CLUSTER: HOSPITAL SERVICES

Presentation to Portfolio Committee on Health

3 April 2001

• Cluster Manager ……. R 0.960 m

• Health Technology ……. R 1.508 m

• Facilities Planning ……. R 1.423 m

• Hospital Management ……. R 2.074 m

• Emergency Medical Services & Disaster

Management ……. R 0.606 m

• Radiation Control ……. R 5.994 m

Total ……. R12.565 m

Conditional Grants ……. R 5 341 bn

CLUSTER DIRECTORATESAND BUDGETS:

HEALTH FACILITIESPLANNING

Integrated Health Planning Framework (IHPF)

• Quantifies National Policy

• Updates existing National Planning Framework

• Integrates health planning:

1. HR, finance, technology, quality

2. HSS, acute & chronic care, PHC

• Dynamic tool

• Long term Planning

What is IHPF?

• Development of affordability cost model

• Conditional grants and other funding to be investigated

• Generic Provincial Strategic Plan

IHPF (continued)

Activities

Implementation of Hospital Revitalisation

• Identifying pilot projects for Revitalisation

• Develop Business Plans

• Investigating World Bank funding

• Provincial allocations transferred and monitored

• Components

• Land & buildings

• Organisational development

• Health Technology / Equipment

• Quality of care

Conditional Grants

• Support rehabilitation of over 400 projects

• Assisting with commissioning of 3 Academic Hospitals (Durban, Umtata and Pretoria)

OTHER ACTIVITIES

Continue to- Develop databases and combined

standards and guidelines for public and private health facilities

- Develop database, standards and guidelines for mortuaries and EMS

- Develop planning and commissioning guidelines

HEALTH TECHNOLOGY (HT) POLICY

HT - Policy Framework and Legislation

HT Policy Framework- Approved by MINMEC in 02/01

- Implementation to resume - HT System Development Programme to be declared- HT System Programme Major Projects

HT ‘Scoping Study’ HT Audit Essential HT Packages

HT Legislation- To be finalised after the completion of HT

policies- Develop strategy to close the present gap on

critical equipment - Finalize Schedule of equipment for the CON

 

 

HT- (HT Management & Planning) HT Management Policy to be finalised

- Meant to ensure equipment safety- Meant to reduce equipment downtime and disruption of

service delivery- Equipment donor guidelines to be delivered- Staffing Norms to be finalised - HT Managers already trained for 7 provinces

Organ Transplantation - Policy to be revised- Expert Committee to be put in place- Ongoing coordination of unrelated living donor transplants

& evaluation of requests for non-South Africans

HT System - (Scoping Study)

 

Scoping Study to provide Analysis of RSA and International HT

scenario A strategy for HT System development

including phasing of the four subsystems Required resources (Rand, HR,

Infrastructure) Legal Implications Evaluation and monitoring mechanisms

including the time frames and indicators

HT System - Essential Health Technology Packages (EHTP)

Integrated HT planning tool for(Essential Med equipment + related Cost & links to EDL

and Essential HR) To be finalised for Maternal & Child Health Development at MRC (NDoH & WHO main funders) RSA piloting the Field-Testing for 25 countries (RSA, Mozambique, Namibia reps for the region)

HT System – HT Audit To identify equipment gaps, physical

status, deployment etc HT audit guidelines produced Pilot audit in 2 provinces to be

completed (NP & EC) Completed Audits in 3 facilities (for

EHTP field-testing)

HOSPITAL MANAGEMENT

Decentralization of Hospital Management

Equip managers with appropriate competencies & skills

Achieve competency framework agreements for all levels of hospital managers

Device agreed role profiles for levels of management

Capacity building for managers Business planning training in hospitals Information systems development Labour relations Cost centre training Orgnisational development

HOSPITAL MANAGEMENT

HOSPITAL MANAGEMENT

Facilitate implementation of decentralisation of hospital management Develop a Nationally agreed policy on

decentralisation process Identify criteria for conferring decentralised

status Develop an assessment/audit tool

HOSPITAL MANAGEMENT

Implementation of management systems & structures Complete the implementation of cost

centres in the pilot hospitals Support Provinces roll-out of cost centres

Improve and support the efficiency of Hospital Boards Produce guidelines on the functioning of

hospital and community boards

HOSPITAL MANAGEMENT

Improve the effective and appropriate spending of financial resources Improve the financial monitoring & reporting

mechanisms Business plans Monthly & quarterly reports - intervention

HOSPITAL MANAGEMENT

STRATEGIC POLICY DIRECTIONS Building Financial Management Capacity Ensuring democratic Public Hospital

governance Attainment of nationally agreed approach to

decentralisation

EMERGENCY MEDICAL SERVICES

AND DISASTER

MANAGEMENT

EMERGENCY MEDICAL SERVICES PROVINCIALISATION OF SERVICES

Support the North West, Eastern Cape and Gauteng in their provincialisation process

North West and Eastern Cape due to complete exercise in June 2001

Gauteng unlikely to complete before year-end

EMERGENCY MEDICAL SERVICES NORMS AND STANDARDS

Include in National Planning Framework

Develop costing models

Regulations Pre-hospital emergency medical

services In-hospital emergency centres

DISASTER MANAGEMENT Policy and Guidelines for National

and Provinces establish focal points in provinces develop contingency plans

Resource Data Base resource support project health reaction teams

DISASTER MANAGEMENT Red Cross Act

community capacity enhancement program

auxiliary body to Health in an emergency

Training source appropriate training in district

management establish development program for

district management personnel

RADIATION CONTROL

PRIORITIES: 2001 Revise and broaden the quality Assurance

programme to include CT and dental x-ray units

Start a programme to license the use of industrial radio-frequency equipment

Update the sale database and publish a 2001 sourcebook of licensed electromedical equipment

Investigate a regulatory fee structure Tighten control over Industrial Radiography -

start re-registration process

CONDITIONAL GRANTS

Central HospitalProvince

sBudget Transf Expected

ExpendVariance

E. C 13,000 13,000 3,000 10,000

GP 1,492,868 1,492,868 1,492,868 0

WC 961,949 961,949 961,949 0

FS 237,538 237,538 237,538 0

KZN 406,645 406,645 406,645 0

Total 3,112,000 3,112,000 3,102,000 10,000

Prov Budget Transf Expected Expend

Variance

EC 52,830 52,830 52,830 0MP 23,480 23,480 23,480 0NC 23,480 23,480 23,480 0NP 23,480 23,480 23,480 0NW 23,480 23,480 23,480 0GP 503,646 503,646 503,646 0WC 292,326 292,326 292,326 0FS 84,528 84,528 84,528 0KZN 146,750 146,750 146,750 0Total 1,174,000 1,174,000 1,174,000 0

Health Prof Training & Research

Prov Budget Transf Expected Expend

Variance

EC 84,000 84,000 40,000 44,000MP 35,000 35,000 35,000 0NC 8,500 8,500 7,000 1,500NP 69,490 69,490 69,490 0NW 40,000 40,000 36,710 3,290GP 55,000 55,000 55,000 0WC 28,362 28,362 28,362 0FS 32,261 32,261 20,342 11,919KZN 70,526 70,526 70,526 0Total 423,139 423,139 362,430 60,709

Hosp Reconstruction & Rehab

Prov Budget Transf Expected Expend

Variance

EC 67,437 67,437 67,437 0MP 56,169 56,169 56,169 ONC 26,039 26,039 26,039 ONP 75,481 75,481 75,481 0NW 53,914 53,914 53,914 0National 6,905 0 0 6,905Total 285,945 279,040 279,040 6,90

5

Red of Highly Spec Services

New Durban Academic Hospital

Province

Budget Transfered Expected

Expend

Variance

KZN 273,000 273,000 273,000 0

Total 273,000 273,000 273,000

0

Umtata AcademicProvince Budget Transfere

dExpectedExpend

Variance

EC 111,855 111,855 111,855 0

Total 111,855 111,855 111,855

0

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