Quality and Safety for our Patients – our Basic Goal

1. Quality and Safety for our Patients – our Basic Goal • The international conference organized by The Association of Companies Health Insurance Funds, Czech Republic • (SZP CR) together with • Association Internationale de la Mutualité (AIM) and • Joint Commission International (JCI) Under the aegis of: the Ministry of Health Czech Republic. On the occasion of CZ EU Presidency. Held in Prague on12 -13 March, 2009 .

2. Quality and Safety for our Patients – our Basic Goal The Association of Companies Health Insurance Funds, Czech Republic (SZP ČR) was established on May 15, 1997 as a successor organization of the Health Insurance Companies Association founded in 1993. Since June 1, 2008, it has been associating eight employee health insurance funds of the Czech Republic. In 1995, the Health Insurance Companies Association became a correspondent member of AIM and in October 2002, the Association was adopted as a full member of AIM SZP ČR covers 40 per cent of the population, i.e. about 4 million insured people.

3. Quality and Safety for our Patients – our Basic Goal Joint Commission International (JCI) was established in 1997 as a division of Joint Commission Resources, Inc. (JCR), a private, not-for-profit affiliate of The Joint Commission. JCI extends the Joint Commission’s mission worldwide by assisting international health care organizations, public health agencies, health ministries and others to improve the quality and safety of patient care in more than 80 countries.

4. Quality and Safety for our Patients – our Basic Goal Association Internationale de la Mutualité (AIM) is a grouping of autonomous health insurance and social protection bodies. AIM serves its members by representing their different interests in diverse gremia and fora and is seen as the member‘s link to governments, non- -governmental organizations and stakeholders in the field of social and health services and as the spokesman of the health and social mutual societies. AIM associates members from all over the world. Established in 1950 .

5. Quality and Safety for our Patients – our Basic Goal Number of participants - 113. Number of attending countries – 9 – USA, Morocco, Slovakia, Turkey, Hungary, Czech Republic, Belgium, Denmark, theNetherlands. The participants were health care providers, health insurance companies, professional associations, patient´s associations, state bodies and organizations.

6. Quality and Safety for our Patients – our Basic Goal Topics Up-to-date Information on Public Health Insurance Systems in AIM Member States. Up-to-date information on Public Health Insurance System in the Czech Republic. Results of Quality Monitoring in the Czech Republic. Special Contracting of Healthcare in Employee Health Insurance Companies. Quality of Dutch Healthcare and the Role of Health Insurers. Introduction of Joint Commission International and WHO Collaborating Centre on Patient Safety Solutions . Joint Commission International Standards and Survey Process . Joint CommissionInternational's Essentials of Healthcare Quality and Patient Safety. Practical Experience.

7. Structure of Bodies in Social Securitysystem – Czech Republic Ministry of Labour and Social Affairs (MoLSA) central body of the state administration responsible for social security Ministry of Health Employment Services Administration Organizational division of MoLSA Health insurance companies - independent bodies Employer Czech Social Security Administration State administration body governed by MoLSA Labour Offices RESPONSIBLE Unemployment benefits benefits in kind (health care) Sickness and maternity cash benefits Family benefits Birth grants Funeral grants Cash benefits in case of working accident or occupational disease - compensatorydamages District Authorities state administration bodies - governed by Min. of Interior Pensions Co-operate in soc. issues Private insurance companies – obligatory liability insurance of employers Ministry of Defence special unit Ministry of Justice special unit Ministry ofFinance special unit Ministry of Interior special unit Special categories: army, prison and courts guard, custom officials, police

8. Main Areas of Healthcare Quality Improvement • Contract-based guarantee of quality and accessibility -continuous improvement of doctor´s qualification - office hours (opening hours) - complex effect assessment - projects with managed care elements • Management quality certificates • Evaluation of treatment results in comparison with other healthcare institutions • Development of tools describing and evaluating the production of DRG medical performance, list of medical performances NRC Healthcare Health Insurance National Reference institutions´ Companies Centre representatives Ministry of Health

9. Healthcare Quality • Good quality from the patient´s perspective • accessibility in time in place • quality of treatment process organization • accompanying services and medical staff and doctors´ approach • Good quality from the doctor´s perspective • organization of healthcare institutions‘ work - „ISO 9000“ - certificates • quality measurement using the statistical results and treatment parameters in comparison with other healthcare institutions • quality measurement using questionnaire surveys • Good quality from the payer´s perspective • proved results – NRC since 2007 • level of professional education and proved qualifications increase (gradually since 2008) • adherence to treatment accessibility and organization parameters • specialized accredited centres – forum of professionals – joint activity of the Ministry of Health and NRC • treatment standards

10. Thank you for your attention. Ing. Ladislav Friedrich CSc. info @ szpcr.cz