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CLUSTER: HOSPITAL SERVICES Presentation to Portfolio Committee on Health 3 April 2001

This presentation discusses the Cluster Directorates and Budgets for hospital services and highlights the activities and initiatives related to health facilities planning, health technology policy, and hospital management. It also covers the implementation of decentralization of hospital management and strategies for improving financial management in hospitals.

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CLUSTER: HOSPITAL SERVICES Presentation to Portfolio Committee on Health 3 April 2001

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  1. CLUSTER: HOSPITAL SERVICESPresentation to Portfolio Committee on Health3 April 2001

  2. CLUSTER DIRECTORATESAND BUDGETS: • 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

  3. HEALTH FACILITIES PLANNING

  4. Integrated Health Planning Framework (IHPF) What is 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

  5. IHPF (continued) Activities • Development of affordability cost model • Conditional grants and other funding to be investigated • Generic Provincial Strategic Plan

  6. Implementation of Hospital Revitalisation • Components • Land & buildings • Organisational development • Health Technology / Equipment • Quality of care • Identifying pilot projects for Revitalisation • Develop Business Plans • Investigating World Bank funding • Provincial allocations transferred and monitored

  7. OTHER ACTIVITIES Conditional Grants • Support rehabilitation of over 400 projects • Assisting with commissioning of 3 Academic Hospitals (Durban, Umtata and Pretoria) 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

  8. HEALTH TECHNOLOGY (HT) POLICY

  9. 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

  10. 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

  11. 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 includingthe time frames and indicators

  12. 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)

  13. 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)

  14. HOSPITAL MANAGEMENT Decentralization of Hospital Management

  15. 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

  16. 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

  17. 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

  18. HOSPITAL MANAGEMENT • Improve the effective and appropriate spending of financial resources • Improve the financial monitoring & reporting mechanisms • Business plans • Monthly & quarterly reports - intervention

  19. HOSPITAL MANAGEMENT • STRATEGIC POLICY DIRECTIONS • Building Financial Management Capacity • Ensuring democratic Public Hospital governance • Attainment of nationally agreed approach to decentralisation

  20. EMERGENCY MEDICAL SERVICES AND DISASTER MANAGEMENT

  21. 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

  22. EMERGENCY MEDICAL SERVICES • NORMS AND STANDARDS • Include in National Planning Framework • Develop costing models • Regulations • Pre-hospital emergency medical services • In-hospital emergency centres

  23. 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

  24. 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

  25. RADIATION CONTROL

  26. 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

  27. CONDITIONAL GRANTS

  28. Central Hospital

  29. Health Prof Training & Research

  30. Hosp Reconstruction & Rehab

  31. Red of Highly Spec Services

  32. New Durban Academic Hospital

  33. Umtata Academic

  34. With your encouragement and support, we will make a difference

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