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Concept

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.

Kathmandu, Nepal

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

Schedule

Date & Time

Agenda

Notes

19/01/2025

Arrival to Kathmandu

Study Tour

20/01/2025

Study Tour Day 1

  • (08.30-09.30) Pre-briefing at Hotel

  • Travel to Meeting Venue (TBD)

  • (10-12)

    • Welcome by MoHP Officials

    • Presentations from SIL Lab

    • Country Presentations

    • Presentation from HIB

    • Presentation from SSF

  • Lunch

  • Split Groups

  • (13.30-17.30)

    • Meeting with HIB/SSF

    • Detailed showcase

21/01/2025

Study Tour Day 2 (Field Day)

  • (08.30) Travel to Dhulikhel (1 hr)

  • Visit Dhulikhel Hospital

    • Introductions

    • Observe processes

    • Q&A

  • Visit HIB Local office ?

  • Lunch

Split Groups

  • Visit ‘field’ - enrolment process

  • Visit Kathmandu University - Masters in Health Informatics Programme

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

Study Tour Final day / Wrap-up

  • Visit HIB/SSF Offices

    • Claims review process

    • Organizational management requirements for openIMIS at HIB/SSF

  • Follow up Q&A

  • Presentation from openIMIS Coordination Desk

  • Evening reception

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

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
  •  

References

Documentation of previous study tours organized in Nepal on openIMIS:

Funder Group Field Trip

2019-09 openIMIS study tour in Nepal

Requirements gathering workshop

The requirements' gathering workshop is 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:

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)

 

 

17:00-17:15

Overview of next day, any trailing thoughts

Facilitation Team

 

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 WShp

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

 

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

 

12:15-13:15

Lunch

 

 

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

 

 16:00-16:45

openIMIS Formal Sector presentation & discussion

Dr. Dragos Dobre

 

16:45-17:00

Wrap-up and Overview of next Day

Day 3 (24.01.2025)

 

 

 

9:00-9:15

Quick Recap

 Facilitation Team

 

9:15-9:30

Final look at business processes

 Everyone

 

9:30-10:30

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

 Country Teams

 

10:30-11:15

Presentation of the openIMIS initiative, community, global plans

 openIMIS Community

 

11:15-12:15

Input 2 from Mathilde Mailfert (ILO)

 Mathilde Mailfert

 

 12:15-12:45

Input from Dr. Dragos Dobre – quick Gap presentation

 Dr. Dragos Dobre

 

12:45 - tbd

Closing & Lunch

 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

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