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Health and Structural funds in 2007-2013:country and regional assessment

sloveniA (si)Table 1: Country assessment summary - Slovenia

NSRF strategic objectives

Fundingsource

Direct health sector investment

Indirect health sector investment

Potential health gainPersonalEconomicSocialEnvironmental

Lisbon Agenda (renewed 2005)

Promotion of entrepreneurship,innovations and technologicaldevelopment

ERDF - - E, S To create a more attractive investment and working environment;To enhance growth through knowledge and innovation;To create more and better jobs.

Improvementof the quality of educational system and research-developmentactivities

ESF X - E, S, P

Improvedlabour market flexibility along with guaranteed employmentsecurity in particular by creation of jobs and the promotion of social inclusion

ESF - X E, S, P

Ensuring conditions for growth by providing sustainablemobility, improving the quality of the environment and providing appropriateinfrastructure

CF/ERDF

- - Env, E, S

Promotion of balanced regional development

ERDF X - S, Env, E

Country Assessment for HeAltH & struCturAl funds

Table 2: Eligible regions under Cohesion Policy ObjectivesBackground: Slovenia as a population of 2 million. The age structure of the total population is: 0-14 years 13.7%;15-64 years 70.3%; 65 years and over 16%. Life expectancy at birth is estimated as 76.53 years overall; 72.84 years for males and 80.47 years for females. (Source: http://www.indexmundi.com/slovenia/life_expectancy_at_birth.html).In last twenty years the average life expectancy in Slovenia has gradually increased by one year every four years. Comparison with other states indicates that average life expectancy is lagging behind the EU average by three years with men and by a bit less than a year with women. As in most other EU member states cardiovascular diseases are the main cause of death and are followed by cancer, injuries and poisoning. In addition, the Slovene population is ageing. Demographic movements in the second half of the eighties and in the nineties marked a sharp drop in the number of births and consequently the number of the elderly increased. The continuation of these trends is leading to even more intensive population ageing, which will have numerous negative impacts in health care sector and the active labour market. In Slovenia there are big gaps in health between regions and between individual population groups (Source: Government Office for Local Self-Government and Regional Policy. National Strategic Reference Framework 2007-2013. Draft. March 2007).

Table 2: Eligible regions under Cohesion Policy ObjectivesCohesion Policy Objective Regions

Convergence Slovenija.

Phasing out N/A

Phasing in N/A

Regional competitiveness and employment N/A

Table 3: Programme period 2007-2013 - health investment in the NSRF and OPs

Allocation of money in the SF 2007-2013

Source and budget ERDF €1 933 779 408; ESF €755 699 370;CF €1 411 569 858

Total €4 101 048 636

Health sector % of total allocated SF €15 486 000 (approximately 0.4%)

NSRF strategic objectives (with OP relevance and funding source)1. Promotion of entrepreneurship, innovations and technological development (OP RDP - ERDF) 2. Improvement in the quality of the educational system and research& development activities (OP HRD, OP RDP - ESF/ERDF)3. Improved labour market flexibility along with guaranteed employment security in particular by creation of jobs and the promotion of social inclusion (OP HRD - ESF)4. Ensuring conditions for growth by providing sustainable mobility, improving the quality of the environment and providing appropriate infrastructure (OP ETID - CF/ERDF)5. Promotion of balanced regional development (OP RDP - ERDF)

Operational ProgrammesStrengthening regional development potential (OP SRDP)Human Resources Development (OP HRD)Environmental and Transport Infrastructure Development (OP ETID)

sloveniA (si)Table 1: Country assessment summary - Slovenia

NSRF strategic objectives

Fundingsource

Direct health sector investment

Indirect health sector investment

Potential health gainPersonalEconomicSocialEnvironmental

Lisbon Agenda (renewed 2005)

ERDF - - E, S To create a more attractive investment and working environment;To enhance growth through knowledge and innovation;To create more and better jobs.

Improvementof the quality of educational system and research-developmentactivities

ESF X - E, S, P

ESF - X E, S, P

Ensuring conditions for growth by providing sustainablemobility, improving the quality of the environment and providing appropriateinfrastructure

CF/ERDF

- - Env, E, S

Promotion of balanced regional development

ERDF X - S, Env, E

Country Assessment for HeAltH & struCturAl funds

Table 2: Eligible regions under Cohesion Policy ObjectivesBackground: Slovenia as a population of 2 million. The age structure of the total population is: 0-14 years 13.7%;15-64 years 70.3%; 65 years and over 16%. Life expectancy at birth is estimated as 76.53 years overall; 72.84 years for males and 80.47 years for females. (Source: http://www.indexmundi.com/slovenia/life_expectancy_at_birth.html).In last twenty years the average life expectancy in Slovenia has gradually increased by one year every four years. Comparison with other states indicates that average life expectancy is lagging behind the EU average by three years with men and by a bit less than a year with women. As in most other EU member states cardiovascular diseases are the main cause of death and are followed by cancer, injuries and poisoning. In addition, the Slovene population is ageing. Demographic movements in the second half of the eighties and in the nineties marked a sharp drop in the number of births and consequently the number of the elderly increased. The continuation of these trends is leading to even more intensive population ageing, which will have numerous negative impacts in health care sector and the active labour market. In Slovenia there are big gaps in health between regions and between individual population groups (Source: Government Office for Local Self-Government and Regional Policy. National Strategic Reference Framework 2007-2013. Draft. March 2007).

Table 2: Eligible regions under Cohesion Policy ObjectivesCohesion Policy Objective Regions

Convergence Slovenija.

Phasing out N/A

Phasing in N/A

Regional competitiveness and employment N/A

Table 3: Programme period 2007-2013 - health investment in the NSRF and OPs

Allocation of money in the SF 2007-2013

Source and budget ERDF €1 933 779 408; ESF €755 699 370;CF €1 411 569 858

Total €4 101 048 636

Health sector % of total allocated SF €15 486 000 (approximately 0.4%)

NSRF strategic objectives (with OP relevance and funding source)1. Promotion of entrepreneurship, innovations and technological development (OP RDP - ERDF) 2. Improvement in the quality of the educational system and research& development activities (OP HRD, OP RDP - ESF/ERDF)3. Improved labour market flexibility along with guaranteed employment security in particular by creation of jobs and the promotion of social inclusion (OP HRD - ESF)4. Ensuring conditions for growth by providing sustainable mobility, improving the quality of the environment and providing appropriate infrastructure (OP ETID - CF/ERDF)5. Promotion of balanced regional development (OP RDP - ERDF)

Operational ProgrammesStrengthening regional development potential (OP SRDP)Human Resources Development (OP HRD)Environmental and Transport Infrastructure Development (OP ETID)

Table 3: Programme period 2007-2013 -health investment in the NSRF and OPs

Direct health sector investment (with NSRF/OP relevance)Health infrastructure Co-financing investments into cultural, health, social-protection and other infrastructures of regional importance provided that the investments are envisaged in the SRDP and that the shortage of such infrastructure represents an important obstacle for faster regional growth and new job creation (OP SRDP activity “Social infrastructure”).E-HealthE-Health, along with providing overall healthcare system quality, is the central project of the transition into the information society in the field of the healthcare system and encompasses modernisation and/or development of information systems and services that along with organisational modifications and development of new skills contribute to advancement of the healthcare system. Investment will cover:• Modernisation of the existing and introduction of new business processes and their coordination with the legislation and good practices of the EU with a view of optimising and adjusting to the modern grasps of e-commerce.• Modernisation/upgrading and setting-up of infrastructure as a back-up to modernised and redefined process (linking of all healthcare information systems into a single system called eZIS).• Incorporation of a single entry healthcare information point into the national healthcare system by introducing the concept ZVEM (Healthcare – one-stop-shop) for all target groups and a simultaneous setting-up of a system of authorisation and authentication of the users of digital medical data.• Setting-up and introduction of uniform standards for connectability between information components of the healthcare system and setting-up of programmes.• Methods and tools to monitor, certify and accredit such information-communication components and systems.• Setting-up and introduction of electronic medical record (EZZ) and training for its effective use (OP HRD “Health care in the Information Age”).Education and trainingRise in the quality level of healthcare processes via education and training of target groups (OP HRD “Health care in the Information Age”): • Development and on-going maintenance of the programmes to increase active involvement in and responsibility for health of each citizen (including the ZVEM contents).• Development and on-going maintenance of the programmes to involve all interested partners into balanced development of the healthcare system (including the ZVEM contents, strategy of the EZZ development).• Development and on-going maintenance of the programmes of professional training in the field of: - quality in healthcare; - healthcare informatics; - special knowledge such as the one in public health, i.e., for responsiveness to health threats and studying of key public health problems including safety and health at work; - management and governance.

Direct health sector investment (with NSRF/OP relevance)Quality management• The biggest deficit is in the provision of professional support to the providers of health care when they introduce the system of quality, establish information communication infrastructure and in their qualifications to respond to new health threats. To improve the situation the stress within the operational programme will be given to ensuring good management, quality in health care and the establishment of the information system to provide relevant and timely information (NSRF Development Priority “Institutional and administrative capacity”).• Development of public management: enforcing the use of modern managerial techniques for managing changes and achieving business excellence in the public sector; development of human resources and knowledge management; development of a system for strategic planning and for monitoring the achievement of the set objectives and results (OP HRD “Efficient and effective public administration”).• Provision of overall quality in the healthcare system related to e-health and including: - mobilisation of the sources for quality in healthcare and healthcare informatics; - development of a programme for setting-up and implementing systems of quality; - development of programmes, tools and methods to monitor, certify and accredit systems of quality; - education and training to provide professional assistance during the introduction of complex systems ofquality in the healthcare institutions (OP HRD “Health care in the Information Age”).

Indirect health sector investment (with NSRF/OP relevance)OPD HRD Guideline 21: Promote flexibility combined with employment security and reduce labour market segmentation, having due regard to the role of the social partners: development priority 3 – promotion of life-long learning activities; Health and safety at work: inform workers and employers about occupational health and risks.

Evidence of capacity to deliver intersectoral policy and planningThe NSRF and OPs suggest where capacity exists and will be developed. Specifically, in terms of maximising health gain from Structural Funds capacity building is an approach to the development of relevant sustainable skills, organisational structures, resources and commitment in health and other sectors. An initial focus could include: organisational development (Intermediate bodies); workforce development (Intermediate bodies); resources allocation (OP Managing Authorities, OP Monitoring Committees); leadership (NSRF Managing Authority - Government Office for Local Self-Government and Regional Policy, OP Managing Authorities); partnerships (Regional Development Agencies, Regional Public Health Institutes).

Regional planning and implementation (From OPs)Slovenia is treated as a single regional entity although this is covered by 12 statistical regions. In the development of the NSRF/OPs the use of bottom-up regional development planning, which enables regions to include their programmes in the national framework has been recognised as strengthening the implementation of the NSRF and OPs. However, regional planning needs clear commitment and participation of the economic and public sectors.

Direct health sector investment (with NSRF/OP relevance)Health infrastructure Co-financing investments into cultural, health, social-protection and other infrastructures of regional importance provided that the investments are envisaged in the SRDP and that the shortage of such infrastructure represents an important obstacle for faster regional growth and new job creation (OP SRDP activity “Social infrastructure”).E-HealthE-Health, along with providing overall healthcare system quality, is the central project of the transition into the information society in the field of the healthcare system and encompasses modernisation and/or development of information systems and services that along with organisational modifications and development of new skills contribute to advancement of the healthcare system. Investment will cover:• Modernisation of the existing and introduction of new business processes and their coordination with the legislation and good practices of the EU with a view of optimising and adjusting to the modern grasps of e-commerce.• Modernisation/upgrading and setting-up of infrastructure as a back-up to modernised and redefined process (linking of all healthcare information systems into a single system called eZIS).• Incorporation of a single entry healthcare information point into the national healthcare system by introducing the concept ZVEM (Healthcare – one-stop-shop) for all target groups and a simultaneous setting-up of a system of authorisation and authentication of the users of digital medical data.• Setting-up and introduction of uniform standards for connectability between information components of the healthcare system and setting-up of programmes.• Methods and tools to monitor, certify and accredit such information-communication components and systems.• Setting-up and introduction of electronic medical record (EZZ) and training for its effective use (OP HRD “Health care in the Information Age”).Education and trainingRise in the quality level of healthcare processes via education and training of target groups (OP HRD “Health care in the Information Age”): • Development and on-going maintenance of the programmes to increase active involvement in and responsibility for health of each citizen (including the ZVEM contents).• Development and on-going maintenance of the programmes to involve all interested partners into balanced development of the healthcare system (including the ZVEM contents, strategy of the EZZ development).• Development and on-going maintenance of the programmes of professional training in the field of: - quality in healthcare; - healthcare informatics; - special knowledge such as the one in public health, i.e., for responsiveness to health threats and studying of key public health problems including safety and health at work; - management and governance.

Direct health sector investment (with NSRF/OP relevance)Quality management• The biggest deficit is in the provision of professional support to the providers of health care when they introduce the system of quality, establish information communication infrastructure and in their qualifications to respond to new health threats. To improve the situation the stress within the operational programme will be given to ensuring good management, quality in health care and the establishment of the information system to provide relevant and timely information (NSRF Development Priority “Institutional and administrative capacity”).• Development of public management: enforcing the use of modern managerial techniques for managing changes and achieving business excellence in the public sector; development of human resources and knowledge management; development of a system for strategic planning and for monitoring the achievement of the set objectives and results (OP HRD “Efficient and effective public administration”).• Provision of overall quality in the healthcare system related to e-health and including: - mobilisation of the sources for quality in healthcare and healthcare informatics; - development of a programme for setting-up and implementing systems of quality; - development of programmes, tools and methods to monitor, certify and accredit systems of quality; - education and training to provide professional assistance during the introduction of complex systems ofquality in the healthcare institutions (OP HRD “Health care in the Information Age”).

Indirect health sector investment (with NSRF/OP relevance)OPD HRD Guideline 21: Promote flexibility combined with employment security and reduce labour market segmentation, having due regard to the role of the social partners: development priority 3 – promotion of life-long learning activities; Health and safety at work: inform workers and employers about occupational health and risks.

Evidence of capacity to deliver intersectoral policy and planningThe NSRF and OPs suggest where capacity exists and will be developed. Specifically, in terms of maximising health gain from Structural Funds capacity building is an approach to the development of relevant sustainable skills, organisational structures, resources and commitment in health and other sectors. An initial focus could include: organisational development (Intermediate bodies); workforce development (Intermediate bodies); resources allocation (OP Managing Authorities, OP Monitoring Committees); leadership (NSRF Managing Authority - Government Office for Local Self-Government and Regional Policy, OP Managing Authorities); partnerships (Regional Development Agencies, Regional Public Health Institutes).

Regional planning and implementation (From OPs)Slovenia is treated as a single regional entity although this is covered by 12 statistical regions. In the development of the NSRF/OPs the use of bottom-up regional development planning, which enables regions to include their programmes in the national framework has been recognised as strengthening the implementation of the NSRF and OPs. However, regional planning needs clear commitment and participation of the economic and public sectors.

Table 4: Non-health sector investment with potential health gain 2007-2013

Strategicobjective (and OP)

Relevant investments Potentialhealth gain

The specific aim of this priority axis is the concentration of knowledge and the development of infrastructure for increased competitiveness of the economy mainly through the development of ‘economic development logistical centres’. These include business-industrial-logistics zones, technological parks/centres, regional entrepreneurial incubators, university pre-incubators, higher education & research centres and inter-company educational centres in areas with a sufficient critical mass in terms of economic activity, capacity of existing knowledge institutions and the potential for economic development (OP RDP Priority Axis 2 “Economic development infrastructure”.

Economic,social

Improvementin the quality of the educational system and research&developmentactivities

• Mentorship and tutorship schemes for transfer of knowledge, skills and competences (inter-generational, connected with active ageing, to new employees, internal know-how, internal tutorship, training of young without work experience, coaching and so forth) (OP HRD “Training and education for competitiveness and employability”).• Stimulating and promoting entrepreneurship and innovation (searching for ideas, innovations,…) including stimulating female entrepreneurship for the women who wish to fulfill their entrepreneurship-related ambitions (information, motivation and counseling, tailored education and training, support in the elaboration of a business plan, so-called voucher system involves programmes offering assistance to unemployed on the pathway to self-employment) (OP HRD “Promotion of the development of new employment opportunities”).• Strengthen informing, counseling, motivating, lifelong career orientation and development of multi-media aids for an effective career counseling to unemployed and inactive; Programmes/projects encouraging the inactive to enter the labour market; Training and education of the unemployed to obtain the required knowledge and skills; On-the-job training and other short forms of training; Stimulate employment in regions with low economic potential; Support to innovative measures and specific approaches in the area of active labour market policies and international projects (for example connecting contents of CIP, EQUAL and EIM), and the development of new forms of preventive activities for moving into open unemployment) (OP HRD “Promotion of the employability of job-seekers and the inactive”).

Economic,social,personal

• Creation of new opportunities to access the employment and training, creation of new jobs and promotion of activities throughout the active period of the vulnerable groups, by stressing the importance of service sector and NGO sector. Fostering of social entrepreneurship and creation of favourable conditions for its development, network and develop new forms of social, social-care (care services for children, older dependent persons) and other services in public interest (reconciliation of family and work life). Support for innovative measures and projects of local, regional, national or transnational cooperation related to enhancing social inclusion and combat against any discrimination pertaining to employment and labour market. Promotion of activities related to employment of the members of vulnerable groups with the aim of promoting their social inclusion and raising awareness of the employers and public of the phenomenon of discrimination in the labour market. (OP HRD “Equal opportunities in the labour market and reinforcing social inclusion”).

Strategicobjective (and OP)

Relevant investments Potentialhealth gain

The specific aim of this priority axis is the concentration of knowledge and the development of infrastructure for increased competitiveness of the economy mainly through the development of ‘economic development logistical centres’. These include business-industrial-logistics zones, technological parks/centres, regional entrepreneurial incubators, university pre-incubators, higher education & research centres and inter-company educational centres in areas with a sufficient critical mass in terms of economic activity, capacity of existing knowledge institutions and the potential for economic development (OP RDP Priority Axis 2 “Economic development infrastructure”.

Economic,social

• Mentorship and tutorship schemes for transfer of knowledge, skills and competences (inter-generational, connected with active ageing, to new employees, internal know-how, internal tutorship, training of young without work experience, coaching and so forth) (OP HRD “Training and education for competitiveness and employability”).• Stimulating and promoting entrepreneurship and innovation (searching for ideas, innovations,…) including stimulating female entrepreneurship for the women who wish to fulfill their entrepreneurship-related ambitions (information, motivation and counseling, tailored education and training, support in the elaboration of a business plan, so-called voucher system involves programmes offering assistance to unemployed on the pathway to self-employment) (OP HRD “Promotion of the development of new employment opportunities”).• Strengthen informing, counseling, motivating, lifelong career orientation and development of multi-media aids for an effective career counseling to unemployed and inactive; Programmes/projects encouraging the inactive to enter the labour market; Training and education of the unemployed to obtain the required knowledge and skills; On-the-job training and other short forms of training; Stimulate employment in regions with low economic potential; Support to innovative measures and specific approaches in the area of active labour market policies and international projects (for example connecting contents of CIP, EQUAL and EIM), and the development of new forms of preventive activities for moving into open unemployment) (OP HRD “Promotion of the employability of job-seekers and the inactive”).

• Creation of new opportunities to access the employment and training, creation of new jobs and promotion of activities throughout the active period of the vulnerable groups, by stressing the importance of service sector and NGO sector. Fostering of social entrepreneurship and creation of favourable conditions for its development, network and develop new forms of social, social-care (care services for children, older dependent persons) and other services in public interest (reconciliation of family and work life). Support for innovative measures and projects of local, regional, national or transnational cooperation related to enhancing social inclusion and combat against any discrimination pertaining to employment and labour market. Promotion of activities related to employment of the members of vulnerable groups with the aim of promoting their social inclusion and raising awareness of the employers and public of the phenomenon of discrimination in the labour market. (OP HRD “Equal opportunities in the labour market and reinforcing social inclusion”).

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