Sunday, March 26, 2017

Management Sciences for Health,Consultant, Medical Coding Jobs in Rwanda

Closing date: 21 Apr 2017
In collaboration with the Ministry of Health in Rwanda, MSH is seeking to hire an international consultant who will work together with a local Rwandan consultant to carry out the tasks described in the following terms of reference:
Over the past decade, the Rwandan health system has strengthened various health care demand- and supply-side policy initiativ
es, including Community-Based Health Insurance (CBHI), Community Health Worker (CHW) program, and a Performance Based Financing mechanism.
Recently, the CBHI was integrated into the Rwanda Social Security Board (RSSB) with an aim to consolidate the many separate insurance pools into a single national pool, where it can be managed alongside the civil servants’ social health Insurance (RAMA) and other social protection pools like the national pension fund. In order to manage these funds and process a large number of claims more efficiently, there is a great need for automation (particularly with the claims processing system).
In a parallel initiative, the Ministry of Health (MoH) is pushing forward with an ambitious plan to implement an electronic medical records system (EMR) with an automated billing module in all public hospitals. However, in order for these two systems to exchange data there is a critical need for standardization of coding systems.
In a separate initiative, the Ministry of Health and its partners have completed comprehensive costing exercises for both the public and private sector health services that have been used to establish standardized tariffs. Through this process, a list of over 1000 separate medical procedures have been identified by Rwandan providers as the most commonly provided medical services and procedures, however, this list is not linked to any standard classification system.
Earlier efforts to select coding standards for Rwanda have resulted in the adaptation of a sub-set of ICD-10 for diagnostic coding and the anatomical therapeutic chemical (ATC) codes for drugs and medical supplies. However, efforts to select the most appropriate coding system for medical acts and procedures have not been as straightforward. A variety of options have been considered such as the ICD-10-PCS (Procedure Coding System), ICPC-2 (International Classification of Primary Care), the Office of Population Censuses and Surveys’ Classification of Interventions and Procedures version 4 (OPCS-4) and SNOWMED.
There is an urgent need for technical support from an international expert in medical nomenclature and coding systems to work with a local consultant and a core team of stakeholders to complete the following tasks:
· Reach a consensus about the most appropriate medical procedure coding system for Rwanda
· Map the existing lists of procedures to the selected coding system
· Advise on how the list should to be computerized and curated over time
· Define how clinicians and administrative staff within health facilities should be trained to use the codes effectively.
The international consultant in coordination with the local consultant will:
  • Conduct a comprehensive desk review of the current procedures, coding systems and nomenclature in use in Rwanda.
  • Review the procedure lists developed during the recent public and private sector costing exercises.
  • Conduct on site visits to selected health facilities at each level.
  • Map the current lists of medical acts and procedures to the recommended international agreed nomenclature and coding systems.
  • Organize a workshop of key stakeholders to confirm the procedure coding standards with which Rwanda should be aligned and gather any initial procedure lists that already exist or may have been coded.
  • Prepare guidelines explaining how the Rwandan procedure codes are structured and should be maintained over time and propose how they could be linked to different levels of the health services (service packages).
  • Incorporate the medical acts and procedure coding system into a web-based electronic system.
  • Develop a user friendly manual which will guide users over time.
  • Work with the local support team to train and mentor them on the use of the coding system and to develop a training strategy and curriculum for training of trainers and health professionals who will use the system.
  • Provide any other recommendations which will lead to the successful implementation of the developed nomenclatures.
Deliverables include:
  • Inception report with an agreed methodology and timeline.
  • Facilitation of a workshop that selects the most appropriate procedure coding schema and determines how the can be mapped to commonly used procedures in Rwanda.
  • Document and describe the agreed nomenclature and coding system for medical acts and procedures.
  • Final report on progress and processes developed.
  • A Procedure manual for end users (Providers, Insurances).
  • Integration of the selected nomenclature and coding system into the existing terminology server (OpenHIE) or propose an alternate software or database system to curate and disseminate the Rwandan medical procedure codes.
The international consultant must demonstrate:
· At least 5 years’ experience in nomenclature of medical acts and procedures, and coding.
· Medical or nursing background with academic qualification at master’s degree level in relevant field of Public Health, Medicine, Hospital Management.
· Experience conducting at least two similar projects successfully, with evidence of hands on skills gained in the assignment.
· Previous working knowledge in the domains related to medical software development, healthcare management, and quality assessment is an added advantage.
· Ability to mobilize different local medical professional societies/ councils to develop a consensus on coding standards.
· Ability to perform all required tasks in English (French is also desirable), excellent reporting and writing skills, and analytical capacity to generate relevant recommendations. co}L={
How to apply:

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