Discussion Approach

Panelists briefly presented:

• • Concept ,expected outcome and implementation strategy I-CARE
  • Hospitals innovative Financing
  • Hospital Amenities Services Management
  • Health professional dressing codes
  • Access to Essential Medical Devices

Raised Points during Discussions

• The Time for I-CARE implementation seems to be very short?
• Is the current governing structure and accountability of teaching hospitals may not be suitable for effective I-CARE implementation? What is the plan for this, specially FMoH and MoSHE involvement
• To implement the recommend health professional dressing code, at regional and facility levels, it needs special permission?
• Hospital financing reform...who is going to pay the cost? Is there any scenario that people can cover health cost? Or government subsidies?
• Financing... Private health facilities model... Refund and Revolving fund,
• 24 hospitals selected and how long is pilot period? Why don't another hospitals start implementation
• Is there any opportunity to reward the health professions based on performance during I-CARE Implementation?
• Is there any graduation criteria for the selected 24 health facilities?
• What about digitalization?
• O2 supply appeared not priority for I-CARE, and why is that? 
• To what extent is a document open for modification?
• Compassionate financing is also required so that the hospitals don't get bankrupt?
• Donor finance should still be considered.
• How is Individual-level motivation enhanced?
• Accountability vs motivation?
• How is the senior professional's engagement plan/scheme being thought for implementation?
• Tertiary and secondary level service is costly...diversifying other financing schemes is required?
• Specification and installation of equipment standardizations should be smooth and implementable as it is current very challenging?
• What about HEW and support staff dressing code?
• Mechanical ventilator is a big issue in hospitals, what is FMoH’s plan for this?
• How do hospitals purchase to implement the recommend dressing code because currently it was a challenge? Is there a solution?
• How fast do EPSA provide the equipment and medications?

Recommendations and Answers

• General discussion will be held by tomorrow with H.E Dr Amir and he will briefly give you all the answers regarding the financing assumption
• Performance based financing approached will be used to encourage the performances of senior health professionals
• Currently FMoH planning to pilot I-CARE for one year in 24 hospitals only