Subject: RE: UHC missions in February 2018
From: "Maia maglakelidze-khomeriki" <[email-masked]>
To: Sopo Belkania
Cc: Mariana Mkurnali;
Date: Wed, 21 Feb 2018 00:38:30 +0400

მოგესალმებით.

ელექტრონული ფოსტით
აღნიშნული დოკუმენტის
გამოგზავნა გაძნელდება,
თუმცა გიგზავნით ბმულს, სადაც
განთავსებულია SSA 2017 წლის
სრული ანგარიში
http://ssa.gov.ge/files//2018/Sajaro/1/3/02/16.02.2018.pdf

უკაცრავად, სამწუხაროდ,
ახლახან ვნახე წერილი.

პატივისცემით,

მაია
მაღლაკელიძე-ხომერიკი

საყოველთაო ჯანმრთელობის
დაცვის მართვის
დეპარტამენტის უფროსი

სსიპ სოციალური
მომსახურეობის სააგენტო
მისამართი: აკაკი
წერეთლის გამზ. N144, 0119,
თბილისიტელ: (032)
251 00 33 - 1519
მობ: (+995) 591 311 333(+995) 591 311
333

Call

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to Skype

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-----Original
Message-----
From: "Sopo Belkania" <[email-masked]>
To:
<[email-masked]>
Cc: "'Zaza Sopromadze'"
<[email-masked]>, "Marina Darakhvelidze"
<[email-masked]>, "Mariana Mkurnali"
<[email-masked]>
Date: Tue, 20 Feb 2018 17:45:22 +0400

Subject: RE: UHC missions in February 2018

გამარჯობა მაია,

როგორც იცით, ჯანმოს
ექსპერტებმა მოითხოვეს
სოციალური მომსახურების
სააგენტოს საქმიანობის 2017
წლის ანგარიში (ჯანდაცვის
მიმართულებაზე), რომელიც
სამინისტროს წარუდგინეთ. თუ
შეგიძლია, რომ გამომიგზავნო
აღნიშნული ანგარიში
შემჭიდროებულ ვადებში.

საუკეთესო
სურვილებით,

სოფო

ბელქანია

ადამიანური რესურსების
მართვისა და საერთაშორისო
ურთიერთობების
დეპარტამენტის უფროსი

საქართველოს

შრომის
,
ჯანმრთელობისა

და

სოციალური

დაცვის

სამინისტრო

აკ
.
წერეთლის

გამზირი

144
,
თბილისი,
საქართველო
,
0159

მობ:
+995 599 223232

From:
Mariana Mkurnali [mailto:[email-masked]]
Sent: Friday,
February 16, 2018 6:32 PM
To: tengiz abazadze
([email-masked]); [email-masked]; [email-masked]';
[email-masked]; [email-masked]';
[email-masked]'; Ketevan Goginashvili; Ekaterine
Adamia
Cc: Zaza Sopromadze
Subject: FW: UHC missions in
February 2018

მოგესალმებით,

გაცნობებთ, რომ
ორშაბათს, 19 თებერვალს ჯანმოს
ექსპერტებთან შეხვედრების
დრო შეიცვალა, გთხოვთ იხილოთ
დანართი და შესაბამისად
უზრუნველყოთ დასწრება.

პატივისცემით,

მარ� �ანა მკურნალი

საერთაშორისო
ურთიერთობებისა და აპარატის
საქმისწარმოების
სამმართველოს უფროსი

ადამიანური რესურსების
მართვისა და საერთაშორისო
ურთიერთობების
დეპარტამენტი

საქართველოს

შრომის
,
ჯანმრთელობისა

და

სოციალური

დაცვის

სამინისტრო

აკ
.
წერეთლის

გამზირი

144
,
თბილისი,
საქართველო
,
0159

მობ:
+995 599 490942

From:
Mariana Mkurnali
Sent: 16 February, 2018 14:03
To:
'Andres Rannamäe'; HABICHT, Triin; IVANUSA, Marijan
Cc: Sopo
Belkania ([email-masked]);
KLIMIASHVILI, Rusudan; KURTSIKASHVILI, Giorgi; Kahur Kristiina

Subject: RE: UHC missions in February 2018

Good afternoon,

Dear Andres,
Thank you for responding on the questions regarding the
DM’s participation on the
seminar
.

Regarding diabetes
type 2 pathway meeting, I can confirm the meeting on Friday, February
23rd, 2018 from 11:30 until 13:00 with Deputy Minister Zaza
Sopromadze, Head of Health Care Department Marina Darakhvelidze, Head of
Health Policy Division, Ketevan Goginashvili and Head of Public Health care
and Programs Division, Ekaterine Adamia.

Would you be so
kind to send us the patience pathway mission report?

As I was informed
today, Minister will not be able to attend the Monday meeting on 19
th, February at 12:00-14:00 due to the unexpectedly scheduled meeting.
In order to arrange meeting on the same day, maybe we could switch timing of
the meetings with SSA’s IT Department

on 14:00-15:30 (February 19th, 2018) add 30 minute break
and than we can suggest meeting at 16:00-18:00 (February 19
th, 2018)  with Minister and other MoLHSA representatives.
(please see the attached draft agenda).

Also,
I’m sending you the draft documents on DRG transition Plan and DRG
monitoring.

Looking forward to
your response on the matter.

Best regards,

Mariana Mkurnali

Head of Interational Relations Division

HR Management and International Relations Department

Ministry of Labour, Health and Social Affairs of Georgia

144 A.Tsereteli Avenue, 0159, Tbilisi, Georgia

Mobile number: +995 599 49 09 42

მარიანა მკურნალი

საერთაშორისო
ურთიერთობებისა და აპარატის
საქმისწარმოების
სამმართველოს უფროსი

ადამიანური რესურსების
მართვისა და საერთაშორისო
ურთიერთობების
დეპარტამენტი

საქართველოს

შრომის
,
ჯანმრთელობისა

და

სოციალური

დაცვის

სამინისტრო

აკ

.
წერეთლის

გამზირი

144
,
თბილისი,
საქართველო
,
0159

მობ:
+995 599 490942

From:
Andres Rannamäe [
mailto:[email-masked]]
Sent: 14 February,
2018 19:45
To: Mariana Mkurnali; HABICHT, Triin; IVANUSA,
Marijan
Cc: Sopo Belkania (
[email-masked]); KLIMIASHVILI, Rusudan; KURTSIKASHVILI, Giorgi;
Kahur Kristiina
Subject: Re: UHC missions in February 2018

Dear Mariana,

Thank you very much for the timely sent homework, we will work it through
and if immediate questions arise we will let you know ASAP.

Let me elaborate what we would expect from Deputy Minister:

-

Critical assessment of strategic purchasing situation - presenting the
homework and elaborating the situation. We expect also to have discussion on
mentioned topic, and we hope DM active participation. Discussion will be
moderated by Triin and myself.

-

Organizational assessment of SSA – I will do the presentation, and DM can
contribute this session with practical examples and support with own
assessment and statements. Actually, the presentation will be made on Monday
for Minister and Tuesday for broader staff of SSA and MoLHSA, so there
should not be any surprises. During this presentation, and particularly as a
conclusion we supposed to prioritize SSA capacity building needs. DM can
contribute in this discussion.

Report has been sent by Triin already, I will make additionally presentation
slides for feedback during different meetings. It would be appreciated if we
could have data projector during Monday and Tuesday meetings.

Best regards,

Andres

From:
Mariana Mkurnali <
[email-masked]>
Date: Wednesday 14 February 2018 at
16:13
To: "HABICHT, Triin" <
[email-masked]>, "IVANUSA, Marijan" <[email-masked]>
Cc: "Sopo
Belkania ([email-masked])"
<[email-masked]>,
"KLIMIASHVILI, Rusudan" <
[email-masked]>, "KURTSIKASHVILI, Giorgi" <[email-masked]>, Kahur
Kristiina <
[email-masked]>, Andres Rannamäe <
[email-masked]>

Subject:
RE: UHC missions in February 2018

Dear All,

As agreed I’m sending you draft agendas to be
approved, and outcome of the "homework for the seminar".

In order to properly
inform Deputy Minister regarding the presentation for the seminar

Would you be so kind to clarify/specify what kind of
presentation are you expecting fro m Mr. Sopromadze?

(11:20-13:00 Critical assessment of the strategic
purchasing situation and development needs in Georgia. Presentation of
Homework, discussion)

Also according to the seminar agenda, Could you clarify
what kind of support is expected from Mr. Sopromadze?

14.00 – 14.45  Organizational assessment of
SSA, capacity building needs of SSA. McKinsey 7S analyses, discussion.
Andres & supported by Zaza

From your side we are expecting to receive the draft
report on SSA’s organizational dimensions, in order to distribute it among
the MoLHSA/SSA staff to be properly prepared.

Thank you in advance.

Best
regards,

Mariana Mkurnali

Head of Interational Relations Division

HR Management and International Relations Department

Ministry of Labour, Health and Social Affairs of Georgia

144 A.Tsereteli Avenue, 0159, Tbilisi, Georgia

Mobile number: +995 599 49 09 42

მარიანა მკურნალი

საერთაშორისო
ურთიერთობებისა და აპარატის
საქმისწარმოების
სამმართველოს უფროსი

ადამიანური რესურსების
მართვისა და საერთაშორისო
ურთიერთობების
დეპარტამენტი

საქართველოს

შრომის
,
ჯანმრთელობისა

და

სოციალური

დაცვის

სამინისტრო

აკ
.
წერეთლის

გამზირი

144
,
თბილისი,
საქართველო
,
0159

მობ:
+995 599 490942

From:
Mariana Mkurnali
Sent: 12 February, 2018 19:30
To:
'HABICHT, Triin'; IVANUSA, Marijan
Cc: Sopo Belkania ([email-masked]); KLIMIASH VILI,
Rusudan; KURTSIKASHVILI, Giorgi; Kahur Kristiina;
[email-masked]
Subject: RE: UHC missions in
February 2018

Dear
All,

Sorry for the late reply, as
agreed please see the attached documents below:

·
Updated participants
list for the Developing strategy for strategic purchasing and  building
SSA organizational capacity Strategy workshop, 21.-22.02.2018

·
Draft agenda of the
mission on SSA (19-23 Feb, 2018)

·
Draft Agenda of the
mission on DRG (26-28 Feb, 2018)

·
Draft ToR of DRG
implementation working group members job description

”Homework” for the
abovementioned seminar will be provided tomorrow by the end of the day.

I have added Sofiko
Belkania and Ekaterine Adamia to the DRG Working Group:

Members of the DRG
Working Group as of February 2018

Mrs. Nino
Berdzuli, Deputy Minister, MOLHSA (to be replaced?)

Mr. Zaza Sopromadze, Deputy Minister, MOLHSA, Head of
SSA

Mr. Lasha Nikoladze,
adviser of the Minister, MOLHSA

Mrs. Maia Maglakelidze–Khomeriki, Head of UHC Management Department,
SSA

Mrs. Marina
Darakhelidze, Head of Health Care Department, MOLHSA

Mrs. Ketevan Goginashvili, Head of the Health Policy
Unit, Health Care Department, MOLHSA

Mrs. Ekaterine Adamia Head of Public Health care and
Programs Division, MoLHSA

Mrs.Sofiko Belkania Head of HR Management and
International Relations Department, MoLHSA

Mr. Irakli Tabatadze, Head of IT department at SSA

Best regards,

Mariana Mkurnali

Head of Interational Relations Division

HR Management and International Relations Department

Ministry of Labour, Health and Social Affairs of Georgia

144 A.Tsereteli Avenue, 0159, Tbilisi, Georgia

Mobile number: +995 599 49 09 42

მარიანა
მკურნალი

საერთაშორისო
ურთიერთობებისა და აპარატის
საქმისწარმოების
სამმართველოს უფროსი

ადამიანური რესურსების
მართვისა და საერთაშორისო
ურთიერთობების
დეპარტამენტი

საქართველოს

შრომის
,
ჯანმრთელობისა

და

სოციალური

დაცვის

სამინისტრო

აკ
.
წერეთლის

გამზირი

144
,
თბილისი,
საქართველო
,
0159

მობ:
+995 599 490942

From:
HABICHT, Triin [
mailto:[email-masked]]
Sent: 07 February, 2018 16:46

To: Mariana Mkurnali; IVANUSA, Marijan
Cc: Sopo Belkania ([email-masked]); KLIMIASHVILI,
Rusudan; KURTSIKASHVILI, Giorgi; Kahur Kristiina;
[email-masked]
Subject: Re: UHC missions in
February 2018

Dear
Mariana,

Thank you for all this! Few suggestions and responses from our side.

First, regarding the strategy building workshop – we discussed with
Andres and our suggestion is to have a smaller group of participants (max 12
people) for that one and half day seminar.  This makes a group more
effective to work with and there will be plenty of opportunities to engage
other people in later stages. Thus, at this stage we suggest to involve
these key people who are involved on every day basis to the strategic
purchasing (know current situation) and should develop forward looking
strategy. We hope that this is acceptable for you.

We also offered an opportunity to have a short briefing about the current
findings to the broader audience and this gives others (who are not
participating seminar) possibility to be involved.

Second, regarding DRG mission preparations.

1)

Transition strategy
– unfortunately there is no country examples to share (it was too long
time ago and context would have been anyway different) but we prepared
together with you the DRG implementation plan and roadmap which gives basis
to start to work with transition plan (4 phases described in subsection 2.1;
attached to the email), In princi ple transition plan is just an extension
of implementation plan. Most important is that you find it useful for
yourself and it supports coordination of multiple workstreams during DRG
implementation.

Also, you may want to think about transition plan together with
communication plan as this enables to clarify the DRG implantation
objectives (what will be the key messages and how communication will support
the whole transition period).

2)

DRG-related performance monitoring system
– this part is quite well covered in the analytical report in chapter D
(attached to the email). There you can find the list of potential indicators
(during our last mission Kristiina showed it based on SSA’s claims data).
Your task is to have a critical look on that and to think through which of
these indicators you find useful and how (how detailed; in which frequency;
by using which channel) you would like to share it with providers and
public. Here is important to involve those responsible for IT. Also, this is
closely related to the communication plan as is one method to inform and
engage.

3)

Communication plan for DRG implementation
-  we prepared short guidance (see attached file) which hopefully
helps to start preparations. You don’t have to follow this format exactly
and you can adapt it to fit for your needs. It would be good if this is
developed jointly by communication specialists and those responsible for DRG
implementation.

Let us know if you have any additional questions and if we can provide more
support at this stage.

I add Kristiina and Andres to the CC and they add from their side I missed
something.

With best,

Triin

From:
Mariana Mkurnali <
[email-masked]>
Sent: Tuesday, February 6, 2018
5:03:22 PM
To: IVANUSA, Marijan
Cc: Sopo Belkania ([email-masked]); KLIMIASHVILI,
Rusudan; KURTSIKASHVILI, Giorgi; HABICHT, Triin
Subject: RE: UHC
missions in February 2018

Dear All.

Hope you are
well, As promised, after the consultations with the Deputy Minister
Sopromadze, I’m sending you the information that you have requested:

We can
confirm the dates for both missions as it is, we will send you the draft
agenda of both missions, tomorrow by the end of the day, as soon as the date
will be agreed with all participants.

Mission
on organizational capacity and strategy for strategic purchasing, 19-23
February, 2018

Regarding
the meeting with head of Parliamentary Health Committee Mr. Zoidze, After
the consultations with the Minister and Deputy Minister Sopromadze, we think
that as it is a working process, and we are drafting the documents, there is
no need for conducting the meeting at this stage, meeting could be arranged
after we will have the last version of the summarized draft document.

As for the
“Developing strategy for strategic purchasing and building SSA
Organizational Capacity” workshop, we can confirm the dates, we are
waiting for your decision regarding the venue of the workshop, I have
attached the list of participants of the workshop in the email.

There
will be need for the simultaneous interpretation on some of the meetings and
consecutive interpretation on the seminar as well. We will indicate the need
of interpretation in the draft agenda tomorrow.

As promised by
Sopiko Belkania, the outcomes of the “home work” will be submitted to
you on the February 14th, 2018.

Mission on
organizational capacity and governance, 26-28 February 2018

To be
properly prepared for your visit, we will need your help regarding the
documents on transition strategy, DRG-related performance monitoring system
and communication plan for DRG implementation. Would you be so kind to send
us the samples (examples) of the mentioned documents of other countries
maybe Estonian or Finish so that we could use them for our practice.

Kind
regards,

Mariana Mkurnali

Head of Interational Relations Division

HR Management and International Relations Department

Ministry of Labour, Health and Social Affairs of Georgia

144 A.Tsereteli Avenue, 0159, Tbilisi, Georgia

Mobile number: +995 599 49 09 42

მარიანა მკურნალი

საერთაშორისო
ურთიერთობებისა და აპარატის
საქმისწარმოების
სამმართველოს უფროსი

ადამიანური რესურსების
მართვისა და საერთაშორისო
ურთიერთობების
დეპარტამენტი

საქართველოს

შრომის
,
ჯანმრთელობისა

და

სოციალური

დაცვის

სამინისტრო

აკ
.
წერეთლის

გამზირი

144
,
თბილისი,
საქართველო
,
0159

მობ:
+995 599 490942

From:
IVANUSA, Marijan [
mailto:[email-masked]]
Sent: 28 January, 2018 17:05

To: Mariana Mkurnali
Cc: Sopo Belkania ([email-masked]); KLIMIASHVILI,
Rusudan; KURTSIKASHVILI, Giorgi; HABICHT, Triin
Subject: UHC
missions in February 2018

Dear Mariana,

As you know, we plan two missions on UHC in the second half of February
2018.

WHO CO GEO will secure travel of consultants to/from Georgia, their hotel
and transportation within Tbilisi.

You can see in Scope and Purpose that some participants/meetings have been
indicated already in particular for the mission on DRG (26-28 Feb).

We still need your confirmation.

Bigger input from your side is needed regarding the mission on SSA (19-23
Feb 2018). Of course we expect Dr Zaza Sopromadze to have the leading
position (additionally to the overall leadership of the minister). We need
to know however who are other staff constituting the core group for
advancing the process. The participants of the workshop also need to do
“home work” prior to the mission (please, see the respective scope and
Purpose).

WHO CO GEO will secure the venue for the workshop scheduled during the
mission of Andres. We believe that this shall be in Tbilisi, to avoid travel
and decrease the costs. At the same time we think the seminar shall take
place outside the ministry, so the participants are not disturbed by their
daily work. Please, let us know, if you agree or if you have any idea, where
to organize it.

We also need the list of participants to be decided by the MoLHSA. This we
need to know as soon as possible to be able to book the respective meeting
room. In line with that we need to know also at which activities
Georgian-English interpretation is needed, and in particular for the
workshop we need to know, if simultaneous or consecutive interpretation is
needed, as this is linked with costs as well as administrative procedures
withi n our office.

The same as before all experts will be available for on-line consultancy
also after the missions.

If needed you can contact Triin (in cc) on any technical issue before the
mission.

Please, liaise with Rusiko (also in cc) for any organizational details.
Giorgi is on sick leave and I will depart for another duty travel at the end
of the week and will be absent for app 10 days in total, incl.
weekends).

Best regards,

Marijan Ivanusa

WHO Representative

Head of WHO Country Office Georgia

Office location: 81 Vasil Barnov Street, 0179 Tbilisi, Georgia

Mailing address: UN House, 9 Rapiel Eristavi Street, 0179 Tbilisi,
Georgia

Mobile 1: +995 599 305 207

Mobile 2/EU/private: +386 40 528 639

Email: [email-masked]

Skype: who-ivanusam

GPN: 74211

Web: www.euro.who.int

Ministry of Labour, Health and Social affairs of Georgia

Social Service Agency