Decree No. 269 / 2019 Coll.

Decree amending Decree No. 134 / 1998 Coll., which publishes a list of health performance with points, as amended

Valid Effective from 01.01.2020
Text versions: 01.01.2021 01.01.2020 29.10.2019
Contents
Čl. I Čl. II
269
DECLARATION
of 18 October 2019
amending Decree No. 134 / 1998 Coll., issuing a list of health performance with points, as amended
According to Article 17 (4) of Act No. 48 / 1997 Coll., on Public Health Insurance and on the amendment and addition of certain related laws, as amended by Act No. 245 / 2006 Coll., Act No. 261 / 2007 Coll., Act No. 298 / 2011 Coll., Act No. 369 / 2011 Coll., the Constitutional Court's finding, published under Act No. 238 / 2013 Coll., and Act No. 200 / 2015 Coll.:
Čl. I
Annex to Decree No. 134 / 1998 Coll., which publishes the list of health performance with point values, as amended by Decree No. 55 / 2000 Coll., Decree No. 135 / 2000 Coll., Decree No. 449 / 2000 Coll., Decree No. 350 / 2002 Coll., Decree No. 291 / 2002 Coll., Decree No. 493 / 2005 Coll., Decree No. 620 / 2006 Coll., Decree No. 331 / 2007 Coll., Decree No. 439 / 2008 Coll., Decree No. 467 / 2012 Coll., Decree No. 472 / 2013 Coll., Decree No. 497 / 2010 Coll., Decree No. 411 / 2011 Coll., Decree No. 467 / 2012 Coll., Decree No. 467 / 2012 Coll., Decree No. 467 / 2012 Coll., amended by Decree No. 238 / 2013 Coll.
1. In the Annex to Chapter 2, point 6.5 is inserted after point 6.4:
"6.5 Indices for home care provision
For performance bearers - non-medical health professionals providing health care in the patient's own social environment within the scope of expertise 925 - home care are determined three stages of the wage index. They're:
1. Index 1 - Performance performance is consistent with the qualifications of a healthcare professional qualified to pursue a professional profession (ZPOD) - symbol D1, index value 1,08.
2. Index 2 - Performance intensity corresponds to the qualifications of a health professional qualified to perform a health profession without professional supervision (ZPBD) - symbol D2, index value 1,8.
3. Index 3 - Performance performance is consistent with the qualifications of a healthcare professional qualified to pursue a medical profession without professional supervision with specialised competence in the relevant field (ZPBD) or special competence - symbol D3, index value 2,25. '
Point 6.5 is renumbered as point 6.6.
2. In the Annex to Chapter 2, point 6.6, at the end of the text of the first sentence, the words "for power holders D1, D2 and D3 shall be fixed at 1,9602 points';
3. In the Annex to Chapter 2, point 9.2, the words "a psychiatrist or a clinical psychologist 'shall be inserted in the first sentence after the words" a psychiatrist or a clinical psychologist' and the words "except a psychiatrist or a clinical psychologist 'shall be added at the end of the text of the last sentence.
4. In the Annex to Chapter 2, point 9.3 reads:
"9.3. Visiting a physiotherapist, general nurses, psychiatric care nurses, children nurses and midwives
Visiting a physiotherapist, general nurses, psychiatric care nurses, children's nurses and midwives are shown to perform copyright 902, 911, 914, 921 and 925.
A visit to a general nurse, physiotherapist, psychiatric care nurse, pediatric nurse and midwife shall be reported on the basis of a written indication from the attending physician.
Proceedings Nos 06135 and 06645 may be reported together with the performance performed only if it has been performed on the basis of a written indication from the treating physician. This indication always contains the date and time of execution in this case.
Proceedings Nos 06137 and 06649 may be reported together with the performance performed only if performed on the basis of a written indication from the treating physician. This indication in this case always contains the date of performance. '
5. In the Annex to Chapter 4, point 43, first sentence, the word "general 'shall be inserted after the word" report'.
6. In the Annex to Chapter 4, point 43.2, the word "general 'shall be inserted after the word" implemented'.
7. In the Annex to Chapter 4, point 43.2, in power title No 06141, the word "general 'is inserted after the word" dialysis'.
8. In the Annex to Chapter 4, point 44 reads as follows:
"44.913 - SAFETY SUPPORT IN SOCIAL SERVICES
Nursing care in social services is the provision of health services to insured persons in residence facilities of social services and insured persons who are placed with bed care providers for reasons other than health. When providing health services to these insured persons, health services provided shall be reported on the basis of the indication of the treating physician by the appropriate performance of competence 913.
44.1. Application of medicines by non-invasive means
Performance No 06620 can only be reported if the patient is clearly unable to insert the medicinal product into his mouth or swallow it safely, so that a competent healthcare professional must place the medicinal product directly in his mouth and then check the oral cavity to ensure that he has been swallowed, or if the patient's medical condition does not allow the medicinal product to be used safely or the patient is unable to self-inject the medicinal product into a conjunctival bag. Performance can be reported after previous indication by the treating physician.
44.2. General reporting requirements 913
Proceedings of competence 913 may be reported by a practical nurse only if there is a physical presence in the exchange of at least one person eligible for the occupation of general nurse, in the case of the provision of care to children by a child nurse, in the case of provision of immediate advice and assistance, and the provider must provide health services by a general nurse, in the case of the provision of care to children by a child nurse, in the case of a minimum of 2.5 time, in the case that the provider of social services does not provide a continuous or three-day-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to-to
9. In the Annex to Chapter 4 in the title of point 45, the words "Psychiatric nurse 'are replaced by the words" Psychiatric nurse'.
10. In the Annex to Chapter 4, point 45, in the title of exercise No 35811, the words "psychiatric nurses' are replaced by the words" psychiatric nurses'.
11. In the Annex to Chapter 4, point 45, in the title of exercise No 35821, the words "psychiatric nurse 'are replaced by the words" psychiatric nurse'.
12. In the Annex to Chapter 4, in the title of point 47, the word "HEALTH 'is deleted.
13. In the first, third, sixth and seventh sentences of Chapter 4 of the Annex, the words "health 'shall be deleted.
14. In the Annex to Chapter 4, point 47, the word "nurse 'shall be deleted from power No 06311 in point 1.
15. In the Annex to Chapter 4, point 47, the word "health 'shall be deleted from the exercise No 06349 in points 1 to 5.
16. In the Annex to Chapter 4, point 47, the word "sister 'shall be deleted from power No 06349 in point 6.
17. In the Annex to Chapter 4, point 47, the word "nurse 'shall be deleted from the exercise No 06349 in points 13 and 14.
18. In the third sentence of point 47a of Chapter 4 of the Annex, the words "not related to home palliative care 'are deleted.
19. Point 49.8 of the Annex to Chapter 4 reads as follows:
"49.8. Urgent income care
Performance
číslonázev
09566Péče na urgentním příjmu
can be reported by the bed care provider, which obtained according to § 112 of Act No. 372 / 2011 Coll., on health services and conditions of provision (about health services), as amended, the status of highly specialised trauma care for adult patients.
The performance may be reported on 1 / 1 day for a patient who has been evaluated as requiring care on the observatory bed according to triage criteria, i.e. decompensated or with reasonable suspicion of serious health or direct risk of life, and if the length of stay on the observatory bed reaches min. 2 hours and the patient is subsequently sent to home care, possibly his death occurs (i.e. he does not follow the hospitalisation of the patient, even within another provider).
Power may be declared only if the above conditions are met simultaneously. Performance No 09563 - Medical emergency services may not be declared. '
20. In the Annex to Chapter 5, point 1, the following entry 25 is inserted after entry 24:
"25. 00035 is the Treatment Day followed by a comprehensive intensive rehabilitation treatment of paediatric patients with a diagnosis of polio."
Items 25 to 46 shall be renumbered as items 26 to 47.
21. In the Annex to Chapter 5, point 5.2, the following entry 00035 is inserted after entry 00033:
„000353 042“.
22. In the Annex to Chapter 5, the following point 7.1.10 is inserted after point 7.1.9.:
"7.1.10. Obligatory content OD followed by a comprehensive intensive rehabilitation treatment (KILP) of paediatric patients with a diagnosis of cerebral palsy
This is OD 00035. Performance can only be contracted with providers of post-medical rehabilitation care, who provide care from 00027.
The obligatory content of OD 00035 is:
1. Comprehensive intensive health care in the fields of rehabilitation and physical medicine, physiotherapy, ergotherapy, clinical loopedia and clinical psychology provided overall to a minimum of 4 hours per day.
2. Criteria for the admission of the patient to a subsequent comprehensive intensive rehabilitation treatment:
a. The patient is admitted to the facility on the basis of a proposal for rehabilitation treatment in a specialist children's hospital in all programmes of urgency (I, II, III) diagnosis of polio (DMO) aged 1 to 18 years for grade I to IV according to the Gross Motor Function Classification System - Expanded and Revised (GMFCS - E & R).
b. The length of stay on one proposal is set at 2 times 28 days - two stays of 28 days in a period of not more than 12 consecutive months, with a minimum interval of 6 months from the end of the first stay until the second stay takes place (these two stays are one KILP cycle).
c. If one KILP stay is to be interrupted for acute medical complications occurring within 14 days of the beginning of the stay, this shall be replaced by a repetition of the entire stay, if 15 or more days of the stay are already completed, then this shall not be replaced.
3. Criteria for including the patient in subsequent comprehensive intensive rehabilitation care:
a. The patient is able to receive the required volume of complex intensive rehabilitation treatment in the range of at least 4 hours per day in the fields of rehabilitation and physical medicine, physiotherapy, ergotherapy, clinical loopedia, clinical psychology.
b. In the case of a patient, this objective assessment is carried out 1 times at the beginning of the first stay and 1 times at the end of the second stay in the following areas:
1. Motor and Mobility (Gross Motor Function Measure - GMFM-88),
2. Cognitive and executive functions - according to the age of the child used one of the tests:
• BSID III - Bayley Development Scale,
• SON-R - non-verbal test,
• IDS - an intelligent and developmental range for children,
• Stanford-binet's Intelligent Scale - IV Revision,
3. Communication and swallowing disorders - clinical examination with clinical loops (only in indicated cases).
4. Criteria for patient retention in KILP:
The patient 's assessment is a single KILP cycle (two consecutive stays of 28 days over a period of 7 months to 1 year) if, at the end of the second stay, regardless of the GMFCS - E & R category, the improvement in GMM-88 is at least 5% at the age of 1-7 years and at least 2% at the age of 8 years from the beginning of the first stay, the patient may be included in the next cycle of the KILP 2-stay system. "
23. In the Annex to Chapter 7 (1), the first to eighth sentences are as follows:
"To the performance of the author's expertise 001, 002, 005, 006, 101, 102, 103, 104, 105, 106, 107, 108 (excluding nephrological haemolemination methods), 109, 110, 116, 201, 202, 204, 205, 206, 207, 208, 209, 210, 222, 301, 302, 303, 304, 305, 306, 309, 401, 402, 403, 404, 405, 406, 407, 710, 720, 801, 802, 807, 808, 809, 812, 813, 814, 815, 816, 817, 818, 819, 823, 901, 902, 903, 904, 905, 910, 913, 914, 917, 931 and 999 are assigned as a minute-rate of execution of 3,19.
The performance of the author's expertise 115, 117, 215, 312, 413, 697, 719, 806 and 810 is assigned a minute overhead rate of 4,78 points per minute of power.
In addition to the performance of the author's expertise 108 (only nephrological haematoelimination methods), 203, 501, 502, 503, 504, 505, 506, 507, 601, 602, 603, 604, 605, 606, 607, 701, 702, 704, 705, 706, 707, 708, 709, 799, 780 a minute overhead rate of 3,82 points per minute of power time is assigned.
The performance of the author's expertise 511, 512, 513, 514, 515, 516, 517, 611, 612, 613, 614, 615, 616, 711, 714, 715, 716 and 717 is assigned a minute overhead rate of 5,74 points per minute of power.
The performance of the author's expertise 521, 522, 523, 524, 525, 526, 527, 621, 622, 623, 624, 625, 626, 721, 724, 725, 726, 727 and 728 is assigned a minute overhead rate of 7,66 points per minute of power.
The performance of the author's expertise 531, 532, 533, 534, 535, 536, 537, 631, 632, 633, 634, 635, 636, 731, 734, 735, 736 and 737 is assigned a minute overhead rate of 11,48 points per minute of power.
The performance of the author's expertise 911, 916, 919, 921 and 927 is assigned a minute overhead rate of 2,34 points per minute of power.
The performance of the author's expertise 014 and 015 shall be assigned a minute overhead rate of 4,00 points per minute of power. ';
24. in the Annex to Chapter 7, point 2.1, the text "31,33- 101,79" is replaced by "31,99- 103,93."
25. In the Annex to Chapter 7, point 2.2, "187,91 'is replaced by" 191,86'.
26. In the Annex to Chapter 8, point 7, including the title:
"7. TRANSPORT PERFORMANCE
číslo výkonuNázev výkonubody/1 km
10Přeprava zdravotnického pracovníka v návštěvní službě14,66
12Přeprava lékaře v pohotovostní službě14,82
40Přeprava pacienta v sídle vyššího územního samosprávného celku v pásmu 1 - 8 km32,40
45Přeprava pacienta v pásmu 1 - 30 km26,18
46Přeprava pacienta v pásmu 31 - 60 km24,23
47Přeprava pacienta v pásmu 61 - 130 km22,35
48Přeprava pacienta v pásmu 131 - 450 km21,58
49Přeprava pacienta v pásmu 451 a více km11,72
50Přeprava k pitvě a z pitvy41,91
60Přeprava transfuzních přípravků, speciálních léčivých přípravků, tkání, buněk a orgánů k transplantaci, přeprava lékaře nebo jiného zdravotnického pracovníka ke specializovanému a nezbytnému výkonu35,212
70Jízda vozidly zdravotnické záchranné služby49,234
72Přeprava patologického novorozence a novorozence s nízkou porodní hmotností k nejbližšímu specializovanému poskytovateli47,578
74Přeprava lékaře zdravotnické záchranné služby v setkávacím systému44,204
77Jízda vozidly přepravy pacientů neodkladné péče47,578
80Přeprava infekčního pacienta35,96
Power 40 The transport of a patient in a higher territorial unit in the 1 - 8 km band cannot be combined with the performance 45 Patient transport in the 1 - 30 km band. If the patient's transport distance is more than 8 km, the patient's transport will be reported throughout the performance 45 Transport in the band 1 - 30 km.
číslo výkonuNázev výkonu paušální sazba v bodech
69Manipulace s imobilním pacientem s nadměrnou tělesnou hmotností nad 140 kg při transportu sanitním vozidlem vsedě nebo vleže3 200“.
27. In the Annex to Chapter 001 - General practical medicine, power No 01026 shall be inserted after power No 01025:
"01026