1. Documents as quality manual, Annual quality report and product descriptions, Compensation for harm to health Prof. Juozas Galdikas State health care accreditation agency at the Ministry of Health, Lithuania

2. Documents as Quality manual

3. Basic information about HCP Name Address Contact Tel., Fax, E-mail, E-website Mission Directions of activity Provided health services and procedures

4. Information about Quality manual Date of establishment Principe and method of renewal

5. Quality policy Commitments of HCP Spread of information to employees Methods of implementation

6. Quality targets Clear Transparent Measurable Achievable Time related

7. Managerial structure of HCP Duties Responsibilities Empowerments Interrelations of departments and units

8. List of clinical procedures which can particularly influence the quality Ultrasound imaging X-ray MRI Blood testing etc.

9. Management procedures Medical documentation (information ) Investigation of clients complaints Investigation of clients applications Local medical audit Occupational training Using of pharmaceuticals Using of medical devices

10. Clinical procedures Control of hospital infection Invasive procedures for diagnostic and treatment Critical procedures

11. Compensation for harm to health and patients rights

12. Convention on Human Rights and Medicine On the prohibition of cloning Human beings On transplantation of organs and tissues of Human origin On biomedical research

13. Law on the rights of patients and compensation of the damage to their health on legal protection of personal data on the ratification of convention for the protection of individuals with regard to automating processing of personal data

14. Contract between patient and HCP Binding – private HCP Not binding – state/ district/ municipal HCP

15. Compensation for harm to health Civil code Law on health system Law on the rights of patients and compensation of the damage to their health

16. Protection of medical secret Civil code Laws ( 7 ) Order of the MoH

17. Procedures and requirements for compensation Yes - safety of medical devices - professional qualific. of medical staff - safety of pharmaceuticals No - requirement for medical procedure - clinical protocol - clinical algorythm - outcomes

18. Annual quality report and product descriptions

19. Annual quality report Prepared by the NGO Main attention - to patients satisfaction Health system sustainability (particularly for countries in transition ) Orientation to outcomes