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Abt Associates Inc.
In collaboration with:
Avenir Health | Broad Branch Associates | Development Alternatives Inc. (DAI) | Johns Hopkins Bloomberg School of Public Health (JHSPH) |
Results for Development Institute (R4D) | RTI International | Training Resources Group, Inc. (TRG)
Session Outline
Welcome
Introductions
Presentations:
 The Joint Learning Network (Amanda Folsom)
 Ghana’s Experience (Nathaniel Otoo and Lydia Dsane-Selby)
 HFG Perspective (Chris Lovelace)
 Looking Forward (Amanda Folsom)
Discussion/Q&A
4
Experts
5
Nathaniel Otoo
Chief Executive
Ghana National Health Insurance Authority
Chris Lovelace
Director of Strategy and Quality, Health Finance and Governance Project
Abt Associates Inc.
Amanda Folsom, MPH
Program Director, Joint Learning Network for Universal Health Coverage
Results for Development
Dr. Lydia Dsane-Selby
Director, Claims Management
Ghana National Health Insurance Authority
The Joint Learning Network
Amanda Folsom
JLN Program Director
Results for Development
7
End Goal: Extend
quality health
services to more
than 3 billion
people and ensure
financial protection.
Goal 1: Expand
health service
coverage to reach
target populations,
especially the poor
and informal sector.
Goal 2: Increase
access to essential
health services,
especially primary
health care services.
Goal 3:
Improve quality of
care and patient
safety.
Goal 4: Promote
financial sustainability.
What is the End Goal of the JLN?
Expanding Membership – 27 countries
Full Members
• Ghana
• Indonesia
• India
• Kenya
• Philippines
• Malaysia
• Mali
• Nigeria
• Vietnam
Associate Countries
• Bangladesh
• Bahrain
• Colombia
• Egypt
• Ethiopia
• Japan
• Kosovo
• Liberia
• Mexico
• Moldova
• Mongolia
• Morocco
• Namibia
• Peru
• Senegal
• South Korea
• Sudan
• Yemen
jointlearningnetwork.org
Equitably expand
coverage to target
populations
Increased access
to services, esp.
primary care
Improve quality of
care and patient
safety
Sustainably and
effectively finance
services
Costing and pricing of services
Utilization review/Quality audits
Targeting – policy and design of
mechanisms
Delivery system/provider
network design
Licensing/accreditation
Provider Payment
Information technology
Strategic communication
Benefits design/Health
Technology Assessment
Monitoring progress/M&E
Human Resources
Institutional Roles &
Governance
9
Targetedfunctions
Goals
X-cuttingfunctions
Cross-cutting functions support all goals
Technical Goals Prioritized by the Steering Group
JLN Technical Initiatives and Collaboratives
10
• PHC-UHC Self-Assessment
• Engaging the Private Sector in PHC Delivery
• Health Benefits Policies for PHC
• PHC Performance Measurement and Improvement
• Financing and Payment Models for PHC
Primary Health
Care
• Costing Collaborative
• Data Analytics for Monitoring Provider Payment Systems
• Financing and Payment Models for PHC
Provider
Payment
• Reaching the informal sector and the poor
• User experience mapping to inform identification and enrollment
Population
Coverage
• Institutional Roles and Relationships in the Governance of Health Care
Quality
• Medical Audits
Quality
• OpenHDD
• Health Management System Interoperability
• Common Standards for National Health Coverage
• Data analytics for Monitoring Provider Payment
Information
Technology
• Domestic Resource Mobilization (TBC)
• Managing More from Existing Resources (TBC)
Health Financing
[NEW]
The Joint Learning Approach
1. Common
Problem
Identification
2. Collective
Problem Solving 3. Synthesis of
New Knowledge 4. Knowledge
Adapted Within
JLN Countries
5. Knowledge
Disseminated to
Other Countries
Key Benefits of the JLN Approach:
 Strong country ownership
 Relevance to country priorities
 Space to analyze root causes
 Builds trust, safe space, and community
 Results in practical tools/knowledge products that can be
used and shared
 Creates opportunities for responsive follow-up by partners
jointlearningnetwork.org 11
Using collaborative learning among practitioners to co-develop global
knowledge on the practical “how-to’s” of achieving UHC
Examples of Co-produced Knowledge and Tools
Primary Healthcare
Self-Assessment Tool
Health Data
Dictionary
Costing Manual
Toolkit
jointlearningnetwork.org 12
SPOTLIGHT ON GHANA
13
Mr. Nathaniel Otoo
Chief Executive, Ghana NHIA
Dr. Lydia Dsane-Selby
Director, Claims Management, Ghana NHIA
14
Mr. Nathaniel
Otoo
Dr. Lydia
Dsane-Selby
ExpertsGhana National Health Insurance Authority
PERSPECTIVE ON JLN – HFG PARTNERSHIP
15
Chris Lovelace,
Director of Strategy and Quality, HFG Project
JLN – HFG Partnership (Global Examples)
 JLN Global Meeting “Building Strong Systems for UHC, July
2016, Putrajaya, Malaysia
o HFG supported participants from 5 countries (Cambodia, Ethiopia,
Indonesia, Myanmar, Nigeria)
o Facilitated sessions for (1) country action planning and (2) Implementation
Research
 Learning Exchange on the Governance of Quality
o Collaboration of HFG-JLN, with ASSIST, WHO, IHI
 “Using Evidence to Design Health Benefits Plans: Lessons from
25 Countries” (HFG publication)
o Contribution of experience from JLN members from Ghana, Malaysia,
India, Philippines
 Strategic Communications and Stakeholder Engagement for UHC
(NEW)
o New HFG/joint learning activity in response to strong JLN country demand
16
JLN – HFG Partnership (Regional and
Country Examples)
 Regional Collaboration
o USAID Africa Bureau – Peer-to-Peer Learning Workshop “Financial
Protection and Improved Access to Health Care,” February 2016, Accra,
Ghana
o USAID Asia Bureau (emerging) – Public Stewardship of the Private
Sector
 Country-Level Partnership
o JLN as a platform for demand articulation and knowledge co-production;
HFG as partner in supporting implementation and adaptation of learning
at country-level
o Examples from Ghana, Nigeria (emerging), and Vietnam
17
18
Ghana
identifies
need to
improve data
analytics at
NHIA
Diagnostics of
data quality
Development of
management
dashboard and
capitation early
warning system
Implementation of
management
dashboard and
capitation early
warning system
JLN meeting in Accra
2013
Countries identify data
analytics to monitor
provider payment
systems as priority
Better use of
data in
support of
UHC
Country policy process
Joint learning input
Ongoing work at NHIA to improve data quality
and use
Ghana’s experience
included in the
toolkit
HFG support
JLN Collaborative on Data
Analytics for Monitoring
Provider Payment Systems
JLN PPM/IT Data
Analytics Toolkit
HFG co-sponsorship of
JLN Data Analytics
Collaborative workshop
HFG/JLN Collaboration in Ghana
20
Q&A
Mr. Nathaniel
Otoo
Dr. Lydia
Dsane-Selby
Amanda
Folsom
Chris
Lovelace
Thank You!
21
www.hfgproject.org
@HFGProject

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The Joint Learning Network in Action: Spotlight on Ghana

  • 1. 3 Abt Associates Inc. In collaboration with: Avenir Health | Broad Branch Associates | Development Alternatives Inc. (DAI) | Johns Hopkins Bloomberg School of Public Health (JHSPH) | Results for Development Institute (R4D) | RTI International | Training Resources Group, Inc. (TRG)
  • 2. Session Outline Welcome Introductions Presentations:  The Joint Learning Network (Amanda Folsom)  Ghana’s Experience (Nathaniel Otoo and Lydia Dsane-Selby)  HFG Perspective (Chris Lovelace)  Looking Forward (Amanda Folsom) Discussion/Q&A 4
  • 3. Experts 5 Nathaniel Otoo Chief Executive Ghana National Health Insurance Authority Chris Lovelace Director of Strategy and Quality, Health Finance and Governance Project Abt Associates Inc. Amanda Folsom, MPH Program Director, Joint Learning Network for Universal Health Coverage Results for Development Dr. Lydia Dsane-Selby Director, Claims Management Ghana National Health Insurance Authority
  • 4. The Joint Learning Network Amanda Folsom JLN Program Director Results for Development
  • 5. 7 End Goal: Extend quality health services to more than 3 billion people and ensure financial protection. Goal 1: Expand health service coverage to reach target populations, especially the poor and informal sector. Goal 2: Increase access to essential health services, especially primary health care services. Goal 3: Improve quality of care and patient safety. Goal 4: Promote financial sustainability. What is the End Goal of the JLN?
  • 6. Expanding Membership – 27 countries Full Members • Ghana • Indonesia • India • Kenya • Philippines • Malaysia • Mali • Nigeria • Vietnam Associate Countries • Bangladesh • Bahrain • Colombia • Egypt • Ethiopia • Japan • Kosovo • Liberia • Mexico • Moldova • Mongolia • Morocco • Namibia • Peru • Senegal • South Korea • Sudan • Yemen jointlearningnetwork.org
  • 7. Equitably expand coverage to target populations Increased access to services, esp. primary care Improve quality of care and patient safety Sustainably and effectively finance services Costing and pricing of services Utilization review/Quality audits Targeting – policy and design of mechanisms Delivery system/provider network design Licensing/accreditation Provider Payment Information technology Strategic communication Benefits design/Health Technology Assessment Monitoring progress/M&E Human Resources Institutional Roles & Governance 9 Targetedfunctions Goals X-cuttingfunctions Cross-cutting functions support all goals Technical Goals Prioritized by the Steering Group
  • 8. JLN Technical Initiatives and Collaboratives 10 • PHC-UHC Self-Assessment • Engaging the Private Sector in PHC Delivery • Health Benefits Policies for PHC • PHC Performance Measurement and Improvement • Financing and Payment Models for PHC Primary Health Care • Costing Collaborative • Data Analytics for Monitoring Provider Payment Systems • Financing and Payment Models for PHC Provider Payment • Reaching the informal sector and the poor • User experience mapping to inform identification and enrollment Population Coverage • Institutional Roles and Relationships in the Governance of Health Care Quality • Medical Audits Quality • OpenHDD • Health Management System Interoperability • Common Standards for National Health Coverage • Data analytics for Monitoring Provider Payment Information Technology • Domestic Resource Mobilization (TBC) • Managing More from Existing Resources (TBC) Health Financing [NEW]
  • 9. The Joint Learning Approach 1. Common Problem Identification 2. Collective Problem Solving 3. Synthesis of New Knowledge 4. Knowledge Adapted Within JLN Countries 5. Knowledge Disseminated to Other Countries Key Benefits of the JLN Approach:  Strong country ownership  Relevance to country priorities  Space to analyze root causes  Builds trust, safe space, and community  Results in practical tools/knowledge products that can be used and shared  Creates opportunities for responsive follow-up by partners jointlearningnetwork.org 11 Using collaborative learning among practitioners to co-develop global knowledge on the practical “how-to’s” of achieving UHC
  • 10. Examples of Co-produced Knowledge and Tools Primary Healthcare Self-Assessment Tool Health Data Dictionary Costing Manual Toolkit jointlearningnetwork.org 12
  • 11. SPOTLIGHT ON GHANA 13 Mr. Nathaniel Otoo Chief Executive, Ghana NHIA Dr. Lydia Dsane-Selby Director, Claims Management, Ghana NHIA
  • 12. 14 Mr. Nathaniel Otoo Dr. Lydia Dsane-Selby ExpertsGhana National Health Insurance Authority
  • 13. PERSPECTIVE ON JLN – HFG PARTNERSHIP 15 Chris Lovelace, Director of Strategy and Quality, HFG Project
  • 14. JLN – HFG Partnership (Global Examples)  JLN Global Meeting “Building Strong Systems for UHC, July 2016, Putrajaya, Malaysia o HFG supported participants from 5 countries (Cambodia, Ethiopia, Indonesia, Myanmar, Nigeria) o Facilitated sessions for (1) country action planning and (2) Implementation Research  Learning Exchange on the Governance of Quality o Collaboration of HFG-JLN, with ASSIST, WHO, IHI  “Using Evidence to Design Health Benefits Plans: Lessons from 25 Countries” (HFG publication) o Contribution of experience from JLN members from Ghana, Malaysia, India, Philippines  Strategic Communications and Stakeholder Engagement for UHC (NEW) o New HFG/joint learning activity in response to strong JLN country demand 16
  • 15. JLN – HFG Partnership (Regional and Country Examples)  Regional Collaboration o USAID Africa Bureau – Peer-to-Peer Learning Workshop “Financial Protection and Improved Access to Health Care,” February 2016, Accra, Ghana o USAID Asia Bureau (emerging) – Public Stewardship of the Private Sector  Country-Level Partnership o JLN as a platform for demand articulation and knowledge co-production; HFG as partner in supporting implementation and adaptation of learning at country-level o Examples from Ghana, Nigeria (emerging), and Vietnam 17
  • 16. 18 Ghana identifies need to improve data analytics at NHIA Diagnostics of data quality Development of management dashboard and capitation early warning system Implementation of management dashboard and capitation early warning system JLN meeting in Accra 2013 Countries identify data analytics to monitor provider payment systems as priority Better use of data in support of UHC Country policy process Joint learning input Ongoing work at NHIA to improve data quality and use Ghana’s experience included in the toolkit HFG support JLN Collaborative on Data Analytics for Monitoring Provider Payment Systems JLN PPM/IT Data Analytics Toolkit HFG co-sponsorship of JLN Data Analytics Collaborative workshop HFG/JLN Collaboration in Ghana