Bogi Eliasen is director of well being on the Copenhagen Institute for Future Research. This weblog put up was co-written with Rolf Hoenger, space head at Roche Pharma Latin America, and Rifat Atun, professor of worldwide well being methods at Harvard College.
Movimiento Salud 2030 is a daring initiative which was launched in 2020 in 9 international locations concurrently. Its goal is to enhance well being methods in Latin America to ship higher and extra equitable well being outcomes.
Movimiento Salud 2030 fosters broad cross-sector and cross-country collaboration in a concerted top-down and bottom-up strategy by together with native nationwide ecosystems with leaders in related fields. Movimiento Salud 2030 helps concrete options initiated to unravel challenges recognized by native stakeholders so as rework well being methods in Latin America to change into higher and extra sustainable by 2030.
The COVID-19 pandemic has revealed the Latin American well being system’s weaknesses and offered challenges to constructing Movimiento Salud 2030 on account of journey restrictions and the time calls for of disaster administration for a lot of members in international locations.
Nonetheless, as the necessity was made clear by the COVID-19 pandemic, the impetus to create higher well being methods was additionally clear to stakeholders and we managed to beat the obstacles of COVID-19. We ran a whole yr of actions on-line in 2020 and it grew to become so successful that the Movimiento Salud 2030 idea will quickly be rolled out globally with the aspiration to change into the world’s main healthcare innovation community.
Step one on this initiative was to create an intensive literature assessment and extra normal analysis, conduct interviews, and facilitate professional roundtables with the objective to create an outline of not simply the biggest challenges, but additionally the alternatives and methods to allow them. In figuring out the challenges, the intention was to pinpoint the true bottlenecks for transformative change in addition to evaluating tips on how to work with them.
This led to the collection of 4 focus areas, linked by a fifth – specifically interoperability. On this course of, we additionally discovered that low funds execution is one in every of – if not the biggest – obstacles in creating change.
The 4 focus areas will concurrently be constructed within the respective international locations’ ecosystem in addition to cross-border within the area.
The fifth component, not seen within the mannequin above, is interoperability which is required to ship built-in care supported by digital capabilities that permit the system to assemble, analyze and share related knowledge associated to the affected person.
Towards a Peruvian pilot
One of many principal findings from the analysis, interviews, and roundtables in Latin America was that funds execution is a monumental problem in lots of international locations. Most Latin American international locations have low public spending on well being and on high of that lots of them additionally face challenges in executing their budgets. Therefore, a considerable a part of the already scarce sources usually are not spent exacerbating the shortcomings of the well being providers.
To unravel these challenges Movimiento Salud 2030 recognized a chance to develop options with a concentrate on doing the fitting issues proper, i.e., spending the allotted budgets on the fitting issues with out creating pointless waste.
When the previous Peruvian president, Martín Vizcarra, in his yearly deal with to the nation on July twenty eighth, 2020 promised a considerable enhance of the well being funds, the Movimiento Salud 2030 consortia reacted rapidly by establishing a job power in Peru. Moreover, we entered a dialogue with the important thing opinion leaders, together with former ministers of well being on tips on how to enhance the well being system in Peru.
We put emphasis on tips on how to clear up the challenges of low funds execution whereas additionally enhancing the standard of well being providers, particularly now as considerably extra funding is likely to be allotted to the well being system whereas protecting in thoughts that the well being funds execution is approx. 65-70% for a lot of of areas in Peru.
The interview members felt that an built-in and a holistic answer may greatest be achieved by way of a regional pilot that was underpinned by a real-time digital knowledge administration system, the place the challenges recognized by the respondents and may very well be addressed in a complete, built-in, and holistic method.
The Peruvian well being system is complicated and one of many greatest challenges is the shortage of knowledge methods and analytics to hyperlink plans, budgets and targets, visualize enterprise course of flows, and assess delays in funds execution. That is sorely wanted so each payers (Ministry of Well being and Ministry of Finance) in addition to the service supplier can have a steady overview of the required intelligence to tell actual time resolution making in in addition to to comply with use of sources.
Whereas there are lots of challenges, we selected to focus the Peruvian pilot on implementation of higher funds execution because it allows additional growth in different areas. We’re tackling funds execution on 4 ranges: legislative, institutional, operational, and instrumental. The legislative contains options comparable to reviewing laws, establishing a unified pool of funding, and lowering fragmentation.
The institutional degree options establishing a wants evaluation unit, reviewing funds administration, establishing digital knowledge methods, and establishing a cross-disciplinary “Supply Unit.” On the operational degree we concentrate on creation of an illustration mission and a digital course on funds planning. Lastly on the instrumental degree, establishing a 3 to 5 yr transition plan, creation of normal working procedures, and quarterly funds evaluations.
To summarize, the Peruvian pilot is addressing the challenges of a digital construction in concern of the digital construction is addressing the challenges within the following step-wise method to create a greater and extra sustainable digital construction for well being system, that builds the spine for the required infrastructure for data with traceability, transparency and accountability.
The Peruvian pilot will likely be offered on March 4th by the Peruvian Well being Ministry, Regional Authorities of Cuzco and Movimiento Salud 2030 crew at 11.00 Lima time. Come and be a part of the dialogue!
HIMSS Latam and El Movimiento Salud 2030 will likely be collaborating in creating the digital well being ecosystem in Latin America. Study extra on the Movimiento Salud 2030 homepage.