1. Health Inspectorate of Republic of Kosova Work Plan 2019
Republika e Kosovës/Qeveria
Ministria e Shendetësisë
Inspektorati Shëndetësor
Health Inspectorate of Republic of Kosova Work Plan 2019
Dr. Ardita Baraku
Prishtina, Kosova

2. Responsibilities, the Law on Health Inspectorate
External professional monitoring of all health institutions
Implementation of health legislation, ethical and professional norms and standards.
Purpose: to increase the quality of medical services and care towards citizens in the health care institutions

3. Specifically
Method of admission, treatment and discharge of patients from health care institutions;
Reports from health staff and supportive staff in relation to patients, citizens and visitors within health care institutions;
Prescription and the method of utilization of drugs and expiration dates as well as transport, warehousing and storage of drugs;
Adequate manner to apply prevention, diagnostic, therapeutic and rehabilitation methods;
Maintenance of medical documents and evidences as well as other reporting forms in conformity with the determined rules.
Method of health staff reaction in emergency situations;

4. In 2018: 9 Inspectors, no Lawyer, 1 Assistant
Lloji i Inspektimit N %
Planned
707
66.5
Follow up
158
14.9
Specific - unplanned 88
8.3
Tematic
110
10.3
Gjithsej
1063
100

5. Inspections based on level of health care/ownership (N), 2018

6. 1911 reccomendations in 2018: 1 per public institution vs
1911 reccomendations in 2018: 1 per public institution vs. 2 per private (rounded %)
Public
Private
Health documentation (24)
Work resources (19)
Patient information (15)
Hygiene (9)
Medicines (7)
Medical waste (1)
No objections (0)
Other (26)
Patient information (32)
Health documentation (18)
Medical waste (12)
Medicines (8)
Work resources (7)
No objections (5)
Hygiene (1)
Other (18)

7. Financial fines - 6.6 % of inspections
71 fines in 2018:
35 lack of licence of the health institutions,
9 for foreign doctors working without licence
4 for offering unlinced service
12 for impromer handling of medical documentation
5 for breaching the law (breastfeeding, tobacco and IVF)
2 for lack of health personnel
4 for negligent health care of a baby
Plus: Cases refered to Chambers of health professionals (doctors and nurses)

8. 151 patient complaints in 2018

9. Other major activities in 2018
Health services in 5 correction centers were inspected.
5 follow up inspection in municipalities that provide services for serbian minority population .
Tematic inspections regarding respecting AI 05/2011 for prevention and control of intrahospital infections.
At the primary health care level (public), for the first time 34 municipalities (including minorities) have reported daily on Cardiovascuar and Respiratory diseases, upon request of National Institute of Public Health made to the Health Inspectorate to controll the level of air pollution and its impact on health.
Official meeting with the Health Inspectorate of Albania, Macedonia, Montenegro (as a part of MoH, and EPSO).
Official visit to Croatian Health Inspectorate – inspection of SoHO (blood, tissues, organs, medically assisted reproduction)

10. Work Plan 2019 Sectorial Strategy 2017-2022
Work priorities of the Ministry
Experience from the field
Continuation of what was done in 2018
The plan
Follow up inspectons of 2018 (primary care, UCCK, private practice)
Foreign doctors (72 foreing doctors in end of 2018)
Inspections in SoHO (TAIEX support in March, blood and ivf). One inspection made for IVF – with legal consequences.
Patient Complaints
Biochemical laboratories in Primary Care
For the first time, internal development
Language
SoHO
Administrative procedures, etc.

11. Communication of the Plan 2019
It is a part of the work plan of the Ministry
Director of the University Clinical Service of Kosova for the plan
Visits to directors of the hospitals are planned
Communication with the Director of the National Transfusion Center
Inspected partied were informed during inspections that they will be reinspected, the same in written report.
Report of the activites quarterly

12. Challenges for the Health Inspectorate
Future of the Inspectorate – joint with Pharmaceutical or not
Legal infrastructure of the Inspectorate – depending on the previous point
Working conditions:
Personnel: position, staffing, payment, licence, trainings
Equipment: database, analysis tools, field vehicles, check lists

13. Thank you!
Questions?