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SCANDAL/ Hospitals run the risk of not offering tests at the end of the month, they cannot pay the laboratory concessionaire

2023-08-23 07:59:00Aktualitet SHKRUAR NGA REDAKSIA VOX

SCANDAL/ Hospitals run the risk of not offering tests at the end of the month,

"Upon receiving the notification for reaching 75% of the monthly budget ceiling, the hospital takes the measures for good management defined in the concession contract".

This is one of the points of the contract between the Compulsory Insurance Fund (MFSDKSH) and the "Mother Teresa" Hospital Center valid for this year (see at the end part of the FSDKSH-QSUT contract for 2023).

Ky kufizim është bërë shkak që shpesh në pavionet e Qendrës Spitalore “Nënë Tereza” të mos ofrohen analiza laboratorike në ditët e fundit të muajit pasi ezaurohet plani mujor i ekzaminimeve, i cili është detajuar në bazë të fondeve të vëna në dispozicion.

Fillimisht ndërpriten analizat rutine, por ka plot raste që në ditët e fundit të muajit nuk janë ofruar as analiza të urgjencës pohuan burimet të sigurta të verifikuara pranë QSUT-së.

Për shkak se mbajnë përgjegjësi deri penale stafet mjekësore në QSUT nuk mund të autorizojnë analiza laboratorike kur përmbushet plani mujor para përfundimit të muajit, duke lënë kështu pacientet pa një nga shërbimet themelore.

Pavarësisht se qeveria rriti me 23 për qind financimin e koncensionarit vitin e kaluar duke e çuar 1,6 miliardë lekë nga 1,3 miliardë lekë në kontratën fillestare, sërish QSUT vijon të ketë mangësi në këtë lloj shërbimi.

Sipas kontratës ndërmjet FDSKSH dhe QSUT, përcaktohet se “spitali dhe personeli shëndetësor (mjekët referues) është përgjegjës për realizimin e kontratës Koncensionare të laboratorëve të nënshkruar ndërmjet Autoritetit (MSHMS) dhe Koncensionarit.

The referring specialist doctor is responsible for the referral of the examinations for the Concessionaire of the laboratories by completing the referral form based on the Clinical Practice Protocols approved by the Ministry of Health and Welfare and in implementation of the referral system. The Laboratory Analysis Referral Forms must be completed and signed by the referring physician, according to all the sections defined by the Laboratory Concession Contract and the legal acts in force".

The contract further stipulates that "the hospital has the obligation to implement the budget ceilings and payments according to the provisions in the concession contract". These obligations are leading to a lack of laboratory services in some cases where the health of patients is seriously endangered.

Concessional contracts in the health sector are proving to be problematic, as their award was made in the absence of accurate studies and projections, making them problematic in terms of financial predictability.

The contracts are already under investigation by SPAK and a series of officials who played a role in the sterilization contract have been issued restraining orders. The sterilization portion exceeded the costs of human resources and anesthesia that usually account for the largest share of operating costs anywhere in the world. 

The laboratory concession of the university, regional and municipal hospitals of Saranda and Lushnja" was signed at the meeting of April 24, 2019 by the government and entered into force in December 2019. The value of the contract is 13 billion ALL and its term ends in 2028 .

For the period 2020-2022, the company received total payments from the state budget of 2.74 billion ALL, of which 1.1 billion ALL in 2021 and 1.6 billion ALL in 2022.

SCANDAL/ Hospitals run the risk of not offering tests at the end of the month,


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