World Health Organization
Helping pave the way for a Romanian health workers registry.
Producing a statement of requirements
The World Health Organization (WHO) were supporting the Romanian Ministry of Health (MoH) in health service reform activities as part of the WHO led project National Recovery and Resilience Plan (RRP) for Romania. Part of this work focused on Human Resources for Health (HRH) and the development of a digital/IT solution to create a registry of the healthcare professionals in Romania.
WHO required complex IT tender experience under EU procurement and regulatory environments, alongside cultural awareness and IT expertise. They brought in Lumera Acuity to develop a statement of requirements, as well as clarity on the key aspects that bidders needed to understand including technical, policy and scope.

Delivering a specification for the national registry
We took the lead on producing the digital specification, including both the technical aspects of the programme delivering functional requirements for the registry of the healthcare professionals in Romania and the procurement aspects working alongside Romanian lawyers to provide procurement advice to the Romanian procurement team. We delivered an end-to-end specification for the national registry including full project justification and detailed functional requirements. These functional requirements included:
- Management of users (Individual professionals, institutions, MOH, National Institute of Public Health, colleges and health education institutions, public and private healthcare users).
- Analysis of country indicators and HRH.
- Report generation and publication of aggregated anonymised data.
- Portal for publication of vacancies.
- Database of public and private healthcare providers.
- Interoperability and the possibility to develop further digital solutions.
- Functional use cases – both generic high level and UML detailed use cases.
A minimum data set for the Health Workforce registry was identified, alongside general specifications of a suitable IT platform such as:
- Security including authentication and authorisation, logging and monitoring.
- Resource and data management, networking, usage and metering, load balancing, performance monitoring and predictive analysis, disaster recovery and high availability, backup and recovery.
- Application deployment and management, service discovery and orchestration, microservices architecture.
- Scalability, extendibility, elasticity and standards.
- Documentation and hand-over (architecture, configuration and deployment, APIs, security, operations, users, change management, service level agreements, and training material.
The specification also detailed procurement considerations including, given the short timescales, recommendations for further development and/or clarifications of requirements that would need to be undertaken either pre-tender, or as part of tender due diligence or considered as part of the bid process.

The digital specifications for the registry of the healthcare professionals in Romania were completed on time alongside recommendations for further development to deliver an effective procurement. Due to the expertise provided on this Romanian project WHO re-engaged Lumera Acuity to work on specifications for the procurement of a national workforce registry in Greece.
The results
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