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What the Vision 2030 announcement said on healthcare Transfer the responsibility for health care provision to a network of public companies Promote competition and transparency between public and private companies to enhance the standard and quality of health care services Prepare for privatisation in the longer term. Work towards developing private medical insurance to improve access to medical services and reduce waiting times Table 16: National transformation Plan objectives for the Ministry of Health No. Strategic objective Key Performance Indicator (KPI) Unit Baseline 2020target Regional Int’l b’mark — b’mark 1 Increase private sector share of spending through alternative | Percentage of Private sector contribution in total % 25 35 37 60 financing methods and service provision healthcare spend 2 Increase the efficient utilization of available resources Opex for every new inpatient admission SAR 33,000 33,000 39,000 NA 3 Improve the efficiency and effectiveness of the healthcare Percentage of Saudi citizens who have a unified % 0 70 NA 100 sector through the use of information technology and digital digital medical record transformation 4 Increase training and development both locally and Number of resident Saudi physicians who are Number 2,200 4,000 NA NA internationally enrolled in training programs 5 Increase the attractiveness of nursing and medical support staff Number of qualified Saudis in the field of nursing For every 70 150 460 1,106 as a preferred career path and support staff for every 100,000 people 100000 6 Improve healthcare provision before hospitalization and in the | Percentage of patients who received emergency or % 40 75 Under study 95 main hospitals (ER & ICU) urgent care with medical decision made (admission/ transfer/ discharge) in less than 4 hours in key hospitals 7 — Improve integration and continuity in service provision by Number of primary healthcare visits per capita Number 2 4 3.4 7 developing the primary care 8 Improve the infrastructure, facility management, and safety Number of licensed medical facilities ( affiliated with % 40 100 100 100 standards in healthcare facilities the Ministry of Health and private) 9 Attain acceptable waiting times across all stages of service % of appointments received in specialized medical % <40 70 Under study 83 delivery disciplines within 4 weeks (average for all specialties in key hospitals) 10 Improve governance in the health system in order to enhance % of Healthcare facilities reporting comprehensive % 10 100 NA 100 accountability with regards to quality issues and patient safety performance and quality measures 11 Adopt a national plan for emergency response to public health WHO emergency preparedness assessment score Score Calculation 4-5 Under study Under threats per international standards — average score for Riyadh, Jeddah and Eastern In Progress study Province 12 Identify additional sources of revenues Total revenue generated from private sector for SAR bn 0.3 4 NA NA utilizing government health resources 13 Improve public health services with focus on obesity and Increase in percentage of smoking incidence % Calculation Reduce by2% 12.5* 10.5* smoking In Progress _ from baseline Increase in percentage of obesity incidence % Calculation Reduce by1% 19.4* 5* In Progress _ from baseline 14 Improve the quality of life and healthcare service provided to The percentage of patients who get health care % 25 50 NA 65 patients outside hospitals after critical care and longterm hospitalization within 4 weeks 15 Improve quality and safety principles as well as skills of service Percentage of hospitals that meet the US median % 10 50 NA 50 providers for patient safety culture Source: Saudi National Transformation Plan SAR23bn budget allocated for the MoH’s NTP programmes The Ministry of Health (MoH) has been allocated SAR23bn for the transformation plan over the next five years, with any contribution from the private sector on top. Over half (56%) of the funds have been allocated to reform of primary healthcare and to the establishment of electronic medical records. Only 4% of funds (SAR937m) have been allocated to health insurance. 52 GEMs Paper #26 | 30 June 2016 OS merrill Lynch HOUSE_OVERSIGHT_016162