Terms of Reference – ECHO Lead Mentor and Facilitator

Background:

The Government of Jamaica has received two loans from the Inter-American Development Bank (IDB) to support the Health Systems Strengthening for the Prevention & Care Management of Non- Communicable Diseases (NCD) Programme.

The programme objective is to improve the health of Jamaica’s population by strengthening comprehensive policies for the prevention of Non-Communicable (Chronic) Diseases (NCDs) risk factors and improved access to an upgraded and integrated primary and secondary health network in prioritized areas with an emphasis on chronic disease management, that provide more efficient and higher quality care.  This is a hybrid programme with a policy-based operation, a programmatic policy-based loan series (PBP) and an investment loan that will invest in the physical infrastructure and equipment of Jamaica’s health sector.

The Policy-Based Loan will look at policies that will consolidate regulatory measures to address the preventable causes of NCDs and to reorient health systems to address prevention and control of NCDs through a people-centred primary health chronic care model.

The Investment Loan, in turn, will finance activities to consolidate integrated health networks and improve the management, quality and efficiency of health services.  The Policy Based Loan will benefit the Jamaican population at-large, while the Investment Loan will have approximately 800,000 potential direct beneficiaries who reside in the catchment areas of the health services networks that will receive investments.

The Investment Programme being implemented by the Ministry of Health and Wellness (MHW) has two (2) major components and an allocation to support programme administration and evaluation:

 

Component 1 – Organization and consolidation of integrated health services networks

This component will finance the purchase of medical equipment and the improvement of infrastructure for primary health care services in the catchment areas of three priority hospitals to increase their capacity in health promotion and disease prevention, especially regarding chronic, non-communicable diseases. The investments will focus on strengthening the diagnostic and screening capability as well as the clinical and resolutive capacity of health clinics. This Component will further finance the upgrading and or expansion of three (3) hospitals selected on criteria relating to strategic role in the national hospital network, supply-demand gap analyses, and physical needs assessment. The hospitals will benefit from infrastructure upgrading and or expansion as well as modernization. 

 

Sub-Component 1.1 – Strengthening Primary Care

1.1       The purpose of this subcomponent is to increase the physical capacity for service provision at the primary care level in three (3) priority geographical areas. Approximately ten (10) health centres have been identified to receive investments in medical equipment and infrastructure refurbishment and expansion. The subcomponent will finance: (i) the preparation of building designs for the construction of new infrastructure on the sites of existing facilities (three centres), expansion of existing structures (four centres), and refurbishing (three centres); (ii) the physical works required for infrastructure improvement; (iii) the purchase of medical equipment including essential diagnostic and treatment items for NCDs, such as sphygmomanometers, electrocardiogram machines, pulse oximeters, defibrillators, computerized chemistry machines, etc.); (iv) engineering services for construction supervision; and (v) corrective and preventive maintenance of medical equipment.

 

Sub-Component 1.2 – Increasing the Capacity and Efficiency of Hospital Services

This subcomponent will address urgent needs to enhance patient safety and services in three (3) hospitals whose catchment areas contain the health centres identified in subcomponent 1.1. Financing from this subcomponent will be allocated to:

  • the building and engineering designs for the infrastructure improvement and expansion;
  • the construction in three hospitals according to contracted plans and designs;
  • the purchase of medical equipment to raise clinical capacity to partially account for existing demand;
  • the purchase of imaging equipment, including computerized tomography machines;
  • purchase of industrial style laundry machines;
  • construction supervision services; and
  • the design and implementation of a corrective and preventive equipment maintenance

 

Component 2 – Improvement of Management, Quality and Efficiency of Health Services

This component will provide technical assistance to design and implement the Chronic Care Model (CCM) in the participating health services networks; to review and develop care pathways and protocols; and to prepare change management, continuous quality improvement and social media marketing for behaviour change strategies. It will also finance the implementation of the fourth Jamaica Health and Lifestyle Survey. This component will further support:

  • the creation of a strong foundation for a digital health ecosystem, including the adoption of standards for interoperability, system architecture, updated governance structure, and other key elements;
  • the design and implementation of a sustainable Electronic Health Record (EHR) platform focusing on digitalization of key processes within the improved CCM;
  • the strengthening of telehealth/telemedicine/telementoring capacity to include chronic care management, and the establishment of norms and processes for its institutionalization.
  • the strengthening of telehealth/telemedicine capacity through the expansion of the ECHO model, the inclusion of chronic care in the platform, and the establishment of norms and processes for its institutionalization.

 

Programme Administration and Evaluation:

This allocation will support the MHW in terms of strengthening its institutional capacity for project implementation. It will finance, inter alia, the consultants of the Project Execution Unit (PEU), specialized technical services, independent auditing, as well as surveys and studies regarding the implementation of the programme and evaluation of its impact. The PEU is structured to provide additional capability in the areas of project management, procurement, financial management, infrastructure upgrading, medical equipment specification, and health information technology. Technical and fiduciary staff from the MHW will work closely with the PEU specialists so that the MHW benefits from knowledge transfer and capacity strengthening.

 

Under Component 2 (IV), the Project will support the hiring of an ECHO Lead Mentor and Facilitator.

Project ECHO (Extension for Community Healthcare Outcomes) is an innovative hub and spoke programme, designed to create knowledge networks bringing together healthcare providers in low-resourced areas and specialty care providers through a tele-mentoring programme using brief lectures and case‐based presentations. These networks have been shown to increase capacity for healthcare providers to identify, treat, and manage patients. Using basic, widely available teleconferencing technology, clinical management tools and case‐based learning, healthcare providers develop knowledge and self‐efficacy on techniques for management and quality improvement.  

Project ECHO has been recognized globally as a successful tool to improve care outcomes. The purpose of the ECHO sessions is to build capacity and to dramatically increase the effectiveness of the group by sharing best practices.  Project ECHO has supported the development of over 303 hubs worldwide in more than 35 countries on six continents for approximately 70 diseases and conditions, including ongoing engagement in Jamaica through the Ministry of Health and Wellness (MOHW) and partner non-governmental organizations (NGOs).

The MOHW will be establishing an ECHO HUB to centralize and streamline efforts and maximize outreach in the most cost-effective manner. The MOHW will engage the Regional Health Authorities (RHAs), agencies, and related organizations that make up the public health system to strengthen capacity for healthcare delivery. Using the ECHO platform, public sector healthcare providers throughout the country will have access to the expertise of the central MOHW and subject matter experts without having to travel and in some cases, refer patients. Healthcare providers can connect via their Smartphones, laptops, or other computer systems. By setting up the system and infrastructure, the model can be leveraged quickly to help integrate best practices, new policies and healthcare education.

 

Objective of Consultancy

The primary objective of this consultancy is to plan and develop a tele-mentoring clinic for Jamaica based on the ECHO model.  The tele-mentoring clinic will strengthen the knowledge and awareness of primary care providers on good practices and clinical guidelines on diagnosing and managing chronic illnesses.  The successful candidate will also be responsible for facilitating the tele-mentoring clinics with primary care providers.  Note that this engagement will be supported by a coordinator responsible for performing administrative duties related to tele-mentoring (e.g., enrolling users, establishing conference call facilities).

 

Scope of Work

 Leading development of ECHO in Jamaica

  • Collaborate with MHW representatives and other health system stakeholders to identify the goals and objectives for the ECHO program
  • Evaluate, identify, and recommend care models to support chronic care priorities in Jamaica
  • Develop an educational curriculum to train primary care providers on appropriate chronic care models via weekly or bi-weekly virtual training sessions
  • Develop and deliver a participant survey to benchmark awareness and education attending the tele-mentoring clinics, and satisfaction with the tele-mentoring clinics
  • Create training and other support materials for training on chronic care models
  • Develop and execute awareness activities to encourage clinician participation in ECHO
  • Report on status to EHR / Telehealth Lead

 

Facilitate tele-mentoring clinics

  • Plan and develop a tele-mentoring clinic for Jamaica based on the ECHO model.
  • Prepare presentation materials with support of the ECHO Coordinator
  • Facilitate weekly tele-mentoring clinics following the approved curriculum
  • Share expertise regarding clinical guidelines and good practices in chronic care
  • Address case questions from primary care providers attending the tele-mentoring clinic

 

Deliverables (to be completed within the first 6 months)

  • Product 1: Chronic Care Curriculum – A curriculum to train clinicians on chronic care models incorporating both didactic presentation and case-based learning
  • Product 2: Training Materials and Supports – Training materials and supports that can be distributed to primary care providers participating in the tele-mentoring clinics to use as guides in their practices
  • Product 3: Participant Survey – A participant survey evaluating their knowledge and awareness of chronic care models and their perspective on the efficacy of the tele-mentoring clinic
  • Product 4: Summary Report – A brief report at contract end evaluating the success of the tele-mentoring clinics and making recommendations for next steps
  • Other products – Other deliverables to be defined in consultation with and under the direction of the IS4H Project Lead.

 

Education and Experience:

Education: A medical degree with specialty or advanced training in internal medicine or the management of chronic non-communicable diseases.

 

Experience:

  • Minimum of 5 years of experience in chronic disease management;
  • Experience developing clinical training and developing mentoring;
  • Experience with ECHO is desirable

 

Core and technical competencies:

  • Expertise in chronic care models;
  • Experience working in an international context is highly desirable;
  • Strong organization skills;
  • Ability to work independently without direct supervision
  • Advanced writing, communication, and presentation skills in English

 

Opportunity Summary:   

  •      Length of contract: 20 hours per week over 12 – 24 months with the possibility of

               additional contract renewals pending satisfactory performance

  • Starting date: August 2020
  • Location: Kingston, Jamaica
  • Reporting to EHR/ Telehealth Lead/ The Director Family Health Services, Ministry of

            Health and Wellness, Government of Jamaica

  • Eligibility: You must be a citizen of one of the IDB’s 48-member countries.

 

MINISTRY OF HEALTH AND WELLNESS
REQUEST FOR EXPRESSIONS OF INTEREST
INDIVIDUAL CONSULTANT
ECHO LEAD MENTOR AND FACILITATOR
JAMAICA
Support for the Health Systems Strengthening for the Prevention and Care
Management of Non-Communicable Diseases Programme
Loan No: JA-L1049
Assignment Title: ECHO Lead Mentor and Facilitator

The Government of Jamaica has received financing from the Inter-American Development Bank (IDB) toward the cost of the Support for the Health Systems Strengthening for the Prevention and Care Management of Non- Communicable Diseases Programme, and intends to apply part of the proceeds for consulting services.

The consulting services (“the Services”) will be responsible for planning and developing tele-mentoring clinic for Jamaica based on the ECHO model.  The tele-mentoring clinic will strengthen the knowledge and awareness of primary care providers on good practices and clinical guidelines on diagnosing and managing chronic illnesses. The assignment is for a duration of 120 days over a twenty- four  month period.

The Ministry of Health and Wellness now invites eligible individual consultants to indicate their interest in providing the Services. The requirements are:

  • A medical degree with specialty or advanced training in internal medicine or the management of chronic non-communicable diseases;
  • Minimum of 5 years of experience in chronic disease management;
  • Experience in developing clinical training and developing mentoring;
  • Experience with ECHO

 

The attention of interested Consultants is drawn to paragraph 1.9 of the IDB’s: Policies for the Selection and Contracting of Consultants financed by the Inter-American Development Bank GN-2350-9, March 2011, setting forth the IDB’s policy on conflict of interest.  A Consultant will be selected in accordance with the Selection of Individual Consultants method set out in the IDB’s Policies.

Expressions of interest in the form of an Application letter and Curriculum Vitae must be delivered to the address below (in person, or by mail, or by fax, or by e-mail) by July 9, 2019. The detailed Terms of Reference for the Consultancy Service is available on the website of the Ministry of Health and Wellness and Wellness at www.moh.gov.jm.

 

The Procurement management Specialist
Support for the Health Systems Strengthening for the Prevention and Care
Management of Non-Communicable Diseases Programme
3rd Floor, Ministry of Health and Wellness
10 A Chelsea Avenue
Kingston 5, Jamaica W.I
Tel: (876) 633-7934
E-mail: hsspproject@moh.gov.jm

We thank all applicants however please note only shortlisted candidates will be contacted.