Decree No. 347 / 2024 Coll.
Decree amending Decree No. 134 / 1998 Coll., which publishes a list of health performance with points, as amended
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347
DECLARATION
of 12 November 2024
amending Decree No. 134 / 1998 Coll., issuing a list of health performance with points, as amended
The Ministry of Health provides pursuant to § 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. 371 / 2021 Coll.:
Act No. 20 / 2013 Coll., Decree No. 321 / 2014 Coll., Decree No. 350 / 2007 Coll., Decree No. 439 / 2008 Coll., Decree No. 244 / 2009 Coll., Decree No. 472 / 2009 Coll., Decree No. 497 / 2010 Coll., Decree No. 411 / 2011 Coll., Decree No. 467 / 2012 Coll., Order No. 467 / 2012 Coll., Order No. 471 / 2013 Coll., Decree No. 497 / 2010 Coll., Decree No. 411 / 2011 Coll., Order No. 467 / 2012 Coll., Order No. 467 / 2012 Coll.
1. In point 6.2.1 (1) of the Annex to Chapter 2, the words "competent to pursue a profession 'shall be inserted after the words" health'.
2. In the Annex to Chapter 2, point 6.2.1 (2), the words "and specific competence or other specialised competence 'are replaced by" or with specialised competence and professional competence or with other specialised competence'.
3. In the Annex to Chapter 2, point 6.5 (a), "3,5239 'is replaced by" 3,901', "2,0991 'is replaced by" 2,3237' and "2,8336 'is replaced by" 3,1368'.
4. In the Annex to Chapter 2, point 14, including the title:
"14.
Domestic care activities are reported by providers providing domestic care. Home care activities may only be reported on the basis of an indication made under the Public Health Insurance Act. '
5. In the Annex to Chapter 2, point 16, including the title:
_
For the treatment of the child, the output shall be Nos 09555, 09556 and 09557. Performance shall be reported with performance that has been provided to the child by the date of 18 years in his personal presence.
Performance shall be reported with clinical examination performance; For the reporting of the performance Nos 09555, 09556 and 09557, for the expertise 001 and 002, for the performance of clinical examinations covered by the Decree pursuant to § 17 (5) of the Act on Public Health Insurance in the Capitalisation Payment, the current recognition of these performance tests is not required.
Performance No 09555 INSTRUMENTS OF THE GIRL TO 6 YEARS shall be reported with the performance of clinical examinations in the fields 002, 101, 102, 103, 104, 105, 107, 108, 109, 110, 201, 202, 203, 204, 205, 206, 207, 208, 209, 301, 302, 303, 305, 306, 309, 402, 403, 404, 405, 401, 407, 409, 501, 502, 503, 504, 505, 506, 601, 602, 603, 604, 605, 606, 607, 701, 702, 707, 708, 710, 719, 720, 901, 903 and 931.
Performance No 09556 INDUSTRY OF GIRLS FROM 6 TO 12 YEARS shall be reported with the performance of clinical examinations in the expertise 002, 101, 102, 103, 104, 105, 107, 108, 109, 110, 201, 202, 203, 204, 205, 206, 207, 208, 209, 301, 302, 303, 305, 306, 309, 402, 403, 404, 405, 406, 407, 409, 501, 502, 503, 504, 505, 506, 601, 602, 603, 604, 605, 606, 607, 701, 702, 704, 705, 706, 707, 708, 710, 719, 720, 901, 903 and 903.
Performance No 09557 INSPECTION OF GIRLS FROM 12 YEARS TO 18 YEARS shall be reported with the performance of clinical examinations in 001, 002, 101, 102, 103, 104, 105, 107, 108, 109, 110, 201, 202, 203, 204, 205, 206, 207, 208, 209, 301, 302, 303, 305, 306, 309,401, 402, 403, 404, 405, 406, 407, 409, 501, 502, 503, 504, 505, 506, 601, 602, 603, 604, 605, 606, 607, 702, 704, 705, 706, 707, 708, 719, 720, 901, 903, 903, 931 and with the performances 63055.
In addition, performance shall be reported with expert performance not having established clinical examinations, i.e. competence 709, 780, 697, 809, 810, 902, 905, 910, 913 (only with output No 06611 and 06613), 916 (only with output No 06411, 06415 and 06417), 917, 919, 925 (only with output No 06311, 06313, 06315, 06317, 06318 and 06319), 926 (only with output No 80088, 80090 and 80091) and 927.
In one day one insured person may be reported one performance No 09555, 09556 or 09557 in one professional capacity. If a child requires multiple examinations within one day, performance may be reported for each additional expertise.
Furthermore, performance cannot be reported with performance where the child is under general anesthesia, and with all care that is provided at the same time to more than one insured person.
Performance No 09555, 09556 and 09557 cannot be reported with performance No
- 00132 Examination of a child with significant perinatal risk
- 66031 Preventive examination of the hip joints in the infant
- 38023 Minimum contact of adictologist with patient
- 72014 Examination of the hearing impaired child at the pedaudiological centre '.
6. In the Annex to Chapter 3, the sentence "For the purpose of reporting clinical examinations, a clinical psychologist or a logoped person shall be inserted after the third sentence."
7. In the Annex to Chapter 3 (2) (1), the words "or pediatrician" shall be inserted after the word "puppy."
8. In the first sentence of point 3 of Chapter 3 of the Annex, the words "or pediatrician 'shall be inserted after the word" puppy'.
9. In the first sentence of point 3.1 of Chapter 3 of the Annex, the words "or a pediatrician 'shall be inserted after the word" puppy'.
10. In the Annex to Chapter 3, point 3.2 (4), the words "or in the case of a pediatrician 'shall be inserted after the word" puppy'.
11. In the Annex to Chapter 4, point 2, the words "A PEDIATRIA 'shall be inserted after the words" DOROST' in the title.
12. In Chapter 4 (2) of the Annex, under the heading, the sentence "Staff of expertise 002 may only be reported by a pediatrician if it is a registered provider."
13. In the Annex to Chapter 4, point 19.3 (c), the words "signed by at least the head of a complex oncology centre and a radiation oncologist 'are replaced by the words" in the patient's medical documentation. The implementation of the multidisciplinary team is declared by signal power No. 51881 and the entry is supplemented by a list of doctors who participated and decided on the multidisciplinary team.'
14. In the Annex to Chapter 4, point 42.1, in the first sentence, the words "No 35520, 35610, 35620, 35630, 35650, 37117, 37119 and 37125 'are inserted after the words" Person with a psychotherapeutic qualification'.
(a) a treating physician who:
1. has acquired special specialised competence in the field of medical psychotherapy;
2. obtained functional specialization in systematic psychotherapy before 31 December 2010; or
3. have completed a certified course in systematic psychotherapy between 1 January 2010 and 31 December 2018;
(b) a clinical psychologist or a paediatric clinical psychologist who:
1. has acquired specialised competence in psychotherapy;
2. obtained functional specialization in systematic psychotherapy before 31 December 2009; or
3. has completed a certified course in systematic psychotherapy between 1 January 2010 and 31 December 2018. ';
and at the end of point 42.1, the sentence "Processes of psychotherapy No 35531, 35532, 35533, 35534, 35535 and 35536 may be added to the separate row only if they have been indicated by a treating physician with a psychotherapeutic qualification or a clinical psychologist with a psychotherapeutic qualification in the performance No 35530 Psychotherapeutic examination. The indication shall be valid for a maximum of 3 consecutive calendar months. ';
15. In the first sentence of point 42.2 of the Annex to Chapter 4, the words "No 35520, 35610, 35620, 35630, 35650, 37117, 37119, 37125 and 35530 'shall be inserted after the words" Psychotherapy'.
16. In the Annex to Chapter 4, point 42.2, the sentence "Acts 35531, 35532, 35533, 35534, 35535 and 35536 shall be inserted after the first sentence, only in a specialised workplace with minimum time of psychotherapist specialising in systematic psychotherapy of at least 0,4. ';
17. In the Annex to Chapter 4, point 42.2, in the table in power title No 35610, "9 'is replaced by" 8' and in the table in power title No 35620, "10 'is replaced by" 9'.
18. In the Annex to Chapter 4, point 42.2, in the first table, the following shall be inserted after power No 35620:
„
“.
| 35532 | Psychoterapeutická konzultace skupinová pro skupinu max. 8 osob |
| 35533 | Psychoterapeutická konzultace skupinová pro skupinu 9 osob a více |
19. In the Annex to Chapter 4, point 42.2, in the second table, power No 35650 is inserted after power No 35534, which is:
„
“.
| 35534 | Psychoterapeutická konzultace rodinná |
20. In the Annex to Chapter 4, point 42.2, the following table is inserted after the second table:
"Proceeds
| Číslo | Název |
|---|---|
| 35530 | Psychoterapeutické vyšetření |
| 35531 | Psychoterapeutická konzultace individuální |
| 35532 | Psychoterapeutická konzultace skupinová pro skupinu max. 8 osob |
| 35533 | Psychoterapeutická konzultace skupinová pro skupinu 9 osob a více |
| 35534 | Psychoterapeutická konzultace rodinná |
| 35535 | Psychosociální intervence individuální |
| 35536 | Psychosociální intervence skupinová |
may not be reported on one day per insured person with further expertise 910, 305, 306, 308, 309, 901 and 931, the combination is possible only with performance 35117 - interview of psychiatrist, infant and adult psychiatrist, clinical psychologist or sexologist with family and other persons. '
21. In the last sentence of point 42.2 of the Annex to Chapter 4, the words "performance 35520 - individual systematic psychotherapy 'are replaced by the words" additional performance of competence 910'.
22. In the Annex to Chapter 4, point 42.3, in the second sentence, after the words "Type II also with OF: 3 / 1 day ', the words" or, mutatis mutandis, with the performance of group consultation, 35532 or 35533 shall be inserted. On the basis of the indication given in the dossier, the performance of 35536 group psychosocial intervention may be reported.', in the third sentence, after the words "Type II also with OF: 2 / 1 day ', the words' or, mutatis mutandis, with the performance of group consultation 35532 or 35533 are inserted. On the basis of the indication given in the dossier, the performance of 35536 group psychosocial intervention may be reported. '; and in the fourth sentence, the words" for psychotherapy 35620 or on the contrary 1-fold' are inserted after the words "or, in the case of group consultation performance 35532 and 35533 '.
23. In the Annex to Chapter 4, point 47, the words "or pediatrician 'shall be inserted after the word" young'.
24. In the Annex to Chapter 4, the following shall be added at the end of point 47:
"Performance
| Číslo | Název |
| 06360 | Signální výkon - zvýšená ošetřovatelská péče o imobilního pacienta na domácí umělé plicní ventilaci (DUPV) |
may only be reported if increased nursing care is indicated by the treating physician. If increased nursing care for a patient is indicated for the DUPV, a maximum of 6 nursing visits per day may be reported individually or in combination, with a maximum of three times per day being reported for the transport of a healthcare professional in the visiting service. Performance No 06360 can be reported together with performance:
1. Treatment visit - home care - type I.
2. Treatment visit - home care - type II.
3. Treatment visit - home care - type III.
4. Treatment visit - home care - type IV. '
25. In the Annex to Chapter 4, point 49.8, table the words "and No 09581 - The care of an outpatient specialist outside normal working hours' shall be deleted after the word" services';
26. In the Annex to Chapter 5, point 1, the following entry 26 is inserted after entry 25:
"26th 00037 is the day of care of social-health care."
Items 26 to 48 are renumbered 27 to 49.
27. In the Annex to Chapter 5, point 1, the following entries 48 and 49 are inserted after entry 47:
"48. 00090 is the treatment day of a protective treatment with low security.
49. 00091 is the treatment day of protection treatment with a medium level of security. '
Items 48 and 49 are renumbered 50 and 51.
28. In the Annex to Chapter 5, point 5.2, "175 'is replaced by" 223', "87 'is replaced by" 111' and "1 250 'is replaced by" 1 593'.
29. In the Annex to Chapter 5, the heading of point 7.1 reads: "7.1. Contents of treatment days'.
30. In the Annex to Chapter 5, at the end of point 7, the following points 7.1.12 and 7.1.13 are added:
"7.1.12. Obligatory content from protective treatment with low security
This is OD 00090. Care shall be provided on the basis of an indication from the court (court-ordered protection treatment) and to patients who are risk-bearing patients and who are under proceedings for protection treatment regulations. A structured assessment of the risk of acts of violence is necessary immediately following the collection of all necessary supporting documents and information. The patient's condition is consistent with grade I - III in the five-stage risk assessment system.
The obligatory content is also the activities of healthcare professionals in the care of patients with mental illness:
1. Organisational activities of managers.
2. Supervision, control of behaviour, restriction of communication, searching patients and their personal belongings to determine the presence of addictive substances.
3. Administrative activities - the obligation to inform the patient of his rights and obligations, to establish a written treatment plan and to acquaint the patient with it, to notify different institutions if the patient does not comply with the plan (does not show up, gets out of treatment), the written solution to requests for passes, written communication with courts and other institutions. Obligation to draw up written reports for courts assessing the course of protective treatment. Administrative activities following communication with courts are not part of the OD 00090.
4. Reporting - entry, exit and continuous questionnaire of protective treatment including risk assessment of the patient.
5. Community - on working days 30 minutes (equivalent to group psychotherapy, type III - community where all patients and staff of the daily stationary will meet, mapping the course of the previous day, setting individual and group activities according to patient condition).
6. Psychiatric rounds, individual interviews with a psychiatrist as needed, or medication adjustment - every day a doctor performs a psychiatrist (L1, L2 or L3) according to the patient's condition.
Activities to stabilise, maintain or restore daily mode:
1. Group psychotherapy (frequency at least 4 times a month) - under the supervision or supervision of a psychiatrist or a clinical psychologist with psychotherapeutic qualifications, corresponds to the performance No 35610, includes various psychotherapeutic approaches. Most often cognitive - behavioral therapy, elements of dynamic psychotherapy, imaginary psychotherapy, relaxation activities, communication therapy, education, then psychodrama, artetherapy, music therapy, psychogymnastics.
2. Individual psychotherapy - the frequency is set individually for each patient according to his / her health condition and needs, under the guidance of a psychiatrist or a clinical psychologist with qualifications, corresponds to the performance of 35520, includes various psychotherapeutic approaches, most often an eclectic approach using different therapeutic approaches (cognitive-behavioral therapy, dynamic psychotherapy elements, imaginary psychotherapy, and more). If necessary, psychotherapeutic work with family (family therapy) is also carried out.
3. Supporting therapeutic activities (frequency at least 10 times a month) - includes group training of cognitive functions, practice in the field of the right lifestyle, day planning, training of communication skills, training of anger management and deescalation, exposure therapy, training of relaxation techniques - under the supervision or supervision of a psychiatric nurse, corresponds to performance 35817.
4. Psychiatric rehabilitation - individual training in mental impairment of impaired functions such as communication skills, techniques aimed at managing normal situations, stress management, support in the care of your own somatic condition, integration into normal life, support in the use of medication, in the framework of psychiatric rehabilitation can be created a crisis plan in case of worsening of mental condition. Carried out by the nurse for psychiatric care, corresponding to performance 35815.
5. Education (frequency 2 times a week) - under the supervision or supervision of a psychiatric nurse, corresponds to the performance 35823.
The programme is adapted to the current composition of patients in the department, their health and individual needs.
The doctor's vision is daily on working days, the next program is variable during the week, contains the above elements so that care is provided throughout the day and corresponds to the condition and possibilities of the patient.
The category of nursing performance corresponds to the care of patients with prescribed protective treatment in a low-security ward: Category 3 Patient requiring increased supervision.
7.1.13. Obligatory content from protective treatment with medium level of safety
This is OD 00091. Care shall be provided on the basis of an indication by the court (court-ordered protection treatment) and of patients who carry risks and who are subject to proceedings on protection treatment regulations and, where appropriate, to high-risk patients. A structured assessment of the risk of acts of violence is necessary immediately following the collection of all necessary supporting documents and information. The patient's condition is consistent with Grade IV or V. in a five-stage risk assessment system.
Obligatory activities of staff in the care of patients with mental illness are:
1. Organisational activities of managers.
2. Supervision, control of behaviour, restriction of communication, searching patients and their personal belongings to determine the presence of addictive substances.
3. Administrative activities - the obligation to inform the patient of his rights and obligations, to establish a written treatment plan and to acquaint the patient with it, to notify different institutions if the patient does not comply with the plan (does not show up, gets out of treatment), the written solution to requests for passes, written communication with courts and other institutions. Obligation to draw up written reports for courts assessing the course of protective treatment. Administrative activities following communication with the courts are not part of the OD 00091.
4. Reporting - entry, exit and continuous questionnaire of protective treatment including risk assessment of the patient.
5. Community - on working days 30 minutes (equivalent to group psychotherapy, type III - community where all patients and staff of the daily stationary will meet, mapping the course of the previous day, setting individual and group activities according to patient condition).
6. Psychiatric rounds, individual interviews with a psychiatrist as needed, or medication adjustment - every day a doctor performs a psychiatrist (L1, L2 or L3) according to the patient's condition.
Activities to stabilise, maintain or restore daily mode:
1. Group psychotherapy (frequency at least 4 times a month) - under the supervision or supervision of a psychiatrist or a clinical psychologist with psychotherapeutic qualifications, corresponds to the performance No 35610, includes various psychotherapeutic approaches. Most often cognitive - behavioral therapy, elements of dynamic psychotherapy, imaginary psychotherapy, relaxation activities, communication therapy, education, then psychodrama, artetherapy, music therapy, psychogymnastics.
2. Individual psychotherapy - the frequency is set individually for each patient according to his or her health condition and needs, under the guidance of a psychiatrist or clinical psychologist with psychotherapeutic qualifications, corresponds to performance no. 35520, includes various psychotherapeutic approaches, most often an eclectic approach using various therapeutic approaches (cognitive-behavioral therapy, dynamic psychotherapy elements, imaginary psychotherapy elements, and others). If necessary, psychotherapeutic work with family (family therapy) is also carried out.
3. Supporting therapeutic activities (frequency at least 10 times a month) - includes group training of cognitive functions, practice in the field of the right lifestyle, day planning, training of communication skills, training of anger management and deescalation, exposure therapy, training of relaxation techniques - under the supervision or supervision of a psychiatric nurse, corresponds to performance 35817.
4. Psychiatric rehabilitation - individual training in mental impairment of impaired functions such as communication skills, techniques aimed at managing normal situations, stress management, support in the care of your own somatic condition, integration into normal life, support in the use of medication, in the framework of psychiatric rehabilitation can be created a crisis plan in case of worsening of mental condition. Carried out by the nurse for psychiatric care, corresponding to performance 35815.
5. Education (frequency 2 times a week) - under the supervision or supervision of a psychiatric nurse, corresponds to the performance 35823.
The programme is adapted to the current composition of patients in the department, their health and individual needs.
The doctor's vision is daily on working days, the next program is variable during the week, contains the above elements so that care is provided throughout the day and corresponds to the condition and possibilities of the patient.
The category of nursing performance corresponds to the care of patients with ordered protective treatment in a department with a moderate level of security:
- Category 3 Patient requiring increased supervision
- Category 4 Immobile patient
- Category 5 Unconscious Patient. "
31. In the Annex to Chapter 5, the following point 27 is added at the end of point 9:
"27 Parenteral Chemotherapy."
32. In the Annex to Chapter 6, point 1 of the table The value of the patient's categories of row 3, at the end of the column, the legend on the new lines is added to the words "Patient in the performance of protective treatment in a low-security ward 'and" Patient in the prescribed protective treatment in a medium-security compartment'.
33. In the Annex to Chapter 6, point 1 of the table The value of the patient categories of row 4, at the end of the column, the legend on the new line is added to the words "Patient with ordered protective treatment in a department with a median level of security."
34. In the Annex to Chapter 6 (1) of the table The value of patient categories line 5 in the column of legend, the words "Patient in the performance of protective treatment of constitutional" are replaced by the words "Patient with ordered protective treatment in a department with a median level of security."
35. In the Annex to Chapter 7 (1), the first to eighth sentences are as follows:
"For the performance of the author's expertise 001, 002, 005, 006, 008, 101, 102, 103, 104, 105, 106, 107, 108 (except for nephrological haemolemination methods), 109, 110, 116, 201, 202, 204, 205, 206, 207, 208, 209, 222, 301, 302, 303, 304, 305, 350, 355, 360, 370, 306, 308, 309, 401, 402, 403, 404, 405, 406, 407, 409, 710, 720, 801, 802, 807, 808, 809, 812, 813, 814, 815, 816, 817, 818, 819, 823, 901, 902, 903, 904, 905, 913, 914, 920, 922, 925, 926, 926, 935, 935, 935, and 999, respectively, respectively.
The performance of the author's expertise 115, 117, 215, 312, 413, 697, 719, 806 and 810 is assigned a minute overhead rate of 6,70 points per minute of power.
For the performance of the author's expertise 108 (only nephrological haemolemination methods), 203, 414, 418, 501, 502, 503, 504, 505, 506, 507, 601, 602, 603, 604, 605, 606, 607, 701, 702, 704, 706, 707, 708, 709, 799, 780 a minute overhead rate of 5,37 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 8,05 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 10,74 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 shall be assigned a minute overhead rate of 16,11 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 3,29 points per minute of power.
The performance of the author's expertise 014 and 015 shall be assigned a minute overhead rate of 5,60 points per minute of power. '
36. In the Annex to Chapter 7, point 2.1, the text "40,55- 131,73 'is replaced by" 44,89- 145,83'.
37. In the Annex to Chapter 7, point 2.2, "243,17 'is replaced by" 269,19'.
38. In the Annex to Chapter 001 - General practical medical practice description of performances No 01131, 01132, 01133 and 01134, part of the OF the OF is deleted.
39. In the Annex to Chapter 001 - General Practice Medicine, the following shall be inserted after the performance No 01134:
| „01135 | MANAGEMENT ČASNÉHO ZÁCHYTU ANEURYSMATU ABDOMINÁLNÍ AORTY - S NÁSLEDNÝM SLEDOVÁNÍM POJIŠTĚNCE | ||||
| Management screeningu aneurysmatu abdominální aorty lékařem v rámci programu časného záchytu aneurysmatu abdominální aorty u mužů ve věkové skupině 65 až 67 let. | |||||
| Kategorie: | P - hrazen plně | Nositel | INDX | Čas (ČN) | |
|---|---|---|---|---|---|
| L3 | 3 | 15 | |||
| OF: | 1/život | ||||
| OM: | A - pouze ambulantně | ||||
| Čas výkonu (ČV): | 15 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ne | |||
| 01136 | MANAGEMENT ČASNÉHO ZÁCHYTU ANEURYSMATU ABDOMINÁLNÍ AORTY - ODMÍTNUTÍ ZAŘAZENÍ DO PROGRAMU PACIENTEM | ||||
| Management screeningu aneurysmatu abdominální aorty lékařem v rámci programu časného záchytu aneurysmatu abdominální aorty u mužů ve věkové skupině 65 až 67 let. | |||||
| Kategorie: | P - hrazen plně | Nositel | INDX | Čas (ČN) | |
|---|---|---|---|---|---|
| L3 | 3 | 10 | |||
| OF: | 1/život | ||||
| OM: | A - pouze ambulantně | ||||
| Čas výkonu (ČV): | 10 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ne | |||
| 01137 | MANAGEMENT ČASNÉHO ZÁCHYTU ANEURYSMATU ABDOMINÁLNÍ AORTY - VÝSLEDEK POZITIVNÍ, PACIENT ODESLÁN DO KARDIOVASKULÁRNÍHO CENTRA | ||||
| Výkon signalizující pozitivní nález na screeningovém ultrazvukovém vyšetření. | |||||
| Kategorie: | P - hrazen plně | ||||
| OF: | 1/život | ||||
| OM: | A - pouze ambulantně | ||||
| Čas výkonu (ČV): | 0 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ne | |||
| 01138 | MANAGEMENT ČASNÉHO ZÁCHYTU ANEURYSMATU ABDOMINÁLNÍ AORTY - VÝSLEDEK NEGATIVNÍ, BEZ NÁSLEDNÉHO SLEDOVÁNÍ | ||||
| Výkon signalizující negativní nález na screeningovém ultrazvukovém vyšetření. | |||||
| Kategorie: | P - hrazen plně | ||||
| OF: | 1/život | ||||
| OM: | A - pouze ambulantně | ||||
| Čas výkonu (ČV): | 0 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ne | |||
| 01139 | MANAGEMENT ČASNÉHO ZÁCHYTU ANEURYSMATU ABDOMINÁLNÍ AORTY - VÝSLEDEK POZITIVNÍ - PACIENT ODMÍTL POKRAČOVAT V PROGRAMU | ||||
| Výkon signalizující odmítnutí pacienta pokračovat v programu časného záchytu aneurysmatu abdominální aorty. | |||||
| Kategorie: | P - hrazen plně | ||||
| OF: | 1/život | ||||
| OM: | A - pouze ambulantně | ||||
| Čas výkonu (ČV): | 0 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ne“. | |||
40. In the Annex to Chapter 001 - General practical medicine description of the performance No 15118 third sentence, the words "or after the implementation of TOKS in the laboratory - the performance No 81733 is reported by the laboratory. 'in the sentence of the fourth sentence, the words" up to 55 years 1 year and to patients over 55' are deleted and in part OF the OF, the words "50-55 years 1 / 1 year, from 55 years 1 / 2 years' are replaced by the words" 50 years 1 / 2 years'.
41. In the Annex to Chapter 001 - General practical medicine description of performance No 15119 in Part-OF-AF, the words "50-55 years 1 / 1 year, 55 years 1 / 2 years" are replaced by the words "50 years 1 / 2 years old."
42. In the Annex to Chapter 002 - Practical medicine for children and adolescents, the words "and pediatrics' shall be added at the end of the title.
43. In the Annex to the Chapter 002 - Practical medicine for children and adolescents and for paediatric use, the words "OR PEDIATREM" shall be added to the title of performance No 02021, 02022, 02023, 02024, 02031, 02032, 02033 and 02034.
44. In the Annex to Chapter 002 - Practical medicine for children and adolescents and Pediatrics, the words "or pediatrician 'shall be added at the end of the sentence.
45. In the Annex to Chapter 002 - Practical medicine for children and adolescents and pediatric patients, the words "OR PEDIATRA 'shall be added at the end of the title of performances No 02037 and 02039.
46. In the Annex to Chapter 002 - Practical medicine for children and adolescents and pediatrics, the sentence "In the case of meningococcal vaccines against different serogroups only 1 time may be reported at the end of the performance description No 02160 and 02161."
47. In the Annex to Chapter 002 - Practical medicine for children and adolescents and pediatrics, the words "OR PEDIATRA 'shall be added at the end of the title of performance No 02240.
48. In the Annex, the following performance No 06559 is added at the end of Chapter 005 - Hospital pharmacy:
| „06559 | ASEPTICKÁ PŘÍPRAVA PARENTERÁLNÍ ANTIMIKROBIÁLNÍ LÉČBY V LÉKÁRNĚ - PŘÍPRAVA INFUZORU | ||||
| Výkon zahrnuje náklady na aseptickou přípravu antimikrobiální (antiinfekční) léčby v lékárně, konkrétně infuzoru pro kontinuální infuzi s obsahem 1 nebo více hromadně vyráběných léčivých přípravků. | |||||
| Kategorie: | P - hrazen plně | Nositel | INDX | Čas (ČN) | |
|---|---|---|---|---|---|
| L3 | 3 | 10 | |||
| S2 | 2 | 15 | |||
| OF: | bez omezení | ||||
| OM: | bez omezení | ||||
| Čas výkonu (ČV): | 25 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ne“. | |||
49. The following Chapter 008 - Hygiene and Epidemiology is inserted after Chapter 006 - Clinical Pharmacy, including the title:
| „Kapitola 008 - hygiena a epidemiologie |
| 08001 | OČKOVÁNÍ AMBULANTNÍM SPECIALISTOU V ODBORNOSTI HYGIENA A EPIDEMIOLOGIE, EPIDEMIOLOGIE, MIMO PRAVIDELNÉ, VČETNĚ OČKOVACÍ LÁTKY, KTERÁ JE HRAZENA Z VEŘEJNÉHO ZDRAVOTNÍHO POJIŠTĚNÍ | ||||
| Pro případy nepovinného očkování v ordinaci ambulantního specialisty v odbornosti hygiena a epidemiologie, epidemiologie, kdy očkování včetně očkovací látky je hrazeno z veřejného zdravotního pojištění. Do výkonu je zahrnuto klinické vyšetření před provedením očkování k vyloučení případné kontraindikace očkování i kontrola zdravotního stavu pacienta po aplikaci očkovací látky. | |||||
| Kategorie: | P - hrazen plně | Nositel | INDX | Čas (ČN) | |
|---|---|---|---|---|---|
| L3 | 3 | 15 | |||
| OF: | 3/1 den | ||||
| OM: | A - pouze ambulantně | ||||
| Čas výkonu (ČV): | 15 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ano“. | |||
50. In the Annex to Chapter 101 - Internal Medicine - Intern description of performance No 11513 of Part OF OF OF OF OF OF OF OF THE OF "1 / 1 WEEK" is replaced by "1 / 1 DAY."
51. In the Annex to Capitol 102 - Performance angiology No 12026 of Part OF OF OF OF OF OF OF OF OF OF OF OF OF OF OF OF OF OF OF OF OF THE OF "1 / 1 DAY, 4 / 1 YEAR 'is replaced by" 1 / 1 DAY, 2 / 1 YEAR'; in Part OM, the words "S - only at a specialised workplace 'are replaced by" A - only outpatient'; in Part Performance Time (CV) the number "20 'is replaced by" 30'; in Part Point value the heading "13,02 'is replaced by" 29,95'.
52. In the Annex to Chapter 102 - angiology, power No 12028 is inserted after power No 12026:
| „12028 | MĚŘENÍ TBI (INDEXU PRSTEC-PAŽE) NA KONČETINÁCH | ||||
| TBI měření je indikováno u nemocných, kde nelze detekovat ischemickou chorobu končetin a určit její tíží nebo určit efektivitu její léčby jinými neinvazivními metodami (ABI - měření indexu kotník-paže stanovené Dopplerem, oscilometricky) pro hodnoty ABI > 1,3, nebo pro výskyt operačních ran nebo rozsáhlých kožních defektů. Měření TBI je dále určeno pro detekci a monitoraci léčby u kritické ischemie prstců nebo u vasomotorických fenomenů prstců končetin neaterosklerotické etiologie. Vyšetření bude prováděno pletysmograficky nebo oscilometricky na jednoúčelovém přístroji nebo rozšiřujícím modulu multifunkčních zařízení pro vaskulární vyšetření. Výkon nelze kombinovat s výkonem č. 12024. | |||||
| Kategorie: | P - hrazen plně | Nositel | INDX | Čas (ČN) | |
|---|---|---|---|---|---|
| L3 | 3 | 15 | |||
| OF: | 2/1 rok | ||||
| OM: | A - pouze ambulantně | ||||
| Čas výkonu (ČV): | 15 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ne“. | |||
53. In the Annex to Chapter 103 - Diabetology of Performance Description No 13054, the text "U96.74 'is replaced by the text" U69.74'.
54. In the Annex to Chapter 104 - Endocrine studies, performances 14300 and 14301 are deleted.
55. In the Annex to Chapter 105 - Gastroenterology of the performance description No 15150 of Part Point value, point value is replaced by "230.00 '.
56. In the Annex to Chapter 115 - Gastro-enterology - Group 1 of the Power Description No 15440 of Part Point value, the number "350,88 'is replaced by" 641,88'.
57. In the Annex to Chapter 115 - Gastro-enterology - Group 1 of the Power Description No 15475 of Part Point value, the number "16831,40 'is replaced by" 17231,40'.
58. In the Annex to Chapter 115 - Gastro-enterology - Group 1 of the Power Description No 15910 of Part Point value, point value is replaced by "596,96 '.
59. In the Annex to Chapter 115 - Gastro-enterology - Group 1 of the Power Description No 15990 of Part Point value, point value "628,18 'is replaced by" 1828,18'.
60. In the Annex to Chapter 115 - Gastro-enterology - Group 1 of the Power Description No 15998 of Part Point value, point value is replaced by "2148,18 '.
61. In the Annex to Chapter 106 - geriatrics, the following shall be inserted after power No 16110:
| „16117 | ZHODNOCENÍ A ÚPRAVA MEDIKACE GERIATREM U SENIORŮ S POLYFARMAKOTERAPIÍ A MULTIMORBIDITOU | ||||
| Výkon je určen pro komplexní posouzení složitých lékových režimů u multimorbidních geriatrických pacientů s polyfarmakoterapií (≥5 systémově užívaných léčiv) významně ohrožených nebo s přítomnými nežádoucími událostmi spojenými s farmakoterapií. Výkon navazuje na klinické vyšetření geriatrem (komplexní, cílené či kontrolní), pokud byly zjištěny výše uvedené charakteristiky. Cílem je optimální nastavení medikace s ohledem na individuální klinický profil pacienta (morbidita, geriatrické syndromy, funkční stav a očekávané dožití) a cíle léčby v souladu s přáním pacienta. Výsledkem je dosažení maximálního přínosu farmakologické léčby a předcházení, popřípadě léčba zdravotních problémů spojených s farmakoterapií. Geriatr identifikuje individuální klinické rizikové faktory a riziková léčiva (např. zbytná, duplicitní, neúčinná či ve stáří potenciálně nevhodná, s úzkým terapeutickým oknem) nebo vedoucí k nežádoucímu účinku léku (NÚL). Současně identifikuje také léky s potenciálním přínosem pro pacienta, které dosud nebyly předepsány a iniciuje jejich preskripci. V rámci stanovení individuálního plánu navrhuje a provádí úpravu medikace v souladu s doporučenými postupy a monitoruje průběh intervence. | |||||
| Kategorie: | P - hrazen plně | Nositel | INDX | Čas (ČN) | |
|---|---|---|---|---|---|
| L3 | 3 | 30 | |||
| OF: | 1/1 den, 8/1 rok | ||||
| OM: | bez omezení | ||||
| Čas výkonu (ČV): | 30 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ne | |||
| 16118 | HODNOCENÍ SARKOPENIE GERIATREM | ||||
| Výkon je určen pro zhodnocení sarkopenie, respektive rizika jejího rozvoje u geriatrického pacienta. Cílem je vyhodnotit riziko nebo přítomnost sarkopenie a jejích etiologických faktorů v kontextu ostatních geriatrických syndromů se zaměřením na intervenci příčin. Realizuje geriatr, který po zhodnocení sarkopenie a jejích etiologických faktorů vytvoří individuální plán intervence rizika sarkopenie včetně komplexní léčby vyvolávajících příčin. Výkon je možné vykázat jedině s komplexním, cíleným či kontrolním vyšetřením geriatrem. | |||||
| Kategorie: | P - hrazen plně | Nositel | INDX | Čas (ČN) | |
|---|---|---|---|---|---|
| L3 | 3 | 30 | |||
| OF: | 1/1 den, 4/1 rok | ||||
| OM: | AOD - pouze ambulantně - agregován do OD | ||||
| Čas výkonu (ČV): | 30 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ne“. | |||
62. In the Annex to Chapter 107 - cardiology, power No 17118 is inserted after power No 17113:
| „17118 | ČASNÁ PREDIKCE RIZIKA DEKOMPENZACE PACIENTŮ S POKROČILÝM SRDEČNÍM SELHÁNÍM (HFREF) NA ZÁKLADĚ ANALÝZY DAT ICD SYSTÉMŮ, SYSTÉMŮ PRO RESYNCHRONIZAČNÍ LÉČBU A VZDÁLENÉ MONITORACE PACIENTŮ | ||||
| Jedná se o kontrolu reportu pro pacienty s pokročilým chronických srdečním selháním (CHSS) ze systému lékařem, ve kterého ambulantní péči je daný nemocný. Samotný výkon se skládá ze dvou částí. První je inicializace systému přímo při implantaci ICD systému nebo těsně po ní. Druhou je kontrola reportu/alertu, který je generován z řady sledovaných parametrů pomocí umělé inteligence (AI) pro pacienty s pokročilým srdečním selháním. Takto generované upozornění je automaticky odesláno do systému a upozorní lékaře na nutnost kontaktu pacienta a okamžité vytvoření návrhu léčebného postupu v ambulantním systému péče (například nutnost podání diuretické léčby, antikoagulační terapie aj.) tak, aby nebylo nutné pacienta hospitalizovat pro akutní dekompenzaci CHSS. Výkon je indikován u pacientů s vysokou mírou rizika zhoršení (dekompenzace) srdečního selhání. Tento výkon není primárně zamýšlen jako náhrada dispenzární prohlídky. Přináší další nové specifické ukazatele nad rámec standardní dálkové monitorace. Primárním ukazatelem tohoto výkonu je riziko dekompenzace CHSS. Výkon je možné vykázat pouze při aktivním upozornění systémem na patologickou změnu zdravotního stavu pacienta a jeho pozvání do ambulance srdečního selhání, které vyústí ve změnu léčebného postupu. | |||||
| Kategorie: | P - hrazen plně | Nositel | INDX | Čas (ČN) | |
|---|---|---|---|---|---|
| L3 | 3 | 20 | |||
| OF: | 6/1 rok | ||||
| OM: | SA - pouze na spec. prac. ambulantně | ||||
| Čas výkonu (ČV): | 20 | ZUM: | Ne | ||
| Bodová hodnota: | ZULP: | Ne“. | |||
63. In the Annex to Chapter 107 - cardiology of the performance description No 17303 of Part OM, the words "S - only at a specialised workplace 'are replaced by the words" H - only at hospitalisation' and the word "732,8 'is replaced by" 1058,32' in the section Point value.
64. In the Annex to Chapter 117 - cardiology - Group 1, at the end of the performance description No 17705, the sentences "Implantation of the system for catheter repair of the tricuspid valve including the loader are indicated for:
- patients with severe tricuspid regurgitation with anatomically insufficient valve copulation ≤ 1,0 cm at high risk of tricuspid valve surgery,
- patients who do not have severe mitral regurgitation or severe pulmonary hypertension (systolic blood pressure > 60mmHg) and have symptoms despite therapeutic therapy,
- patients at high risk of cardiac surgery or contraindication to surgery or to patients after prior cardiac surgery.
The catheter repair system for the tricuspid valve, including the loader, can be reported only 1 times for one power output. '
65. In the Annex to Chapter 110 - Clinical Osteology of Performance Description No 89312, the sentence "Determination of Mineral Content in Bones or Soft Tissue in One Place. In the case of a full body examination or at two places (where applicable in the lateral projection of the spine), the power shall be given twice, when measured in more than three places. Only when indicated by the treating physician who is in charge of the patient's bone disease. 'are replaced by the following:" The examination is indicated by the doctor if anamnestic data, clinical, laboratory and imaging tests indicate suspected skeletal metabolic disease (osteoporosis or other metabolic bone disease), which is accompanied by a higher risk of fractures, and when monitoring changes in bone density, where such examination or monitoring of changes may contribute to diagnosis or treatment decision-making. The examination determines the mineral content of the bones or soft tissues on one site. The test is performed in 3 locations of 5 possible and recommended (lumbar spine, right hip, left hip, right forearm, left forearm). In the event of impossibility of measuring in 3 locations (for example, exximal femur, osteosynthetic material in the measured area, severe degenerative changes in the lumbar spine, or other artifacts limiting correct measurements in the site), measurements shall be made in evaluable 1 to 2 locations. The performance shall be reported according to the number of execution in each location, but not more than three.'; in the table of carriers in the section "S3 ', the text" S2' is replaced by the text "S2 'and in the same row in the section" INDX' the number "3 'is replaced by" 2'.
66. In the Annex to Chapter 203 - Infectious medicine, the following power No 23120 is inserted after power No 23101:
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Regulation Information
| Citation | Decree No. 347 / 2024 Coll., amending Decree No. 134 / 1998 Coll., issuing a list of health performance with points, as amended |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 26.11.2024 |
|---|---|
| Effective from | 01.01.2025 |
| Effective until | - |
| Status | Valid |
Public Contracts 1
Dodatek č. 10 ke Smlouvě o poskytování pracovnělékařských služeb - úprava ceníku zdravotních a nezdr...
DIAMO, státní podnik
Karvinská hornická nemocnice a.s.
19.03.2025
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