Preliminary assessment of the second payment request of Romania

includes provisions concerning criteria on education, specialisation and experience for the enrolment in competitions for different management positions in the health care institutions.

• - adjust the quality criteria for health service management training programmes

The Annex to the Ministerial Order No. 3143 of 7 October 2022 on the establishment of quality evaluation criteria for the endorsement of upskilling courses in health management or health services management adjusts the general quality criteria through clarifying the definitions for different types of trainings. In the Annex of the Ministerial Order No. 3143/2022, the first section deals in Article I with initial training (long-term courses), asking for the tertiary level of education of the trainees, and in the first section in Article II with continuous training (short-term courses), asking for the graduation of master studies or PhD in health management or health services management and the qualification of specialist or primary doctor in public health or management. The second section of the Annex defines specific criteria for the assessment of the quality of training programmes focusing on institutional competence (Article I), logistics (Article II), personnel competences (Article III), educational effectiveness (Article IV), assessment of trainees by specialised personnel (Article V) and assessment of the training programme by the trainees (Article

VI). The definition of the quality criteria adjusts the health service management training programmes to recognise the different professional merits and rewards of health professionals.

• - update the requirements for the continuous professional development of health

professionals The requirements for the continuous professional development of health professionals were updated through Article IV(1) and (2) of the Government Emergency Ordinance No. 129 of 29 September 2022. As provided for in Article IV(2), the management staff has the obligation to provide proof of graduation of a short-term upskilling course in health management in two years from the date of entry into force of the ordinance or in two years from the date of their appointment, and every two years afterwards, under the sanction of dismissal from their post. In addition, Article II of the Annex to the Ministerial Order No. 3143/2022 sets out general criteria for the organization of training programmes and specifies the requirements for the admission of trainees to the continuous training programme in health management and health services management.

• - develop and reinforce the body of health service management experts

Article I(13), (14), (15) of Government Ordinance No. 14 of 13 July 2022 explains the role of the National Institute for Health Services Management in providing professional training and drafting training curricula in the field of health services management in partnership with medicine and pharmacy universities, in designing and updating the database of experts in health services management and in contracting external experts for the interdisciplinary training needs. Also, Government Decision No. 1183 of 29 September 2022 sets the organizational and functional framework for the Institute, the public institution which contributes to the development and reinforcement of the body of health service management experts by running training, upskilling, continuous medical education and professional development programmes in the field of health services management.

• - develop the auditing and evaluation of health service management training programmes

Article 5 of Government Decision No. 1183 of 29 September 2022 establishes that the National Institute for Health Services Management has a Scientific Council whose role is to propose and evaluate the research-development-training activities in the field of health services management. Also, Article 1 corroborated with Article 3 letters a) and b) of the Collaboration Protocol between the Ministry of Health and the Association University Alliance G6-UMF provides that the two parties will work together on the evaluation of the current human resources training programmes for

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