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5th AfCoP Meeting

Setting up a performance management system

National Health Insurance FundMauritania

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Approach

STRATEGIC OBJECTIVE

OPERATIONALOBJECTIVE

STRATEGICINDICATOR

OPERATIONAL INDICATOR

STRATEGY MEASURING

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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.

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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.

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Monitoring and Evaluation

Core indicators for monitoring Employees committed to indicators Periodic evaluation… Performance scorecards

A PILOT EXPERIENCE

Monitoring Performance at the National Health Insurance Fund

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A three-year strategic plan

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A proper monitoring and evaluation tool …

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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)

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Results Chain

INPUTS ACTIVITIES OUTPUTS INTERMEDIARY

RESULTS

FINAL RESULTS

Program Budget

Staff (CNAM and Mauripost)

Offices

Telecoms infrastructure and informat

Program Design

IT development

Staff Training (CNAM, Mauripost

Reduced costs

Reduced processing times

Reimbursement provided

Informed and satisfied beneficiaries

Improved financial capacity

Insured Better Health

Offer better care

Innovation spillovers

Implementation (Supply) Results (Demand + Supply)

20 civil servants trained

Over 6 000 SMS sent

3 000 cases solves

Convincing Results

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Process Base

Repayment time 7,19 30,18

Reimbursement rate 55,07% 57,76%

Cost of transfer 68,79 325,54

Repayment frequency 9,56 7,75

2009 2011

Membership rate (total population)

6% 10%

Share of operating budget / total budget

45% 18%

Share of budget for evuations / total budget

43% 25%

Exceeding 32 millions 2 billions

Support Rate 41% 72%

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I thank you

http://www.cnam.mr/