2019-09 openIMIS study tour in Nepal

Co-ordinates

Dates: 30.09.2019 - 02.10.2019

Participants: Representatives from MoH Cameroon, National Health Insurance Scheme of Nigeria, Contributory Healthcare Management Agency of Katsina State, Nigeria, Contributory Healthcare Management Agency of Kano State, Nigeria, Providing 4 Health Myanmar, GIZ Cameroon, GIZ Nepal, GIZ Sector Initiative Social Protection

Aim & Objectives

The implementation of openIMIS in Nepal provides a great opportunity for countries or scheme operators exploring the use of the tool to learn about the advantages that it could have on their scheme. In this regard, the Health Insurance Board of Nepal and GIZ Support to the Health Sector Programme in Nepal are organizing a 3 day study-tour in Nepal to allow participants to observe the use of openIMIS for various business processes. The study tour will provide the participants to interact with various officials from the scheme operator, health service providers, and beneficiaries.

The main business functions, organizations that would be covered in the study tour are:

1. Social Health Insurance scheme management [ Health Insurance Board,

Kathmandu]

2. Beneficiary management [Health Insurance Board, Pokhara office]

3. Claims Entry [Health Facilities in Pokhara]

4. Claims Adjudication [Health Insurance Board, Kathmandu]



Schedule

Day 1, Monday, 30.09.2019

  • openHIE: OpenHIE Academy Intro Courses

 S. No.

Start

End

Activity

Location

 S. No.

Start

End

Activity

Location

 1

9:15



Pick up from hotel

Hotel Summit

 2

9:30

 10:00

Welcome and introductions

GIZ S2HSP Office, Sanepa, Lalitpur

 3

10:00

10:15

Travel to HIB



 4

10:15

10:45

Meeting with HIB Executive Director

- Description of Nepal insurance

scheme

- openIMIS use at HIB

- Discussions

HIB Office, Teku, Kathmandu

 5

 10:45

12:00 

Visiting Country Presentation and

discussions



  Lunch & Travel to Airport

 6

 14:50

15:15 

 Flight to Pokhara



 7

 16:00

17:30 

 Meeting with HIB Provincial Coordinator & demo of openIMIS

HIB Provincial Office, Pokhara

 8

 18:00



 Check in at hotel

Hotel Barahi

Day 2, Tuesday, 01.09.2019 

 S.No

Start

End

Activity

Location

 S.No

Start

End

Activity

Location

 1

08:00

12:30

Visit Health Facilities

- Manipal College of Medical Sciences

- Western Regional Hospital (referral facility)

Pokhara

 Lunch

 2

14:00

15:30

Meet Enrollment Assistant

- Live Enrollment

- Interaction

Pokhara



15:30

17:00

Review of observations & clarifications

HIB Provincial Office, Pokhara

Day 3, Wednesday, 02.19.2019



 S.No

Start

End

Activity

Location

 S.No

Start

End

Activity

Location

 1

8:50

9:20

Flight To Kathmandu



 2

 10:00

11:00 

 Review learning objectives

 

S2HSP Office, Lalitpur

 3

11:00 

 12:30

Meet HIB Claims and IT Team

S2HSP Office, Kathmandu

 Lunch

 4

14:00

15:30

openIMIS Global Initiative

S2HSP Office

 5

16:00



Check In to Summit hotel







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