IN LITHUANIAN NATIONAL HEALTH INSURANCE FUND Jurgita ilinait - - - PowerPoint PPT Presentation

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IN LITHUANIAN NATIONAL HEALTH INSURANCE FUND Jurgita ilinait - - - PowerPoint PPT Presentation

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WORKING GROUP ON THE FIGHT AGAINST FRAUD THE PROMOTION OF AN ANTI-FRAUD CULTURE IN LITHUANIAN NATIONAL HEALTH INSURANCE FUND Jurgita ilinait - ermuknien Simona Adamkeviit LITHUANIAN NATIONAL HEALTH INSURANCE FUND UNDER THE

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THE PROMOTION OF AN ANTI-FRAUD CULTURE IN LITHUANIAN NATIONAL HEALTH INSURANCE FUND

Jurgita Šilinaitė-Šermukšnienė Simona Adamkevičiūtė LITHUANIAN NATIONAL HEALTH INSURANCE FUND UNDER THE MINISTRY OF HEALTH

Berlin, 2019 WORKING GROUP ON THE FIGHT AGAINST FRAUD

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SLIDE 2

THE CONTENT

  • Corruption Perception Index
  • Basic anti-corruption legislation in Lithuania
  • Committee on corruption prevention in HIF
  • The HIF Anti-Corruption Program: objectives and

measures

  • Summary

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SLIDE 3

CORRUPTION PERCEPTION INDEX: LITHUANIA

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LITHUANIA – A LITTLE BELOW OF SCORE SCALE AVERAGE OF THE CPI OF WE AND EU

The Corruption Perceptions Index (CPI) is a measure of the country's perception of corruption by state and municipal officials and politicians. This index is based on business surveys and other expert studies. The CPI scores are on a 100-point scale where 100 points for a very transparent state and 0 for a very corrupt state. Experts emphasize that the perception of corruption in a particular country should be focused

  • n

the scores

  • f

the CPI, not

  • n

the list

  • f

countries. Both scores and position can be adjusted by changes in the research methodology as a whole. CPI is one of the world's most renowned corruption perceptions research, showing how countries around the world manage to control corruption.

LITHUANIA IN 2018: RANK 38/180, SCORE 59/100 LITHUANIA IN 2008: RANK 58/180, SCORE 4,6/10 4

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SLIDE 5

BASIC ANTI-CORRUPTION LEGISLATION IN LITHUANIA

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BASIC ANTI-CORRUPTION LEGISLATION IN LITHUANIA

The National Anti-Corruption Program and The Interinstitutional Action Plan for the years 2015-2025 The Healthcare sector Anti- Corruption Program for the years 2017–2019 The HIF Anti-Corruption Program for the years 2017–2019 Whistleblower Protection Law

(in action since 1 January 2019)

MoH NHIF Goverment The law on balancing public and private interests Corruption Prevention Law 6

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SLIDE 7

BODIES AGAINST CORRUPTION/INSTITUTIONS FIGHTING CORRUPTION IN LITHUANIA

State Tax Inspectorate

  • control of all

taxpayers Prosecutor‘s Office

  • organized

crime, corruption Special Investigation Service

  • large-scale

corruption Financial Crime Investigation Service

  • criminal

activities against the State financial system All other public institutions

  • participate in

the national anti- corruption program according to their field of activity

Institutions and their fields of activity:

7 COOPERATION NETWORK – ROUNDTABLE DISCUSSIONS

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ROUNDTABLE DISCUSSION IN STATE TAX INSPECTORATE

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ENTITIES FOR PREVENTION OF CORRUPTION IN THE INSTITUTIONS

ONE SINGLE PERSON with functions only for prevention activities* *STATE TAX INSPECTORATE; MoH DIVISION* *THE SOCIAL INSURANCE FUND; HOSPITALS SPECIAL COMMITTEE OF PERSONS WITH DIFFERENT FUNCTIONS* *HIF; DRUG CONTROL SERVICE 9

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COMMITTEE ON CORRUPTION PREVENTION IN HIF

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A POLICY OF INTOLERANCE FOR CORRUPTION IN HIF

  • pen to the public

encouraging the use of electronic services do not tolerating the conflicts of public and private interest following principles of selflessness, transparency and openness in their activities do not tolerating any form of corruption and any kind of bribery or nepotism and misuse of duties encouraging employees to deepen their knowledge of corruption prevention

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IN ORDER TO IMPLEMENT THE POLICY GOALS AND FEATURES OF ANTI-CORRUPTION PROGRAM IN THE HIF: 1) special Committee for Prevention of Corruption is established:

persons from different fields of activities

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2) one person from Personnel Administration Department for monitoring the declaration of public and private interest

  • f employees is appointed

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THE COMMITTEE ON CORRUPTION PREVENTION:

res esponsib ible le for

  • r prep

eparation of

  • f cor
  • rruption-prevention program as well

ell as for th the e mon

  • nit

itoring and coo

  • ordin

inating of

  • f th

the e im imple lemen entation of

  • f th

the e tasks of

  • f th

that t program Specia ial acti ctivit ities of

  • f Co

Committee to

  • in

increase employee in interest t in in anti ti-corruption: Encouraging em employees to

  • participate in

in various anti ti-corruption in init itiatives Con

  • nsulting em

employees and acc ccepting in information about pos

  • ssible corruption

Dis istributing in information rel elated to

  • th

the e prevention of

  • f cor
  • rruption to
  • th

the e em employees and public Organizing th the com

  • mmemorations of
  • f th

the In International Anti ti-Corruption Da Day In Investigating complain ints regarding cor

  • rruption

Ca Carries ou

  • ut preventive measures assigned to
  • th

the com

  • mmission, etc.

c. Organized the special quiz and the competition on creation of NHIF‘s anti-corruption symbol in in 2017

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Election of NHIF anti-corruption symbol

THE WIN INNER 14

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THE HIF ANTI-CORRUPTION PROGRAM: OBJECTIVES AND MEASURES

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THE HIF ANTI-CORRUPTION PROGRAM FOR THE YEAR 2017–2019

OBJECTIVES OF THE PROGRAM:

IMPROVE THE CORRUPTION PREVENTION CONTROL ENSURE TRANSPARENT AND OPEN PUBLIC SERVICES EVALUATE THE PROBABILITY OF CORRUPTION OCCURRING EDUCATE AND INFORM THE PUBLIC TO DEVELOP ANTI- CORRUPTION AWARENESS AND INTEGRITY OF EMPLOYEES

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ALL PROGRAM MEASURES ARE IMPLEMENTED BY:

Management board (the director and his deputies, heads

  • f departments and divisions)

All employees of the NHIF and THIFs are involved

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THE HIF ANTI-CORRUPTION PROGRAM FOR THE YEAR 2017–2019

Main activities to implement objective:

  • Rotation of commission members and

leading person is foreseen

  • A quarterly report on the implementation
  • f the plan is prepared
  • The effectiveness of the program annually

is evaluated

IMPROVE THE CORRUPTION PREVENTION CONTROL

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THE HIF ANTI-CORRUPTION PROGRAM FOR THE YEAR 2017–2019

Main activities in order to implement objective:

IMPROVE THE TRANSPARENCY OF OPERATIONAL PROCEDURES AND ENSURE TRANSPARENT AND OPEN PUBLIC SERVICES

  • waiting list management for endo-prosthetics is fully automated
  • waiting list management for dental prosthetics is fully automated
  • residents can check by themselves what kind of healthcare services and

prescriptions they have received through the e-government gates (IS) and the amount paid from the CHIF budget for them. About 20,000 people check that information annually. About 7,000 more people apply to THIF for such reports.

Transfer more HIF services to Information Systems:

  • CHIF budgeting principles
  • NHIF financial data
  • health care financial and statistical data

More and more data is being opened:

  • of behavior in the event of a collision with corruption
  • on whistleblower protection
  • on gifting behaviour

HIF‘s legislation is being improved to ensure zero tolerance for corruption among employees by setting rules:

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THE HIF ANTI-CORRUPTION PROGRAM FOR THE YEAR 2017–2019

Main activities in order to implement objective:

  • anti-corruption evaluation of drafts of legal acts and of

already valid legal acts is performed on the daily basis (examples of the types of legal acts that shall be evaluated from an anti-corruption perspective: in public procurement, in human relation management and administration fields, in the area of control of economic units field)

  • The probability of corruption in selected areas of activity

is checked annually and risk elimination plan is prepared

CONDUCT AN EVALUATION OF THE PROBABILITY OF CORRUPTION

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THE HIF ANTI-CORRUPTION PROGRAM FOR THE YEAR 2017–2019

Main activities in order to implement objective:

The main questions in anonymous survey for employees are:  What kind of behaviour do they considered to be corruption?  Do they know how to behave if they faced with the corrupt practices at work?  Whether they considered health insurance funds as corrupt institutions  Which fields of activities of health insurance funds do they considered as the most corrupt?  Whether they have been ever offered a remuneration for a favourable decision,  Whether they themselves have given a bribe in the last calendar year et ctr. Employees were asked to solve certain situations / tasks in order to find out if they recognize corrupt behaviour.

  • The trainings for the employees are organised
  • The NHIF annually carries out an anonymous survey in order

to assess the change in intolerance to corruption of the employees

TO DEVELOP ANTI- CORRUPTION AWARENESS AND INTEGRITY OF EMPLOYEES

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THE HIF ANTI-CORRUPTION PROGRAM FOR THE YEAR 2017–2019

Main activities in order to implement objective:

  • Ways of informing:
  • Announcements on Health Insurance Funds websites;
  • media (press, radio, TV)
  • On social networks: FB, Instagram, Flicr
  • Leaflets, posters, information messages, educational videos on TV monitor in

medical institutions

  • Cooperation with non-governmental organizations is being developed
  • Information in public transport
  • Meetings with target groups – in order to inform about current issues

EDUCATE AND INFORM THE PUBLIC

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INFORMATION CONTENT FOR PUBLIC

  • 1. Guarantees provided by Compulsory Health Insurance: free services,

access to health care services funded from the CHIF budget, patients' rights and responsibilities, etc.

  • 2. Reminders to the public not to pay for goods and services that had

already been paid from the CHIF budget

  • 3. Information that patients can check for themselves how much the CHIF

budget has paid for their treatment

  • 4. Guarantees provided by European Health Insurance Cards
  • 5. Preventive health check-ups for children

ETC

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EXAMPLES OF INFORMATION DISCLOSURE:

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THERE IS FOLLOW-UP TO ALL THE ACTIVITIES FORESEEN

  • A quarterly report on the implementation of the plan is

prepared

  • The ongoing corruption prevention program is continuous -

every three years the program shall be updated in the light of the results

  • The effectiveness of the program annually is evaluated:

the effectiveness of the program is assessed on the basis of the annual employee survey results

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SUMMARY

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SUMMARY

TAKING PART IN INTERINSTITUTIONAL COOPERATION – ROUNDTABLE DISCUSSIONS; RAISING EMPLOYEES AWARENESS IN THE FORM OF ENTERTAINMENT; EMPLOYEES AWARENESS MEASUREMENT – SURVEYS; PROFESSIONALY PERFORMED INVESTIGATIONS FOR DETECTING PROBABILITY OF CORRUPTION

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THANK YOU FOR YOUR ATTENTION