{"id":17736,"date":"2014-10-05T22:29:50","date_gmt":"2014-10-05T20:29:50","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=17736"},"modified":"2014-10-05T22:50:03","modified_gmt":"2014-10-05T20:50:03","slug":"socialni-sluzby-se-dohodly-s-vzp-dostanou-penize","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=17736","title":{"rendered":"Soci\u00e1ln\u00ed slu\u017eby se dohodly s VZP. Dostanou pen\u00edze"},"content":{"rendered":"<p><strong>Domovy pro seniory, \u00fastavy pro posti\u017een\u00e9 a dal\u0161\u00ed poskytovatel\u00e9 soci\u00e1ln\u00ed p\u00e9\u010de by m\u011bli od VZP dostat dal\u0161\u00ed pen\u00edze za o\u0161et\u0159ov\u00e1n\u00ed klient\u016f v leto\u0161n\u00edm a v lo\u0148sk\u00e9m roce. Dohodly se na tom Asociace poskytovatel\u016f soci\u00e1ln\u00edch slu\u017eeb a kraj\u016f s veden\u00edm VZP.<\/strong><!--more--><\/p>\n<p><strong>Radio\u017eurn\u00e1l &#8211; report\u00e1\u017e<\/strong><\/p>\n<p>Podm\u00ednkou je, aby poskytovatel\u00e9 slu\u017eeb ukon\u010dili soudn\u00ed spory veden\u00e9 proti poji\u0161\u0165ovn\u011b. Asi 60 t\u011bchto za\u0159\u00edzen\u00ed podalo na VZP v minul\u00fdch letech \u017ealobu kv\u016fli sn\u00ed\u017een\u00ed \u00fahrad.<\/p>\n<p>moder\u00e1tor:<br \/>\n<strong>Pane Horeck\u00fd, znamen\u00e1 ta dne\u0161n\u00ed dohoda konec spor\u016f mezi poskytovateli p\u00e9\u010de a V\u0161eobecnou <span class=\"highlight\">zdravotn\u00ed<\/span> poji\u0161\u0165ovnou?<\/strong><\/p>\n<p>Ji\u0159\u00ed HORECK\u00dd, prezident Asociace poskytovatel\u016f soci\u00e1ln\u00edch slu\u017eeb:<br \/>\nSou\u010d\u00e1st\u00ed toho memoranda nebo t\u00e9 dohody je, \u017ee ti poskytovatel\u00e9 ukon\u010d\u00ed ty soudn\u00ed spory s t\u00edm, \u017ee st\u00e1hnou odvol\u00e1n\u00ed ob\u011b dv\u011b strany, to znamen\u00e1 jak poskytovatel\u00e9, jak ty domovy, tak V\u0161eobecn\u00e1 <span class=\"highlight\">zdravotn\u00ed<\/span> poji\u0161\u0165ovna. A v \u0159ad\u011b p\u0159\u00edpad\u016f se tam stanou pravomocn\u00e9 prvoinstan\u010dn\u00ed rozsudky s t\u00edm, \u017ee jak Asociace poskytovatel\u016f, tak Asociace kraj\u016f doporu\u010d\u00ed sv\u00fdm z\u0159izovan\u00fdm nebo \u010dlensk\u00fdm organizac\u00edm postup dle tohoto memoranda.<\/p>\n<p>moder\u00e1tor:<br \/>\n<strong>Jsou tedy ty jednotliv\u00e9 domovy a prost\u011b poskytovatel\u00e9 ochotni ukon\u010dit soudn\u00ed spory s poji\u0161\u0165ovnou?<\/strong><br \/>\nTy soudn\u00ed spory vznikly z toho d\u016fvodu, \u017ee jsme nebyli v roce 2012 s V\u0161eobecnou <span class=\"highlight\">zdravotn\u00ed<\/span> poji\u0161\u0165ovnou oproti jin\u00fdm poji\u0161\u0165ovn\u00e1m dohodnout na takzvan\u00fdch podm\u00ednk\u00e1ch regulace. Zat\u00edmco v\u011bt\u0161ina ostatn\u00edch poji\u0161\u0165oven tu regulaci do \u00fahradov\u00fdch dodatk\u016f ned\u00e1vala, samoz\u0159ejm\u011b argumentovali t\u00edm, \u017ee <span class=\"highlight\">zdravotn\u00ed<\/span> stav t\u011bch klient\u016f v t\u011bchto pobytov\u00fdch za\u0159\u00edzen\u00ed se hor\u0161\u00ed, tak VZP tam stanovila regula\u010dn\u00ed mechanismus na 100 a 105% poskytovan\u00e9 p\u00e9\u010de. Z toho vlastn\u011b vyplynulo t\u011bch \u0161edes\u00e1t soudn\u00edch spor\u016f. Ale ty pravomocn\u00e9 rozsudky jsou zhruba p\u016fl nap\u016fl. N\u011bjak\u00fdch sedm osm je jich ve prosp\u011bch poskytovatel\u016f, zhruba stejn\u00e9 \u010d\u00edslo ve prosp\u011bch VZP a tud\u00ed\u017e, proto\u017ee u\u017e to trv\u00e1 dlouhou dobu, jsme zasedli p\u0159ed t\u0159i \u010dtvrt\u011b rokem k jednac\u00edmu stolu, abysme tu situaci n\u011bjak\u00fdm zp\u016fsobem vy\u0159e\u0161ili.<\/p>\n<p>moder\u00e1tor:<br \/>\n<strong>Tak\u017ee mysl\u00edte tedy, \u017ee v\u0161ichni ti, kte\u0159\u00ed se soud\u00ed nebo vedou spory proti VZP z va\u0161\u00ed strany samoz\u0159ejm\u011b, tedy tu dohodu p\u0159ijmou?<\/strong><br \/>\nLze o\u010dek\u00e1vat, \u017ee ji budou akceptovat, proto\u017ee ta soudn\u00ed cesta je jednak dlouh\u00e1 a jednak tam nen\u00ed pro n\u011b pr\u00e1vn\u00ed jistota ani pravd\u011bpodobnost v\u00edt\u011bzstv\u00ed a ty podm\u00ednky, kter\u00e9 jsme dohodli, \u0159ekn\u011bme byly kompromisn\u00ed z obou dvou stran a umo\u017e\u0148uj\u00ed n\u011bjak\u00fd meziro\u010dn\u00ed n\u00e1r\u016fst mezi lety 2012 a 13 a\u017e o 70%. Na druhou stranu jsme akceptovali ty podm\u00ednky VZP, kter\u00e9 nastolila v roce 2012. S t\u00edm, \u017ee tak jak je dohoda parametricky nastavena, tak by se ta regulace nem\u011bla dotknout 91% t\u011bch domov\u016f, m\u011bla by postihnout jenom 9% za\u0159\u00edzen\u00ed a to si mysl\u00edm, \u017ee je ten kompromis, ke kter\u00e9mu jsme po n\u011bkolika m\u011bs\u00edc\u00edch dosp\u011bli.<\/p>\n<p>moder\u00e1tor:<br \/>\n<strong>Projev\u00ed se, pane Horeck\u00fd, ty doplatky jaksi na t\u011bch \u00fahrad\u00e1ch, projev\u00ed se n\u011bjak na cen\u00e1ch, kter\u00e9 \u00fa\u010dtujete klient\u016fm nebo jednotliv\u00e1 za\u0159\u00edzen\u00ed, kter\u00e1 \u00fa\u010dtuj\u00ed klient\u016fm a na kvalit\u011b p\u00e9\u010de?<\/strong><br \/>\nNa cen\u00e1ch ur\u010dit\u011b ne, proto\u017ee ty jsou regulov\u00e1ny zvl\u00e1\u0161\u0165 prov\u00e1d\u011bc\u00ed vyhl\u00e1\u0161kou. Co se t\u00fdk\u00e1 kvality p\u00e9\u010de, tak je pot\u0159eba \u0159\u00edct, \u017ee bez ohledu na to, jak\u00e1 dohoda s VZP, pop\u0159\u00edpad\u011b i s jin\u00fdmi poji\u0161\u0165ovnami, je, tak ta odbornost o\u0161et\u0159ovatelsk\u00e1, kter\u00e1 m\u00e1 \u010d\u00edslo 913, tak pokr\u00fdv\u00e1 pouze n\u011bjak\u00fdch 60, maxim\u00e1ln\u011b 65% n\u00e1klad\u016f. Tam d\u016fsledek toho byl, \u017ee za posledn\u00edch \u0161est let asi deset a\u017e dvan\u00e1ct procent v\u0161ech v\u0161eobecn\u00fdch sester z t\u011bch za\u0159\u00edzen\u00ed ode\u0161lo a v\u0161eobecn\u011b je to podfinancov\u00e1no, to znamen\u00e1, \u017ee jak\u00fdkoliv dal\u0161\u00ed p\u0159\u00edsun v t\u00e9to oblasti je v\u00edtan\u00fd, ale to ne\u0159e\u0161\u00ed to memorandum s VZP. To je pot\u0159eba \u0159e\u0161it syst\u00e9mov\u011b na \u00farovni Ministerstva <span class=\"highlight\">zdravotnictv\u00ed<\/span>.<\/p>\n<p>moder\u00e1tor:<br \/>\n<strong>Ta dohoda samoz\u0159ejm\u011b se t\u00fdk\u00e1 leto\u0161n\u00edho a lo\u0148sk\u00e9ho roku. Jak to bude tedy vypadat p\u0159\u00ed\u0161t\u00ed rok?<\/strong><br \/>\nOna ta dohoda se t\u00fdk\u00e1 roku 2012, 13 a 14. Je to vlastn\u011b \u00fahradov\u00fd dodatek na v\u0161echny ty t\u0159i roky. Net\u00fdk\u00e1 se a nedot\u00fdk\u00e1 se p\u0159\u00ed\u0161t\u00edho roku a tam po\u010d\u00edt\u00e1me, \u017ee hned koncem srpna, za\u010d\u00e1tkem z\u00e1\u0159\u00ed budeme d\u00e1l jednat s V\u0161eobecnou <span class=\"highlight\">zdravotn\u00ed<\/span> poji\u0161\u0165ovnou o podm\u00ednk\u00e1ch \u00fahrad na ten p\u0159\u00ed\u0161t\u00ed rok s t\u00edm, \u017ee lze o\u010dek\u00e1vat, \u017ee by se i ty podm\u00ednky mohly zm\u011bnit, proto\u017ee tato vl\u00e1da deklarovala i stanoven\u00ed n\u011bjak\u00e9 syst\u00e9mov\u00e9 dlouhodob\u011b p\u00e9\u010de, aby se ten syst\u00e9m \u00fahrad sjednotil, a\u0165 u\u017e je to \/nesrozumiteln\u00e9\/, v dom\u00e1c\u00ed p\u00e9\u010de nebo v domovech pro seniory. Tak\u017ee co se t\u00fdk\u00e1 p\u0159\u00ed\u0161t\u00edho roku, tam n\u00e1s \u010dek\u00e1 je\u0161t\u011b \u0159ada vyjedn\u00e1v\u00e1n\u00ed a o\u010dek\u00e1v\u00e1me, \u017ee do programov\u00e9ho prohl\u00e1\u0161en\u00ed toto vl\u00e1dy od 1. ledna 2016 by se m\u011blo zm\u011bnit mnoh\u00e9, tak aby to bylo hlavn\u011b p\u0159\u00edzniv\u011bj\u0161\u00ed pro seniory a osoby se <span class=\"highlight\">zdravotn\u00edm<\/span> posti\u017een\u00edm.<\/p>\n<p>moder\u00e1tor:<br \/>\n<strong>To byl prezident Asociace poskytovatel\u016f soci\u00e1ln\u00edch slu\u017eeb Ji\u0159\u00ed Horeck\u00fd. <\/strong><\/p>\n<p>ilustra\u010dn\u00ed foto: zimurg \/ sxc.hu<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Domovy pro seniory, \u00fastavy pro posti\u017een\u00e9 a dal\u0161\u00ed poskytovatel\u00e9 soci\u00e1ln\u00ed p\u00e9\u010de by m\u011bli od VZP dostat dal\u0161\u00ed pen\u00edze za o\u0161et\u0159ov\u00e1n\u00ed klient\u016f v leto\u0161n\u00edm a v <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=17736\" title=\"Soci\u00e1ln\u00ed slu\u017eby se dohodly s VZP. Dostanou pen\u00edze\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16664,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-17736","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rozhovory"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17736","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17736"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17736\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16664"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17736"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17736"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17736"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}