Cross Border Directive and the National Contact Point The Irish Experience.
Directive on the application of patients’ rights in cross-border healthcare Recent developments
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Transcript of Directive on the application of patients’ rights in cross-border healthcare Recent developments
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Directive on the application of Directive on the application of patients’ rights in cross-border patients’ rights in cross-border
healthcare healthcare Recent developments Recent developments
Jooske Vos European Partnership for Supervisory Organisations in health services and
social care a co-operation between supervisory bodies in EUROPE
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Directive on patients 'rights in cross-border healthcare
Recent developments
Presentation by : Jooske Vos Head of the EPSO Secretariat and director of EURinSPECT
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Main ‘Aims’ of Directive 2011/24/EU
The main aims of the Directive:• Clarify the rights of patients seeking healthcare in
another EU country, while being reimbursed by their national system.
• Help patients exercise their rights of access to cross border care
• Assure safety and quality cross-border • Make national health systems co-operate to achieve
economics of scale
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‘Main points’ of Directive 2011/24/EUas published April 4th 2011
Patients allowed to receive care in other MS than State of affiliation;
Reimbursement may be limited by MS; Outgoing flow maybe ‘managed’ (by prior authorisation
for certain types of healthcare and by ‘gate keeping’ principle (GP);
Inflow maybe limited justified by ‘overriding reasons’ ; Information on safety and quality standards obliged ; Co-operation between MS necessary; Prescriptions between MS made possible .
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‘Short History’ of Directive 2011/24/EUTowards a European policy of cross-border patients’ rights and
cross-border healthcare:
1998 - EU Court of Justice starts cases Kohl/ Decker; 1998 -2011 Subsequent Court decisions; 2 July 2008 First draft directive by Commission to MS; 23 April 2009 European Parliament- first opinion; June 2010 Draft Directive (Agreement in Luxembourg; Final text adopted by EU in January 2011; Published 4 April 2011 in official Journal ;
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The Future of the Directive 2011/24/EUbefore 25 October 2013 (a lot of work to do) Member States have to adopt the necessary laws and
regulations and administrative provisions Including for MST ( Member State of Treatment ) :
Provisions to ensure access to good quality cross-border health care (art 4) standards and guidelines / information.
Including for MSA ( Member States of Affiliation ): Prior authorisation ( in limited cases); Reimbursement procedures .
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The Future of the Directive 2011/24/EUIncluding : National contact point(s) per MS (art 6 ) ( information) Promotion of Co-operation in healthcare between MST Standards and guidelines on quality and safety laid down by
the MST(art 4,1b ); Relevant Information including provisions on supervision
and assessment of healthcare providers (art 4,2a); Relevant information to help individual patients make an
informed choice (art 4, 2b); Transparent procedures in case of harm (art 4, 2c); Non discrimination to foreign patients (art 4, 3).
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What is interesting for supervisory bodies ?
Main point The directive calls for: Relevant information on the standards and guidelines on quality and safety laid down by the MS of treatment, including provisions on supervision and assessment of healthcare providers;
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What is interesting for supervisory bodies ?
The Directive implies the need for: •Efficient communication channels - also between supervisory bodies;•Network building on quality and safety ;•Relevant information on standards and guidelines on quality and safety laid down by the MS of treatment;•Provisions on supervision and assessment of healthcare providers;
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All European countries have to enhance their cooperation. How does EPSO fit in this process? Can we add our joint expertise?
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Questions or Answers on the questions of this presentation?