SNSPMS

Some relevant projects where NSPHM was partner, as institution or as individual experts from NSPHM staff:

▪    Health Rehabilitation Project, a WB project (1991-1999), which had as objectives to rehabilitate and upgrade the primary health care delivery system and to support the major restructuring of health sector financing  and management to ensure a sustainable, cost-effective health care system in the medium term
▪    The Development of Health Care System Strategy (1998), a technical assistance project financed by the World Bank and developed in partnership with Interhealth, covering the following areas: burden of diseases and the universal benefits package, management normes and structures, the health services quality assurance, health promotion and health services reforms, human and physical resources evaluation and rationalization.
▪    Health Sector Reform in Romania - phase 1, a World Bank project (2000-2004), designed to support Romania to improve the selected services in primary, emergency and hospital care and to define a long term development strategy and reform programme.
In the component Project for planning and rationalization of health services system, NSPHM was the partner of MoH and performed the development of a soft application for the analyse of the informational system of the health system, provide data about hospitals’ activity and elaborate the strategy of the medical services planning.
▪    Strengthening the capacities of the Institute of Public Health, Tirana, Albania in health management for general practitioners, a project financed by USAID/America International Health Alliance, where NSPHM offered consultancy and training in order to develop health services management and health promotion capacity for Albanian partners.
▪    Romania – Health Sector Refor Project – phase 2, World Bank project (2005-2009) – NSPHM was the consultant of MoH for the component of primary health care to assess the adresability of microcredits for family doctors.

NSPHHSM has acquired an important and relevant experience in other projects, developed successfully by our institution, in the field of evaluation and research of health services, consultancy in development of strategies and instruments for increasing the health system performance.

▪    Research, development and technical assistance projects
Studies and projects on hospital services
Since 1999, NSPHHSM is the entity in charge with running and developing the DRG classification system at central level. For this purpose, NSPHHSM collects hospital data of all episodes of care registered and reported on basis of patient data set (PDS). In 2006, NSPHHSM had collected over 4.5 millions episodes of care and generated hospital activity reports to the MoH and NHIH. In the same time, based on PDS reported by the hospitals, NSPHHSM has validated and grouped in DRGs all the cases reported by the 276 hospitals that are case-based financed. After data processing, NSPHHSM has generated hospital activity reports standing for the hospital reimbursement within the social health insurance system according to their indicators contracted and achieved.
-    Hospital activity analysis and quality of hospital services provided on the basis of patient data sent by hospitals using „DRG National” software application
-    Study for elaborating case-based financing options for hospitals in 2007
-    Study for evaluating the hospital costs at patient level
-    Estimating the impact of introducing the Australian AR-DRG system
-    Elaborating studies and analysis on hospital performances
-    Specific analysis regarding the discharged patients
Software applications developed by NSPHHSM
-    Software applications for hospital cost data collection and processing
-    Continuous improvement of „DRG National” software application for Patient Data collection
-    Software application of patient data collection for one-day hospitalization
-    Software application for hospital structure data collection
Mental health studies and projects
-    Pilot study on “Mental health policies”, part of the international study World Mental Health Initiative, conducted by the WHO and Harvard Medical School, USA. The objectives are to identify the prevalence of mental disorders in general population aged 18 and over and to evaluate the medical and complementary services utilization.
-    National Study on mental health and main utilization patterns of specialized services
-    Monitoring the MoH Action Plan for mental health
-    Elaborating medical practice guidelines for mental health
-    Designing the National Register of Psychiatry
Health promotion studies and projects
-    Management training needs assessment for the personnel working in the health promotion network
-    Pprogramme for Improving tuberculosis control in children
-    Monitoring the activities achieved within the national health promotion network  
-    Attitudes and behaviour change in teenagers aimed at reducing STI/HIV/AIDS transmission
-    Project “Scientific Platform of  Lifestyle and Other Health Determinants ” (in collaboration with Technische Universität Dresden, Research Association Public Health Saxony, Faculty of Medicine “Carl Gustav Carus”, as a part of Work package No.5, on basis of Grant EC no.2005111)
Other studies in public health and health management
-    Study „Analysis of hospital services utilization by the elderly” - 2005/2006
-    Study  regarding „Medical practice variations among the eight regions of Romania”
-    Study „Optimization of healthcare process as provided to chronic elderly patient”
-    Study „Avoidable mortality in the elderly during the period 1958-2004 in Romania; evaluation and recommendations for health policies”
-    Market Study to evaluate the addressability of micro-credits for family doctors from rural areas and small towns

▪    Training activities in public health and health management
-    Hospital Management Course for hospital managers
-    Hospital Management Course for nurses
-    Certificate training programme in „Health Services Management”
-    Training of Trainers for the „Introduction in community psychiatry Course
-    Course „International trends in health systems reform
-    Course „ Project Management in health promotion
-    Regional training programme for hospitals in case-based financing
-    DRG Training Programme at hospital level
-    „Health Promotion Course” for the national health promotion network
-    Short course: TB control in children
-    Workshop: „Introduction in community psychiatry”

▪    Publishing activities
-    Quarterly editing of „DRG Newsletter”
-    Elaborating and editing the “Management in health” journal

Since January 2006, NSPHM also has a publishing house: Public H Press.
In 2006, the following manuals and guidelines have been edited by the Public H Press:
-    Hospital Management
-    Health Promotion and Health Education
-    Hospital Management for nursing
-    Elaborating IE materials for health promotion and health education – National Methodology Guide
-    Guide for TB diagnostic and treatment in children
-    TB in children – the Patient Guide