and recurrence through health monitoring, education and appropriate equipment.
Measuring to Manage Progress toward Universal Health CoverageBen Bellows
This document discusses measuring progress toward universal health coverage using the WHO's "UHC cube" framework of coverage of people, services, and costs. It summarizes that access, financial protection, and equitable access are still limited in many low and middle income countries based on various studies. The document then explores using a wealth index or Progress out of Poverty Index to routinely monitor equity in health program enrollment and compare clients to national distributions as part of measuring progress toward more equitable universal health coverage.
World AIDS Day 2016: Economic evaluation for HIV in South AfricaSydney Rosen
Using economic evaluation to strengthen South Africa’s national HIV program: Boston University’s experience
The document discusses Boston University's experience conducting economic evaluations to inform South Africa's national HIV program. It provides an overview of ten minutes on economic evaluation and types of evaluations. It then discusses the HIV epidemic setting in South Africa, how much HIV treatment costs in the country, examples of cost-effectiveness analyses of HIV interventions in South Africa, estimates of benefits of HIV treatment, and consideration of whether South Africa can afford its HIV treatment goals given constraints. The economic evaluations aim to help South Africa efficiently allocate its constrained healthcare resources for HIV.
Presented by Dr. Nelson Gitonga, Insight Health Advisor, Kenya during Regional AIDS Training Network (RATN) 12th General Council Meeting held in Mombasa, Kenya from 24th - 29th June 2013
The document discusses Rare Disease Day, an initiative to raise awareness of rare diseases. It provides details on the initiative's goals of creating a central website for information, gathering event listings, and encouraging social media engagement. Metrics are given on the success of the website, social media interactions, and traditional media coverage. Challenges of limited time and resources are also noted. The webinar focused on discussing how to sustain momentum from Rare Disease Day, integrate social media with other communications, and encourage more people to take action after learning about rare diseases.
This document summarizes a scan of international best practices in financial counseling for low-income individuals. Key informants in several countries were interviewed about their perspectives on best practices. Four overarching themes of best practices emerged: 1) creating a foundation for behavior change, 2) tailoring programs to specific client populations, 3) adopting client-centered practices, and 4) helping to build a viable financial counseling field. While there is consensus around these themes, more research is still needed to substantiate practices and build an evidence base to guide the evolution of the field. Behavioral economics principles have strongly influenced financial counseling approaches.
Peterborough Social Impact Bond Reduces Reoffending by 8.4%; Investors on Cou...The Rockefeller Foundation
Through a program related investment (PRI), The Rockefeller Foundation supported the Peterborough social impact bond (SIB) pilot aimed at reducing prisoner recidivism—and now, four years later, we can point to tangible success for this new innovative finance mechanism. The first ever SIB project reduced reoffending by 8.4 percent when compared to a control group. While a reduction of 10 percent was needed to trigger immediate repayment to investors, the performance of this first group indicates that investors are on track to receive positive returns in 2016. If the reduction in reoffending remains above 7.5 percent, the Ministry of Justice will make payments to investors.
This document provides information about the Canadian Healthcare Leadership Forum 2015 conference, including the agenda, speakers, and registration details. Some of the key topics to be discussed are persisting challenges in the Canadian healthcare system and how leadership, collaboration, technology, and data can help address them. The forum aims to bring together leaders from hospitals, health networks, and the public/private sectors to share strategies and solutions through presentations, case studies, panels, and roundtable discussions. The goal is to strengthen cooperation among stakeholders and find ways to improve healthcare performance and outcomes in Canada.
Maintaining Independence through Interdependence--Alliances Between AMCs and ...PYA, P.C.
PYA Principal Jeff Ellis joined Mark Thompson of Seigfreid Bingham, PC; Daniel Peters, General Counsel of The University of Kansas Hospital; and Dr. Robert Moser, Kansas Heart and Stroke Collaborative, in presenting “Maintaining Independence through Interdependence--Alliances Between AMCs and Community Hospitals" at the AHLA Legal Issues Affecting Academic Medical Centers (AMCs) and Other Teaching Institutions program.
Evaluating the priority setting processes used across the Cochrane Collaborationmonalisa2n
This document discusses various methods that Cochrane entities use to prioritize topics for future Cochrane reviews. It identifies 17 entities that do not have a priority setting process and 27 that do or plan to. Common criteria for priority setting include clinical relevance, importance of the topic, impact on outcomes, and importance to specific populations. The document evaluates different approaches like the "Accountability for Reasonableness" framework and compares criteria like inclusiveness and equity. It poses discussion questions about selecting and applying criteria, evidence mapping, and integrating priority setting into the Collaboration's entities and strategies.
Tim Ellis - Programme Manager, Digital Technology, NHS EnglandHIMSS UK
- Digital maturity in healthcare providers needs to be significantly increased so that patient information is recorded digitally at the point of care, clinicians are promptly alerted to changes in patient status, and operations like medicines management are improved.
- Patient information needs to flow seamlessly between primary, secondary, and social care digitally so care is coordinated. Technologies like telehealth should also be used to deliver new models of care.
- Patients, citizens, and carers should use digital tools to manage their own health and wellbeing, such as booking appointments online and accessing their health records. Data should also be used to inform decision making at both individual and population levels.
Tapping into the Potential of Natural Language Processing in HealthcareHealth Catalyst
Gathering insight from clinical notes remains one of the areas of untapped healthcare intelligence with tremendous potential. But extracting that value is difficult. Still, a few organizations across the country are demonstrating success using advanced technology tied to intuitive processes and procedures. Leading one such organizational effort is Wendy Chapman, PhD, chair of the Department of Biomedical Informatics at the University of Utah.
Dr. Chapman’s research has driven discovery in new ways to disseminate resources for modeling and understanding information described in narrative clinical reports. Her teams have demonstrated phenotyping for precision medicine, quality improvement, and decision support. Joining Dr. Chapman in a shared discussion is Mike Dow who leads the Natural Language Processing (NLP) technology team at Health Catalyst. Mike and team have several years of experience engaging with a variety of health system organizations across the country who are realizing statistical insight by incorporating text notes along with discrete data analysis.
Together, Mike and Dr. Chapman will provide an NLP primer sharing principle-driven stories so you can get going with NLP whether you are just beginning or considering processes, tools or how to build support with key leadership.
Learning Objectives:
- Understand NLP, both its challenges, and potential to drive clinical insight using social determinants of health
- Gain insight into the technology that makes NLP possible
- Consider the future potential of NLP
View this webin to better understand the potential of NLP through existing applications, the challenges of making NLP a real and scalable solution, and walk away with concrete actions you can take to use NLP for the good of your organization.
Leveraging the Benefits of Rural Network AlliancesPYA, P.C.
PYA Principals Jeff Ellis and Martie Ross demonstrate an approach to value-based care through healthcare collaboration in the presentation, “Leveraging the Benefits of Rural Network Alliances.”
The document discusses methods for priority setting and resource allocation in healthcare. It describes how resource allocation decisions are typically made based on historical patterns, politics, needs assessments, and limited economic evaluations. It advocates for a pragmatic decision-making approach aligned with system goals and community needs that facilitates stakeholder engagement and publicly defensible decisions based on evidence and values. The document introduces Program Budgeting and Marginal Analysis (PBMA) as a formal framework that combines medicine, economics, and ethics to assist decision-makers in resource allocation. It outlines the basic steps of PBMA, including determining aims and scope, mapping resource use, establishing an advisory panel, defining decision criteria, identifying service growth and reduction options, and evaluating and validating results.
The document discusses issues facing the health system in New Zealand and the vision and goals of the Health Management System Collaborative (HMSC). Key issues include an aging population, workforce shortages, and financial pressures. The HMSC aims to establish an integrated individual-centric health information system to improve care coordination and outcomes. The collaborative procurement process involves strong clinical engagement and aims to identify innovative solutions not limited by existing systems. Challenges include addressing privacy concerns while enabling information sharing and engaging existing vendors in the opportunities presented.
Suzanne Robinson: Priority setting and rationing in health careNuffield Trust
Priority setting continues to be a difficult challenge for health organizations, though some new developments are emerging. A recent study examined priority setting activities across English Primary Care Trusts through surveys and case studies. It found that priority setting often happens incrementally and focuses more on processes than political and cultural factors. Some organizations are now taking more explicit approaches and developing tools to aid decision making. National support is still needed, especially around reducing services, and priority setting must be fully integrated into organizational strategies with strong leadership to implement outcomes. Stakeholder engagement from the start and across organizations is also key to effective priority setting.
In search of a digital health compass: My data, my decision, our powerchronaki
Knowledge is power. Despite extensive investments in digital health technology, navigating the health system online is challenging for most citizens. Also for eHealth, the “Inverse Care Law” proposed by Hart in 1971, seems to apply. Availability of good medical or social care services and tools online, varies inversely with the need of the population. The low adoption of eHealth services, and persistent disparities in health triggers a call for multidisciplinary action.
Barriers and challenges are not to be underestimated. Culture, education, skills, costs, perceptions of power and role, are essential for multidisciplinary action. This comes together in digital health literacy, which ought to become an integral part to navigate any health system. Patients living with an implanted device or coping with persistent, chronic disease such as diabetes, as well as citizens engaged in self-care, caring for an elderly relative, a neighbor, or their child with illness or deteriorating health, need a digital health compass.
The panel will engage the audience to elaborate on a vision for this personal, digital health compass and drive advancement in health informatics and digital health standards. The transformative power of health data fueled by targeted digital health literacy interventions can be leveraged by open, massive, and individualized delivery. This way, digital health literate, confident patients and citizens join health professionals, researchers and policy makers to address age-related health and wellness changes to shape the emerging precision medicine and population health initiatives.
From a panel in the eHealthweek 2016. http://www.ehealthweek.org/ehome/128630/hl7-efmi-sessions/
This document discusses options for rural hospitals and providers to transition to accountable care models. It outlines the challenges rural providers face in existing Medicare Shared Savings Program (MSSP) ACO models due to their reliance on fee-for-service reimbursement and complex attribution models. As an alternative, the document proposes a Rural Clinically Integrated Network (RCIN) model that would allow independent rural providers to clinically integrate and collectively negotiate with payers while maintaining local decision making. Key functions of a RCIN would include promoting evidence-based medicine, facilitating care coordination across settings, and negotiating and managing value-based payer contracts.
This document summarizes Oregon's experience increasing primary care spending through legislative and collaborative efforts. It outlines how Oregon created a patient-centered medical home program, increased transparency of primary care spending across payers, and eventually mandated a minimum primary care spending threshold of 12% of total medical expenditures. Key lessons included starting with less controversial policies, using data to drive transparency and goals, and engaging a multi-stakeholder collaborative. The presentation recommends similar best practices for other states seeking to invest more in primary care.
The document describes an investment framework to help countries make strategic funding decisions regarding their national HIV/AIDS response. It outlines six essential program activities (e.g. eliminating new HIV infections in children, treatment for those living with HIV) and underlying enablers (e.g. outreach, stigma reduction) that need to be delivered together at scale. The framework is a new tool that emphasizes investing in these core programs known to work, prioritizing high burden populations and locations, and implementing efficiently. Modeling shows this approach could avert over 12 million new infections and 7 million AIDS deaths by 2020 compared to current strategies, in a highly cost-effective and sustainable manner.
The document discusses a presentation about advancing nurse education given by John W. Rowe and Tamra E. Minnier. It summarizes key recommendations from the Institute of Medicine's Future of Nursing report to expand nurse education opportunities and roles. It also describes the Future of Nursing: Campaign for Action initiative focused on implementing the IOM's recommendations by advancing education, removing barriers to practice, and increasing nursing leadership. The presenters argue that transforming nursing education and roles is necessary to address challenges in healthcare like rising costs, disparities, and shortages and will be important for the future of the healthcare system.
The document discusses several problematic practices hospitals have engaged in with regards to 501(r) regulations requiring financial screening and assistance. Specifically, it notes that some hospitals have failed to properly train all patient access employees on the new requirements. This can result in non-compliance issues like not providing financial policy information to patients or inconsistently applying financial assistance. The article provides examples of practices that do not meet 501(r) standards, such as only mentioning financial help as a last resort or pressuring uninsured patients to pay rather than informing them of assistance options. It emphasizes that compliance is only achieved through proper implementation of financial policies across all entry points.
Can vouchers help move health systems toward universal health coverage? Ben Bellows
Universal health coverage is an aspirational goal "to ensure that all people obtain the health services they need without suffering financial hardship when paying for them." To move toward greater health coverage, low-income countries can foster health systems that increase utilization, improve scope of services, and reduce financial costs to care. Voucher programs operate on both the demand and supply sides to target subsidies to beneficiaries, who in the absence of the subsidy, would likely not afford the healthcare. Governments that create these programs and take them to scale can expect to see greater utilization of priority health services by disadvantaged and can protect low-income populations from catastrophic health expenditure. As national risk pools mature, these voucher programs can become the foundation for larger, more comprehensive health purchasing agencies that cover the whole population with high quality, low cost healthcare.
The document provides an overview of the new funding model principles of the Global Fund. It discusses how the new model differs from the previous model by taking a more active role in portfolio management and country engagement. It also outlines the new funding model cycle and key aspects like country allocation, incentive funding, and unfunded quality demand. The document emphasizes the importance of inclusive country dialogue and meaningful engagement with key populations and other stakeholders in developing robust national strategic plans and concept notes.
The document summarizes an information workshop on the Global Fund's New Funding Model and community systems strengthening. The workshop's objectives were to: review disease strategies and identify gaps; review lessons from civil society programming; analyze changes to the funding model and clarify civil society's role; develop advocacy and partnership strategies; and improve understanding of investment frameworks for key populations. The expected outcomes included agreed work plans, information sharing strategies, and civil society priority interventions. The agenda covered understanding the new funding model, disease modules, and next steps.
This document provides information about the Canadian Healthcare Leadership Forum 2015 conference, including the agenda, speakers, and registration details. Some of the key topics to be discussed are persisting challenges in the Canadian healthcare system and how leadership, collaboration, technology, and data can help address them. The forum aims to bring together leaders from hospitals, health networks, and the public/private sectors to share strategies and solutions through presentations, case studies, panels, and roundtable discussions. The goal is to strengthen cooperation among stakeholders and find ways to improve healthcare performance and outcomes in Canada.
Maintaining Independence through Interdependence--Alliances Between AMCs and ...PYA, P.C.
PYA Principal Jeff Ellis joined Mark Thompson of Seigfreid Bingham, PC; Daniel Peters, General Counsel of The University of Kansas Hospital; and Dr. Robert Moser, Kansas Heart and Stroke Collaborative, in presenting “Maintaining Independence through Interdependence--Alliances Between AMCs and Community Hospitals" at the AHLA Legal Issues Affecting Academic Medical Centers (AMCs) and Other Teaching Institutions program.
Evaluating the priority setting processes used across the Cochrane Collaborationmonalisa2n
This document discusses various methods that Cochrane entities use to prioritize topics for future Cochrane reviews. It identifies 17 entities that do not have a priority setting process and 27 that do or plan to. Common criteria for priority setting include clinical relevance, importance of the topic, impact on outcomes, and importance to specific populations. The document evaluates different approaches like the "Accountability for Reasonableness" framework and compares criteria like inclusiveness and equity. It poses discussion questions about selecting and applying criteria, evidence mapping, and integrating priority setting into the Collaboration's entities and strategies.
Tim Ellis - Programme Manager, Digital Technology, NHS EnglandHIMSS UK
- Digital maturity in healthcare providers needs to be significantly increased so that patient information is recorded digitally at the point of care, clinicians are promptly alerted to changes in patient status, and operations like medicines management are improved.
- Patient information needs to flow seamlessly between primary, secondary, and social care digitally so care is coordinated. Technologies like telehealth should also be used to deliver new models of care.
- Patients, citizens, and carers should use digital tools to manage their own health and wellbeing, such as booking appointments online and accessing their health records. Data should also be used to inform decision making at both individual and population levels.
Tapping into the Potential of Natural Language Processing in HealthcareHealth Catalyst
Gathering insight from clinical notes remains one of the areas of untapped healthcare intelligence with tremendous potential. But extracting that value is difficult. Still, a few organizations across the country are demonstrating success using advanced technology tied to intuitive processes and procedures. Leading one such organizational effort is Wendy Chapman, PhD, chair of the Department of Biomedical Informatics at the University of Utah.
Dr. Chapman’s research has driven discovery in new ways to disseminate resources for modeling and understanding information described in narrative clinical reports. Her teams have demonstrated phenotyping for precision medicine, quality improvement, and decision support. Joining Dr. Chapman in a shared discussion is Mike Dow who leads the Natural Language Processing (NLP) technology team at Health Catalyst. Mike and team have several years of experience engaging with a variety of health system organizations across the country who are realizing statistical insight by incorporating text notes along with discrete data analysis.
Together, Mike and Dr. Chapman will provide an NLP primer sharing principle-driven stories so you can get going with NLP whether you are just beginning or considering processes, tools or how to build support with key leadership.
Learning Objectives:
- Understand NLP, both its challenges, and potential to drive clinical insight using social determinants of health
- Gain insight into the technology that makes NLP possible
- Consider the future potential of NLP
View this webin to better understand the potential of NLP through existing applications, the challenges of making NLP a real and scalable solution, and walk away with concrete actions you can take to use NLP for the good of your organization.
Leveraging the Benefits of Rural Network AlliancesPYA, P.C.
PYA Principals Jeff Ellis and Martie Ross demonstrate an approach to value-based care through healthcare collaboration in the presentation, “Leveraging the Benefits of Rural Network Alliances.”
The document discusses methods for priority setting and resource allocation in healthcare. It describes how resource allocation decisions are typically made based on historical patterns, politics, needs assessments, and limited economic evaluations. It advocates for a pragmatic decision-making approach aligned with system goals and community needs that facilitates stakeholder engagement and publicly defensible decisions based on evidence and values. The document introduces Program Budgeting and Marginal Analysis (PBMA) as a formal framework that combines medicine, economics, and ethics to assist decision-makers in resource allocation. It outlines the basic steps of PBMA, including determining aims and scope, mapping resource use, establishing an advisory panel, defining decision criteria, identifying service growth and reduction options, and evaluating and validating results.
The document discusses issues facing the health system in New Zealand and the vision and goals of the Health Management System Collaborative (HMSC). Key issues include an aging population, workforce shortages, and financial pressures. The HMSC aims to establish an integrated individual-centric health information system to improve care coordination and outcomes. The collaborative procurement process involves strong clinical engagement and aims to identify innovative solutions not limited by existing systems. Challenges include addressing privacy concerns while enabling information sharing and engaging existing vendors in the opportunities presented.
Suzanne Robinson: Priority setting and rationing in health careNuffield Trust
Priority setting continues to be a difficult challenge for health organizations, though some new developments are emerging. A recent study examined priority setting activities across English Primary Care Trusts through surveys and case studies. It found that priority setting often happens incrementally and focuses more on processes than political and cultural factors. Some organizations are now taking more explicit approaches and developing tools to aid decision making. National support is still needed, especially around reducing services, and priority setting must be fully integrated into organizational strategies with strong leadership to implement outcomes. Stakeholder engagement from the start and across organizations is also key to effective priority setting.
In search of a digital health compass: My data, my decision, our powerchronaki
Knowledge is power. Despite extensive investments in digital health technology, navigating the health system online is challenging for most citizens. Also for eHealth, the “Inverse Care Law” proposed by Hart in 1971, seems to apply. Availability of good medical or social care services and tools online, varies inversely with the need of the population. The low adoption of eHealth services, and persistent disparities in health triggers a call for multidisciplinary action.
Barriers and challenges are not to be underestimated. Culture, education, skills, costs, perceptions of power and role, are essential for multidisciplinary action. This comes together in digital health literacy, which ought to become an integral part to navigate any health system. Patients living with an implanted device or coping with persistent, chronic disease such as diabetes, as well as citizens engaged in self-care, caring for an elderly relative, a neighbor, or their child with illness or deteriorating health, need a digital health compass.
The panel will engage the audience to elaborate on a vision for this personal, digital health compass and drive advancement in health informatics and digital health standards. The transformative power of health data fueled by targeted digital health literacy interventions can be leveraged by open, massive, and individualized delivery. This way, digital health literate, confident patients and citizens join health professionals, researchers and policy makers to address age-related health and wellness changes to shape the emerging precision medicine and population health initiatives.
From a panel in the eHealthweek 2016. http://www.ehealthweek.org/ehome/128630/hl7-efmi-sessions/
This document discusses options for rural hospitals and providers to transition to accountable care models. It outlines the challenges rural providers face in existing Medicare Shared Savings Program (MSSP) ACO models due to their reliance on fee-for-service reimbursement and complex attribution models. As an alternative, the document proposes a Rural Clinically Integrated Network (RCIN) model that would allow independent rural providers to clinically integrate and collectively negotiate with payers while maintaining local decision making. Key functions of a RCIN would include promoting evidence-based medicine, facilitating care coordination across settings, and negotiating and managing value-based payer contracts.
This document summarizes Oregon's experience increasing primary care spending through legislative and collaborative efforts. It outlines how Oregon created a patient-centered medical home program, increased transparency of primary care spending across payers, and eventually mandated a minimum primary care spending threshold of 12% of total medical expenditures. Key lessons included starting with less controversial policies, using data to drive transparency and goals, and engaging a multi-stakeholder collaborative. The presentation recommends similar best practices for other states seeking to invest more in primary care.
The document describes an investment framework to help countries make strategic funding decisions regarding their national HIV/AIDS response. It outlines six essential program activities (e.g. eliminating new HIV infections in children, treatment for those living with HIV) and underlying enablers (e.g. outreach, stigma reduction) that need to be delivered together at scale. The framework is a new tool that emphasizes investing in these core programs known to work, prioritizing high burden populations and locations, and implementing efficiently. Modeling shows this approach could avert over 12 million new infections and 7 million AIDS deaths by 2020 compared to current strategies, in a highly cost-effective and sustainable manner.
The document discusses a presentation about advancing nurse education given by John W. Rowe and Tamra E. Minnier. It summarizes key recommendations from the Institute of Medicine's Future of Nursing report to expand nurse education opportunities and roles. It also describes the Future of Nursing: Campaign for Action initiative focused on implementing the IOM's recommendations by advancing education, removing barriers to practice, and increasing nursing leadership. The presenters argue that transforming nursing education and roles is necessary to address challenges in healthcare like rising costs, disparities, and shortages and will be important for the future of the healthcare system.
The document discusses several problematic practices hospitals have engaged in with regards to 501(r) regulations requiring financial screening and assistance. Specifically, it notes that some hospitals have failed to properly train all patient access employees on the new requirements. This can result in non-compliance issues like not providing financial policy information to patients or inconsistently applying financial assistance. The article provides examples of practices that do not meet 501(r) standards, such as only mentioning financial help as a last resort or pressuring uninsured patients to pay rather than informing them of assistance options. It emphasizes that compliance is only achieved through proper implementation of financial policies across all entry points.
Can vouchers help move health systems toward universal health coverage? Ben Bellows
Universal health coverage is an aspirational goal "to ensure that all people obtain the health services they need without suffering financial hardship when paying for them." To move toward greater health coverage, low-income countries can foster health systems that increase utilization, improve scope of services, and reduce financial costs to care. Voucher programs operate on both the demand and supply sides to target subsidies to beneficiaries, who in the absence of the subsidy, would likely not afford the healthcare. Governments that create these programs and take them to scale can expect to see greater utilization of priority health services by disadvantaged and can protect low-income populations from catastrophic health expenditure. As national risk pools mature, these voucher programs can become the foundation for larger, more comprehensive health purchasing agencies that cover the whole population with high quality, low cost healthcare.
The document provides an overview of the new funding model principles of the Global Fund. It discusses how the new model differs from the previous model by taking a more active role in portfolio management and country engagement. It also outlines the new funding model cycle and key aspects like country allocation, incentive funding, and unfunded quality demand. The document emphasizes the importance of inclusive country dialogue and meaningful engagement with key populations and other stakeholders in developing robust national strategic plans and concept notes.
The document summarizes an information workshop on the Global Fund's New Funding Model and community systems strengthening. The workshop's objectives were to: review disease strategies and identify gaps; review lessons from civil society programming; analyze changes to the funding model and clarify civil society's role; develop advocacy and partnership strategies; and improve understanding of investment frameworks for key populations. The expected outcomes included agreed work plans, information sharing strategies, and civil society priority interventions. The agenda covered understanding the new funding model, disease modules, and next steps.
This document discusses public-private partnerships (PPPs) in the health sector. It begins by outlining different approaches to sustainability in health development programs, including increasing private sector engagement. It then defines PPPs and describes different levels of private sector involvement from dialogue to partnerships. Examples of PPPs in Kenya, Uganda, Tanzania, Namibia and Zambia are provided for different levels. The document concludes by discussing opportunities for the Reproductive Health Alliance of Tanzania (RATN) network in the PPP model, such as capacity building of authorities and the private sector to engage in and implement PPPs.
AFI is a global network of financial regulators from developing countries that was created in 2008 to promote knowledge sharing of effective financial inclusion policies. It provides policymakers with tools and resources to develop and implement cutting-edge policies. AFI's goal is to enable 50 million more people living below the poverty line to access formal financial services by 2012. As of 2010, AFI had over 40 country members representing nearly 90% of the world's unbanked population. AFI facilitates knowledge exchange between members, provides implementation grants, and connects members to strategic partners along the financial inclusion value chain to optimize policy development and impact.
International Engagement Ready Communities Initiative: Troppenado-web
This presentation was delivered at NADO's 2018 Annual Training Conference, held in Charlotte, NC on October 13-16. For more information, visit: https://www.nado.org/events/2018-annual-training-conference/
Financing and Impletementing the Post 2015 AgendaSDGsPlus
The document discusses financing and implementing the Post-2015 Development Agenda. It outlines major events defining the framework in 2015 and lessons learned from the MDGs. Effective partnerships, substantial and flexible finance, and good data are needed. The World Bank Group is well-positioned to help with implementation through finance and knowledge. It has aligned its structure with the SDGs and can leverage different sources of funding. Further work is needed on financing solutions, mobilizing private resources, financing global public goods, and improving data for development.
MEASURE Evaluation’s Health Information System Strengthening ModelMEASURE Evaluation
This PowerPoint presentation provides an updated overview of MEASURE Evaluation’s Health Information System Strengthening Model, or the HISS Model. The slides describe the purpose of the model and each of the model’s areas and sub-areas.
The document provides an overview of the National Association for Trusted Exchange (NATE). It discusses NATE's history originating from several western states collaborating on health information exchange. It describes how NATE was incorporated as a non-profit organization and now has members from multiple states. It outlines NATE's programs for establishing a trust community and federated provider directories to enable trusted, interstate health information exchange without individual data sharing agreements. It also discusses NATE's work to expand exchange to include communications with consumers using direct-enabled personal health records.
The document provides an overview of the new funding model being implemented by the Global Fund. It discusses key aspects such as the country dialogue process, concept note development, community system strengthening, gender equality, human rights, and CCM eligibility standards. Countries are encouraged to engage with civil society, key populations, and other stakeholders in developing national strategic plans and concept notes to apply for funding. The new process aims to provide more predictable, flexible, and streamlined funding based on country ownership and priorities.
The Next Frontier to Support Health Resource TrackingHFG Project
The document discusses challenges and opportunities for institutionalizing health resource tracking (HRT) in low- and middle-income countries. It identifies three key elements needed for institutionalization: strong demand for HRT data; sustainable local capacity to produce HRT data; and use of HRT results in policy and decision making. It outlines remaining challenges in each area and suggestions for future investments to address challenges, such as building understanding of HRT's value, maintaining local expertise, improving health information systems, and strengthening communication and use of HRT findings.
This document provides an overview of a presentation given by representatives from the Pennsylvania eHealth Initiative (PAeHI) on approaches to achieving financial sustainability for health information exchanges (HIEs). It discusses PAeHI's role in coordinating HIE efforts across Pennsylvania. A case study examines the unique challenges and opportunities for HIEs in Pennsylvania based on factors like its large rural populations and many small hospitals. The case study also analyzes different HIE models including those integrated within large health systems, community/regional HIEs, and a statewide HIE. It proposes a framework for these different models to coexist and identifies next steps for HIE development in Pennsylvania.
The Third Way--Maintaining Independence Through Interdependence PYA, P.C.
In support of our partnership with the National Rural Health Association, PYA participated in the Rural Health Clinic and Critical Access Hospital Conference, September 30 to October 3, 2014, in Kansas City, MO. One session featured PYA Principals Jeff Ellis and Martie Ross, who shared their experiences and insights in developing and operating rural network alliances as a way for providers to maintain their independence through interdependence.
The document discusses blended finance, which is the strategic use of development finance to mobilize additional private finance for sustainable development projects. It provides the OECD's definition of blended finance and outlines its Blended Finance Principles. The OECD is working to enable development cooperation through facilitating transparency, evidence, and best practices related to mobilizing commercial finance using blended finance. It discusses building an evidence base around blended finance through data collection and reports. Key frameworks that guide the OECD's work on blended finance are also mentioned, including aligning investments with development priorities and the SDGs.
This document discusses establishing mutual accountability and joint sector reviews (JSRs) in Southern African countries. It provides background on challenges facing the agriculture sector in the region like low productivity and growth. The purpose of JSRs is to evaluate sector performance against targets and guide policy. Key components of establishing JSRs are outlined, including constituting a steering committee and review team. The document also discusses setting up country agricultural sector knowledge support systems (SAKSS) to support national agriculture investment plan implementation through analysis, knowledge management, and capacity building. Host institutions, secretariats, and networks are components of country SAKSS. The schedule for discussions on JSRs and SAKSS is provided.
The document summarizes trends in consumer protection and financial education based on a global survey of financial regulators. It finds that between 2010 and 2013, more countries established a legal framework for consumer protection and financial literacy and assigned responsibility to financial supervisors. Regulators are also broadening monitoring tools and involvement in financial literacy efforts. The document outlines good practices for consumer protection in areas like disclosure, business practices, and dispute resolution. It discusses responsible digital finance and ensuring protection as services move online. Finally, it discusses measuring and improving financial capability through financial education programs and national strategies.
This document summarizes the key points from a presentation on latest practices in financial consumer protection and financial education. The presentation covered trends from a global survey on consumer protection and financial literacy, good practices for financial consumer protection, responsible digital finance, and financial capability and education. It discussed how most countries now have a legal framework for consumer protection and financial literacy, and that responsibilities are shared across multiple regulatory agencies. New good practices were being developed to address digital finance issues around areas like data protection and product suitability. Financial capability was defined and its importance discussed, along with how countries measure capability through surveys to help design national strategies.
Similar to The Health Sector Development Partner Forum - logical overview (20)
Ministry of Devolution and ASALs. SDDA's role in the one-health agenda - Pres...Emmanuel Mosoti Machani
The State Department for teh Development of Arid and Semi-Arid Lands , presented on its role towards the one health agenda. As a coordinator of development in 29 counties, SDDA is working to foster intergovernmental collaboration (counties and national government) in an all of government approach that also co-opts: the private sector, development partners, academia, civil society and research institutions.
Philips presentation at the 3rd health sector development partner forumEmmanuel Mosoti Machani
Ivy Syovata from Philips EA Presented at the 3rd HSDPF, sharing health sector development initiatives they have undertaken in the region. Of particular interest to counties present was the Community Life Centre in Mandera that several counties looked to take-up.
Health products and technologies Dr. Julius Ogato, Ministry of Health. Head...Emmanuel Mosoti Machani
Dr. Julius Ogato was aming the Ministry of Health Departmental Heads presenting at the 3rd HSDPF.
The presentation elicited interest from counties keen on adopting a single-use policy for health products and commodities.
Disability and health kenya union of clinical officers presentation at the ...Emmanuel Mosoti Machani
A presentation by the Secretary General of the Kenya Union of Clinical Offciers of disabilty and health at the 3rd Health Sector Development Partner Forum.
County Perpectives Governance in Health - Policy overview and capacity buildi...Emmanuel Mosoti Machani
Dr. Elizabeth Ogaja, heretofore distinguiished civil servant -
having served as both the Deputy Chief Pharmacist in the Ministry of Health and more recently as Kisumu County's Executive Committee Member for Health Services and Promotion of Health Investments (in which Capacity she presented county perspectives at the Inaugural Health Sector Development Partner Forum)- provided unique insights at the 2nd Health Sector Development Partner Forum to approaches to the role in her new role as the CEO of the African Centre for Innovation and Sustainable Transformation of Health Systems (ACISTOH).
ACISTOH builds health sector leadership capabilities for governance, including policy development, induction, functions of the county executive committee and policy documents.
National Treasury, PPP Unit. PPPs in Kenya. Context, Legal and Institutional ...Emmanuel Mosoti Machani
The National Treasury's PPP Unit's second presentation at the 2nd Health Sector Development Partner Forum provided the context, rationale and principles of PPPs as well as the institutional framework.
Defining the role of County (CA) PPP Nodes, the involvement of Transaction Advisors and the PPP life-cycle.
County perspectives 2018 Trans-Nzoia, Health Technology and Commodity gaps.Emmanuel Mosoti Machani
Dr. J. Kisangani, the County Director of Health, Trans-Nzoia County presented county perspectives on health commodity and technology gaps and the impact this has on the county's health indicators.
The Development Partners for Health in Kenya (DPH-K), currently chaired by the World Bank, is a 24 member secretariat of the key development partners in Kenya. DPH-K's Sandra Erickson, at the 2nd Paraclete Health Sector Development Partner Forum presented on aid effectiveness, highlighting partnership and coordination as well as core priorities for improving results.
The UN SDG Partnership Platform presentation IN Kenya at the 2nd Paraclete He...Emmanuel Mosoti Machani
Primarily to:
1. Foster joint advocacy and policy dialogue;
2. Identify and broker large, transformative scale PPPs aligned to SDGs;
3. Raise required investments for these PPPs though a diversity of financing instruments and capital flow redirections; and
4. Facilitate M & E, learning and research for policy and and SDG impact assessment.
The flagship SDG 3 Primary Healthcare Accelerator was presented to Kenya at the 2nd HSDPF to ramp up Primary healthcare PPPs, partnerships and accelerate uptake in PHC technologies.
Commercial bank services and products for health sector actors credit bank ...Emmanuel Mosoti Machani
Credit Bank, levering their health sector partnership with the Medical Credit Fund, showcased their capabilities as a Financial Services Partner to the Health Sector Development Partner Forum.
The National Treasury, PPP Unit Health Infrastructure Development and Servi...Emmanuel Mosoti Machani
The National Treasury's PPP Unit's Mr. Wycliffe Ondieki presented on health infrastructure financing gaps, crowding-in finance for health sector PPPs and support for both private and public sector actors in PPPs.
The Ministry of Health's Chief Economist and Head of Division Policy, Planning and Health Financing, Mr. Elkana Ong'uti on Domestic Health Financing at the 2nd Paraclete Health Sector Development Partner Forum
Private sector partnership to increase number of skilled workforce for kenya ...Emmanuel Mosoti Machani
The HRH Kenya Mechanism runs from 2016 to 2021 with $32 million in funding to strengthen Kenya's health workforce. It aims to increase the number of skilled graduates, improve leadership and management of health workers, and optimize workforce data use. It supports needy medical students through the AEF, which has provided over 12,000 loans since inception. Infrastructure development is also supported at training institutions. Partnerships with the private sector are encouraged to further finance training and employment opportunities.
County perspectives 2018 health workforce dr. nelson muriu. director, depar...Emmanuel Mosoti Machani
Dr. Nelson Muriu. Director, Nyeri County Department of Health. Presentation on the county Health Workforce in 2018 and teh task ahead for new county governments.
The role of data in strengthening the health system. Development Initiatives ...Emmanuel Mosoti Machani
Mariam Ibrahim Sheikh, Sr. Program Manager and Boniface Owino, Data Analyst with development initiatives on the role of data in health resource mapping to support initiatives to crowd-in finance and generate data for decision making,and for various consumers is formats and visualisations pertinent to them.
The role of ICT in the health system. Lasso Technologies at the 2nd Paraclete...Emmanuel Mosoti Machani
Transforming Healthcare for Healthcare seekers and healthcare workers.
Lasso Technologies and SAP at the 2nd Paraclete Health Sector Development Partner Forum on the role of ICT in the health system.
Modular solutions that provide a total solution for healthcare, with embedded industry best practices and customisable to local needs.
Lasso technologies, an SAP partner, offer turnkey solutions for IICT projetcs.
R3 Stem Cell Therapy: A New Hope for Women with Ovarian FailureR3 Stem Cell
Discover the groundbreaking advancements in stem cell therapy by R3 Stem Cell, offering new hope for women with ovarian failure. This innovative treatment aims to restore ovarian function, improve fertility, and enhance overall well-being, revolutionizing reproductive health for women worldwide.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
MBC Support Group for Black Women – Insights in Genetic Testing.pdfbkling
Christina Spears, breast cancer genetic counselor at the Ohio State University Comprehensive Cancer Center, joined us for the MBC Support Group for Black Women to discuss the importance of genetic testing in communities of color and answer pressing questions.
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
Visit : https://massagespaajman.com/
Call : 052 987 1315
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Can Allopathy and Homeopathy Be Used Together in India.pdfDharma Homoeopathy
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
2. The Development Partner Forum Results Chain - logic overview
Inputs Activities Outputs Outcomes / Purpose Impact
Knowledge
and know-
how
Project
budget
The 3rd Health Sector
Development Partner
Forum.
Set-up coordination and
domestic resource
mobilisation mechanism.
Crowd in finance from
local and international,
public and private
sources.
Contracting Authority capacity for PPPs
and Domestic Resource Mobilisation.
Resource mapping,
research and surveys.
Partnerships
PPP Pipeline; Service & other partnership
agreements; Innovative sourcing &
spending,.
PPPs and Other
public and
Private
Partnerships for
Health;
Coordinated,
cohesive and
coherent Health
Systems
Strengthening
Sustainable
, Domestic
Health
Financing
and UHC
Financing instruments & resource
mobilisation strategy
Products, stakeholders, capital flow
redirections, Collective mechanism
Resource map (4wS)
Investment areas; Programs; Coverage;
Partners; Strategic objectives;
Health sector coordination mechanism
Joint advocacy & policy dialogue,
Triangulated impact assessment, collective
action. Joint DRM led projects.
Economical ,
Optimal
application
of inputs
Efficient processes conversion to outputs and translating SDG3 to action on the ground Effective outputs conversion through high impact weighted outcomes.
M & E and Knowledge
management
Training and capacity
building.
Triangulated impact assessment,
Evidence bases & data for policy, decision
making
Increased
community and
Primary Health
Financing and
innovations;
3. Outputs – Health Sector Resource Map (4Ws)
• Investment Areas;
• Strategic objectives;
• Geospatial distribution;
• Programs;
• Development partners;
• Implementing partners;
• Private sector actors;
• Public sector actors;
• Service providers;
• Beneficiaries*.
• Who – Project owner, implementer,
financier;
• What – Sector, project, activity;
• Where – Region, county, sub-county,
station;
• When – From. To.
Collaboratively updated with open-
information sharing.
Visualisations – Matrices, maps, charts,
reports and analyses.
4. Outputs - Partnerships
• Fostering partnerships
• Identifying potential partnership
projects;
• Selection of projects and early stage
project-development;
• Screening priority projects;
• Initial PPP concept development;
• Key commercial and legal term
development:
- Structuring, appraisal, risk identification
and allocation, feasibility, commercial
viability, VFM, fiscal responsibility.
• Innovative spending to leverage
larger private flows to maximise the
development impact of scarce
public resources. Guarantees and
other credit enhancement
instruments to leverage capital in
challenging credit environment.
• Innovative spending mechanisms
to: redistribute risk, increase
liquidity & address specific market
failures & barriers by leveraging
complementary finance e.g. RBF,
Debt swaps, awards and prizes.
5. Output - Operational Health sector coordination
mechanism
• Alignment;
• Collective action:
• Joint planning and advocacy;
• Policy dialogue and interventions;
• Joint;
- Coordinated Health Systems
Strengthening;
- Centralised domestic resource
mobilisation;
- Cohesive development activity;
- Coherence;
- Harmonisation;
- Triangulated impact assessment.
• Population wide interventions;
• Emergency preparedness, risk
management & response;
• Specialised care & outreach services;
• Results based management;
• Aid effectiveness interventions.
6. Output - Funding Diversification and Resource
Mobilisation Strategy
SOURCES
• Capital flow redirection;
• Local public sources;
• International public sources (ODA &
OOF);
• Local Private sources;
• International private sources.
• New actors;
• New instruments;
• New markets;
• New products and services;
• Mobilised resources;
7. Sources • Instruments
• Local Public • South – South, North – South and Triangular
Partnerships
• Domestic Public
• Consumer purchases;
• Concessions;
• PPPs Guarantees Bonds;
• RBF;
• Recourse financing;
• Non-recourse financing.
• International
Public
• Advance market commitments,
• Guarantees / other credit enhancement
instruments,
• Sovereign wealth funds,
• OOF
• MDBS
• UN agencies,
• South – South, North – South and Triangular
Partnerships
• DFI
• FDI
• Development impact bonds;
• Leasing;
• Results Based Financing - debt swaps, advance
market commitments and buy downs;
• Innovative spending;
• Guarantees;
• PPPs;
• Recourse financing;
• Non-recourse financing.
8. Local
Private
i. Investment funds;
ii. Microfinance
iii. Private capital,
iv. Money markets,
v. Portfolio,
vi. Public debt,
vii. Philanthropies,
viii. Foundations,
ix. NGOs
x. South – South, North – South and Triangular Partnerships
xi. Capital debt markets,
xii. Trusts
1. Consumer purchases,
2. Trade Financing – Warehouse receipts, letters of credit Purchase
order finance, invoice discounting etc
3. Alternative debt Corporate bonds, Securitized bonds, Covered
bonds, Private placements, Crowd funding (debt);
4. Infrastructure debt portfolio sales by banks to institutions;
5. Multi-investor institutional debt funds;
6. Derivatives;
7. Equities;
8. Bonds;
9. Guarantees;
10. PPPs
11. Loans
12. Hedge funds,
International
Private
i. Investment funds,
ii. Listing vehicles;
iii. Guarantees / other credit enhancement instruments;
iv. Private capital;
v. Money markets;
vi. Philanthropies;
vii. Foundations;
viii. INGOs;
ix. South – South, North – South & Triangular Partnerships;
x. DFI;
xi. FDI;
xii. Capital debt markets.
1. Alternative debt Corporate bonds, Securitized bonds, Covered
bonds, Private placements, Crowd funding (debt);
2. Challenge funds, Innovation funds,
3. Multi-investor institutional debt funds;
4. Portfolio;
5. Derivatives;
6. Loans;
7. PPP;
8. Concessions.
Sources Instruments
9. Health Financing Landscape
OOF
FDI
IFI
ODA
UN System
Triangular
Partnerships
Philanthropies
Public Debt
Short Term
Debt
NGOs
Portfolio /
Equity
MDB
Insurance
Communities
Sovereign Wealth Funds
Multi-investor institutional
debt
Money
Markets
Bonds
Derivatives
Private
Placements
Remittances
Hybrid
instruments
Capital Markets
Institutional
Pension Funds
North-South
Partnerships
South – South
Partnerships Private Debt
Commercial
Banks
PPP Financing Sources
10. Output – Building Country and county capacity for
PPPs
• Introduction to Private Public Partnerships.
• PPP Node constitution and roles.
• The PPP Life Cycle.
• Types, strategies and approaches to PPP’s.
• Developing and analysing PPP financial
models.
• Project finance and analysis.
• Project valuation, rates and subsidies.
• Negotiation skills.
• Contingent liability and risk management.
• Monitoring, Evaluation and Quality assurance.
• Needs and impact analyses.
• Corporate finance management.
• PPP legal and regulatory frameworks.
• Project legal services in drafting and
documentation.
• Consumer rights protection and
affordability.
• Investor profiling.
• Tariff design.
• Environmental and Social Management
Framework.
• Corporate governance and social
responsibility strategies.
• Creating county regulatory frameworks to
promote private sector investment.
• Special Purpose Vehicles – early stage
project development.
11. Output – Country and county capacity for domestic
resource mobilisation
• Value for Money;
• RBF;
• PPP;
• Managing for results;
• Theory of change;
• Sub-national (Counties and
Autonomous / semi-autonomous
Government Agencies) Funding
Diversification and Resource
Mobilisation strategies;
• Innovative Sourcing;
• Allocative efficiencies;
• Capital budget planning;
• Public health financing;
• NHIF Pooling;
• Mobilised technologies and innovations(IT,
new approaches, knowledge, networks,
financial models etc;
12. Outputs - Evidence Bases and DDM
• Transactional data - track financial flows.
Where from, where to, what on.
- Efficient grantmaking and transparency;
• Outcome data – Track development progress
and measure program impact. New indicators,
new data, new data (sets, tools, types, sources,
new collection methods, visualisations);
- Aid strategic partnering & funding
decisions;
- Triangulated impact assessments.
• Qualitative data - Share knowledge, data,
stories, lessons learned and beneficiary level
feedback;
-Foster adoption of universal set of
cross-sectoral indicators;
-Plug in development finance
landscape into glocal data processes.
• Program data – 4Ws (Who is doing What
When & Where) Coordinate partnerships and
effective development outcomes;
-Foster cohesion in development
landscape
-Develop understanding of national
and county data contexts;
- Provide a platform to develop
sustainable in-country and in-county
capacity and technical skills;
- Implement data collection systems
relevant to development contexts;
- Build capacity for where there are data
gaps / where there data do not exist.
Move health system closer to convergence
13. Health Systems Approach
• Health Infrastructure
- Water and electricity;
- Ambulances;
- Structures;
- Roads.
• Health service delivery:
- Telemedicine and Remote diagnostics;
• HRH outreaches;
• HRH training;
14. Projected Impact of HSDPF on Health expenditure
and financing sources
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2017 2018 2019 2020 2021 2022 2023 2024 2025
USD000
Year
Kenya Health Expenditure
Public Private Donor
0
5
10
15
20
25
30
35
40
45
50
2017 2018 2019 2020 2021 2022 2023 2024
Percentage%
Year
Kenya Health Financing Sources
ODA OOF PPP GoK Private
15. Health Systems Approach
• Health workforce
- HRH database and recruitment
services;
- HRH rotational distribution;
- Cross county HRH sharing;
- HRH training and study support;
• Health financing
- Crowding-in finance for health;
- PPP financing and advisory
services;
- Domestic resource mobilisation
16. Health Systems Approach
• Health leadership Governance
- Advocacy;
- Policy dialogue and translation to
practice;
- Patient centred care;
• Health technologies and commodities
- Remote diagnostics;
- PHC innovations;
- Scheduled / regular and reparative
maintenance;
17. Health Systems Approach
• Health Information and research
- Data mobilisation;
- PPP readiness index;
- DHIS II data collection support;
- SDG indicator reporting;
- DDM;
Editor's Notes
STRATEGIC OBJECTIVES: Service delivery systems, Health Infrastructure, Health workforce, Health information, Health financing (especially Health stewardship, partnerships, coordination and PPPs.
INVESTMENT AREAS: Communicable diseases, Non-communicable diseases, Violence and injury protection, Essential health services, Risk factor management, Health related sectors (including water, sanitation and hygiene, nutrition services, pollution control, housing, school health, food fortification, population management, agriculture, roads, infrastructure and transport.)
Innovative spending
Innovative spending instruments to leverage larger private flows to maximise the development impact of scarce public resources. Guarantees constitute 39% of the amount mobilized between 2000 and 2013, ($36 billion), which reflects the importance of credit enhancement instruments to leverage capital in challenging credit environments. Innovative spending mechanisms shall be used to redistribute risk and increase liquidity as well as to address specific market failures and barriers that hinder investment. By leveraging complementary sources of finance, they shall increase value for money within international development, allowing development partners to achieve more with the same – or fewer – resources.
Results based financing and recent innovations such as Advance Market Commitments and debt swaps as well as more established mechanisms such as Awards and Prizes.
Develop, set-up structure and action plan to Implement-Operate-Maintain-Transfer a service offering that supports:
1. Alignment – by progressively shifting from funding to finance (and from project to program finance), using extant coordination capacities to align analytical, technical and financial support with county capacities, development objectives and strategies and so hedge against fragmentation from sub-national level;
2. Harmonisation –by making informed recommendations that harmonise Health Systems Strengthening inputs and resultant key health program support to encourage shared: analytical work, cooperative development, partner technical support, codification of lessons learned, and provide joint training and capacity building. Also, contribute to/develop a harmonised performance assessment frameworks and where feasible, prepare simplified and common arrangements at county and cross-county level for planning, funding, disbursement, monitoring and evaluation, impact assessment and reporting on activities and resource flows ;
3. Strengthening county capacity and demand for results-based management, alignment to harmonised performance assessment frameworks that strengthen result oriented reporting and monitoring frameworks including joint problem solving and M&E.
UN system has been working as a broker, capable of leveraging the huge range of resources globalisation and will continue to generate these for common purposes. The post 2015 financing architecture embraces a culture of leveraging, reward the practice of partnerships and devising new ways to measure impact
Build intergovernmental and private sector capacity for coordination, health finance, capital budget planning, theory of change, value for money, results based financing, managing for results, resource mobilisation and partnerships, including PPP design, finance, purchase, and management.
Innovative sourcing in the market
Innovative sourcing in the market impacts on incentives, influences investment flows and creates access to new resources for development purposes. The rationale is that the market enables actors to go to scale and ensure replicability in a way that is more difficult when there is complete dependency on public resources.
Thematic bonds, which dedicate resources to specific development goals such as low carbon infrastructure, are currently the largest innovative sources of finance ($23 billion in 2013).
However, thematic bonds account for only a minute share of the $83 trillion bond market. The bond market can provide much of the capital needed for sustainable infrastructure but remains chronically underutilised in financing development. Only 20 middle income countries have the ability to access private capital at the national level, several constraining the public provision of infrastructure.
The data shall be provided in a manner that lends itself to making informed decisions that align finance to policy direction and positioning. Within these parameters, two identified challenges shall be addressed. The first is to review the way data is being reported within the health system. Data sets need to be looking forward and anachronisms in the data, that make it harder for policy makers to interpret it, need to be corrected – e.g. by visualisation or enhanced interactive features.
Secondly, the variety and range of experiences within the system is not broadly shared. A platform for learning from these different instruments shall be useful to this end.