{"id":551795,"date":"2022-09-28T08:17:49","date_gmt":"2022-09-28T06:17:49","guid":{"rendered":"https:\/\/www.hashtag.al\/?p=551795"},"modified":"2022-09-28T08:17:49","modified_gmt":"2022-09-28T06:17:49","slug":"ppp-te-e-shendetesise-ne-2021-u-paguan-sherbime-te-pakryera-dhe-fatura-te-paunifikuara-2-milione-euro-kosto","status":"publish","type":"post","link":"https:\/\/www.hashtag.al\/index.php\/2022\/09\/28\/ppp-te-e-shendetesise-ne-2021-u-paguan-sherbime-te-pakryera-dhe-fatura-te-paunifikuara-2-milione-euro-kosto\/","title":{"rendered":"PPP-t\u00eb e sh\u00ebndet\u00ebsis\u00eb, n\u00eb 2021 u paguan sh\u00ebrbime t\u00eb pakryera dhe fatura t\u00eb paunifikuara, 2 milion\u00eb euro kosto","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"\"<\/span><\/p>\n

Kontrolli i Lart\u00eb i Shtetit (KLSH) ka konstatuar se edhe n\u00eb vitin 2021 me koncesionet e sh\u00ebndet\u00ebsis\u00eb ka vijuar problematika e pages\u00ebs s\u00eb sh\u00ebrbimeve t\u00eb pakryera apo faturave jo t\u00eb unifikuara n\u00eb rastet e nd\u00ebrhyrjeve t\u00eb ngjashme.<\/span><\/p>\n

Nj\u00eb auditim n\u00eb Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor ka nxjerr\u00eb n\u00eb pah se koncesioni i hemodializ\u00ebs dhe ai i seteve kirurgjikal\u00eb kan\u00eb shfaqur mosp\u00ebrputhje p\u00ebr t\u00eb cilat \u00ebsht\u00eb k\u00ebrkuar v\u00ebmendje nga Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale.<\/span><\/p>\n

Sipas vler\u00ebsimeve t\u00eb KLSH-s\u00eb p\u00ebr hemodializ\u00ebn jan\u00eb paguar p\u00ebr sh\u00ebrbime t\u00eb pakryer rreth 70 milion\u00eb lek\u00eb, nd\u00ebrsa nga mos unifikimi i faturave, d\u00ebmi i vler\u00ebsuar p\u00ebr koncesionin e sterilizimit \u00ebsht\u00eb rreth 168 milion\u00eb lek\u00eb. N\u00eb total kosto vler\u00ebsohet n\u00eb 238 milion\u00eb lek\u00eb, ose 2 milion\u00eb euro.<\/span><\/p>\n

Hemodializa<\/strong><\/span><\/p>\n

K\u00ebshtu lidhur me kontrat\u00ebn e konceisonit t\u00eb hemodializ\u00ebs KLSH n\u00ebnvizon se jan\u00eb paguar sh\u00ebrbime t\u00eb pakryera duke rezultuar k\u00ebshtu me efekt financiar negativ q\u00eb shkon n\u00eb dhjet\u00ebra milion\u00eb lek\u00eb.<\/span><\/p>\n

\u201cKontrata koncensionare me nr.1503\/44 prot., date 10.02.2016 \u201cP\u00ebr ofrimin e hemiodializ\u00ebs\u201d me shoq\u00ebrin\u00eb \u201cD..\u201d SHPK mund\u00ebson ofrimin e sh\u00ebrbimit t\u00eb dializ\u00ebs n\u00eb 5 rajone, me num\u00ebr t\u00eb projektuar t\u00eb pacient\u00ebve p\u00ebr 156 seanca n\u00eb vit (13 seanca n\u00eb muaj) dhe 11,203 lek\u00eb \u00e7mimi p\u00ebr seanc\u00eb hemodialize.<\/span><\/p>\n

Nga auditimi ka rezultuar se nuk \u00ebsht\u00eb realizuar numri i seancave t\u00eb dializ\u00ebs sipas projeksionit mujor kryesisht n\u00eb qendrat e dializ\u00ebs Shkod\u00ebr e Vlor\u00eb, dhe p\u00ebr disa muaj n\u00eb qendr\u00ebn e dializ\u00ebs Lezh\u00eb, p\u00ebr arsye t\u00eb numrit m\u00eb t\u00eb ul\u00ebt t\u00eb pacient\u00ebve se sa projeksioni. Kjo ka sjell\u00eb si pasoj\u00eb efekt financiar nga faturimet p\u00ebr sh\u00ebrbime t\u00eb pakryera p\u00ebr seancat e dializ\u00ebs n\u00eb vler\u00ebn 69,996,344 lek\u00eb.<\/span><\/p>\n

Nga t\u00eb dh\u00ebnat e vendosura n\u00eb dispozicionkonstatohet gjithashtu se p\u00ebr 5 qendrat e hemodializ\u00ebs jan\u00eb kryer 1,447 seanca dialize t\u00eb faturuara mbi projeksionin e p\u00ebrcaktuar n\u00eb kontrat\u00ebn koncesionare p\u00ebr ofrimin e sh\u00ebrbimit me efekt financiar p\u00ebr faturime p\u00ebr sh\u00ebrbime mbi projeksion me nj\u00eb \u00e7mim prej 11,203 lek\u00ebsh llogaritet n\u00eb shum\u00ebn 16,210,741 lek\u00eb\u201d thuhet n\u00eb auditimin e KLSH.<\/span><\/p>\n

Sterilizimi<\/strong><\/span><\/p>\n

I nj\u00ebjti ndalet edhe tek nj\u00eb tjet\u00ebr koncesion i sh\u00ebndet\u00ebsis\u00eb dhe q\u00eb ka t\u00eb b\u00ebj\u00eb me setet kirurgjikal\u00eb. Audituesit kan\u00eb konstatuar se ka ndryshim nga viti n\u00eb vit t\u00eb instrumenteve t\u00eb setit p\u00ebr t\u00eb nj\u00ebjt\u00ebn nd\u00ebrhyrje nd\u00ebrkoh\u00eb q\u00eb ka klasifikime q\u00eb bien ndesh sa i takon kompleksitetit t\u00eb tyre duke mos ruajtur t\u00eb nj\u00ebjtin standard. P\u00ebr rrjedhoj\u00eb edhe faturimi p\u00ebr t\u00eb nj\u00ebjt\u00ebn nd\u00ebrhyrje ndryshon n\u00eb raste t\u00eb ndryshme.<\/span><\/p>\n

\u201cNga auditimi mbi zbatimin e kontrat\u00ebs koncesionare p\u00ebr sterilizimin, rezultoi se: \u2013 Nuk ekziston nj\u00eb protokoll i sakt\u00eb dhe i plot\u00eb i nd\u00ebrhyrjeve\/seteve, numri i seteve n\u00eb aneks kontrat\u00eb dhe faktit sipas diagnozave t\u00eb aplikuara, pasi ka nj\u00eb num\u00ebr shum\u00eb m\u00eb t\u00eb madh diagnozash\/nd\u00ebrhyje n\u00eb krahasim me numrin e seteve t\u00eb p\u00ebrdorura. N\u00eb skedar\u00ebt p\u00ebr p\u00ebrdorimin e seteve administruar nga DSHSU, jan\u00eb p\u00ebrshkruar dy rubrika ku n\u00eb nj\u00ebr\u00ebn sh\u00ebnohet diagnoza dhe n\u00eb tjetr\u00ebn lloji nd\u00ebrhyrjes.<\/em><\/span><\/p>\n

\u00cbsht\u00eb ndryshuar numri i instrumenteve n\u00eb m\u00ebnyr\u00eb t\u00eb pa argumentuar p\u00ebr disa prej seteve nga viti n\u00eb vit p\u00ebr t\u00eb nj\u00ebjt\u00ebn diagnoz\u00eb\/nd\u00ebrhyrje kirurgjikale. Konfigurimi i seteve dhe ndryshimi i kompleksiteteve ka sjell\u00eb v\u00ebshtir\u00ebsi n\u00eb monitorimin e kontrat\u00ebs\u201d <\/em>vler\u00ebson auditimi.<\/span><\/p>\n

I nj\u00ebjti sjell n\u00eb v\u00ebmendje se ka disa raste q\u00eb p\u00ebr t\u00eb nj\u00ebjtat nd\u00ebrhyrje\/sete jan\u00eb aplikuar 2 dhe\/ose 3 nivele t\u00eb ndryshme kompleksiteti, me pasoja n\u00eb financimin e kontrat\u00ebs p\u00ebr tavanin buxhetor p\u00ebrkat\u00ebs dhe kufizimin e nd\u00ebrhyrjeve p\u00ebr pacientet.<\/span><\/p>\n

\u201cGjithashtu nga p\u00ebrpunimi i t\u00eb dh\u00ebnave t\u00eb administruara p\u00ebr vitin 2021 konstatohet se p\u00ebr t\u00eb nj\u00ebjt\u00ebn nd\u00ebrhyrje kirurgjikale, t\u00eb realizuar n\u00eb t\u00eb nj\u00ebjtin spital apo spital tjet\u00ebr, faturimi kryhet sipas kompleksiteteve t\u00eb ndryshme, dhe p\u00ebr pasoj\u00eb \u00e7mime t\u00eb ndryshme. Kjo m\u00ebnyr\u00eb aplikimi e nivelit t\u00eb kompleksitetit gjat\u00eb zbatimit t\u00eb kontrat\u00ebs, shkakton pasoja financiare shtes\u00eb, krahasuar me efektin e p\u00ebrdorimit t\u00eb kompleksitetit m\u00eb t\u00eb ul\u00ebt t\u00eb mundsh\u00ebm, e lidhur kjo me \u00e7mimin p\u00ebrkat\u00ebs. N\u00eb k\u00ebt\u00eb kuad\u00ebr, kan\u00eb rezultuar 21,174 raste, n\u00eb t\u00eb cilat \u00ebsht\u00eb klasifikuar nd\u00ebrhyrja kirurgjikale si kompleksiteti i mes\u00ebm dhe p\u00ebr t\u00eb nj\u00ebjtat nd\u00ebrhyrje kirurgjikale, n\u00eb disa raste \u00ebsht\u00eb faturuar edhe si kompleksitet i lart\u00eb, si dhe jan\u00eb 4,725 raste n\u00eb t\u00eb cilat \u00ebsht\u00eb faturuar p\u00ebr kompleksitet t\u00eb lart\u00eb, megjith\u00ebse t\u00eb pakt\u00ebn nj\u00eb her\u00eb e nj\u00ebjta nd\u00ebrhyrje kirurgjikale \u00ebsht\u00eb faturuar si kompleksitet i mes\u00ebm.<\/em><\/span><\/p>\n

N\u00eb se p\u00ebr k\u00ebto nd\u00ebrhyrje do t\u00eb p\u00ebrdorej kompleksiteti i mes\u00ebm, do t\u00eb ulej financimi i k\u00ebsaj kontrate p\u00ebr 87,318,000 lek\u00eb me TVSH. Gjithashtu, n\u00eb total paraqiten 16,710 raste n\u00eb t\u00eb cilat \u00ebsht\u00eb klasifikuar nd\u00ebrhyrja kirurgjikale si kompleksiteti i ul\u00ebt dhe p\u00ebr t\u00eb nj\u00ebjtat nd\u00ebrhyrje kirurgjikale, n\u00eb disa raste \u00ebsht\u00eb faturuar edhe si kompleksitet i lart\u00eb apo kompleksitet i mes\u00ebm.<\/em><\/span><\/p>\n

Nga auditimi konstatohet se jan\u00eb 5,924 raste n\u00eb t\u00eb cilat \u00ebsht\u00eb faturuar p\u00ebr kompleksitet i lart\u00eb dhe 8,057 raste n\u00eb t\u00eb cilat \u00ebsht\u00eb faturuar p\u00ebr kompleksitet i mes\u00ebm megjith\u00ebse t\u00eb pakt\u00ebn nj\u00eb her\u00eb e nj\u00ebjta nd\u00ebrhyrje \u00ebsht\u00eb faturuar si kompleksitet i ul\u00ebt. N\u00eb se p\u00ebr k\u00ebto nd\u00ebrhyrje do t\u00eb p\u00ebrdorej niveli i ul\u00ebt i kompleksitetit, financimi k\u00ebsaj kontrate do t\u00eb ulej me vler\u00ebn 81,214,560 lek\u00eb me TVSH\u201d<\/em> argumentojn\u00eb audituesit e KLSH.\/N.Maho<\/span><\/p>\n

VINI RE<\/strong><\/span>: Ky material \u00ebsht\u00eb pron\u00ebsi intelektuale e Monitor<\/a><\/span><\/span><\/p>\n

 <\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

Kontrolli i Lart\u00eb i Shtetit (KLSH) ka konstatuar se edhe n\u00eb vitin 2021 me koncesionet e sh\u00ebndet\u00ebsis\u00eb ka vijuar problematika e pages\u00ebs s\u00eb sh\u00ebrbimeve t\u00eb pakryera apo faturave jo t\u00eb unifikuara n\u00eb rastet e nd\u00ebrhyrjeve t\u00eb ngjashme. Nj\u00eb auditim n\u00eb Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor ka nxjerr\u00eb n\u00eb pah se koncesioni i […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":51,"featured_media":412412,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[65,13],"tags":[],"class_list":["post-551795","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lajme","category-te-fundit"],"gt_translate_keys":[{"key":"link","format":"url"}],"_links":{"self":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/551795","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/users\/51"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/comments?post=551795"}],"version-history":[{"count":0,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/551795\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/media\/412412"}],"wp:attachment":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/media?parent=551795"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/categories?post=551795"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/tags?post=551795"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}