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HEALTH QUALITY IN LITHUANIA. PROF. JUOZAS GALDIKAS. DEPUTY DIRECTOR THE STATE HEALTH CARE ACCREDITATION AGENCY UNDER THE MINISTRY OF HEALTH. UTRECHT, 2003. HEALTH QUALITY IN LITHUANIA. TOPICS. PATIENT RIGHTS
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HEALTH QUALITY IN LITHUANIA PROF. JUOZAS GALDIKAS DEPUTY DIRECTOR THE STATE HEALTH CARE ACCREDITATION AGENCY UNDER THE MINISTRY OF HEALTH UTRECHT, 2003
HEALTH QUALITY IN LITHUANIA TOPICS • PATIENT RIGHTS • LEGAL BASICS • STATE AUTHORITIES DEALING WITH HQ • HEALTH QUALITY ASSESSMENT • PLANS FOR HEALTH QUALITY ASSURANCE UTRECHT, 2003 J.GALDIKAS 2
HEALTH QUALITY IN LITHUANIA 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 UTRECHT, 2003 J.GALDIKAS 3
HEALTH QUALITY IN LITHUANIA 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 ) UTRECHT, 2003 J.GALDIKAS 4
HEALTH QUALITY IN LITHUANIA STATE AUTHORITIES DEALING WITH HQ THE PARLIAMENT - LEGISLATIVE AUTHORITY THE GOVERNMENT - LEGISLATIVE AUTHORITY MINISTRY OF HEALTH - LEGISLATIVE AUTHORITY - COORDINATED AUTHORITY - IMPLEMENTED AUTHORITY UTRECHT, 2003 J.GALDIKAS 5
HEALTH QUALITY IN LITHUANIA 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 UTRECHT, 2003 J.GALDIKAS 6
HEALTH QUALITY IN LITHUANIA • 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 UTRECHT, 2003 J.GALDIKAS 7
HEALTH QUALITY IN LITHUANIA 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 UTRECHT, 2003 J.GALDIKAS 8
HEALTH QUALITY IN LITHUANIA 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 UTRECHT, 2003 J.GALDIKAS 9
HEALTH QUALITY IN LITHUANIA 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 UTRECHT, 2003 J.GALDIKAS 10
HEALTH QUALITY IN LITHUANIA 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 UTRECHT, 2003 J.GALDIKAS 11
HEALTH QUALITY IN LITHUANIA HEALTH QUALITY ASSESSMENT INTERNAL AUDIT : OWN - BINDING EXTERNAL AUDIT : AUI - BINDING ACA - BINDING MEDA - BINDING PTF - BINDING MOH - BINDING UTRECHT, 2003 J.GALDIKAS 12
HEALTH QUALITY IN LITHUANIA 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 ) UTRECHT, 2003 J.GALDIKAS 13
HEALTH QUALITY IN LITHUANIA QUESTION FOR DISCUSSION PATIENT / CLIENT CONSUMER / NOT CONSUMER LT - NOT CONSUMER ( LEGAL BASIS ) UTRECHT, 2003 J.GALDIKAS 14