Chapter 1	Scope of application
Chapter 2	Clinical function services
Chapter 3	The tasks of the health coordinator function
Chapter 4	Evaluation in Clinical Function
Chapter 5	Special medical certificate from Clinical Function
Chapter 6	Cooperation Agreement between the municipality and the region
Chapter 7
Appendix 1	Frames for the payment of the health coordinator function and medical certificate from a clinical function

Publication of the municipalities and regional cooperation on health professional advice and assessment in cases of resource flows, flex-jobs, and early retirement

In accordance with section 25 e (1), 1 and 2, in the law on the responsibility and management of the active employment effort, cf. Law Order no. 731 of 15. June 2010, as amended by law no. 1380 of 23. In December 2012, after negotiation with the Minister for Health and Prevention and Social-and the Minister for Social Affairs :

Chapter 1

Scope of application

§ 1. This notice establishes the framework for the municipalities and region's agreement on the provision of health professional advice and assessment by the regions ' clinical function to the local authorities in cases to be dealt with in the rehabilitation team, and in ongoing proceedings ; resource flows, flex-jobs, grants for self-employed and early retirement, including on the health coordinator function and the content of medical certificate from a clinical function.

Paragraph 2. The notice sets out in addition to the requirements for the organisation, organization of and content of health professional advice in ongoing matters to be processed in the rehabilitation team, as well as in cases of resource flows, flex and supplements ; self-employed.

Paragraph 3. In cases to be dealt with in the rehabilitation team as well as in ongoing cases, the municipality alone will use medical professional advice and evaluation from the clinical function and the practitioner, as well as only a requisition of medical certificates from practising practitioners. and special medicinal products from a clinical function, cf. § 25 c (3) 2, in the law on the responsibility and management of the active employment action and section 19 (1). Two, in the Social Security Act.

Paragraph 4. For ongoing cases, cases where the citizen is in a resource flow, flex job, receives grants for self-employed persons or receive early retirement, and where the municipality needs health professional advice as part of the case processing employment. This can, for example, be in cases where changes in the situation of the citizen and of the health care have arisen.

§ 2. Healthcare Consulting is the advice of the citizen's ability to work or education, cf. Chapter 3 of the notice referred to in Chapter 3 of the Article 3 of the Directive, on the basis of the facts of the case, in matters to be dealt with in the rehabilitation team, as well as in ongoing cases where the citizen is in a resource flow, flex-job, recipient of grants ; for self-employed persons or in early retirement. Health professional advice given in Chapter 3 of the notice shall always be provided by a health coordinator.

Paragraph 2. Healthcare assessment means the assessment of the health of the citizen for work or training, cf. Chapter 4 of the notice, as a clinical function, in matters to be processed in the rehabilitation team, and in cases where the citizen is in a resource flow, flex job, receives grants for self-employed or early retirement. Clinical function shall issue a health professional evaluation in the form of a special medical certificate on the basis of a consultation with the citizen.

§ 3. The collection and transmission of personal data and information referred to in this notice shall be subject to the rules applicable to the exchange of information in health legislation, the administrative act, the Danish Act on Processing of Personal Data ; and the law of legal security and administration in the social field, including the rules on the consent of the citizen.

Chapter 2

Clinical function services

§ 4. Clinical function shall provide the following services to the municipality :

1) in the case of healthcare coordinator as a representative in the rehabilitation team rehabilitation team and to health professional advice on ongoing processes of resource flow, flex-job, grant for self-employed and early retirement ; and

2) Evaluation in a clinical function of cases to be processed or under treatment in the rehabilitation team, as well as assessment in ongoing resource flow, flex-job, subsidy for self-employed and early retirement.

Paragraph 2. The healthcare treatment of citizens, including in general practice, is being done so far by the rules of health legislation.

Chapter 3

The tasks of the health coordinator function

§ 5. It is the responsibility of the health coordinator to contribute to a health-professional consultation in relation to the citizen's ability to work or to education in the cases that the municipality assesses to be dealt with in the rehabilitation team.

Paragraph 2. The Public Health Coordinator can, with the consent of the citizen, discuss the health aspects of a case with the citizen's practising physician. The health coordinator may also discuss the health professional aspects of a case with the citizen after prior agreement with the municipality.

§ 6. In addition to the meeting of the team, the Health Coordinator is preparing its medical advice in the matter in relation to the citizen's ability to work or to become an education. The preparation of the health coordinator shall be carried out on the basis of the preparatory part of the rehabilitation plan, containing all relevant health information available to the municipality, including medical attestations, and assess the health coordinator, the health professional aspects of the case are adequately exposed to the treatment of the team, prepare the health professional advice of his health professional advice on the basis on the basis of the current basis.

Paragraph 2. In cases where the public health coordinator assesses that the case of the citizen should be further clarified by, for example, obtaining medical records from hospital or specialist medical practice, the public health coordinator shall obtain this information in the preparation of the preparation of the case ; The case. The Public Health Coordinator can, with the consent of the citizen, discuss the journal information with the responsible doctor.

Paragraph 3. In cases where the public health coordinator assesses the fact that the case does not contain adequate health information, e.g. because the information available is contradictory, the consent of the public must be provided with the consent of the citizen and under observation of section 4 (4). 2, discuss the health professional aspects of the case with the citizen's practitioner before the matter is handled in the team.

Paragraph 4. In cases where the health coordinator after obtained the journal information or in contact with the practitioner practitioner, the case still does not contain the necessary adequate information on the health situation of the citizen ; in relation to work or training, the public health coordinator recommended to the municipality that the health professional aspects of this matter are further highlighted before the meeting in the rehabilitation team. Recommendation must be justified and contain specific proposals. For example, in this context the health coordinator may recommend to the municipality that :

1) the processing of the case on the team is deferred so that the municipality asks the citizen to go to his practising doctor in order to decide whether to carry out further investigation or treatment or that, or

2) the municipality shall forward the case to the clinical function prior to the meeting of the team. The health coordinator shall justify the recommendation for the health information in relation to work or training that is lacking or conflicting.

Paragraph 5. On the basis of the health coordinator's recommendation that the health professional aspects of the case be clarified, the municipality decides whether the recommendation of the health coordinator should be followed, and the processing of the proceedings in the team must be suspended or whether the matter should be dealt with in the rehabilitation team, as planned, on the basis of the health professional information which exists in the case.

§ 7. During the processing of cases at a meeting in the rehabilitation team, the healthcare coordinator provides health care coordinator and is included with the other members of the team in the dialogue with the citizen about the citizen's ability to work and educator, cf. § 25 a, paragraph. 3, in the law on the responsibility and management of the active employment effort.

§ 8. The health professional advice of the health coordinator in the matter is included in the rehabilitation team's recommendation to the municipality.

Paragraph 2. In cases where the public health coordinator assesses that the case on the basis of the information which comes to the end of the rehabilitation team, should be further clarified before the team gives a recommendation, the Health Coordinator may recommend the team that : setting from the team is awaiting further curable information in the case. For example, the health coordinator may recommend :

1) the municipality asks the citizen to go to his practice doctor in order for the doctor to take a position on whether there should be further investigation or treatment, or

2) that the rehabilitation team recommends sending the citizen's case to an assessment in a clinical function. The recommendation shall indicate which health information is missing or conflicting.

§ 9. When the municipality follows the recommendation of the health coordinator to encourage the citizen to go to his practice doctor, the health coordinator shall be subject to the observation of section 4 (4). 2, inform the practising practitioner of the background to the health coordinator ' s recommendation in accordance with section 6 (4). 4, no. Paragraph 1 and Article 8 (1). 2, no. 1.

The health coordinator operation on ongoing cases

§ 10. It is the job of the health coordinator to contribute to health professional advice on the possibility of the citizen's opportunities for work or education in ongoing cases.

Paragraph 2. The advice of the health coordinator may consist of, inter alia :

1) advice on the opportunities for a citizen to continue in a resource flow or a flexing job,

2) recommendation that the citizen ' s health relationship in relation to being able to work is assessed in clinical function, or

3) recommendation that the citizen should be encouraged to seek out the medical practitioner for the rescue and treatment according to the general rules of health legislation.

Paragraph 3. The health professional advice in the ongoing dossiers does not provide advice on the citizens ' rights to be given the right to benefit.

Paragraph 4. The Public Health Coordinator can, with the consent of the citizen, discuss the health aspects of a case with the citizen's practitioner's medical practitioner. The health coordinator may also discuss the health professional aspects of a case with the citizen after prior agreement with the municipality.

Paragraph 5. The advice of the health coordinator shall be made in the form of an opinion for the purposes of the case.

§ 11. The health coordinator shall not be able to carry out examination or treatment after health legislation, when the health coordinator provides health professional advice following the Chapter 3 of the notice. The health coordinator cannot, therefore, be able to amend or make new diagnoses when the health coordinator provides health professional advice after the Chapter 3 of the notice.

Paragraph 2. The health coordinator giving advice to health professional advice following Chapter 3 of the notice may not provide any health advice in a case if the health coordinator is or has been the citizen's practising physician, current treatment or has treated the citizen in the healthcare system, by the way or in performing other treatment or recovery tasks in the healthcare system in relation to the citizen.

Chapter 4

Evaluation in Clinical Function

§ 12. The local authority can, by recommendation of the health coordinator or the rehabilitation team, to request a clinical function on the assessment of the citizen's health situation in relation to the opportunities for work or training in matters to which they are to be processed ; the rehabilitation team, as well as in ongoing cases of resource flows, flex jobs, cases of grants for self-employed persons and cases of early retirement.

Paragraph 2. Clinical function emits the evaluation in the form of a special medical certificate based on the information received by a clinical function from the municipality in relation to the municipality ' s request and a consultation with the citizen. In the assessment, clinical function may, in exceptional cases, perform image diagnostics, blood tests or function tests when it is necessary for the assessment of the citizen's health conditions. Healthcare processing by the citizen is done according to the rules of health legislation, cf. Section 4 (4). 2.

Paragraph 3. The clinical function assessment may only be handled by the same person who has handled the public health coordinator function in the citizen's case, if the citizen is in agreement.

Paragraph 4. A national medical test solution is being drawn up with one or more certificates, which are being negotiated between the Danish Labour Market Authority, the KL and the Health Committee's Committee on Employment and Social Affairs. The municipality keeps the costs of medical care.

Chapter 5

Special medical certificate from Clinical Function

§ 13. A clinical function from a clinical function shall include an assessment of the health situation of the citizen in relation to work and training with information on the result of the objective investigation, including with information on

1) the functioning of the citizen and of the health conditions,

2) the impact of the citizen and the doctor on the importance of the health of the healers, and

3) optionally other matters that may have an impact on work or training.

Paragraph 2. If the result of the clinical function assessment is that there is a need for an additional assessment of the citizen's health situation in the context of being able to work, the certificate must include a description of the additional assessments to be carried out ; in order to clarify the health situation of the citizen in relation to work and education. The special medical certificate shall specify the price and the timeframe for the further assessment.

Paragraph 3. If the local authority requests a clinical function of any further assessments to be carried out by one or more specialist physicians, the special medical certificate from a clinical function shall be required in addition to the points set out in paragraph 1. 1, provide a comprehensive assessment of the citizen's ability to work and education on the basis of the additional assessments.

Paragraph 4. The local authority and the region may agree a different approach to the procedure laid down in paragraph 1. 2 and 3 described. Clinical function, however, must always provide an overall assessment if more assessments have been made by the same person as part of covering the citizen's ability to work or to education.

§ 14. When it is relevant in the individual case in order to be able to draw up the special medical certificate, clinical function shall obtain the medical records of hospitals and private practitioners and, if necessary, by private practice. discuss the information with the responsible doctor.

§ 15. The citizen's practitioner must have copies of the special medical certificate at the same time as the special medical certificate is issued to the municipality.

Chapter 6

Cooperation Agreement between the municipality and the region

§ 16. The region and the municipality must conclude a cooperation agreement on health professional advice and evaluation from the region's clinical function in cases of resource flows, flex-jobs and early retirement, including on the health coordinator function.

Paragraph 2. The cooperation agreement shall include the following :

1) The expected yearly number of cases to be processed in the rehabilitation team.

2) Conditions for the professional background of the health coordinator function. The region and the municipality can agree that the service coordinator function in the rehabilitation team is carried out by one or more specialised professionals with different expertise.

3) Other conditions for the health coordinator function, including meeting times in the rehabilitation team, agreement on consultancy, meeting days in the municipality and so on.

4) Price and settlement of advice and assessment from a clinical function, including the health coordinator function.

5) Deadlines for the delivery of advice and evaluation from a clinical function, including in the services of the service coordinator.

6) Agreement period and renegotiation of the Agreement.

Paragraph 3. The local authority and the region may elect to allow the agreement to cover other services other than those referred to in section 4 (4). 1.

Paragraph 4. The region and the municipality may supplement the Agreement with the services from a clinical function to the municipality in cases of cash benefits, sickness benefits and revalidation. The terms of supplementary benefits shall not be covered by this notice, but shall be agreed between the region and the municipality.

Paragraph 5. As a service for municipalities and regions, the Danish Labour Market Service has a template available for use in the cooperation agreements. The template exists at www.ams.dk.

Price fixing and settlement

§ 17. The local authority and the region agree the price of the health coordinator function of the cooperation agreement.

Paragraph 2. If nothing else has been agreed, the annual price for the health coordinator function shall be fixed on the basis of the expected yearly number of cases to be dealt with in the rehabilitation team and the average price per unit. full head of the health coordinator function with overhead, cf. Annex 1. The cost covers the overall tasks of the health coordinator in accordance with Chapter 3.

Paragraph 3. Average price per the health coordinator function is based on wage statistics from the Local Authorities ' and the Løndata Office of the local authorities. If the health coordinator function is carried out by several groups of professionals, the price shall be calculated according to the distribution of professional groups. Prices are regulated annually with wage trends.

Paragraph 4. Determe the price of paragraph 1. 2 and 3, the municipality and the region must set up a mechanism of regulation, so that monitoring whether there are any deviations in relation to the estimated number of cases must be monitored continuously.

§ 18. The municipality and the region agree the price of the clinical function of the medical certificate.

Paragraph 2. If nothing else is agreed, the region will be required to deliver the assessment from a clinical function to an average price of up to 14,000 kr. per case (2011 level), cf. Annex 1. The price includes medical attestations obtained outside the clinical function. The amount of the amount shall be adjusted by the annual price development of the medical attestations.

§ 19. The local authorities and the region agree terms and conditions for the settlement of the benefits from a clinical function.

Paragraph 2. If nothing else has been agreed, the municipality of the healthcare coordinator will be paying for months behind.

Paragraph 3. If nothing else is agreed, the municipality of the clinical function shall be paid within 14 days of receipt of the check received in the municipality. It is a prerequisite for the region to be issued at least two weeks prior to the release of an invoice.

Deadlines for the region ' s benefits

20. The local authorities and the region agree deadlines for the region's provision of services to the municipality.

§ 21. If nothing else is agreed, the Health Coordinator region will be available for meeting in the rehabilitation team no later than 14 days from the fact that the case is received in the region. However, a different time limit shall be agreed if, in a specific case, the circumstances in which it may be made that it is not possible to clarify the health aspects of material importance to the case within the deadline.

Paragraph 2. The purpose of the case is the preparatory part of the rehabilitation plan, with all the relevant supporting documents, cf. sections 3 and 4 of notice no. 1418 of 23. December 2012 on the rehabilitation plan and the rehabilitation team's recommendation on resource flows, flex jobs, subsidies for self-employed or early retirement.

Paragraph 3. The region shall provide the health coordinator as soon as possible in cases where the citizen's working capacity is significantly reduced, cf. section 16 (4). 3, no. It is quite clear that the citizen's ability to work cannot be improved and a decision on the grant of early retirement is a matter of urgency, for example for citizens at the terminal stage.

§ 22. If nothing else is agreed on in ongoing cases, where the citizen is in a resource flow, flex-job, or in grants for self-employed and early retirement, and where the municipality needs health advice and evaluation, supplies are provided the health coordinator shall give an opinion within 14 days of the case from the case received in the region. However, a different time limit shall be agreed if, in a specific case, the circumstances in which the opinion may not be rendered may not be submitted within the deadline.

-23. If nothing else is agreed, the region will provide the medical certificate no later than 14 days after consultation and no later than 30 days after the State has received the request from the municipality. However, a different time limit shall be agreed if, in a specific case, the case may be that it is not possible to provide the medical certificate within the time limit.

§ 24. The deadlines in section 21 to 23 require the municipality to send the case electronically to the particular mailbox of the region.

Contract Period, etc.

§ 25. The municipality and the region agree contract period, notice notice, etc.

Paragraph 2. If nothing else has been agreed upon, the agreement may be terminated by 9 months ' notice.

Paragraph 3. The municipality has the right to have a new health coordinator if the municipality assesses the fact that there are major cooperation problems with the health coordinator that the region has made available to the municipality.

Chapter 7

SECTION 26. The announcement shall enter into force on 1. July, 2013.

---

Appendix 1

Frames for the payment of the health coordinator function and medical certificate from a clinical function

The health coordinator function :

If nothing else has been agreed, the region ' s services to the municipality shall be settled on the following manner :

* The price is based on wage statistics from the local authorities and the Regions ' Payback data office. Where the health coordinator function is carried out by several different professional groups or job designations, the price shall be calculated according to the distribution of these. Prices are regulated annually with wage trends.

It's a compute technique assumed :

● the fact that the health coordinator has 202 annual working days corresponding to the general working standards of the Danish labour market.

● the health coordinator shall be treated in the case of an incision of the third-card cases. Business day. The number of cases takes account of the fact that, in addition to casework, the health coordinator will need time to prepare, conferences, contact with practitioner, time for internal conferences, etc. in clinical function, etc.

● that the price is inclusive of the advice of the health coordinator in matters to be addressed in the rehabilitation team (including any possible. the collection of information from investigating bodies) as well as advice in ongoing cases.

Clinical function from a clinical function :

If nothing else has been agreed, the following prices shall apply :

The price for assessment from a clinical function is on average per per. Case max. $14,000. 1) include all necessary medical certificates for. the individual citizen, including externally, obtained medical certificates.

The above maximum average price is calculated on condition that 30%. of the cases where the resource flows and 10% are known. the cases in which a flex-job is awarded are referred to in a clinical function. Thus, the regions are obliged to provide advice and assessment from a clinical function to an average price of up to DKK 14,000. per Case. That is, including all necessary assessments and any special medical certificates relating to the individual citizen.

1) In 2011 price levels. The amount of the amount shall be adjusted by the annual price development of the medicinal products,