Preliminary assessment of the second payment request of Romania

operational through the appointment of the president of ANDIS, the recruitment of staff for the 15 key roles and the completion of the ANDIS organisation chart.

In addition to the requirements stemming from the description of the milestone, the description of the measure requires the setting up and rendering operational of ANDIS as a public institution with legal personality and subordinated to the Ministry of Health, able to manage major public health infrastructure projects, as well as to provide technical expertise at the request of local authorities. It also requires ANDIS’ endowment with a headquarters as well as staff training activities and consultancy and technical assistance for the projects falling under ANDIS’ portfolio. The setting up and operationalisation of ANDIS was ensured through Government Emergency Ordinance No. 76 of 2 June 2022 on the establishment, organisation and functioning of the National Agency for the Development of Health Infrastructure, the appointment of the president and the essential staff. Article 1(2) of Government Emergency Ordinance No. 76/2022 provides that ANDIS is a public institution with legal personality, subordinated to the Ministry of Health, and Article 5(1) refers to its role in managing major health infrastructure projects. Articles 4(1) letter l) and 4(2) letter d)

refers to the provision of technical expertise to beneficiaries, including local authorities. The staff training activities are established in Article 4(1) letter q) of Government Emergency Ordinance No. 76/2022 and consist of training and upskilling programmes, conferences and experience sharing on health infrastructure investments. The consultancy and technical assistance activities for projects under ANDIS’ portfolio are mentioned in Article 4(2) of Government Emergency Ordinance No. 76/2022 and consist of guidance on financing opportunities, contracting and procurement, management, implementation and monitoring of projects. Finally, Government Decision No. 276/2023, published in the Official Journal No. 267 on 30 March 2023, establishes new headquarters for ANDI, setting up proper work conditions and spaces for a bigger number of employees. The new address is Piața Presei Libere, nr. 1, House of Free Press, Corp B, et. 4 Bucharest.

Commission Preliminary Assessment: Satisfactorily fulfilled

Related Measure: Increased capacity for health management and human Number: 356 resources in health Name of the Milestone: Entry into force of the legislative framework for the increased capacity for health management and human resources in health Qualitative Indicator: Entry into force of the legislative framework for the Time: Q2 2022 reform of the management of health service and of human resources Context: The objective of sub-reform 3.1 is to improve the knowledge, skills and competences of the employees responsible for the management of health services across the Romanian health system. Milestone #356 concerns several legislative changes developing competence criteria for specialist

staff active in the management of health services, thereby establishing a framework for professionalisation of management. Milestone #356 is the first step of the implementation of the sub-reform and it will be followed by target #361 related to training on health service management. The sub-reform has a final expected date for implementation of 30 June 2025.

Evidence provided:

In line with the verification mechanism set out in the Operational Arrangements, the following evidence was provided:

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