Subject: Re: KTQ-meeting 1st of october 2019 - follow-up
From: Natia Khmaladze <[email-masked]>
To: Tamar Gabunia <[email-masked]>
Date: Wed, 09 Oct 2019 06:14:01 +0000

თამუნა დილამშვიდობის,

ხვალ და ზეგ არ ვიქნები სამსახურში და შორენას ვეტყვი რომ დაესწროს ამ შეხვედრას.

პატივისცემით,

ნათია

Sincerely,

Natia Khmaladze

Ministry of Internally Displaced Persons, Labour, Health and Social Affairs of Georgia

Head of the Legal department

144, Tsereteli Ave., Tbilisi, Georgia, 0119

Tel: 577 288800

E_mail:[email-masked]

From: Tamar Gabunia

Sent: Wednesday, October 9, 2019 9:53 AM

To: Zaal Kapanadze; Tea Tavidashvili; Natia Khmaladze; Shorena Okropiridze; Zaza Bokhua

Cc: [email-masked]

Subject: KTQ-meeting 1st of october 2019 - follow-up

ძვირფასო კოლეგებო

ამ წერილით მინდა გთხოვოთ კონსულტაცია შემდეგზე:

სამინისტრო გეგმავს ეროვნულ დონეზე თანამშრომლობის ინიცირებას KTQ International თან (Collaboration for transparency and quality in health care) მინდა განვსაზღვროთ თანამშრომლობისთვის იურიდიული ჩარჩო, ვფიქრობ უნდა ვიმსჯელოთ
და ჩამოვყალიბდეთ შემდეგ საკითხებზე:

1.
KTQ სერტიფიცირების პროცესში  რეგულირების სააგენტოს როლი მაგ. (ა) სააგენტო როგორც პროცეში მონაწილე მხარე, რომელიც შექმნის შემფასებლების გუნდს და გრძელვადიან პერსპექტივაში KTQ შემფასებლებთან ერთად გააგრძელებს სერტიფიცირების
და რესერტიფიცირების პროცესს ან (ბ) სააგენტო იქნება მხოლოდ სტრატეგიული პარტნიორი, პროცესის მედიატორი, რომელიც დაინტერესებულ მხარეებს გააცნობს სერტიფიცირების პროცესის დეტალებს  და აღიარებს KTQ სერტიფიკატს, რომელიც გაიცემა KTQ International -ის მიერ. (ზაალ კაპანაძე,
იურიდიული სამსახური)

2.
როგორ უნდა მოვახდინოთ ამ თანამშრომლობის ოფიციალურად გაფორმება ცენტრალურ დონეზე-ამაზე ველოდები
KTQ ინტერნაციოლანის მიერ შეთანხმების დრაფტს და ამის მიხედვით ჩამოვყალიბდეთ. მაგრამ მანამდე ჩვენი მოსაზრებებიც თუ გვექნება კარგი იქნება.

3.
KTQ სერტიფიცირებაზე მოთხოვნა გავაჩინოთ საყოველთაო ხელმისაწვდომობის პროგრამაში მონაწილეობის კრიტერიუმებში (სელექციური კონტრაქტირების სხვა კრიტერიუმებთან ერთად)-რა დონის და სახის საკანონმდებლო ცვლილებები დაგვჭირდება ამისთვის
(თეა თავიდაშვილი). KTQ მზად არის პროცესი დაიწყოს დაუყოვნებლივ- ეს მოიცავს ჯერ მომხადების, ხოლო შემდეგ სერტიფიცირების ეტაპებს.

4.
ჰოსპიტლების ინფორმირებისთვის საკომუნიკაციო კამპანია (საზოგადოებასთან ურთიერთობის სამსახურის ჩართვა მნიშვნელოვანია ყველა ეტაპზე, რომ მცირე მესიჯების გავრცელება უკვე დავიწყოთ)

გთხოვთ შევიკრიბოთ ხვალ 10 ოქტომბერს- 2 საათზე, რომ გავიაროთ ეს ეტაპები და ჩამოვყალიბდეთ სამოქმედო გეგმაზე.

დამატებითი დეტალებისთვის იხილეთ კორესპონდენცია ქვემოთ.

დიდი მადლობა!

პატივისცემით,

თამარ გაბუნია

მინისტრის პირველი მოადგილე

Sincerely,

Tamar Gabunia,
MD, MPH

First Deputy Minister

From: Jürgen Kuhn [mailto:[email-masked]]

Sent: 3 October, 2019 23:42

To: Tamar Gabunia <[email-masked]>

Cc: Zaal Kapanadze <[email-masked]>; 'Ronald Neubauer' <[email-masked]>; 'Breinlinger-O'Reilly, Jochen' <[email-masked]>

Subject: Re: Re: KTQ-meeting 1st of october 2019 - follow-up

Dear Tamar

Thank you very much for structuring proceedings so nicely by asking precise questions.

Ronald Neubauer and Professor Breinlinger already went back to Germany (I will stay in Tbilisi until tomorrow morning) but I managed to discuss our answers to your questions. These answers are first suggestions.
Reading your remarks and talking about your needs with you will help us to find final answers.

1.
Do you have any standard framework agreement with national counterparts which we could use as a sample for developing our own agreement for this partnership?

I discussed this topic with Ronald Neubauer and Professor Breinlinger already after our first meeting. KTQ and kubicum (Software) will provide you with a draft within the next days. This draft will be
an evolution of our standards and already try to meet your special needs in a detailed but transparent and understandable way. We are ready to discuss and improve this draft until it suits needs and meets requirements.

2.
What are costs associated with this process including all steps/needs?

We understand that this question targets on the phase until we sign a contract as from then on prices and conditions will be settled in the contract we are discussing now. KTQ and kubicum want to reach
a contract with your ministry of health. In our view our efforts in the pre-contract phase are our investment in a future working together so we cannot write a bill for this phase. Maybe we can talk about the coverage of costs of travelling when doing meetings
in Georgia.

3.
What are recommended KTQ implementation steps and realistic timeline based on your experience in other countries?

We think that we should differentiate between KTQ implementation and KTQ certification for selected hospitals. While it is hard to judge how much time a hospital needs for preparation
for a KTQ-certification we think that KTQ implementation can technically be reached until end of 2019 and regarding enabling be reached in Q2/2020.

We understand that this describes “technical implementation”: The ministry can provide KTQ to 1 to n hospitals in Georgia via kubicum-software (Software as a service – hospitals only
need internet and browser to log in), ask them to do a KTQ-self-assessment (1 to all KTQ-Quality-criteria can be chosen by ministry) and can evaluate the hospitals activities and answers by looking in the tool and do reports.

But technical implementation is only one aspect. We need to provide trainings for hospitals and your team in the ministry so they are capable to work with the KTQ-approach and the kubicum-tool
in a correct way. This includes the understanding of basic quality management topics like PLAN – DO – CHECK – ACT (the KTQ-approach structures self-assessment by using this so called Deming-cycle), understanding of KTQ-requirements and know-how regarding doing
and reading/evaluating a self-assessment.

KTQ has training material that can be translated and provided via hyperlinks in the kubicum-KTQ-Tool as e-Learning (different e-Learnings for different topics). kubicum could enable the
ministry to monitor who did which e-Learning and reached which training level. This e-Learning could and should be amended by classical seminars for experts who take a bigger role regarding KTQ in their hospitals or in the ministry. KTQ could train Georgian
trainers (train-the-trainer) so they can provide these trainings in Georgian language in Georgia. Offline trainings could as well be captured in the kubicum-Tool so training status would include both e-Learning and classical trainings. The tool would be provided
in Georgian language.

We think that building up e-Learning (in Georgian language) and training of first Georgian trainers could be reached in Q1/2020. So all in all we think that a prepared roll-out is possible
in Q2/2020 (pilot hospitals maybe even earlier). Off course we can take more time if you wish.

We are looking forward to receive your feedback on our first answers to your questions.

Kind regards

Jürgen

Jürgen Kuhn

kubicum GmbH

+49 163 25 87 182

Threema: TJR7R4P7

Von: Tamar Gabunia <[email-masked]>

Gesendet: Donnerstag, 3. Oktober 2019 07:47

An: Jürgen Kuhn <[email-masked]>; Zaal Kapanadze <[email-masked]>

Cc: 'Ronald Neubauer' <[email-masked]>; 'Breinlinger-O'Reilly, Jochen' <[email-masked]>

Betreff: Re: KTQ-meeting 1st of october 2019 - follow-up

Dear Jürgen

Many thanks for your e-mail and follow up. It is really great that KTQ international is willing to collaborate with us for establishing the KTQ certification program for Georgian hospitals. As for the next steps, I fully
agree with your thoughts below. We would need to establish a framework agreement in between the Ministry/Medical regulatory agency and KTQ international on implementation of KTQ certification program, adequately address all legal issues related to intellectual
property, determine financial needs  and identify sources, develop and launch communication campaign for hospitals, set up a certification platform and initiate the process.

May I kindly ask for your clarifications/responses on the following:

1. Do you have any standard framework agreement with national counterparts which we could use as a sample for developing our own agreement for this partnership?

2. What are costs associated with this process including all steps/needs?

3. What are recommended KTQ implementation steps and realistic timeline based on your experience in other countries?

We could have a conference call/another meeting at your convenience to discuss these and other points which you think are important for us to know.

With kind regards,

Tamar Gabunia

P.S. Mr. Zaal Kapanadze, Director of the Regulatory Agency in CC-ed on this communication

From: Jürgen Kuhn <[email-masked]>

Sent: Wednesday, October 2, 2019 11:19 PM

To: Tamar Gabunia

Cc: 'Ronald Neubauer'; 'Breinlinger-O'Reilly, Jochen'

Subject: KTQ-meeting 1st of october 2019 - follow-up

Dear Mrs. Gabunia

Thank you so much for our very interesting meeting yesterday in the ministry.

Please send Mr. Kapanadze (I hope that I understood his name correctly) my greetings. I do not have his contact information so far.

Ekaterina asked me to contact you to discuss possible next steps.

Some information regarding me:

I am a consultant for hospitals (www.jkuhn.de) for about 15 years. My focus is to help my clients prepare for certifications. For example KTQ-certifications but also for example breast
cancer centers in Germany and Switzerland etc.

I am executive partner of kubicum GmbH (www.kubicum.de,
www.quali.de,
www.meine-meldung.de … and www.ktq-i-tool.de). Some years ago KTQ asked me to create
www.ktq-i-tool.de to help KTQ providing KTQ-certifications in whatever language needed. I was able to do this by combining my knowledge regarding KTQ-certifications and Software-development.

I am an official KTQ-consultant (https://www.ktq.de/index.php?id=520)

KTQ allows me to represent KTQ in several situations, for example in KTQ-Trainings or when gaining first insights regarding feasibility like I did in Sachkhere some months ago.

My e-mail is authorized by KTQ and KTQ International. Off course we understand that the ministry and KTQ / KTQ International need a contract regarding trademark, intellectual property, usage of kubicum-software,
money etc. before your ministry and Georgian hospitals can start to work with KTQ.

I think that my role now is to enable the ministry and KTQ to define how things can work out and what needs to be settled as software is the key to reach the goals we discussed yesterday. I understood that you
are my contact for these steps.

If you think that theses thoughts are correct, I would start to prepare the ktq-i-tool to suit your needs and grant insights for you and your team.

Please don’t hesitate to tell me if I did not understand what next steps should be taken. We are very much looking forward to working together with you and appreciate your feedback.

Kind regards

Jürgen

Dr. Jürgen Kuhn

managing partner

kubicum GmbH

Dynamostraße 13 | 68165 Mannheim | Germany

mail:         [email-masked]

office:      +49 621 438 55 203

mobile:    +49 163 25 87 182

www.quali.de |
www.meine-meldung.de |
www.ktq-i-tool.de |
www.uefms.de |
www.kubicum.de | etc.

kubicum is registered HRB 723498 at registration court Mannheim, Germany.

Managing partners are Dr. Jürgen Kuhn and Andrea Schuff. Tax ID of kubicum is DE815604065.