ORDIN
Nr. 159 din 17 februarie 2004
privind detaliul cheltuielilor efectuate lunar si trimestrial de unitatile
sanitare cu paturi
ACT EMIS DE: MINISTERUL SANATATII
ACT PUBLICAT IN: MONITORUL OFICIAL NR. 150 din 20 februarie 2004
Avand in vedere Legea nr. 500/2002 privind finantele publice, Ordonanta de
urgenta a Guvernului nr. 48/2003 privind unele masuri in vederea intaririi
disciplinei financiare si a cresterii eficientei utilizarii fondurilor in sistemul
sanitar, precum si modificarea unor acte normative, Hotararea Guvernului nr.
743/2003 privind organizarea si functionarea Ministerului Sanatatii, cu
modificarile si completarile ulterioare, Ordinul ministrului sanatatii si al
presedintelui Casei Nationale de Asigurari de Sanatate nr. 1.220/890/2003
pentru aprobarea Normelor metodologice de aplicare a Contractului-cadru privind
conditiile acordarii asistentei medicale in cadrul sistemului de asigurari
sociale de sanatate,
in temeiul Hotararii Guvernului nr. 743/2003 privind organizarea si
functionarea Ministerului Sanatatii, cu modificarile si completarile
ulterioare,
vazand Referatul de aprobare al Directiei generale buget si achizitii nr.
OB. 1.508/2004,
ministrul sanatatii emite urmatorul ordin:
Art. 1
Incepand cu anul 2004, se introduce sistemul informatic operativ de
raportare lunara si trimestriala a cheltuielilor efectuate de unitatile
sanitare publice cu paturi, finantate integral din venituri proprii prin
sistemul de asigurari sociale de sanatate.
Art. 2
Aplicatia informatica de raportare operativa se elaboreaza de catre Centrul
de Statistica Sanitara si Documentare Medicala in colaborare cu Directia
generala buget si achizitii.
Art. 3
(1) Raportarile lunare si trimestriale se efectueaza de catre fiecare
unitate sanitara cu paturi prin directiile de sanatate publica judetene si a
municipiului Bucuresti, conform machetelor din anexele nr. 1 si 2*) care fac
parte integranta din prezentul ordin.
(2) Raportarea executiei financiare se face dupa cum urmeaza:
a) datele din anexa nr. 1 se transmit de catre fiecare spital directiei de
sanatate publica judetene, respectiv a municipiului Bucuresti, pana la data de
5 a lunii urmatoare pentru luna pentru care se face raportarea;
b) datele din anexa nr. 2 se raporteaza trimestrial, pana la data de 5 a
lunii urmatoare pentru trimestrul pentru care se face raportarea.
------------
*) Anexele nr. 1 si 2 sunt reproduse in facsimil.
Art. 4
Directiile de sanatate publica judetene si a municipiului Bucuresti
verifica datele primite si le transmit in format electronic Centrului de
Statistica Sanitara si Documentare Medicala, pana la data de 10 a lunii
urmatoare.
Art. 5
Centrul de Statistica Sanitara si Documentare Medicala, dupa verificare si
centralizare, inainteaza rapoartele lunare si trimestriale, dupa caz, rezultate
din aplicatia informatica de raportare, Ministerului Sanatatii - Directia
generala buget si achizitii.
Art. 6
Directia generala buget si achizitii prezinta lunar si trimestrial
informari privind stadiul executiei financiare a unitatilor cu paturi.
Art. 7
Bugetele unitatilor sanitare cu paturi vor fi publicate pe pagina web a
Ministerului Sanatatii, la adresa www.ms.ro.
Art. 8
Unitatile sanitare cu paturi, directiile de sanatate publica judetene si a
municipiului Bucuresti, Centrul de Statistica Sanitara si Documentare Medicala
si Directia generala buget si achizitii vor duce la indeplinire prevederile
prezentului ordin.
Art. 9
Prezentul ordin va fi publicat in Monitorul Oficial al Romaniei, Partea I.
Ministrul sanatatii,
Ovidiu Brinzan
ANEXA 1
MACHETA I
MONITORIZAREA LUNARA A CHELTUIELILOR EFECTUATE IN UNITATILE SANITARE CU
PATURI DIN VENITURI PROPRII (din contractele cu CAS si veniturile din
activitatea proprie)
Semnificatia coloanelor din tabelul de mai jos este urmatoarea:
A - TOTAL
B - Ptr. datorii 2002
C - Ptr. medicam. consum. sem. II 2003 cu plata in sem. I 2004
D - Ptr. medicam. consum. sem. I 2004 cu plata in sem. II 2004
E - consumate in sem. II 2003
F - consumate in sem. I 2004
______________________________________________________________________________
|Cap./|Subcap.|Titlu|Alin.| Denumirea indicatorilor
|
|art. |alin. |art. | |
|
|_____|_______|_____|_____|____________________________________________________|
| 1 | 2 | 3 | 4 | 5
|
|_____|_______|_____|_____|____________________________________________________|
| Prevederi | Prevederi |Medie lunara|Total | |Totalul
|
| anuale | trim. |din preved. |plati | din care: |platilor
|
| | |trim. |efect.|
|efectuate|
|_____________|___________|____________|in |______________________|in luna
|
| din care: | din care: | din care: |luna |In contul |Plati la |din
|
| | | |......|datoriilor|180 zile |venituri
|
| | | | |2002 |ptr. |proprii
|
| | | | | |medicamente|
|
|_____________|___________|____________| | |___________|
|
| A| B| C | D | A| B| C| D| A| B| C| D | | | E | F |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| 6| 7| 8 | 9 |10|11|12|13|14|15|16| 17| 18 | 19 | 20 | 21 | 22
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
|53.03| | 01 | | II. CHELTUIELI -TOTAL
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | 02 | | Cheltuieli curente
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | 02 | | Cheltuieli de personal
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10 | Cheltuieli cu salariile
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.01| Fond aferent salariilor de baza
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.02| Salarii de merit
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.03| Indemnizatii de conducere
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.04| Spor vechime |
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.05| Sporuri pentru conditii de munca
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.06| Alte sporuri
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.07| Ore suplimentare
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.08| Fond de premii |
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.09| Prima de vacanta
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.10| Fond pentru posturi ocupate prin cumul
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.11| Fond aferent platii cu ora
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.12| Fond pentru conventii civile
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.13| Indemnizatii platite unor persoane din afara
|
| | | | | unitatii
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |10.14| Alte drepturi salariale
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |11 | Contributii pentru asigurari sociale de stat
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |12 | Contributii pentru asigurarile de somaj
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |13 | Contributii pentru asigurarile sociale de sanatate
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |14 | Deplasari, detasari, transferari |
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |15 | Tichete de masa
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | 20 | | CHELTUIELI MATERIALE SI SERVICII
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |22 | Hrana
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |23 | Medicamente si materiale sanitare
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |23.01| Medicamente
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x | |
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |23.02| Materiale sanitare
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |23.03| Reactivi
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |24 | Cheltuieli pentru intretinere si gospodarire
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |25 | Materiale si prestari servicii cu caracter
|
| | | | | functional
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |25.01| Materiale pentru laborator |
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |25.02| Materiale pentru anatomia patologica
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |25.03| Materiale pentru radiologie
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |25.04| Materiale pentru medicina nucleara
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |25.05| Materiale pentru ecografie |
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |25.06| Materiale pentru endoscopie
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |25.07| Materiale pentru explorari functionale (EKG,
|
| | | | | probe respiratorii etc.)
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |25.08| Piese de schimb si repararea curenta a
|
| | | | | echipamentelor
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |25.09| Alte materiale si prestari de servicii cu caracter
|
| | | | | functional |
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |26 | Obiecte de inventar de mica valoare sau scurta
|
| | | | | durata si echipamente
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |27 | Reparatii curente
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |28 | Reparatii capitale
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |29 | Carti si publicatii
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |30 | Alte cheltuieli
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | 70 | | CHELTUIELI DE CAPITAL
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
| | | |72 | Investitii ale institutiilor publice
|
|_____|_______|_____|_____|____________________________________________________|
| | | | | | | | | | | | | | | | x |
|
|__|__|___|___|__|__|__|__|__|__|__|___|______|__________|_____|_____|_________|
- nr. posturi contractate - an 2004
- nr. posturi existente la data raportarii
NOTA:
In prezenta macheta se raporteaza
Col. 6 Prevederile anuale aprobate se refera la:
a) prevederile contractului incheiat cu CAS pentru:
- sumele reprezentand contravaloarea serviciilor medicale spitalicesti;
- sumele pentru servicii medicale efectuate in cabinetele medicale de
specialitate in: boli infectioase, stationare de zi, structuri de primire
urgente - unitate de primire urgente, compartiment de primire urgente, modul de
urgenta, camera de garda, cabinet stomatologic pentru serviciile de urgenta,
decontate din fondul aferent asistentei medicale spitalicesti, in conditiile
stabilite prin norme;
- sume pentru plata cheltuielilor de personal pentru medicii, farmacistii
si stomatologii rezidenti din anii 3 - 7, pentru medicii, stomatologii si
farmacistii stagiari si pentru personalul din activitatea de cercetare,
incadrati cu contract de munca in spital;
- sume pentru plata arieratelor anului 2002;
- sumele pentru plata medicamentelor la 180 de zile, consumate in anul
2003;
b) prevederile privind veniturile din activitatea proprie.
Col. 10 Prevederi trimestriale aprobate din planul anual; raportarea se
face cumulat.
Col. 14 Medie lunara din fiecare trimestru; raportarea se face cumulat.
Col. 18. Plati totale (din ambele surse: contracte cu CAS si venituri
proprii) efectuate in luna; raportarea se face cumulat.
Col. 19 Se detaliaza pe articole (alineate) platile efectuate in fiecare
luna pentru stingerea datoriilor catre furnizorii de bunuri si servicii ramase
nedecontate in anul 2002.
Col. 20 Platile efectuate la 180 zile pentru medicamente consumate in sem.
II 2003.
Col. 21 Platile efectuate la 180 zile pentru medicamente consumate in sem.
I 2004.
Col. 22 Se specifica cat din totalul platilor efectuate in luna evidentiate
in col. 18 au fost suportate din venituri proprii (suma totala se evidentiaza
pe total).
ANEXA 2
MACHETA II
MONITORIZAREA TRIMESTRIALA A CHELTUIELILOR EFECTUATE LA NIVELUL UNITATILOR
SANITARE CU PATURI
- mii lei -
______________________________________________________________________________
|Nr. | Denumirea indicatorilor |Prevederi |Prevederi |Plati
|
|crt.| |anuale |trim. |trim.
|
|____|____________________________________________|__________|__________|______|
| 1 | 2 | 3 | 4 | 5
|
|____|____________________________________________|__________|__________|______|
| 1. | Sume aferente programelor de sanatate | | |
|
| | pentru medicamente si materiale sanitare | | |
|
| | specifice, pe baza contractelor incheiate | | |
|
| | cu casele de asigurari de sanatate | | |
|
|____|____________________________________________|__________|__________|______|
| 2. | Contravaloarea medicamentelor/materialelor | | |
|
| | sanitare specifice furnizate fara plata | | |
|
| | de CNAS | | |
|
|____|____________________________________________|__________|__________|______|
| 3. | Sume pentru serviciile medicale efectuate | | | |
| | in dispensare TBC, LSM, cabinetele de | | |
|
| | planificare familiala pe baza actelor | | |
|
| | aditionale la contractele de furnizare | | |
|
| | servicii medicale spitalicesti incheiate | | |
|
| | cu CAS | | |
|
|____|____________________________________________|__________|__________|______|
| 4. | Sume pentru servicii medicale efectuate | | |
|
| | in cabinetele medicale de specialitate | | |
|
| | oncologie, diabet, nutritie si boli | | |
|
| | metabolice pe baza actelor aditionale la | | |
|
| | contractul de furnizare servicii | | |
|
| | spitalicesti incheiate cu CAS | | |
|
|____|____________________________________________|__________|__________|______|
| 5. | Sume pentru investigatii paraclinice | | |
|
| | efectuate in regim ambulatoriu pe baza | | |
|
| | actelor aditionale incheiate cu CAS in | | |
|
| | conditiile stabilite in Contractul-cadru | | |
|
| | privind conditiile acordarii asistentei | | |
|
| | medicale in cadrul sistemului de asigurari | | |
|
| | sociale de sanatate | | |
|
|____|____________________________________________|__________|__________|______|
| 6. | TOTAL: | | |
|
|____|____________________________________________|__________|__________|______|