Head of the National Health Service of Ukraine Nataliya Husak spoke about how the work of the health care system has changed since February 24.
About changes in the work of the National Health Service of Ukraine
Nataliya Husak spoke about the fact that the full-scale war really made adjustments to the organization’s activities. Some strategic projects were suspended, instead work on changing the format of cooperation with medical service providers was launched. Amendments were made to resolution No. 1440 regarding the implementation of the program of state guarantees of medical care for the population in 2022.
The procedure for calculation of salaries of medical personnel was also changed. In the first months of the war, regardless of the region, the state of the medical facility, and the records entered into the electronic health care system, everyone received a fixed fee. Thanks to this, hospitals were able to work stably, and patients – to receive quality services.
About access to the electronic health care system
Access to the Electronic Health Care System is available, however, due to lack of time, banal lack of electricity or the Internet, it may not be available. For example, hospital workers who receive hundreds of wounded soldiers every day may simply not have enough time to enter data into the EHS, because there are higher priority tasks.
There are also disconnections of the hospital from the system, but such cases are extremely rare. There is a clear algorithm according to which medical institutions are disconnected and connected.
Despite the war, there are no institutions that would stop entering data on the treated case, making declarations, issuing electronic referrals, e-prescriptions. And we are constantly in contact with representatives of hospitals to clarify, if necessary, how to enter this or that information correctly. It is for these reasons that we decided to make this robot easier
Regarding the Resolution on the implementation of the medical guarantee program and the cancellation of the payment mechanism 1/12
Natalia Husak said that hospitals in the combat zone continue to receive payment of 1/12 of the contract amount. The list of such territories is determined by the order of the Ministry on Reintegration of Temporarily Occupied Territories.
After exclusion from this list, medical institutions must keep medical records. And a month after the relevant territorial community is excluded from the specified list, payment for the services actually provided begins. For the rest of the institutions, we refund the payment for these services on the basis of electronic data.This will allow hospitals, where the flow of patients has increased, to receive more funds under the contract with the NHSHU and have more opportunities to provide quality care to patients and to motivate their employees. The draft of the relevant resolution was approved by the Cabinet of Ministers on July 1.
About changes in payment in the primary link
When internal migration began, the Electronic Health Care System realized the need to ensure access to a family doctor for everyone who needed it.
At the beginning of the war, a model of paying institutions for each declaration and for each new temporarily displaced patient was considered, but in this way there would be a duplication of funding for one person. Therefore, a different plan was adopted.
Institutions that provide primary medical care receive monthly the same amount of funds that was accrued to them as of February 1. That is, the actual cost of medical services for each “primary" provider is calculated every month as the product of 1/12 of the basic capitation rate and the number of active declarations as of February 1, taking into account the relevant coefficients.
About polytraumas and injuries
Medical assistance in such cases takes place within the framework of the packages “Surgical operations in hospital conditions" and “Surgery of one day". Changes were also made to the regulatory framework, according to which a recalculation will be made to increase the cost of providing medical care for polytraumas and injuries.
There are enough problems with the medicines needed to provide such care.
About specialized medical care
Even at the beginning of the war, it was decided to change individual patient routes for receiving specialized medical care, as it was understood that hospitals would need a reserve of a certain number of beds for the wounded.
In particular, from the first days of the war, planned hospitalizations were suspended. And when we saw that the medical system was coping, we resumed the scheduled provision of specialized care services in many regions
She also noted that the provision of priority services to patients was not stopped because of the war. We are talking about the treatment of heart attack, stroke, oncological diseases, etc.
This year, "Feofania" signed an agreement with the National Health Service of Ukraine, as part of the pilot project of the Ministry of Health. Currently, a unified medical space is being created, when a patient can receive medical care in any well-equipped facility.Since the beginning of the year, Feofania, for example, has received more than UAH 1.5 million from the National Health Service for providing medical assistance to Ukrainians with strokes and heart attacks. Next year, the medical facility plans to expand cooperation and sign a contract to help cancer patients
About the communication campaign regarding patients’ rights
The NNational Health Service and the Ministry of Health have strengthened the communication campaign aimed at increasing the level of awareness of patients regarding their rights.
When people are asked for money or write lists of medicines, which are now absolutely enough in every medical institution, because they come both through humanitarian aid and through centralized procurement, we ask patients to report this to the National Health Service
It is noted that there is no single algorithm for dealing with all complaints, so each case is considered separately. For this, a separate department was created, which will work as a prototype of the “ombudsman’s office for patients’ rights". These changes were introduced with the aim of more efficient and rational management of processes and resources.
About the “Affordable Medicines" program and reimbursement of their cost
Since the beginning of the full-scale war, the Affordable Medicines program and the insulin reimbursement program have not been stopped. Since the beginning of the war, as part of the first program, pharmacies have been compensated about half a million hryvnias.
We understood that there would be areas where they would not be able to use a prescription or would not have access to a doctor or the Electronic Health Care System. Therefore, an opportunity was created to write a prescription for drugs without a declaration in electronic and paper forms within the framework of the "Affordable Medicines" program, so that patients who need them can receive them
There are also plans to expand the list of “Available Medicines" from September 1. It is planned to add medicines for Parkinson’s disease and chronic obstructive pulmonary disease to the program. In the next year, it is also planned to reimburse pharmacies for the cost of test strips for glucometers for people with diabetes.
We will remind you that we recently wrote about how the biological age of Ukrainians changes because of the war.
According to the materials: Interfax-Ukraine
0
