{"id":640,"date":"2017-09-12T15:30:00","date_gmt":"2017-09-12T13:30:00","guid":{"rendered":"http:\/\/skmed.sk\/?p=640"},"modified":"2017-09-12T15:30:00","modified_gmt":"2017-09-12T13:30:00","slug":"otvoreny-list-ministrovi-zdravotnictva-sr","status":"publish","type":"post","link":"http:\/\/skmed.sk\/?p=640","title":{"rendered":"Otvoren\u00fd list ministrovi zdravotn\u00edctva SR"},"content":{"rendered":"<p>V\u00e1\u017een\u00fd p\u00e1n minister Drucker,<\/p>\n<p>dovo\u013eujeme si reagova\u0165 formou otvoren\u00e9ho listu ku Koncepcii oddl\u017eenia zdravotn\u00edckych zariaden\u00ed. MZ SR op\u00e4tovne predklad\u00e1 na rokovanie Vl\u00e1dy Slovenskej republiky rovnak\u00fd koncept \u0161t\u00e1tneho oddl\u017eovania zdravotn\u00edckych zariaden\u00ed ako v j\u00fani. Vzh\u013eadom na skuto\u010dnos\u0165, \u017ee v predmetnom materi\u00e1ly nedoch\u00e1dza k \u017eiadnemu zoh\u013eadneniu na\u0161ej particip\u00e1cie na predo\u0161lom procese, Slovensk\u00e1 asoci\u00e1cia dod\u00e1vate\u013eov zdravotn\u00edckych pom\u00f4cok s jeho obsahom op\u00e4tovne nes\u00fahlas\u00ed. K dan\u00e9mu materi\u00e1lu sme sa nieko\u013ekokr\u00e1t osobne stretli, av\u0161ak k \u00fastretov\u00fdm krokom zo strany MZ SR nepri\u0161lo. Materi\u00e1l na oddl\u017eenie sa nezmenil, preto nie je mo\u017en\u00e9 za t\u00fdchto okolnost\u00ed o\u010dak\u00e1va\u0165 zmenu postoja na strane dod\u00e1vate\u013eov.<\/p>\n<p>Poh\u013ead\u00e1vky verite\u013eov nemocn\u00edc st\u00e1le narastaj\u00fa. <strong>\u0160t\u00e1tne nemocnice dlhuj\u00fa<\/strong> dod\u00e1vate\u013eom zdravotn\u00edckych pom\u00f4cok a \u0161peci\u00e1lneho zdravotn\u00edckeho materi\u00e1lu zdru\u017een\u00fdch v asoci\u00e1cii SK+MED ku koncu druh\u00e9ho \u0161tvr\u0165roka 2017 <strong>takmer 188 mil. EUR<\/strong>. Z tejto sumy je v\u00fd\u0161ka poh\u013ead\u00e1vok po<strong> lehote splatnosti viac ako 160 mil. EUR<\/strong>. Poh\u013ead\u00e1vky star\u0161ie ako 365 dn\u00ed s\u00fa vo v\u00fd\u0161ke 93 mil. EUR. \u00daroky z ome\u0161kania a zmluvn\u00e9 pokuty tvoria nad r\u00e1mec t\u00fdchto \u00fadajov e\u0161te sumu viac ako 25 mil. EUR. Zadl\u017eovanie nemocn\u00edc neust\u00e1le narast\u00e1 a <strong>dod\u00e1vatelia \u0161peci\u00e1lneho zdravotn\u00edckeho materi\u00e1lu s\u00fa n\u00faten\u00ed pred\u00e1va\u0165 aj na\u010falej svoje poh\u013ead\u00e1vky tret\u00edm stran\u00e1m, bez \u010doho by bol celkov\u00fd dlh za \u010dlenov SK+MED ove\u013ea vy\u0161\u0161\u00ed<\/strong>.<\/p>\n<p>Koncepcia oddl\u017eenia zdravotn\u00edckych zariaden\u00ed predlo\u017een\u00e1 MZ SR sa vz\u0165ahujena poh\u013ead\u00e1vky po lehote splatnosti k 31.12.2016, ktor\u00e9 boli len vo v\u00fd\u0161ke len 135 mil. EUR. V porovnan\u00ed s poh\u013ead\u00e1vkami po lehote splatnosti k 30.6.2017 vo v\u00fd\u0161ke 160 mil. EUR ide <strong>o takmer 20 % n\u00e1rast poh\u013ead\u00e1vok po lehote splatnosti za obdobie \u00bd roka.<\/strong><\/p>\n<p><strong>\u0160t\u00e1t neprijal ani nevytvoril opatrenia, ktor\u00e9 by zamedzovali oneskoreniu platieb, poru\u0161uje t\u00fdm Smernicu Eur\u00f3pskeho parlamentu a Rady 2011\/7 o boji proti oneskoren\u00fdm platb\u00e1m v obchodn\u00fdch transakci\u00e1ch.<\/strong> Aktu\u00e1lnym postupom tak \u0161t\u00e1t z\u00e1rove\u0148 predl\u017euje protipr\u00e1vny stav. V zmysle smernice a pr\u00e1vnej praxe je mo\u017en\u00e9 uva\u017eova\u0165 nad vzdan\u00edm sa pr\u00edslu\u0161enstva av\u0161ak nie istiny. Aj preto <strong>po\u017eadova\u0165 n\u00e1rok na z\u013eavu z istiny zo strany MZ SR je neprimeran\u00e9 a odporuje to platn\u00fdm pr\u00e1vnym princ\u00edpom.<\/strong> V zmysle s\u00fadneho v\u00fdkladu smernica na jednej strane nebr\u00e1ni vzda\u0165 sa vym\u00e1hania \u00farokov z ome\u0161kania a n\u00e1hrady n\u00e1kladov na vym\u00e1hanie v\u00fdmenou za okam\u017eit\u00e9 zaplatenie istiny splatn\u00fdch poh\u013ead\u00e1vok za predpokladu, \u017ee tak\u00fdto s\u00fahlas so vzdan\u00edm sa n\u00e1roku je udelen\u00fd dobrovo\u013ene verite\u013eom, na druhej strane v\u0161ak tak\u00fdto v\u00fdklad nepo\u010d\u00edta so vzdan\u00edm sa istiny poh\u013ead\u00e1vky. <strong>V pr\u00edpade MZ SR by teda malo \u00eds\u0165 o \u00fahradu v\u0161etk\u00fdch poh\u013ead\u00e1vok vo v\u00fd\u0161ke 100 % po lehote splatnosti k 30.6.2017 a nie po lehote splatnosti k 31.12.2016<\/strong> a aj to a\u017e v ur\u010dit\u00fdch krokoch.<\/p>\n<p><strong>A\u017e 38 % z celkov\u00e9ho dlhu nemocn\u00edc tvor\u00ed \u0161peci\u00e1lny zdravotn\u00edcky materi\u00e1l<\/strong> (\u0160ZM). Zdravotn\u00edcke zariadenia uhr\u00e1dzaj\u00fa niektor\u00e9 svoje z\u00e1v\u00e4zky, napr\u00edklad dod\u00e1vky potrav\u00edn, lieky a in\u00e9 slu\u017eby sk\u00f4r ako platia dod\u00e1vate\u013eom \u0160ZM, hoci \u00fahrady zo zdravotn\u00fdch pois\u0165ovn\u00ed dost\u00e1vaj\u00fa za pou\u017eit\u00fd \u0160ZM. <strong>Nejde v tomto pr\u00edpade o uprednost\u0148ovanie len ur\u010dit\u00e9ho okruhu verite\u013eov?<\/strong><\/p>\n<p><strong>S\u00fa\u010dasn\u00e1 negat\u00edvna situ\u00e1cia sa pre dod\u00e1vate\u013eov st\u00e1va ne\u00fanosnou, najm\u00e4 vo vz\u0165ahu k plneniu si svojich vlastn\u00fdch z\u00e1konn\u00fdch povinnost\u00ed<\/strong> ako s\u00fa platba DPH, odvod dane z pr\u00edjmu, platba miezd zamestnancom, odvody do zdravotn\u00fdch pois\u0165ovn\u00ed, Soci\u00e1lnej pois\u0165ovne a v neposlednom rade aj plnenie si z\u00e1v\u00e4zkov vo\u010di obchodn\u00fdm partnerom. Ani da\u0148ov\u00e9 \u00farady, ani Soci\u00e1lna pois\u0165ov\u0148a toti\u017e \u017eiadne ome\u0161kania zo strany dod\u00e1vate\u013eov neakceptuj\u00fa.<\/p>\n<p>Dod\u00e1vatelia zdravotn\u00edckych pom\u00f4cok a \u0160ZM chc\u00fa obchodova\u0165 v norm\u00e1lne funguj\u00facom podnikate\u013eskom prostred\u00ed. Koncepcia oddl\u017eenia zdravotn\u00edckych zariaden\u00ed zaklad\u00e1 nedobrovo\u013enos\u0165 aktu a pochybnos\u0165 o \u010destnom \u00famysle cel\u00e9ho procesu oddl\u017eenia u\u017e samotn\u00fdm vstupom: vzdanie sa pr\u00edslu\u0161enstva (\u00faroky z ome\u0161kania a zmluvn\u00e9 pokuty) a naviac aj skonto z istiny (dlh je takmer 650 mil. EUR a k dispoz\u00edcii je 585 mil. EUR, teda po\u010d\u00edta sa automaticky so skontom 20 %). <strong>Koncepcia \u0161t\u00e1tneho oddl\u017eovania podmienen\u00e1 ak\u00fdmiko\u013evek z\u013eavami je pre dod\u00e1vate\u013eov neprijate\u013en\u00e1.<\/strong><\/p>\n<p>MZ SR z\u00e1rove\u0148 pl\u00e1nuje ako s\u00fa\u010das\u0165 Koncepcie oddl\u017eenia zdravotn\u00edckych zariaden\u00ed \u00fapravu cien \u0161peci\u00e1lneho zdravotn\u00edckeho materi\u00e1lu. Ak MZ SR chce porovn\u00e1va\u0165 ceny, mus\u00ed vzia\u0165 do \u00favahy aj platobn\u00fa mor\u00e1lku porovn\u00e1van\u00fdch kraj\u00edn. <strong>V mnoh\u00fdch kateg\u00f3ri\u00e1ch sme u\u017e dnes najlacnej\u0161\u00ed v regi\u00f3ne s t\u00fdm rozdielom, \u017ee za dod\u00e1vky nedostaneme zaplaten\u00e9.<\/strong><\/p>\n<p>Asoci\u00e1cia SK+MED dlhodobo upozor\u0148uje na zlo\u017eit\u00fa a zl\u00fa situ\u00e1ciu v slovenskom zdravotn\u00edctve. Nako\u013eko nedoch\u00e1dza k zlep\u0161eniu postoja zo strany MZ SR ako dl\u017en\u00edka, a ani aktu\u00e1lne predkladan\u00fd n\u00e1vrh koncepcie oddl\u017eenia neprin\u00e1\u0161a v tomto smere zmenu, asoci\u00e1cia SK+MED pova\u017euje op\u00e4tovne predkladan\u00fd n\u00e1vrh za nev\u00fdhodn\u00fd pre svojich \u010dlenov. V tomto smere <strong>sme pripraven\u00ed podnikn\u00fa\u0165 v\u0161etky dostupn\u00e9 kroky za \u00fa\u010delom dosiahnutia vy\u0161\u0161ej miery uspokojenia na\u0161ich poh\u013ead\u00e1vok a to jednak vym\u00e1han\u00edm nielen istiny ale \u00farokov a zmluvn\u00fdch pok\u00fat a v kone\u010dnom d\u00f4sledku aj cestou iniciovania exeku\u010dn\u00fdch konan\u00ed vo\u010di dl\u017en\u00edkom.<\/strong><\/p>\n<p><strong>V\u00e1\u017een\u00fd p\u00e1n minister Drucker,<\/strong><\/p>\n<p><strong>z\u00e1verom chceme aj na\u010falej prezentova\u0165 na\u0161u odhodlanos\u0165 akt\u00edvne sa podie\u013ea\u0165 na pr\u00edprave koncepcie tak, aby bol fin\u00e1lny n\u00e1vrh akceptovate\u013en\u00fd ekonomicky i legislat\u00edvne, motiva\u010dn\u00fd a z\u00e1rove\u0148 nediskriminoval zainteresovan\u00e9 strany. Chceme sol\u00eddne rie\u0161enie pre v\u0161etk\u00fdch.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>V\u00e1\u017een\u00fd p\u00e1n minister Drucker, dovo\u013eujeme si reagova\u0165 formou otvoren\u00e9ho listu ku Koncepcii oddl\u017eenia zdravotn\u00edckych zariaden\u00ed. MZ SR op\u00e4tovne predklad\u00e1 na rokovanie Vl\u00e1dy Slovenskej republiky rovnak\u00fd koncept \u0161t\u00e1tneho oddl\u017eovania zdravotn\u00edckych zariaden\u00ed ako v j\u00fani. Vzh\u013eadom na skuto\u010dnos\u0165, \u017ee v predmetnom materi\u00e1ly nedoch\u00e1dza k \u017eiadnemu zoh\u013eadneniu na\u0161ej particip\u00e1cie na predo\u0161lom procese, Slovensk\u00e1 asoci\u00e1cia dod\u00e1vate\u013eov zdravotn\u00edckych pom\u00f4cok s jeho obsahom op\u00e4tovne nes\u00fahlas\u00ed. K dan\u00e9mu materi\u00e1lu sme sa nieko\u013ekokr\u00e1t osobne stretli, av\u0161ak k \u00fastretov\u00fdm&hellip;<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-640","post","type-post","status-publish","format-standard","hentry","category-nezaradene"],"_links":{"self":[{"href":"http:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/posts\/640","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"http:\/\/skmed.sk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=640"}],"version-history":[{"count":3,"href":"http:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/posts\/640\/revisions"}],"predecessor-version":[{"id":643,"href":"http:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/posts\/640\/revisions\/643"}],"wp:attachment":[{"href":"http:\/\/skmed.sk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=640"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/skmed.sk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=640"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/skmed.sk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=640"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}