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Enhancing Performance Management at Mauritania's National Health Insurance Fund

This document outlines the approach taken by the National Health Insurance Fund of Mauritania to establish a performance management system. Emphasizing the need to align strategic and operational objectives with user expectations, the system integrates strategy, processes, and metrics to improve transparency and accountability. Key methodologies include SMART objectives, periodic evaluations, and innovative tools like SMS reimbursement for health expenses. The pilot program aims to enhance communication, patient satisfaction, and ultimately, health outcomes through effective monitoring and feedback mechanisms.

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Enhancing Performance Management at Mauritania's National Health Insurance Fund

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  1. 5th AfCoP Meeting Setting up a performance management system National Health Insurance Fund Mauritania

  2. Approach MEASURING STRATEGY STRATEGIC OBJECTIVE STRATEGIC INDICATOR OPERATIONAL OBJECTIVE OPERATIONAL INDICATOR

  3. Approach (continued) • Reflect the needs and expectations of users / clients into objectives (SMART). • These objectives are achieved through improved processes of the institution / company. • One must be able to distinguish the changes that bring about improvements.

  4. Performance management … is a cyclical approach to management that integrates strategy, people, processes and measures in order to improve decision-making, transparency and accountability. Its focus is on delivering results, measuring performance, learning and adapting, as well as reporting on performance.

  5. Monitoring and Evaluation • Core indicators for monitoring • Employees committed to indicators • Periodic evaluation… • Performance scorecards

  6. Monitoring Performance at the National Health Insurance Fund A PILOT EXPERIENCE

  7. A three-year strategic plan

  8. A proper monitoring and evaluation tool …

  9. Innovating for Effectiveness: Reimbursement by SMS • Take advantage of the features offered by the SMS service to establish a channel of communication with the insured. The system helps to: • To reimburse health expenses via mobile • Inform the insured about the status of his/hercase • Communicate about the services offered by the health insurance fund and its activities • Organize communication and awareness campaigns for immunization, screening, monitoring conditions for long periods etc.. • Collect policyholders’ feedback (satisfaction index)

  10. OUTPUTS INTERMEDIARY RESULTS FINAL RESULTS INPUTS ACTIVITIES Improved financial capacity Insured Better Health Offer better care Innovation spillovers Program Design IT development Staff Training (CNAM, Mauripost Reduced costs Reduced processing times Reimbursement provided Informed and satisfied beneficiaries Program Budget Staff (CNAM and Mauripost) Offices Telecoms infrastructure and informat Implementation (Supply) Results (Demand + Supply) Results Chain 20 civil servants trained Over 6 000 SMS sent 3 000 cases solves

  11. Convincing Results

  12. I thank you http://www.cnam.mr/

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