importance in the effective management of the project

Bastgragaha for a very long time in processing up for years in some cases, as was the result in action inconsistent decisions and duplication of effort during the evaluation of claims and processing. Emergency program included to support the implementation of social protection to develop an automated system to manage claims aim internal clinics in hospitals claims management. Offering electronic claims from hospitals and then be processed automatically, with proper supervision, and then issued a letter adoption of repayment. And it included the development process to conduct numerous interviews and workshops with the National Social Security Fund staff to determine the workflow procedures as well as the valuation rules of the National Social Security Fund, with extensive participation to the end user is one of the key features of this project, and has been integrated into the evaluation rules in the “engine rules “he automatically applied to each of the claims, and completed the pilot program, which was attended by three hospitals in 2009.
221. drew a number of lessons learned from this program, including: (a) In addition to the formation of a project team to manage the claims, the National Social Security Fund had already contracted with the IT service provider to complete other related work. It was clear that a successful interaction between the teams a very important factor, and that was difficult to achieve at times. It is crucial that the implementation body coordination between all the teams that do business related to each other. And it is of the utmost importance in the effective management of the project as a whole. (B) There have been times when obstructed maintain the project within the specified scope. Technical issues have appeared seemingly separate but linked with each other, it was necessary to be addressed to ensure the system performance of their functions in the end. (C) must implement fully prepared for delivery gradual and final products for the body. It must be of sufficient funds and staff and training is available for the effective transfer of skills and technology enabled.
222. Slovenia. Health sector Slovenian management project started in 2000 to support a large variety of areas, including health policy, and the development of health standards, and health information systems support included the establishment of a national mechanism for the exchange of health information and be a central hub for the exchange of information on health matters between the bodies. Generally it has been evaluated in the project outcomes as satisfactory.
223. It turned out early in the project in relation to specific issues pertaining to the components of information systems that are not likely to accept the stakeholders of the concept of establishing a national mechanism for the exchange of information. It also emerged legal issues had to be addressed. UNU Institute of Public Health, for example, it was the only party allowed to legally review of health care outcomes data, complicating the task of health insurance body on categories of diagnostic classification system management. If the institute did not support an integrated information system full support, has slowed progress on the project. Therefore it was decided to reallocate some funding directed to the development of the field of information technology; to support other aspects of the project, such as the categories of diagnostic classification and quality of care, at a time when consultations will continue with stakeholders on the information system design. Then decide later in the 2003 follow-up to complete the establishment of data management would focus on the establishment of standards and procedures in order to improve data accuracy and to ensure the safety and confidentiality of the center. The centerpiece will be the initial focus is to support the classification categories of diagnostic program. The evaluation team was reached in this regard that where was an important IT project significantly components Vsachris then more time to understand the legal, institutional and political constraints, and then integrate this understanding into the project design process.
224. Summary expertise and international experience. One of the important lessons to be learned here from international experience is that it is difficult for the projects ambitious reform of health insurance systems that include components of information systems to comply with the timetable and budget agreed upon. In many cases that have been reviewed, some problems have arisen as a result of the widening scope of the project, which probably was not allowed to give sufficient attention to component information systems. One of the key lessons that have been applied in the development of the proposed health insurance systems in a project to determine the scope of the project unnecessary specifically very well and to be realistic, with a primary focus on the work system and technical requirements. Supervision of information technology and management of contractors as employees of their affairs is of paramount importance in ensuring the success of this project. It is likely to result in inadequate supervision of contractors to project failure. The lesson of this fundamental pillar for the inclusion of the project on the company assume the function of verification and validation in the framework of its core activities. The general level of participation has emerged as Body on Implementation of the concerns in some cases, where the high level of participation is crucial. It is also important to be consulted with a direct interest in all stages of this process, the owners, and that the current regulations to address developed to meet their needs, and that there is a steady flow of tools that will help them in their daily activities with the development of the project. It should be noted that in the Egyptian context, all of the General Authority for Health Insurance and the Ministry of Health is working closely with each other in order to create new social health insurance system. The minister personally oversee the change management effort, which represents Chairman of the General Authority for Health Insurance Administration the right arm and an assistant minister, are currently being implemented communication strategy and strong awareness regarding the various stakeholders. There is also a high-level effort to sift through a steering committee for health and social insurance system headed by the Prime Minister. In the end, one of the main sources of the delay is that information systems activities in the system design requirements and the procurement process is not implemented only after the adoption of the project or the date of entry into force. In the case of Health Insurance Systems Development Project, in charge of Egypt’s authorities have begun their work well in advance before the adoption of the project or the validity of its effective date Aftort strong technical systems requirements, and drafted brochures specification standard tenders and conditions, and launched the invitation process for the Request for Proposals already. It also expressed its desire to strengthen these pamphlets with advice provided by the Review Group on strengthening the quality of the technical specifications.

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