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Georgia

Launch of the unified healthcare system information portal (GE0043)

Overview

At-a-Glance

Action Plan: Georgia National Action Plan 2016-2018

Action Plan Cycle: 2016

Status: Inactive

Institutions

Lead Institution: Ministry of Labour, Health and Social Affairs of Georgia

Support Institution(s): LEPL L. Sakvarelidze National Center For Disease Control & Public Health; LEPL Social Service Agency; World Health Organization

Policy Areas

Capacity Building, E-Government, Health, Public Participation, Public Service Delivery, Records Management

IRM Review

IRM Report: Georgia Mid-Term Report 2016-2018

Starred: No

Early Results: Pending IRM Review

Design i

Verifiable: Yes

Relevant to OGP Values: Not Relevant

Potential Impact:

Implementation i

Completion:

Description

Launch of the unified healthcare system information portal. To raise public awareness, the Ministry of Labour, Health and Social Affairs of Georgia (hereinafter, the MoLHSA) plans to set up an information portal in the framework of the unified healthcare system (E-Health). This commitment aims to raise public awareness, improve transparency of healthcare system and increase accountability and effectiveness in the field. In close cooperation with local civil society and international organizations, the main concept of the information portal will be created. Through this portal, citizens will have an access to reliable and complete information about: the state healthcare programs, medical services, service providers (professional qualification, etc.), medical equipment, blood bank, number of beds, beneficiaries, medical staff and their working places. The portal will enable a citizen to check his/her insurance status and see which services are available for him/her in the frames of the healthcare programs. Current and updated information about healthcare reforms and its monitoring results will also be uploaded on the portal. Creation of the information portal will promote transparency and accountability of the processes undergoing in the healthcare field and increased response to the citizens’ needs. Implementation date: 2016-2017. Issues to be Addressed: As the household survey conducted in 2014 by the financial and technical assistance of the World Bank, World Health Organization and USAID demonstrated, the population is well aware of the Universal Healthcare Program (74%). However, the population does not have enough information about the conditions and services covered by the state healthcare programs. This often results in the violation of their healthcare right and therefore, in unneeded costs. The population has poor access to the most up-to-date information about service providers, medical equipment, blood bank, number of beds, beneficiaries, medical staff and their working places. All these components are important to receive timely and quality medical services.

IRM Midterm Status Summary

2. Launch of the unified healthcare system information portal

Commitment Text:

To raise public awareness, the Ministry of Labour, Health and Social Affairs of Georgia (hereinafter, the MoLHSA) plans to set up an information portal in the framework of the unified healthcare system (E-Health).

This commitment aims to raise public awareness, improve transparency of health care system and increase accountability and effectiveness in the field.

In close cooperation with local civil society and international organizations, the main concept of the information portal will be created. Through this portal, citizens will have an access to reliable and complete information about: the state healthcare programs, medical services, service providers (professional qualification, etc.), medical equipment, blood bank, number of beds, beneficiaries, medical staff and their working places. The portal will enable a citizen to check his/her insurance status and see which services are available for him/her in the frames of the health care programs. Current and updated information about healthcare reforms and its monitoring results will also be uploaded on the portal.

Creation of the information portal will promote transparency and accountability of the processes undergoing in the healthcare field and increased response to the citizens’ needs.

Responsible institution: Ministry of Labour, Health and Social Affairs of Georgia

Supporting institution(s): LEPL L. Sakvarelidze National Center for Disease Control & Public Health, LEPL Social Service Agency, World Health Organization

Start date: November 2016

End date: December 2017

Context and Objectives

In 2013, the Government of Georgia adopted a Universal Healthcare Program, offering healthcare coverage to all Georgian citizens. According to the Ministry of Labour, Health, and Social Affairs of Georgia (hereinafter, the MoLHSA), while citizens are aware of the existence of the Universal Healthcare Program, they are not sufficiently informed regarding the actual rights they have within the framework of the Program, as well as the services they are entitled to.[1] The creation of a unified healthcare system information portal (e-portal) would provide citizens with a variety of information regarding availability of hospital beds, background of medical staff, and service providers. The portal would also serve as a personal information portal for patients. According to the MoLHSA, citizens would be able to not only browse information regarding medical facilities, but also to access their medical history and electronic prescriptions, as well as make appointments at healthcare service providers.[2]

The commitment is highly specific and, if implemented fully, would have a minor impact on improving health service provision. As stated by the MoLHSA, many functions of the portal are already available on the Ministry’s website, whereas the portal would combine these features.[3] For example, the Ministry’s website already features data on blood banks, availability of hospital beds, and information regarding healthcare providers.[4] The portal would combine these modules with personal services for the patients, such as registration of birth/death, medical history, immunization and more, which is already available but not fully functional on the Ministry’s website.[5] While combining personal services with information ranging from immunization to pharmaceuticals in the unified electronic portal could simplify citizens’ access to health information, the commitment does not entail provision of significant information that was previously unavailable to the public. Therefore, the commitment is coded as having no clear relevance to OGP principles.

Completion

The implementation of the commitment is behind schedule.[6] The concept of the portal has not been developed, as of August 2017. According to the main partner of the MoLHSA on drafting the concept, there is a lack of coordination and unified vision regarding the content of the portal, as well as on the rough estimate on financial support needed for launching the portal.[7] As stressed by the Institute for Development of Freedom of Information (IDFI), drafting the concept of the portal is a crucial procedural step for the full implementation of the commitment.[8]

USAID’s Good Governance Initiative (GGI) project in Georgia is actively assisting the MoLHSA in drafting the concept paper for the portal[9]. With the help of the consultant hired through the above mentioned joint grant project, the MoLHSA expects to have a clear picture of what electronic features are already available on the Ministry’s website and what modules need to be added in fall 2017. Considering that the Ministry is already collaborating with the partners on drafting the concept of the portal, the completion of the commitment is coded as 'limited.'

According to the MoLHSA, the Ministry held various consultation meetings with individual partners such as USAID GGI, the Office of the Personal Data Protection Inspector, the Institute for Development of Freedom of Information (IDFI), the Estonian E-Governance Academy, as well as the sub-ministry entity the National Center for Disease Control (NCDC) on specific components of the portal.[10] However, no single consultation was held with the NGOs, public, and other stakeholders dedicated specifically to the portal.[11]

The MoLHSA refers to two main obstacles to the implementation of the commitment. Firstly, as the portal is envisioned to contain a significant amount of personal data, the Ministry had to settle the issue with the Office of the Personal Data Protection Inspector (OPDPI). While the MoLHSA and the OPDPI held several meetings, according to the representative of the OPDPI, it was difficult to provide specific recommendations on the portal as the concept paper is yet to be developed. However, the OPDPI stresses high risk related to including large amounts of sensitive data on the portal, as well as underlines the importance of giving citizens a choice on what type of personal data they would like to be available on the portal. For example, the MoLHSA can provide an alternative method of service-delivery to a patient, in case they refuse to use the portal, or object to having data stored in the system. Another example would be allowing citizens to choose what type of personal data they would like available online.[12]

Secondly, the Ministry has highlighted that there is a problem with funding. Considering that the launch of the web platform requires additional funds, the process might be stalled due to an absence of donors.[13] Based on stakeholders’ perspectives, it is unlikely that the portal will be launched by the end of 2017.[14]

Next Steps

Considering the delay, the IRM researchers recommend that the commitment is implemented in the remaining period of the current action plan. Additionally, as the concept paper is in the development phase as of September 2017, it would be useful if the MoLHSA organized public consultations and discussions as stated in the commitment text to receive input from citizens as they are direct beneficiaries of the commitment. Therefore, acquiring input from the public on specific features and modules is key to finalizing a concept paper, and moving on to creating the portal.

Additionally, based on the recommendations of the OPDPI, the MoLHSA should take into consideration the issue of sensitivity of personal data envisaged to be included in the portal, and take appropriate measures to:

  • allow citizens to determine what type of personal data is uploaded in the portal;
  • provide alternative channels for service provision if the patient refuse to use the portal;
  • ensure the portal is secure from an accidental data leak, or illegal disclosure of information.

If carried into the next action plan, the link with OGP principle should be strengthened. For example, the Ministry can integrate a feedback/complaint mechanism specifically on government services, which would enhance accountability of the sub-ministry entities, whether it has problems with registration, possible corruption cases, or others. Another example of such a link would be proactive publication of information that the Ministry owns, determined through public discussions and based on public feedback. Lastly, the MoLHSA can conduct an impact assessment of the healthcare policy (including Universal Healthcare Program) on overall health of the population, in order to inform citizens regarding the Ministry’s programs and their benefits.


[1] Georgia National Action Plan 2016-2018, http://bit.ly/2t2eFxU.

[2] Ketevan Goginashvili, Head of Staff, interview with IRM researcher, 2 August 2017.

[3] Goginashvili, interview, August 2017.

[4] Information Portal of the Ministry of Labour, Health, and Social Services, http://cloud.moh.gov.ge/Pages/SearchPage.aspx.

[6] Goginashvili, interview, August 2017

[7] Mikheil Darchiashvili, Governance Program Manager, Levan Samadashvili, Deputy Chief of Party, Marika Gorgadze, Governance Program Manager, Tetra Tech ARD, 4 August 2017.

[8] Saba Buadze, Anti-Corruption Direction Lead, OGP Forum Meeting, 14 July 2017.

[9] According to USAID GGI, this activity will be followed by development of the terms of reference (ToR) through a joint grant project with the Estonian Foreign Ministry issued for e-Governance academy of Estonia and its local partner, the Institute for Development of Freedom of Information (IDFI).

[10] Ketevan Goginashvili, Head of Staff, e-mail correspondence with IRM researcher, 12 September 2017.

[11] Goginashvili, interview, August 2017.

[12] Salome Bakhsoliani, Head of Legal Department, Office of the Personal Data Protection Inspector, email correspondence with IRM researcher, 21 September 2017.

[13] Goginashvili, interview, August 2017.

[14] Darchiashvili, Samadashvili, Gordadze, interview, August 2017.


Georgia's Commitments

  1. improved public services

    GE0066, 2018, Capacity Building

  2. citizen engagement platform

    GE0067, 2018, Capacity Building

  3. unified authentication system

    GE0068, 2018, E-Government

  4. economic governance

    GE0069, 2018, E-Government

  5. environment portal

    GE0070, 2018, E-Government

  6. strengthen anti-corruption institutions

    GE0071, 2018, Anti-Corruption Institutions

  7. Monitor SDGs

    GE0072, 2018, Capacity Building

  8. citizen engagement legislation

    GE0073, 2018, Legislation & Regulation

  9. publish court decisions

    GE0074, 2018, E-Government

  10. Increasing transparency of the Ministry of Internal Affairs

    GE0075, 2018, E-Government

  11. citizen participation in public finance

    GE0076, 2018, Audits and Controls

  12. transparent public funding system

    GE0077, 2018, Fiscal Transparency

  13. public procurement improvements

    GE0078, 2018, E-Government

  14. housing policy planning

    GE0079, 2018, Land & Spatial Planning

  15. Openness and accountability of state-owned enterprises

    GE0080, 2018, E-Government

  16. transparency and good governance

    GE0081, 2018, Legislation & Regulation

  17. open data collection and publication

    GE0082, 2018, E-Government

  18. participation for disabled individuals

    GE0083, 2018, Infrastructure & Transport

  19. Participatory budgeting

    GE0084, 2018, Capacity Building

  20. Your idea for the Zugdidi Mayor

    GE0085, 2018, Capacity Building

  21. electronic services

    GE0086, 2018, E-Government

  22. I. Gov. Zugdidi

    GE0087, 2018, Capacity Building

  23. service and citizen satisfaction assessment

    GE0088, 2018, Capacity Building

  24. Promoting and Monitoring SDGs

    GE0089, 2018, Legislature

  25. Citizen involvement in budget

    GE0090, 2018, E-Government

  26. Technology for Transparency

    GE0091, 2018, E-Government

  27. Citizen Engagement Center

    GE0092, 2018, Capacity Building

  28. Raising Public Awareness about Parliamentary Democracy

    GE0093, 2018, E-Government

  29. Electronic innovations for more transparency and efficiency of Public Procurement

    GE0056, 2016, Capacity Building

  30. Starred commitment Adoption of the Environmental Assessment Code

    GE0057, 2016, Capacity Building

  31. Introduction of a mobile app as an alternative channel to connect to “112”

    GE0058, 2016, E-Government

  32. Development of local councils for crime prevention

    GE0059, 2016, Public Service Delivery

  33. Development of a Guidebook for Economic Agents

    GE0060, 2016, Capacity Building

  34. Development and introduction of the quality control program of commercial service

    GE0061, 2016, Capacity Building

  35. Presentation of company reports in an electronic form and provision of their accessibility

    GE0062, 2016, Capacity Building

  36. Introduction of an electronic petition portal and “Zugdidi-INFO” on the webpage of Zugdidi Municipality Assembly

    GE0063, 2016, Capacity Building

  37. Transparency of Ozurgeti Municipality Assembly meetings

    GE0064, 2016, Capacity Building

  38. Creation of Electronic Mechanism for Local Budget Planning in Kutaisi, Ozurgeti, Batumi and Akhaltsikhe

    GE0065, 2016, E-Government

  39. Adapting the Public Service Hall to the needs of the people with disabilities

    GE0042, 2016, Capacity Building

  40. Launch of the unified healthcare system information portal

    GE0043, 2016, Capacity Building

  41. Introduction of electronic licensing system in the field of natural resources application

    GE0044, 2016, Capacity Building

  42. Creation of spatial (Geographic) data web-portal for the energy sector

    GE0045, 2016, Capacity Building

  43. Creation of innovation ecosystem

    GE0046, 2016, Capacity Building

  44. Electronic portal for registering and disposal of State Property – Customer’s Module

    GE0047, 2016, E-Government

  45. Development of the Freedom of Information Law

    GE0048, 2016, Legislation & Regulation

  46. Development of a monitoring and assessment system of the Government policy and legislative acts

    GE0049, 2016, Capacity Building

  47. Starred commitment Introduction of the public officials’ asset declarations monitoring system

    GE0050, 2016, Anti-Corruption Institutions

  48. Establishing unified regulations to publish court decisions

    GE0051, 2016, Judiciary

  49. Development of transparency and integrity strategy and action plan in the field of regional development and infrastructure

    GE0052, 2016, Capacity Building

  50. Improvement of the database of the convicted and transfer of the penitentiary department entirely onto the electronic workflow management

    GE0053, 2016, Capacity Building

  51. Publication of phone tapping data according to the nature of the crime and geographic area

    GE0054, 2016, E-Government

  52. Starred commitment Increasing citizen participation in supervision of public finances (Public Audit)

    GE0055, 2016, Capacity Building

  53. "Voice of the Consumer"

    GE0013, 2014, Public Participation

  54. JUSTdrive

    GE0014, 2014, Public Service Delivery

  55. Educational services

    GE0015, 2014, Public Service Delivery

  56. Citizen's Portal (www.mygov.ge)

    GE0016, 2014, Capacity Building

  57. Transformation of public libraries for regional development

    GE0017, 2014, Capacity Building

  58. Digital signature and online authentication

    GE0018, 2014, E-Government

  59. Open data portal (data.gov.ge)

    GE0019, 2014, E-Government

  60. Freedom of information act (FoIA) draft

    GE0020, 2014, Legislation & Regulation

  61. Georgia's OGP forum

    GE0021, 2014, OGP

  62. I-Change.ge

    GE0022, 2014, E-Government

  63. Transparency of public service recruitment

    GE0023, 2014, E-Government

  64. Asset declaration monitoring system

    GE0024, 2014, Anti-Corruption Institutions

  65. Starred commitment Political party financial declarations

    GE0025, 2014, E-Government

  66. Accessibility of Ministry of Interior's webpage to people with special needs

    GE0026, 2014, E-Government

  67. Starred commitment Proactive publishing of surveillance data

    GE0027, 2014, Civic Space

  68. Public awareness of the electoral process

    GE0028, 2014, Capacity Building

  69. Transparency of budgetary processes

    GE0029, 2014, E-Government

  70. Electronic system of procurement

    GE0030, 2014, E-Government

  71. Digital human resource management system

    GE0031, 2014, E-Government

  72. Digital preservation system: E-archive

    GE0032, 2014, E-Government

  73. Openness and accessibility of national archives

    GE0033, 2014, E-Government

  74. Electronic catalogues of Ministry of Internal Affairs (MIA) archives

    GE0034, 2014, E-Government

  75. Public finance management system

    GE0035, 2014, E-Government

  76. Alternative channels to "112"

    GE0036, 2014, E-Government

  77. Interactive statistics and crime mapping

    GE0037, 2014, E-Government

  78. Travel insurance services

    GE0038, 2014, Citizenship and Immigration

  79. State property registration

    GE0039, 2014, Public Service Delivery

  80. Development of community centers in Georgia

    GE0040, 2014, E-Government

  81. Introduction of e-governance in local self-governments

    GE0041, 2014, E-Government

  82. Public Service Hall-Hub of Public Services

    GE0001, 2012, Citizenship and Immigration

  83. E-Governance in Local Governments

    GE0002, 2012, E-Government

  84. Citizens’ Portal

    GE0003, 2012, E-Government

  85. Easily Accessible and Better Healthcare

    GE0004, 2012, E-Government

  86. Launch Ichange.ge and Data.gov.ge

    GE0005, 2012, E-Government

  87. Platform for Participating in the Legislative Process

    GE0006, 2012, E-Government

  88. Citizens and Justice

    GE0007, 2012, Judiciary

  89. Starred commitment Transparent Party Financing

    GE0008, 2012,

  90. Home-grown concept of E-procurement

    GE0009, 2012, E-Government

  91. E-declarations

    GE0010, 2012, Asset Disclosure

  92. Technology Cares for Safety: ICCMS, Crime Mapping, and Safety in Your Neighbourhood

    GE0011, 2012, E-Government

  93. NGO Forum

    GE0012, 2012, Capacity Building