The petitioner shall: Ministry of Health of the Slovak Republic
Name of the petition:
A petition for the inclusion of General L. Svoboda Svidník, a. s. in the hospital network of level II hospitals.
We, below signed employees Hospital arm. General L. Svoboda Svidník, a. s., ask the Ministry of Health of the Slovak Republic for compliance with the laws in force in the Slovak Republic, i.e. compliance with Act No. 540 § 8 para. 8 of 14 December 2021 on the categorisation of institutional health care and on the amendment of certain laws (...§ 8 para. 8. If a level II hospital network set up under paragraphs 5 to 7 would lead to less than 75 000 insured persons entering the level II hospital network, then a hospital with less than 45 minutes of insurance in the catchment area will also be included in the level II hospital network. We demand compliance with the law and the inclusion of Hospital arm. General L. Svoboda Svidník, a. s. in the network of hospitals II. level. At the same time, we call on the CEO of the World of Health, which is the operator of the Hospital arm. General L. Svoboda Svidník, as well as its Executive Director, to act on this.
It's quare: No.
Number of persons supporting the petition: 292
Date of delivery: 25.01.2023
Date of equipment: 10.03.2023
Type of equipment: Paragraph 5 (6) of Law No 85/1990 Coll. on petition law as amended - not evaluated
Reason for equipment:
The ÚKDaS as an organizational unit of MZ SR within the meaning of the order of organisation of MZ SR in the current version of the material relevant for the handling of petitions within the meaning of the Act on petition law accepted the accompanying letter of the submitters together with the annexes. After assessing the material and formalities of the documentation required by the petitioning law, the ÚKDaS found that the filing was designated as A petition for the inclusion of General L. Svoboda Svidník, a. s. in the hospital network of level II hospitals. 19 pieces of documentary signature sheets, signed by 292 persons supporting the petition in question; is a petition according to the feeling of the law registered by the ÚKDaS in the Special Report of the Register as a petition under the banner Pet 2/2023, which is the nature of the request, but the petition had certain shortcomings. Based on the above-mentioned MZ SR by letter of 25.01. 2023 called on the petitioner, within the meaning of Article 5 (4) of the Act on petition law, to remedy the deficiencies identified within the prescribed legal period and to provide guidance. The identified deficiencies were corrected by letter of 1.2.2023, received by MZ SR on 2.02.20223.
In view of the fact that the petition is in the nature of the application, the Ministry of the Slovak Republic is obliged to make a petition within the meaning of Article 5 (6) of the Law on Petitions, according to which, if it appears from the content of the petition that the petition cannot be dealt with under paragraph 5, the public authority competent to handle the petition containing the application or proposal shall assess its content and send a written reply, together with a statement of reasons, to the representative within the period referred to in paragraph 5.
MZ SR proceeded within the meaning of § 45 paragraph 7 of Act 540/2021 Coll. on the classification of institutional health care and on the amendment of certain laws (hereinafter referred to as Act No 540/2021 Coll. on the categorisation of institutional health care) decided on the conditional inclusion of hospitals in the network and issued the first list of categorised hospitals. This is the first sub-phase of the classification of hospitals, which means that hospitals are included in the basic level and therefore the compulsory programmes for individual hospitals are determined. The second phase concerns supplementary programmes which a hospital may provide in addition to compulsory programmes. MZ SR will publish a list of complementary programmes by the end of March 2023. Decisions on the additional programmes of individual hospitals are preceded by an evaluation and discussion with hospitals currently under way. Supplementary programmes are approved by the Ministry of Health, the contracting of optional programmes is on the agreement of the insurance company and the hospital.
Detail for evaluation of hospitals and fulfilment of criteria for Hospital arm. gen. L. Svoboda Svidník, a. s.: MZ SR in the creation of network of categorised hospitals proceeded according to § 10 paragraph 2 of Act No. 540/2021 Coll. on the categorisation of institutional health care and MZ SR conditionally assigns hospitals to the network if they are met
- conditions for networking, which are the geographical availability of institutional care, the number of insured persons in the catchment area of the hospital
- the preconditions for the provision of mandatory programmes under the programme profile, which are:
- - the hospital operator is authorised to operate a general hospital or a specialised hospital,
- - the hospital operator has special staffing arrangements related to the programme profile to be carried out by the hospital,
- - the hospital operator has special material and technical equipment related to the programme profile that the hospital will perform.
Evaluation of the criteria for the categorisation of institutional health care for Hospital arm. gen. L. Svoboda Svidník, a.s. | |
|---|---|
Existence of mandatory programmes: |
|
level 4 |
0,08 |
level 3 |
0,20 |
level 2 |
0,88 |
Compliance with the limits of compulsory medical services: |
|
Level 4 Hospital |
0,07 |
Level 3 Hospital |
0,10 |
Level 2 Hospital |
0,27 |
Compliance with special personnel requirements: |
|
Level 4 Hospital |
0,51 |
Level 3 Hospital |
0,57 |
Level 2 Hospital |
0,61 |
Source: UN 2022 Background, Network Evaluation
From the point of view of individual criteria in the Hospital arm. gen. L. Svoboda Svidník, a. s. today there are not all compulsory programmes II. level. In particular, there is a lack of Midwives' Program, Neonatology Program and Paediatric Immunology and Allergology Program. This means that in these programmes, neither 20% of the level II average cases in the medical services falling under the programme level are reached. Both 2019 and 2021 have been evaluated to take into account, as far as possible, time fluctuations caused by COVID.
The hospital in several programmes does not even reach the minimum limits for selected medical services. In particular, this concerns the Gynaecological Programme, the Musculoskeletal Programme, the Midwives Programme and the Neonatological Programme.
The hospital also has shortcomings in the minimum personnel requirements for the programmes. Doctors with the following specializations are missing in the hospital's portfolio: Orthopedic, gynecologist and obstetrician, gastroenterologist, neonatologist,...
As far as availability is concerned, the inclusion of the hospital arm. gen. L. Svobodu Svidník, a. s. in the network of hospitals II. level according to § 8 paragraph. 8 of Act no. 540/2021 Coll. on the classification of institutional health care is not possible, because the hospital Svidník has, after being assigned to the network of hospitals II. levels in the catchment area of less than 75 thousand insured persons, but no district in this territory has an average range of over 45 minutes. The average running time for the municipalities in the district of Svidník is 29.41 and in the district of Stropkov is 41.15, which is not more than 45 minutes as stipulated in the paragraph in question. Details on calculation:
- Average time-out is the weighted average of the time-out of all municipalities in the district of Svidník to the nearest hospital II. level, the time-out times of the municipalities are weighted by the number of inhabitants.
- As set out in Paragraph 2 (12) of the Law in question If the insured person does not have it, from his place of residence, to the nearest hospital of the appropriate level expressed by the time of commuting. For the purposes of this Act, the time taken to arrive shall be the time in minutes rounded to two decimal places corresponding to the effective availability of the place of provision of institutional care for at least 90% of the population in the catchment area of a motor vehicle at a speed that is appropriate to the type of ground communication and complies with specific regulations.–
- The range times between municipalities and hospitals were developed by the University of Žilina and as we have been delivered with them we work within our model.
Petition of medical staff Hospital arm. Gen. L. Svoboda Svidník, a. s. is taken with full seriousness and we are aware of the specifics of the district Svidník, also from the point of view of availability. It should be noted that it is precisely the law 540/2021 Coll. on the categorisation of institutional care that leaves hospitals I levels the greatest flexibility in the provision of care in the width and spectrum according to the needs of the region in which they operate and the ambitions of hospital management. Hospitals will be approved supplementary programmes to ensure the availability of acute health care for citizens in the district. I. level hospital and therefore the hospital in Svidník has the possibility to provide programmes from a range of 32 supplementary programmes and 18 optional programmes.
MZ SR communicates with the management of the network of the World of Health and hospital management. On 2.2.2023, a meeting of representatives of MZ SR was held with the hospital management in Svidník and representatives of the World of Health. The meeting took place at the hospital and was the subject of a discussion on the inclusion of the hospital and the discussion on supplementary medical programmes. The hospital presented to representatives of MZ SR a range of complementary level II programmes that it would like to provide, together with justification and readiness. MZ SR evaluates the additional programmes and by the end of March the hospital will be given a decision on the additional programmes as well as the hospital in Svidník.
By sending a written reply to the representative of MZ SR he considers the petition to be equipped in accordance with § 5 (6) of the Act on petition law.
Place: In Bratislava– Date:17 March 2023