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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
ANNEXΡar /ΡageMoU2.10.4.2.6.iiMoU2.10.4.2.7MoU2.10.5.1MoU2.10.5.2MoU2.10.5.3MoU2.10.5.4Action Deadline Comments StatusDRGs will include a detailed item on costs of personnel.A follow up analysis of how hospital accounting schemesintegrate DRGs at hospital level in view of future activitybasedcost reporting and prospective budgets payment forhospitals will be submitted.The Government increases substantially the number ofexpenditure items and therefore the share of expenditurecovered by centralised tender procedures through EPY upto 45% of all the expenditure in medicines and medicaldevices by 2014. This share goes up to 60% in 2015. TheGovernment ensures the use of such tender procedures.EPY will undertake tender procedures for frameworkcontracts for the most expensive medicines sold inEOPYY pharmacies.EPY will publish a detailed annual report on its activityIn compliance with EU procurement rules, the Governmentconducts the necessary tendering procedures to implementa comprehensive and uniform health care informationsystem (e-health system) including the full and integratedsystem of hospitals' IT systems.2.11 Upgrading the education systemMoU2.11.1MoU2.11.2MoU2.11.2.iMoU2.11.2.iiMoU2.11.2.iiiMoU2.11.3The Government implements the Action Plan for theimprovement of the effectiveness and efficiency of theeducation system and regularly reports on the progress ofits implementation including on the results of the externalevaluation of high education institutions.On higher education, the provisions of the laws 4009/2011and 4076/2012 are fully and promptly implementedincluding:The external evaluation of the higher education institutionsby the Quality Assurance Authority is completed.The organisation charts and internal regulations of theHigher Education Institutions are completed.Update on the progress of the on-goingconsolidation/merging of departments of universities andtechnological institutes (ATHINA Project).On primary and secondary education, the new policy ofevaluation of schools (including the schools' selfassessment)and educational staff starts beingimplemented.ContinuousSeptember2013ContinuousContinuous(2012 reportpublished inSeptember2013)ContinuousJune 2013December2013December2013March 2014September2013September2013An action plan has been prepared by a specialworking group.The status of the DRGs implementation waspresented in September.Ongoing. Attempting even more tender proceduresto be carried by EPY. Last report was submitted inFebruary 2013Ongoing. State Legal Council (NSK) provided theconsent about the tendering procedure. At the end ofthe year and after completing the schedule for 2014needs, EPY will initiate tenders that will coverEOPYY needs.EPY report was presented and sent for 2012 as wellas for 2013.Ongoing. Last progress report was submitted inFebruary 2013.Education Action Plan updated was submitted toEC/ECB/IMF (January 2014).Number of Departments to be evaluated: 348.Evaluated: 326.Evaluation process is not applicable: 10 (due toInstitutes with no permanent academic staff).Difficulty in setting up Evaluation Committees: 12,the process is expected to be completed by end-April.Some universities make charts as pilot operation.The Ministry doesn't have intervention becauseuniversities are autonomous.It is expected that action will be completed by June2014.ATHINA project has been fully in operation.The student entries to HEIs for the academic year2013-2014 were according to the new mapping.a) The self-assessment of schools has been extendedto a national level since the school year 2013-2014according to 30972/Γ1/05.03.2013 (GovernmentalGazette B 614 - 15.03.2013) Ministerial Decision.b) As for the assessment of teachers, a first cycle ofseminars concerning teacher training is beingdeveloped and will be funded by the NationalStrategic Reference Framework.c) An Independent Agency for the QualityAssurance of Primary and Secondary Education hasbeen founded by Law 4142 / Governmental Gazette83/09-04-2013.Observed.Ongoing.N/AN/AObserved.Observed.Ongoing.Observed.Ongoing.Observed.NotObserved.Observed.Observed.MoU2.11.3The first cycle of evaluation of the educational staff, inparticular School Directors, School Advisors and RegionalDirectors, is completed.3 Stabilising the Financial SystemDecember2013P.D. FEK 240/05.11.2013 on the evaluation ofeducational staff.The evaluation will begin in March and is expectedto be completed by early June, by the end of schoolyear.Νew deadline in updated MoU.NotObserved.MoU3.1The government ensures that no state aid will be granted tobanks before it is approved by the EC under state aid rules.ContinuousThe rule is applied continuously.Observed.Ongoing.3.1 Framework for restructuring and strengthening of the banking systemThe Government commits to invite HFSF to complete theMoU disposal of the two bridge-banks. The decision on the3.1.1Prior totransactions should take into consideration the publicMEFPdisbursement(24) interest, financial stability, as well as the protection ofHFSF assets.Eurobank acquired Proton Bank and Hellenic PostBankObserved.101
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OUTLINE OF THE REPORTEXECUTIVE SUMM
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LIST OF GRAPHSGraph 1. Economic cli
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ACKNOWLEDGEMENTSThe report was prep
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1. INTRODUCTION1. INTRODUCTION1. Th
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