Employers of Poland negatively assess the draft of a regulation by the Chairman of NFZ regarding the evaluation criteria for healthcare service contracts. We think that work on it should be discontinued, as it is simply redundant. Moreover, removing points for ISO certification may lower the quality of healthcare.
First and foremost, working on the draft when the act which came in force on January 1st involves amending the contracts for another year – that is, until mid-2017. The Ministry needs this time to establish new criteria for contracts, including new criteria for evaluating offers. Therefore, working on a draft which significantly changes these criteria is pointless and irrational.
The draft focuses on three areas: eliminating the points for ISO certificates from the list of evaluation criteria, introducing additional points for cooperation with the Agency for Health Technology Assessment and Tariff System, as well as introducing bonus point for entities which evaluate their patients satisfaction with the medical services they provide.
All three changes are unacceptable in their current form. The removal of points for ISO certificates may result in a significant drop in the quality of services provided by medical entities – as the standards I management, personal data security or food quality. The decision to disregard these norms is also inconsistent with the policy hitherto adopted by NFZ. Compliance with them generated significant costs and required organizational efforts on the part of medical service providers.
We believe that the idea of evaluating patient satisfaction is appropriate and worth implementing in principle, but not in the form included in the draft. In the opinion of Employers of Poland, this regulation is extremely unclear, as no standards are specified (there in no unified survey form). The stage of the patients’ contacts with service providers when the evaluation would take place is also ambiguous.
We also believe that the regulation awarding additional points for cooperation with the Agency for Health Technology Assessment and Tariff System is imprecise. The assessment should focus on readiness to cooperate with the agency, rather than not the actual realization of the contract – which is subject to payment anyway.
Moreover, accepting drafts which would come into force retrospectively – the new regulation is to come into force on January 1st, while consultations ended on January 7th – is unacceptable.
In the opinion of Employers of Poland, ISO certificates should return among the criteria for evaluating healthcare offers. The number of points awarded for quality should be kept as it was before, while more points should be available for the verification by Ministry of Health.
Andrzej Mądrala, Vicepresident of Employers of Poland