HEALTH QUALITY IN LITHUANIA

PROF. JUOZAS GALDIKAS

DEPUTY DIRECTOR THE STATE HEALTH CARE ACCREDITATION AGENCYUNDER THE MINISTRY OF HEALTH

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TOPICS

- PATIENT RIGHTS

- LEGAL BASICS

- STATE AUTHORITIES DEALING WITH HQ

- HEALTH QUALITY ASSESSMENT

- PLANS FOR HEALTH QUALITY ASSURANCE

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PATIENT RIGHTS

LAW ON THE RIGHTS OF PATIENTS ( 1996 ) :

- CHOSE DOCTOR, NURSE, HEALTH PROVIDE

- EMERGENCY HEALTH CARE

- INFORMATION ABOUT DIAGNOSIS, TREATMENT, PROGNOSIS

- PRIVACY OF LIVE

- TO COMPLAIN

- COMPENSATION OF THE DAMAGE TO HEALTH

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LEGAL BASICS

CIVIL CODE : - LICENCING- RESPONSIBILITY FOR HEALTH DAMAGE

PUBLIC LAW:- GENERAL OPINION ABOUT HQ ( LICENCING, ACCREDITATION )- HEALTH METHODOLOGIES HAS TO BE APPROVED

ORDER OF THE MINISTRY OF HEALTH:- RULES OF LOCAL MEDICAL AUDIT ( 1998 )- CONCEPTION OF HQA ( 2002 )- PROGRAMME OF HQA ( 2004 )

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STATE AUTHORITIES DEALING WITH HQ

THE PARLIAMENT - LEGISLATIVE AUTHORITY

THE GOVERNMENT - LEGISLATIVE AUTHORITY

MINISTRY OF HEALTH - LEGISLATIVE AUTHORITY

- COORDINATED AUTHORITY

- IMPLEMENTED AUTHORITY

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STATE AUTHORITIES DEALING WITH HQ

THE STATE HEALTH CARE ACCREDITATION AGENCY UNDER THE MINISTRY OF HEALTH ( ACA ) : - IMPLEMENTED AUTHORITY

- COORDINATED AUTHORITY

THE STATE MEDICAL AUDIT INSPECTION UNDER THE MINISTRY OF HEALTH ( AUI ): - IMPLEMENTED AUTHORITY

THE STATE MEDICINES CONTROL AGENCY UNDER THE MINISTRY OF HEALTH ( MEDA ):

- IMPLEMENTED AUTHORITY

THE PHARMACEUTICAL DEPARTMENT UNDER THE MINISTRY OF HEALTH ( PHD ):

- COORDINATED AUTHORITY

THE STATE PATIENT FUND UNDER THE MINISTRY OF HEALTH ( PTF ): - IMPLEMENTED AUTHORITY

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THE STATE HEALTH CARE ACCRED. AGENCY

-LICENCING OF HEALTH CARE PROVIDES

-ACCREDITATION OF HEALTH CARE PROVIDES

- CONTROL OF THE LICENCE OF HEALTH CARE PROVIDES

- COLLECTING AND PREPARATION OF DOCUMENTS FOR THE

COMMISSION FOR LICENCING DOCTORS, DENTISTS, NURSES

- APPROVEMENT OF MEDICAL DEVICES

- CONTROL OF MEDICAL DEVICES IN THE MARKET

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THE STATE MEDICINES CONTROL AGENCY UNDER MOH

- LICENCING OF PHARMACIES

- CONTROL OF THE LICENCE OF PHARMACIES

- REGISTRATION OF MEDICINES

- CONTROL OF MEDICINES IN THE MARKET

- COLLECTING AND PREPARATION OF DOCUMENTS FOR

THE COMMISSION FOR LICENCING PHARMACISTS

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THE STATE MEDICAL AUDIT INSPECTION UNDER MOH :

CONTROL OF :- ACCESSIBILITY OF HEALTH CARE- QUALITY ( PROPER ) OF HEALTH CARE- EFFICIENCY OF HEALTH CARE

THE STATE PATIENTS FUND UNDER MOH :

CONTROL OF CONTRACT MATTERS :- ACCESSIBILITY OF HEALTH CARE- QUALITY OF HEALTH CARE- EFFICIENCY OF HEALTH CARE

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HEALTH QUALITY ASSESSMENT

REGISTRATION OF MEDICINES 1991 / 1996

LICENCE OF PHARMACIST 1991 / 1996

LICENCE OF PHARMACY 1991 / 1994

APPROVAL OF MEDICAL DEVICES 1993 / 2001

LICENCE OF DOCTOR 1998 / 2000

LICENCE OF DENTIST 1998 / 2000

LICENCE OF HC PROVIDERS 1998 / 2003

LICENCE OF NURSE 1998 / 2005

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HEALTH QUALITY ASSESSMENT

- ASSESSMENT OF SANATORIUMS AND

REHABILITATION CENTERS 1996 / 1997

- LABORATORY CERTIFICATION 1998 / 2003

- PATHOLOGY UNIT ASSESSMENT 2001 / 2003

- 5 HOSPITALS HAVE EN ISO 9002 / 9001 CERTIFICATE

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HEALTH QUALITY ASSESSMENT

INTERNAL AUDIT : OWN - BINDING

EXTERNAL AUDIT :AUI - BINDING

ACA - BINDING

MEDA - BINDING

PTF - BINDING

MOH - BINDING

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PLANS FOR HEALTH QUALITY ASSURANCE

- ACQUIS COMMUNAUTAIRE ( 01.05.2004. )- FREE MOVEMENT OF GOODS- FREE MOVEMENT OF PEOPLE- FREE MOVEMENT OF SERVICES

- NEW REQUIREMENTS ( 50 ORDERS MOH ) FOR HOSPITALS COME INTO FORCE ( 01.01.2004. )

- HEALTH QUALITY ASSURANCE PRORAMME 2004 – 2010 ( 2004 )( HQAP - 1994 - 1999 - 15 MLN EU )( HQAP - 2000 - 2004 - 4 MLN EU )

- LAW ON HEALTH QUALITY ASSURANCE ( 2004 )

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QUESTION FOR DISCUSSION

PATIENT / CLIENT

CONSUMER / NOT CONSUMER

LT - NOT CONSUMER ( LEGAL BASIS )