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Study Tour Details

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Requirements Gathering Workshop Details

Concept

During a workshop with ILO and openIMIS coordination desk in June 2024, it was agreed that several partners and stakeholders from openIMIS would undertake a study tour to a partner country with an existing openIMIS implementation. The visit would allow to observe openIMIS implementations closely and provide an opportunity to exchange with partners (scheme operators) who are using, managing, and benefitting from this Digital Public Good (DPG) .

Additionally, after the study tour, a requirement workshop will be organized. During this workshop, the requirements for the formal sector will be defined, and an expert in this area will guide participants through the process. For this workshop, various resources can be utilized, such as:

https://www.path.org/our-impact/resources/collaborative-requirements-development-methodology-participant-tools/

Nepal could be selected as the location for the study tour due to its extensive implementation of openIMIS, including multiple applications across different social protection schemes in partnership with multilateral organizations like the ILO.

Potential Participants

Country

Organization

# of participants

Zambia

NHIMA

5

Senegal

Ethiopia

EHIA

Bangladesh (TBC)

Tajikistan (TBC)

..

Facilitating organizations

  • GIZ: openIMIS Initiative

  • ILO

  • Expertise France

Schedule

Date & Time

Agenda

Notes

19/01/2025

Arrival in Kathmandu

19/01/2025

Arrival to Kathmandu

Study Tour

20/01/2025

Study Tour Day 1

21/01/2025

Study Tour Day 2

22/01/2025 09:00-12:00

Study Tour Final day / Wrap-up

Requirements Workshop

22/01/2025 14:00-17:00

Workshop Day 1

23/01/2025

Workshop Day 2

24/01/2025

Workshop Day 3

25/01/2025

Return from Kathmandu

Study Tour (20/01 - 22/01

There is a growing demand among Social Protection organizations looking into implementing openIMIS for a variety of social protection programmes to observe and understand real-world experiences and processes of implementations. Exposure to implementations would help organizations draw parallels to their organizational and implementations specific situations and therefore help in the customization, configuration, and deployment of openIMIS for their needs.

Many of the implementations currently in the planning phase for openIMIS deployment are looking at use-cases in formal sector settings. While openIMIS does currently offer basic functionality in the formal sector with regards to beneficiary and employer management, a majority of country requirements still need to be customized within each implementation. While understanding that each implementation is unique and requires a certain degree of customization, the openIMIS community feels that there are common business processes that can be identified and elaborated on. To converge on common business processes, it is necessary to exchange among various scheme operators, in a workshop setting, to understand each other’s business processes and agree on commonalities as well as differences - to ultimately act as guidance for future openIMIS developments in the formal sector.

As there is an intersection of countries/scheme operators looking for exposure to openIMIS implementations and for defining common business requirements, there is technical and economic value in combining these two activities in one physical gathering. A week-long event in Kathmandu, Nepal from 20-24 January 2025 is therefore planned to have 2.5 days of observational visits to understand openIMIS implementation and another 2.5 days of a workshop to agree on a common set of business process requirements related to the formal sector.

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Kathmandu, Nepal

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20-24 January, 2025

Participants

Country

Organization

# of participants
Study tour

# of participants
Requirements Workshop

Zambia

NHIMA

Senegal

Ethiopia

EHIA

Facilitating organizations

  • GIZ: openIMIS Initiative

  • ILO HQ, Nepal, Zambia, Ethiopia

  • Expertise France

1. Study Tour (20/01/2025 - 22/01/2025)

Info

Limited to sites within the Kathmandu Valley

  • Visits to the HIB and SSF offices for setting the scene/welcome remarks

  • Visit to observe enrolment at household/community level

  • Visit to health facilities to understand the insurance workflows and scope of openIMIS use

    • Identification of beneficiaries

    • Service provision

    • Claim creation/submission

  • Return to HIB/SSF to observe Claims review and final interactions

  • (optional/on-demand) interaction with other stakeholders

Follow up requirements

  • Finalize dates with hosts

  • Contract local event management team

    • Live translation to French (from Nepali and English)

Next Steps

  •  Agree on tentative dates with GIZ Nepal/HIB/SSF | Saurav Bhattarai | due
  •  Draft ToR for Event Management team| JN | due
  •  Event Mgmt team in place| JN | due

References

Documentation of previous study tours organized in Nepal on openIMIS:

Funder Group Field Trip

2019-09 openIMIS study tour in Nepal

Schedule Study Tour

Day 1 (20.01.2025)

Description Study Tour Day 1

Location

Notes

08:30-09:30

Pre-briefing at Hotel Vivanta

Best Business Hotel in Kathmandu | Vivanta Kathmandu

09:30-10:00

Pick-up & Travel to Meeting Venue (2 Mini Buses)

TBD

10:00-12:00

  • Welcome by MoHP Officials

  • Presentations from SIL Lab

  • Country Presentations

  • Presentation from HIB

  • Presentation from SSF

TBD

Home - || Health Insurance Board ||

Nepal - Social Security Fund, SSF | socialprotection.org

12:00-13:00

Lunch

TBD

13:00-13:30

Split the Group in two

TBD

13:30-17:30

  1. Meeting with HIB/SSF

  2. Detailed showcase of openIMIS

TBD

Day 2 (21.01.2025)

Description Study Tour Day 2

Location

Notes

08:30-9:30

Pick-up from Vivanta Hotel & Travel to Dhulikhel

Dhulikhel - Google Maps

09:30-11:30

Visit Dhulikhel Hospital

  • Introduction

  • Observe processes

  • Q&A

Dhulikhel Hospital

11:30-12:30

Visit HIB Local Office

TBD

Home - || Health Insurance Board ||

12:30-13:30

Lunch

TBD

13:30-14:00

Split the Group in two

TBD

14:00-16:00

  1. “Field” Visit - Enrollment Process openIMIS

  2. “Field” Visit - Kathmandu University - Masters in Health Informatics Programme

TBD

Department of Health informatics | Kathmandu University

16:00-17:00

Return Trip Vivanta Hotel

Day 3 (22.01.2025)

Description Study Tour Day 3

Location

Notes

08:30-09:00

Pick up at Vivanta Hotel & Travel

https://www.vivantahotels.com/en-in/vivanta-kathmandu/

09:00-12:00

Visit HIB/SSF Offices

  • Claims Review Process

  • Organizational Management Requirements for openIMIS at HIB/SSF

TBD

12:00-13:30

Return to Vivanta Hotel and Lunch

Lunch at Vivanta Hotel

13:30-14:00

Settling into the workshop room

https://www.vivantahotels.com/en-in/vivanta-kathmandu/

A continuation of the agenda can be found below

2. Requirements gathering workshop

The requirements' gathering workshop is

Demand:

  • Facilitator and Expert (formal sector) for formal sector requirements workshop

  • Consultant study tour (organization and execution)

  • Venue

    geared towards identifying common business process requirements for formal sector functionalities, particular around employer management, and the management of employer/employee data.

    The Collaborative Requirements Development Methodology: https://www.path.org/our-impact/resources/collaborative-requirements-development-methodology-participant-tools/ could be used as the methodological approach for the workshop. The methodology has been used by the Joint Learning Network(JLN) for Health Financing to define common business processes in health insurance (not including formal sector), and is a guidance that the openIMIS community has been using regularly. The existing JLN resources that were a result of the methodology are linked below.

    Resource requirements

    1. Workshop facilitator

    2. Technical expert on formal sector business processes

    3. Workshop venue (main room + breakout rooms)

    Schedule Requirements Workshop (@Vivanta Hotel):

    Time

    Description

    Responsible

    Method

    Day 1 (22.01.2025)

     

     

     

    14:00-14:15

    Welcome and look through the agenda

    Facilitation Team

     

    14:15-15:00

    Questions from study tour, clarifications

    Everyone

    Open discussion

    15:00-16:30

    Presentation from each country on implementation

    Country Teams

    Each implementation (ZA, ET, SE) presents

    • SP/SHP Program/Scheme details

    • Detailed overview of business processes (flow chart)

    • Interoperability Scenarios

     

    Q&A with all participants to clear understanding

    16:30-17:00

    Input 1 from Mathilde Mailfert (ILO)

     Mathilde Mailfert (ILO)

     Presentation

    17:00-17:15

    Overview of next day, any trailing thoughts

    Facilitation Team

     

    19:00

    Evening Reception at TBD

    Day 2 (23.01.2025)

     

     

     

    9:00-9:15

    Quick Recap

    Facilitation Team

     

    9:15-10:00

    • Review of business processes presented

    •  Agree on business processes to be tackled in Workshop

    Everyone

    • Presentation from facilitation team

    • Open discussion, but firm decision on 3 business processes to be tackled

    14:00-14:45

     

    (20 + 10)

    Presentation of some standard business processes from ISSA

    Facilitation Team

     Presentation

    10:00-10:30

    Coffee Break

     

     

    10:30-12:00

    Define process + functional requirements

    Country Teams

    Each group (country) looks at one business process and draws the flow charts and writes ‘must have’ and ‘nice to have’ functional requirements

    12:00:12:15

    Presenting groupwork

    Country Teams

     Presentation

    12:15-13:15

    Lunch at Vivanta Hotel

     

     

    13:15-14:30

    Group exchange

    Country Teams

    • Groups move between the business processes.

    • Add to the flowchart (additional flows, alternate flows etc)

    • Add to functional needs as well (must have, nice to have)

    14:30-14:45

    Coffee Break

     

     

    14:45-16:00

    Review each process, make final additions based on ISSA presentation

    Everyone

     Group Work

     16:00-16:45

    openIMIS Formal Sector presentation & discussion

    Dr. Dragos Dobre

     Presentation

    16:45-17:00

    Wrap-up and Overview of next Day

    Facilitation Team

    Day 3 (24.01.2025)

     

     

     

    9:00-9:15

    Quick Recap

     Facilitation Team

     

    9:15-9:30

    Final look at business processes

     Everyone

     Group Work

    9:30-10:30

    Each country: present their project implementation plans, incl. timelines

     Country Teams

     Presentation

    10:30-11:15

    Presentation of the openIMIS initiative:

    • Community

    • DPG

    • Plans

     openIMIS Community

     Presentation & Q&A

    11:15-12:15

    Input 2 from Mathilde Mailfert (ILO)

     Mathilde Mailfert

     Presentation

     12:15-12:45

    Input from Dr. Dragos Dobre – quick Gap Analysis presentation

     Dr. Dragos Dobre

     Presentation

    12:45 - tbd

    Closing & Lunch at Vivanta Hotel

     Everyone

     

    References

    JLN Process Framework JLN Core Processes

    JLN Group - Beneficiary Management

    https://openimis.atlassian.net/wiki/spaces/OP/pages/807600219/Background+-+Joint+Learning+Network+for+UHC#2019-Update