Preliminary assessment of the second payment request of Romania

health services management and on the development of the mechanism for periodic evaluation and accreditation of programmes for initial and continuous training for human resources in health services management. Sections V and VI from the Ministerial Order No. 3143 of 7 October 2022 concern two types of assessment: evaluation of the participants by the training provider and evaluation of the training programme by the participants.

The newly adopted legislation shall help professionalise the management of health services by developing competence criteria for specialised staff. Article I(1), (3), (5), (7), (11) and (12) of the Government Ordinance No. 14 of 13 July 2022 provides the competence criteria for the management positions of the Health Directorates, the Ambulance Services, the Public Hospitals and the National Health Insurance House, contributing to the professionalization of these functions. Article I(7), (14), (20) and (23) of Government Ordinance No. 37 of 31 August 2022 includes also provisions on competence criteria concerning education, specialisation and experience (graduation of university studies in medicine, law or economics, number of years of work experience, specialisation in certain medical fields) for different management positions (executive director, general manager, medical director) in the health care institutions.

Furthermore, in line with the description of the measure, a centre of excellence in the field of health services management shall become operational and accredited training programmes for the concerned human resources in management (which include members of the hospital steering committees, heads of sections, heads of laboratories in health facilities, executive directors, chief doctors, managers) shall be carried out in collaboration with those academic institutions with a leading portfolio in the field of training and development of human resources responsible for the management of health services. Throughout the implementation period of the reform, the Ministry of Health is expected to benefit from technical assistance and consultancy provided by experts. Government Ordinance No. 14 of 13 July 2022, Article 1 (13-15) establishes the National Institute of Health Services Management which includes a centre of excellence for capacity building in the field of health services management which is operational within its organizational structure. The training

programmes for the human resources in management positions are subject to target #361 (Q2/25). The Ministry of Health is benefitting from the technical assistance and consultancy provided by the experts of the World Health Organisation (WHO) for the period of the implementation of the reform of the health service management. In this sense, the authorities referred to the Memorandum of Understanding for Technical Assistance between Romania and the WHO for developing the quality criteria for health services management training programs in the Cover Note No. 20864 of 18 November 2022. Government Decision No. 1236 of 12 October 2022 approves this Memorandum.

Commission Preliminary Assessment: Satisfactorily fulfilled

Related Measure: Increased capacity for health management and human Number: 357 resources in health Name of the Milestone: Entry into force of legislation for the strategic framework for the development of human resources in health Qualitative Indicator: Entry into force of the legislation for the strategic framework for the development of human resources in health by Government Time: Q2 2022 Decision Context:

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