1. WYŻSZA SZKOŁA HANDLU I PRAWA im. R.Łazarskiego w Warszawie THE IMPLEMENTATION OF THE STRUCTURAL FUNDS IN THE POLISH HEALTH CARE SYSTEM: THE CASE OF THE HEALTH CARE UNIT IN WĘGRÓW by Magdalena Skóra Pod opieką naukową blablabla Warsaw 2009

2. Contents list 1.Cohesion policy 2.Law’s foundation of the structural funds 3.Polish Health Care System 4.EU Funds for the health care in the financial perspective 2004- 2006 5.Possibilities for the health care sector in the financial perspective 2007-2013 6.Characteristic of the health care unit in Węgrów 7.Applied projects 8.Future plans

3. COHESION POLICY

4. The cohesion policy for the period 2007-13 functions pursuant to 'A new partnership for cohesion in the enlarged Union: convergence competitiveness cooperation', adopted by the European Commission.

5. Cohesion Policy - objectives Convergence and competitiveness Convergence and competitiveness (82% of the total budget of the cohesion policy) (82% of the total budget of the cohesion policy) Regional competitiveness and employment (16% of the total budget)Regional competitiveness and employment (16% of the total budget) European territorial cooperation (2,5% of the total budget).European territorial cooperation (2,5% of the total budget).

6. Cohesion Policy - objectives The total budget of the cohesion policy The total budget of the cohesion policy amount €347,4 bn. amount €347,4 bn. Poland was granted €67,3 bn Poland was granted €67,3 bn The means are provided for five national The means are provided for five national operational programmes and sixteen operational programmes and sixteen regional operation programmes. regional operation programmes.

7. Cohesion Policy - objectives To achieve the above objectives of the Cohesion Policy three funding instruments are assigned: The European Regional Development FundThe European Regional Development Fund The European Social FundThe European Social Fund The Cohesion FundThe Cohesion Fund

8. LAW’S FOUNDATION OF THE STRUCTURAL FUNDS

9. EU Regulations The Cohesion Policy in Support of Growth and Jobs: Community Strategic Guidelines 2007-2013(COM 2005/0299)The Cohesion Policy in Support of Growth and Jobs: Community Strategic Guidelines 2007-2013(COM 2005/0299) The Lisbon StrategyThe Lisbon Strategy The Council and the European Parliament Regulation No. 1080 of 5 July 2006The Council and the European Parliament Regulation No. 1080 of 5 July 2006 The Council Regulation No. 1081 of 5 July 2006 concerning the European Social FundThe Council Regulation No. 1081 of 5 July 2006 concerning the European Social Fund The Council and the European Parliament Regulation No. 1082 of 5 July 2006The Council and the European Parliament Regulation No. 1082 of 5 July 2006 The Council Regulation No. 1083 of 11 July 2006The Council Regulation No. 1083 of 11 July 2006 The Council Regulation No. 1084 of 11 July 2006The Council Regulation No. 1084 of 11 July 2006 The Commission Regulation No. 1828 of 8 December 2006The Commission Regulation No. 1828 of 8 December 2006

10. Polish regulations National Development Strategy of 26 November 2006National Development Strategy of 26 November 2006 The National Cohesion Strategy, National Strategic Plan for 2007-2013 Rural Development and National Strategic Plan for FisheriesThe National Cohesion Strategy, National Strategic Plan for 2007-2013 Rural Development and National Strategic Plan for Fisheries The National Reform Programme for 2008-2011The National Reform Programme for 2008-2011 The Act of 6 December 2006 on the rules of conducting the development policyThe Act of 6 December 2006 on the rules of conducting the development policy The amended Act of public financingThe amended Act of public financing The Public Orders Law of 29 January 2004.The Public Orders Law of 29 January 2004. The Act of public ordersThe Act of public orders

11. POLISH HEALTH CARE SECTOR

12. base on the public sector (2,670 public health care institutions) and the private sector (13,870 non-public health care institutions), including 611 public hospitals and 170 non-public onesbase on the public sector (2,670 public health care institutions) and the private sector (13,870 non-public health care institutions), including 611 public hospitals and 170 non-public ones is financed from several sources: health insurance premiums within the public health insurance system is the most importantis financed from several sources: health insurance premiums within the public health insurance system is the most important

13. POLISH HEALTH CARE SECTOR Highly qualified medical, scientific and teaching staffHighly qualified medical, scientific and teaching staff High efficiency of the sector in relation to the available fundsHigh efficiency of the sector in relation to the available funds The existence of nation-wide health insuranceThe existence of nation-wide health insurance High potential for the absorption of modern technologiesHigh potential for the absorption of modern technologies Low level of the health care financingLow level of the health care financing Depreciation of the health care infrastructure, sanitary transport and diagnostic and therapeutic equipment, which threatens health of patientsDepreciation of the health care infrastructure, sanitary transport and diagnostic and therapeutic equipment, which threatens health of patients Allocation of healthy care resources disproportionate to health care needsAllocation of healthy care resources disproportionate to health care needs Lack of integrated information system in the health sectorLack of integrated information system in the health sector Unspecified standards in the field of accessibility of servicesUnspecified standards in the field of accessibility of services

14. EU FUNDS IN THE FINANCIAL PERSPECTIVE 2004-2006

15. The usage of the EU funds in the financial perspective 2004-2006 466 projects were realized within the health care sector466 projects were realized within the health care sector They were realized in frames ofThey were realized in frames of - SPO Rural Development – 456 projektów - SOP Improvement of the competitiveness of enterprises - 2 projekty enterprises - 2 projekty - SOP Human Resorce – 2 projekty - SOP Human Resorce – 2 projekty - Integrated Regional Development Programme – 6 projektów - Integrated Regional Development Programme – 6 projektów Total worth of projects: 708 135 908 złTotal worth of projects: 708 135 908 zł The amount of the EU financing:473 585 228,17 złThe amount of the EU financing:473 585 228,17 zł

16. The usage of the EU funds in the financial perspective 2004-2006

17. Regional analysis of health protection projects for 2004-2007 VoivodeshipThe total value of projects in PLN million The value of EU contribution in PLN million Dolnośląskie62.6842.79 Kujawsko-Pomorskie44.3331.79 Lubelskie68.2048.92 Lubuskie27.6618.86 Łódzkie40.5829.03 Małopolskie59.6441.06 Mazowieckie91.7366.53 Opolskie22.0916.00 Podkarpackie65.9543.40 Podlaskie40.9126.83 Pomorskie29.9021.03 Śląskie91.1955.41 Świętokrzyskie44.9332.11 Warmińsko-Mazurskie52.8528.31 Wielkopolskie74.8253.85 Zachodniopomorkie37.9527.20

18. FINANCIAL PERSPECTIVE 2007-2013

19. The division of the means from the cohesion policy in Poland in the financial perspective 2007-2013  Source: Pełka in: Oręziak, (2008) Finansowanie rozwoju regionalnego w Polsce, Wyd. Wyższej Szkoły Handlu i Prawa, p.216. 0.8% 516.7OP Technical Assistance 1.0%557.7OP European Territorial Co-operation 3.4%2 273.8OP Eastern Poland Development 12.4%8 254.9OP Innovative Economy 14.6%9 707.2OP Human Capital 24,9%16 555.616 Regional Operational Programmes 41.9%27 913.7OP Infrastructure and Environment Percentage of the total amount Amount in m EUR Operational Programme

20. REGIONAL OPERATIONAL PROGRAMME FOR MAZOWIECKIE VOIVODESHIP

21. Total Allocation: 1831,5 PriorityEU funds (ERDF) Regional Operational Programme Mazowieckie Voivodship 1 831 496 698,00 I. Creating conditions for innovational potential development and entrepreneurship for Mazovia region 430 401 731,00 II. Fastening of e-development of Mazowieckie region 205 127 627,00 III. Regional transport system538 460 023,00 IV. Environment, threats preventing and Power engineering 197 801 647,00 V. Strengthening the role of cities in regional development 89 743 340,00 VI. Usage of the natural and cultural sources for the development of tourism and recreation 150 182 726,00 VII. Creating and increasing the human capital conditions 164 834 703,00 VIII. Technical assistance54 944 901,00

22. ROP MV Measure 7.1. - Infrastructure for Health and Life Security The main aim: to develop accessibility and quality of the health care in the region. The main aim: to develop accessibility and quality of the health care in the region. The support for the projects aimed at concentrating on the The support for the projects aimed at concentrating on the development of the open and closed health care infrastructure, both portable and ambulatory, supplying medical equipment. development of the open and closed health care infrastructure, both portable and ambulatory, supplying medical equipment. The taken actions will lead to equalization of the disparities in the The taken actions will lead to equalization of the disparities in the equipment of the units on the regional level and to providing equipment of the units on the regional level and to providing services on the highest level. services on the highest level. Predicted outcome RTG and endoskopy. The number of patients using the infrastructure modernized within the projects would be 90,000 and the number of examinations taken – 500,000.

23. Predicted allocation for the 7.1. Measure is: 61,240,953 EUR from the European funds,61,240,953 EUR from the European funds, 10,807,227 EUR from country’s public means,10,807,227 EUR from country’s public means, 18,000,000 EUR from private means.18,000,000 EUR from private means.

24. THE OPERATIONAL PROGRAMME INFRASTRUCTURE AND ENVIRONMENT

25. Distribution of the funds within the Infrastructure and the Environment Operational Programme.

26. Priority Axis XII for health care reducing the mortality rate and consequences of complications caused by accidents and other sudden health and life- threatening situations.reducing the mortality rate and consequences of complications caused by accidents and other sudden health and life- threatening situations. increasing quality and access to specialized and highly specialized medical servicesincreasing quality and access to specialized and highly specialized medical services equipping with proper means of sanitary transportequipping with proper means of sanitary transport

27. THE OPERATIONAL PROGRAMME HUMAN CAPITAL

28. It concentrates on: employment,employment, education,education, social integration,social integration, development of the adaptation potential of employees and enterprises,development of the adaptation potential of employees and enterprises, development of human resources on rural areas,development of human resources on rural areas, creation of efficient and effective public administration of all levels,creation of efficient and effective public administration of all levels, health promotion of human resources.health promotion of human resources.

30. second Priority - development of human resources and adaptation potential of enterprises and improvement in the health condition of working persons. It aims at creating proper health security, developing and ideal environment for improving and keeping ideal health conditions of employees, strengthening social cohesion and reducing areas of social exclusion by providing indispensable social services in supporting access to employment for persons excluded from the labour market or threatened by such exclusion. It aims at creating proper health security, developing and ideal environment for improving and keeping ideal health conditions of employees, strengthening social cohesion and reducing areas of social exclusion by providing indispensable social services in supporting access to employment for persons excluded from the labour market or threatened by such exclusion.

31. THE HEALTH CARE UNIT IN WĘGRÓW

33. EU FundsPublic funds The increase in the quality of the services provided by replacing and purchasing of the high quality diagnostics equipment for the Powiat Hospital and Local Clinic in Węgrów 835 499,00 zł147 441, 00 zł The increase of quality and accessibility to medical services for the inhabitants of the węgrowski poviat by creating the tomography laboratory and the purchase of the new equipment 1 801 220, 51317 878,52 zł The increase in accessibility and quality of the health care by adjusting to the regulations, the Internal Diseases Care Ward of the Health Care Unit in Węgrów 1 772 411,60312 778,52 The increase of the medical services of the EMS, due to, the purchase of the new ambulance with medical appliances and equipment for radio contact and satellite navigation for the Emergency Medical Care Unit in Węgrów 337 866,0073614,00 Applied projects

34. Future plans The project assumes the training for the Health Care Unit staff. Two different subjects of training will be offered: The project assumes the training for the Health Care Unit staff. Two different subjects of training will be offered: 1. English in medicine 1. English in medicine 2. Specialized training for the staff who will deal with the new high technology equipment and for those who are expected to analyze the data and pictures made on the new devices. 2. Specialized training for the staff who will deal with the new high technology equipment and for those who are expected to analyze the data and pictures made on the new devices. Estimated value of each project: 50.000 PLN Estimated value of each project: 50.000 PLN

35. Thank You very much for your attention!!!