ADB Tender- Philippines-based companies only

Description

Objective and Purpose of the Assignment

Under TA outputs 2, the firm(s)/institution(s) will support one (1) ADB DMC (Philippines) with the

following outputs:

(i) Organizational Assessment and Gap Analysis

• PhilHealth’s organizational structure, governance framework, and core processes reviewed

• Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis to understand strengths,

weaknesses, opportunities, and threats conducted

• Digitalization and automation levels, including Information Technology infrastructure evaluation

assessed

• Process gaps and bottlenecks affecting efficiency identified

• Staff competencies and skills in relation to technological and organizational changes evaluated

• Baseline for targeted improvements and data-driven decision-making established.

(ii) Business Process Review and Reengineering (BPR)

• Existing processes using BPMN 2.0 standards mapped and analyzed.

• Process performance against ARTA’s Business Process Review and Reengineering compliance

requirements and relevant legal mandates evaluated

• Bottlenecks and inefficiencies, focusing on simplifying workflows and enhancing digital readiness

identified

• Processes to align with the Governance Commission for GOCCs (GCG)-approved organizational

structure and staffing pattern of PhilHealth

• Process to align with best practices in Lean, Six Sigma, and Business Process Management

redesigned

• New procedural issuances reflecting the streamlined processes, service standards, and timeframes

developed

(iii) Digitalization and Automation Strategy

• Develop a digitalization strategy tailored to PhilHealth’s needs.

• Identify automation opportunities and recommend digital tools/platforms.

• Ensure compatibility with existing systems and national government platforms, e.g., eGovPH, and

Digital National ID.

• Address data management and integration challenges from fragmented systems.

• Outline a phased implementation plan for smooth adoption.

(iv) Benefit-Cost Analysis

• Financial viability and return on investment (ROI) of proposed changes assessed

• Potential benefits quantified, including cost savings, e.g., reduced administrative expenses,

improved claims processing, enhanced service quality and member satisfaction, improved healthcare

outcomes.

• Costs estimated, including for new technology investments, personnel training and development,

change management activities.

• Data-driven justification for necessary investments provided

(v) Change Management and Transition Planning

• Change management plan to address potential resistance developed

• Roles and responsibilities for change execution defined

• Communication strategies to keep stakeholders informed established

• Implement training programs to upskill employees.

• Transition plan with timelines and milestones for smooth implementation created

(vi) Future Organizational Demands and Digital Solutions

• Future healthcare trends and their impact on PhilHealth analyzed

• Emerging digital technologies for potential adoption identified

• Long-term roadmap for integrating new digital solutions developed

• IT infrastructure remains scalable and adaptable to future needs ensured

(vii) Implementation Support and Knowledge Transfer

• Hands-on support during initial implementation provided

• Training materials and workshops to build staff capacity developed

• Knowledge transfer framework for long-term sustainability established

• PhilHealth to independently manage and improve newly implemented solutions enabled