March 2014 / Page 1

2012 Demographic Indicators Total Population 1,105,280

Area (km2) 99,633 Population density 10.5 hab/km2

Eligible population for Sumar 461,689

2012 Health Coverage

Population without health

insurance

57.9 %

2012 Infrastructure

Total Public Hospitals 52 # Private health facilities with hospital stay 77

# Primary Health Centers 90 Health providers hired by Sumar 142

PROVINCE OF CHACO

Plan Nacer has been implemented since 2005. Programa SUMAR was first implemented in

August 2012.

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2012 Morbidity and mortality

Maternal mortality rate 6.8

Infant mortality rate 13.3

Neonatal mortality rate 7.5

Postneonatal mortality rate 5.8

MINISTRY OF PUBLIC HEALTH OF THE PROVINCE OF CHACO

HEALTH ORGANIZATION OF THE PROVINCE The province is organized into 8 health regions and it has 165 health providers: Region I. UMDESOCH

Region II. Center Chaqueña Region III. Oriental Chaqueña Region IV. Southwest

Region V. Impenetrable Region VI. North Region VII. Center West Region VIII. Metropolitan

MINISTER

SUB-SECRETARIATES

• Health

• Management

Coordination and

Control

• Institutional

relationships

• Primary Health

Care

PROGRAMA SUMAR

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FINAL GOAL

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TO EMPOWER

HEALTH PROVIDERS

IMPLEMENTED STRATEGIES

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TO ENCOURAGE AND FACILITATE ACCESS OF

HEALTH PROVIDERS TO THE INFORMATION

TO BUILD AN EFFICIENT ADMINISTRATIVE CIRCUIT BY

ENCOURAGING HEALTH PROVIDERS’ SELF-MANAGEMENT

TO PROVIDE THE NECESSARY ADMINISTRATIVE TOOLS

TO TRANSPOSE PROVINCIAL GOALS TO ACHIEVE

PERFORMANCE SELF-ASSESSMENT

TO ACHIEVE INFORMATION FEEDBACK TO ENABLE

MONITORING THEIR PERFORMANCE FROM THE UGSP

Command Board

Tracers

Reports

Register Administration

Billing

Enrollment

Billing

Data Handling Systems

Decision Support Systems

Management Systems

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UTILIZED INFORMATION SYSTEMS

PRICING

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KEY ELEMENTS IN THE PRICING PROCESS

FINANCIAL

CONSISTENCY

TOOL

HEALTH

PRIORITIES (PRIORITIZED

SERVICES)

PREVALENCE

RATE

HEALTH SERVICE PLAN

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INFORMATION

ADM. CIRCUIT

TOOLS

GOALS

FEEDBACK

Health Service Plan (PSS) based on complexity. Correct

use of PSS.

Enrollment and Billing System

PSS Usage percentage between 60 and 70 %

Evaluation of performance and search for new

health care habits for the population

Admission Doctor’s

office Administration

Service

Report

ENROLLMENT EVOLUTION

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STRATEGIES on BASIC EFFECTIVE COVERAGE (BEC)

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Information: report on the status of beneficieries without BEC or about to expire

Circuit: Identify beneficiaries and report health services

Tools: I.T. System. List of beneficiaries

Goals: The health provider knows their goals by age group. Monthly.

Feedback: Monitoring – Evaluation – Planning actions to provide Coverage to

beneficiaries with BEC about to expire

BASIC EFFECTIVE COVERAGE 2013-2014

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TRACERS

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HEALTH PROVIDER

PRIORITIZATION

TARGET POPULATION

STRUCTURE

MANAGEMENT CAPACITY

TRACER IDENTIFICATION

Administrative Circuit

IT Systems Quarterly

Goals Monitoring and

Evaluation

CASES

HOW

WHAT

WHEN

NACER TRACER RESULTS

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20%

28% 28% 28%

20%

32%

36%

16%

32%

23% 26% 25%

17% 17% 19%

31%

28%

31% 30% 29% 30%

34%

31%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

2° C 3° C 1° C 2° C 3° C 1° C 2° C 3° C 1° C 2° C 3° C 1° C 2° C 3° C 1° C 2° C 3° C 1° C 2° C 3° C 1° C 2° C 3° C

2005 2006 2007 2008 2009 2010 2011 2012

Evolution of the Global Retribution per Plan Nacer Tracer Province of Chaco

2° Quarter 2005 to 3° Quarter 2012 – Retribution expressed as a percentage of the capita

Maximum Global Retribution: 40% of the capita

EVOLUTION OF SERVICE RECORDS

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BILLING I.T. SYSTEMS

1 • Infrastructure

2 • Equipment

3 • Supplies

4 • Hiring human resources

5 • Training

6 • Incentives for human resources

FUND ALLOCATION

3.59%

19.98%

0.37%

14.12%

11.45%

1.52% 0.52% 1.67%

0.00%

46.77%

Medicos

Otros

Edilicio

Eq Medico

Eq No Medico

Edilicio

Eq Medico

Eq No Medico

Capacitacion

Fdo Estimulo

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Doctors

Other

Building

Medical Equip

Non-medical Equip

Building

Medical Equip

Non-medical Equip

Training

Stimulus fund

INFANT MORTALITY IN THE PROVINCE OF CHACO

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ABORIGINAL HEALTH AGENTS FOM IMPENETRABLE

NUEVA POMPEYA MISSION

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ABORIGINAL HEALTH AGENTS FROM IMPENETRABLE

EL SAUZALITO

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