Decree No. 156 / 2015 Coll.
Ordinance on the conditions for the provision of health services by military providers, outpatient care branches for which an occupational soldier may exercise the freedom to choose a health service provider, and conditions for the organisation of the performance of tasks of military faculty hospitals (on the conditions for the provision of health services by military providers)
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Effective from 01.07.2015
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01.07.2015
29.06.2015
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156
DECLARATION
of 23 June 2015
on the conditions for the provision of health services by military providers, the fields of outpatient care for which an occupational soldier may exercise the freedom to choose a health service provider, and the conditions for the organisation of the performance of tasks of military faculty hospitals (on the conditions for the provision of health services by military providers)
According to § 94 (4) of Act No. 221 / 1999 Coll., on professional soldiers, as amended by Act No. 332 / 2014 Coll.:
Patient of military provider
(1) The military provider provides medical services in a medical facility set up by the Ministry to a patient who is:
(a) professional soldier,
(b) a soldier in reserve carrying out a military active duty (hereinafter referred to as "the soldier in reserve in service"),
(c) a pupil or a student of a school or school establishment set up by the Ministry (hereinafter referred to as "pupil or student");
(d) a student or participant in programmes for lifelong learning of a military university (hereinafter referred to as a "student of a military university"),
(e) a war veteran; or
(f) a soldier whose employment has ceased to exist because of the retirement age laid down by the Pension Insurance Act (1) or because of the condition of entitlement to an old-age pension under the Pension Insurance Act (2), provided that the soldier has reached the retirement age laid down by the Pension Insurance Act (1).
(2) On the basis of the choice of the health service provider and the medical establishment, the military health service provider shall also provide a public servant in the Ministry, a civil servant in the Administration Office under the responsibility of the Ministry, an employee included in the General Staff of the Army of the Czech Republic, the Military Police or Military Intelligence, a civil servant employed in the armed forces of the Czech Republic, staff in administrative offices under the responsibility of the Ministry of Employment and family members of professional soldiers.
(3) If this does not jeopardise the performance of the essential tasks of the military provider under other legislation3) or the provision of health care to patients referred to in paragraphs 1 and 2, the military provider may also provide health services to other persons.
Special conditions for the provision of health services by a military provider and the free choice of health service provider
(1) The Ministry and military providers for the provision of health services create conditions and ensure their organisational security taking into account:
(a) the specific status of the patient as referred to in § 1 (1), the place where the damage to his health and his rights and the obligations arising from his or her position in the performance of the tasks of the armed forces of the Czech Republic, or in preparation for their performance; and
(b) the types and forms of healthcare provided by military providers.
(2) If this is related to the performance of the tasks of the armed forces of the Czech Republic in foreign operations under international agreements, the military provider also provides health services outside the Czech Republic.
(3) An occupational soldier may use the free choice of the health service provider for dental care or gynecology and obstetrics.
(4) The Director of Military Intelligence designated by a member of Military Intelligence may also use the free choice of the health service provider for the registered health service provider (4), if this is necessary for the secrecy of his or her membership of Military Intelligence or for the confidentiality of the actual interests or objects of Military Intelligence.
Health facilities established by the Ministry
According to the types and forms of health care, military providers provide health services in healthcare establishments designated as:
a) Centre for Health Services,
(b) the Department of Air Rescue and Emergency Medicine,
(c) field hospitals;
(d) Specialised infectious hospital of the Department of Biological Protection,
(e) a military hospital,
f) Central Military Hospital - Military Faculty Hospital,
(g) Air Health Institute,
(h) Military rehabilitation institute;
(i) a military spa hospital,
(j) Military Health Institute;
k) Centre for Medical Material.
Special conditions for outpatient and bed care
(1) An outpatient care provider in the field of general medical practice is a registered military health service provider for a professional soldier, student or student.
(2) An occupational soldier may exercise the freedom of choice of the provider of health services and health care facilities under the Law on health services for dental services or gynecology and obstetrics.
(3) An outpatient care is provided to an occupational soldier and to a retired soldier by a military provider in a medical facility set up by the Ministry at the place of service or in a place where he is preparing to perform the tasks of the armed forces of the Czech Republic. If such a medical facility is not established, it provides outpatient care
(a) to a professional soldier, another provider of health services in the field of general medical practice under a contract for the provision of health services concluded with the Military Health Insurance Agency of the Czech Republic; or
(b) a back-up soldier who is a health service provider under an outpatient care contract concluded with a health insurance company to which the soldier is an undertaker.
(4) The military provider provides outpatient care
(a) a pupil or a student in a medical institution at the place of the school or school establishment; or
(b) a student of a military university at the place of its seat.
(5) The patient referred to in Article 1 (1), which is not listed in paragraphs 3 and 4 and to whom outpatient care is provided by a military provider, is responsible for providing such medical care to a military provider's medical facility at the place of residence.
(6) The military provider providing outpatient care in the field of general medical practice also provides a visitor service, taking into account the level of its personnel and material equipment.
(7) The military provider shall provide outpatient care to the professional seconded to the Ministry for the performance of its tasks in foreign operations at the place of performance of those tasks using the medical security system of the various military units and at the service bandage.
Assessment of temporary incapacity for work
(1) Temporary incapacity for work for a disease or accident service is assessed by a military registered provider with an occupational soldier; if the military provider has not taken up care of an occupational soldier for the purpose of providing primary care, the temporary incapacity for work for the service of an occupational soldier shall be assessed by another health service provider with whom the competent service body has concluded a health service contract under the Liaison Act (5).
(2) A temporary incapacity for work for a disease or accident in an occupational soldier, as determined by a doctor of a health service provider other than those referred to in paragraph 1, shall be notified by the service authority to the registrant immediately upon receipt of the information on its issue.
Provision of bed care
(1) If the illness or injury of a patient who is an occupational soldier, an outpatient, a pupil or a student or a student of a military university is not possible to diagnose, stabilize or treat in primary outpatient care, the attending medical worker of the military provider who provided outpatient care shall decide on his admission to a bed in the medical facility of the military bed care provider providing medical services in the required health care sector. If this is necessary to ensure urgent health care in the interests of the patient's health, or if a military provider is not authorised to provide health services in the required field, the attending medical worker of the military provider who provided outpatient care may also decide to receive the person according to the first sentence on the bed in the medical establishment of another bed care provider.
(2) The professional soldier is preferred to be admitted to a bed in a medical facility of a military bed care provider based in the place of residence of the soldier.
(3) In the event of life-threatening conditions, the patient referred to in paragraph 1 shall be transported to the target acute bed care provider by an exit group of the health care services.
Special conditions for the provision of occupational medical services
(1) Professional medical services are provided by military providers, in cooperation with the competent service bodies, represented by civil servants in the administrative departments of the Ministry of Justice, by heads of staff in the administrative offices of the Ministry of Employment and by the heads of the Ministry's organisational units, authorised to provide health services in the field of general practical medicine or in the field of occupational medicine.
(2) Regular supervision of the protection of health and protection against occupational diseases and accidents at the workplace of professional soldiers or of state and other staff included in the Ministry or other administrative office of the Ministry shall be provided by military providers of occupational medical services.
(3) An organisational unit of the military health service designated by the Minister of Defence, in cooperation with the Centre for Health Services, shall submit to the Ministry for approval the long-term concept of occupational medical services under the responsibility of the Ministry, based on the knowledge obtained in connection with the exercise of regular supervision in accordance with paragraph 2 and providing for the organisation of occupational medical services under the responsibility of the Ministry in a manner that uses their preventive nature to prevent the possible adverse effects of the working environment and working conditions on human health.
Medical assessment
(1) Assessment of the medical fitness of a soldier to perform a military active service is carried out by military doctors and board of departure and review in accordance with the legislation governing the medical assessments6).
(2) Assessment of medical fitness of military air personnel is carried out by military doctors and review board of the Institute of Air Health.
Medical Transport Service
(1) The military provider of the medical transport service, based on the decision of the treating medical worker of the military provider, provides
(a) the carriage of an occupational soldier, a reserve soldier, a pupil or a student or a student of a military university to a health service provider or to a health service provider and back to their own social environment, if necessary to ensure the provision of additional health services;
(b) carriage between military or contractual civil health establishments, if necessary to ensure the provision of health services for a patient registered by a military provider or, where justified, for another person who, for a sudden deterioration of the state of health or accident, has sought or is provided with medical care by a military provider under another legislature7); or
(c) the rapid transport of a military provider's medical worker to provide urgent care to another military provider or other health service provider.
(2) The military provider of the health transport service also provides transport of a sick or injured professional soldier, if this is necessary to ensure the continued provision of health services in connection with the performance of his tasks in a foreign operation or with his transfer from a foreign operation to ensure subsequent bed or other appropriate health care in the Czech Republic.
Health Services Centre
(1) The Centre for Health Services is a health facility of military health service providers in the field of general practical medicine, dental medicine and physiatry. The Centre for Health Services includes the workplaces of the service bandages which are established as an organisational part of the regiment, battalion or section of the military department and which are staffed and factually equipped to provide urgent and acute care at the site of the injury.
(2) The Centre for Health Services in particular
(a) provide primary outpatient care, and, if provided in substance and staffing, also visiting and dental health care;
(b) provide stationary bed care;
c) carry out the tasks arising out of the international treaties by which the Czech Republic is bound, concerning the provision of health support for alliance units in the Czech Republic;
(d) provides occupational medical services;
(e) provide advice to the Ministry on health and protection against occupational diseases and accidents at work,
(f) assess the medical fitness of an occupational soldier for active duty;
g) Involved in medical security of the preparation of the armed forces of the Czech Republic by providing professional first aid and emergency care, mainly through the use of service bandages,
(h) involved in the training of military doctors and other military health professionals.
(3) The Centre for Health Services, using the professional forces and resources of the service bandage
(a) allow health professionals to increase their qualifications and professional flares at other sites of military providers providing primary outpatient care or pre-hospital emergency care;
(b) involved in providing health services at the Centre for Health Services;
(c) during emergency situations, ensure the sorting of the injured and the sick according to the degree of disability and carry out the necessary steps to stabilise their health until they are transferred to the target health service provider;
d) Involved in medical training and training of the armed forces of the Czech Republic by providing professional first aid;
(e) participate in the preparation of professional soldiers and, where appropriate, other persons to provide first aid.
(4) In particular, health care is provided to the professional soldier in the performance of his duties in military operations and other persons after the crisis has arisen, with the assistance of the armed forces of the Czech Republic being requested to deal with the consequences of which 8).
(5) The status of the Health Services Centre also includes medical facilities of military providers included in Military Intelligence providing medical services in the field of general medical practice, dental medicine and physiology.
Air Rescue and Emergency Medicine Department
(1) The Department of Air Rescue and Emergency Medicine is a medical facility of a military medical emergency service provider, which includes the departure base of an air raid group of medical emergency services.
(2) The Department of Air Rescue and Emergency Medicine in particular
(a) ensure the provision of pre-hospital emergency care to a person with serious health disabilities or in direct danger of life at the place of origin of an event which aims to restore or stabilise their essential functions;
(b) ensure the provision of continuous health care and continuous monitoring of the patient's basic life-signs during transport to the target provider of acute bed care, until the patient is transferred to the target provider of acute bed care;
(c) ensure the carriage of the patient by aircraft between providers of emergency bed care under conditions of continuous provision of urgent care during transport, provided that there is a risk of delay and that transport cannot be otherwise ensured;
(d) at the request of the authorised person, it provides air health services, provided that it is necessary to ensure the provision of health services in connection with the performance of tasks in foreign operations or of air transport from foreign operations to ensure subsequent bed or other appropriate health care in the territory of the Czech Republic, unless the transport cannot be otherwise ensured,
e) Involved in medical security of training and medical training of the armed forces of the Czech Republic;
(f) participate in the continuing training of doctors and other healthcare professionals in pre-hospital emergency care and in the issue of the classification of people affected by health according to the professional aspects of emergency medicine in the mass involvement of people as a result of emergencies or emergency situations.
(3) The Department of Air Rescue and Emergency Medicine provides military medical staff to an air travel group to perform the tasks of the Army of the Czech Republic under the Armed Forces Act 9); aircraft are provided by the Czech Army.
(4) The flight exit groups of the departure base of the Air Rescue Service and Emergency Medicine Department may be integrated into the exit bases of the health rescue service providers under the conditions laid down by the Health Rescue Service Act (10).
Field Hospital
(1) The field hospital is a military mobile health facility of military providers outpatient, specialised outpatient, one-day and berth care, designed to provide health services to a professional soldier at the place of performance of his duties, especially in a foreign operation, or after declaring a crisis situation in the Czech Republic and others.
(2) In particular, field hospitals
a) provides primary outpatient care, specialised outpatient care and acute bed care intensive and standard;
(b) perform the tasks arising from the international treaties by which the Czech Republic is bound.
Specialised infectious hospital of the Department of Biological Protection
(1) A specialised biosecurity infectious hospital is a health facility that allows patients with infectious diseases to provide health services in isolation11) or in an individual quarantine measures treatment regime (12).
(2) In order to protect and promote public health, the Specialised Infectious Hospital provides the Department of Biological Protection with intensive and standard care for persons with a highly dangerous disease (13), in order to ensure diagnostic, dispensary and medical care.
(3) The specialised infectious hospital of the Department of Biological Protection provides in particular:
(a) diagnostic care and anti-epidemic security of the armed forces of the Czech Republic after returning from a foreign operation in an epidemiological risk area;
(b) isolation and bed care under quarantine measures to a person with a highly dangerous disease;
(c) the isolation of a person who has become ill with an infectious disease or shows signs of such a disease, in accordance with the provisions of the Ministry of Health adopted on the basis of tasks arising from international public health agreements and from the International Health Code;
(d) an advance of beds for the admission of persons with a highly dangerous disease to bed care in the event of exhaustion of the capacity of the Centre of Highly Dangerous Diseases Clinic Infectious, Parasitic and Tropical Diseases Hospital in Bulovka,
(e) professional training and theoretical training of professional soldiers, health professionals of non-military health service providers and foreign specialists.
(4) Under the responsibility of the Ministry (14), the Specialised Infectious Hospital of the Biological Protection Department may carry out research or development activities related to its essential tasks, in particular in the field of detection and identification of biological agents.
Military Hospital
(1) The military hospital is a medical facility for military outpatient, overnight and bed care providers.
(2) Military hospital in particular
a) provides primary outpatient care, specialised outpatient care, acute bed care, intensive and standard and subsequent and long-term bed care;
(b) provide assessment, medical assessments and occupational medical services;
(c) participate in further training of doctors and other healthcare professionals of military providers;
(d) carry out the tasks arising from the international treaties by which the Czech Republic is bound.
(3) Under the authority of the Minister14), a military hospital may carry out research or development activities related to its basic tasks.
Central Military Hospital - Military Faculty Hospital
(1) Central Military Hospital - Military Faculty Hospital is a military hospital providing medical services pursuant to § 14.
(2) Clinical and practical training of students of medical faculties of universities, research and development activities, specialist training of doctors and training of other healthcare professionals is carried out at the professional offices of the Central Military Hospital - Military Faculty Hospital.
(3) The clinical and practical teaching and research and development activities referred to in paragraph 2 are carried out by the Central Military Hospital - Military Faculty Hospital under a contract concluded with the relevant university; the contract provides in particular for the scope, structure and staffing of clinical and practical teaching, the conditions for providing health services, mutual cooperation in research and development activities and the level of reimbursement of the costs associated with such activities.
(4) Central Military Hospital - Military Faculty Hospital performs the tasks of the Central Information and Logistics Center of the System of Blood Distribution, Transfusal Products and Blood Derivatives in the Czech Republic for the needs of civil and military health in the event of mass emergency income of persons affected by health in the event of a state of threat or a state of war, a state of emergency in which a mass emergency income of people affected by health has occurred, or an emergency event of a second or higher level of alarm according to the relevant integrated rescue system alarm plan.
Air Health Institute
(1) The Institute of Air Health is a medical facility for military providers of specialised outpatient health care and specific health services provided to military and civil aviation personnel in the field of aviation medicine.
(2) The Institute of Air Health provides specific health services to people whose service or work requires an assessment of specific medical fitness under another legislation15).
(3) The Institute of Air Health provides specific health services to persons for whom medical fitness for military active duty is assessed, provided that the assessment or review board requests further technical examinations due to the impossibility of establishing precisely the health status of the person under assessment on the basis of his own professional activity.
(4) The Institute of Air Health also provides in particular:
(a) assessment of the medical fitness of air personnel or persons referred to in paragraph 2;
(b) occupational medical services;
(c) continuing training of physicians and other medical professionals in aviation medicine and hyperbaric medicine;
(d) undergraduate training and training activities for a student of a military university, military and civil air staff, flight traffic control personnel, paratroopers and divers;
(e) expert activities aimed at examining and clarifying the causes of accidents and preventing them;
(f) medical services in the field of aviation medicine resulting from international agreements which bind the Czech Republic.
(4) Under the authority of the Ministry (14), the Institute of Air Health may undertake research or development activities related to its basic tasks.
Military rehabilitation institute
(1) The Military Rehabilitation Institute is a medical facility for military providers providing medical rehabilitation care, which also includes the setting of a set of individual measures to prevent or promote the possible harm to the patient, stabilising the patient's health status, or minimising the potential risks to health, including recommendations for lifestyle adjustment.
(2) The Military Rehabilitation Institute provides:
(a) comprehensive rehabilitation care for accidents and diseases under another legislation (16);
(b) preventive rehabilitation care and emergency rehabilitation care (17) to professional soldiers.
Military Spa Hospital
(1) Military Spa Hospital is a medical facility of military providers providing medical rehabilitation care in places which allow the use of natural medical resources or climatic conditions favourable to the treatment under the spa law.
(2) Military spa hospitals provide
(a) spa rehabilitation care after accidents and diseases (18);
(b) preventive programmes of healthy lifestyle for professional soldiers;
(c) preventive rehabilitation care and emergency rehabilitation care (17) to professional soldiers.
Military Health Institute
(1) The Military Health Institute is a medical facility for military providers intended to carry out activities related to the protection and promotion of public health at the workplace of the armed forces of the Czech Republic, administrative offices under the responsibility of the Ministry, General Staff of the Army of the Czech Republic, Military Police and Military Intelligence.
(2) In particular, the Military Health Institute ensures:
(a) sanitary and anti-epidemic security of professional soldiers in the performance of tasks on or outside the territory of the Czech Republic in the performance of the tasks of the armed forces of the Czech Republic in foreign operations;
(b) the performance of tasks related to the performance of public administration on the public health protection agenda in the field of epidemiology, community hygiene, nutrition hygiene, work hygiene and protection against non-ionising radiation;
(c) the performance of the Ministry's tasks under the atomic law;
(d) microbiological and chemical investigation of drinking water from military and public water sources, microbiological laboratory diagnostics for epidemiological purposes and laboratory tests, measurements and tests for hygienic purposes;
(e) carrying out expert and research tasks in the fields of hygiene, epidemiology and microbiology;
(f) the performance of tasks related to the protection of professional soldiers against biological weapons and other biological resources (hereinafter referred to as "biological weapons") in the performance of their tasks within or outside the territory of the Czech Republic in the performance of the tasks of the armed forces of the Czech Republic in foreign operations,
1. detection of biological weapons,
2. identification of biological weapons,
3. prophylaxis of biological weapons,
4. preventive and repressive anti-epidemic measures against the use of biological weapons,
5. transport of persons affected by health,
6. hospitalisation and isolation of patients and of suspected persons,
(g) the allocation of mobile biological teams to deal with events subject to international health regulations and other situations associated with the occurrence of highly dangerous diseases on the territory of the Czech Republic, at the request of the Ministry of Health or for the performance of the tasks of the Integrated Rescue System;
h) performance of tasks in the field of biological protection and preventive medicine resulting from membership of the Czech Republic in NATO, or from international agreements with which the Czech Republic is bound.
(3) The Military Health Institute is the operator of the Serum Bank of the Czech Army.
(4) The Military Health Institute is the vaccination centre of the Army of the Czech Republic, which is carried out by
(a) specific and exceptional vaccination of patients in accordance with § 1 (1) and (2);
b) vaccination of professional soldiers and other persons sent to perform the tasks of the armed forces of the Czech Republic in foreign operations.
(5) The Military Health Institute performs the tasks of the Centre for Drug Epidemiology of the Army of the Czech Republic, whose tasks include primarily monitoring of the state of possible abuse of addictive substances among soldiers in active service or of state or other staff assigned to administrative offices under the Ministry. In order to evaluate this condition and take effective measures to eliminate or prevent detected negative phenomena, the Military Health Institute shall keep a record of the drug epidemiology in which it processes aggregated data in the various areas of the drug epidemiology of the Czech Army. The providers of data processed in the history of drug epidemiology are military providers and under an agreement concluded with the Ministry of Military Health Insurance of the Czech Republic; data transmitted to the Military Health Institute in the history of drug epidemiology shall be provided in anonymised form.
(6) The Military Health Institute uses epidemiological data to evaluate the health status of professional soldiers and to assess the epidemiological situation in the Czech Army, which it processes in aggregated form in the information system of preventive medicine; the source of these anonymized data is military providers, or on the basis of an agreement concluded with the Ministry of Military Health Insurance of the Czech Republic.
Centre for Medical Material
Centre for Medical Material
(a) is a medical facility intended for the supply and control of military medicinal products, medicinal products, medical materials and medical devices;
(b) involved in the control of the handling of medicines and medical devices by military providers;
(c) to supply veterinary medicinal products, medicinal products, medical materials and medical devices intended for veterinary care providers in the workplace and in the services of the armed forces of the Czech Republic providing animal health and protection;
(d) is intended for purchase, storage, control of the state of supply and quality of the medicaments and medical devices distributed specifically used by military providers and for carrying out tests for their drug stability;
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Regulation Information
| Citation | Decree No. 156 / 2015 Coll., on the terms of the provision of health services by military providers, the fields of outpatient care for which an occupational soldier can exercise the freedom to choose the health service provider, and the conditions of organisation of the performance of tasks of military faculty hospitals (on the terms of the provision of health services by military providers) |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 29.06.2015 |
|---|---|
| Effective from | 01.07.2015 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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