Reviving Healthcare Curing Hungary EU Structural Found Resources

Reviving Healthcare Curing Hungary EU Structural Found Resources

INTRODUCTION 1 New Hungary Development Plan • The most important strategic document for Hungary for the 2007 -2013 period • € 22. 4 bn of development funding in total • 15 Operational Programmes (OP) • Overall goal to expand labour market participation and promote sustainable economic development

INTRODUCTION 2 Key Documents 1. New Hungary Development Plan 2. 15 Operational Programmes 3. Action Plans (every 2 years) 4. Constructions (Tenders and Priority Projects)

INTRODUCTION 3 Areas of Development in Healthcare • Social Renewal OP 6. 1: to improve health and encourage more health-conscious behaviour • Social Renewal OP 6. 2: to develop human resources • Social Infrastructure OP 2. 1: to develop the provision of out-patient care • Social Infrastructure OP 2. 2: to support the restructuring of the provision of in-patient care • Social Infrastructure OP 2. 3: to develop a healthcare IT system

HEALTH POLICY FRAMEWORK • New government – new national healthcare strategy • Security and partnership in healthcare 2010 “Reviving Healthcare – Curing Hungary” (Semmelweis treatise) • Operational Programmes 2007 -13 • New Széchenyi Plan (within the framework of the Operational Programmes)

DEVELOPMENTS IN SEMMELWEIS PLAN • to establish a National Health Organisation Centre and Integrated Regional Health Boards • to effect major changes at all existing levels of service (emergency, in-patient and out-patient care) • to develop a new integrated healthcare IT system • to focus on capacity-based planning • to establish new Methodological Centres • to prepare new Public Health Action Plan

SOURCES OF FUNDING 2011 -13 • Social Infrastructure Operational Programme: € 286 m • Social Renewal Operational Programme: € 138 m • Regional Operational Programme: € 85 m But what will this be enough to achieve…?

NEW OPPORTUNITIES FOR DEVELOPMENT 1 Social Renewal Operational Programme 1. New elements • to improve organisational efficiency by establishing regional co-operation - € 44 m • to expand national screening programmes • to launch comprehensive public health- and health promotion campaigns • to introduce a national health monitoring system and capacity map

NEW OPPORTUNITIES FOR DEVELOPMENT 2 2. Existing elements • to provide training and employment support – € 3. 3 m • to promote healthy lifestyle programmes – municipal-, regional- and other projects (at school, work etc. ) – € 3. 6 m

NEW OPPORTUNITIES FOR DEVELOPMENT 3 Social Infrastructure Operational Programme 1. New elements • Implementation and development of micro-regional out-patient care centres – goal of the Operational Programme but the interpretation is questionable from the perspective of progressiveness - € 1. 3 m • “Continuation” with content modified according to restructuring – support for “small conversion hospitals” - € 3. 7 m – support for restructuring of the provision of in-patient care ~ € 16. 3 m • National Healthcare IT system (e. Health) € 3. 7 m available in funding for OP+(SROP 6. 2. 7) – in-house patient identification system – state-certified records and sectoral portal – inter-institutional IT systems

NEW OPPORTUNITIES FOR DEVELOPMENT 4 2. Existing elements • Development of the Emergency Services – € 1. 5 m available in project funding • Implementation of a Modern Regional Oncological Network – primarily development of sub-cenrres – € 2. 6 m available in project funding • Development of blood supply and emergency services as priority projects

EXPERIENCE 1 Economic Crisis 2007 -10 • lack of strategy (sectoral resources) or • inadequate strategy (oncology) or • varying strategies and conceptions • • Conclusions: Long preparation time Planning and implementation at the same time Application forms as strategic documents

EXPERIENCE 2 • Lack of strategic thinking • No further resources for development • Lack of modern management knowledge • Modern project management vs. bureaucratic processes • Public procurement - the projects’ Achilles’ heel

Thank you for your kind attention! Dr. Krisztina Török General Director Institute for Healthcare Quality Improvement and Hospital Engineering torok. krisztina@emki. hu www. nfu. hu