Fiscal Sector Reform Activity in BiH (FAR): Introduction of Treasury System in RS Health Care System

The reform process is guided by the Memorandum of Understanding between the RS Government and USAID Mission to BiH, dated May 15, 2015. The objective of the reform is to improve the efficiency and effectiveness of health care financing, as outlined in the contract between USAID and Finit Consulting d.o.o. The current treasury system in the RS is based on the Oracle treasury system, which is already in place and functioning in all governmental institutions and local communities. The system architecture consists of several components, including the Oracle treasury system main features, principles of treasury operations, and institutions within the treasury system. The system is designed to support treasury operations within the Ministry of Finance, which is the system to be implemented in the health care system. The current situation in health care institutions in the RS is characterized by a complex system of financing, with multiple stakeholders and institutions involved. The Ministry of Health and Social Care, the RS Health Insurance Fund, and primary, secondary, and tertiary health care institutions all play a role in health care financing. The assessment of the possibility to implement the treasury system and integrate the HIF into the current solution based on the Oracle platform is a critical component of the reform process. The desired state of the system is one in which the treasury operations are fully integrated into the health care system, with a clear and transparent system of financing. The proposed system architecture includes the migration of the current system to the treasury system, modification of current business processes and work procedures, and transfer to a software solution based on the Oracle treasury system. The technical requirements for the system include the development of a new system architecture, implementation of the Oracle treasury system, and integration of the HIF into the current solution. The expected costs of system introduction are estimated to be significant, and the risks and disturbing factors associated with the reform process are identified as key challenges to be addressed. The recommendations for modification of legislation are also outlined, including the need to update the legal regulations and bylaws related to health care financing. The proposed system will have a significant impact on the organization of the health care system, with a focus on improving the efficiency and effectiveness of health care financing. The system will be designed to support the needs of primary, secondary, and tertiary health care institutions, as well as the RS Health Insurance Fund. The implementation plan includes the development of a new system architecture, implementation of the Oracle treasury system, and integration of the HIF into the current solution. The system will be designed to meet the needs of the health care sector in the RS, with a focus on improving the efficiency and effectiveness of health care financing. The system will be implemented in phases, with a focus on ensuring that the system is fully functional and meets the needs of the health care sector. The system will be monitored and evaluated regularly to ensure that it is meeting its intended objectives.