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The Introduction of National Health Insurance (Universal Health Care) in Saint Lucia. Prepared by: Emma Hippolyte, Director, For ISSA meeting - BVI July 2005.
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Emma Hippolyte, Director,
For ISSA meeting - BVI
The Task Force appointed eight (8) committees to assist in the process of preparing and implementing the UHC Programme. These include:
The public broadly expressed concern about the quality of care and the equity of care in the health delivery system. They wanted assurance that the UHC system would improve the quality of care.
A web site www.stluciauhc.org which encourages persons to send emails with their opinion was established with the following features:
Hospital based services including inpatient and outpatient care, diagnostic services, pre-hospital and hospital emergency care and inpatient pharmacy services.
Four consultancies are in progress:-
The consulting firm of Odyssey Consulting was appointed in August 2004 to prepare a Human Resource and Training Strategic plan for the entire health sector.
A legislative draftsman was appointed in October 2004 to review existing legislation and to make recommendations.
Determine the most cost effective design, implementation and support for an integrated system health information system that is capable of responding to the requirements of the health sector.
The task force identified the rectification of the governance of Victoria Hospital as a crucial pre-requisite for improvement to quality care.
Governance of UHC has been an issue of intense discussion.
Propose an amended NIC Board.
The challenges that we are currently working on follows:
A report on method of registration has been received from the Committee. This however has to fit into the work of the HIMS Committee.
Essential Package of Services Committee:
The Committee has developed a Draft Essential Package of Services – This was sent to the Saint Lucia Dental and Medical Association and the Nurses Association for their comments. Thereafter to the Insurance Council for their consideration and amendments of their private Health Insurance Plans.
Pharmacy and Therapeutics Committee
This Committee has developed a Drug formulary for the country. This will be circulated to the Saint Lucia Dental and Medical Association, the Saint Lucia Nurses Association and the Pharmacy Association.