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Mapping clinical Pathways

Transforming Tunisia’s Clinical Cost Structures

Tunisia

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Organisation

Ministry of Health, Tunisia

Date

March 2017

The Challenge

The Tunisian Ministry of Health (MOH) recognised the issues surrounding their billing structures and, launched a pivotal project to implement a medico-economic informational system, to change the future operational running.

  • Combat the current issues on budgeting Tunisian health care facilities
  • Address the billing and fee structures
  • Set up a medico-economic informational system to calculate the real costs and accurate fees

The Action

Agencia's Action

Agencia entered a bilateral project with both the British Embassy and the Tunisian Ministry of Health to train key staff groups on the new systems. Agencia assembled a team of experts who were qualified to address two main areas:

Medical Component:

Agencia delivered training on the International Statistical Classification of Diseases and Related Health Problems from the World Health Organisation (WHO).

Economic Component:

Presentations reinforcing the different methods for integrating economic and medical data, in order to calculate the cost per process and per DRG, were executed.

On top of this, additional training was provided for methods surrounding the cost weight, and how to develop the national scale of cost and its use in financing the health system.

Finally, methodology for analysing data at a central level to enable strategic decision making was carried out.

The Results

Following the training that Agencia delivered, there have already been a number of improvements.

  • Improved intelligence-led decisions about where resources should be apportioned
  • Helped strengthen the business case for the state to invest in better services for patients
  • A model that can be rolled out to other countries in the region
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