ocp192_en

Memorandum of Understanding on Specific Economic Policy Conditionality4. The programme of hospital computerisation allows for a measurement of financial andactivity data in hospital and health centres. Moreover, the Minister of Health defines a coreset of non-expenditure data (e.g. activity indicators) in line with Eurostat, OECD and WHOhealth databases, which takes account of the future roll-out of DRG (diagnostic-relatedgroups) schemes in hospitals (continuous).5. The Government starts to develop a system of patient electronic medical records(continuous).6. The Government, with technical assistance from experts across EU, continues to develop afull DRG costing and reimbursement system while improving the existing KEN system,with a view to developing a modern hospital costing and reimbursement system forcontracting (on the basis of prospective block contracts between EOPYY and NHS). Theexisting set of KEN is used in all hospitals:i. A DRG Management Institute is established (June 2014).ii.iii.iv.The legal framework, coding manuals and cost adaptation methodology will beadopted by end 2014. DRGs cost weight methodology will include a detailed itemon costs of personnel.In 2015 the DRG system is implemented in a group of pilot hospitals.In 2016 the DRG system is extended to all hospitals (test period).v. In 2017 the DRG system is applied to all hospitals in a budget neutral way(including personnel costs) and EOPYY contracts hospital care on the basis ofprospective budgets based on DRGs (including personnel costs).7. A follow up analysis of how hospital accounting schemes integrate DRGs at hospital levelin view of future activity-based cost reporting and prospective budgets payment forhospitals will be submitted on a regular basis (twice yearly, next report June 2014).2.9.4. Centralised procurement1. The Government increases substantially the number of expenditure items and therefore theshare of expenditure covered by centralised tender procedures through EPY up to 45% of allthe expenditure in medicines and medical devices by 2014. This share goes up to 60% in2015. The Government ensures the use of such tender procedures (continuous).2. EPY will undertake tender procedures for framework contracts for the most expensivemedicines sold in EOPYY pharmacies (continuous).3. EPY will publish a detailed annual report on its activity (annual report, next report April2014).4. In compliance with EU procurement rules, the Government conducts the necessarytendering procedures to implement a comprehensive and uniform health care informationsystem (e-health system) including the full and integrated system of hospitals' IT systems(continuous).186