Coordinator – Component 2, Elective Surgeries Enhancing Health Care Delivery Project

1.0  Background

Timely access to quality and affordable Health Services is critical for achieving Universal Access to Health and the health-related Sustainable Development Goals (SDGs).  It is also an important benchmark for a sustainable and robust health system

As the premier health care provider in Jamaica, the Ministry of Health and Wellness has embarked on a project designed to improve access to some critical services provided at public health facilities.  This initiative builds on previous efforts to reduce wait time for services and it is envisioned that this will result in shorter wait time for admissions as well as shorter hospital stays.  The initiative is also set to reaffirm Government’s commitment to the abolition of user fees in public health facilities.

The Enhancing Health Care Delivery Project will focus on three key areas negatively impacting the health sector’s ability to respond timely to the health care needs of the population.  The areas of focus are: (i) diagnostic radiology services (ii) elective surgeries and (iii) removal of social cases from hospitals.

In recognition of its resource constraints and inability to meet the growing demand for diagnostic services, the Ministry will outsource the following imaging services in the short term: CT scan, MRI, Ultrasound, Angiography, Endoscopy and Hispathology.  Patients will be referred to an approved list of private imaging service providers and all costs for outsourced services will be borne by the Government of Jamaica.   In addition, through formal arrangements with private health facilities, the Ministry will under the project seek to increase the number of elective surgeries performed by making use of underutilized private operating theatres.  This intervention is expected to reduce the long waiting list for these procedures and contribute to the overall improved health status of many Jamaicans. 

Also under the project, the Ministry will enter into formal arrangements with select nursing homes and infirmaries for the transfer of patients who have overstayed their time in public hospitals as a result of having no known family or residence.  These public-private ventures are in alignment with the Ten Year Strategic Plan of the Health Sector and Vision 2030 National Development Plan.

 

2.0 OBJECTIVE of Consultancy

The overall objective of the consultancy is to provide technical services to the Ministry of Health and Wellness for the design, implementation and monitoring of Component 2 – Outsourcing of Elective Surgeries, under the Enhancing Health Services Delivery Project.  Responsibilities will include working closely with the Technical Programme Advisor, Project Manager, Regional Health Authorities, private service providers and other stakeholders for the outsourcing of elective surgeries and the development of plan for reintegration of services at the end of the project period.

The specific objectives of the consultancy are as follows:

  1. To provide technical support for the establishment and monitoring of formal arrangements with approved service providers for the outsourcing of elective surgeries
  2. To provide support for the revision and development of standard operating protocols/procedures, in collaboration with RHAs and other stakeholders, to support the successful implementation of project and the reintegration of services at the end of the project period.
  3. To provide support for the collection of data and documentation of elective surgeries waiting list in the public health care system
  4. To provide detailed monthly reports that accurately monitor project activities and budget; analyse issues and forecast trends in service delivery and use.

 

3.0 SCOPE of Services

The specific services of the Component Coordinator shall include, but not be limited to the following:

  1. Develop a Workplan outlining timelines and activities required to execute the assignment.
  2. Monitor Contracts and Memorandum of Understandings with private service providers and other partners
  3. Work in collaboration with MOHW’s Standard and Regulations Division to carry out inspections of private medical facilities.
  4. Develop a Risk Management Framework
  5. Develop and implement a Monitoring and Evaluation Framework
  6. Organize and participate in consultations with key administrative, technical and managerial health professionals critical to project implementation
  7. Coordinate data collection and produce comprehensive waiting list of persons scheduled for elective surgeries within the public health care system
  8. Support the development of electronic wait list management system
  9. Establish and maintain professional relationships with relevant partner agencies in the public and private sectors, documenting for MOHW’s attention concerns/issues with services contracts /arrangements
  10. Coordinate/supervise the day to day activities relating to the component in collaboration with Hospital Administration, Regional Health Authorities , private service providers and other stakeholders
  11. Assist in the revision and formulation of standard operating procedures/protocols, in collaboration with RHAs and other stakeholders, to support the successful implementation of the component and the reintegration of services at the end of the project period
  12. Organize and participate in sensitization sessions per region for key administrative, technical and managerial health professionals critical to project implementation
  13. Track and report on the progress of implementation as per the work plan, identifying potential risks and making recommendations
  14. Establish and maintain database of persons receiving elective surgeries under component
  15. Conduct satisfaction surveys among patients to assess service delivery
  16. Ensure component activities are properly closed out and documentation completed and stored

 

4.0 METHODOLOGY

The consultancy should be executed in a spirit of cooperation and inclusiveness.  The Component Coordinator is expected to work in tandem with MOHW Technical Team and the Office of the Permanent Secretary throughout all stages of the Project.  The individual is also expected to

  • Liaise with the Technical Programme Advisor and Project Manager on all matters
  • Work closely with RHAs, Private Service Providers and other stakeholders

 

5.0 DELIVERABLES

No DELIVERABLE
1.        Detailed Workplan
2.        Waiting list of persons scheduled for elective surgeries in public health system
3.        Database of persons receiving services under the component
4.        Recommendations for the development of electronic wait list management system
5.        Monitoring reports on Service contracts for outsourcing of elective surgeries
6.        Revised protocols/procedures for the delivery/outsourcing of elective surgeries
7.       

 

Reports on Sensitization sessions (one per region) for select administrative, technical

and managerial personnel

8.        Monitoring and Evaluation Framework
9.        Risk Management Framework
10.   

 

Monthly project reports, reports on satisfaction surveys

 

 

6.0 Conditions

  • This consultancy is a full time position with standard hours of work
  • The Component Coordinator will be required to occupy a designated office space at MOHW and make regular field visits as dictated by Project activities
  • Participation in management and other meetings will be required for which prior notice will be given
  • All information obtained during the delivery of this Consultancy is the property of the Ministry of Health and Wellness and requests to use same must be made in writing to the Permanent Secretary

 

7.0 LENGTH OF CONSULTANCY

The duration of the contract is twenty four (24) months

 

8.0 QUALIFICATIONS OF CONSULTANT

The consultant should satisfy the following requirements:

  • Bachelors Degree in Nursing or Health Related discipline
  • At least 2 years’ experience working in a Management/Coordination position
  • At least 2 years’ experience working in a health related field
  • Strong sense of and respect for confidentiality involving both clients and fellow employees.
  • Working knowledge of Government of Jamaica Health Regulations and policies
  • Detail-oriented with excellent written and verbal communications skills.
  • Creative problem solver with ability to work independently.
  • Strong planning skills and ability to multi-task well.

 

9.0 REPORTING

The Coordinator will report directly to the Project Manager who will be responsible for the review and official approval of the project deliverables. 

 

 10.0 EVALUATION CRITERIA

Applicants will be scored out of 100 upon the presentation of CV and detailed proposal.  The score will be awarded don the following basis:

AREA                                                                  SCORE

Qualification and Experience                            25%

Technical Approach and Methodology             40%

Proposal/Work plan                                            25%