Para disa jav\u00ebsh, n\u00eb em\u00ebr t\u00eb grupit parlamentar t\u00eb PD, dor\u00ebzuam n\u00eb Kuvend nj\u00eb k\u00ebrkes\u00eb p\u00ebr ngritjen e Komisionit hetimor parlamentar p\u00ebr 4 koncesionet n\u00eb sh\u00ebndet\u00ebsi t\u00eb shnd\u00ebrruar n\u00eb incenerator\u00eb, n\u00eb nj\u00eb vrim\u00eb t\u00eb zez\u00eb ku digjen parat\u00eb e buxhetit t\u00eb shtetit e t\u00eb taksave t\u00eb qytetar\u00ebve.<\/p>\n
Neni 77 i Kushtetut\u00ebs e detyron ngritjen e Komisionit hetimor n\u00ebse mblidhen firmat e 35 deputet\u00ebve. Ngritjen e Komisionit Hetimor e kan\u00eb firmosur 45 deputet\u00eb t\u00eb opozit\u00ebs, m\u00eb synimin e zbardhjes s\u00eb abuzimeve m\u00eb t\u00eb m\u00ebdha n\u00eb sektorin e sh\u00ebndet\u00ebsis\u00eb dhe d\u00ebshtimin spektakolar t\u00eb premtimit t\u00eb bujsh\u00ebm t\u00eb Edi Ram\u00ebs, \u2018Sh\u00ebndet\u00ebsia falas\u2019. Sot, qytetar\u00ebt, jo vet\u00ebm nuk marrin sh\u00ebrbim sh\u00ebndet\u00ebsore falas, por i paguajn\u00eb shum\u00eb m\u00eb shtrenjt\u00eb dhe, n\u00eb t\u00eb shumt\u00ebn e rasteve, nuk ki marrim fare.<\/p>\n
Me urdh\u00ebr t\u00eb Edi Ram\u00ebs, deputet\u00ebt e mazhoranc\u00ebs e rr\u00ebzuan me 71 vota, n\u00eb shkelje t\u00eb Kushtetut\u00ebs dhe Rregullores s\u00eb Kuvendit.<\/p>\n
Komisioni Europian ngre shqet\u00ebsimin e madh p\u00ebr rr\u00ebzimin e k\u00ebrkesave legjitime e kushtetuese t\u00eb Opozit\u00ebs.<\/p>\n
Qysh n\u00eb fillim PD ka denoncuar k\u00ebto koncesioneve abuzive, korruptive e t\u00eb panevojshme. Ia dol\u00ebm q\u00eb problemet n\u00eb sh\u00ebndet\u00ebsi ne t\u2019i kthenim n\u00eb \u00e7\u00ebshtje komb\u00ebtare.<\/p>\n
P\u00ebr fat t\u00eb keq, nj\u00eb nga p\u00ebrgjegj\u00ebsit kryesor\u00eb p\u00ebr vjedhjen me koncesionet, hartuesi dhe implementuesi i skem\u00ebs abuzive t\u00eb koncesioneve, Ilir Beqja, \u00ebsht\u00eb akoma i lir\u00eb; kryep\u00ebrgjegj\u00ebsi Edi Rama, apo implementuesja tjet\u00ebr e koncesioneve, Ogerta Manastirlliu nuk jan\u00eb as n\u00eb hetim.<\/p>\n
Denoncimeve t\u00eb PD u vjen n\u00eb ndihm\u00eb KLSH, me Raportin p\u00ebrfundimtar t\u00eb auditimit, ushtruar n\u00eb Drejtorin\u00eb e P\u00ebrgjithshme t\u00eb Fondit t\u00eb Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor.<\/p>\n
\u00c7far\u00eb thot\u00eb KLSH?<\/strong><\/p>\n Edhe n\u00eb 2022, jan\u00eb b\u00ebr\u00eb pagesa p\u00ebr sh\u00ebrbime t\u00eb pakryera<\/strong><\/p>\n Check up<\/strong><\/p>\n Edhe n\u00eb vitin 2022, si n\u00eb vitet e m\u00ebparshme, q\u00eb prej fillimit t\u00eb zbatimit t\u00eb k\u00ebsaj kontrate, jan\u00eb likuiduar fatura referuar numrit t\u00eb projektuar t\u00eb KMB sipas kontrat\u00ebs dhe jo sipas numrit faktik t\u00eb kryer, p\u00ebr rrjedhoj\u00eb \u00ebsht\u00eb faturuar sh\u00ebrbim i pakryer p\u00ebr 20,172 raste, me nj\u00eb kosto n\u00eb shum\u00ebn 37,198 mij\u00eb lek\u00eb me TVSH.<\/p>\n Hemodializa-<\/strong>n\u00eb total 8,854 raste, nga t\u00eb cilat 6,918 raste n\u00ebn projeksion dhe 1,936 raste mbi projeksion, n\u00eb shum\u00ebn 99,191 mij\u00eb lek\u00eb (rreth 1mln Euro), q\u00eb p\u00ebrfaq\u00ebson pages\u00eb p\u00ebr sh\u00ebrbim t\u00eb pa kryer<\/p>\n Nga MSHMS nuk jan\u00eb nd\u00ebrmarr\u00eb hapa konkret\u00eb e p\u00ebr rrjedhoj\u00eb dhe n\u00eb vitin 2022 vazhdon e nj\u00ebjta situate<\/p>\n Rekomandimi:\u00a0<\/strong>t\u00eb rishikojn\u00eb e kontratat me q\u00ebllim eliminimin e pagesave p\u00ebr sh\u00ebrbim t\u00eb pakryer si dhe t\u00eb kryhen analiza mbi efektshm\u00ebrin\u00eb e dh\u00ebnies s\u00eb k\u00ebtij sh\u00ebrbimi.<\/p>\n Gjithashtu, nga analizimi i disa treguesve ka rezultuar se, pavar\u00ebsisht shtimit t\u00eb numrit t\u00eb analizave check up n\u00eb vitin 2022 n\u00eb krahasim me vitin 2021, s\u00ebmundjet kronike jan\u00eb shtuar me 8,603 raste, vlera e rimbursimit t\u00eb barnave p\u00ebr shkak t\u00eb rritjes s\u00eb s\u00ebmundshm\u00ebris\u00eb dhe kompleksitetit t\u00eb tyre me 1,184,831 mij\u00eb lek\u00eb m\u00eb shum\u00eb; rritja e numrit t\u00eb shtrimeve n\u00eb spitale me 18,979 raste m\u00eb shum\u00eb, rritja e vizitave ambulatore n\u00eb Spitalet Universitare dhe Bashkiake me 123,354 raste m\u00eb shum\u00eb etj., tregojn\u00eb se efektet e mas\u00ebs profilaktike \u2018Kontrolli Mjek\u00ebsor Baz\u00eb\u2019, nuk jan\u00eb reflektuar n\u00eb rezultat konkrete, n\u00eb uljen e s\u00ebmundshm\u00ebris\u00eb s\u00eb popullat\u00ebs, duke cenuar efektshm\u00ebrin\u00eb e p\u00ebrdorimit t\u00eb k\u00ebtyre fondeve.<\/p>\n N\u00eb lidhje me koncesionin e Sterilizimit:<\/strong><\/p>\n ka rezultuar se, p\u00ebr nd\u00ebrhyrjet kirurgjikale t\u00eb kryera gjat\u00eb vitit 2022, n\u00eb tre llojet e spitaleve, universitare, rajonale dhe bashkiake, ka p\u00ebrdorim t\u00eb seteve t\u00eb ndryshme p\u00ebr t\u00eb nj\u00ebjt\u00ebn tipologji kirurgjikale, n\u00eb 15,339 raste n\u00eb Spitalet Universitare; n\u00eb 8,708 raste n\u00eb Spitalet Rajonale dhe n\u00eb 55 raste n\u00eb Spitalet Bashkiake.<\/p>\n Niveli i lart\u00eb i deviacioneve, ku p\u00ebr t\u00eb nj\u00ebjt\u00ebn tipologji kirurgjikale p\u00ebrdoren nivele t\u00eb ndryshme t\u00eb kompleksitetit t\u00eb seteve, ku n\u00eb spitalet universitare arrin deri n\u00eb 52 % t\u00eb rasteve, n\u00eb spitalet rajonale deri n\u00eb 48.5 % t\u00eb rasteve, kundrejt totalit t\u00eb nd\u00ebrhyrjeve, reflekton mang\u00ebsit\u00eb n\u00eb p\u00ebrfshirjen e kirurgjive sipas tipologjis\u00eb, referuar nivelit t\u00eb seteve, por dhe t\u00eb p\u00ebrmbajtjes me instrumente mjek\u00ebsor\u00eb t\u00eb seteve referuar nivelit t\u00eb kompleksitetit, gj\u00eb e cila \u00ebsht\u00eb e shoq\u00ebruar edhe me rritjen e kostove t\u00eb k\u00ebtij sh\u00ebrbimi dhe p\u00ebr rrjedhoj\u00eb t\u00eb mb\u00ebshtetjes buxhetore p\u00ebr vazhdim\u00ebsin\u00eb.<\/p>\n Rekomandimi:<\/strong><\/p>\n t\u00eb rishikohet Kontrata \u2013 p\u00ebrfshirjen e kirurgjive sipas tipologjis\u00eb, referuar nivelit t\u00eb seteve;-numrin dhe llojin e instrumenteve dhe pajisjeve mjek\u00ebsore q\u00eb duhet t\u00eb p\u00ebrmbaj\u00eb nj\u00eb set, duke rritur gam\u00ebn e tyre me q\u00ebllim minimizimin e kostove t\u00eb k\u00ebtij sh\u00ebrbimi,<\/p>\n N\u00eb lidhje me koncesionin e laborator\u00ebve:<\/strong><\/p>\n P\u00ebrcaktimi i tavaneve vjetore buxhetore, kufizon kryerjen e analizave laboratorike, duke rrezikuar ofrimin e analizave laboratorike, n\u00eb mas\u00ebn e duhur, sipas nevojave spitalore dhe duke sjell\u00eb p\u00ebr pasoj\u00eb drejtimin e pacient\u00ebve n\u00eb marrjen e k\u00ebtij sh\u00ebrbimi tek subjektet private, me kosto p\u00ebr qytetar\u00ebt, si dhe p\u00ebrkeq\u00ebsim t\u00eb sh\u00ebndetit nga moskryerja n\u00eb koh\u00eb e analizave p\u00ebrkat\u00ebse.<\/p>\n Gjat\u00eb vitit 2022, referuar t\u00eb dh\u00ebnave t\u00eb tabelave t\u00eb m\u00ebposhtme, ka rezultuar se numri i ekzaminimeve \u00ebsht\u00eb rritur me 827,617 raste, nd\u00ebrsa shpenzimet buxhetore me 509,715 mij\u00eb lek\u00eb, ose th\u00ebn\u00eb ndryshe, niveli i rritjes s\u00eb numrit t\u00eb ekzaminimeve n\u00eb total \u00ebsht\u00eb 24.5 % m\u00eb shum\u00eb se n\u00eb vitin 2021, nd\u00ebrsa niveli i rritjes s\u00eb shpenzimeve buxhetore 46.2 % m\u00eb shum\u00eb. K\u00ebta tregues demonstrojn\u00eb nj\u00eb rritje m\u00eb t\u00eb lart\u00eb t\u00eb shpenzimeve buxhetore n\u00eb krahasim me rritjen e numrit t\u00eb ekzaminimeve. N\u00eb kushtet kur \u00e7mimet referuese nuk kan\u00eb ndryshuar, kjo rritje \u00ebsht\u00eb rezultat i kryerjes s\u00eb ekzaminimeve me tarifa t\u00eb larta, kundrejt atyre me tarifa t\u00eb ulta.<\/p>\n P\u00ebr t\u00eb gjitha koncesionet:<\/strong><\/p>\n Sipas t\u00eb dh\u00ebnave t\u00eb v\u00ebna n\u00eb dispozicion nga FSDKSH, n\u00eb lidhje me financimin e kontratave PPP, ka rezultuar se p\u00ebr tre kontrata vlera e financimit vjetor, si dhe parashikimet e financimit t\u00eb tyre n\u00eb PBA 2022-2024, jan\u00eb p\u00ebrtej mb\u00ebshtetjes buxhetore t\u00eb parashikuar p\u00ebr zbatimin e tyre.<\/p>\n Rekomandimi:<\/strong><\/p>\n Fondi i Sigurimit t\u00eb Detyruar t\u00eb Kujdesit Sh\u00ebndet\u00ebsor dhe Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale si kontraktor, duhet t\u00eb kryejn\u00eb analiza t\u00eb thelluara n\u00eb lidhje me ecurin\u00eb dhe cil\u00ebsin\u00eb e dh\u00ebnies s\u00eb k\u00ebtij sh\u00ebrbimi, si dhe shpenzimeve n\u00eb rritje t\u00eb tij, me q\u00ebllim rritjen e efektivitetin e p\u00ebrdorimit t\u00eb fondeve buxhetore.<\/p>\n Rekomandimi:<\/strong><\/p>\n marrin masa t\u00eb menj\u00ebhershme p\u00ebr monitorimin e k\u00ebtyre kontratave, me q\u00ebllim ndjekjen dhe disiplinimin e shpenzimeve, p\u00ebrdorimin me efektivitet t\u00eb fondeve, t\u00eb cilat rezultojn\u00eb me tendenc\u00eb n\u00eb rritje nga viti n\u00eb vit, jo vet\u00ebm si rezultat i rritjes s\u00eb rasteve, por dhe si rezultat i rritjes s\u00eb kostove t\u00eb sh\u00ebrbimit p\u00ebr pacient, duke tejkaluar mb\u00ebshtetjen buxhetore t\u00eb parashikuar n\u00eb kontratat koncesionare.<\/p>\n Mbi pages\u00ebn e TVSH p\u00ebr sh\u00ebrbimet mjek\u00ebsore:<\/strong><\/p>\n P\u00ebr dy kontrata, n\u00eb shkelje t\u00eb ligjit \u00ebsht\u00eb b\u00ebr\u00eb pagesa me TVSH, n\u00eb shkelje flagrante t\u00eb ligjit.<\/p>\n \u2013 PPP \u2018Kontrolli mjek\u00ebsor baz\u00eb<\/p>\n \u2013 PPP \u2018Sterilizimit t\u00eb instrumenteve dhe pajisjeve mjek\u00ebsore<\/p>\n Tabela nr.3.65 \u2018TVSH sipas kontratave PPP\u2019\/ N\u00eb mij\u00eb lek\u00eb<\/strong><\/p>\n Nr\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 PPP\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vlera e faturave t\u00eb paguara me TVSH\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 TVSH e paguar<\/strong><\/p>\n 1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kontrolli mjek\u00ebsor baz\u00eb\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 803,076\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 133,846<\/em><\/p>\n 2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sterilizimi\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 1,699,975\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 283,329<\/em><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Totali\u00a0 2,503,051 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 417,175<\/strong><\/p>\n Burimi i t\u00eb dh\u00ebnave FSDKSH<\/strong><\/p>\n P\u00ebrcaktimi i m\u00ebnyr\u00ebs s\u00eb pages\u00ebs sipas fatur\u00ebs s\u00eb l\u00ebshuar nga koncesionari me TVSH, nuk \u00ebsht\u00eb n\u00eb p\u00ebrputhje me: Ligji nr. 7928, dat\u00eb 27.04.1995 \u2018P\u00ebr tatimin mbi vler\u00ebn e shtuar\u2019 (i shfuqizuar), neni 25\/11 \u2018Barnat dhe sh\u00ebrbimi sh\u00ebndet\u00ebsor\u2019 ku cil\u00ebsohet: \u2018Nga data 1 prill 2014, furnizimi i barnave dhe i sh\u00ebrbimeve sh\u00ebndet\u00ebsore nga institucionet sh\u00ebndet\u00ebsore, publike dhe private, \u00ebsht\u00eb furnizim i p\u00ebrjashtuar.<\/p>\n Sa m\u00eb sip\u00ebr, angazhimi i fondeve buxhetore p\u00ebr likuidim TVSH-je, n\u00eb mas\u00ebn 20 % t\u00eb tyre, apo n\u00eb shum\u00ebn 417,175 mij\u00eb lek\u00eb, ka sjell\u00eb q\u00eb p\u00ebrdorimi i k\u00ebtyre fondeve t\u00eb mos shkoj\u00eb n\u00eb destinacionin e p\u00ebrcaktuar, q\u00eb \u00ebsht\u00eb ofrimi i sh\u00ebrbimeve mjek\u00ebsore. P\u00ebr rrjedhoj\u00eb n\u00ebse TVSH e paguar p\u00ebr sterilizimin n\u00eb vitin 2022, do t\u00eb p\u00ebrdorej n\u00eb destinacionin e duhur do t\u00eb ishin kryer edhe 12,705 nd\u00ebrhyrje kirurgjikale t\u00eb kompleksitetit t\u00eb mes\u00ebm m\u00eb shum\u00eb.<\/p>\n Rekomandimi:\u00a0<\/strong>MSHMS, n\u00eb bashk\u00ebpunim me Strukturat drejtuese t\u00eb Fondit t\u00eb Sigurimit t\u00eb Kujdesit Sh\u00ebndet\u00ebsor, t\u00eb marrin masa p\u00ebr kthimin n\u00eb ligjshm\u00ebri dhe nd\u00ebrprerjen e pagesave t\u00eb TVSH-s\u00eb, p\u00ebr k\u00ebto sh\u00ebrbime t\u00eb p\u00ebrjashtuara nga ky lloj tatimi, si dhe p\u00ebrdorimin e fondeve me efektivitet, n\u00eb destinacionin e duhur, q\u00eb \u00ebsht\u00eb ofrimi i sh\u00ebrbimit<\/p>\n KLSH b\u00ebn p\u00ebrgjegj\u00ebse Ministren e sh\u00ebndet\u00ebsis\u00eb Manastirlliu, drejtorin e FSKDSH dhe n\u00ebpun\u00ebsit e p\u00ebrfshir\u00eb n\u00eb kontrollin dhe monitorimin e koncesioneve.<\/p>\n SPAK, edhe mbi baz\u00ebn e k\u00ebtij informacioni t\u00eb vlefsh\u00ebm nga KLSH duhet t\u00eb veproj\u00eb menj\u00ebher\u00eb.<\/p>\n Ritheksojm\u00eb se funksionimi normal i Kuvendit, dhe mbi t\u00eb gjitha qeverisja transparente, \u00ebsht\u00eb nj\u00eb nga kushtet e ecuris\u00eb pozitive t\u00eb Shqip\u00ebris\u00eb n\u00eb rrug\u00ebn europiane.<\/p>\n Deputet\u00ebt e grupit parlamentar t\u00eb PD jan\u00eb t\u00eb vendosur p\u00ebr t\u00eb mos lejuar shkeljen e Kushtetut\u00ebs dhe t\u00eb t\u00eb drejtave t\u00eb opozit\u00ebs n\u00eb parliament! Jan\u00eb t\u00eb vendosur t\u00eb b\u00ebjn\u00eb transparenc\u00eb p\u00ebr cdo abuzim q\u00eb kan\u00eb sjell\u00eb kosto t\u00eb larta n\u00eb sh\u00ebndetin dhe jet\u00ebn e qytetar\u00ebve.<\/p>\n Edi Rama mund t\u00eb vazhdoj\u00eb me pengimin e opozit\u00ebs, i trembur nga bashkimi i saj, por vendimi \u00ebsht\u00eb marr\u00eb p\u00ebr rezistenc\u00eb, dhe n\u00eb k\u00ebt\u00eb pik\u00eb nuk ka m\u00eb kthim pas!!!<\/p>\n","protected":false},"excerpt":{"rendered":" Para disa jav\u00ebsh, n\u00eb em\u00ebr t\u00eb grupit parlamentar t\u00eb PD, dor\u00ebzuam n\u00eb Kuvend nj\u00eb k\u00ebrkes\u00eb p\u00ebr ngritjen e Komisionit hetimor parlamentar p\u00ebr 4 koncesionet n\u00eb sh\u00ebndet\u00ebsi t\u00eb shnd\u00ebrruar n\u00eb incenerator\u00eb, n\u00eb nj\u00eb vrim\u00eb t\u00eb zez\u00eb ku digjen parat\u00eb e buxhetit t\u00eb shtetit e t\u00eb taksave t\u00eb qytetar\u00ebve. Neni 77 i Kushtetut\u00ebs e detyron ngritjen e …<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[37],"tags":[],"class_list":["post-63453","post","type-post","status-publish","format-standard","","category-politike"],"_links":{"self":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/posts\/63453","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/comments?post=63453"}],"version-history":[{"count":0,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/posts\/63453\/revisions"}],"wp:attachment":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/media?parent=63453"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/categories?post=63453"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/tags?post=63453"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}