Joint Learning Network for Universal Health Coverage

Blog

Health Technology Assessment: A useful tool for countries moving toward Universal Health Coverage

NICE International’s Kalipso Chalkidou provides an update on the 2nd Annual meeting of HTAsiaLink

Between 13 and 15 May 2013, more than 60 people from 10 South East Asian countries, as well as the United Kingdom, North America and Brazil, came together for the second annual meeting of HTAsiaLink. HTAsiaLink is a network – launched two years ago – with the objective of supporting collaboration between Asian Health Technology Assessment (HTA) agencies.

This year’s meeting included over 15 abstract presentations by junior researchers - some of them presenting for the first time - all focused on real problems faced by decision makers in their countries and linked to decisions not only on technologies but also services and broader policies. Indeed, HTA is used in its broadest definition, to include health services and programmes, beyond individual drug appraisals underpinned by complex models.

The plenary was given by Professor Tony Culyer (York and Toronto) the Founding Vice Chair of the UK’s NICE.

Transforming data into decision-making

A dashboard for expansion of health coverage

Photo credit: Joint Learning Network/Expanding Coverage

The Joint Learning Network for Universal Health Coverage (JLN) Expanding Coverage (EC) Track has developed a prototype country-level “information dashboard” – an interactive, electronic interface that will routinely synthesize data and display progress against key indicators related to expansion of coverage to disadvantaged and/or underserved populations.

EC Track members first voiced a need for readily available data on expanding health coverage at the June 2011 workshop, “Expanding Coverage to the Informal Sector,” held in Mombasa, Kenya. Workshop participants came together in a special session to brainstorm and prioritize information needs related to expanding coverage.

A Proposed Vision for the Next Phase of the Joint Learning Network for Universal Health Coverage

Over the past three years, the Joint Learning Network (JLN) for Universal Health Coverage (UHC) has become a well-established practitioner-to-practitioner network of countries at the forefront of the global movement toward UHC. Now that the JLN has been active for a few years, many involved in JLN felt that now was an appropriate time to assess what has been achieved to date and develop a roadmap for the future.

Strategic review of the JLN

In December 2012, the Rockefeller Foundation contracted Pact, an independent NGO that specializes in community engagement and networks, to conduct an independent strategic review of the JLN’s value proposition, mechanisms for engaging members, and decision-making structures.

Catching up with the Joint Learning Network Quality track

Highlights from this week's workshop, 'Accreditation as an Engine for Improvement'

Photo credit: Joint Learning Network/Quality Track

As nearly 60 Joint Learning Network for Universal Health Coverage (JLN) Quality track members meet in Bangkok this week at the ‘Accreditation as an Engine for Improvement’ workshop, the pressure to meet patient and international demands for quality of care has been at the forefront of the discussion. Hosted by the Healthcare Accreditation Institute and Capacity Building Program for Universal Health Coverage of Thailand, experts from JLN countries and other partners continue to present and discuss the issues surrounding accreditation of health facilities and service delivery.

The broad aim of accreditation is to set a minimum acceptable standard—whether for facilities, service provision, or capacity.

Harmonizing health information systems

Reflections on the Fourth Information Technology Core Working Group

From March 18-21, the Joint Learning Network (JLN) Information Technology track convened for their fourth core working group meeting in Dubai. These meetings provide track members with the opportunity to pool their collective experience implementing information technology reforms in support of national health insurance schemes, develop practical tools and guides that can be shared to support their own country’s progress towards universal health coverage (UHC), and build relationships with other practitioners.

The team traveled to Abu Dhabi for a day-long visit to see the Shafafiya system in action. Members received a brief overview of Shafafiya from Director-General of the Health Authority Dr. Maha Baraket and Head of Statistics and Modeling Mr.

Accreditation as an Engine for Improvement

Photo credit: Joint Learning Network/2012 Prince Mahidol Award Conference

As countries move toward universal health coverage (UHC), health care delivery systems must continuously improve to match the increased demand they face from patients. Empanelment, accreditation, and other external evaluation systems are widely-used tools for assuring a standard level of quality of care. A modern health care system requires that providers continuously improve their services; accreditation and empanelment can be harnessed to drive genuine improvement in care delivery.

From April 9-12, 2013, nearly 60 Quality track members will go to Bangkok, Thailand to participate in the upcoming JLN Quality track workshop, Accreditation as an Engine for Improvement, hosted by the Healthcare Accreditation Institute and Capacity Building Programme for Universal Health Coverage of Thailand.

Harmonizing health information systems, one note at a time

Well-functioning heath information systems are the unsung hero of successful health systems.

The exchange of data and information is fundamental —without it healthcare providers, insurers, government agencies, and other stakeholders are unable to communicate effectively—which can lead to poor customer care, a system that fails to respond to the needs of a nation, and inadequate financial management.

While most experts agree that investment in appropriate information technology (IT) is critical to reducing costs, improving quality and increasing enrolment. Harmonizing the language of different health organizations and health information systems within a scheme is an iterative process.

JLN Countries Building Costing Manual for Provider Payment

Health provider payment systems—the way health providers are paid to deliver services—are increasingly being recognized as a powerful tool in the pursuit of universal health coverage (UHC). In their provider payment reform efforts, many countries are struggling to establish a cost basis for payment rates – the average cost per unit of service provided—to better leverage provider payment policy for UHC (see Box). Determining the cost of health services and then using this cost information to inform payment rates is not easy in data-constrained environments, and there is little existing guidance for countries to follow. Well, not yet anyway.

Indonesia hosts second meeting of the Provider Payment Costing Collaborative

Photo credit: Joint Learning Network/Provider Payment Costing Working Group

The Provider Payment Costing Collaborative Core Working Group (CWG) held its second meeting in Jakarta, Indonesia from February 25-27, 2013. The CWG -- with a cumulative total of approximately 320 years of experience in health -- is developing a costing manual for provider payment that can be integrated into country-led processes for provider payment reform in support of universal health coverage (UHC) and other health system goals. At this workshop, participants performed a systematic review of the manual's costing methodology section and developed content for a section on data collection and analysis. The manual builds on the experience and lessons of CWG members and will serve as a 'how to' for others who are embarking on costing studies for provider payment.

Photos and notes from the meeting will be posted soon.

Ghana embraces the ‘quality approach’

Dr. Afisah Zakariah, Director of Policy Planning, Monitoring and Evaluation at the Ministry of Health and Ghana’s former Director General, Dr. Frank Nyonator invited members of the Joint Learning Network for Universal Health Coverage (JLN) Quality track to formally kickoff a working group on health systems quality improvements in the pursuit of universal health coverage (UHC).

Over 25 senior level representatives from Ghana’s Ministry of Health, Ghana Health Services (GHS), the National Health Insurance Authority (NHIA), and the NGO sector convened in Accra on January 25, 2013 to brainstorm key challenges to improving quality across all organizations including representatives.

Need help?

Welcome to the JLN Blog.

  • Browse the entries: Click “Read more” to see a complete blog post, scroll down to see the JLN blog archive.
  • Filter: View posts by topic using the tags on the right.
  • Join the conversation: Click “Add New Comment” to add a comment and share your thoughts on a post.

For comments or questions, or to author a guest post, Contact Us.