Post on 18-Jan-2018
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CLUSTER: HOSPITAL SERVICES
Presentation to Portfolio Committee on Health
3 April 2001
• Cluster Manager ……. R 0.960 m
• Health Technology ……. R 1.508 m
• Facilities Planning ……. R 1.423 m
• Hospital Management ……. R 2.074 m
• Emergency Medical Services & Disaster
Management ……. R 0.606 m
• Radiation Control ……. R 5.994 m
Total ……. R12.565 m
Conditional Grants ……. R 5 341 bn
CLUSTER DIRECTORATESAND BUDGETS:
HEALTH FACILITIESPLANNING
Integrated Health Planning Framework (IHPF)
• Quantifies National Policy
• Updates existing National Planning Framework
• Integrates health planning:
1. HR, finance, technology, quality
2. HSS, acute & chronic care, PHC
• Dynamic tool
• Long term Planning
What is IHPF?
• Development of affordability cost model
• Conditional grants and other funding to be investigated
• Generic Provincial Strategic Plan
IHPF (continued)
Activities
Implementation of Hospital Revitalisation
• Identifying pilot projects for Revitalisation
• Develop Business Plans
• Investigating World Bank funding
• Provincial allocations transferred and monitored
• Components
• Land & buildings
• Organisational development
• Health Technology / Equipment
• Quality of care
Conditional Grants
• Support rehabilitation of over 400 projects
• Assisting with commissioning of 3 Academic Hospitals (Durban, Umtata and Pretoria)
OTHER ACTIVITIES
Continue to- Develop databases and combined
standards and guidelines for public and private health facilities
- Develop database, standards and guidelines for mortuaries and EMS
- Develop planning and commissioning guidelines
HEALTH TECHNOLOGY (HT) POLICY
HT - Policy Framework and Legislation
HT Policy Framework- Approved by MINMEC in 02/01
- Implementation to resume - HT System Development Programme to be declared- HT System Programme Major Projects
HT ‘Scoping Study’ HT Audit Essential HT Packages
HT Legislation- To be finalised after the completion of HT
policies- Develop strategy to close the present gap on
critical equipment - Finalize Schedule of equipment for the CON
HT- (HT Management & Planning) HT Management Policy to be finalised
- Meant to ensure equipment safety- Meant to reduce equipment downtime and disruption of
service delivery- Equipment donor guidelines to be delivered- Staffing Norms to be finalised - HT Managers already trained for 7 provinces
Organ Transplantation - Policy to be revised- Expert Committee to be put in place- Ongoing coordination of unrelated living donor transplants
& evaluation of requests for non-South Africans
HT System - (Scoping Study)
Scoping Study to provide Analysis of RSA and International HT
scenario A strategy for HT System development
including phasing of the four subsystems Required resources (Rand, HR,
Infrastructure) Legal Implications Evaluation and monitoring mechanisms
including the time frames and indicators
HT System - Essential Health Technology Packages (EHTP)
Integrated HT planning tool for(Essential Med equipment + related Cost & links to EDL
and Essential HR) To be finalised for Maternal & Child Health Development at MRC (NDoH & WHO main funders) RSA piloting the Field-Testing for 25 countries (RSA, Mozambique, Namibia reps for the region)
HT System – HT Audit To identify equipment gaps, physical
status, deployment etc HT audit guidelines produced Pilot audit in 2 provinces to be
completed (NP & EC) Completed Audits in 3 facilities (for
EHTP field-testing)
HOSPITAL MANAGEMENT
Decentralization of Hospital Management
Equip managers with appropriate competencies & skills
Achieve competency framework agreements for all levels of hospital managers
Device agreed role profiles for levels of management
Capacity building for managers Business planning training in hospitals Information systems development Labour relations Cost centre training Orgnisational development
HOSPITAL MANAGEMENT
HOSPITAL MANAGEMENT
Facilitate implementation of decentralisation of hospital management Develop a Nationally agreed policy on
decentralisation process Identify criteria for conferring decentralised
status Develop an assessment/audit tool
HOSPITAL MANAGEMENT
Implementation of management systems & structures Complete the implementation of cost
centres in the pilot hospitals Support Provinces roll-out of cost centres
Improve and support the efficiency of Hospital Boards Produce guidelines on the functioning of
hospital and community boards
HOSPITAL MANAGEMENT
Improve the effective and appropriate spending of financial resources Improve the financial monitoring & reporting
mechanisms Business plans Monthly & quarterly reports - intervention
HOSPITAL MANAGEMENT
STRATEGIC POLICY DIRECTIONS Building Financial Management Capacity Ensuring democratic Public Hospital
governance Attainment of nationally agreed approach to
decentralisation
EMERGENCY MEDICAL SERVICES
AND DISASTER
MANAGEMENT
EMERGENCY MEDICAL SERVICES PROVINCIALISATION OF SERVICES
Support the North West, Eastern Cape and Gauteng in their provincialisation process
North West and Eastern Cape due to complete exercise in June 2001
Gauteng unlikely to complete before year-end
EMERGENCY MEDICAL SERVICES NORMS AND STANDARDS
Include in National Planning Framework
Develop costing models
Regulations Pre-hospital emergency medical
services In-hospital emergency centres
DISASTER MANAGEMENT Policy and Guidelines for National
and Provinces establish focal points in provinces develop contingency plans
Resource Data Base resource support project health reaction teams
DISASTER MANAGEMENT Red Cross Act
community capacity enhancement program
auxiliary body to Health in an emergency
Training source appropriate training in district
management establish development program for
district management personnel
RADIATION CONTROL
PRIORITIES: 2001 Revise and broaden the quality Assurance
programme to include CT and dental x-ray units
Start a programme to license the use of industrial radio-frequency equipment
Update the sale database and publish a 2001 sourcebook of licensed electromedical equipment
Investigate a regulatory fee structure Tighten control over Industrial Radiography -
start re-registration process
CONDITIONAL GRANTS
Central HospitalProvince
sBudget Transf Expected
ExpendVariance
E. C 13,000 13,000 3,000 10,000
GP 1,492,868 1,492,868 1,492,868 0
WC 961,949 961,949 961,949 0
FS 237,538 237,538 237,538 0
KZN 406,645 406,645 406,645 0
Total 3,112,000 3,112,000 3,102,000 10,000
Prov Budget Transf Expected Expend
Variance
EC 52,830 52,830 52,830 0MP 23,480 23,480 23,480 0NC 23,480 23,480 23,480 0NP 23,480 23,480 23,480 0NW 23,480 23,480 23,480 0GP 503,646 503,646 503,646 0WC 292,326 292,326 292,326 0FS 84,528 84,528 84,528 0KZN 146,750 146,750 146,750 0Total 1,174,000 1,174,000 1,174,000 0
Health Prof Training & Research
Prov Budget Transf Expected Expend
Variance
EC 84,000 84,000 40,000 44,000MP 35,000 35,000 35,000 0NC 8,500 8,500 7,000 1,500NP 69,490 69,490 69,490 0NW 40,000 40,000 36,710 3,290GP 55,000 55,000 55,000 0WC 28,362 28,362 28,362 0FS 32,261 32,261 20,342 11,919KZN 70,526 70,526 70,526 0Total 423,139 423,139 362,430 60,709
Hosp Reconstruction & Rehab
Prov Budget Transf Expected Expend
Variance
EC 67,437 67,437 67,437 0MP 56,169 56,169 56,169 ONC 26,039 26,039 26,039 ONP 75,481 75,481 75,481 0NW 53,914 53,914 53,914 0National 6,905 0 0 6,905Total 285,945 279,040 279,040 6,90
5
Red of Highly Spec Services
New Durban Academic Hospital
Province
Budget Transfered Expected
Expend
Variance
KZN 273,000 273,000 273,000 0
Total 273,000 273,000 273,000
0
Umtata AcademicProvince Budget Transfere
dExpectedExpend
Variance
EC 111,855 111,855 111,855 0
Total 111,855 111,855 111,855
0
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