CD Project 6: Health Insurance Information System Purpose: To improve healthcare delivery Description: Health insurance plays a critical role in healthcare provision by increasing accessibility to healthcare services. In Rwanda there are two main health insurance schemes: RAMA and Mutuelle de Santé, with over 90% Rwandans covered by Mutuelle de Santé. However, all its services including authentication and claim processing are paper-based, which translates into long reconciliation processes between healthcare providers and insurance thereby hindering effective operations and in-turn quality of service delivery. This project aims to automate all health insurance services hence allowing for swift and seamless insurance claims processing, which will greatly improve health care service delivery. Activities: 1. Develop a health insurance database 2. Automate insurance claims and re-imbursement 3. Integrate National ID (NID) with health insurance for authentication purposes 4. Increase awareness and sensitization on the system Expected Outcome: 1. Enabled “patient roaming” i.e. patient can receive treatment anywhere in the country 2. Seamless health insurance claims processing 3. A unique patient identifier integrated with NID Outcome Indicators: 1. Health Insurance Information System fully operational by 2013 2. Processing time for insurance claims CD Project 7: Telemedicine Purpose: To improve accessibility and affordability of specialized healthcare services in remote areas Description: Telemedicine is an application of clinical medicine where medical information is transferred through audio-visual media and other technologies for purposes of diagnosing or treating patients. This is a rolled over project, currently being implemented in three teaching hospitals and two rural hospitals in Musanze and Kabgayi that are connected to King Faisal Hospital. This needs to be scaled-out to all health institutions across the country. However, challenges including inadequate infrastructure, lack of connectivity and inadequate trained staff still impede the development of telemedicine in Rwanda. Activities: 1. Develop and deploy telemedicine solutions in selected health facilities   2. Provide reliable connectivity and electricity Page 46 of 85   © No part of this document can be reproduced, stored in a retrieval system, or transmitted in any form or by any means - electronic, mechanical, photocopying, recording, or otherwise - without the permission of Rwanda Ministry in charge of ICT in the Office of the President.