HEALTH QUALITY IN LITHUANIA PROF JUOZAS GALDIKAS DEPUTY

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 AUI - BINDING ACA - BINDING MEDA - BINDING PTF - BINDING MOH - BINDING EXTERNAL AUDIT : 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. 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