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need to work out the pricing policies which are likely to vary according to provider and services and change over time. The permission in the law for health institutions to provide additional service under contract makes it very important that the institutions are put into a more robust governance and accountability framework as discussed in Appendix G to increase the controls and incentives for good management of their operations to meet their obligations and use resources as appropriate. There will be increased revenue flows and increased risks of not using these well unless many of the suggested improvements in Appendix G are made. The Working Group has added requirements for master‟s qualifications for pharmacists. Is this realistic and necessary? Is this an unnecessary restriction of the market? 40
Template for examining decision rights of various agencies The current allocation of decision rights for hospitals and other health sector public institutions could be analysed to identify problems. The changes to the law should reflect solutions to those problems. The draft legal provisions in this report should also be analysed in this template to see if they represent a workable arrangement of decision rights. This is particularly important given that the provisions represent some significant changes to decision rights and given that the provisions were prepared in a very short period of time without being able to discuss the implications with the Working Committee on the Health Law. Name of agency Personnel Hire CEO and others Pay and conditions CEO & others Promote Discipline Dismissal Train Change positions and structure of organisation National Assembly Cabinet President (Office of President ) 41 Ministers (specify which ones) Ministry of Health (PS or other managers) Board of agency Head (CEO) of agency or other managers Others (specify such as MOF roles)
- 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 and 38: Some countries have combined health
- Page 39 and 40: Appendices Vertical Functional Revi
- 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: all of the directors as soon as pra
- 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
need to work out the pricing policies which are likely to vary according to provider and<br />
services and change over time.<br />
The permission in the law for health institutions to provide additional service under contract<br />
makes it very important that the institutions are put into a more robust governance and<br />
accountability framework as discussed in Appendix G to increase the controls and incentives<br />
for good management of their operations to meet their obligations and use resources as<br />
appropriate. There will be increased revenue flows and increased risks of not using these<br />
well unless many of the suggested improvements in Appendix G are made.<br />
The Working Group has added requirements for master‟s qualifications for pharmacists. Is<br />
this realistic and necessary? Is this an unnecessary restriction of the market?<br />
40
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