{"id":301848,"date":"2024-04-01T17:53:31","date_gmt":"2024-04-01T16:53:31","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=301848"},"modified":"2024-04-01T17:53:31","modified_gmt":"2024-04-01T16:53:31","slug":"ceska-republika-platba-za-komplexni-peci-se-zarucni-dobou-vzp-otestuje-pilotni-projekt-na-tep-a-v-kardiologii","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=301848","title":{"rendered":"\u010cESK\u00c1 REPUBLIKA: Platba za komplexn\u00ed p\u00e9\u010di se z\u00e1ru\u010dn\u00ed dobou. VZP otestuje pilotn\u00ed projekt na TEP a v kardiologii"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-201756 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\" alt=\"\" width=\"646\" height=\"223\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png 646w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo-300x104.png 300w\" sizes=\"(max-width: 646px) 100vw, 646px\" \/><\/p>\n<h6 class=\"-wm-MsoNormal\"><b>Platba za vyl\u00e9\u010den\u00ed, nikoli za l\u00e9\u010dbu. VZP \u010cR spou\u0161t\u00ed pilotn\u00ed projekt, v\u00a0n\u011bm\u017e bude za\u0159\u00edzen\u00edm hradit bal\u00ed\u010dkovou cenu s\u00a0bonifikac\u00ed za \u00fasp\u011b\u0161n\u011b ukon\u010den\u00fd l\u00e9\u010debn\u00fd proces. Ka\u017ed\u00fd pacient bude m\u00edt sv\u00e9ho koordin\u00e1tora p\u00e9\u010de, kter\u00fd mu formou individu\u00e1ln\u00edho pl\u00e1nu l\u00e9\u010dby usnadn\u00ed napl\u00e1nov\u00e1n\u00ed, objedn\u00e1n\u00ed a pr\u016fb\u011bh l\u00e9\u010dby. Budou stanoveny c\u00edle l\u00e9\u010dby, na jejich\u017e hodnocen\u00ed i hodnocen\u00ed kvality cel\u00e9ho l\u00e9\u010debn\u00e9ho procesu se bude pod\u00edlet tak\u00e9 p\u0159\u00edmo pacient. V\u00a0p\u0159\u00edpad\u011b vznikl\u00fdch komplikac\u00ed bude stanovenou cenu VZP poskytovateli kr\u00e1tit. Pro tento model \u00fahrady poji\u0161\u0165ovna vyu\u017eila zku\u0161enosti ze\u00a0zem\u00ed s\u00a0nejvy\u0161\u0161\u00ed kvalitou zdravotnictv\u00ed v\u010detn\u011b USA. V\u00a0\u010cesku zat\u00edm nikdy vyu\u017eit nebyl.<\/b><\/h6>\n<p class=\"-wm-MsoNormal\">Projekt VZP \u010cR otestuje v\u00a0druh\u00e9 polovin\u011b roku na implant\u00e1tech tot\u00e1ln\u00edch endoprot\u00e9z ky\u010dle a kolene, nebo na katetriza\u010dn\u00ed ablaci fibrilace s\u00edn\u00ed.<b>\u00a0<\/b>Bal\u00ed\u010dkov\u00e1 cena\u00a0<i>(z\u00a0angl. Bundled Payments for Care Improvement)<\/i>\u00a0v\u00a0p\u0159\u00edpad\u011b tot\u00e1ln\u00edch endoprot\u00e9z pokr\u00fdv\u00e1 poskytnutou zdravotn\u00ed p\u00e9\u010di v\u00a0r\u00e1mci l\u00e9\u010debn\u00e9ho cyklu po dobu 90 dn\u00ed od proveden\u00ed samotn\u00e9ho opera\u010dn\u00edho v\u00fdkonu. Zahrnuje jak n\u00e1klady na hospitalizaci v\u010detn\u011b opera\u010dn\u00edho v\u00fdkonu, tak i n\u00e1slednou l\u016f\u017ekovou a ambulantn\u00ed rehabilita\u010dn\u00ed p\u00e9\u010di. C\u00edlem je poskytnout pacientovi co nejlep\u0161\u00ed p\u00e9\u010di bez souvisej\u00edc\u00edch komplikac\u00ed. \u201e<i>Pokud by nap\u0159\u00edklad klient musel do dvou let absolvovat reoperaci u tot\u00e1ln\u00edch endoprot\u00e9z, bude z\u00a0poskytnut\u00e9 bal\u00ed\u010dkov\u00e9 ceny n\u00e1sledn\u011b ode\u010dtena p\u0159edem stanoven\u00e1 pau\u0161\u00e1ln\u00ed \u010d\u00e1stka,<\/i>\u201c \u0159\u00edk\u00e1 Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di. Obdobn\u011b je cena nastavena i v\u00a0p\u0159\u00edpad\u011b katetriza\u010dn\u00ed ablace fibrilace s\u00edn\u00ed, i v\u00a0tomto p\u0159\u00edpad\u011b zahrnuje n\u00e1klady spojen\u00e9 s hospitalizac\u00ed z\u00a0d\u016fvodu opera\u010dn\u00edho v\u00fdkonu ablace a n\u00e1slednou ambulantn\u00ed p\u00e9\u010di po dobu 90 dn\u00ed od operace.<\/p>\n<h6 class=\"-wm-MsoNormal\"><b>Individu\u00e1ln\u00ed pl\u00e1n l\u00e9\u010dby<\/b><\/h6>\n<p class=\"-wm-MsoNormal\">Ka\u017ed\u00fd pacient bude m\u00edt stanoven vlastn\u00ed pl\u00e1n l\u00e9\u010dby v\u00a0souladu s doporu\u010den\u00fdm klinick\u00fdm postupem, kter\u00fd bude zahrnovat jak p\u0159esn\u00fd \u010dasov\u00fd harmonogram souvisej\u00edc\u00ed se samotn\u00fdm z\u00e1krokem, tak i zaji\u0161t\u011bn\u00ed n\u00e1sledn\u00e9 p\u00e9\u010de jako nap\u0159. rehabilitac\u00ed, a\u0165 u\u017e p\u0159\u00edmo v dan\u00e9m\u00a0za\u0159\u00edzen\u00ed nebo objedn\u00e1n\u00edm k\u00a0jin\u00e9mu poskytovateli.\u00a0 Sou\u010d\u00e1st\u00ed pl\u00e1nu budou i jasn\u011b stanoven\u00e9 m\u011b\u0159iteln\u00e9 c\u00edle. V\u016fbec poprv\u00e9 se do jejich posouzen\u00ed zapoj\u00ed i samotn\u00fd pacient, kter\u00fd subjektivn\u011b posoud\u00ed kvalitu poskytnut\u00e9 p\u00e9\u010de, nap\u0159\u00edklad m\u00edru bolestivosti \u010di subjektivn\u00ed p\u0159\u00edznaky v p\u0159\u00edpad\u011b fibrilace s\u00edn\u00ed.<\/p>\n<h6 class=\"-wm-MsoNormal\"><b>Koordin\u00e1tor poskytovatele zdravotn\u00edch slu\u017eeb<\/b><\/h6>\n<p class=\"-wm-MsoNormal\"><i>\u201eP\u0159edpokladem rychl\u00e9ho vyl\u00e9\u010den\u00ed je spr\u00e1vn\u00e1 koordinace jednotliv\u00fdch \u00fakon\u016f a slu\u017eeb, o tom, kde a kdy budou poskytnuty, rozhoduje po dohod\u011b s pacientem koordin\u00e1tor poskytovatele zdravotn\u00edch slu\u017eeb, jen\u017e m\u00e1 v\u00a0tomto p\u0159\u00edpad\u011b z\u00e1sadn\u00ed roli<\/i>,\u201c vysv\u011btluje n\u00e1m\u011bstek Bodn\u00e1r. I v\u00a0tomto p\u0159\u00edpad\u011b v\u0161ak mus\u00ed b\u00fdt zachov\u00e1na mo\u017enost svobodn\u00e9 volby poskytovatele pacientem v\u00a0souladu s\u00a0platnou legislativou. V\u00a0p\u0159\u00edpad\u011b, \u017ee se pacient rozhodne doch\u00e1zet na kontroly \u010di na rehabilitaci do ambulance jin\u00e9ho poskytovatele, koordin\u00e1tor \u201epot\u0159ebn\u00e9 slu\u017eby objedn\u00e1\u201c a n\u00e1sledn\u011b cena za n\u011b bude ode\u010dtena z\u00a0hodnoty bal\u00ed\u010dku.<\/p>\n<h6 class=\"-wm-MsoNormal\"><b>Bonifikace za spokojen\u00e9ho pacienta<\/b><\/h6>\n<p class=\"-wm-MsoNormal\">Za \u00fasp\u011b\u0161n\u011b ukon\u010den\u00fd l\u00e9\u010debn\u00fd cyklus obdr\u017e\u00ed koordin\u00e1tor poskytovan\u00fdch zdravotn\u00edch slu\u017eeb bonifikaci. Jejich v\u00fd\u0161e se bude li\u0161it v\u00a0z\u00e1vislosti na spln\u011bn\u00ed p\u0159edem stanoven\u00fdch c\u00edl\u016f, jejich\u017e vyhodnocen\u00ed se bude \u00fa\u010dastnit pacient. Mezi kvalitativn\u00ed krit\u00e9ria bude za\u0159azena nap\u0159\u00edklad m\u00edra sn\u00ed\u017een\u00ed bolestivosti, zv\u00fd\u0161en\u00ed pohybov\u00e9 aktivity, \u010di pacientovy subjektivn\u00ed p\u0159\u00edznaky fibrilace s\u00edn\u00ed. VZP nep\u0159edpokl\u00e1d\u00e1 plo\u0161n\u00e9 zaveden\u00ed \u00fahrad formou bal\u00ed\u010dkov\u00fdch cen v\u00a0roce 2025. \u201e<i>Nicm\u00e9n\u011b v\u011b\u0159\u00edm, \u017ee poskytovatel\u00e9 zdravotn\u00ed p\u00e9\u010de budou cht\u00edt pacient\u016fm uk\u00e1zat, \u017ee na jejich pracovi\u0161t\u00edch se mohou spolehnout na kvalitn\u00ed a efektivn\u00ed l\u00e9\u010dbu, kter\u00e1 vede k\u00a0jejich uzdraven\u00ed,<\/i>\u201c doplnil Jan Bodn\u00e1r.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>(tz-vzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Platba za <\/p>\n","protected":false},"author":2,"featured_media":301850,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2024\/03\/25\/ram-vzp-platba.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/301848"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=301848"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/301848\/revisions"}],"predecessor-version":[{"id":301849,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/301848\/revisions\/301849"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/301850"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=301848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=301848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=301848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}