Implementation of the Lithuanian − Swiss Cooperation Programme: 8th Annual Meeting 20 April 2016 Vilnius
Agenda 1. Opening of the Annual meeting General remarks on progress made in the implementation of the Lithuanian-Swiss Cooperation Programme against Conceptual Framework: general experience and results achieved 2. Reporting on the status of the Programmes and other measures: 2.1. Programme on energy efficiency in hospitals 2.2. Programme on perinatal and neonatal health care 2.3. Programme on research and development. Scholarship Fund 2.4. Individual project 2.5. NGO Fund 2.6. Technical Assistance Fund 3. Other important issues in implementation of Lithuanian-Swiss Cooperation Programme: 3.1. Overall financial statement on the past and tentative future disbursements and commitments 3.2 . ” Swissness ” 3.3. Strategy and activities to inform the general public about the Lithuanian-Swiss Cooperation Programme and measures implemented 3.4. Evaluation of Swiss Contribution: findings of evaluation, implementation of recommendations (Swiss information) 3.5. Completion Report for the Lithuanian – Swiss Cooperation Programme (Swiss information) 3.6. Reporting in 2017 (annual report for 2016, completion report, etc.) (Swiss information) 3.7. Any other issues to be discussed 2 Closing of the Annual meeting
Annual Report Reporting period: 1 January 2015 – 29 February 2016 Report covers operational and financial progress, implementation issues, administrative framework, publicity strategy and activities, etc. Report approved on 22 March by the Steering Committee of the Lithuanian−Swiss Cooperation Programme (written procedure) 3
Reporting on the status of the Programmes and other measures: status of implementation, issues, next steps in 2016 4
Reporting on the Energy Efficiency in Hospitals Programme (1) Expected results of the Programme: buildings of hospitals and energy efficient engineering systems renovated/installed, premises of units for perinatal and neonatal care services renovated Operational progress: Programme management: Interim financial audit of the programme conducted in March 2015, no major deficiencies were detected. Survey of patient satisfaction with in-patient services (intermediate evaluation of satisfaction) conducted in January - February 2015. Improvement of conditions for patients was noted in case of hospitals which completed repair works. Expertise services procured by MoH in February 2015. Analysis on the needs of EAs as regards solar collectors has been done. Preparation of technical projects: Main activities (including LED): 26 out of 27 technical projects prepared Additional activities (solar collectors): 16 out of 16 tenders launched, 4 contracts signed, 0 technical projects prepared. Additional activities (photovoltaic): 7 out of 13 tenders launched, 7 contracts signed, 0 technical projects prepared 5
Reporting on the Energy Efficiency in Hospitals Programme (2) Expected results of the Programme: buildings of hospitals and energy efficient engineering systems renovated/installed, premises of units for perinatal and neonatal care services renovated Operational progress: Works: Main activities (including LED): 33 out of 33 public procurements launched, 29 contracts signed, 17 contracts completed. Main activities (including LED): 3 contracts left to sign for P. Mazylis Maternity Home (heating pumps, LED, ventilation system renovation) and 1 contract for Vilnius Maternity Home (medical gas system installation)). Additional activities (solar collectors): 16 out of 16 tenders launched, 4 contracts signed, 0 contracts completed. Additional activities (photovoltaic power stations): 7 out of 13 tenders launched, 7 contracts signed, 0 contracts completed. 6
Reporting on the Energy Efficiency in Hospitals Programme (3) Achievement of key performance indicators: Impact and outcomes‘ indicators to be achieved at the end of programme implementation Achievement of outputs‘ (results) indicators is in process:
Reporting on the Energy Efficiency in Hospitals Programme (4) Main issues and risks: timely implementation of newly introduced activities (solar collectors, heating pumps, photovoltaic power stations) Kaunas clinical hospital: repair works in process Mitigation measures: CPMA prepared standard procurement documents and provides operative advice to the hospitals possible extension of the project implementation deadline in case of concrete hospitals close monitoring of the new project implementation agreement with Kaunas clinical hospital (procurements made via CPO-system) periodical technical meetings between the IB, CPMA and NCU organized to review the progress of activities hospitals constantly monitored (visits to hospitals, phone consultations, etc.) by the CPMA and IB 8
Energy Efficiency in Hospitals Programme: work plan for 2016 Technical projects & technical supervision/expertise To prepare technical project: • solar collectors and heating pumps 2 hospitals ( April 2016 ), 7 hospitals ( May 2016 ), 7 hospitals ( June 2016 ) 2 hospitals ( April 2016 ), 2 hospitals ( May • photovoltaic power stations 2016 ), 9 hospitals ( June 2016 ) • vacuum supply system 1 hospital ( April 2016 ) Works • To complete works (for main activities) 21 hospital (August 2016) Programme management • To procure energy audit services May 2016 9
Reporting on Improvement of perinatal and neonatal health care services in Lithuania Programme (1) Expected results of the Programme: Lithuanian hospitals (in main cities, regions and periphery) will be provided with new modern medical equipment, transportation system will be improved, computer database of pregnant, delivering women and neonates health data created and installed, diagnostics and treatment protocols in obstetrics and neonatology developed and implemented, professional competence of medical staff increased Operation progress: Survey of patient satisfaction with in-patient services (intermediate phase) conducted in January - February 2015. Positive impact for all aspects of patients satisfaction regarding related health care services noted. Procurement of medical equipment: – in total 63 contracts signed – equipment (87 titles (out of 108)) installed Vehicles: in July 2015 transport was delivered to 3 hospitals. Guidelines and protocols: – all planned 70 diagnostic and treatment guidelines and protocols prepared by November 2015. – 98 training courses conducted in 2015 (2337 participants from 32 hospitals, 5 topics). 10
Reporting on Improvement of perinatal and neonatal health care services in Lithuania Programme (2) 3 new activities are in public procurement process: – Baby friendly hospital initiative, – Routine ultrasound examination of pregnant women. Guidelines and protocols of diagnostics and treatment in obstetrics and neonatology adaption to practical use, – Trainings for participants engaged in the provision of obstetric and neonatal services due to keep skills Repair works: – repair contracts implemented by 6 hospitals (Kaunas Clinics, Klaipėda , Kaunas Clinical Hospital, Marijampolė , Trakai, Telšiai ), – activities completed by 3 hospitals (Vilnius Maternity Home, Mažeikiai , Vilnius City Clinical Hospital) Development of computer database: – contract signed in January 2016. – JSC decision on additional related activities taken in March 2016. Partnership: – JSC decision on approval of the corrected budget of the Partnership plan was made on 21 December 2015. The amended plan was provided to SCO on 15 January 2016. 11 – implementation completed.
Reporting on Improvement of perinatal and neonatal health care services in Lithuania Programme (3) Achievement of key performance indicators: Impact and outcomes‘ indicators to be achieved at the end of programme implementation Achievement of outputs‘ (results) indicators is in process: 12
Reporting on Improvement of perinatal and neonatal health care services in Lithuania Programme (3) Achievement of key performance indicators: Impact and outcomes‘ indicators to be achieved at the end of programme implementation Achievement of outputs‘ (results) indicators is in process: 13
Reporting on Improvement of perinatal and neonatal health care services in Lithuania Programme (3) Main issues and risks: Medium risk could be identified in development and installation of computer database of pregnant, delivering women and newborn babies’ health records . Low risk in implementation of newly introduced activities (on baby-friendly hospital initiative, additional trainings, guidelines and protocols) Mitigation measures: extension of the project implementation agreement with the Executing Agency close monitoring by responsible institutions periodical technical meetings between the IB, CPMA and NCU organized 14
Improvement of perinatal and neonatal health care services in Lithuania Programme: Work plan for 2016 (1) Programme management To organise event on presentation of September 2016 results (EA) To organise final conference (IB) March 2017 Medical equipment To launch 4 tenders 4 in 2Q/2016 To complete the procurement process and sign 6 in 2Q/2016 14 contracts 6 in 3Q/2016 2 in 4Q/2016 To deliver equipment to beneficiary hospitals Continuously Repair works To complete repair works August 2016 15
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