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In Tanzania the system was introduced in one region (7 districts) in stages starting in 2012 and subsequently rolled out over the course of 2013. The insurance scheme continues to evolve since including development of new modules leading to continuous iteration of some of the implementation steps above. In 2016 within around four to six months (including entry of legacy data), the solution was rolled out in two new regions which transitioned from an existing scheme to a reformed scheme including openIMIS. In Cameroon the scheme was rolled out on a smaller scale (only web solution and some offline installations without the mobile phone component) across two administrative regions in around three months from the point of selection of the solution to training and roll out. In Nepal a time frame of around 7 months was foreseen for finalizing the design aspects to rolling out a new national scheme (and hence the software) in a couple of districts, which in reality was stretched quite significantly due to political changes and delays in set up of the accompanying structure and policy framework.
Assessing
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Readiness to openIMIS
openIMIS is an application to process health financing scheme information. It connects beneficiary, provider and payer data to manage core data from patient’s registration to transmission of services data and verification of financial claims for services.
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Once your organisation makes the decision and commitment to adopt the openIMIS for your business process, it helps to know what you will need to work on in installing and deploying the platform. The Rapid Appraisal toolkit will help you determine your readiness to openIMIS and the gaps you will still need to address prior to embarking on the system change.
Communicating and
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Advocating the
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Change
At the preparation stage external consulting support might be helpful, to define roles and actors from the insurance body, relevant ministries (Health, Finance) and involve key stakeholders of insurance implementation.
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