Strengthen Quality of Service Delivery
(a) Strengthen Quality Improvement Systems
Support the Ministry of Health to: (i) develop national clinical practice guidelines aligned with international standards; (ii) based on the national clinical practice guidelines referred in (i), develop Clinical Pathways covering priority disease areas and carry out a phased implementation of said Clinical Pathways in selected hospitals and Primary Health Care Centers; (iii) provide targeted support, with the support of National Agency for Accreditation of Health Care Institutions, to selected Primary Health Care Centers for the improvement of quality of provision of health care for priority services, through the carrying out of Training and the provision of technical assistance; (iv) support the improvement of reporting and use of information on service qua! ity and efficiency at the Ministry of Health, Health Insurance Fund, Institute of Public Health, and Regional Institutes of Public Health; (v) develop proposals for amendments to regulations and by-laws that give effect to the quality of service delivery reforms; (vi) support the integration of primary and secondary health care Clinical Pathways and improve health care quality and management of waiting times for patients with malignant diseases; (vii) update existing, and develop new, clinical practice guidelines; (viii) carry out Training on integrated pathways for healthcare professionals; (ix) develop a national registry for non-communicable disease for monitoring and evaluation; and (x) create a disease management program database for most frequent non-communicable disease.
(b) Improve Cancer Management
Increase the coverage and quality of radiation therapy cancer treatment at specialized tertiary oncology centers, selected pursuant to criteria set forth in the POGM, through: (i) procurement and installation of a number of accelerators determined pursuant to criteria set forth in the POGM, and associated equipment and works; (ii) supporting the improvement of monitoring of patient outcomes and the strengthening of the national cancer registry system, through the carrying out of Training, information systems, and technical assistance; (iii) improving cancer prevention, diagnostics and treatment through the development of the Serbian Comprehensive Cancer Management Strategy, which shall include: (A) early disease detection system; (B) use of digital technologies in cancer registration, patient treatment data collection, referrals and analysis against international recognized format; (C) institutionalization of health promotions activities; and (D) setting up of infrastructure for advance treatment modalities for tertiary level cancer treatment; (iv) improvement of national coverage and interconnectivity of radiotherapy services through procurement of two linear accelerators and a CT-simulator, and rehabilitation of two bunkers for the Borrower's province of Vojvodina, including their interconnectivity through the procurement of a wide area network platform; and (v) improvement of diagnostic quality in oncology through the acquisition of diagnostic equipment.