Reviving Healthcare Curing Hungary EU Structural Found Resources

INTRODUCTION 1 New Hungary Development Plan The most important strategic document for Hungary for the period 22.4bn of development funding in total 15 Operational Programmes (OP) Overall goal to expand labour market participation and promote sustainable economic development

INTRODUCTION 2 Key Documents 1. New Hungary Development Plan Operational Programmes 3. Action Plans (every 2 years) 4. Constructions (Tenders and Priority Projects)

INTRODUCTION 3 Areas of Development in Healthcare Social Renewal OP 6.1: to improve health and encourage more health-conscious behaviour Social Renewal OP 6.2: to develop human resources Social Infrastructure OP 2.1: to develop the provision of out-patient care Social Infrastructure OP 2.2: to support the restructuring of the provision of in-patient care Social Infrastructure OP 2.3: to develop a healthcare IT system

HEALTH POLICY FRAMEWORK New government – new national healthcare strategy Security and partnership in healthcare 2010 Reviving Healthcare – Curing Hungary (Semmelweis treatise) Operational Programmes New Széchenyi Plan (within the framework of the Operational Programmes)

DEVELOPMENTS IN SEMMELWEIS PLAN to establish a National Health Organisation Centre and Integrated Regional Health Boards to effect major changes at all existing levels of service (emergency, in-patient and out-patient care) to develop a new integrated healthcare IT system to focus on capacity-based planning to establish new Methodological Centres to prepare new Public Health Action Plan

SOURCES OF FUNDING Social Infrastructure Operational Programme: 286m Social Renewal Operational Programme: 138m Regional Operational Programme: 85m But what will this be enough to achieve…?

NEW OPPORTUNITIES FOR DEVELOPMENT 1 Social Renewal Operational Programme 1.New elements to improve organisational efficiency by establishing regional co-operation - 44m to expand national screening programmes to launch comprehensive public health- and health promotion campaigns to introduce a national health monitoring system and capacity map

NEW OPPORTUNITIES FOR DEVELOPMENT 2 2. Existing elements to provide training and employment support – 3.3m to promote healthy lifestyle programmes – municipal-, regional- and other projects (at school, work etc.) – 3.6m

NEW OPPORTUNITIES FOR DEVELOPMENT 3 Social Infrastructure Operational Programme 1. New elements Implementation and development of micro-regional out-patient care centres – goal of the Operational Programme but the interpretation is questionable from the perspective of progressiveness - 1.3m Continuation with content modified according to restructuring – support for small conversion hospitals - 3.7m – support for restructuring of the provision of in-patient care ~16.3m National Healthcare IT system (eHealth) 3.7m available in funding for OP+(SROP6.2.7) – in-house patient identification system – state-certified records and sectoral portal – inter-institutional IT systems

NEW OPPORTUNITIES FOR DEVELOPMENT 4 2. Existing elements Development of the Emergency Services –1.5m available in project funding Implementation of a Modern Regional Oncological Network – primarily development of sub-cenrres –2.6m available in project funding Development of blood supply and emergency services as priority projects

EXPERIENCE 1 Economic Crisis lack of strategy (sectoral resources) or inadequate strategy (oncology) or varying strategies and conceptions Conclusions: Long preparation time Planning and implementation at the same time Application forms as strategic documents

EXPERIENCE 2 Lack of strategic thinking No further resources for development Lack of modern management knowledge Modern project management vs. bureaucratic processes Public procurement - the projects Achilles heel

Thank you for your kind attention! Dr. Krisztina Török General Director Institute for Healthcare Quality Improvement and Hospital Engineering