Administrative simplification in the Mexican Social Security Institute.

Foreword
Acknowledgements
Abbreviations and acronyms
	Procedures analysed in the report
Executive summary
Chapter 1.  Introduction to the improvement of procedures  in the Mexican Institute of Social Security (IMSS)
	Regulatory policy, administrative simplification and the improvement of procedures
	Administrative burdens and the Standard Cost Model
		The nature of the administrative burdens
		Administrative activities to measure burdens
		Benefits and scope of the MCE
	The procedures in the Mexican Institute of Social Security
	Methodology used to measure administrative burdens
	Reader’s roadmap
	Summary of the key messages included in this chapter
	Note
	References
		Annex 1.A. Stages of the administrative burdens measurement in line with the Standard Cost Model (SCM) Manual
	Stage I. Preparatory analysis
		Step 1. Identification of information obligations, data requests and administrative activities
		Step 2. Identification of related regulations
		Step 3. Classification of information obligations by type
		Step 4. Identification of relevant business segments
		Step 5. Identification of the population, rate and frequency
		Step 6. Interviews with companies and citizens versus expert evaluation
		Step 7. Identification of pertinent parameters to calculate costs
		Step 8. Elaboration of the questionnaire for the interview
		Step 9. Expert review of steps 1-8
	Stage 2: Gathering and standardisation of data related to time and costs
		Step 10. Selection of representative companies and citizens to be interviewed
		Step 11. Interviews with companies and citizens
		Step 12. Implementation and standardisation of time and resources estimates for each segment
		Step 13. Expert review of steps 10-12
	Stage 3: Calculation, outreach and reports
		Step 14. Estimation and extrapolation of validated data
		Step 15. Information and transfer to database
	Notes
		Annex 1.B. Questionnaires used when gathering information about the IMSS
	Questionnaire for in-person procedures
Chapter 2.  Measuring the administrative burdens of procedures in the Mexican Institute of Social Security
	Total administrative burdens
		Co-ordination of Affiliation
			Total administrative burden by procedure
			Total administrative burden by version
		Co-ordination of Comprehensive Health Care at the First Level
			Total administrative burden by procedure
			Total administrative burdens by version
		Co-ordination of Social Welfare
		Co-ordination of Vacation Facilities, Funeral Homes, Conventions Unit and Stores
		Co-ordination of Companies Classification and Validity of Rights
			Total administrative burden by procedure
			Total administrative burden by version
		Co-ordination of collection
			Total administrative burden by procedure
			Total administrative burden by version
		* When calculating the total burdens, up to 5 decimal places were used in the value of the unitary burden, in order to reach a more accurate estimation; this explains the discrepancy between the multiplication of the reported value in the unitary bur...
		Co-ordination of Health Education
		Co-ordination of Economic Benefits
		Co-ordination of Occupational Health
		Co-ordination of Day-care Services for Comprehensive Child Development
			Total administrative burden by procedure
			Total administrative burden by version
	Procedures with the highest administrative burden
	Summary of the key messages in this chapter
	Notes
	Reference
Chapter 3.  Impact of administrative simplification processes in the Mexican Institute of Social Security
	Aggregate impact of IMSS simplification and digitalisation
	Impact of improvements in IMSS procedures by administrative unit
		Comparison of savings between administrative units
		Co-ordinations with savings due to procedures digitising
		Savings in co-ordinations that have not digitised any of their procedures
	Summary of the key messages in this chapter
	Notes
	Reference
		Annex 3.A. Calculation of savings in co-ordinations that have not  digitised any of their procedures
Chapter 4.  Potential savings in administrative burdens  in the Mexican Social Security Institute
	Potential total savings
	Potential savings per administrative unit
		Comparison of savings between co-ordinations
		Co-ordination Affiliation
		Co-ordination of Comprehensive Health Care at the First Level (CAISPN)
		Co-ordination of Companies Classification and Validity of Rights (CCEVD)
		Co-ordination of Collection
		Co-ordination of Health Education (CES)
		Co-ordination of Economic Benefits (CPE)
		Co-ordination of Day-care Services for Comprehensive Children Development (CSGDII)
		Co-ordinations with no procedures digitisation foreseen in the short term
	Procedures with the highest potential savings
	Wide-ranging simulation
	Summary of the key messages in this chapter
	Notes
	Reference
Chapter 5.  Recommendations to drive the administrative simplification strategy in the Mexican Institute of Social Security
	Key findings
	Decrease of IMSS burdens from an OECD countries perspective
	Recommendations to drive the administrative simplification strategy
	Reference
Glossary and definitions