Cabinet of Ministers Regulations No. 350 in Riga on July 1, 2003 (pr. Nr. 38, 5. §) outpatient and inpatient health care providers plan framework development and implementation procedures Issued under Cabinet installations of article 14 of the law in the first part of paragraph 3 i. General questions 1. determines the State guaranteed outpatient and hospital health care providers (medical authorities), each developing and implementing procedures, related institutions, as well as the competence of the institution.
2. Outpatient and inpatient health care providers (medical authorities), each (each hereinafter) is a document that provides outpatient and inpatient health care providers (medical authorities) (health care providers) the optimum positioning of the country and their structure, to ensure citizens a high quality health care services. Each covers primary and secondary health care.
 
II. the development plan framework development in each of 3 of the Ministry of health in cooperation with representatives of the medical professional associations of individuals, the local Union of Latvia, territory development planning centre, with planning for regional development councils raised local government representatives, as well as health care professionals and experts.
4. the regional level (within the meaning of these rules — each sickness or the territory in which the State compulsory health insurance services the minimum pay health compulsory insurance State Agency (hereinafter Agency)) to each of the proposals by developing uniform criteria sickness or the Agency, involving the planning region development councils of their local government representatives. The proposals shall include the following information: 4.1. health care providers: 4.1.1 emergency medical service providers;
4.1.2. ambulatory health care service providers;
4.1.3. inpatient health care providers;
4.1.4. medical rehabilitation service providers;
4.2. health care provider number and their positions.
5. developing proposals for each of the medical establishment shall submit to the sickness fund or the Agency of the following information: 5.1 development strategy five-year period;
5.2. the health services provided and their use to ensure medical technology;
5.3. Security with qualified medical personnel;
5.4. logistical support.
6. the sickness funds and the Agency to submit a proposal, each of the Ministry of health. The Ministry of health will evaluate the proposals, with the population of the territory concerned of the need for health care services and the ability to receive maximum close to home and in the development plan framework. Each State's total health care provider number, mode of action and structure.
7. Health care plan framework for the implementation of the Advisory Council shall, each developed a planning region development councils to receive opinions from local governments. The planning region Development Council, taking into account the views of local authorities, provide health care, each of the implementation Advisory Board opinion on each.
8. Each approved by the Cabinet of Ministers.
9. Each of which shall be published in the newspaper "Gazette", as well as place the Ministry of health website on the internet.
 
III. information to be included in each of the evaluation criteria 10. developing proposals, each of which sickness funds and the Agency assess health care provided by the types of services and the provision thereof to be used for the medical technology, healthcare providers by qualified medical personnel, logistical support, as well as health care service quality.
11. developing plan framework take into account the following factors, which affect the health of the population: 11.1. socio-economic factors (e.g. income level, education, employment);
11.2. environmental factors;
11.3. morbidity indicators;
11.4. the effectiveness of preventive programmes and their implementation;
11.5. the health care and services;
11.6. the health care provider structure;
7.3. health care in the use of social infrastructure;
11.8. qualified medical personnel resources.
12. Optimal health care provider structure defined on the basis of the analysis of the situation in the economy and its development forecast, national programming, Latvian and international expert recommendations and international health care provider structure comparable indicators, on the assumption that the country has a stable socio-economic development and demographic change is taking place according to the forecasts.
13. Health care provider structure planning using the following indicators: 13.1 planning primary emergency medical resources, provides for the following: 13.1.1.75% of city assistance is provided within 15 minutes;
13.1.2. the rest of the 75% of cases in the territory to help provide 25 minutes;
13.2. the planning of secondary emergency medical resources, provides that assistance shall be provided not later than three hours;
13.3. the planning of outpatient assistance coverage, provides that: 13.3.1. at one primary health care doctor has registered no more than 1600 patients;
13.3.2. elective health care services primary health care doctor provides no later than three days;
13.4. the planning of hospital security, help provide that: 13.4.1. care in the distance from the population of the territory home to the multiagency emergency medical hospital does not exceed 70 km by road and on the way to the hospital, the time spent moving by road, not more than 60 minutes;
13.4.2. one regional multiagency emergency medical hospital serving not less than 100000 inhabitants;
13.4.3. one local hospital serving not less than 25000 inhabitants;
13.4.4. Minister of health determines the optimal hospital area, as well as the order in which you deploy resources according to the specified profile.
14. developing, each of which provides that one profile of the hospital are integrated in the multiagency emergency medical hospital. One profile in which the hospital is being treated patients suffering from socially dangerous diseases, or diseases for which patients need long-term treatment, reorganize and create a long-term residence for hospitals.
 
IV. implementation plan framework 15. implementation of each of the following principles: the principle of priority — 15.1, each based on the implementation of the medium-term health sector priorities;
15.2. in principle, each implementation implement the medium term programmpieej;
15.3. regional and national policy planning principle of consolidation — each of which is introduced by integrating national and regional development priorities and needs in health care;
15.4. the commercial and property form of equality: a health care provider receives public investment laws in the order;
15.5. the principle of continuity and coordination — the implementation plan framework provides regular updates, mutual relationship with industry policy planning documents and the evaluation of the institutional base;
15.6. the principle of participation — implementation plan framework involving Governments, non-governmental organizations, the private sector and foreign financial institutions;
15.7. consolidation principles the financial source – the implementation plan framework promotes local, own funds and private capital.
16. Plan framework is introduced, based on: 16.1. consolidated health investment programme;
16.2. grants from the Agency's reserve fund;
16.3. contracts with health care providers about the State guaranteed minimum health services included in the service fee.
17. The consolidated health investment program is an indicative medium-term health sector strategic investment planning document. The document was developed to combine the health care industry and the investment resources available to ensure efficient use of sustainable health sector services infrastructure development, promoting the stable and predictable health care business environment.
18. The consolidated health investment programme drawn up five years ago. Each year it articulates and integrates public investment program.
19. Consolidated health investment programme is being introduced to: 19.1. coordinated health care infrastructure development required investment of available resources, both domestic and foreign;
19.2. ensure diversion of investment according to the requirements of the Government health sector priorities and strategy.

20. Consolidated health investment program funding sources are the following: 20.1. national budget;
20.2. State special budget;
20.3. the municipal budget;
20.4. foreign financial assistance;
20.5. own funds;
20.6. private equity.
21. The Ministry of health is developing procedures, prepare and implement consolidated health investment programme, as well as coordinate resource Association health policy objectives. For the implementation of the programme approved by the Cabinet of Ministers.
22. in order to implement the consolidated health investment programme and targeted strategic investments in place, the Ministry of Health concluded with each of those included in the health care service providers contracts for investment allocation and utilisation.
23. the Agency's revenue reserve fund intended for the implementation of the plan framework and implementation of healthcare reform, used in the laws on health care financing.
24. the Agency and the sickness funds in accordance with each close to health care providers for State guaranteed minimum health services included in the service fee.
 
V. the development and implementation of each of the participating institutions and their areas of responsibility, each of the 25 participating in the development and implementation of the institution's health care plan framework for the implementation of the Advisory Council, the Agency, the health statistics and medical technology Agency, the sickness funds, the planning region Development Council, and health care providers.
26. The Ministry of health is responsible for the development and implementation, each of its coordination. These tasks the Ministry of health establish health care plan framework implementation Advisory Council (hereinafter Council), the work group and, if necessary, invite experts.
27. the Council, in the course of implementation, each coordinate State and local interests and contribute to the implementation of the plan framework. To ensure that the execution of a task, the Council shall assess each of 27.1.: and its implementation, as well as to prepare proposals for a successful implementation of the plan framework;
27.2. examining proposals for the necessary amendments to the plan framework;
27.3. give an opinion on the health care industry investment strategy;
27.4. give an opinion on the consolidated health investment programme;
27.5. consolidated health assessed the implementation of the programme of investment.
28. the Council chaired by the Minister of health or his authorised person. The work is delegated to the Council representatives of the Latvian Union of local authorities, the Ministry of Economy, Ministry of finance, the Ministry of the Interior, Ministry of welfare, regional development and local government Ministry and the Ministry of transport. The Council shall act in accordance with the regulations approved by the Minister of health.
29. the Agency: 29.1. controlled consolidated health investment programme for the implementation of the State budget funds;
29.2. provides the Agency's reserve fund administration;
3. monitor the health services purchase procedures compliance plan framework;
29.4. summarizes the information received from the local authorities for this rule 16.3. contracts referred to;
29.5. conclude with health care providers for services included in the minimum health care services provided under the plan framework and proposals to the Ministry of health on treatment from each of the institutions, if the contract is not fulfilled.
30. the health statistics and medical technology Agency: 30.1. evaluate treatment compliance by the authorities of the Cabinet of Ministers laid down the minimum requirements;
30.2. gives proposals for the necessary amendments to the Cabinet of Ministers in certain mandatory requirements associated with each of the medical institutions and their departments for conformity assessment;
30.3. in accordance with the competency of each implementation is monitored;
18.9. appropriate competency assessed the State of paid health care service types and develop their purchase program;
5. give the Health Ministry proposals for the necessary amendments to the plan framework, taking into account the change in the rules referred to in paragraph 10 of the factors;
19.0. This provision 16.3. controls referred to in contracts, to ensure compliance with the plan framework, and purchase of health care services program.
31. Local authorities provide the health care services available under each.
32. the sickness funds provide contracting with health care providers for health care services included in minimum service provision under the plan framework.
33. Health care providers by providing outpatient and inpatient health services, is responsible for the medical institutions and their departments down the minimum requirements.
Prime Minister e. Repše Health Minister i. Cricket is the Editorial Note: regulations shall enter into force by July 5, 2003.