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M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Working Group for Chapter 28 – Consumer and Health Protection.

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Presentation on theme: "M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Working Group for Chapter 28 – Consumer and Health Protection."— Presentation transcript:

1 M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Working Group for Chapter 28 – Consumer and Health Protection Bilateral screening: Chapter 28 PRESENTATION OF MONTENEGRO Brussels, 15-16 April 2013

2 Chapter 28: Consumer and Health Protection HEALTH INFORMATION Natasa Terzic Director of the Center for Health System Development Institute of Public Health natasa.terzic@ijzcg.me M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Chapter 28: CONSUMER AND HEALTH PROTECTION

3 Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Relevant acquis  Regulation (EC) No 1338/2008 of the European Parliament and of the Council of 16 Decembar 2008 on Community statistics on public health and health and safety at work  Commission Regulation (EU) No 328/2011 implementing Regulation (EC) of the European Parliament and of the Council on Community Statistics on public health and health and safety at work, as regards statistics on causes of death  Commission Regulation (EU) No 349/2011 implementing Regulation (EC) of the European Parliament and of the Council on Community Statistics on public health and health and safety at work, as regards statistics on accidents at work Chapter 28: CONSUMER AND HEALTH PROTECTION

4 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Contents  National Legislation  Law on health data collections  Institutional framework  Data collections methods  Health Statistics Information System  EU accordance  Challenges  Planned activities Chapter 28: CONSUMER AND HEALTH PROTECTION

5 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union National legislation  Law on health data collections (“Official Gazette of Montenegro”, No 80/08)  Law on healthcare (“Official Gazette of Montenegro” No 39/04, No 14/10)  Regulation on detailed content, form and mode of registries management for diseases of major socio medical importance, infectious diseases and other conditions related to population health (“Official Gazette of Montenegro,” No 24/12) Chapter 28: CONSUMER AND HEALTH PROTECTION

6 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union National Legislation  Regulation on specific health data included in registries on diseases of major sociomedical importance, infectious diseases and other conditions related to population health (“Official Gazette of Montenegro“ No 24/2012)  Regulation on modes for completing, deadlines and reporting forms for certain disease evidenced in the registry (“Official Gazette of Montenegro” No 24/2012)  Regulation on defining and sending reports for determined disease or condition evidenced in the registry (“Official Gazette of Montenegro” No 24/2012) Chapter 28: CONSUMER AND HEALTH PROTECTION

7 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union National Legislation  Law on personal data protection (Official Gazette of Montenegro No 79/08, 70/09)  Law on official statistics and system of official statistics (Official Gazette of Montenegro No 18/12) Chapter 28: CONSUMER AND HEALTH PROTECTION

8 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Law on health data collections Main principles Regulates:  types, content and manner of managing data collections  Method of collecting and entering the data  Processing, use and exchange of data  Keeping medical personal records Chapter 28: CONSUMER AND HEALTH PROTECTION

9 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Health data collections The purpose  Monitoring the health status of the population  Providing conditions for obtaining information on health care  Planning and programming of health care  Providing information on scope and quality of work of health services  Providing information for health policy management/decisions  Providing relevant national and international reporting Chapter 28: CONSUMER AND HEALTH PROTECTION

10 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Main data collections Registries Registries of diseases (14) Communicable diseases Cancer Drug abuse Diabetes CVD ACS Resource registries Chapter 28: CONSUMER AND HEALTH PROTECTION Other data collections outpatient health care ( PHC visits, specialist visits, counseling services, morbidity...) inpatient data health care (hospital disharges, LOS, morbidity, beds, deliveries, abortions) health care workforce

11 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Public Health Care Providers Chapter 28: CONSUMER AND HEALTH PROTECTION 18 Primary health care Centers (Dom zdravlja) 7 General hospitals Clinical Centre of Montenegro 3 Special Hospitals Institute of emergency medical care Institute for blood transfusion Institute of Public Health Pharmacy institution “Montefarm” (50) Private dental offices (HIF contract)

12 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Institutional Framework Main Actors Institute of Public Health medical documentation/records Special Hospital for pulmonary primary medical record diseases and TBC individual report, aggregated report Chapter 28: CONSUMER AND HEALTH PROTECTION All Public Health care providers ( health workforce) Data on health care, morbidity, health resources… Data collection administrator source

13 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Data flows and data collections methods Chapter 28: CONSUMER AND HEALTH PROTECTION Medical nomenclatures All Health Care Providers and Pharmacies Health statistics and public health reports, analytical reports, Statistical yearbook Health Surveys (HIS, ESPAD, GYTS, MICS) WHO, ECDC, EUROSTAT, UNICEF, UNDP Health Insurance Fund Invoicing data Medical nomenclatures, method. Instr. Data for health statistics and monitoring and disease surveillance (quaterly and annual reports, individual data) Institute of Public Health MONSTAT –Stat. Office Ministry of Health Health statistics data Demographic and mortality based data Financial reports

14 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Regular Data Collection Chapter 28: CONSUMER AND HEALTH PROTECTION INDICATORS FOR WORK OF INPATIENT HEALTH CARE PROVIDERS IN MONTENEGRO IN 2011 Public health care providers Occupied beds per doctor Occupied beds per nurse % capacity usageAverage LOSAverage daily bed’s occupancy Stationaries in PHC11.382.1755.634.9653.41 General hospitals4.701.6967.046.66744.12 Bar4.662.1573.595.92124.37 Berane4.371.3870.207.16127.77 Bijelo Polje3.811.4271.537.75100.86 Kotor4.461.8467.585.7897.32 Nikšić6.062.0855.507.07158.72 Pljevlja3.261.1378.608.2273.10 Cetinje4.081.2665.255.3361.99 Special hospitals8.182.1195.9429.53483.54 SH for lung diseases and TBC Brezovik – Nikšić 6.961.6983.1615.76117.26 SH for psychiatry Dobrota- Kotor 12.142.33111.8971.07269.66 SH for Orthopedics, Neurosurgery and Neurology – Risan 3.971.3279.2018.7996.62 Clinical Center of Montenegro 3.271.2167.476.04510.06 TOTAL 4.641.6072.638.021791.13 Statistical Yearbook WWW.ijzcg.me

15 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Health Survey Health Interview Survey 2008, 2012 (by LSMS type) Chapter 28: CONSUMER AND HEALTH PROTECTION Self-assessment of overall health status of adult population, by gender, Montenegro, 2008 (%)

16 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Health statistics information system IPH  Within the Project of health system improvement of MoH  Credit line of World Bank – IT component 2012  Inegration with Integral Health Information system (PHC centers and General Hospitals)  Based on regulation on health data collections  Provides electronic reporting from PHC and GH (e- services for diseases registries, automatic regular reporting system) and IPH data entry for other health care providers  “Ad hoc” reporting system Chapter 28: CONSUMER AND HEALTH PROTECTION

17 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union EU Accordance ECHI Indicators – implem. section  Demographic and socio-economic data (Statistical Office of Montenegro)  Health status (regular reports of IPH for comm. diseases, Health Interview Survey 2008, 2012)  Health determinants (Health Interview Survey 2008, 2012 – more then 50%)  Health care (regular reports of IPH, HIF reports, HIS – more than 50%) Chapter 28: CONSUMER AND HEALTH PROTECTION

18 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Challenges  Additional funding for continued development of Health Information System  Providing funds for continuation of conducting Health Interview Surveys Chapter 28: CONSUMER AND HEALTH PROTECTION

19 Chapter 10: Consumer and Health Protection Chapter 10: Consumer and Health Protection M O N T E N E G R O Negotiating Team for the Accession of Montenegro to the European Union Planned Activities  Adoption of bylaws for the full implementation of the relevant law  Integration of Health Statistics Information System in Integral HIS  Establishing national database of indicators in accordance with ECHI Chapter 28: CONSUMER AND HEALTH PROTECTION

20 Thank you for your attention. QUESTIONS

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