JLN PPM and IT Technical Initiatives

Collaborative on Data Analytics for Monitoring Provider

Payment Systems

How we work:The Experience of the JLN Costing Collaborative

 First In-Person Meeting

Hanoi, VietnamJanuary 21-23, 2015

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The first JLN Costing Collaborative meeting in Bangkok in January 2012 brought together policymakers and technical costing experts from 10 JLN countries to share experience, identify priority issues related to costing of health services for provider payment, and discuss common challenges.

Identifying priority issues and common challenges

The idea for the Costing Manual was born.

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In-person meetings and virtual collaboration

A Core Working Group of the JLN Costing Collaborative met in person 3 times over two years to synthesize country experience

in a practical manual that bridges costing theory with practical, step by step guidance to address real world challenges in costing for provider payment. Need honest, professional collaborative work...and great facilitators!!

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Digging into the detail

Cost accounting spreadsheets

Policy application

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“Soon after the costing work is commissioned, the costing team should identify and prioritize stakeholders and develop a strategy to engage them throughout the costing exercise. “

“Adopt the least expensive and labor-intensive data collection and management plan that is necessary to get valid results.”

Co-producing new knowledge…

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…while real-time policy and analytical work is happening in the countries

Location

Unit cost per outpatient visit at Commune Health

Stations

Full cost Cost components

2-4 (paid by

insurance)Urban $1.93 $0.95

Rural $2.01 $0.96

Mountain $2.40 $0.98

Overall $2.16 $0.98

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Operations andminor repair/maintenance

Medicine andmedicalconsumables

Staff salaries andallowances

Vietnam’s costing study

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Building a community

The Costing Collaborative members reach out to each other for technical advice and resources.

The group organized a forum on experience with DRGs in Malaysia in December 2013, and is currently organizing a training-of-trainers for the JLN Costing Manual

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Where the Costing Collaborative is Now

• Sustaining and growing the Costing Collaborative with country ownership—Access Health, India

• Partnering with other countries and institutions to put the Costing Manual to use

• Replicating the collaborative, practical, country-driven approach

Thank you.

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