The World Bank – Kyrgyz Health Results Based Financing

To (a) introduce alternative provider payment mechanisms through RBF and enhanced supervision, in randomly selected rayon hospitals, to pilot and test alternatives for improving the quality of health services, and (b) strengthen the Government’s and providers capacity for collecting, monitoring and evaluating information regarding the quality of health services.

The project will consist of the following components: Component 1: Pilot and Test Alternatives for Improving the Quality of Health Services at Rayon Level Hospitals. In order to test alternatives for improving the quality of health services, this component will introduce: (a) enhanced supervision under a balanced scorecard, and (b) a performance-based incentive payment. Component 2: Strengthen the Government’s and Providers Capacity for Collecting, Monitoring and Evaluating Information. The introduction of the enhanced supervision under the balanced scorecard, and performance-based incentive payments will require extensive capacity building, not only for the MOH and MHIF, but also for the participating facilities as well. Through activities under this Component, MOH and the MHIF will receive support to become more effective and efficient in the purchasing, regulation and quality control of health care services, and in monitoring and evaluating results. Participating facilities will receive training and other support to understand the implications of the systems being piloted, and to diagnose issues and put in place mechanisms to improve quality. In addition, this component will finance a small Project Coordination Unit to ensure that the piloted activities proceed smoothly. Component 3: Impact Evaluation of Pay-for-performance scheme A randomized controlled design will be employed to conduct a rigorous impact evaluation to assess the impact of incentivized payments as well as increased monitoring, against increased monitoring alone, on quality of care (using a balanced scorecard of indicators). This will be performed in hospitals at the rayon level. The randomized design will include 3 groups: (1) incentive payment + intensive monitoring in 20 hospitals; (2) intensive monitoring alone in 20 hospitals; and (3) pure control group with no intervention.

The World Bank

US$ 11.00  million

Strengthened the Government’s and providers capacity for collecting, monitoring and evaluating information regarding the quality of health services.

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For possible business opportunities visit eConsultant2

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For possible business opportunities visit eConsultant2

dakmatbekova@worldbank.org

www.worldbank.org

mz@med.kg

www.med.kg