Annex 1 – Capitation Road Map with the timetable Priority Interventions / Activities Responsible parties Other stakeholders involved results 2016 2017 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 1. Define the capitation package of outpatient services that will be financed by capitation budget 1.1 Establish the technical working group for the development of the capitation package MoH VSS, EU-HF, providers, users, other interested parties The TWG established 1.2 Develop the capitation package of outpatient services MoH VSS, EU-HF, providers, users, other interested parties The capitation package is developed 1.3 Cost the capitation package MoH VSS, EU-HF, MoF, providers, other interested parties The capitation package is costed 2. Define standards/requirements (HR, equipment, buildings, etc.) 2.1 Establish the technical working group for standards/requirements MoH VSS, EU-HF, providers, other interested parties The TWG established 2.2 Develop set of standards/requirements for implementation of the new capitation model MoH VSS, EU-HF, providers, interested parties Set of minimum standards defined 3. Select the pilot health care institutions 3.1 Draft the assessment questionnaire MoH VSS, EU-HF, providers, interested parties The questionnaire drafted 3.2 Conduct the assessment Departments of Health in provinces VSS, EU-HF, providers The assessment conducted 3.3 Selection of the pilot health care institutions MoH VSS, EU-HF, providers The pilot health care
institutions selected 4. Elaborate the new capitation model 4.1 Establish the technical working group for elaborating the key elements of the new capitation model MoH VSS, EU-HF, other interested parties The TWG established 4.2 Determine the age groups MoH, VSS EU-HF, GSO, other interested parties The age groups are determined 4.3 Construct cost adjustment coefficients for the age groups MoH VSS, EU-HF, other interested parties Adjustment coefficients constructed 4.4 Develop additional adjustment coefficients related to quality, performance, etc. MoH VSS, EU-HF, other interested parties Additional coefficients developed 5. Balance the budgets of the selected pilot health care facilities 5.1 Settling the deficits and surpluses VSS MoH, MoF, other interested parties The budgets are balanced 6. Develop operational manual for the new capitation model 6.1 Establish the technical working group for the development of operational manual MoH VSS, MoF, other interested parties The TWG established 6.2 Draft the operational manual - define principle for settlement of surplus and deficit - apply capitation only for outpatient services at primary level - total capitation fund calculation - calculation of capitation budget for health care facilities - allocation of capitation budget - reporting - define roles and responsibilities of the implementing partners (MoH, VSS, providers, etc.) MoH VSS, MoF, other interested parties The operational manual is drafted 7. Training of the pilots
7.1 Develop training materials in health management, health economics and health financing MoH, VSS, EU-HF, MoF Other interested parties Training materials are developed 7.2 Conduct training in health management, health economics and health financing EU-HF, MoF MoH, VSS, other interested parties Training conducted 7.3 Develop training materials for implementation of the operational manual MoH, VSS, EU-HF MoF, other interested parties Training materials are developed 7.4 Conduct training for implementation of the operational manual MoH, VSS, EU-HF MoF, other interested parties Training conducted 8. Piloting 8.1 Implementation of the new capitation model MoH VSS, EU-HF, MoF, other interested parties The new capitation model piloted