ocp192_en

European CommissionThe Second Economic Adjustment Programme for Greece. Fourth ReviewΡar /ΡageMoU2.10.4.1.2MoU2.10.4.1.2MoU2.10.4.1.3MoU2.10.4.1.4MoU2.10.4.1.4MoU2.10.4.2.1MoU2.10.4.2.2.iAction Deadline Comments StatusProduces an annual report comparing hospitalsperformance on the basis of the defined set ofbenchmarking indicators.On the basis of the 2013 annual report produce abenchmarking study.The Government updates a report on human resources forthe whole health care sector annually and uses it as ahuman resource planning instrument.The Government presents an analysis on healthcare needsof the long-term unemployed (and dependent familymembers) who lack healthcare coverage by EOPYY. Thisanalysis addresses present and expected patient numbers aswell as related public budgets needed. This analysisincludes priority settings scenarios varied by clinical needsof impacted patient subgroups.The Government presents an analysis on healthcare needsof the long-term unemployed (and dependent familymembers) who lack healthcare coverage by EOPYY. Thisanalysis addresses present and expected patient numbers aswell as related public budgets needed. This analysisincludes priority settings scenarios varied by clinical needsof impacted patient subgroups.EOPYY publishes a monthly report with analysis anddescription of detailed data on healthcare expenditure witha lag of three weeks after the end of the respective month.This report will make possible the more detailedmonitoring of budget execution, by including bothexpenditure commitments/purchases (accrual basis) andactual payments (cash basis). The report will also (1)describe performance on the execution of budget andaccumulation of arrears, and (2) recommend remedialactions to be taken.the introduction of analytical cost accounting systems,with the implementation of the respective action plan, dueto be finalised, with complete hospital coverage.Next report1 st April 2014October 2013Next report1 st April 2014September2013December2013ContinuousNovember2013Study was submitted in early November.MoH presented and submitted a report on healthcareneeds, describing the existing situation and theimpact on hospital operating cost. Extended study incollaboration with WHO is expected in February2014.The final report that is prepared with thecollaboration of WHO is expected to be finalised inMarch, when the data for the number of uninsuredcitizens will be available by MoLabour. Draftanalysis was submitted to EC/ECB/IMF at 6/2/2014.New deadline: March 2014Report for December was submitted in earlyFebruary.The analytical cost accounting systems have beenadopted by all hospitals, as per MoHealth note sentto troika.N/AObserved.Ongoing.N/AObserved.Ongoing.NotObserved.Observed.Ongoing.Observed.MoU2.10.4.2.2.iithe regular annual publication of balance sheets in allhospitals.September2013All hospitals published their annual balance sheets.Observed.MoU2.10.4.2.2.iiiMoU2.10.4.2.2.ivMoU2.10.4.2.2.vMoU2.10.4.2.2.viMoU2.10.4.2.3MoU2.10.4.2.4MoU2.10.4.2.5MoU2.10.4.2.6MoU2.10.4.2.6.ithe introduction of the uniform coding system for medicalsupplies developed by the Health ProcurementCommission (EPY) and the National Centre for MedicalTechnology (EKEVYL) and the use of the observe.netsystem to monitor the procurement and use of tenders formedical supplies.the introduction of inbound hospital logistics andwarehouse management systems using barcode scanningsystems for pharmaceuticals and medical consumables.implement necessary action to ensure timely invoicing offull treatment costs (including staff payroll costs) - i.e. nolater than 2 months to other EU countries and privatehealth insurers for the treatment of non-nationals/nonresidents.enforcing the collection of co-payments and implementingmechanisms that fight corruption and eliminate informalpayments in hospitals.ELSTAT continues providing expenditure data in line withEurostat, OECD and WHO databases i.e. in line with theSystem of Health Accounts (joint questionnaire collectionexercise).The programme of hospital computerisation allows for ameasurement of financial and activity data in hospital andhealth centres. Moreover, the Minister of Health defines acore set of non-expenditure data (e.g. activity indicators) inline with Eurostat, OECD and WHO health databases,which takes account of the future roll-out of DRG(diagnostic-related groups) schemes in hospitals.The Government starts to develop a system of patientelectronic medical records.The Government, with technical assistance from expertsacross EU, continues to improve the existing KEN/DRGsystem, with a view to developing a modern hospitalcosting system for contracting (on the basis of prospectiveblock contracts between EOPYY and NHS). The existingset of KEN/DRGs is used in all hospitalsContinuousDecember2013ContinuousContinuous2012 figuresto bereleased byJanuary 2014ContinuousContinuousContinuousThe KEN/DRG Management Institute is established. October 2013Ongoing. Codification is under preparation.Pilot warehouse management systemimplementation project in one hospital(Konstantopoulio) and others are expected to follow.Progress report was submitted on 15.1.2014.JMD Υ4α/οικ.105494, FEK Β 3096/23-11-2012 wassigned in order to include payroll costs.Ongoing. Report for 2011 and 2012 was submittedto EC/ECB/IMF in January 2013.Ongoing.A Committee was established and prepared arelevant action plan, while IDIKA will develop theelectronic system.An action plan has been prepared by a specialworking group.Draft law provisions were prepared in order toestablish the institute and were sent to EC/ECB/IMFfor comments (New moU deadline: June 2014)Observed.Ongoing.Observed.Observed.Ongoing.Observed.Ongoing.N/AObserved.Ongoing.Observed.Ongoing.Observed.Ongoing.NotObserved.100