Source: https://www.riigiteataja.ee/en/eli/ee/531102013007/consolide
Timestamp: 2020-01-19 00:37:38
Document Index: 207784598

Matched Legal Cases: ['§ 43', '§ 42', '§ 43', '§ 44', '§ 47', '§ 48', '§ 49', '§ 56', '§ 60', '§ 61', '§ 62', '§ 621', '§ 63', '§ 665', '§ 43', '§ 29', '§ 29', '§ 62', '§ 42', '§ 41', '§ 43', '§ 44', '§ 41', '§ 47', '§ 48', '§ 49', '§ 41', '§ 41', '§ 56', '§ 60', '§ 61', '§ 62', '§ 10', '§ 621', '§ 63', '§ 665']

§ 43 Participation in provision of health services at responsibility of health care professionals
§ 42 Decision on issue of activity licence
§ 43 Issue of activity licences
§ 44 [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2008]
§ 47 Duty to disseminate information
§ 48 Revocation of activity licences
§ 49 Partial revocation of activity licences
§ 56 Duties of Minister of Social Affairs
§ 60 Supervision of health care
§ 61 Rights of supervisory authority
§ 62 Precepts
§ 621 Submission of protests
§ 63 [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2008]
§ 665 Transfer of duties to organise general medical care, health care statistics and reports on economic activities in field of health care to Health Board and institutions determined by Ministry of Social Affairs or by Minister of Social Affairs
06.06.2012 RT I, 29.06.2012, 4 01.01.2013, partially 09.07.2012, 01.09.2012 and 01.01.2014
[RT I 2003, 26, 157 - entry into force 01.04.2003]
(1) Health services are the activities of health care professionals for the prevention, diagnosis or treatment of diseases, injuries or intoxication in order to reduce the malaise of persons, prevent the deterioration of their state of health or development of the diseases, and restore their health. The Minister of Social Affairs shall establish the list of health services.
[RT I, 04.07.2012, 3 - entry into force 14.07.2012]
(2) A health care professional may provide health services within the acquired speciality with regard to which the Health Board has issued a certificate of registration of the person as a health care professional.
(2) The conditions and procedure for maintaining records of the provision of health services and preservation of the documents thereof shall be established by a regulation of the Minister of Social Affairs.
§ 43. Participation in provision of health services at responsibility of health care professionals
(1) The following persons without the registration of a health care professional may participate in the provision of health care services:
[RT I, 05.01.2011, 12 - entry into force 15.01.2011]
(4) Emergency care provided to a person not covered by health insurance shall be paid for out of the funds prescribed for such purpose in the state budget, on the basis of a contract entered into between the Minister of Social Affairs and the Estonian Health Insurance Fund and pursuant to the Health Insurance Act.
[RT I 2002, 62, 377 - entry into force 01.10.2002]
[RT I, 29.06.2012, 4 - entry into force 01.01.2013]
(44) The Health Board shall preclude a person from the practice list of a family physician if the person is not a subject of the Estonian population register.
(46) The Minister of Social Affairs shall establish, by a regulation, the bases of and procedure for the compilation, amendment and comparison of practice lists of family physicians and the maximum number of practice lists.
(47) Upon the establishment of the maximum number of practice lists, the Minister of Social Affairs shall proceed from the number of persons being the subjects of the Estonian population register and considering the better organisation and availability of general medical care.
(5) [Repealed - RT I, 29.06.2012, 4 – entered into force 01.01.2013]
(61) The work instructions of family physicians and health care professionals working together with family physicians shall be established by a regulation of the Minister of Social Affairs.
(8) [Repealed - RT I, 29.06.2012, 4 – entered into force 01.01.2013]
The Minister of Social Affairs shall establish the requirements for the facilities, installations and equipment of places of business of family physicians.
[RT I 2002, 110, 661 - entry into force 01.01.2005]
[RT I 2006, 56, 416 - entry into force 01.01.2008]
(3) The Minister of Social Affairs shall establish:
[RT I 2006, 56, 416 - entry into force 01.01.2007]
2) [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2007]
6) [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2007]
4) [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2007]
[RT I, 29.06.2012, 4 - entry into force 09.07.2012]
[RT I 2002, 110, 661 - entry into force 01.01.2003]
(4) [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2008]
(2) The Minister of Social Affairs shall establish the procedure for the financing of emergency medical care.
[RT I, 11.06.2013, 2 - entry into force 21.06.2013]
(2) The Minister of Social Affairs shall establish the list of specialist fields of specialised medical care.
(2) The Minister of Social Affairs shall establish the requirements for the facilities, installations and equipment necessary for the provision of specialised out-patient care.
[RT I 2002, 57, 360 - entry into force 09.07.2002]
(3) A company or foundation which operates a hospital shall not have another area of activity besides providing specialised medical care, emergency medical care, independent provision of nursing services and social services, teaching and scientific research in health care, maintaining a hospital pharmacy, manufacture of full blood and blood components and handling of tissues and organs.
(4) The types of hospital are: regional hospital, central hospital, general hospital, local hospital, special hospital, rehabilitation hospital and nursing hospital. The Minister of Social Affairs shall establish the requirements for the types of hospital.
(5) An owner of a hospital shall submit the functional development plan prepared on the basis of subsection 56 (1) 3) of this Act and the budget of the hospital to the Ministry of Social Affairs. The Minister of Social Affairs shall establish the conditions and procedure for the submission and disclosure of the functional development plans and budgets of hospitals.
(11) [Repealed - RT I, 05.01.2011, 12 – entered into force 15.01.2011]
(2) The Minister of Social Affairs shall establish the list of nursing specialties.
(2) The Minister of Social Affairs shall establish the requirements for facilities, installations, equipment, instruments and medicinal products necessary for the independent provision of nursing.
(3) The Minister of Social Affairs shall establish the list of nursing services which are permitted to be provided independently.
(3) The list of midwifery services which are permitted to be provided independently and the operations being part thereof shall be established by a regulation of the Minister of Social Affairs.
(4) The requirements for facilities, installations, equipment and instruments necessary for the independent provision of midwifery care shall be established by a regulation of the Minister of Social Affairs.
(1) Registration grants a health care professional the right to provide health services.
(2) The purpose of the national register of health care professionals is to register health care professionals in order to ensure national protection of the consumers of health services through provision of health services by persons who have the required qualifications and supervision over them and the required data for government agencies for the performance of the functions of the management and organisation of health care arising from Acts and other legislation and for the organisation of health statistics. Registration grants health care professionals the right to provide health services in the speciality set out in the document certifying his or her qualifications and the certificate of registration issued upon registration.
(2) The Minister of Social Affairs shall establish the list of information to be submitted in registration applications.
(3) The Minister of Social Affairs shall establish a list of the documents certifying qualifications which are the bases for the registration of health care professionals.
2) he or she has been deprived of the right to work in the speciality specified in the application for registration.
(7) [Repealed - RT I 2002, 61, 375 – entered into force 01.08.2002]
(9) If a person fails to submit the documents within the term of registration specified in subsection (8) of this section, he or she may apply for the registration of himself or herself with the Health Board if he or she passes a theory examination and practice examination of health care professionals pursuant to the procedure established by the Minister of Social Affairs and submits a document certifying the results of the examination to the Health Board.
(10) In order to apply for the registration of himself or herself as health care professional, a person whose document certifying qualifications is not included in the list established pursuant to subsection (3) of this section shall pass a theory examination and practice examination of health care professionals pursuant to the procedure established by the Minister of Social Affairs.
[RT I 2004, 29, 192 - entry into force 01.05.2004]
(2) The qualifications acquired in a Member State of the European Economic Area or Switzerland shall be certified by a document which grants a health care professional the right to provide health services in the speciality set out in the document in the corresponding Member State of the European Economic Area or in Switzerland.
(4) The list of documents certifying the qualifications acquired in a Member State of the European Economic Area or in Switzerland and the procedure for the assessment of the correspondence of the qualifications shall be established by the Minister of the Social Affairs.
(11) If a person who has acquired his or her qualifications in a foreign state not specified in § 29 of this Act and a Member State of the European Economic Area or Switzerland has recognised the qualifications beforehand and the person has obtained three years’ work experience in the corresponding speciality in the Member State of the European Economic Area or Switzerland where his or her qualifications were recognised, the Health Board shall decide on the recognition of the person’s qualifications or obligation to take an aptitude test pursuant to the provisions of the Recognition of Foreign Professional Qualifications Act. Upon application for registration, the person shall submit a document certifying the required work experience and the right of the person to provide health services in a Member State of the European Economic Area or in Switzerland in addition to the documents required in subsection 28 (1) of this Act.
(2) The Health Care Board shall compare the qualifications of a person applying for registration with the qualifications required in Estonia, shall verify the correctness of information submitted in the documents certifying the qualifications and make a registration decision within three months as of submission of the documents specified in subsection 28 (1) of this Act. The procedure for comparing the qualifications acquired in a foreign state with the qualifications required in Estonia shall be established by the Minister of Social Affairs.
(3) In order to assess the compliance of qualifications, the Health Board may require that the persons who have acquired qualifications in foreign states not specified in § 29 of this Act take aptitude tests. The procedure for compilation, conduct and evaluation of aptitude tests shall be established by the Minister of Social Affairs.
(4) A person shall not be registered as health care professional if he or she has knowingly submitted false information or if the qualifications of the person do not comply with the qualifications required for working in this speciality in Estonia.
3) the speciality of the health care professional;
(3) The Minister of Social Affairs shall establish the standard format for certificates.
5) the speciality in which recognition is applied for.
1) if a conviction by a court which deprives the health care professional of the right to engage in the speciality set out in the document certifying his or her qualifications or in the register has entered into force in respect of the health care professional, or
In the case of failure to comply with a precept issued pursuant to § 62 of this Act, the Health Board may suspend the registration of a health care professional in the register established on the basis of subsection 271 (1) of this Act for up to one year.
(1) In order to grant the right to compile a practice list, the Health Board shall conduct a public competition pursuant to the procedure established by the Minister of Social Affairs.
3) [Repealed - RT I 2002, 61, 375 – entered into force 01.08.2002]
(1) [Repealed - RT I, 29.06.2012, 4 – entered into force 01.01.2013]
(3) [Repealed - RT I, 29.06.2012, 4 – entered into force 01.01.2013]
3) the family physician has not commenced the provision of general medical care within sixty calendar days or has cancelled the provision of general medical care for more than sixty days as of approval of the practice list and determination of the service area;
4) [Repealed - RT I, 29.06.2012, 4 – entered into force 01.01.2013]
9) [Repealed - RT I 2004, 29, 192 – entered into force 01.05.2004]
(2) Upon deprivation of the right to practise as family physician, the family physician or his or her successor is required to hand over documents concerning the practice list to the Health Board pursuant to the procedure established by the Minister of Social Affairs.
An activity licence is required for:
11) the provision of general medical care on the basis of a practice list of a family physician;
2) the provision of specialised medical care;
(1) An activity licence is issued for the provision of one or several health services.
(2) A health care provider may provide only those health services for the provision of which an activity licence has been issued to him or her.
In order to be granted an activity licence, an applicant shall submit the following documents and information to the issuer of activity licences:
1) an application which sets out the name of the applicant, the commercial register or non-profit associations and foundations register code or the personal identification code of a sole proprietor not entered in the commercial register and the place of business, address and the telecommunications numbers;
2) copies of the memorandum of association or foundation resolution and the articles of association or partnership agreement of the legal person being founded;
3) the name, personal identification code or date of birth, residence and business name of the undertaking, in the case of a sole proprietor;
41) in order to provide health services in the Defence Forces or in the case of application for a licence for the provision of emergency medical care in the Defence Forces, the location and statutes of the structural unit of the Defence Forces and the name of its superior government agency;
[RT I 2008, 58, 326 - entry into force 01.01.2009]
5) the list of health services for the provision of which the activity licence is being applied for;
6) the names and personal identification codes of the health care professionals and, upon application for an initial activity licence, the written consents of the health care professionals to commence work at the health care provider which applies for the activity licence except in case of application for a licence for the provision of general medical care on the basis of a practice list of a family physician;
7) upon application for a licence for the provision of emergency medical care, the number, staff and equipment of ambulance crews being applied for;
8) upon application for a licence for the provision of specialised in-patient care, the type of hospital being applied for;
9) the part of the plan pertaining to the medical technology of facilities which contains information on the facilities, installations and equipment;
10) information concerning registration of processing of sensitive personal data with the data protection supervision authority;
101) information concerning compliance with the requirements set for data exchange with the Health Information System.
11) [Repealed - RT I 2002, 61, 375 – entered into force 01.08.2002]
12) [Repealed - RT I 2002, 61, 375 – entered into force 01.08.2002]
§ 42. Decision on issue of activity licence
(1) The issuer of activity licences shall verify the documents and information submitted by an applicant and whether or not the health care professionals specified by the applicant have been registered with the Health Board. The issuer of activity licences shall make a decision on issue of an activity licence or refusal to issue thereof within two months as of submission of the documents and information specified in § 41 of this Act.
(11) The decision to issue an activity licence shall set out the following:
1) the person making the decision;
2) the name, place of business and address of the recipient of the activity licence, in the case of a sole proprietor, his or her name, personal identification code, residence and business name;
3) the number of the activity licence and date of the decision;
4) the basis for the decision;
5) in the case of a licence for the provision of specialised medical care, the list of health services which the person may provide;
6) in the case of a licence for the provision of emergency medical care, the number of ambulance crews;
7) in the case of a licence for the provision of specialised in-patient care, the type of hospital and the list of the health services provided;
8) the term of validity of the activity licence;
9) the procedure for contesting the decision;
10) the given name, surname and speciality of the health care providers except in the case of a licence for the provision of general medical care on the basis of a practice list of a family physician.
(2) Before submission of an application, the applicant shall pay a state fee.
§ 43. Issue of activity licences
(1) The Health Board shall issue activity licences.
(2) [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2008]
(3) A decision to issue an activity licence shall be published in the official publication Ametlikud Teadaanded.
(4) An activity licence for the provision of health services shall be issued to an owner of a hospital specified in the development plan of the hospital network only with respect to a type of hospital approved for the owner in the development plan of the hospital network.
(5) [Repealed - RT I 2008, 3, 22 – entered into force 28.01.2008]
(6) The Health Board shall disclose all the information specified in clauses 42 (11) 1)-10) on a web site.
§ 44. [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2008]
(1) An activity licence shall not be issued if:
1) the applicant for the activity licence fails to submit the documents or information specified in § 41 of this Act;
2) the applicant for the activity licence does not comply with the requirements which are set for the provision of the health services being applied for;
3) the applicant for the activity licence is bankrupt;
4) the applicant knowingly submits false information;
5) the previous activity licence of the applicant for the activity licence is revoked on the bases specified in clauses 48 (1) 2)-5) of this Act and less than one year has passed since the revocation.
(2) The issuer of activity licences shall notify an applicant for an activity licence of refusal to issue the activity licence in writing within ten working days after the decision of refusal is made.
(1) An activity licence shall be issued for a period of one to five years.
(2) In order for a decision to be made on the term of an activity licence, the Health Board shall assess whether the applicant for the activity licence complies with the requirements of legislation regulating health care or not.
(3) If an applicant applies for an activity licence for the first time, the activity licence shall be issued to him or her for up to three years.
§ 47. Duty to disseminate information
(1) A holder of an activity licence shall notify the Health Board:
1) of a change in the staff of health care professionals and persons specified in subsection 43 (1) of this Act immediately after becoming aware of the corresponding change and shall indicate the date of occurrence of such change;
2) of any major technical malfunctions and other significant changes in equipment needed for the provision of health care services within ten days after the malfunction or change occurs if as a result of such malfunction or amendment, the holder of the activity licence is unable to provide the health care services set out in the activity licence.
(11) The notices provided for in subsection (1) of this section shall be submitted by electronic means with a digital signature.
(2) The holder of an activity licence is required to prepare health care statistics and reports on economic activities in the field of health care in accordance with the requirements established on the basis of clause 56 (1) 1) of this Act and submit these to an institution determined by the Ministry of Social Affairs or by the Minister of Social Affairs.
(3) The Defence Forces shall submit the information specified in subsections (1) and (2) of this section to the Ministry of Defence who shall forward it to the Health Board or an institution determined by the Ministry of Social Affairs or by the Minister of Social Affairs.
§ 48. Revocation of activity licences
(1) The issuer of activity licences shall revoke an activity licence if:
1) so requested by the holder of the activity licence;
2) the facilities, installations or equipment for the provision of specialised medical care, general medical care on the basis of a practice list of a family physician or independent provision of nursing are not in compliance with the requirements established pursuant to this Act;
21) the facilities, installations, equipment or instruments for independent provision of midwifery care are not in compliance with the requirements established pursuant to this Act;
22) the facilities, installations, equipment, instruments or medicinal products for independent provision of nursing are not in compliance with the requirements established pursuant to this Act;
3) the staff or equipment of the ambulance crew are not in compliance with the requirements established pursuant to this Act;
4) changes in the staff of health care professionals prevent provision of the health service for the provision of which the activity licence has been issued;
5) the quality of the health services is not in compliance with the requirements established pursuant to clause 56 (1) 7) of this Act;
6) the holder of the activity licence fails to commence the provision of health services for the provision of which the activity licence has been issued within one year after the activity licence is issued;
7) the health care provider provides health services for the provision of which he or she does not have an activity licence;
8) a person providing specialised medical care who holds the right to handle infectious material fails to comply with the requirements for handling infectious material established by the Communicable Diseases Prevention and Control Act;
81) the health care provider or an employee thereof materially violates personal data processing requirements.
9) the health care provider has failed to perform the obligation specified in subsection 47 (1) of this Act or a basis provided for in clauses 45 (1) 2)-4) of this Act becomes evident.
(11) Before revoking an activity licence on the basis provided for in clauses (1) 2)–5) and 7)–9) of this section, the Health Board may issue a precept to the holder of the activity licence for elimination of the deficiencies.
(12) Upon failure to comply with a precept specified in subsection (11) of this section, the Health Board may impose penalty payment pursuant to the procedure provided for in the Substitutive Enforcement and Penalty Payment Act or revoke the activity licence.
(13) The maximum rate of penalty payment specified in subsection (12) of this section is 640 euros.
(2) A decision to revoke an activity licence shall set out:
1) the name, place of business and address of the holder of the activity licence, in the case of a sole proprietor, his or her name, personal identification code, residence and business name;
2) the number and date of issue of the activity licence;
3) the circumstances which caused revocation of the activity licence and a reference to the provision of law pursuant to which the activity licence is revoked;
4) the date on which the decision was made;
5) the name, title and signature of the person who made the decision.
(3) The holder of an activity licence shall be notified of the decision to revoke the activity licence within five working days after the decision is made. A decision to revoke an activity licence shall be published in the official publication Ametlikud Teadaanded.
[RT I 2004, 75, 520 - entry into force 01.12.2004]
§ 49. Partial revocation of activity licences
(1) If the bases for revocation of an activity licence exist only with regard to some of the provided health services, the activity licence may be revoked partially.
(2) Upon partial revocation of an activity licence, the corresponding decision shall, in addition to the information specified in subsection 48 (2) of this Act, set out the health services with regard to which the decision to revoke the activity licence applies.
(3) The holder of an activity licence shall be notified of the decision to partially revoke the activity licence within five working days after the decision is made. A decision to partially revoke an activity licence shall be published in the official publication Ametlikud Teadaanded.
(1) The holder of an activity licence shall apply for the issue of a new activity licence:
1) at least two months before the expiry of the activity licence;
2) if he or she wishes to provide a health service for the provision of which he or she does not have a licence;
3) if he or she wishes to make changes in the location of the provision of a health service.
(2) A new activity licence shall be issued pursuant to the procedure provided for in §§ 41-45 of this Act.
(3) In order to apply for a new activity licence in compliance with subsection (1) of this section, the applicant shall submit the data listed in § 41 of this Act, except for information already known to the Health Board.
(2) The purpose of the establishment and use of the national register of activity licences for the provision of health services is to maintain records of sole proprietors and legal persons who have been granted the right to provide general medical care, emergency medical care, specialised medical care, independent nursing or midwifery care and to ensure the required data for the Ministries, the Estonian Health Insurance Fund and the institutions determined by the Ministry of Social Affairs or by the Minister of Social Affairs for the performance of the functions of the management and organisation of health care arising from Acts and other legislation and for the organisation of health statistics.
(3) The issuer of activity licences and, in the case of amendment of information entered in the register, the holder of the activity licence have the obligation to submit information to the authorised processor.
(5) The following information is collected in the national register of activity licences for the provision of health services:
1) contact details of holders of activity licences;
2) information on the activity licences;
3) organisational information.
[RT I, 04.07.2012, 2 - entry into force 14.07.2012]
(5) By 1 February of each calendar year, the committee shall submit to the Minister of Social Affairs a report of all the petitions submitted to the committee during the previous calendar year and the assessments of the committee.
(6) The committee is formed and its membership is approved by the Minister of Social Affairs.
(7) The rules of procedure of the committee and the procedure for assessment of the quality of health services shall be established by the Minister of Social Affairs.
[RT I 2007, 25, 134 - entry into force 01.01.2008]
11) the Health Information System, except for the expenses of health care providers made for interfacing with the Information System and forwarding of data, including for forwarding of data necessary in order to make the waiting list and medical images available.
2) administration of coercive treatment and forensic psychiatric examinations imposed on the basis of court judgments in criminal proceedings, civil proceedings on petition and in proceedings for verification of active civil procedural legal capacity;
[RT I, 15.06.2012, 2 - entry into force 01.06.2013]
(22) The extent and procedure of the provision of medical rehabilitation specified in clause (21) 4) of this section shall be established by a regulation of the Minister of Defence.
[RT I, 11.06.2013, 2 - entry into force 01.09.2013]
(4) [Repealed – RT I, 11.06.2013, 2 – entered into force 01.09.2013]
(7) The procedure for application for, payment and recovery of beginner’s allowance shall be established by a regulation of the Minister of Social Affairs.
(2) [Repealed - RT I 2004, 56, 400 – entered into force 01.08.2004]
(4) The list of hospitals set out in the development plan of the hospital network may be amended on the proposal of the Minister of Social Affairs which has been approved by the Estonian Health Insurance Fund.
(5) The Minister of Social Affairs has the right to make a proposal, which has been approved by the Estonian Health Insurance Fund, to the Government of the Republic regarding amendment of the list of hospitals set out in the development plan of the hospital network if the owner of a hospital has acted in accordance with law and the activity licence issued to the owner, and has not violated the contract for payment for health services entered into with the Estonian Health Insurance Fund.
(6) The Minister of Social Affairs has the right to make a proposal, which has been approved by the Estonian Health Insurance Fund, to the Government of the Republic regarding exclusion of an owner of a hospital from the list of hospitals set out in the development plan of the hospital network if the owner of the hospital does not act in accordance with law or the activity licence issued to the owner, or violates the contract for payment for health services entered into with the Estonian Health Insurance Fund. If the activity licence of the owner of a hospital is revoked or the hospital has terminated its activities, the Minister of Social Affairs shall make a proposal to the Government of the Republic regarding immediate exclusion of the owner of the hospital from the list of hospitals set out in the development plan of the hospital network. This proposal need not be approved by the Estonian Health Insurance Fund.
(7) [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2008]
§ 56. Duties of Minister of Social Affairs
(1) In addition to legislation specified in this Act, the Minister of Social Affairs shall establish:
2) [Repealed - RT I 2004, 75, 520 – entered into force 01.12.2004]
[RT I, 29.06.2012, 4 - entry into force 01.09.2012]
5) [Repealed - RT I 2008, 3, 22 – entered into force 01.09.2008]
8) [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2008]
9) [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2008]
10) [Repealed - RT I 2004, 29, 192 – entered into force 01.05.2004]
(2) An institution determined by the Ministry of Social Affairs or by the Minister of Social Affairs shall publish statistical data on health of the previous calendar year within the third quarter of each year in the Internet.
(3) If necessary, the Health Board shall organise the temporary substitution for family physicians practicing under practice lists, including the finding of a temporary substitute for a family physician in cases not specified in subsections 81(2) and (3) of this Act or upon occurrence of an unforeseeable and inevitable necessity.
(1) Collection of health care statistics and reports on economic activities in the field of health care from the health care providers and publication of consolidated data shall be the duty of an institution determined by the Ministry of Social Affairs or by the Minister of Social Affairs.
(2) An institution determined by the Ministry of Social Affairs or by the Minister of Social Affairs shall have the right to delegate performance of the duties assigned thereto by this Act to the local government on the basis of a contract under public law.
[Repealed - RT I, 29.06.2012, 4 – entered into force 01.01.2013]
1) the competence and duties of the Government of the Republic, the Minister of Social Affairs, the Health Board and the persons providing services in health care, including the providers of a service of vital importance, in responding to emergencies and organisation of emergency preparedness;
(1) The Health Information System is a database belonging to the State Information Systems where the data related to health care are processed for entry into and performance of contracts for the provision of health services, for guaranteeing the quality of health services and the rights of patients and for the protection of public health, including for maintaining registers concerning the state of health and for the management of health care.
[RT I, 10.03.2011, 1 - entry into force 01.01.2013]
(2) The following shall be established by a regulation of the Minister of Social Affairs:
(3) The types of medical images, the requirements of information technology therefor and the conditions and procedure for making them available shall be established by a regulation of the Minister of Social Affairs.
(4) The rules of procedure, the number and the procedure for the appointment of the members of the committee shall be established by a regulation of the Minister of Social Affairs.
§ 60. Supervision of health care
(1) Supervision over compliance with the requirements provided for health care providers in this Act shall be exercised by the officials authorised therefor by the Health Board and by the Ministry of Defence.
(2) [Repealed - RT I, 29.06.2012, 4 – entered into force 01.01.2013]
(3) Supervision over the activities of providers of general medical care, providers of emergency medical care, providers of specialised medical care and independent providers of nursing and midwifery care shall be exercised by the officials of the Health Board authorised therefor.
[RT I 2009, 67, 461 - entry into force 01.04.2010]
(4) The Ministry of Defence exercises supervision over the accessibility of health services in its area of government.
§ 61. Rights of supervisory authority
In order to perform the duties arising from this Act, the supervisory authority has the right to:
1) enter the place of business of the person being monitored;
2) examine the documents certifying provision of health services;
3) receive explanations from the management bodies and health care professionals of the person being monitored;
4) make proposals to the person being monitored regarding improvement of his or her activities, and issue precepts for elimination of deficiencies.
§ 62. Precepts
(1) Precepts shall be issued in writing.
1) information on the person to whom the precept is issued;
2) information concerning the act the performance of which is required;
4) the reason for issue of the precept;
5) the date of issue of the precept and the name, position, official title and signature of the person who issued the precept.
(3) A person to whom a precept is issued may appeal the precept in an administrative court.
(4) Upon failure to perform the obligation set out in the precept, the supervisory body may:
1) impose penalty payment pursuant to the procedure provided for in the Substitutive Enforcement and Penalty Payment Act;
2) decide on the deprivation of a family physician of the right to practice as family physician;
Correction – Deleted excessive letter in the word 'otsustada' in Estonian. Basis: § 10 (3) of Riigi Teataja Act.
3) suspend the registration of the health care professional in the register established on the basis of subsection 271 (1) of this Act, or
4) revoke the activity licence pursuant to the provisions of this Act.
(41) The maximum rate of penalty payment specified in subsection (4) of this section is 640 euros.
(5) Upon failure to comply with a precept in the Defence Forces, a supervisory authority has the right to suspend the provision of health services until elimination of the deficiencies.
§ 621. Submission of protests
A person who finds that his or her rights are violated or his or her freedoms are restricted by an act issued by the Health Board or in the course of administrative proceedings may file a protest to the Minister of Social Affairs.
§ 63. [Repealed - RT I 2006, 56, 416 – entered into force 01.01.2008]
(1) The schedule of transfer to the Health Information System by the data subject to entry in the Health Information System shall be established by the Minister of Social Affairs.
§ 665. Transfer of duties to organise general medical care, health care statistics and reports on economic activities in field of health care to Health Board and institutions determined by Ministry of Social Affairs or by Minister of Social Affairs
(3) Family physicians providing general medical care as sole proprietors and companies providing general medical care on 31 December 2012 shall apply for an activity licence for the provision of general medical care from the Health Board no later than by 31 December 2013. Application for an activity licence shall be exempt from state fees.
(4) Upon transfer of collection of health care statistics and reports on economic activities in the field of health care into the competence of an institution determined by the Ministry of Social Affairs or by the Minister of Social Affairs, the county governors shall transfer to the institution the reporting and documentation connected with the organisation of health statistics.
(5) Health care statistics and reports on economic activities in the field of health care shall be collected and the consolidated data shall be published by an institution determined by the Ministry of Social Affairs or by the Minister of Social Affairs as of 1 January 2013.
(6) All the rights and obligations connected with health care statistics and reports on economic activities in the field of health care which the health care providers had in front of the county governor until 31 December 2012, they shall have in front of an institution determined by the Ministry of Social Affairs or by the Minister of Social Affairs as of 1 January 2013. The periods of time and terms provided for in this Act shall not discontinue in connection with the transfer of health care statistics and reports on economic activities in the field of health care.