{"id":804477,"date":"2026-06-03T12:25:43","date_gmt":"2026-06-03T10:25:43","guid":{"rendered":"https:\/\/www.hashtag.al\/?p=804477"},"modified":"2026-06-03T12:25:43","modified_gmt":"2026-06-03T10:25:43","slug":"projekti-i-shendetesise-bb-ben-bilancin-nga-rrezimi-i-reformes-se-financimit-te-digjitalizimi","status":"publish","type":"post","link":"https:\/\/www.hashtag.al\/index.php\/2026\/06\/03\/projekti-i-shendetesise-bb-ben-bilancin-nga-rrezimi-i-reformes-se-financimit-te-digjitalizimi\/","title":{"rendered":"Projekti i sh\u00ebndet\u00ebsis\u00eb, BB b\u00ebn bilancin: Nga \u201crr\u00ebzimi\u201d i reform\u00ebs s\u00eb financimit te digjitalizimi","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

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

Projekti i Bank\u00ebs Bot\u00ebrore p\u00ebr p\u00ebrmir\u00ebsimin e sistemit sh\u00ebndet\u00ebsor n\u00eb Shqip\u00ebri, i cili zgjati m\u00eb shum\u00eb se nj\u00eb dekad\u00eb, p\u00ebrfundoi me rehabilitimin e infrastruktur\u00ebs spitalore dhe vendosjen e sistemeve dixhitale, por pa realizuar reform\u00ebn kryesore t\u00eb parashikuar fillimisht q\u00eb lidhej me ndryshimin e m\u00ebnyr\u00ebs s\u00eb financimit t\u00eb sektorit.<\/span><\/p>\n

N\u00eb raportin p\u00ebrfundimtar, Banka Bot\u00ebrore identifikon si problemin kryesor munges\u00ebn e kushteve institucionale p\u00ebr zbatimin e reformave komplekse. Sipas raportit, \u201cKomponenti 3 u hoq p\u00ebr shkak t\u00eb kompleksitetit t\u00eb tepruar t\u00eb reformave t\u00eb tij\u201d, duke iu referuar reform\u00ebs s\u00eb pagesave ndaj ofruesve t\u00eb sh\u00ebrbimeve dhe reform\u00ebs farmaceutike.<\/span><\/p>\n

Dokumenti thot\u00eb se komponenti ishte projektuar \u201cpa kushtet e nevojshme mund\u00ebsuese\u201d, nd\u00ebrsa zbatimi u pengua nga \u201ckapaciteti i dob\u00ebt institucional\u201d, \u201clidershipi i paq\u00ebndruesh\u00ebm\u201d dhe nj\u00eb mjedis \u201cpolitikisht rezistent\u201d brenda Fondit t\u00eb Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor.<\/span><\/p>\n

Deri n\u00eb ristrukturimin e par\u00eb, n\u00eb fund t\u00eb vitit 2018, t\u00eb gjith\u00eb treguesit e lidhur me reform\u00ebn e financimit kishin mbetur n\u00eb nivelin baz\u00eb, duke \u00e7uar n\u00eb \u201celiminimin e t\u00eb gjith\u00eb komponentit\u201d.<\/span><\/p>\n

Ky vendim erdhi n\u00eb nj\u00eb moment kur projekti kishte realizuar vet\u00ebm 10% t\u00eb disbursimeve, m\u00eb shum\u00eb se tre vjet pas miratimit.<\/span><\/p>\n

Banka Bot\u00ebrore thot\u00eb se ristrukturimi i vitit 2018 synoi t\u00eb \u201cthjeshtonte nj\u00eb dizajn tep\u00ebr ambicioz\u201d, nd\u00ebrsa fokusi u zhvendos nga reformat institucionale drejt ngritjes s\u00eb kapaciteteve baz\u00eb.<\/span><\/p>\n

Projekti u miratua n\u00eb janar 2015 dhe duhej t\u00eb mbyllej n\u00eb shkurt 2021. Ai u shty kat\u00ebr her\u00eb dhe p\u00ebrfundoi vet\u00ebm n\u00eb shtator 2025, pas nj\u00eb periudhe zbatimi prej \u201c10 vjet\u00ebsh dhe 7 muajsh\u201d.<\/span><\/p>\n

Megjith\u00ebse reforma e financimit u braktis, projekti realizoi nj\u00eb pjes\u00eb t\u00eb investimeve n\u00eb dixhitalizim.<\/span><\/p>\n

Sistemi Rajonal i Informacionit Spitalor u vendos n\u00eb 11 spitalet rajonale. Raporti thot\u00eb se sistemi \u201cu krijua dhe ishte funksional\u201d, por p\u00ebrdorimi mbeti n\u00ebn objektiv.<\/span><\/p>\n

Regjistrimi elektronik i pacient\u00ebve arriti n\u00eb 37.75%, kundrejt objektivit prej 40%. Banka e vler\u00ebson k\u00ebt\u00eb tregues si \u201cpothuajse t\u00eb arritur\u201d, nd\u00ebrsa thekson se t\u00eb dh\u00ebnat ishin t\u00eb disponueshme vet\u00ebm p\u00ebr kat\u00ebr spitale. Nj\u00eb tjet\u00ebr problem i evidentuar lidhet me prokurimet.<\/span><\/p>\n

Raporti p\u00ebrmend \u201cvonesa fillestare nga planifikimi dhe koordinimi i dob\u00ebt\u201d. Hospital Masterplan d\u00ebshtoi t\u00eb prokurohej tre her\u00eb mes viteve 2016 dhe 2018 p\u00ebr shkak t\u00eb \u201cbuxhetit t\u00eb pamjaftuesh\u00ebm\u201d dhe termave t\u00eb referenc\u00ebs jo t\u00eb p\u00ebrshtatsh\u00ebm.<\/span><\/p>\n

Edhe tenderi p\u00ebr sistemin RHIS u p\u00ebrball me vonesa. Procedura nisi n\u00eb vitin 2019, kontrata u n\u00ebnshkrua vet\u00ebm n\u00eb mars 2021 dhe sistemi u b\u00eb plot\u00ebsisht operacional n\u00eb t\u00eb 11 spitalet vet\u00ebm n\u00eb vitin 2025.<\/span><\/p>\n

N\u00eb p\u00ebrfundim, Banka Bot\u00ebrore e vler\u00ebson rezultatin e p\u00ebrgjithsh\u00ebm t\u00eb projektit si \u201cmesatarisht t\u00eb k\u00ebnaqsh\u00ebm\u201d, nd\u00ebrsa cil\u00ebsin\u00eb e monitorimit dhe vler\u00ebsimit si \u201cmodeste\u201d.<\/span><\/p>\n

Raporti vler\u00ebson se n\u00eb vazhdim \u201ckomponent\u00ebt e m\u00ebdhenj t\u00eb reform\u00ebs duhet t\u00eb paraprihen nga nj\u00eb vler\u00ebsim i ekonomis\u00eb politike dhe gatishm\u00ebris\u00eb institucionale\u201d.<\/span><\/p>\n

T\u00eb dh\u00ebna p\u00ebr projektin<\/span><\/p>\n

Projekti i Bank\u00ebs Bot\u00ebrore p\u00ebr p\u00ebrmir\u00ebsimin e sistemit sh\u00ebndet\u00ebsor n\u00eb Shqip\u00ebri u miratua n\u00eb janar 2015, me nj\u00eb financim fillestar prej 32.1 milion\u00eb eurosh, dhe m\u00eb pas u zgjerua me 25 milion\u00eb euro financim shtes\u00eb, duke e \u00e7uar vler\u00ebn e rishikuar n\u00eb 57.1 milion\u00eb euro.<\/span><\/p>\n

Ai ishte konceptuar mbi kat\u00ebr shtylla kryesore: p\u00ebrmir\u00ebsimin e sh\u00ebrbimeve dhe infrastruktur\u00ebs spitalore, zgjerimin e sistemeve t\u00eb informacionit sh\u00ebndet\u00ebsor, reform\u00ebn e financimit t\u00eb sektorit dhe menaxhimin e monitorimin e projektit.<\/span><\/p>\n

I planifikuar fillimisht t\u00eb mbyllej m\u00eb 28 shkurt 2021, projekti u shty kat\u00ebr her\u00eb dhe p\u00ebrfundoi m\u00eb 30 shtator 2025. Sipas raportit, zbatimi zgjati gjithsej 127 muaj, ose \u201c10 vjet dhe 7 muaj\u201d, me shtyrje kumulative prej 55 muajsh.<\/span><\/p>\n

Kostoja faktike e projektit arriti n\u00eb 54.68 milion\u00eb euro. Komponenti m\u00eb i ndjesh\u00ebm, reforma e financimit sh\u00ebndet\u00ebsor, u hoq gjat\u00eb zbatimit, pasi sipas raportit ishte projektuar \u201cpa kushtet e nevojshme mund\u00ebsuese\u201d.\/<\/span>Monitor<\/em><\/span><\/a><\/span><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

Projekti i Bank\u00ebs Bot\u00ebrore p\u00ebr p\u00ebrmir\u00ebsimin e sistemit sh\u00ebndet\u00ebsor n\u00eb Shqip\u00ebri, i cili zgjati m\u00eb shum\u00eb se nj\u00eb dekad\u00eb, p\u00ebrfundoi me rehabilitimin e infrastruktur\u00ebs spitalore dhe vendosjen e sistemeve dixhitale, por pa realizuar reform\u00ebn kryesore t\u00eb parashikuar fillimisht q\u00eb lidhej me ndryshimin e m\u00ebnyr\u00ebs s\u00eb financimit t\u00eb sektorit. N\u00eb raportin p\u00ebrfundimtar, Banka Bot\u00ebrore identifikon si […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":49,"featured_media":804478,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[65],"tags":[],"class_list":["post-804477","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lajme"],"gt_translate_keys":[{"key":"link","format":"url"}],"_links":{"self":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/804477","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\/49"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/comments?post=804477"}],"version-history":[{"count":99999,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/804477\/revisions"}],"predecessor-version":[{"id":804479,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/804477\/revisions\/804479"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/media\/804478"}],"wp:attachment":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/media?parent=804477"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/categories?post=804477"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/tags?post=804477"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}