1. Statistics in health care politics Statistics in health care politics A risk of mistake

2. Acts of health care regulating data collection/profilling in health service Act of information system in health service Act of information system in health service Act stated on 27 th August 2004 on benefits of health care from public funds Act stated on 27 th August 2004 on benefits of health care from public funds Act stated on 23 rd January 2003 on comprehensive insurance in National Health Service J. of law from 2003 No. 45, item 391 Act stated on 23 rd January 2003 on comprehensive insurance in National Health Service J. of law from 2003 No. 45, item 391 Act stated on 30 th August 1991 on Health Care Center J. of law from 1991, No. 91, item 408 Act stated on 30 th August 1991 on Health Care Center J. of law from 1991, No. 91, item 408

3. Centers of data collection in health service Clinical data derived from scientific literature publications, thesises Clinical data derived from scientific literature publications, thesises Clinical data from research Clinical data from research Data collected by National Health Service Data collected by National Health Service Data collected by local goverment Data collected by local goverment Data collected by Health Minister Data collected by Health Minister Data collected by centers monitoring health service functioning Data collected by centers monitoring health service functioning Data collected by non-goverment centers and organizations- Corporations, Foundations, Press Data collected by non-goverment centers and organizations- Corporations, Foundations, Press

4. Decision Centers influencing on performance volume in health service National specialists National specialists Local specialists: regional and voivodiship-derived Local specialists: regional and voivodiship-derived Clinical Centers and Institutes Clinical Centers and Institutes National Health Service National Health Service Medical companies Medical companies Lobbyists- politicians Lobbyists- politicians

5. Public finanses National Health Service paymaster National Health Service paymaster Other sources of funding by administrative boards/organs of goverment Other sources of funding by administrative boards/organs of goverment Ministry of Health, Ministry of Works, Ministry of the Interior and Administration Ministry of Health, Ministry of Works, Ministry of the Interior and Administration Self-goverments Self-goverments Foundations and Associations Foundations and Associations

6. City located in county A City located in county B Contract for cardioverter implantation and coronography performance Distance 60 km It owns contract for coronography performance, implantationof stents and pacemakes- it is called early cardiologic intervention It owns contract for pacemakes implantation- it owns cardiologic unit with appropriate protection

7. Electronic platform of collection, analyses and access of digital data on medical events is a teleinformatic system that permits: 1) Access of service recipients to information on given and planned healthcare benefits 2) Transfer of information by service providers to SIM on given, giving and planned healthcare service 3) Exchange between service providers of data included in electronic medical documentation if it is necessary to enable therapy continuation

8. Electronic platform of collection, analyses and access of digital data on medical events is a teleinformatic system that permits: Exchange of electronic documents between service providers in order to carry out diagnostic procedures An acces of subjects cataloging medical records in the area of persuing tasks and received privilages to data transformed in SIM by Platform of On-Line availablance of Services and Digital Resource An acces of territorial self-goverment units to the transformed in SIM data allowing to implement task on the equal access to health care for residents

9. Electronic platform of collection, analyses and access of digital data on medical events is a teleinformatic system that permits on: An acces of voivodes to data basic for persuation of tasks included in item 10 of the act stated on 27 th august 2004 on healthcare benefits founded from public finances An acces of competent minister of health to data necessary to persue tasks included in item 11 of the act 1 stated on 27 th August 2004 on healthcare service founded from public finanses. Center of Medical Postgraduate Education on the basis of regulations on medical doctor and dentist professions, nurse and midwife professions, laboratory diagnostics, National Medical Rescue regulations- pharmaceutical law, relevant to data regulated by these rules

10. Electronic platform of collection, analyses and access of digital data on medical events is a teleinformatic system that especially permits: Center of Postgraduate Education of Nurses and Midwifes on the basis of professions of nurses and midwifes relevant to data regualated by these rules Service providers relevant to medical employee Paymasters, mentioned in the item 2 /no(9), in the area of data for service providers and employess of the service provider, enableing the control of the agreement performance on healthcare service

11. Conclusion Danger related to the Health Care System Centralization Danger related to the Health Care System Centralization Administrative rule of Parkinson Administrative rule of Parkinson Ingeration of lobbing and politics Ingeration of lobbing and politics Deficency of change stabilisation system Deficency of change stabilisation system