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Table 4 Suggested structure mapped to old structure New structure Department of Secondary and Tertiary Services: Policy and planning unit Monitoring unit (option to have service unit given that hospitals report to MOH or to enlarge the purchasing/funding function relating to them either in this department or the Health Care Commissioning Agency) Department of Primary Health Policy and planning unit Monitoring unit (option for purchasing/funding as noted above if progress is made on specifying services to be provided for the grants made to local government) Department of Public Health Policy and planning unit Monitoring unit (option to have service unit if provide health promotion services; also option for purchasing/funding as noted above) Department of Mental Health Policy and planning unit Monitoring unit Mental health services (MOH currently has responsibility for staff and resources in the community MH services) (option to have this as a division in Department of Primary Health) Department of Pharmaceuticals Policy and planning unit Monitoring unit (depends on decisions about future of pharmacy inspectorate) Pharmaceutical supply unit Department of Corporate Services Administration and personnel unit Budget and finance unit Procurement unit Communications unit Legal unit Department of strategic management Ministry wide policy, planning and monitoring unit Health information unit Health sector HR regulation and development unit Productivity and quality improvement unit HCCA [option to leave HCCA as a separate agency] Other: Office of Internal Audit reporting to Internal Audit Committee Executive assistants to PS and other senior staff reporting directly to the director or other manager they are assisting [Could have Health Care Commissioning Agency reporting to PS or as part of Department of Strategic Management] 38 Current structure Part of the Department of Health Services including part of the Division of Health Services, in particular the Office for Hospital Institutions. The services of the Office for Treatment Abroad could be included in the services of the Department of Secondary and Tertiary Services Part of the Department of Health Services including the Office for Primary Health Care under the Division of Health Services which has the two training centres (Centre for Family Medicine and Centre for Nursing Education). Part of the Department of Public Health in particular the Office for HIV AIDs and the particular programs for TB etc. Part of the Department of Public Health in particular the office for Mental Health All divisions in the Department of Pharmacy. The relationship of the Kosovo Medicines Agency and the Pharmacy Inspectorate need to be considered in further work. Legal Department, Information Officer, Certifying Officer, all divisions of Department of Administration, all divisions of Department of Budget and Finance, all offices of Department of Procurement. May include Capital Investments position in budget and finance unit Department of Strategic Management including the Division of HR, Office for Quality of Health Services, Division of HMIS, Donor Co-ordination, Office for European Integration, Office for Health Policy, Office for Equality, Human Rights and Gender. Possibly also includes the donor coordination office. Location of capital investments position needs further work. Includes HCCA. Office of Internal Audit Executive assistants [Could have separate Health Care Commissioning Agency]
Appendices Vertical Functional Review Kosovo Ministry of Health Appendix A: Abbreviations CFO Chief Financial Officer DFID Department of International Development EC Economic Commission for Europe EU European Union FRIDOM Functional Review and Institutional Design of Ministries HCCA Health Care Commissioning Agency HIMS Health Information Management Services HIS Health Information System HR Human Resources KMA Kosovo Medicines Agency MOF Ministry of Finance and Economy MOH Ministry of Health MTEF Medium Term Expenditure Framework NIPH National Institute of Public Health PMO Prime Minister‟s Office PS Permanent Secretary SWAp Sector Wide Approach UNMIK United Nations Interim Administration Mission in Kosovo WB World Bank WHO World Health Organisation 1
Page 1 and 2: Functional Review and Institutional
Page 3 and 4: Executive Summary 1. The process fo
Page 5 and 6: 5. There are many constraints on ma
Page 7 and 8: 9. Once the structure is decided th
Page 9 and 10: SECTION I: Legal, policy and medium
Page 11 and 12: Centre of Telemedicine reports to P
Page 13 and 14: other functions it could work along
Page 15 and 16: The whole-of-government budget proc
Page 17 and 18: Lack of planning and policy functio
Page 19 and 20: improve their planning and policy m
Page 21 and 22: Structural problems with excessive
Page 23 and 24: One option for the organisation of
Page 25 and 26: Some issues raised by staff include
Page 27 and 28: main providers of services funded b
Page 29 and 30: Policy and planning unit A variatio
Page 31 and 32: Health information is part of the D
Page 33 and 34: Issues raised by staff and others O
Page 35 and 36: The roles and functions of the boar
Page 37: Some countries have combined health
Page 41 and 42: Valdet Hashani, Primary Health Care
Page 43 and 44: split proposed in the World Bank re
Page 45 and 46: 56.2. Implementation of the health
Page 47 and 48: This law regulates tobacco products
Page 49 and 50: Provides for a grant for minimum st
Page 51 and 52: V. Fourth goal - Functionalize, reo
Page 53 and 54: Health information Develop effectiv
Page 55 and 56: Two projects on Health and Environm
Page 57 and 58: local government in relation to the
Page 59 and 60: Hospital prepares its own budget an
Page 61 and 62: Appendix E: Number of Staff and Bud
Page 63 and 64: Agency for the control of health ca
Page 65 and 66: Appendix G Additional advice provid
Page 67 and 68: Improving the health status analysi
Page 69 and 70: 3. Accountability. Incentives and s
Page 71 and 72: While there is clarity of central g
Page 73 and 74: 50.2 Section 1.2 of the Law on Pubi
Page 75 and 76: [check if section 13 is OK or are t
Page 77 and 78: all of the directors as soon as pra
Page 79 and 80: Template for examining decision rig
Page 81 and 82: Name of agency Invest Give loans bu
Page 83 and 84: Name of agency Modify a license Can
Page 85 and 86: The issues raised at the start of t
Page 87 and 88: Figure 2: Integrated management cyc
Page 89:
fees. The proposal could exclude th
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