Download Coordinator of the Component 1 of the Second Serbia Health Project

Coordinator of the Component 1 of the Second Serbia Health Project (Improvement of
Health Financing)
Scope of work
Main activities of this assignment include:
• Coordination, organization, support and monitoring of the project activities related to the
further introduction of the output based payment system for hospital acute care based on
Diagnosis Related Groups with special attention to (1) correct reporting of acute care
hospitalization cases in public hospitals based on DRGs (2) the costing exercise to
calculate and assign DRG cost weights adapted to the Serbian context, and (3) gradual
shift of hospital care financing from inputs to DRGs
• Coordination, organization, support and monitoring of the technical assistance and
training to build capacity of the hospital managers and staff to implement DRGs and
respond to the new incentives and to build awareness among hospital managers and staff
regarding the DRG reforms. Further training of the staff of the central institutions (MOH,
HIF, IPH) related to DRGs and its possibilities is also important
• Coordination, organization, support and monitoring of the project activities related to the
provision of technical advice and support to the discussion regarding (1) options to
improve efficiency of financing of non-acute care in hospitals, including ambulatory and
emergency services, increased use of day surgeries and long term and palliative care; (2)
strengthening of referral system; (3) recommendations on government arrangements to
strengthen management autonomy and accountability of health care providers
• Coordination, organization, support and monitoring of the project activities related to
strengthening of the performance incentives in the existing HIF health provider payment
mechanisms by refining the current performance criteria for variable payments made to
health workers
• Coordination, organization, support and monitoring of the project activities related to the
facilitation of the transition to risk-adjusted capitation financing with quality incentives in
HIF payments to DZs, through the design and implementation of a Quality Improvement
Grants scheme for improvement of quality of health care, including increased access to
health care and preventive services by vulnerable groups
• Coordination, organization, support and monitoring of the project activities related to the
provision of technical advice and support to capacity building to implement and monitor
primary health care financing reforms, including building managerial capacities and skills
of DZ management and staff
• Can work flexibly to help achieve the goals of the project
• Perform any other appropriate tasks determined by PCU Coordinator and/or officials of
the Ministry of Health.
Expected outcomes
Fulfillment of the objectives of the SHP2 project are the expected outcomes of the activities of
this consultant. More specifically, expected outcomes are the following:
• Improved accuracy of DRG based reporting of acute care hospitalization cases in public
hospitals
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DRG cost weights adapted for Serbia established
Percentage of the hospital budget for acute care distributed according to DRGs
Performance criteria for variable payments to health staff in primary care improved
Quality Improvement Grants scheme for DZs implemented and results analyzed
Qualifications and requirements
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Candidate has to be a medical doctor or an economist with Postgraduate Degree and/or
completed courses in health policy or health economics.
Candidate has to have at least four (4) years of experience working on reform of health
systems, preferably provider payment or financing mechanisms, with fulfilled outcome
evaluated by the competent national Commission on behalf of the Fiduciary.
Previous experience in working with DRG-based patient classification system is an
advantage.
Previous experience with the World Bank funded projects and other internationally
financed health related projects in Serbia is strongly preferred;
Candidate has to be fluent in Serbian and English.
Candidate has to be computer literate.