Subject: RE: UHC missions in February 2018
From: Mariana Mkurnali <"Mariana Mkurnali">
To: Andres Rannamäe <[email-masked]>, "HABICHT, Triin" <[email-masked]>, "IVANUSA, Marijan" <[email-masked]>
Cc: "Sopo Belkania ([email-masked])" <[email-masked]>, "KLIMIASHVILI, Rusudan" <[email-masked]>, "KURTSIKASHVILI, Giorgi" <[email-masked]>, Kahur Kristiina <[email-masked]>
Date: Tue, 20 Feb 2018 16:55:00 +0000

Dear all,

As promised I’m sending you the Structure of the SSA, Order on creation of working group, in order to improve cost effectiveness of State Health programs, and minutes of the last meeting of the working group in English. I will send you SSA report that was mentioned on today’s meeting as soon as it will be provided.

Best regards,

Mariana Mkurnali

Head of Interational Relations Division

HR Management and International Relations Department

Ministry of Labour, Health and Social Affairs of Georgia

144 A.Tsereteli Avenue, 0159, Tbilisi, Georgia

Mobile number: +995 599 49 09 42

მარიანა მკურნალი

საერთაშორისო ურთიერთობებისა და აპარატის საქმისწარმოების სამმართველოს უფროსი

ადამიანური რესურსების მართვისა და საერთაშორისო ურთიერთობების დეპარტამენტი

საქართველოს შრომის, ჯანმრთელობისა და სოციალური დაცვის სამინისტრო

აკ. წერეთლის გამზირი 144,  თბილისი, საქართველო,  0159

მობ:  +995 599 490942

From: Mariana Mkurnali
Sent: 16 February, 2018 14:03
To: 'Andres Rannamäe'; HABICHT, Triin; IVANUSA, Marijan
Cc: Sopo Belkania ([email-masked]); KLIMIASHVILI, Rusudan; KURTSIKASHVILI, Giorgi; Kahur Kristiina
Subject: RE: UHC missions in February 2018

Good afternoon,

Dear Andres, Thank you for responding on the questions regarding the DM’s participation on the seminar.

Regarding diabetes type 2 pathway meeting, I can confirm the meeting on Friday, February 23rd, 2018 from 11:30 until 13:00 with Deputy Minister Zaza Sopromadze, Head of Health Care Department Marina Darakhvelidze, Head of Health Policy Division, Ketevan Goginashvili and Head of Public Health care and Programs Division, Ekaterine Adamia.

Would you be so kind to send us the patience pathway mission report?

As I was informed today, Minister will not be able to attend the Monday meeting on 19th, February at 12:00-14:00 due to the unexpectedly scheduled meeting. In order to arrange meeting on the same day, maybe we could switch timing of the meetings with SSA’s IT Department on 14:00-15:30 (February 19th, 2018) add 30 minute break and than we can suggest meeting at 16:00-18:00 (February 19th, 2018)  with Minister and other MoLHSA representatives. (please see the attached draft agenda).

Also, I’m sending you the draft documents on DRG transition Plan and DRG monitoring.

Looking forward to your response on the matter.

Best regards,

Mariana Mkurnali

Head of Interational Relations Division

HR Management and International Relations Department

Ministry of Labour, Health and Social Affairs of Georgia

144 A.Tsereteli Avenue, 0159, Tbilisi, Georgia

Mobile number: +995 599 49 09 42

მარიანა მკურნალი

საერთაშორისო ურთიერთობებისა და აპარატის საქმისწარმოების სამმართველოს უფროსი

ადამიანური რესურსების მართვისა და საერთაშორისო ურთიერთობების დეპარტამენტი

საქართველოს შრომის, ჯანმრთელობისა და სოციალური დაცვის სამინისტრო

აკ. წერეთლის გამზირი 144,  თბილისი, საქართველო,  0159

მობ:  +995 599 490942

From: Andres Rannamäe [mailto:[email-masked]]
Sent: 14 February, 2018 19:45
To: Mariana Mkurnali; HABICHT, Triin; IVANUSA, Marijan
Cc: Sopo Belkania ([email-masked]); KLIMIASHVILI, Rusudan; KURTSIKASHVILI, Giorgi; Kahur Kristiina
Subject: Re: UHC missions in February 2018

Dear Mariana,

Thank you very much for the timely sent homework, we will work it through and if immediate questions arise we will let you know ASAP.

Let me elaborate what we would expect from Deputy Minister:

-          Critical assessment of strategic purchasing situation - presenting the homework and elaborating the situation. We expect also to have discussion on mentioned topic, and we hope DM active participation. Discussion will be moderated by Triin and myself.

-          Organizational assessment of SSA – I will do the presentation, and DM can contribute this session with practical examples and support with own assessment and statements. Actually, the presentation will be made on Monday for Minister and Tuesday for broader staff of SSA and MoLHSA, so there should not be any surprises. During this presentation, and particularly as a conclusion we supposed to prioritize SSA capacity building needs. DM can contribute in this discussion.

Report has been sent by Triin already, I will make additionally presentation slides for feedback during different meetings. It would be appreciated if we could have data projector during Monday and Tuesday meetings.

Best regards,

Andres

From: Mariana Mkurnali <[email-masked]>
Date: Wednesday 14 February 2018 at 16:13
To: "HABICHT, Triin" <[email-masked]>, "IVANUSA, Marijan" <[email-masked]>
Cc: "Sopo Belkania ([email-masked])" <[email-masked]>, "KLIMIASHVILI, Rusudan" <[email-masked]>, "KURTSIKASHVILI, Giorgi" <[email-masked]>, Kahur Kristiina <[email-masked]>, Andres Rannamäe <[email-masked]>
Subject: RE: UHC missions in February 2018

Dear All,

As agreed I’m sending you draft agendas to be approved, and outcome of the "homework for the seminar".

In order to properly inform Deputy Minister regarding the presentation for the seminar

Would you be so kind to clarify/specify what kind of presentation are you expecting from Mr. Sopromadze?

(11:20-13:00 Critical assessment of the strategic purchasing situation and development needs in Georgia. Presentation of Homework, discussion)

Also according to the seminar agenda, Could you clarify what kind of support is expected from Mr. Sopromadze?

14.00 – 14.45  Organizational assessment of SSA, capacity building needs of SSA. McKinsey 7S analyses, discussion. Andres & supported by Zaza

From your side we are expecting to receive the draft report on SSA’s organizational dimensions, in order to distribute it among the MoLHSA/SSA staff to be properly prepared.

Thank you in advance.

Best regards,

Mariana Mkurnali

Head of Interational Relations Division

HR Management and International Relations Department

Ministry of Labour, Health and Social Affairs of Georgia

144 A.Tsereteli Avenue, 0159, Tbilisi, Georgia

Mobile number: +995 599 49 09 42

მარიანა მკურნალი

საერთაშორისო ურთიერთობებისა და აპარატის საქმისწარმოების სამმართველოს უფროსი

ადამიანური რესურსების მართვისა და საერთაშორისო ურთიერთობების დეპარტამენტი

საქართველოს შრომის, ჯანმრთელობისა და სოციალური დაცვის სამინისტრო

აკ. წერეთლის გამზირი 144,  თბილისი, საქართველო,  0159

მობ:  +995 599 490942

From: Mariana Mkurnali
Sent: 12 February, 2018 19:30
To: 'HABICHT, Triin'; IVANUSA, Marijan
Cc: Sopo Belkania ([email-masked]); KLIMIASHVILI, Rusudan; KURTSIKASHVILI, Giorgi; Kahur Kristiina; [email-masked]
Subject: RE: UHC missions in February 2018

Dear All,

Sorry for the late reply, as agreed please see the attached documents below:

·         Updated participants list for the Developing strategy for strategic purchasing and  building SSA organizational capacity Strategy workshop, 21.-22.02.2018

·         Draft agenda of the mission on SSA (19-23 Feb, 2018)

·         Draft Agenda of the mission on DRG (26-28 Feb, 2018)

·         Draft ToR of DRG implementation working group members job description

”Homework” for the abovementioned seminar will be provided tomorrow by the end of the day.

I have added Sofiko Belkania and Ekaterine Adamia to the DRG Working Group:

Members of the DRG Working Group as of February 2018

Mrs. Nino Berdzuli, Deputy Minister, MOLHSA (to be replaced?)

Mr. Zaza Sopromadze, Deputy Minister, MOLHSA, Head of SSA

Mr. Lasha Nikoladze, adviser of the Minister, MOLHSA

Mrs. Maia Maglakelidze–Khomeriki, Head of UHC Management Department, SSA

Mrs. Marina Darakhelidze, Head of Health Care Department, MOLHSA

Mrs. Ketevan Goginashvili, Head of the Health Policy Unit, Health Care Department, MOLHSA

Mrs. Ekaterine Adamia Head of Public Health care and Programs Division, MoLHSA

Mrs.Sofiko Belkania Head of HR Management and International Relations Department, MoLHSA

Mr. Irakli Tabatadze, Head of IT department at SSA

Best regards,

Mariana Mkurnali

Head of Interational Relations Division

HR Management and International Relations Department

Ministry of Labour, Health and Social Affairs of Georgia

144 A.Tsereteli Avenue, 0159, Tbilisi, Georgia

Mobile number: +995 599 49 09 42

მარიანა მკურნალი

საერთაშორისო ურთიერთობებისა და აპარატის საქმისწარმოების სამმართველოს უფროსი

ადამიანური რესურსების მართვისა და საერთაშორისო ურთიერთობების დეპარტამენტი

საქართველოს შრომის, ჯანმრთელობისა და სოციალური დაცვის სამინისტრო

აკ. წერეთლის გამზირი 144,  თბილისი, საქართველო,  0159

მობ:  +995 599 490942

From: HABICHT, Triin [mailto:[email-masked]]
Sent: 07 February, 2018 16:46
To: Mariana Mkurnali; IVANUSA, Marijan
Cc: Sopo Belkania ([email-masked]); KLIMIASHVILI, Rusudan; KURTSIKASHVILI, Giorgi; Kahur Kristiina; [email-masked]
Subject: Re: UHC missions in February 2018

Dear Mariana,

Thank you for all this! Few suggestions and responses from our side.

First, regarding the strategy building workshop – we discussed with Andres and our suggestion is to have a smaller group of participants (max 12 people) for that one and half day seminar.  This makes a group more effective to work with and there will be plenty of opportunities to engage other people in later stages. Thus, at this stage we suggest to involve these key people who are involved on every day basis to the strategic purchasing (know current situation) and should develop forward looking strategy. We hope that this is acceptable for you.

We also offered an opportunity to have a short briefing about the current findings to the broader audience and this gives others (who are not participating seminar) possibility to be involved.

Second, regarding DRG mission preparations.

1)    Transition strategy – unfortunately there is no country examples to share (it was too long time ago and context would have been anyway different) but we prepared together with you the DRG implementation plan and roadmap which gives basis to start to work with transition plan (4 phases described in subsection 2.1; attached to the email), In principle transition plan is just an extension of implementation plan. Most important is that you find it useful for yourself and it supports coordination of multiple workstreams during DRG implementation.

Also, you may want to think about transition plan together with communication plan as this enables to clarify the DRG implantation objectives (what will be the key messages and how communication will support the whole transition period).

2)    DRG-related performance monitoring system – this part is quite well covered in the analytical report in chapter D (attached to the email). There you can find the list of potential indicators (during our last mission Kristiina showed it based on SSA’s claims data). Your task is to have a critical look on that and to think through which of these indicators you find useful and how (how detailed; in which frequency; by using which channel) you would like to share it with providers and public. Here is important to involve those responsible for IT. Also, this is closely related to the communication plan as is one method to inform and engage.

3)    Communication plan for DRG implementation -  we prepared short guidance (see attached file) which hopefully helps to start preparations. You don’t have to follow this format exactly and you can adapt it to fit for your needs. It would be good if this is developed jointly by communication specialists and those responsible for DRG implementation.

Let us know if you have any additional questions and if we can provide more support at this stage.

I add Kristiina and Andres to the CC and they add from their side I missed something.

With best,

Triin

From: Mariana Mkurnali <[email-masked]>
Sent: Tuesday, February 6, 2018 5:03:22 PM
To: IVANUSA, Marijan
Cc: Sopo Belkania ([email-masked]); KLIMIASHVILI, Rusudan; KURTSIKASHVILI, Giorgi; HABICHT, Triin
Subject: RE: UHC missions in February 2018

Dear All.

Hope you are well, As promised, after the consultations with the Deputy Minister Sopromadze, I’m sending you the information that you have requested:

We can confirm the dates for both missions as it is, we will send you the draft agenda of both missions, tomorrow by the end of the day, as soon as the date will be agreed with all participants.

Mission on organizational capacity and strategy for strategic purchasing, 19-23 February, 2018

Regarding the meeting with head of Parliamentary Health Committee Mr. Zoidze, After the consultations with the Minister and Deputy Minister Sopromadze, we think that as it is a working process, and we are drafting the documents, there is no need for conducting the meeting at this stage, meeting could be arranged after we will have the last version of the summarized draft document.

As for the “Developing strategy for strategic purchasing and building SSA Organizational Capacity” workshop, we can confirm the dates, we are waiting for your decision regarding the venue of the workshop, I have attached the list of participants of the workshop in the email.

There will be need for the simultaneous interpretation on some of the meetings and consecutive interpretation on the seminar as well. We will indicate the need of interpretation in the draft agenda tomorrow.

As promised by Sopiko Belkania, the outcomes of the “home work” will be submitted to you on the February 14th, 2018.

Mission on organizational capacity and governance, 26-28 February 2018

To be properly prepared for your visit, we will need your help regarding the documents on transition strategy, DRG-related performance monitoring system and communication plan for DRG implementation. Would you be so kind to send us the samples (examples) of the mentioned documents of other countries maybe Estonian or Finish so that we could use them for our practice.

Kind regards,

Mariana Mkurnali

Head of Interational Relations Division

HR Management and International Relations Department

Ministry of Labour, Health and Social Affairs of Georgia

144 A.Tsereteli Avenue, 0159, Tbilisi, Georgia

Mobile number: +995 599 49 09 42

მარიანა მკურნალი

საერთაშორისო ურთიერთობებისა და აპარატის საქმისწარმოების სამმართველოს უფროსი

ადამიანური რესურსების მართვისა და საერთაშორისო ურთიერთობების დეპარტამენტი

საქართველოს შრომის, ჯანმრთელობისა და სოციალური დაცვის სამინისტრო

აკ. წერეთლის გამზირი 144,  თბილისი, საქართველო,  0159

მობ:  +995 599 490942

From: IVANUSA, Marijan [mailto:[email-masked]]
Sent: 28 January, 2018 17:05
To: Mariana Mkurnali
Cc: Sopo Belkania ([email-masked]); KLIMIASHVILI, Rusudan; KURTSIKASHVILI, Giorgi; HABICHT, Triin
Subject: UHC missions in February 2018

Dear Mariana,

As you know, we plan two missions on UHC in the second half of February 2018.

WHO CO GEO will secure travel of consultants to/from Georgia, their hotel and transportation within Tbilisi.

You can see in Scope and Purpose that some participants/meetings have been indicated already in particular for the mission on DRG (26-28 Feb).

We still need your confirmation.

Bigger input from your side is needed regarding the mission on SSA (19-23 Feb 2018). Of course we expect Dr Zaza Sopromadze to have the leading position (additionally to the overall leadership of the minister). We need to know however who are other staff constituting the core group for advancing the process. The participants of the workshop also need to do “home work” prior to the mission (please, see the respective scope and Purpose).

WHO CO GEO will secure the venue for the workshop scheduled during the mission of Andres. We believe that this shall be in Tbilisi, to avoid travel and decrease the costs. At the same time we think the seminar shall take place outside the ministry, so the participants are not disturbed by their daily work. Please, let us know, if you agree or if you have any idea, where to organize it.

We also need the list of participants to be decided by the MoLHSA. This we need to know as soon as possible to be able to book the respective meeting room. In line with that we need to know also at which activities Georgian-English interpretation is needed, and in particular for the workshop we need to know, if simultaneous or consecutive interpretation is needed, as this is linked with costs as well as administrative procedures within our office.

The same as before all experts will be available for on-line consultancy also after the missions.

If needed you can contact Triin (in cc) on any technical issue before the mission.

Please, liaise with Rusiko (also in cc) for any organizational details. Giorgi is on sick leave and I will depart for another duty travel at the end of the week and will be absent for app 10 days in total, incl. weekends).

Best regards,

Marijan Ivanusa

WHO Representative

Head of WHO Country Office Georgia

Office location: 81 Vasil Barnov Street, 0179 Tbilisi, Georgia

Mailing address: UN House, 9 Rapiel Eristavi Street, 0179 Tbilisi, Georgia

Mobile 1: +995 599 305 207

Mobile 2/EU/private: +386 40 528 639

Email: [email-masked]

Skype: who-ivanusam

GPN: 74211

Web: www.euro.who.int