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Shëndeti

Autonomy, Koçiu: Hospitals, managerial and financial self-administration for increasing the quality of health services

Autonomy, Koçiu: Hospitals, managerial and financial self-administration

Hospital Autonomy has been extended to 4 more hospitals, giving them the opportunity to be financially self-administered.

So far, the first 5 Managerial Autonomy cards have been given to 5 hospitals, to QSUNT, to the Regional Hospital of Vlora, to the Regional Hospital of Durrës and that of Shkodra, under the footsteps of Memorial Hospital, as Memorial Hospital was the first to start this managerial autonomy.

The Minister of Health and Social Protection, Albana Koçiu, said in a television interview that the 5 hospitals will be supervised for two years and after two years the application of financial autonomy will begin.

"Hospital autonomy is one of those challenges, it really starts today, but it doesn't end tomorrow. It will take its time. However, I would like to leave a mark on this journey of mine", said the minister, describing it as one of her challenges at the head of the Ministry of Health and Social Protection.

The hospital autonomy, she emphasized, through a Management Board, will be able to provide and finance its own services independently, based on some performance indicators, not taking decision-making for any administrative action from the ministry.

"Even in time management and in making decisions, but also in providing services, giving opportunities while there is competition from hospital to hospital to absorb the best doctors, to offer more services, more quality and to have a self-management of the internal system of services it offers", said Koçiu.

The Minister pointed out that so far the first 5 Managerial Autonomy cards have been given to 5 hospitals, to QSUNT, to the Regional Hospital of Vlora, to the Regional Hospital of Durrës and Shkodra, under the footsteps of the Memorial Hospital, as the Memorial Hospital was the first that started managerial autonomy.

Today, as we speak, the minister continued, the Memorial Hospital has started practicing double practice.

"Dual practice is an interesting initiative that supports doctors to work in public hospital structures. The citizen will be able to choose the doctor he wants from that hospital structure and make a consultation with him in the same premises against an extra fee. We want to follow the footsteps of this experience and extend it to the other 4 hospitals that have received the management card", she said.

Koçiu clarified that these hospital structures "will be supervised for two years and after two years the application of financial autonomy will begin. They will no longer be paid on the basis of historical budgets, but they will be paid on the basis of performance indicators, based on the services performed, the quality of those services".

During the interview, the minister also focused on the infrastructure in public hospitals.
"The infrastructure of public hospitals, I would modestly say that today is better than that of private structures. Of course, in terms of providing the service, the way of communication and treatment of patients, we still have challenges and it will be necessary to work in this direction even more", stated Koçiu.

The minister explained that Autonomy has a positive impact also in terms of shortening time and procedures, as well as avoiding bureaucracies.

"These hospitals become more autonomous and independent in their way of management. More independent procedures to operate, to provide faster solutions and not to do bureaucracy, while we are talking about a vital service that does not wait for the administrative procedures to be completed", she emphasized.