CONSULTing SerVICES of reference (TOR) Consulting services Drafting the procurement documents (proposed specification for consulting services) for public bidding procedure for the Integration of national health registers (databases) in Croatian health system BACKGROUND The Republic of Croatia received Loan no. 7598 HR from the International Bank for Reconstruction and Development (The World Bank) to support the objectives of the Development of Emergency Medical Services and Investment Planning Project (DEMSIPP). The project includes two components: Development of Emergency Medical Services and Support to the Ministry of Health (MoH) for Strategic Planning Component 1: Development of Emergency Medical Services (EMS) This component finances investments to restructure the EMS in order to improve the geographical distribution of resources, responsiveness, efficiency and quality of services. It includes four each addressing a specific area of Emergency Service provision and monitoring. These are: Establishment of a Croatian Institute for EMS, which will guide EMS policy, set and monitor national guidelines and standards for EMS services in Croatia; Reorganization of pre-hospital EMS, which will support the implementation of the national guidelines at the county level, upgrade pre-hospital EMS human, vehicle and equipment resources, and establish and integrate EMS dispatch units within the national emergency system; of in-hospital EMS, will support the creation of integrated EMS departments in selected hospitals and upgrade the capacity of selected remote health centers to provide emergency services; and of an emergency-related telemedicine service delivery network to improve EMS delivery on selected islands and at other remote sites through the use of telemedicine technologies. Component 2: Institutional Support to Ministry of Health for Strategic Planning The objective of this component is twofold: To complement supply side reforms under component 1 by developing restructuring plans for health care facilities and human resources; and To strengthen the capacity of the Ministry of Health to develop and manage projects, some of could be financed through EU pre-accession and accession funds. The rationale for this component stems from two observations:
There are significant investments to be made to improve the efficiency of the health sector that require adequate planning and managerial capacity at the Ministry of Health; and The experience of new EU member states shows that preparation of proposals and plans to make use of EU structural funds should begin as early as possible. This component includes three sub-components: Developing priority programs as a for planning the key elements of a health investment strategy. These elements will be used to advocate for the EU or other sources of funds to invest in health in such a way as to achieve a more efficient and effective health system. The elements to be supported by the project will focus on, but not be limited to, the development of a health facilities masterplan, a health human resources strategy, and specific projects to harness information communication technology (ICT) to better manage the health system and deliver health services; Capacity building to access EU funds, which will support the development of the necessary human resources and institutional capacity required to access EU funds; management support for successful execution of the DEMSIPP. 2. OBJECTIVES OF THE ACTIVITY The objective is to analyse current state, analyse requirements and create operational documents and specifications for the development phase of the national integrated health information system which will support implementation of the national healthcare strategic projects. All healthcare institutions in the Republic of Croatia are included in the project, list is attached as addition to this document. The project includes following components: Evaluation and analysis of current situation (AS IS situation) Evaluation and analysis of requirements and creation of the proposed solution (TO BE situation) Preparation of operational documents and specifications for the development phase of the project “Integration of national health registers (databases) in Croatian health system”. Component 1: Evaluation and analysis of the current situation (AS IS) This component includes detailed analysis in following areas: law and regulatory; business processes (processes involved with data registers); registers (databases) and data; sources of data master data registers master coding lists data management data exchange data security roles and responsibilites users and stakeholders input/output documents; current IT platform for registers (HW and SW);