Download - Public purchases and fraud prevention
Public Purchases and
Fraud Prevention
“GOVERNMENT PURCHASES IN THE MEXICAN HEALTH SYSTEM”
2016 FEBRUARY
1943 It creates the Health and Welfare Ministry
118
2461
32
States
Municipalities
Investment
in Health
Millions of mexicans
Transfer
FEDERAL GOVERNMENT responsible:
Direction Public Health Actions (vaccination, epidemiology, health monitoring, etc.)
STATES assignment:
Give attention first and second level to the population Payment Personal Investment spending (infrastructure) Operating expenses (medicines, healing material, test strips, laboratory reagents, etc.)
6.2% 8.9 vs.
México OECD
HISTORY
1996
Health Services are
descentralized (Transfer
resources)
GDP
STRUCTURE OF THE
HEALTH SYSTEM According to CPEUM*, health services,
are conditioned to the employment
situation, i.e. :
Private Employees
Government Employees
Unemployed or rest of the population (Highly Specialize Institutes and research)
Seguro Popular -2004- (Insurance)
* Constitution of the United Mexican States
SOCIAL DEVELOPMENT Social
Protection 44,019.2
MDD
33.8%
Health 30,809.3
MDD
23.6%
Environmental
Protection 1,737.6
MDD
1.3%
Education 38,777.3
MDD
29.7%
housing and
community
services
13,587.3
MDD
10.4%
Culture 1,166.8
MDD
0.8%
Section 12
Health
7,823,484,129.8
MDD
Expenditure Budget of the Federation 2016
281,886,035,502.9 MDD
Federal Government
Purchases
2009/2015
2018 has an expectation of more than 7,100 MDD
They have multiplied by 5 government purchases for Small
and Medium Enterprises (SMEs) to pass:
1,040 MDD
6,153 MDD
Benefiting 52,327 SMEs.
Support for the Purchase of
Government
COMPRANET: Transparency
Electronic Tool Control Compliance times and processes established
by law
CONTRATOS MARCO: (Global Contracts)
Preliminary negotiations with suppliers Higher limits Cost Electronic Tool Strengthens Antitrust / Example: Vouchers
medicine
PROTOCOLO DE CONTACTO (In transition)
Rules > Government / Supplier Filming of meetings Supervised
ADJUDICACIÓN DIRECTA: (Direct Adjutication)
Article 41, section III LAASSP (2010) Adherence to a Current Public Bidding Generate savings in public procurement Price Negotiating Committee (Brand or unique
distributor)
Since the beginning of this administration, President Enrique Peña
Nieto, was evaluated and revised the scheme of transfer of
resources to States, as some cases the inputs were not purchased, were of low quality, outdated or delivery was untimely;
It was proposed the possibility of sending rather than
financial resources arises, inputs to ensure
timely supply in the states;
It is contemplated to make the purchase of these inputs centrally (single entity buys for all) and on a consolidated basis (make a single purchase of all the Federal Government
and part of what is sent to the States – (IMSS, ISSSTE,
ISSSFAM, PEMEX, HEALTH MINISTRY, STATES), which would help to obtain better prices for volume purchase.
Simultaneous supply is expected, ie for a drug may award two, three or more suppliers to ensure the timely supply and not create monopolies, which also opens the market share and increasing competitiveness.
The first major consolidated purchase was held in
2013 and generated significant savings for the Health
Sector:
Accumulating
639 MDD
Year Purchase Saving
2013 2,544 MDD 218 MDD
2014 3,017 MDD 272 MDD
2015 2,840 MDD 149 MDD
UNIVERSALIZATION HEALTH SERVICES Let this be a reality regardless of employment status, meaning
that focus on the person.
SUPPLY MEDICINES Table Basic Achieving that is reflected in the perception of the beneficiaries, and in case of not having the
input, delivering the medicine
voucher
VALUES Transparency Ethics Commitment Dignify the Public Service Training
BETTER CONDITIONS
DELIVERY AND PRICE In all States, National Institutes of Health and Hospitals Health System.
QUALITY AND WARMTH
The savings generated allow help to strengthen the delivery of services.
CHALLENGE: EFFECTIVENESS Planning on government purchase Efficient spending Generate savings
Unidosis
Inventory control More with less
José Genaro Montiel Rangel General Director of Programming,
Organization and Budget Federal Ministry of Health
T. 52 + 592 3893 5592 4507 T. 52 + 5062 1600 Ext. 58555 E-mail: [email protected]
THANK YOU