From Adriatic Doçi
The sterilization concession file is not what it seems. Hundreds of articles have been written, shows and conferences have been held, various dates have been exposed and half-truths have been told, but no one has spoken to date about this contract, which I am thinking of referring to SPAK, just as I sent the Arben file Ahmetajt, since SPAK does not have good relations with the investigation mainly.
On January 15, 2020, before the New Year's Rooster was well digested, the Ministry of Health headed by Ogerta Manastirliu and represented by the General Secretary Geraldina Prodani, changes the contract with the sterilization service company SaniService, providing for the expansion of the service and cost increase for the state budget.
Amending the concessionary contract of 2015, Ogerta Manastirliu, through her representative, Geraldina Prodani, foresee that the SaniService company can offer surgical sets beyond the ceiling defined in the contract, 63 thousand operations per year, applying a discount of 25% of the price for any service with equipment for operations beyond the number 63 thousand.
In the amended contract, this change is argued with the effectiveness of the sterilization concession as well as the need to increase the service.
So, according to Manastirli, the concession had borne fruit and as such should be expanded. This intervention in the contract has increased the cost and the bill for the state budget, a product of Albanian taxes.
Meanwhile, Ogerta Manastiriu also allowed the embezzlement of 7 million euros in 2018, through the use of high-level sets of surgical equipment worth 140,000 Lek instead of 3,000 Lek sets of equipment for removing pins, changing bandages for wounds , some modest cuts, etc.
Ilir Beqaj left as Minister of Health on March 12, 2017, when the number of operations was about 4 thousand under the provision of surgical equipment service by the concessionary sterilization company.
Today, the number of operations has reached over 400,000.
On March 16, 2017, Erion Manohasa, then Director General of the Mandatory Health Care Insurance Fund, notified QSUT through a letter that the high-end and expensive sterilization service should be extended beyond operating rooms, covering any ambulatory material sterilized by steam or low temperature, used for wound treatment, bandage change, light cuts, etc.
So, the paperwork consists of using the sterilization service both for an operation in the room and to remove some pen or change a wound, increasing the cost. Specifically, the equipment sets would be used both in and out of operating rooms.
The sterilization contract provided for 5 types of services.
1. Sterilized instruments for interventions with high complexity, worth about 400 thousand Lek per package.
2. Sterilized instruments for interventions with medium complexity at a price of 220 thousand old lek per package.
3. Sterilized instruments for interventions with low complexity worth 140 thousand ALL.
4. Steam packs, for minimal intervention outside the operating rooms, worth about 3 thousand Lek or 3 USD.
5. Low-temperature packages for minimal intervention outside the operating room, worth about 10,000 Lek or 10 USD.
Manoha's order stipulates that level 3 with a cost of 140,000 lek should be used instead of level 4 for minimal intervention at a cost of 3,000 old lek.
Instead of paying $3 per pack, it was $140 per pack because doctors were prohibited from using steam and low-temperature packs by Manohasa's order.
On August 15, 2018, i.e. 18 months later, the new director of the Compulsory Healthcare Insurance Fund, Eduart Ahmeti, rejected Manohasa's letter of March 2017, which increased the cost of the service.
Eduart Ahmeti orders that the equipment sets for the three degrees of complexity (high, medium and low) be used only in the operating rooms, due to the cost. There is no logic that a set worth 140,000 ALL was used, for example, to remove nails or treat a wound.
This Manohasa maneuver has brought an additional cost of 7 million euros.
During the consumption of this abuse, Ogerta Manastirliu was in charge of the Ministry of Health, who put her "head in the sand", at least abusing her duty.