natgillin/translations-raw huggingface dataset:
In accordance with the decision referred to in Article 88, paragraph 3 of this Act, or in accordance with the decision referred to in Article 88, paragraph 5 of this Act, by which an appeal is upheld and a tender accepted, the Fund shall conclude contracts on the provision of the established scope of rights to health care referred to in Article 87, paragraphs 1 and 2 of this Act.
Sukladno odluci iz članka 88. stavka 3. ovoga Zakona, odnosno sukladno rješenju iz članka 88. stavka 5. ovoga Zakona, kojim je usvojena žalba i prihvaćena ponuda, Zavod sklapa ugovore za provođenje utvrđenog opsega prava na zdravstvenu zaštitu iz članka 87. stavaka 1. i 2. ovoga Zakona.
(1) The contract referred to in Article 89 of this Act shall specify the type, scope and quality of health care under mandatory health insurance in accordance with the standards and norms applicable to specific activities, the time limits within which the contracted health care is to be provided to an insured person at the primary, secondary and tertiary care levels and at the level of health institutes in accordance with an ordinance issued by the minister responsible for health determining a medically justifiable time limit within which the necessary health care must be provided, the prices at which the health care contracted and provided under mandatory health insurance is to be invoiced by entities contracted with the Fund, the method of calculation, the time limits for submitting invoices and the time limits for payment of invoices for the health care provided, supervision of the performance of contractual obligations, the contractual penalties and other measures to be applied in the case of non-performance of contractual obligations, the conditions under which a contract may be terminated, as well as other rights and obligations of contracting parties.
(1) Ugovorom iz članka 89. ovoga Zakona određuje se vrsta, opseg i kvaliteta zdravstvene zaštite iz obveznoga zdravstvenog osiguranja prema standardima i normativima za pojedine djelatnosti, rokovi u kojima se ugovorena zdravstvena zaštita mora pružiti osiguranoj osobi na primarnoj, sekundarnoj i tercijarnoj razini zdravstvene djelatnosti te na razini zdravstvenih zavoda u skladu s pravilnikom ministra nadležnog za zdravlje o određivanju medicinski opravdanog roka u kojem se mora pružiti potrebna zdravstvena zaštita, cijene po kojima ugovorni subjekt Zavoda ispostavlja račune za ugovorenu i pruženu zdravstvenu zaštitu iz obveznoga zdravstvenog osiguranja, način obračuna, rokovi ispostavljanja računa i rokovi plaćanja računa za pruženu zdravstvenu zaštitu, nadzor nad izvršavanjem ugovornih obveza, ugovorne kazne i druge mjere zbog neizvršavanja ugovornih obveza, uvjeti pod kojima dolazi do raskida ugovora, kao i druga međusobna prava i obveze ugovornih strana.
(2) The provisions of paragraph 1 of this Article shall apply mutatis mutandis to contracts for the supply of orthopaedic aids and other devices.
(2) Odredbe stavka 1. ovoga članka na odgovarajući način primjenjuju se i na ugovor o isporuci ortopedskih i drugih pomagala.
Contracts referred to in Article 89 of this Act shall be concluded no later than 60 days after the date of entry into force of the decision referred to in Article 88, paragraph 3 of this Act, or no later than 60 days after the date on which the decision referred to in Article 88, paragraph 5 became enforceable.
Ugovori iz članka 89. ovoga Zakona sklapaju se najkasnije u roku od 60 dana od dana stupanja na snagu odluke iz članka 88. stavka 3. ovoga Zakona, odnosno u roku od 60 dana od dana kada je rješenje iz članka 88. stavka 5. ovoga Zakona postalo izvršno.
Contracts referred to in Article 89 of this Act shall be concluded in advance, and shall be valid for no longer than until the expiry of the time limit specified in Article 91 of this Act.
Ugovori iz članka 89. ovoga Zakona sklapaju se unaprijed, a vrijede najduže do isteka roka utvrđenog člankom 91. ovoga Zakona.
The director of the contracted health care institution, or the contracted private health care professional, and the head of an organisational unit of the health care institution shall ensure, each within his/her competence, that insured persons are provided with health care contracted with the Fund, within the funds contracted, and shall be liable if the funds allocated for the provision of health care under mandatory health insurance are used for purposes other than those for which they are intended.
Ravnatelj ugovorne zdravstvene ustanove, odnosno ugovorni zdravstveni radnik privatne prakse te voditelj ustrojstvene jedinice u zdravstvenoj ustanovi, svatko iz svoje nadležnosti, obvezni su u okviru ugovorenih sredstava osigurati osiguranim osobama zdravstvenu zaštitu koju su sa Zavodom ugovorili te odgovaraju za nenamjensko trošenje sredstava osiguranih za provođenje zdravstvene zaštite iz obveznoga zdravstvenog osiguranja.
2. Supervision of the performance of contractual obligations of entities contracted with the Fund
2. Nadzor nad izvršavanjem ugovornih obveza ugovornih subjekata Zavoda
(1) During the contracting period the Fund shall supervise on an on-going basis the performance of contractual obligations of health care institutions, private health care professionals and contracted medical device suppliers.
(1) Tijekom ugovornog razdoblja Zavod je obvezan kontinuirano nadzirati izvršavanje ugovornih obveza zdravstvenih ustanova, privatnih zdravstvenih radnika i ugovornih isporučitelja pomagala.
(2) The supervision referred to in paragraph 1 of this Article shall be carried out in accordance with the provisions of this Act and general by-laws of the Fund:
(2) Nadzor iz stavka 1. ovoga članka provodi se sukladno odredbama ovoga Zakona i općih akata Zavoda:
1. by inspecting and examining financial, medical and other documents at a health care institution, private health care professional or contracted medical device supplier,
1. pregledom i provjerom financijske, medicinske i druge dokumentacije u zdravstvenoj ustanovi i kod privatnog zdravstvenog radnika, odnosno ugovornog isporučitelja pomagala,
2. by inspecting and examining the submitted documents at organisational units of the Fund.
2. pregledom i provjerom dostavljene dokumentacije u ustrojstvenim jedinicama Zavoda.
(3) During the process of supervision referred to in paragraph 1 of this Article, it shall be verified in particular whether or not the chosen physician or dentist, a health care professional employed by a health care institution or a private health care professional:
(3) Postupkom nadzora iz stavka 1. ovoga članka posebno se nadzire da li izabrani doktor medicine, odnosno dentalne medicine, zdravstveni radnik zaposlenik zdravstvene ustanove ili privatni zdravstveni radnik:
1. implements health care measures arising from mandatory health insurance at his/her level of health care activity defined by the scope of rights to health care as referred to in Articles 19, 20, 22 and 23 of this Act,
1. provodi mjere zdravstvene zaštite iz obveznoga zdravstvenog osiguranja na svojoj razini zdravstvene djelatnosti utvrđene opsegom prava na zdravstvenu zaštitu iz članaka 19., 20., 22. i 23. ovoga Zakona,
2. abides by the rules of the profession and, when prescribing medicinal products, complies with recommendations on pharmacotherapy, clinical guidelines and principles of pharmacoeconomy taking into account interactions and contraindications in individual cases,
2. primjenjuje pravila struke, a kod propisivanja terapije preporuke glede farmakoterapije, kliničke smjernice te načela farmakoekonomike vodeći računa o interakcijama i kontraindikacijama za pojedini slučaj,
3. acts contrary to the provisions of this Act, the Health Care Act, other laws, special regulations, subordinate legislation and general by-laws of the Fund,
3. postupa protivno odredbama ovoga Zakona, Zakona o zdravstvenoj zaštiti, drugih zakona, posebnih propisa, podzakonskih akata te općih akata Zavoda,
4. uses only for designated purposes the funds received under the contract concluded with the Fund for the provision of health care under mandatory health insurance,
4. namjenski koristi sredstva ostvarena temeljem ugovora sa Zavodom o provođenju zdravstvene zaštite iz obveznoga zdravstvenog osiguranja,
5. confirms temporary incapacity of the insured in accordance with the provisions of Article 46 of this Act, or whether he/she complies with the provision of Article 52, paragraph 1 of this Act when establishing diagnoses of diseases in the insured.
5. utvrđuje privremenu nesposobnost osiguranika sukladno odredbama članka 46. ovoga Zakona, odnosno da li se prilikom utvrđivanja dijagnoza bolesti osiguranika pridržava odredbe članka 52. stavka 1. Zakona.
(4) If the verification referred to in items 4 and 5 of paragraph 3 of this Article reveals that the funds received for the provision of health care under mandatory health insurance are used by an entity contracted with the Fund for purposes other than those for which these funds are intended, or that the chosen physician confirms temporary incapacity in the insured contrary to the provisions of Article 46 of this Act, or acts contrary to the provisions of Article 52 of this Act by changing disease diagnoses for the insured and confirming that the period of temporary incapacity has ended, for the purpose of avoiding the application of paragraph 2 of the same Article of this Act, the Fund may initiate the procedure to terminate the contract with this contracted entity.
(4) Ako se kontrolom iz stavka 3. točaka 4. i 5. ovoga članka utvrdi da ugovorni subjekt Zavoda nenamjenski koristi sredstva ostvarena za provođenje zdravstvene zaštite iz obveznoga zdravstvenog osiguranja, odnosno da izabrani doktor utvrđuje privremenu nesposobnost osiguranika protivno odredbama članka 46. ovoga Zakona, kao i da mijenjanjem dijagnoza bolesti osiguranika te neopravdanim zaključivanjem privremene nesposobnosti postupa protivno odredbama članka 52. ovoga Zakona radi izbjegavanja primjene stavka 2. istog članka Zakona, Zavod može pokrenuti postupak raskida ugovora s tim ugovornim subjektom.
For the purpose of supervision of the performance of contractual obligations, entities contracted with the Fund shall submit reports on their operations in accordance with a general by-law of the Fund referred to in Article 87 of this Act.
Radi provedbe nadzora nad izvršavanjem ugovornih obveza, ugovorni subjekti Zavoda obvezni su dostavljati izvješća o poslovanju sukladno općem aktu Zavoda iz članka 87. ovoga Zakona.
The manner in which the supervision of the performance of contractual obligations of health care institutions, private health care professionals and contracted medical device suppliers is to be carried out shall be determined by the Fund in a special by-law or in the contract itself.
Način provođenja nadzora nad izvršavanjem ugovornih obveza zdravstvenih ustanova i privatnih zdravstvenih radnika te ugovornih isporučitelja pomagala Zavod će utvrditi posebnim aktom, odnosno samim ugovorom.
VIII CROATIAN HEALTH INSURANCE FUND
VIII. HRVATSKI ZAVOD ZA ZDRAVSTVENO OSIGURANJE
(1) Tasks in the implementation of the mandatory health insurance rights provided for in this Act shall be carried out by the Croatian Health Insurance Fund.
(1) Poslove provedbe prava iz obveznoga zdravstvenog osiguranja utvrđena ovim Zakonom obavlja Hrvatski zavod za zdravstveno osiguranje.
(2) The Fund shall be a public institution to which the legislation governing institutions shall apply, unless otherwise provided for in this Act.
(2) Zavod jest javna ustanova na koju se primjenjuju propisi o ustanovama, ako ovim Zakonom nije drukčije utvrđeno.
(3) The Fund shall be a legal person with rights, obligations and responsibilities laid down in this Act and in its Statute.
(3) Zavod ima svojstvo pravne osobe s pravima, obvezama te odgovornošću utvrđenom ovim Zakonom i Statutom.
(4) The Fund shall have public authority in deciding on the rights and obligations of insured persons under mandatory health insurance.
(4) U rješavanju o pravima i obvezama osiguranih osoba iz obveznoga zdravstvenog osiguranja Zavod ima javne ovlasti.
(5) The registered office of the Fund shall be in Zagreb.
(5) Sjedište Zavoda je u Zagrebu.
(1) In implementing rights under mandatory health insurance, the Fund shall perform, in particular, the following tasks:
(1) U provedbi prava iz obveznoga zdravstvenog osiguranja Zavod obavlja osobito sljedeće poslove:
1. pursue a policy to develop and improve health care under mandatory health insurance,
1. provodi politiku razvoja i unapređivanja zdravstvene zaštite iz obveznoga zdravstvenog osiguranja,
2. perform activities related to the exercise of rights of insured persons, ensure that such rights are exercised legally, and provide the necessary expert assistance to insured persons in the exercise of their rights and in the protection of their interest,
2. obavlja poslove u vezi s ostvarivanjem prava osiguranih osoba, brine se o zakonitom ostvarivanju tih prava te im pruža stručnu pomoć u ostvarivanju prava i zaštiti njihovih interesa,
3. create the financial plan for the mandatory health insurance scheme and pay for the services provided by entities contracted with the Fund on the basis of submitted invoices, medical histories, discharge summaries, and other relevant documents,
3. planira novčana sredstva obveznoga zdravstvenog osiguranja te plaća usluge ugovornim subjektima Zavoda na temelju ispostavljenih računa i povijesti bolesti, otpusnih pisama, odnosno druge odgovarajuće dokumentacije,
4. propose to the minister responsible for health the scope of rights to health care referred to in Articles 19, 20, 22 and 23 of this Act,
4. predlaže ministru nadležnom za zdravlje opseg prava na zdravstvenu zaštitu iz članaka 19., 20., 22. i 23. ovoga Zakona,
5. provide the minister responsible for health with a proposal for the development of a plan and programme of health care measures under mandatory health insurance, and a plan and programme of specific health care measures,
5. daje prijedlog ministru nadležnom za zdravlje za izradu plana i programa mjera zdravstvene zaštite iz obveznoga zdravstvenog osiguranja te plana i programa mjera specifične zdravstvene zaštite,
6. give an opinion to a founder of health care institution on the justification of founding a health care institution in the public health service network, and give an opinion to a health care professional on the justification of founding private practice in the public health service network,
6. daje mišljenje osnivaču zdravstvene ustanove o opravdanosti osnivanja zdravstvene ustanove u mreži javne zdravstvene službe te daje mišljenje zdravstvenom radniku o opravdanosti osnivanja privatne prakse u mreži javne zdravstvene službe,
7. perform activities related to contracting with health care providers,
7. obavlja poslove ugovaranja s provoditeljima zdravstvene zaštite,
8. fix the price of health care in the total amount for the full value of an individual health care service under mandatory health insurance, with the consent of the minister responsible for health,
8. utvrđuje cijenu zdravstvene zaštite u ukupnom iznosu za punu vrijednost pojedine zdravstvene usluge iz obveznoga zdravstvenog osiguranja, uz suglasnost ministra nadležnog za zdravlje,
9. ensure the implementation of the European Union regulations and international agreements in the part relating to mandatory health care,
9. osigurava provedbu propisa Europske unije i međunarodnih ugovora u dijelu koji se odnosi na obvezno zdravstveno osiguranje,
10. supervise the performance of contractual obligations of entities contracted with the Fund in accordance with this Act, regulations made under this Act, general by-laws of the Fund and concluded contracts,
10. obavlja nadzor nad ispunjavanjem ugovornih obveza ugovornih subjekata Zavoda sukladno ovome Zakonu, propisima donesenim na temelju ovoga Zakona, općim aktima Zavoda i sklopljenom ugovoru,
11. carry out research, perform statistical processing and prepare reports relating to the exercise of rights under mandatory health insurance,
11. provodi istraživanja, statističke obrade i izrađuje izvješća u vezi ostvarivanja prava iz obveznoga zdravstvenog osiguranja,
12. regulate other issues related to the exercise of rights under mandatory health insurance.
12. uređuje ostala pitanja vezana uz ostvarivanje prava iz obveznoga zdravstvenog osiguranja.
(2) In addition to the tasks specified in paragraph 1 of this Article, the Fund shall perform certain tasks relating to the maintenance of the information system for the purpose of implementing health care, pursuant to a special order of the minister responsible for health.
(2) Uz poslove iz stavka 1. ovoga članka Zavod obavlja i pojedine poslove vezane uz održavanje informacijskog sustava za potrebe provođenja zdravstvene zaštite prema posebnom nalogu ministra nadležnog za zdravlje.
1. Internal organisation of the Croatian Health Insurance Fund
1. Ustrojstvo Hrvatskog zavoda za zdravstveno osiguranje
(1) The Fund shall perform activities falling within its remit in the following organisational units:
(1) Zavod obavlja poslove iz svoje djelatnosti u sljedećim ustrojstvenim jedinicama:
1. central organisational unit,
1. središnjoj ustrojstvenoj jedinici,
2. regional organisational units.
2. regionalnim ustrojstvenim jedinicama.
(2) Organisational units of the Fund shall perform the activities of the Fund under the name of the Fund and under their own name, stating the registered office of the Fund and their registered office.
(2) Ustrojstvene jedinice Zavoda obavljaju poslove iz djelatnosti Zavoda pod nazivom Zavoda i svojim nazivom, pri čemu moraju navesti sjedište Zavoda i svoje sjedište.
(1) The central organisational unit of the Fund shall be the Directorate, with its seat in Zagreb.
(1) Središnja ustrojstvena jedinica Zavoda jest Direkcija, sa sjedištem u Zagrebu.
(2) Regional organisational units of the Fund shall be the regional offices of the Fund.
(2) Regionalne ustrojstvene jedinice Zavoda su regionalni uredi Zavoda.
The scope of operations of organisational units, the names of internal organisational units, as well as other issues relevant for the performance of the activities of the Fund shall be specified in the Fund's Statute.
Statutom Zavoda utvrđuje se djelokrug ustrojstvenih jedinica, nazivi unutarnjih ustrojstvenih jedinica, kao i druga pitanja značajna za obavljanje poslova u Zavodu.
2. Bodies of the Fund
2. Tijela Zavoda
(1) The Fund shall be managed by the Governing Council.
(1) Zavodom upravlja Upravno vijeće.
(2) The Governing Council shall be composed of nine members appointed by the Government of the Republic of Croatia on a proposal from the minister responsible for health, as follows:
(2) Upravno vijeće čini devet članova, koje imenuje Vlada Republike Hrvatske na prijedlog ministra nadležnog za zdravlje, i to:
a) two representatives of persons insured with the Fund,
a) 2 predstavnika osiguranih osoba Zavoda,
b) two representatives of health care providers - health care professionals,
b) 2 predstavnika pružatelja zdravstvenih usluga - zdravstvena radnika,
c) three representatives of the Economic and Social Council,
c) 3 predstavnika Gospodarsko-socijalnog vijeća,
d) one representative of the ministry responsible for health,
d) 1 predstavnik ministarstva nadležnog za zdravlje,
e) one representative of the employees of the Fund, appointed or elected in accordance with labour legislation.
e) 1 predstavnik radnika Zavoda, imenovan ili izabran u skladu s propisima o radu.
(3) The Chairperson of the Governing Council shall be elected by the members of the Governing Council.
(3) Predsjednika Upravnog vijeća biraju članovi Upravnog vijeća.
(4) The term of office for members of the Governing Council shall be four years.
(4) Mandat članova Upravnog vijeća traje četiri godine.
(5) The Governing Council shall take its decisions by a simple majority of the total number of its members.
(5) Upravno vijeće donosi odluke natpolovičnom većinom od ukupnog broja članova.
(6) The scope of activities, authorities and responsibilities of the Governing Council shall be established by the Statute.
(6) Djelokrug, ovlasti i odgovornosti Upravnog vijeća utvrđuju se statutom.
(1) The Fund's Governing Council shall perform the following activities:
(1) Upravno vijeće Zavoda obavlja sljedeće poslove:
1. adopt the Statute of the Fund,
1. donosi statut Zavoda,
2. adopt the financial plan and the annual statement of accounts of the Fund,
2. donosi financijski plan i završni račun Zavoda,
3. adopt measures aimed at balancing revenues and expenditures when the operations of the Fund within a three-month period have resulted in a surplus of expenditures over revenues,
3. donosi mjere za uravnoteženje prihoda i rashoda kada je u poslovanju Zavoda u tromjesečnom razdoblju iskazan višak rashoda nad prihodima,
4. adopt decisions and general by-laws, and perform other activities provided for in this Act and in the Statute of the Fund.
4. donosi odluke i opće akte, te obavlja i druge poslove određene ovim Zakonom i statutom Zavoda.
(2) The Fund's Statute shall be approved by the Government of the Republic of Croatia.
(2) Na statut Zavoda suglasnost daje Vlada Republike Hrvatske.
(1) The Fund's Statute shall specify in particular: the internal organisation of the Fund, the scope of operations of organisational units, the names of internal organisational units, the rights, obligations and responsibilities of the bodies of the Fund, the accessibility to public scrutiny of the activities of the Fund and its bodies, the manner in which administrative, technical and other tasks are to be performed, as well as other issues relevant for the performance of the activities of the Fund.
(1) Statutom Zavoda utvrđuje se osobito: ustrojstvo Zavoda, djelokrug ustrojstvenih jedinica, nazivi unutarnjih ustrojstvenih jedinica, prava, obveze i odgovornosti tijela Zavoda, javnost rada Zavoda i njegovih tijela, način obavljanja administrativno-stručnih i drugih poslova, kao i druga pitanja od značenja za rad Zavoda.
(2) The Statute and general by-laws of the Fund governing the rights and obligations of persons insured under mandatory health insurance shall be published in the Official Gazette.
(2) Statut i opći akti Zavoda kojima se uređuju prava i obveze osiguranih osoba iz obveznoga zdravstvenog osiguranja objavljuju se u >>Narodnim novinama<<.
(1) The activities of the Fund shall be managed by the Director.
(1) Radom Zavoda rukovodi ravnatelj.
(2) The Director shall have a graduate university degree and at least five years of experience in a management position.
(2) Ravnatelj mora imati završen diplomski sveučilišni studij i najmanje pet godina radnog iskustva na poslovima upravljanja.
(3) The Director of the Fund shall be aided by a Deputy Director and Assistant Directors.
(3) Ravnatelj Zavoda ima zamjenika i pomoćnike.
(1) The Director of the Fund shall be appointed on the basis of a public vacancy competition.
(1) Ravnatelj Zavoda imenuje se na temelju javnog natječaja.
(2) The Director of the Fund shall be appointed and removed from office by the Government of the Republic of Croatia on a proposal from the minister responsible for health.
(2) Ravnatelja Zavoda imenuje i razrješuje Vlada Republike Hrvatske, na prijedlog ministra nadležnog za zdravlje.
(3) The Director of the Fund shall be appointed for a term of four years.
(3) Ravnatelj Zavoda imenuje se na vrijeme od četiri godine.
(1) The Director of the Fund shall be responsible for financial operations of the Fund.
(1) Ravnatelj Zavoda odgovoran je za financijsko poslovanje Zavoda.
(2) The Director of the Fund shall be responsible for balancing the revenues of the Fund with expenses as well as for delivering quarterly reports on financial operations of the Fund to the minister responsible for health and the minister responsible for finance.
(2) Ravnatelj Zavoda odgovoran je za uravnoteženost rashoda s prihodima Zavoda te je obvezan ministru nadležnom za zdravlje i ministru nadležnom za financije dostavljati tromjesečno izvješće o financijskom poslovanju Zavoda.
(1) The Director of the Fund may be removed from office even before the expiry of the term for which he/she was appointed.
(1) Ravnatelj Zavoda može biti razriješen i prije isteka vremena na koje je imenovan.