Capacity Strengthening on Systems for Private Insurance and Health Care Accreditation

Project Description

In 2007, BUSPH hosted a two-week study tour by 15 members from the Kazakh Ministry of Health and Labor and 5 members from the Georgian Ministry of Health and Social Affairs. The study group addressed implementation of private health insurance (primary interest of the Georgians) as well as the accreditation of health care providers in the United States and its implementation (primary interest of the Kazakhstan group). The purpose of the project was to enable the participants to improve/modify existing practices in these two main areas in their own countries. The course methodology included seminars plus on-site visits and lectures with both state and federal regulators. After each visit, the group had a structured discussion to facilitate review and analysis of their experiences. Subjects reviewed with the participants included:

  • Introduction to the U.S. Health Care System
  • Licensing of Physicians and Nurses
  • Massachusetts Medical Society/MassPRO (utilization review and quality improvement of health care services)
  • Massachusetts Nurses Association
  • Accreditation of Primary Care Physicians
  • Accreditation of Specialist Physicians
  • Role of Insurers (Blue Cross Blue Shield) in Enforcing Accreditation
  • Regulation of Massachusetts Pharmacies
  • Accreditation of Hospitals (JCAHO) Domestic and International
  • Massachusetts Medical Reform/Private Insurance Regulation
  • National Practitioner Databanks
  • National Physician Licensing Exams

Project Details

Principal Investigator Warren Kaplan
Collaborators
  • Georgian Ministry of Health and Social Affairs
  • Kazakh Ministry of Health
Country(ies) USA
Dates of Research 2007
Donor/Funder
  • kazakhstan_flagKazakh Ministry of Health
  • georgia_flagGeorgian Ministry of Health and Social Affairs