1. HEALTH QUALITY IN LITHUANIA PROF. JUOZAS GALDIKAS DEPUTY DIRECTOR THE STATE HEALTH CARE ACCREDITATION AGENCY UNDER THE MINISTRY OF HEALTH UTRECHT, 2003

2. HEALTH QUALITY IN LITHUANIA UTRECHT, 2003 J.GALDIKAS2 TOPICS - PATIENT RIGHTS - LEGAL BASICS - STATE AUTHORITIES DEALING WITH HQ - HEALTH QUALITY ASSESSMENT - PLANS FOR HEALTH QUALITY ASSURANCE

3. UTRECHT, 2003 J.GALDIKAS3 HEALTH QUALITY IN LITHUANIA PATIENT RIGHTS LAW ON THE RIGHTS OF PATIENTS ( 1996 ) : - CHOSE DOCTOR, NURSE, HEALTH PROVIDE - EMERGENCY HEALTH CARE - INFORMATION ABOUT DIAGNOSIS, TREATMENT, PROGNOSIS - PRIVACY OF LIVE - TO COMPLAIN - COMPENSATION OF THE DAMAGE TO HEALTH

4. UTRECHT, 2003 J.GALDIKAS4 HEALTH QUALITY IN LITHUANIA LEGAL BASICS CIVIL CODE : - LICENCING - RESPONSIBILITY FOR HEALTH DAMAGE PUBLIC LAW: - GENERAL OPINION ABOUT HQ ( LICENCING, ACCREDITATION ) - HEALTH METHODOLOGIES HAS TO BE APPROVED ORDER OF THE MINISTRY OF HEALTH: - RULES OF LOCAL MEDICAL AUDIT ( 1998 ) - CONCEPTION OF HQA ( 2002 ) - PROGRAMME OF HQA ( 2004 )

5. UTRECHT, 2003 J.GALDIKAS5 HEALTH QUALITY IN LITHUANIA STATE AUTHORITIES DEALING WITH HQ THE PARLIAMENT - LEGISLATIVE AUTHORITY THE GOVERNMENT - LEGISLATIVE AUTHORITY MINISTRY OF HEALTH - LEGISLATIVE AUTHORITY - COORDINATED AUTHORITY - IMPLEMENTED AUTHORITY

6. UTRECHT, 2003 J.GALDIKAS6 HEALTH QUALITY IN LITHUANIA STATE AUTHORITIES DEALING WITH HQ THE STATE HEALTH CARE ACCREDITATION AGENCY UNDER THE MINISTRY OF HEALTH ( ACA ) : - IMPLEMENTED AUTHORITY - COORDINATED AUTHORITY THE STATE MEDICAL AUDIT INSPECTION UNDER THE MINISTRY OF HEALTH ( AUI ): - IMPLEMENTED AUTHORITY THE STATE MEDICINES CONTROL AGENCY UNDER THE MINISTRY OF HEALTH ( MEDA ): - IMPLEMENTED AUTHORITY THE PHARMACEUTICAL DEPARTMENT UNDER THE MINISTRY OF HEALTH ( PHD ): - COORDINATED AUTHORITY THE STATE PATIENT FUND UNDER THE MINISTRY OF HEALTH ( PTF ): - IMPLEMENTED AUTHORITY

7. UTRECHT, 2003 J.GALDIKAS7 HEALTH QUALITY IN LITHUANIA THE STATE HEALTH CARE ACCRED. AGENCY -LICENCING OF HEALTH CARE PROVIDES -ACCREDITATION OF HEALTH CARE PROVIDES - CONTROL OF THE LICENCE OF HEALTH CARE PROVIDES - COLLECTING AND PREPARATION OF DOCUMENTS FOR THE COMMISSION FOR LICENCING DOCTORS, DENTISTS, NURSES - APPROVEMENT OF MEDICAL DEVICES - CONTROL OF MEDICAL DEVICES IN THE MARKET

8. UTRECHT, 2003 J.GALDIKAS8 HEALTH QUALITY IN LITHUANIA THE STATE MEDICINES CONTROL AGENCY UNDER MOH - LICENCING OF PHARMACIES - CONTROL OF THE LICENCE OF PHARMACIES - REGISTRATION OF MEDICINES - CONTROL OF MEDICINES IN THE MARKET - COLLECTING AND PREPARATION OF DOCUMENTS FOR THE COMMISSION FOR LICENCING PHARMACISTS

9. UTRECHT, 2003 J.GALDIKAS9 HEALTH QUALITY IN LITHUANIA THE STATE MEDICAL AUDIT INSPECTION UNDER MOH : CONTROL OF : - ACCESSIBILITY OF HEALTH CARE - QUALITY ( PROPER ) OF HEALTH CARE - EFFICIENCY OF HEALTH CARE THE STATE PATIENTS FUND UNDER MOH : CONTROL OF CONTRACT MATTERS : - ACCESSIBILITY OF HEALTH CARE - QUALITY OF HEALTH CARE - EFFICIENCY OF HEALTH CARE

10. UTRECHT, 2003 J.GALDIKAS10 HEALTH QUALITY IN LITHUANIA HEALTH QUALITY ASSESSMENT REGISTRATION OF MEDICINES 1991 / 1996 LICENCE OF PHARMACIST 1991 / 1996 LICENCE OF PHARMACY 1991 / 1994 APPROVAL OF MEDICAL DEVICES 1993 / 2001 LICENCE OF DOCTOR 1998 / 2000 LICENCE OF DENTIST 1998 / 2000 LICENCE OF HC PROVIDERS 1998 / 2003 LICENCE OF NURSE 1998 / 2005

11. UTRECHT, 2003 J.GALDIKAS11 HEALTH QUALITY IN LITHUANIA HEALTH QUALITY ASSESSMENT - ASSESSMENT OF SANATORIUMS AND REHABILITATION CENTERS 1996 / 1997 - LABORATORY CERTIFICATION 1998 / 2003 - PATHOLOGY UNIT ASSESSMENT 2001 / 2003 - 5 HOSPITALS HAVE EN ISO 9002 / 9001 CERTIFICATE

12. UTRECHT, 2003 J.GALDIKAS12 HEALTH QUALITY IN LITHUANIA HEALTH QUALITY ASSESSMENT INTERNAL AUDIT : OWN - BINDING EXTERNAL AUDIT : AUI - BINDING ACA - BINDING MEDA - BINDING PTF - BINDING MOH - BINDING

13. UTRECHT, 2003 J.GALDIKAS13 HEALTH QUALITY IN LITHUANIA PLANS FOR HEALTH QUALITY ASSURANCE - ACQUIS COMMUNAUTAIRE ( 01.05.2004. ) - FREE MOVEMENT OF GOODS - FREE MOVEMENT OF PEOPLE - FREE MOVEMENT OF SERVICES - NEW REQUIREMENTS ( 50 ORDERS MOH ) FOR HOSPITALS COME INTO FORCE ( 01.01.2004. ) - HEALTH QUALITY ASSURANCE PRORAMME 2004 – 2010 ( 2004 ) ( HQAP - 1994 - 1999 - 15 MLN EU ) ( HQAP - 2000 - 2004 - 4 MLN EU ) - LAW ON HEALTH QUALITY ASSURANCE ( 2004 )

14. UTRECHT, 2003 J.GALDIKAS14 HEALTH QUALITY IN LITHUANIA QUESTION FOR DISCUSSION PATIENT / CLIENT CONSUMER / NOT CONSUMER LT - NOT CONSUMER ( LEGAL BASIS )