The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

THE PROJECTS OF THE LITHUANIAN HEALTH SECTOR IMPLEMENTED WITH THE 2007-2013 EUROPEAN UNION FUNDS

Įvadas

1

THE PROJECTS OF THE LITHUANIAN HEALTH SECTOR IMPLEMENTED WITH THE 2007-2013 EUROPEAN UNION FUNDS

Introduction

1

Approved and recommended for publication by the Ministry of Health of the Republic of Lithuania

The author of articles Assoc. Prof. Dr. Rūta Brūzgienė Translated and edited by Rita Sliesarevaitė (UAB “Metropolio Vertimai”) Design and layout by Laimis Kosevičius

Publishing services paid with the funds of the project Implementation of Information and Publicity Measures During the 2007-2013 European Union Structural Assistance (EU SA) Programming Period, code: VP3-4.2-FM-01-V-01-003

MINISTRY OF HEALTH OF THE REPUBLIC OF LITHUANIA

ISBN 978-609-437-307-7

© Ministry of Health of the Republic of Lithuania, 2015

contents INTRODUCTION

4

THE FIRST MEASURE. Reduction of cardiovascular morbidity and mortality

7

THE SECOND MEASURE. Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors 31 THE THIRD MEASURE. Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance

61

THE FOURTH MEASURE. Early diagnosis of oncological diseases and complete treatment

65

THE FIFTH MEASURE. Establishment of differentiated comprehensive psychiatric help centres for children and families

77

THE SIXTH MEASURE. Modernisation of inpatient psychiatric care

89

THE SEVENTH MEASURE. Modernising the infrastructure for monitoring mental health care services 101 THE EIGHTH MEASURE. Establishment of mental health day-patient centres

107

THE NINTH MEASURE. Establishment of crisis intervention centres

141

THE TENTH MEASURE. The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

155

THE ELEVENTH MEASURE. Development of the infrastructure of public health care services in municipalities

215

THE TWELTH MEASURE. Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services

243

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INTRODUCTION The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds is a photobook designed for the institutions of the health care sector and the general public to acquaint them with the projects administered by the Ministry of Health of the Republic of Lithuania and implemented with EU structural funds allocated for Lithuania for the period 2007-2013. The projects were implemented based on Objective 1 Providing High Quality and Accessible Health Care Services of Priority 2 Quality and Accessibility of Public Services: Health, Education and Social Infrastructure of Operational Programme for Promotion of Cohesion for 2007-2013 approved

by Decision No C(2007)3738 of the European Commission of 30 July 2007, and the following programmes approved by the Ministry of Health of the Republic of Lithuania: Reduction of Morbidity and Mortality from Main NonInfectious Diseases in 2007-2013 and Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure. A total of 247 projects were financed with EU funds as well as the funds of the State Investment Programme, the Compulsory Health Insurance Fund, the state budget of the Republic of Lithuania and the budgets of municipalities, with EUR 280.4 million allocated for this purpose.

4

After the implementation of these projects the common goal of the programmes Reduction of Morbidity and Mortality from Main NonInfectious Diseases in 2007-2013 and Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure was achieved – the efficient use of EU structural funds for the period 2007-2013, the improvement of the quality and accessibility of health care services, the optimisation of the infrastructure of health care institutions and the compliance of the Lithuanian health care system with the standards of the European Union.

Non-infectious diseases such as vascular diseases and malignant tumours remain the main cause of death in Lithuania alongside deaths from external causes, including injuries, intoxication, suicides, etc. These indicators are close to those of other European Union countries. However, in terms of mortality rates (a relationship between the number of deaths from a particular disease and the number of diagnosed cases of the disease during a certain period) the health of Lithuanian population is poorer than that of the older states of the European Union. The reform of the Lithuanian national health system revealed the following key health care problems: insufficient attention to public

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

health, a lack of information about the efficiency of public health policy, the absence of the efficient public health policy system, especially in the regions, the insufficient development of modern public health care, the inadequate professional development system which failed to meet the needs of professionals and the goals of the state, the inefficient management of health risk factors. In comparison with other European Union countries, Lithuania was lagging behind in terms of disease prevention and health promotion programmes, a relatively small number of patients were treated in outpatient clinics and a relatively large number of medical services were provided in inpatient clinics, health care institutions were concentrated in the biggest cities with some regions experiencing a lack of specialists, the public health monitoring and coordination system in municipalities was no efficient.

The objectives of all investment projects were directed towards improving the quality and accessibility of health care services, investing EU funds in the modernisation of the infrastructure of health care institutions and modern technologies, reducing morbidity and mortality rates from main non-infectious diseases and from external causes. The projects

were implemented in several directions.

The programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 was aimed at reducing morbidity and mortality rates form cardiovascular diseases as well as mortality and disability from traumas and external causes of death, improving the early detection of oncological diseases and providing full treatment of these diseases, optimising the infrastructure of institutions providing mental health care services. The programme Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure was aimed at improving the quality and accessibility of public and personal health care, developing outpatient services and optimising inpatient services, expanding palliative care and nursing services, modernising the infrastructure of public health care services in municipalities. It was forecasted that after the implementation of all planned projects the average life expectancy would increase from the 2005 average of 72.06 years to 73 and the mortality of people under 65 from cardiovascular diseases, malignant tumours and, especially, external causes of death (injuries, intoxication, suicides, etc.) would be reduced. In 2014, the average life expectancy in Lithuania was 74.59 years and, compared with 2007, there was a drop in the number of deaths

Introduction

5

from vascular diseases and malignant tumours, and, especially, external causes of death among people under 65.

The implementation of the programmes Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 and Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure led to the optimisation of the structure of health care services and improvement of their quality, the intensive development of new health care services (palliative care, day surgery, etc.) and the modernisation of health care institutions, including the renovation of their buildings, the acquisition of modern diagnostic equipment and treatment facilities, the implementation of state-of-the-art treatment technologies, the deployment of contemporary public health monitoring and health promotion programmes, and the creation of better conditions for the professional development of medical staff. All these measures helped to improve the quality of public and personal health care services, their accessibility and safety, reduce mortality from external causes of death and from non-infectious diseases, and contributed to more rational use of human resources and state funds by focusing on the health care priorities of Lithuanian people.

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The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds presents the most important directions of investment and the implemented projects. However, the abundance of the projects makes it impossible to provide a detailed presentation of performed activities and achieved results. The Ministry of Health of the Republic of Lithuania wants to thank the Ministry of Finance of the Republic of Lithuania, the Central Project Management Agency and all implementers of the projects financed with the 2007-2013 EU funds for their hard and dedicated work aimed at implementing the projects of the Lithuanian health sector and thus contributing to the development of a prosperous and healthy Lithuania.

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

THE FIRST MEASURE Reduction of cardiovascular morbidity and mortality

Introduction

7

Reduction of cardiovascular morbidity and mortality

As in all of Europe, cardiovascular disease has been and continues to be the main cause of death in Lithuania. It accounts for nearly half of the causes of death in Lithuania (twice as many people die from it on average than in long-time European Union countries) as well as approximately one third of the causes of disability. Cardiovascular disease is therefore one of the most pressing social, economic and health care problems in Lithuania, especially in the central and western regions of the country, where the health care infrastructure was never sorted out. These regions suffer from a shortage of medical equipment, and the equipment they do have is worn out, being used, on average, twice as intensively as in other European Union countries.

Poor medical equipment was reducing the chances for accurate diagnosis of early cardiovascular disease and prescription of required or preventive treatment. Due to the irrational structure and

8

insufficient scope of services provided, specialised health care was not always accessible to residents, so they often did not receive proper and timely treatment. The project’s main objective and task was to reduce cardiovascular morbidity and mortality and improve the quality of — and access to — health care services in this field.

The project Reduction of cardiovascular morbidity and mortality among residents of central and western Lithuania through modernisation and optimisation of the health care infrastructure and services was carried out by the Hospital of Lithuanian University of Health Sciences Kauno Klinikos together with 33 health care facilities in the central and western regions of Lithuania.

The project was carried out in a comprehensive manner, covering all levels of health care treatment (family doctors, secondary-level

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

facilities, university hospitals). In implementing the project, as many as 250 family physicians were equipped with electrocardiographs, which created the opportunity to consult with medical specialists; in addition, hospital and intensive care units were renovated and supplied with modern equipment, from simple electrocardiographs to complex angiography equipment for examining the condition of the heart and blood vessels.

Medical facilities were provided with radiological, echocardiography, interventional diagnostic and operating equipment. New, modern technology such as positron emission tomography, magnetic resonance imaging and multi-slice computed tomography was introduced at the Hospital of Lithuanian University of Health Sciences Kauno Klinikos; modern angioplasty, cardiac surgery and neurosurgery equipment was also purchased.

Upon implementing the project under the

measure Reduction of cardiovascular morbidity and mortality, the infrastructure of health care facilities in central and western Lithuania was modernised: primary health care facilities were equipped with electrocardiographs for treatment and prevention, the diagnostic and treatment equipment at health care facilities of all levels was updated, and modern technology was introduced at the Hospital of Lithuanian University of Health Sciences Kauno Klinikos. This entirety of comprehensive measures to modernise the infrastructure of health care facilities of all levels and optimise the diagnosis and treatment of cardiovascular disease has helped reduce residents’ morbidity and mortality and increase the duration and quality of their lives.

Reduction of cardiovascular morbidity and mortality

9

Mažeikiai Skuodas

Naujoji Akmen Telšiai

Palanga Plung Kretinga

Biržai

Joniškis

Šiauliai

Pasvalys Pakruojis

Rokiškis

Radviliškis Zarasai

Gargždai Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

Jonava

Šakiai

s Širvintos

Kaunas

Vilkaviškis Marijampol

Priena

Kaišiadorys

Birštonas Kalvarija

Vilnius Trakai

Alytus V

Lazdijai Druskininkai

1. Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos

No

Project promoter

Project title

Value of the project implemented / under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

1.

Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos

Project on the reduction of cardiovascular morbidity and mortality in Central and Western Lithuania through modernisation and optimisation of the infrastructure of health care system and services provided.

45,318.1

38,520.4

10

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

AnykĹĄÄ?iai District Municipality Hospital

1.

3.

4.

2.

5.

1, 2. Provision of the clinical physiology room and clinical diagnostic laboratory with new equipment.

3, 4. Acquisition of an intensive care set in the intensive care unit and echocardiograph and workstation for image analysis and processing in cardiology room. 5. Upgrading of central sterile services department.

Reduction of cardiovascular morbidity and mortality

11

Public institution JoniĹĄkis Hospital

6.

6. Acquisition of medical equipment. In photo: operating automatic syringe.

7. Acquisition of a functional bed set.

7.

12

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institutionJoniĹĄkis Hospital

8.

9.

10.

8–11. Upgrading of the medical equipment in the intensive care unit. In photos: medical ventilator, pulsed-wave Doppler, vacuum (high-pressure) pump, perfusor.

11.

Reduction of cardiovascular morbidity and mortality

13

Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos

12.

12. New Radiological Diagnostic Centre.

13. Provision of the MRI room with new equipment.

13.

14

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos

14.

15.

17.

16.

18.

14. 99m Tc treatment room, fume hood. 15. New reception desk installed.

16. Acquisition of the only 320-slice CT scanner in the Baltic States for the computed tomography room.

17. PET treatment room, automatic injector, fume hood. 18. PET imaging in monitors.

Reduction of cardiovascular morbidity and mortality

15

Public institution KelmÄ— Hospital

19.

20.

21.

19, 20. Emergency reception department established in the annex building.

21. Acquisition of otorhinolaryngology equipment with endoscopes.

22. Reconstruction of the operating room.

16

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

22.

Public institution Klaipėda Seamen‘s Hospital

23.

23, 24. Acquisition of echocardiography imaging tool for the echocardiography laboratory, and angiographic system for the cardiovascular radiology department.

24.

Reduction of cardiovascular morbidity and mortality

17

Public institution MarijampolÄ— Hospital

25.

26.

25. Acquisition of echocardiography imaging tool for the functional diagnostic room. 26. Upgrading of the laboratory. In photo:: operating analyser. 27. Acquisition of a new intensive care bed set for the intensive care unit.

27.

18

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution MaĹžeikiai Hospital

29.

30.

28.

31.

28. Acquisition of a new bicycle ergometer for the hospital. 29. Renovation of the wards, acquisition of beds for the hospital. 30. Upgrading of the cardiology room. 31. Acquisition of a defibrillator.

Reduction of cardiovascular morbidity and mortality

19

Public institution Pakruojis Hospital

32.

33.

34.

32–35. Acquisition of new medical equipment for hospital. In photos: medical ventilator, bicycle ergometer complex, vital signs monitor and echocardiography imaging tool.

35.

20

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Pasvalys Hospital

37.

38.

36.

39.

36. Provision of the intensive care unit with a new automatic set of syringes.

37, 38. Acquisition of intensive-care sets.

39. Acquisition of a defibrillator for the hospital.

Reduction of cardiovascular morbidity and mortality

21

Public institution PlungÄ— District Municipality Hospital

40.

40. Renovation of the cardiology room with the equipment.

41. Acquisition of an intensive care bed set with equipment.

41.

22

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Prienai Hospital

42.

43.

44.

45.

42, 45. Provision of the clinical laboratory with blood coagulation analyser.

43. Acquisition of a defibrillator for the day surgery, intensive care department.

44. Refurbishment of hospital wards.

Reduction of cardiovascular morbidity and mortality

23

Public institution Raseiniai Hospital

46.

46, 47. Upgrading of the clinical laboratory and anaesthesiology, intensive care unit.

47.

24

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Ĺ akiai Hospital

48.

48. Renovation of the functional diagnostic room, acquisition of a bicycle ergometer set.

49. Provision of the intensive care unit with an intensive care set.

49.

Reduction of cardiovascular morbidity and mortality

25

Public institution Republican Hospital of Ĺ iauliai

50.

50, 51. Acquisition of new medical equipment for hospital.

51.

26

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Šilalė District Hospital

52.

53.

54.

52–55. Acquisition of new medical equipment for Šilalė hospital. In photos: echocardiography imaging tool, vital signs monitor, medical ventilator, intensive care bed set with equipment.

55.

Reduction of cardiovascular morbidity and mortality

27

Public institution TauragÄ— County Hospital

56.

56. Acquisition of blood coagulation detection equipment. 57–59. Acquisition of new medical equipment for hospital. In photos: echocardiography imaging tool, intensive care bed monitor, defibrillator.

57.

28

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

58.

59.

Public institution TelĹĄiai County Hospital

61.

62.

60.

63.

60. Provision of the intensive care unit with intensive care beds.

61. Upgrading of the hospital laboratory. In photo: operating analyser.

62, 63. Acquisition of blood coagulation analyser, echocardiograph imaging tool for the hospital.

Reduction of cardiovascular morbidity and mortality

29

Public institution VilkaviĹĄkis Hospital

65.

66.

64.

64. Provision of the intensive care unit with intensive care bed equipment.

65. Acquisition of a new electrocardiograph the hospital. 66. Renovation of the cardiology room.

67. Acquisition of an intensive care bed set.

30

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

67.

Pavadinimas

THE SECOND MEASURE Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors Reduction of cardiovascular morbidity and mortality

31

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors The goal of the measure Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors was to create all opportunities to provide residents of Lithuania with emergency assistance as quickly as possible and reduce mortality and disability from injuries and other external causes by investing funds into an overhaul of the health care infrastructure and modernising

32

the infrastructure of health care facilities providing medical assistance to people suffering from traumatic injuries.

According to statistical data, traumatic injuries or other external factors (suicide, poisoning, drowning, fire, etc.) are the third leading cause of death in Lithuania, and even the leading cause of death among young adults. There were 2.5 times as many deaths from external factors registered

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

in Lithuania than in long-time European Union countries. In EU countries which have created and implemented a system of trauma centres, the mortality rate of patients suffering from traumatic injuries has significantly decreased. The treatment facilities which provide emergency medical care in Lithuania did not meet modern requirements, and accessibility to their services was not optimally distributed geographically in order to ensure immediate medical care during the so-called ‘golden hour’; so that patients who had suffered traumatic injury could be brought to the nearest treatment facility and receive specialised medical assistance.

In addition, many of the medical facilities lacked adequate medical equipment, and the equipment they did have was physically and morally outdated and worn out. Therefore, goals were set for 20072013 to reorganise and upgrade the health care infrastructure and modernise the diagnostic and treatment equipment so that qualified, adequate and professional medical care of the highest level could be rendered in a timely manner.

In implementing the EU-funded projects, health care institutions which carry out the function of trauma centres created a system of emergency medical aid facilities so that as much

as 99 per cent of the Lithuanian population could reach at least one such facility during the golden hour, and as many as 46 per cent – several trauma centres. The premises of emergency medical centres and trauma centres which provide specialised medical care for children (in Vilnius and Klaipėda) were reconstructed and refit in accordance with hygiene requirements. Some trauma centres were adapted for extreme situations (disasters, etc.) and equipped with modern operating rooms and intensive care units; modern medical and computer equipment was acquired to take advantage of the latest diagnostic and treatment technologies. Now that the trauma centres have been reorganised and modernised, a system of emergency medical aid facilities has been created with the most complex equipment concentrated in the top-level trauma centres; furthermore, highly qualified specialists have been rallied who are able to provide appropriate care in cases of severe traumatic injury.

The completed projects have improved the quality of services provided to patients and the working conditions for medical staff. They have helped to decrease patient mortality and disability, more quickly restore the ability to work and reduce state funding for social benefits.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

33

No

Project promoter

1.

Public institution Alytus County The rehabilitation of the infrastructure and the improvement of quality of V. Kudirka Hospital emergency medical assistance in the events of traumatic injury in Public institution Alytus County V. Kudirka Hospital Public institution Klaipėda The modernisation of the department providing emergency medical Children‘s Hospital assistance in the event of traumatic injury and surgical unit and the improvement of quality of emergency medical assistance in the event of traumatic injury in PI Klaipėda Children‘s Hospital Public institution Klaipėda Project of the improvement of personal health care services provided to University Hospital patients suffering from traumatic injury in Klaipėda University Hospital Public institution Republican The improvement of the quality of emergency medical assistance in the Hospital of Klaipėda event of traumatic injury in PI Republican Hospital of Klaipėda The development of the tertiary (top) care trauma and emergency Hospital of Lithuanian University of Health Sciences assistance centre of Hospital of Lithuanian University of Health Sciences public institution Kauno PI Kauno klinikos klinikos Public institution Marijampolė The modernisation of the emergency reception and surgicalHospital traumatology service and the improvement of the quality of emergency assistance in the event of traumatic injury of PI Marijampolė Hospital Public institution Republican The improvement of the quality of emergency medical assistance in the Hospital of Panevėžys event of traumatic injury in PI Republican Hospital of Panevėžys

2.

3.

4.

5.

6.

7.

34

Project title

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Value of the project

EU funding of the implemented / project (thousand, under implementation EUR) (thousand, EUR) 1,320.3

1,122.2

882.8

750.4

3,638.4

3,092.7

1,267.7

1,079.2

14,643.4

12,399.4

1,060.3

901.3

2,150.4

1,827.9

No

Project promoter

8.

Public institution Republican Hospital of Šiauliai Public institution Republican Hospital of Šiauliai Public institution Tauragė Hospital

9.

10.

11.

12.

13.

14.

15.

16.

Project title

The improvement of the infrastructure and quality of trauma medical care in Republican Hospital of Šiauliai The development of the infrastructure of reception and emergency medical assistance in PI Republican Hospital of Šiauliai The improvement of emergency medical assistance in the event of traumatic injury in PI Tauragė County Hospital, the modernisation of the emergency reception department and the improvement of treatment in the event of traumatic injury and the reorganisation and modernisation of the anaesthesiology and intensive care unit Public institution Regional The improvement of the quality of emergency medical assistance in the Hospital of Telšiai event of traumatic injury in PI Regional Hospital of Telšiai Public institution Utena The reduction of mortality and disability caused by traumatic injuries and Hospital of other external lethal factors in PI Utena Hospital Public institution Vilnius The development of the infrastructure of Children‘s Traumatology Centre University Hospital Santariškių in Children‘s Hospital, a branch of Vilnius University Hospital Santariškių Klinikos Klinikos Public institution Vilnius The improvement of the quality of emergency medical assistance in University Hospital Santariškių the event of traumatic injury in Vilnius University Hospital Santariškių Klinikos Klinikos Public institution Republican The optimisation and modernisation of the infrastructure of emergency Vilnius University Hospital reception department of PI Republic Vilnius University Hospital Public institution Republican Renovation of the surgical unit of PI Republican Vilnius University Vilnius University Hospital Hospital

Value of the project

EU funding of the implemented / project (thousand, under implementation EUR) (thousand, EUR) 870.9

740.2

3,778.1

3,211.4

812.8

690.9

1,022.1

868.8

965.9

821

2,552.6

2,169.7

4,243.0

3,606.50

2,849.9

2,442.4

8,248.9

7,042.2

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

35

8–9. Public institution Republican Hospital of Šiauliai 10. Public institution Tauragė Hospital

7. Public institution Republican Hospital of Panevėžys

11. Public institution Regional Hospital of Telšiai

12. Public institution Utena Hospital

Mažeikiai Skuodas

Palanga Plung Kretinga

Gargždai

Naujoji Akmen Telšiai

Biržai

Joniškis

Pasvalys

Šiaulia i

Rokiškis

Pakruojis Radviliškis Zarasai

Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

Jonava

Šakiai

2. Public institution Klaipėda Children‘s Hospital 3. Public institution Klaipėda University Hospital 4. Public institution Republican Hospital of Klaipėda

s Širvintos

Kaunas

Vilkaviškis

Kaišiadorys

Marijampol Birštonas Kalvarija

Vilnius Trakai

Alytus V

Lazdijai Druskininkai

5. Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos 6. Public institution Marijampolė Hospital 1. Public institution Alytus County V. Kudirka Hospital

36

13–14. Public institution Vilnius University Hospital Santariškių Klinikos 15–16. Public institution Republican Vilnius University Hospital

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Alytus County S. Kudirka Hospital

1.

1. The reconstructed building.

2–4. New medical equipment.

2.

3.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

4.

37

Public institution Alytus County S. Kudirka Hospital

6.

7.

5.

5, 6. The updated operating room and nurse offices.

7. The newly-acquired X-ray machine. 8. The renovated patient drop-off/pickup area.

38

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

8.

Hospital of Lithuanian University of Health Sciences public institution Kauno Klinikos

9.

9. The Emergency Centre that was opened at Kauno Klinikos.

10. Lithuanian Prime Minister Algirdas Butkevičius and Minister of Health Rimantė Šalaševičiūtė participated in the opening of the centre.

10.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

39

Public institution Republican Hospital of KlaipÄ—da

11.

11, 12. The small operating room in the Emergency Department and the urgent care operating room in the Department of Orthopaedics and Traumatology were both updated.

12.

40

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Republican Hospital of KlaipÄ—da

14.

15.

13.

16.

13, 14. The wards and laboratory facilities in the Department of Orthopaedics and Traumatology were also updated. 15, 16. The revamped urology/gynaecology room in the admissions department and the scrub room for the urgent care operating room in the orthopaedics and traumatology department.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

41

Public institution KlaipÄ—da University Hospital

17.

18.

19.

17, 18. The updated endoscopy unit. 19. The updated X-ray room in the Department of Radiology.

20. The revamped intensive care unit.

42

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

20.

Public institution KlaipÄ—da University Hospital

22.

23.

21.

24.

21–23. The Department of Anaesthesiology and Reanimation was supplied with modern equipment.

24. The operating room was equipped with an instrument sterilisation machine.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

43

Public institution Klaipėda Children’s Hospital

25.

25. The reconstructed premises of the surgical unit and emergency room of the admissions/urgent care department at Klaipėda Children’s Hospital.

26. The renovated emergency room.

26.

44

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Klaipėda Children’s Hospital

28.

29.

27.

30.

27, 28. The operating rooms in the surgery and emergency departments were provided with modern medical equipment and furniture. 29, 30. The updated ENT recovery room and ENT surgical unit.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

45

Public institution MarijampolÄ— Hospital

32.

33.

31.

31–33. The reconstructed corridor and stations in the consultation department 34. A manipulation bed.

46

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

34.

Public institution MarijampolÄ— Hospital

35.

36.

37.

38.

35–38. Some of the modern medical equipment that was acquired: an infusion pump, a defibrillator/ monitor, laparoscopic instruments, a medical ventilator.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

47

Public institution Republican Hospital of Ĺ iauliai

39.

39. The facade of the new wing of the admissions/urgent care department.

40. The revamped facade of the hospital.

40.

48

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Republican Hospital of Ĺ iauliai

42.

43.

41.

44.

41, 43, 44. The updated surgical intensive care ward and operating room.

42. The newly-equipped endoscopy room.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

49

Public institution Regional Hospital of TelĹĄiai

45.

45. The reconstructed hospital premises.

46. The wards in the emergency department were updated.

46.

50

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Regional Hospital of TelĹĄiai

48.

49.

47.

50.

47, 48. The operating room was equipped with a new operating table and digital X-ray machine.

49. A computed radiography and digital imaging archiving and transmission system was installed.

50. The updated resuscitation room in the admissions/urgent care department.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

51

Public institution Utena Hospital

51.

51, 52. Medical equipment was acquired for providing admissions/urgent care department, emergency room, intensive care and operating room services.

52.

52

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Vilnius Republican University Hospital

53.

55.

56.

54.

57.

53. The reconstructed emergency care building. 54. The new intensive care unit. 55. The revamped entry point (garage) of the ambulance station. 56, 57. The updated reception area and computed tomography room.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

53

Public institution Vilnius Republican University Hospital

58.

58. Laparoscopic sets, an operating table for overweight patients, control panels and lamps were acquired.

59, 60. An anaesthetic machine and defibrillator were also purchased.

61. The microsurgery and plastic surgery operating rooms were supplied with a new microscope.

59.

54

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

60.

61.

Public institution Vilnius Republican University Hospital

62.

62. The updated orthopaedic traumatology operating room.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

55

Public institution Vilnius University Hospital Santariškių Klinikos

63.

63. The renovated procedure room at Station II. 64. The updated nurses’ station.

64.

56

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Vilnius University Hospital Santariškių Klinikos

66.

67.

65.

68.

65–67. The operating room was supplied with new medical equipment.

68. A revamped ward.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

57

Children’s Hospital, the branch of public institution Vilnius University Hospital Santariškių Klinikos

69.

69. The reconstructed Children’s Hospital.

70. Admissions/Urgent Care Section II of the Admissions/Urgent Care Department was updated in the surgery building.

70.

58

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Children’s Hospital, the branch of public institution Vilnius University Hospital Santariškių Klinikos

72.

73.

71.

74.

71–73. The operating room was supplied with modern medical equipment.

74. The X-ray room in Admissions/Urgent Care Department II was updated.

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

59

Children’s Hospital, the branch of public institution Vilnius University Hospital Santariškių Klinikos

75.

75. The intensive care ward in Paediatric Intensive Care Section I was modernised.

76. The updated recovery room.

100b.

76.

60

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Pavadinimas

THE THIRD MEASURE Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance

Overhaul of the infrastructure of health care facilities providing emergency medical assistance in the event of traumatic injury or other conditions caused by external factors

61

Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance In implementing the measure Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance, one of the objectives was to overhaul the infrastructure of emergency ambulance care and urgent consultative health care assistance. A person’s survival, chances of avoiding disability, duration of recovery, etc. depend on whether or not he or she was given appropriate medical care within the so-called ‘golden hour’, i.e. the first hour following the injury, poisoning, suicide attempt or other traumatic incident. It is therefore essential not only to correctly assess the patient’s condition and provide appropriate assistance, but also to ensure that the patient gets to the medical facility within the shortest possible time. First aid was not provided in Lithuania in a sufficiently effective manner, and as a result the country was ranked first in Europe in 2005 for mortality from external causes of death (traumatic injuries, poisoning, etc.). The poor quality of the ambulance fleet made it more difficult to help people and increased the mortality rate as well as the chance of severe complications or disability. In order to provide immediate assistance to patients in a more expedient manner and make urgent health care services more accessible to everyone, a more modern ambulance fleet is essential.

In implementing the project Modernisation of

62

ambulance emergency response, urgent consultative health care assistance and primary outpatient health care fleets 56 new type B and C ambulances equipped with the latest special medical equipment, modern means of communication and vehicle tracking equipment were purchased for different health care institutions throughout Lithuania which had particularly old ambulance fleets (i.e. 39 Lithuanian ambulance stations and units and 9 health care facilities providing urgent consultative assistance).

The project Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance has helped overhaul and modernise the ambulance fleet and equipment. The fact that the quality and efficiency of health care has improved is demonstrated not only by the statistics regarding the urgent provision of clinical services during the all-important golden hour, but also by other indicators at treatment facilities, such as the number of patients brought in, the parameters of urgent assistance provided to them, statistics on the general operations that were carried out, the shorter duration of in-patient treatment and the growing number of other outpatient services. Implementation of the project has helped improve the accessibility of emergency medical care, the effectiveness of treatment, and the safety of the population in an emergency.

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Mažeikiai Skuodas

Naujoji Akmen Telšiai

Palanga Plung Kretinga

Biržai

Joniškis

Šiauliai

Pasvalys Pakruojis

Rokiškis

Radviliškis Zarasai

Gargždai Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

Jonava

Šakiai

s Širvintos

Kaunas

a Vilkaviškis

Kaišiadorys

Marijampol Kalvarija

Vilnius Trakai

Alytus Lazdijai

V

Druskininkai

1. The Ministry of Health of the Republic of Lithuania

No

Project promoter

Project title

Value of the project implemented/ under implementation (million, EUR)

EU funding of the project (million, EUR)

1.

The Ministry of Health of the Republic of Lithuani

Modernisation of ambulance emergency response, urgent consultative health care assistance and primary outpatient health care fleets

7.23

6.15

Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance

63

Modernisation of ambulance emergency response, urgent consultative health care assistance and primary outpatient health care fleets

2.

1.

3.

1–4. Ambulances equipped with the latest special medical equipment, modern means of communication and GPS vehicle tracking equipment.

4.

64

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Pavadinimas

THE FOURTH MEASURE Early diagnosis of oncological diseases and complete treatment

Overhaul of the infrastructure of emergency ambulance care and urgent consultative health care assistance

65

Pavadinimas

Early diagnosis of oncological diseases and complete treatment Cancer is one of the most common causes of death worldwide, even though the majority of deaths caused by cancer can be prevented. In the structure of Lithuanian mortality, oncological diseases are in one of the top places, due to factors such as late diagnosis of oncological diseases and insufficient opportunities to get a proper diagnosis and apply effective methods of treatment. Early detection of disease, effective cancer control measures, and the concentration of oncological research and treatment in large hospitals and research centres are in line with the development of European Union medical programmes and enable maximum use to be made of the knowledge of highly qualified specialists and technological equipment to be concentrated. One of the goals of the programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 was to reduce morbidity and mortality rates among residents from oncological diseases by investing

66

European Union funds in the infrastructure of institutions which provide oncological services, and in the improvement of the quality of the services rendered.

In implementing the projects under the measure Early diagnosis of oncological diseases and complete treatment, the infrastructure was modernised at health care facilities providing specialised medical assistance in the field of oncology: the National Cancer Institute, the Kaunas Clinics at the Hospital of Lithuanian University of Health Sciences, the Vilnius University Hospital Santariškių Klinikos, the Children’s Hospital at the Vilnius University Hospital Santariškių Klinikos, the Klaipėda University Hospital, the Republican Šiauliai Hospital, and the Republican Panevėžys Hospital. The Tauragė Hospital, the Regional Hospital of Telšiai, the Marijampolė Hospital and the Alytus County S. Kudirka Hospital were also provided with certain diagnostic equipment. It

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Pavadinimas

was thus made possible to provide high-quality services, reduce side effects in patients, and diagnose and treat diseases in a faster and more effective manner. During implementation of the projects, medical and laboratory equipment was acquired for use in diagnosis, radiotherapy, tumour surgery, oncohematology, and bone marrow transplantation (linear accelerators, mammography, magnetic resonance tomography, computed tomography and other equipment), and premises related to the provision of oncological services were renovated. Positron emission tomography – advanced technology for the diagnosis of oncological diseases – was introduced. By combining positron emission tomography with computed tomography, the diagnosis of oncological diseases has improved, and it has become possible to determine the effectiveness of treatment of oncological diseases.

The acquired equipment has been installed in a new building.

The projects under the measure Early diagnosis of oncological diseases and complete treatment have improved the chances of early cancer diagnosis, the effectiveness of treatment, and the accessibility of these services to the country’s residents. The infrastructure that has been modernised in accordance with European Union norms and standards and the facilities that have been reconstructed and upgraded have made it possible to provide residents with better health care services, reduce their mortality rates, increase their ability to work and improve their quality of life.

Early diagnosis of oncological diseases and complete treatment

67

Pavadinimas

No

Project promoter

Project title

Value of the project implemented/ under implementation (million, EUR)

EU funding of the project (million, EUR)

1.

Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos Public institution Klaipėda University Hospital Public institution Republican Hospital of Panevėžys Public institution Republican Hospital of Šiauliai Public institution Republican Hospital of Šiauliai Public institution Vilnius University Hospital Santariškių Klinikos Public institution Vilnius University Hospital Santariškių Klinikos Public institution Vilnius University Hospital Santariškių Klinikos National Cancer Institute

Assuring early diagnosis of oncological diseases and complete treatment in Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos

10.92

9.28

Early diagnosis of oncological diseases and complete treatment in PI Klaipėda University Hospital Early diagnosis of oncological diseases and complete treatment in PI Republican Hospital of Panevėžys Assuring early diagnosis of oncological diseases and complete treatment for Šiauliai County population Acquisition of linear accelerator during the modernisation of the infrastructure of Oncological Clinic of PI Republican Hospital of Šiauliai Foundation of positron emission tomography complex in PI Vilnius University Hospital Santariškių Klinikos

3.74

3.18

1.65

1.40

1.82

1.60

1.82

1.6

3.97

3.38

The improvement of quality and availability of early diagnosis, chemotherapy, surgical and transplant treatment of oncological diseases in Vilnius University Hospital Santariškių Klinikos The improvement of quality of early diagnosis and treatment of oncological diseases in Children‘s Hospital, a branch of Vilnius University Hospital Santariškių Klinikos The improvement of early diagnosis of oncological diseases and the assurance of complete treatment at National Cancer Institute Acquisition of linear accelerators

6.02

5.11

1.01

0.86

9.81

8.33

6.36

5.40

2.

3.

4.

5.

6.

7.

8.

9.

10.

68

Ministry of Health of the Republic of Lithuania

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Pavadinimas

4, 5. Public institution Republican Hospital of Šiauliai

3. Public institution Republican Hospital of Panevėžys

Mažeikiai Skuodas

Naujoji Akmen Telšiai

Palanga Plung Kretinga

Biržai

Joniškis

Pasvalys

Šiauliai

Rokiškis

Radviliškis Zarasai

Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

Jonava

Šakiai

s Širvintos

Kaunas

2. Public institution Klaipėda University Hospital

Kaišiadorys

Vilnius Trakai

Alytus Lazdijai

V

Druskininkai

1. Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos

6. Public institution Vilnius University Hospital Santariškių Klinikos 7, 8. Public institution Vilnius University Hospital Santariškių Klinikos 9. National Cancer Institute 10. Ministry of Health of the Republic of Lithuania

Early diagnosis of oncological diseases and complete treatment

69

Pavadinimas Hospital of Lithuanian University of Health Sciences public institution Kauno Klinikos

1.

1. The renovated facade.

2. The room that was set up for residents.

2.

70

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Hospital of Lithuanian University of Health Sciences public institution Kauno Pavadinimas Klinikos

4.

5.

3.

6.

3. The renovated on-call room in the haematology department.

4. The renovated procedure room in the haematology department.

5, 6. The reconstructed wards and work rooms.

Early diagnosis of oncological diseases and complete treatment

71

Pavadinimas Public institution KlaipÄ—da University Hospital

8.

9.

7.

7. The renovated mammography room in the Department of Radiology. 8. The X-ray therapy equipment that was purchased for the radiotherapy room. 9. The 3D breast ultrasound that was purchased for the Department of Radiology. 10. The new brachytherapy equipment and surgical C bow.

72

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

10.

Public institution KlaipÄ—da University Pavadinimas Hospital

11.

11. The hospital purchased a linear accelerator.

12. Computed tomography equipment was purchased to plan x-ray testing.

12.

Early diagnosis of oncological diseases and complete treatment

73

Pavadinimas Public institution Republican Hospital of Ĺ iauliai

14.

15.

13.

13. The linear accelerator that as purchased. 14. The new brachytherapy equipment.

15. The digital mammography equipment that was purchased. 16. The equipment for medical ultrasound was updated.

74

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

16.

Public institution Vilnius University Hospital Santariškių Pavadinimas Klinikos

17.

17. The new Positron Emission Tomography Centre.

18, 20. Inside the Positron Emission Tomography Centre.

19. Some of the positron emission tomography and computed tomography equipment that was acquired.

Photo by Raimondo Urbakavičiaus

18.

19.

Early diagnosis of oncological diseases and complete treatment

20.

75

Pavadinimas National Cancer Institute

21.

22.

23.

21. The new computed tomography machine. 22. The hospital purchased a linear accelerator.

23. The patient monitoring system was updated. 24. Angiography equipment was purchased.

24.

76

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Pavadinimas

THE FIFTH MEASURE Establishment of differentiated comprehensive psychiatric help centres for children and families

Early diagnosis of oncological diseases and complete treatment

77

Establishment of differentiated comprehensive psychiatric help centres for children and families Mental health is recognised as the most important field of public health of the beginning of the 21st century. In Lithuania, mental health indicators are extremely poor: a large number of suicides, younger and younger people committing crimes, and the most widespread bullying among all the European Union countries. One of the measures in the field of mental health that has been implemented is Establishment of differentiated comprehensive psychiatric help centres for children and families, the goal of which was to develop comprehensive outpatient, counselling, inpatient, day-patient and crisis intervention mental health care services for children and adolescents, while at the same time implementing disease and suicide prevention and creating a child and youth mental health care system.

78

In implementing the programme Reduction of Morbidity and Mortality from Main NonInfectious Diseases in 2007-2013 and financing projects with European Union structural funds, five differentiated comprehensive psychiatric help centres for children and families were established.

In carrying out the projects, the Kaunas Clinics at the Hospital of Lithuanian University of Health Sciences, the Klaipėda Republican Hospital, the Panevėžys Republican Hospital, the Republican Šiauliai Hospital and the Vilnius University Hospital Santariškių Klinikos modernised, upgraded and expanded their mental health care premises (for education, physical activity and therapy), acquired new equipment, furniture and computer equipment, improved or set up child and adolescent activity rooms, fitted out courtyards, formed mobile

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

teams, and expanded opportunities for the organisation of free time and activities.

Thanks to the projects that were implemented, mental health services have improved and become more accessible, and the quality of specialised services has increased.

The projects under the measure Establishment of differentiated comprehensive psychiatric help centres for children and families have contributed in providing every kind of assistance and social services to people with mental and behavioural disorders and improving their quality of life and integration into society.

Establishment of differentiated comprehensive psychiatric help centres for children and families

79

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

1.

Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos Public institution Republican Hospital of Klaipėda

The improvement of complex mental health care services for children and youth in Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos

562

477.7

580.6

493.6

195.3

166

627.6

533.4

1,071.8

911.1

2.

3.

4.

5.

80

The establishment of a differentiated department of complex psychiatric help for a child and family in Psychiatry Branch of Republic Hospital of Klaipėda Public institution Republican The establishment of a differentiated centre of complex psychiatric help Hospital of Panevėžys for a child and family in PI Republican Hospital of Panevėžys Public institution Republican The establishment of a differentiated centre of complex psychiatric help Hospital of Šiauliai for a child and family in PI Republican Hospital of Šiauliai Public institution Vilnius The establishment of a centre of complex psychiatric help for a child and University Hospital Santariškių family in Children‘s Hospital, a branch of PI Vilnius University Hospital Klinikos Santariškių Klinikos

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

4. Public institution Republican Hospital of Šiauliai

3. Public institution Republican Hospital of Panevėžys

Mažeikiai Skuodas

Naujoji Akmen Telšiai

Palanga Plung Kretinga

Biržai

Joniškis

Pasvalys

Šiauliai

Rokiškis

Radviliškis Zarasai

Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

Jonava

Šakiai

s Širvintos

Kaunas

2. Public institution Republican Hospital of Klaipėda

Kaišiadorys

Vilnius Trakai

Alytus Lazdijai

V

Druskininkai

1. Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos

5. Public institution Vilnius University Hospital Santariškių Klinikos

Establishment of differentiated comprehensive psychiatric help centres for children and families

81

Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos

1.

2.

3.

1. Installation of a Children’s occupational therapy room equipped with toys and educational aids in Children and Youth’s Psychiatry Sector. 2. Installation of a yard for sports. 3. Children’s works created in the newly-installed therapy room. 4. Refurbished therapy room with chairs and TV-set.

4.

82

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Republican Hospital of Klaipėda

6.

7.

5.

8.

5–8. Children’s Psychiatry Department moved to the renovated premises. Installation of children’s playroom, gym, therapy room and welcoming waiting room.

Establishment of differentiated comprehensive psychiatric help centres for children and families

83

Public institution Republican Hospital of Panevėžys

10.

11.

9.

9, 11. Installation of a therapy room. Acquisition of new furniture, mobile drawing board, audio and video system and treadmill. 10. Installation of a small yard for sports and recreation. 12. Refurbishment of the psychologist’s room. Acquisition ofnew furniture, therapeutic aid and new software.

84

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

12.

Public institution Republican Hospital of Šiauliai

13.

14.

15.

16.

13–16. Renovation of Children’s Psychiatry Department of Children’s Clinic at PI Republican Hospital of Šiauliai. Installation of a lobby, playroom, intensive care ward and nurses’ station.

Establishment of differentiated comprehensive psychiatric help centres for children and families

85

Children‘s Hospital, the branch of public institution Vilnius University Hospital Santariškių Klinikos

17.

17. Installation of a teaching room for autist children.

18. Acquisition of a children’s trampoline for kinesitherapy.

18.

86

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Children‘s Hospital, the branch of public institution Vilnius University Hospital Santariškių Klinikos

20.

21.

19.

22.

19–22. Installation of a new playground, renovation of the educational, psycho relaxation and play rooms, and the gym.

Establishment of differentiated comprehensive psychiatric help centres for children and families

87

Children‘s Hospital, the branch of public institution Vilnius University Hospital Santariškių Klinikos

23.

23, 24. Acquisition of new furniture and alternative communication equipment for autism class for developing communication skills of children.

24.

88

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

THE SIXTH MEASURE Modernisation of inpatient psychiatric care

Establishment of differentiated comprehensive psychiatric help centres for children and families

89

Modernisation of inpatient psychiatric care The measure Modernisation of Inpatient Psychiatric Care was designed to modernise Lithuanian psychiatric inpatient units as many of them failed to meet the existing European Union standards: they were outdated, in need of repair, and inadequately equipped with small wards and proper treatment, monitoring and care equipment that was not physically and morally outdated; the hospitals also lacked other things, such as safe courtyards for recreation. Significant problems were caused by the inadequate conditions in providing mental health services for acute psychiatric disorders. The measure Modernisation of Inpatient Psychiatric Care was therefore extremely important for Lithuania: projects were carried out by eight health care institutions, of which seven provide mental health services for acute psychiatric disorders, and one is used for forensic psychiatric assessments.

90

An inpatient psychiatric unit has been set up at the Panevėžys Republican Hospital: the premises have been renovated, comfortable and suitable furniture has been acquired, an elevator has been installed, and a cosy yard has been created for the patients to relax in.

The buildings and equipment of the acute psychiatric unit at the Vilnius City Mental Health Centre have been modernised, and the quality of specialised services has improved. The men’s acute care unit at the Republican Šiauliai Hospital has been renovated and updated. It has been equipped with special patient observation wards to facilitate the work of the staff, new day premises (for activities, consultation and procedures), and a lovely, safe courtyard. The renovated acute psychiatric inpatient unit at the Psychiatry Clinic at the Hospital of Lithuanian University of Health Sciences Kaunas Clinics

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

now has a comfortable environment for patients and staff, with dignified hospital care conditions for patients suffering from acute mental illnesses. A separate unit for acute mental disorders with modern equipment and an appropriately trained staff has also been established in the reconstructed premises of the Republican Vilnius Psychiatric Hospital. This concentration of psychiatric services in one unit has improved their quality and increased the comfort of patients in other units. The State Forensic Psychiatric Service under the Ministry of Health reconstructed the Utena II assessment subdivision, creating conditions for the protection and rehabilitation of persons.

At the acute psychiatric unit at the Psychiatric Hospital, which is a branch of the Republican Hospital of Kaunas, reconstruction work was carried out in accordance with current EU

requirements (medical and computer equipment and software was updated, a courtyard was put in, etc.). An acute psychosis unit was established and equipped in separate, refurbished premises at the KlaipÄ—da Republican Hospital, thus improving both specialised patient care as well as treatment conditions for less severe patients.

Upon implementing the projects according to the measure Modernisation of Inpatient Psychiatric Care, psychiatric units where mental health services are provided for acute psychiatric disorders were modernised according to current European standards.

Modernisation of inpatient psychiatric care

91

No

Project promoter

Project title

1.

Public institution Republican Hospital of Kaunas Hospital of Lithuanian University of Health Sciences public institution Kauno Klinikos Public institution Republican Hospital of Klaipėda Public institution Republican Hospital of Panevėžys Public institution Republican Hospital of Šiauliai National Service of Forensic Psychiatry in Lithuania Under the Ministry of Health Public institution Republican Psychiatry Hospital of Vilnius Public institution Vilnius City Mental Health Centre

Modernisation of the Inpatient Psychiatry Unit of the Republican Hospital 481.8 of Kaunas Improvement of access to mental health services and their quality at the 481.8 Hospital of Lithuanian University of Health Sciences Kauno Klinikos

409.5

Setting up of the Acute Psychiatry Unit with special care facilities at the Psychiatry Department of the Republican Hospital of Klaipėda Modernisation of the Psychiatry Unit I of the Republican Hospital of Panevėžys Modernisation of the Acute Conditions Unit of the Psychiatry Department, the branch of the Republican Hospital of Šiauliai Reconstruction of the Subdivision II of the Utena Expert Division of the National Service of Forensic Psychiatry in Lithuania Under the Ministry of Health Modernisation of the Inpatient Psychiatry Unit of the Republican Psychiatry Hospital of Vilnius Modernisation of acute psychiatry services at the Vilnius City Mental Health Centre

647.3

550.2

470.2

399.7

647

549.9

414.8

352.6

439.6

389.7

300.3

255.3

2.

3.

4.

5.

6.

7.

8.

92

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

409.5

4. Public institution Republican Hospital of Panevėžys

5. Public institution Republican Hospital of Šiauliai

6. National Service of Forensic Psychiatry in Lithuania Under the Ministry of Health Mažeikiai Skuodas

Naujoji Akmen Telšiai

Palanga Plung Kretinga

Biržai

Joniškis

Pasvalys

Šiauliai

Rokiškis

Radviliškis Zarasai

Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

Jonava

Šakiai

s Širvintos

Kaunas

3. Public institution Republican Hospital of Klaipėda

Kaišiadorys

Vilnius Trakai

Alytus Lazdijai

V

Druskininkai

1. Public institution Republican Hospital of Kaunas 2. Hospital of Lithuanian University of Health Sciences public institution Kauno Klinikos

7. Public institution Republican Psychiatry Hospital of Vilnius 8. Public institution Vilnius City Mental Health Centre

Modernisation of inpatient psychiatric care

93

Public institution Republican Hospital of Kaunas

2.

3.

1.

1–4. The renovated nurses’ station, the office of a unit head and the recreation courtyard.

94

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

4.

Public institution Republican Hospital of KlaipÄ—da

5.

6.

5–7. The renovated emergency unit, the passage and the office.

7.

Modernisation of inpatient psychiatric care

95

Public institution Republican Hospital of Panevėžys

8.

9.

10.

8–11. The repaired first and second floors of the Psychiatry Unit I of the Republican Hospital of Panevėžys.

In photos: new wards, the new lift and the renovated passage on the second floor.

11.

96

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Republican Hospital of PanevÄ—Ĺžys

12.

12, 13. New activity rooms on the first and second floors of the Psychiatry Unit.

13.

Modernisation of inpatient psychiatric care

97

Public institution Vilnius City Mental Health Centre

14.

14. The new vibroacoustic therapy room.

15. The renovated registration desk of the Vilnius City Mental Health Centre.

15.

98

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Vilnius City Mental Health Centre

17.

18.

16.

19.

16–19. The new canteen at the day-patient unit, the meeting hall and the electromagnetic pulse therapy room.

Modernisation of inpatient psychiatric care

99

Public institution Republican Psychiatry Hospital of Vilnius

20.

20. The renovated Republican Psychiatry Hospital of Vilnius.

21. The new nurses’ station at the Acute Psychiatric Disorders Unit.

22. The renovated senior nurse’s office.

23. The new multi-function bed and the mobile X-ray machine.

21.

100

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

22.

23.

THE SEVENTH MEASURE Modernising the infrastructure for monitoring mental health care services

Modernisation of inpatient psychiatric care

101

Modernising the infrastructure for monitoring mental health care services As part of the implementation of the programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013, one of the tasks was the refurbishment of infrastructure used for monitoring mental health care services. To perform this function it is necessary to create proper conditions for ongoing examination and assessment of changes, including public mental health indicators, the efficiency of the system, the quality and effectiveness of services provided, consumers’ satisfaction with services, the proper use of funds, and epidemiological studies.

The State Mental Health Centre, which is the only centre in Lithuania performing the monitoring of other institutions providing mental health care services, participated in the project. As the State Mental Health Centre lacked adequate premises and equipment needed for improving qualification

102

of specialists working in the above-mentioned institutions, providing necessary information and administering the whole activity, an old building, which was not in good repair and lacked modern, adequate equipment, was used. The building underwent major repairs: a hall for lectures and seminars and new workplaces were installed, necessary medical and programming equipment, and a new car were acquired.

Upon completion of the project under the measure Modernisation of infrastructure for monitoring mental health care services conditions for timely and effective assessment of services provided by other mental health care institutions, efficient monitoring and administration of the quality of services provided by institutions engaged in psychiatric and mental health care were created.

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Mažeikiai Skuodas

Naujoji Akmen Telšiai

Palanga Plung Kretinga

Biržai

Joniškis

Šiauliai

Pasvalys Pakruojis

Rokiškis

Radviliškis Zarasai

Gargždai Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

Jonava

Šakiai

s Širvintos

Kaunas

a Vilkaviškis

Kaišiadorys

Marijampol Kalvarija

Vilnius Trakai

Birštonas Alytus Lazdijai

V

Druskininkai

1. Public institution State Mental Health Centre

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

1.

Public institution State Mental Health Centre

Modernisation of the infrastructure of the State Mental Health Centre at Parko g. 15, Vilnius

188.8

160.5

Modernising the infrastructure for monitoring mental health care services

103

Public institution State Mental Health Centre

1.

1. The 30 seat meeting room.

2. The reconstructed interior and passage.

2.

104

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution State Mental Health Centre

4.

5.

3.

6.

3. The new windows. 4. The renovated offices.

5. The lift for the disabled. 6. The upgraded pathway leading to the Centre.

Modernising the infrastructure for monitoring mental health care services

105

Public institution State Mental Health Centre

7.

7. The renewed equipment of a doctor’s office.

106

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

THE EIGHTH MEASURE Establishment of mental health day-patient centres

Modernising the infrastructure for monitoring mental health care services

107

Establishment of mental health day-patient centres One of the goals of the programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 was the development of flexible mental health care services network through the establishment of day-patient centres in communities. Based on the above, it was decided to establish 27 new day-patient centres, which would operate as part of already functioning mental health centres in various cities across Lithuania. They are set to provide early help in cases when mental health of the population starts to deteriorate: patients would receive a variety of essential services and intensive treatment while bond with their families as well as ordinary environment would remain undisturbed. These changes are set to improve the quality of health care services and their availability for 37,000 patients.

Mental health day-patient centres were established in Vilnius, Kaunas, Alytus, Klaipėda, Panevėžys, Šiauliai, Telšiai, Marijampolė, Tauragė and Utena counties. For this purpose, a number of buildings underwent repairs, reconstruction and modernisation, rooms were equipped to facilitate

108

individual and group work as well as psychotherapy, centres received appropriate furniture and other equipment as well as special tools required for art, music, light and movement therapy (each centre chose to conduct 2-3 types of the above mentioned therapies), while staff and patient recreation space, hygiene facilities and treatment rooms were all renewed.

Establishment of mental health day-patient centres meets priorities and recommendations set out in the European Union’s strategic documents, which propose to strengthen public mental health by employing a variety of modern tools, implement the prevention of suicide, violence and addiction diseases, which are directly linked to mental health, and develop rehabilitation opportunities within communities for psychiatric patients while involving their families in the process.

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

1.

Public institution Alytus Outpatient Clinic Public institution Druskininkai Primary Health Care Centre Public institution Elektrėnai Mental Health Care Centre Administration of Jonava District Municipality Public institution Joniškis Mental Health Care Centre

The establishment of a mental health day centre (inpatient) in Alytus

429.5

365.1

The establishment of a mental health day centre in Druskininkai Municipality The establishment of an inpatient mental health day unit under Elektrėnai Mental Health Care Centre The establishment of Jonava inpatient mental health day unit

332.1

282.3

183.1

155.7

433.7

368.7

The development and the improvement of availability of Joniškis Mental Health Care Centre‘s services, by establishing an inpatient mental health day unit The establishment of an inpatient mental health day unit (centre) in PI Kaunas Central Outpatient Clinic The establishment of an inpatient mental health day unit in PI Kaunas Dainava Outpatient Clinic VThe development of services provided by PI Kaunas Šilainiai Outpatient Clinic, Mental Health Centre by establishing an inpatient mental health day unit The establishment of an inpatient mental health day unit (centre) in PI Kėdainiai PHCC, Mental Health Department The establishment of an inpatient mental health day unit (centre) under PI Kretinga Mental Health Centre

327.8

278.6

480.9

408.7

251.1

213.4

234.4

199.2

262.7

223.3

316.2

268.8

The establishment of an inpatient mental health day unit in Marijampolė 313.4

266.4

Psichikos dienos centro pastato Sedos g. 29 / Vilties g. 12, Mažeikiuose, statyba The establishment of a mental health day centre at Vytauto g. 60, Garliava The establishment of an inpatient mental health day unit (centre) in Panevėžys Outpatient Clinic

588.4

500.1

334.6

284.4

196.7

167.2

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Public institution Kaunas Central Outpatient Clinic Public institution Kaunas Dainava Outpatient Clinic Public institution Kaunas Šilainiai Outpatient Clinic Public institution Kėdainiai Primary Health Care Centre Public institution Kretinga Mental Health Centre of Kretinga District Municipality Public institution Marijampolė Primary Health Care Centre Private limited company Mažeikiai Mental Health Centre Private limited company Medgintras Administration of Panevėžys City Municipality

Establishment of mental health day-patient centres

109

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

15.

Public institution Pasvalys Primary Health Care Centre Public institution Rokiškis Mental Health Care Centre Administration of Šiauliai City Municipality Private limited company Šilutė Mental Health and Psychotherapy Centre Public institution Tauragė District Primary Health Care Centre Public institution Ukmergė Primary Health Care Centre Public institution Utena Primary Health Care Centre Public institution Antakalnis Outpatient Clinic Public institution Central Outpatient Clinic

The establishment of Pasvalys inpatient mental health day unit

416.6

354.1

The establishment of an inpatient mental health day unit (centre) under PI Rokiškis Mental Health Centre The establishment of an inpatient mental health day unit (centre) under public institution Šiauliai Central Outpatient Clinic, at Varpo g. 9 The establishment of Pasvalys inpatient psychiatric day unit

362.7

308.3

624.7

531

70.3

59.7

The establishment of an inpatient mental health day unit in Tauragė District

370

314.5

The establishment of a mental health day centre under PI Ukmergė Primary Health Care Centre The establishment of Utena inpatient mental health day unit

279.7

237.7

569.6

484.1

The establishment of an inpatient mental health day unit in PI Antakalnis Outpatient Clinic, Mental Health Centre The development of outpatient mental health care services for Vilnius County population, by establishing an inpatient day unit (centre) in PI Central Outpatient Clinic, Vytenis Branch The establishment of an inpatient mental health day unit in PI Karoliniškės Outpatient Clinic, Mental Health Centre The establishment of an inpatient day unit under the Mental Health Centre in PI Šeškinė Outpatient Clinic The establishment of an inpatient mental health day unit under PI Central Outpatient Clinic of Vilnius District, Mental Health Centre

190.2

161.7

304.6

258.9

245

208.2

216.6

184.1

492.8

418.8

834.6

709.4

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

110

Public institution Karoliniškės Outpatient Clinic Public institution Šeškinė Outpatient Clinic Public Institution Central Outpatient Clinic of Vilnius District Private limited company The establishment of an inpatient mental health day unit in Telšiai to Žemaitija Mental Health Centre provide services for the population of Telšiai and Plungė Districts

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

5. Public institution Joniškis Mental Health Care Centre

9. Public institution Kėdainiai Primary Health Care Centre 4. Administration of Jonava District Municipality

17. Administration of Šiauliai City Municipality

14. Administration of Panevėžys City Municipality

12. Private limited company Mažeikiai Mental Health Centre 27. Private limited company Žemaitija Mental Health Centre

15. Public institution Pasvalys Primary Health Care Centre 16. Public institution Rokiškis Mental Health Care Centre

Mažeikiai Skuodas

Palanga

Naujoji Akmen Telšiai

Plung

Šiauliai

Kretinga

Gargždai

Biržai

Joniškis Pasvalys Pakruojis

Rokiškis

Radviliškis Zarasai

Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

10. Public institution Kretinga Mental Health Centre of Kretinga District Municipality 18. Private limited company Šilutė Mental Health and Psychotherapy Centre

Šakiai

Marijampol

Priena

Kaišiadorys

Alytus V

Lazdijai Druskininkai

Vilnius Trakai

Birštonas Kalvarija

6. Public institution Kaunas Central Outpatient Clinic 7. Public institution Kaunas Dainava Outpatient Clinic 8. Public institution Kaunas Šilainiai Outpatient Clinic 13. Private limited company Medgintras

Širvintos

Kaunas

Vilkaviškis

19. Public institution Tauragė District Primary Health Care Centre

11. Public institution Marijampolė Primary Health Care Centre

Jonava

21. Public institution Utena Primary Health Care Centre 20. Public institution Ukmergė Primary Health Care Centre

3. Public institution Elektrėnai Mental Health Care Centre

22. Public institution Antakalnis Outpatient Clinic 23. Public institution Central Outpatient Clinic 24. Public institution Karoliniškės Outpatient Clinic 25. Public institution Šeškinė Outpatient Clinic 26. Public Institution Central Outpatient Clinic of Vilnius District 1. Public institution Alytus Outpatient Clinic 2. Public institution Druskininkai Primary Health Care Centre

Establishment of mental health day-patient centres

111

Public institution Alytus Outpatient Clinic

1.

1. Opening of an Inpatient Mental Health Day Unit in PI Alytus Outpatient Clinic.

2, 3. Installation of massage and rehabilitation rooms.

2.

112

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

3.

Public institution Alytus Outpatient Clinic

5.

6.

4.

7.

4, 5. Installation of painting on water room, recreation zone on the second floor.

6. Provision of wards with functional beds. 7. Installation of a lift for people with disabilities.

Establishment of mental health day-patient centres

113

Public institution Druskininkai Primary Health Care Centre

8.

8. Completed renovation of the fourth attic floor and part of the third floor in Druskininkai Primary Health Care Centre Establishment of an Inpatient Mental Health Day Unit in the renovated premises.

9. Acquisition of inpatient beds for wards.

9.

114

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Druskininkai Primary Health Care Centre

11.

12.

10.

13.

10, 11. Installation of motion therapy and occupational rooms.

12. The Centre also has a music and light therapy room.

13. Completed refurbishment of the staircase leading to the 4th floor.

Establishment of mental health day-patient centres

115

Public institution ElektrÄ—nai Mental Health Care Centre

14.

14. Establishment of a Mental Health Day Centre in the renovated premises of PI ElektrÄ—nai Mental Health Care Centre.

15. Acquisition of new furniture and equipment needed for work for the Centre.

15.

116

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution ElektrÄ—nai Mental Health Care Centre

16.

16, 17. Installation of premises for individual and group psychotherapy, psychopharmacotherapy, music and light and motion therapies.

17.

Establishment of mental health day-patient centres

117

Administration of Jonava District Municipality

18.

18. Construction of the superstructure on the existing building of Jonava Infectious Diseases Hospital, in which the Inpatient Mental Health Day Unit was opened.

19. Acquisition of domestic appliances.

19.

118

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Joniškis Mental Health Care Centre

20.

20. Establishment of an Inpatient Mental Health Day Unit in Joniškis Mental Health Centre.

21–23. Installation of a lift, waiting room light and music therapy room.

21.

22.

23.

Establishment of mental health day-patient centres

119

Public institution Kaunas Central Outpatient Clinic

24.

25.

26.

24–26. Establishment of an Inpatient Mental Health Day Unit in the refurbished premises of PI Kaunas Central Outpatient Clinic. Installation of the motion and light therapy rooms and patients’ rest room in the unit.

27. The Centre also has an art therapy room.

120

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

27.

Public institution Kaunas Central Outpatient Clinic

29.

30.

31.

28.

28. Installation of the nursing post in the corridor on the 4th floor.

29. Installation of a relaxation and group psychotherapy room in the Centre.

30, 31. Completed refurbishment of the staircase and waiting room.

Establishment of mental health day-patient centres

121

Public institution Kaunas Dainava Outpatient Clinic

32.

32. Establishment of an Inpatient Mental Health Day Unit in the premises of PI Kaunas Dainava Outpatient Clinic. In photo: three-bed ward and treatment room.

33. Installation of a lift and elevator for people with disabilities on the 2nd floor.

33.

122

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Kaunas Dainava Outpatient Clinic

35.

36.

34.

37.

34. Acquisition of new furniture. 35. Installation of an occupational room fitted with home cinema system.

36. Completed renovation of the 1st floor lobby, acquisition of a TV-set and stereo system.

37. The Centre also has a therapy room.

Establishment of mental health day-patient centres

123

Public institution Kėdainiai Primary Health Care Centre

38.

38. Establishment of an Inpatient Mental Health Day Unit in the premises of PI Kėdainiai PHCC. 39, 40. Installation of treatment and occupational rooms.

39.

124

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

40.

Public institution Kretinga Mental Health Centre

41.

43.

42.

44.

41. Establishment of an Inpatient Mental Health Day Unit on the 4th floor of Kretinga Mental Health Centre. 42. Installation of wards. 43, 44. Creation of facilities for organising art, music, light therapies and propagating healthy living in the Centre.

Establishment of mental health day-patient centres

125

Public institution Marijampolė Primary Health Care Centre

45.

45. Establishment of an Inpatient Mental Health Day Unit in the premises of PI Marijampolė PHCC. 46. Installation of a doctors’ room. 47. Acquisition of relaxing armchairs, TV-set for the rest room.

Motion therapy is performed as well.

46.

126

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

47.

Private limited company MaĹžeikiai Mental Health Centre

49.

50.

48.

51.

48. Installation of a new reception desk. 49. Establishment of an Inpatient Mental Health Day Unit in MaĹžeikiai Mental Health Centre. 50, 51. Installation of a motion therapy rooms and wards.

Establishment of mental health day-patient centres

127

Public institution Pasvalys Primary Health Care Centre

52.

52, 53. Establishment of Pasvalys Inpatient Mental Health Day Unit in the new building.

54. Installation of a rest room. 55. Decoration of the new reception with a fish tank.

53.

128

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

54.

55.

Public institution RokiĹĄkis Mental Health Care Centre

56.

56. Establishment of an Inpatient Mental Health Day Unit in the reconstructed premises of PI RokiĹĄkis MHCC. 57, 58. Installation of relaxation, rest, group therapy and computer rooms.

57.

58.

Establishment of mental health day-patient centres

129

Administration of Ĺ iauliai City Municipality

59.

59. Provision of multi-sensory therapy at Ĺ iauliai Mental Health Day Centre.

60. Acquisition of sand therapy equipment for the art therapy room.

60.

130

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Private limited company Žemaitija Mental Health Centre

61.

61. Establishment of an Inpatient Mental Health Day Unit of Žemaitija Mental Health Centre Plc in the new building, in Telšiai. 62. Installation of a new art therapy room. 63. Installation of a waiting room in the new corridor.

62.

63.

Establishment of mental health day-patient centres

131

Public institution UkmergÄ— Primary Health Care Centre

64.

64. Opening of an Inpatient Psychiatric Day Unit in the newly-renovated building.

65. Completion of the renovation of the corridor on the 2nd floor. Acquisition of a TV-set, mirror panel, furniture.

65.

132

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution UkmergÄ— Primary Health Care Centre

66.

66. Installation of wards.

67. The Centre boasts a multi-sensory therapy room.

67.

Establishment of mental health day-patient centres

133

Public institution UkmergÄ— Primary Health Care Centre

68.

69.

68, 70. Installation of art and motion therapy rooms.

69. Installation of a relaxation zone, where audiovisual therapy is performed.

70.

134

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Utena Primary Health Care Centre

71.

72.

73.

74.

71. Establishment of an Inpatient Mental Health Day Unit in PI Utena Primary Health Care Centre.

72. Completion of the refurbishment of the lobby, installation of a lift for people with disabilities.

73, 74. Installation of a ward and social workers’ room.

Establishment of mental health day-patient centres

135

Inpatient mental health day unit of public institution Central Outpatient Clinic of Vilnius District

75.

76.

77.

75. Establishment of the Inpatient Mental Health Day Unit in NemenÄ?inÄ—, Vilnius District. 76. Completion of the renovation of the corridor on the 1st floor. 77. Installation of an occupational therapy room. Acquisition of equipment needed for the therapy: computers, sewing machine. 78. Installation of a lift for people with disabilities.

136

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

78.

Inpatient Mental Health Day Unit of public institution Antakalnis Outpatient Clinic

79.

79. Establishment of the Mental Health Day Unit on the 2nd floor, Block A of Antakalnis Outpatient Clinic.

80. Installation of wards.

80.

Establishment of mental health day-patient centres

137

Inpatient Mental Health Day Unit of public institution Antakalnis Outpatient Clinic

81.

81. The Centre has dance and motion therapy, psychotherapy and group therapy room.

82. Completion of the installation of a corridor of the Mental Health Day Unit.

82.

138

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Karoliniškės Outpatient Clinic

83.

83. Establishment of the Inpatient Mental Health Day Unit in PI Karoliniškės Outpatient Clinic.

84. Installation of film, art therapy, occupational rooms, kitchen.

84.

Establishment of mental health day-patient centres

139

Public institution Šeškinė Outpatient Clinic

85.

85. Establishment of the Mental Health Day Centre in PI Šeškinė Outpatient Clinic.

In photo: occupational room.

86. Installation of an audiovisual relaxation room in the Centre.

86.

140

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Pavadinimas

THE NINTH MEASURE Establishment of crisis intervention centres

Establishment of mental health day-patient centres

141

Establishment of crisis intervention centres One of the goals of the programme Reduction of Morbidity and Mortality from Main Non-Infectious Diseases in 2007-2013 was the establishment of crisis intervention centres. Crisis intervention centres help to improve the quality of psychiatric services as well as their accessibility to many patients going through crises. These centres are meant for adults only.

Projects were carried out in accordance with the measure Establishment of crisis intervention centres by health care institutions in five of Lithuania’s major cities: the Republican Hospital of Kaunas, the Šiauliai Republican Hospital, the Panevėžys Republican Hospital, the Vilnius City Mental Health Centre and the Klaipėda Republican Hospital. Modern, well-equipped adult crisis intervention centres for proper psychological care, psychotherapy and other

142

types of therapy and repose have been established at these institutions. A crisis intervention centre which provides day-patient services has been set up at the Vilnius City Mental Health Centre. The facilities have been updated and the necessary equipment and transportation has been obtained, making it possible to visit people who are going through a crisis. The premises at the Panevėžys Republican Hospital have been reconstructed, and computer equipment and transportation have been obtained. At the Šiauliai Republican Hospital, the premises have been renovated and a wing has been built for a crisis intervention centre. A comfortable and safe environment has been created for patients and the staff, a modern patient monitoring system has been installed, and specialised medical equipment has been purchased. The building for the crisis intervention centre at the Klaipėda Republican

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Hospital has been refurbished, and the necessary medical equipment and furniture has been received. This hospital has begun providing new psychiatric services of the appropriate level which help to maintain the ability to work and improve quality of life. Although the Republican Hospital of Kaunas is a multi-profile hospital, the district did not have a crisis prevention centre before this project. For this purpose, buildings were reconstructed, adapted, and equipped with comfortable furniture and modern equipment.

ability to work, improve the quality of life, and fulfil one of the fundamental human needs – the need for security.

Upon carrying out the EU-financed projects of the measure Establishment of crisis intervention centres crisis intervention centres were established which make it possible to provide emergency assistance, help prevent longterm mental disorders, more easily adapt after experiencing violence, more quickly regain the

Establishment of crisis intervention centres

143

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

1.

Public institution Republican Hospital of Kaunas Public institution Republican Hospital of Klaipėda Public institution Republican Hospital of Panevėžys Public institution Republican Hospital of Šiauliai Public institution Vilnius City Mental Health Centre

Establishment of a crisis intervention centre at the Republican Hospital of Kaunas Establishment of a crisis intervention centre at the Psychiatry Department of the Republican Hospital of Klaipėda Establishment of a crisis intervention centre at the Republican Hospital of Panevėžys Establishment of a crisis intervention centre at the Republican Hospital of Šiauliai Establishment of a crisis intervention centre at the Vilnius City Mental Health Centre

442.7

223.2

507.8

431.7

389.9

331.4

788

669.8

262.6

223.2

2.

3.

4.

5.

144

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

4. Public institution Republican Hospital of Šiauliai

3. Public institution Republican Hospital of Panevėžys

Mažeikiai Skuodas

Naujoji Akmen Telšiai

Palanga Plung Kretinga

Biržai

Joniškis

Pasvalys

Šiauliai

Rokiškis

Radviliškis Zarasai

Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

2. Public institution Republican Hospital of Klaipėda

Jonava

Šakiai

s Širvintos

Kaunas Kaišiadorys

Vilnius Trakai

Alytus Lazdijai

V

Druskininkai

1. Public institution Republican Hospital of Kaunas

5. Public institution Vilnius City Mental Health Centre

Establishment of crisis intervention centres

145

Public institution Republican Hospital of Kaunas

1.

1, 2. The first crisis intervention centre set up in Kaunas. In photos: the facade of the inpatient unit and the waiting room.

2.

146

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Republican Hospital of Kaunas

4.

5.

6.

3.

3. New vibroacoustic chairs in the office of an occupational therapist.

4–6. The new registration desk, the new activity and group therapy room, and the new physical therapy gym.

Establishment of crisis intervention centres

147

Public institution Republican Hospital of Klaipėda

7.

8.

9.

7–10. The crisis intervention centre set up at the Republican Hospital of Klaipėda.

In photos: light, dance, activity and psychological therapy rooms.

148

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

10.

Public institution Republican Hospital of KlaipÄ—da

11.

11, 12. The renovated courtyard of the crisis intervention centre, the reconstructed staircase, new day-patient activity and psychological therapy rooms.

12.

Establishment of crisis intervention centres

149

Public institution Republican Hospital of Panevėžys

13.

13, 14. The crisis intervention centre set up in the reconstructed premises of the Republican Hospital of Panevėžys. In photos: the nurses’ station and the office of the head of the Psychiatry Department.

14.

150

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Republican Hospital of Panevėžys

16.

17.

18.

15.

15–17. The office of a senior nurse, the passage and the nurses’ station.

18. New equipment. In photos: massage chairs, a massage table and a colour therapy lamp.

Establishment of crisis intervention centres

151

Public institution Republican Hospital of Šiauliai

19.

20.

21.

19–21. The crisis intervention centre set up in the new building of the Republican Hospital of Šiauliai.

In photos: the facade of the inpatient unit, the new passageway and the renovated courtyard.

22. The terrace on the first floor of the day-patient unit. New outdoor furniture.

152

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

22.

Public institution Republican Hospital of Ĺ iauliai

24.

25.

26.

23.

23–26. New premises of the inpatient unit. In photos: the new vibroacoustic therapy room, the passage, the office of the head nursing administrator and the psychological therapy room.

Establishment of crisis intervention centres

153

Public institution Vilnius City Mental Health Centre

27.

27, 28. The crisis intervention centre set up at the Vilnius City Mental Health Centre.

In photos: the audio-visual entrainment room and the lobby of the inpatient unit.

28.

154

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

THE TENTH MEASURE The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

Establishment of crisis intervention centres

155

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services One of the aims of the health care system’s restructuring process is to optimise inpatient care services: upgrade municipal hospitals’ infrastructure, adapt it to facilitate the treatment of the most frequent and simple diseases while diagnosis and treatment of complex diseases should be predominantly carried out at university hospitals as well as hospitals in major cities, which should be better facilitated with the latest equipment. The projects of the programme Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure implemented under the measure The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services were intended to reform and optimise secondary level health care facilities in three directions specified in the program: Tasks of the first “outpatient services” development direction include improvement of

156

secondary level outpatient services and outpatient rehabilitation services’ infrastructure. Institutions providing outpatient health care services, including hospital outpatient facilities, did not have the necessary modern diagnostic equipment, hence very few patients were provided with outpatient rehabilitation services following severe injuries and diseases. Therefore, it aimed to renew secondary level outpatient services and outpatient rehabilitation services’ infrastructure (covering over 70 institutions), improve access to health care and its quality, provide patients with medical rehabilitation services following severe injuries and diseases and help them regain their employability.

Tasks of the second “outpatient services optimisation” direction include optimisation of outpatient services in health care institutions, i.e. modernisation of admission and emergency departments’ infrastructure and development of

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

day surgery services. Day surgery is as a new and innovative form of treatment that is widely used in the European Union countries. It allows shortening waiting times for patients awaiting elective surgery, lowers the chances of contracting an infection, shortens sickness leave time and services provided become twice as cheap.

Tasks of the third “palliative care and nursing care services” development direction include the improving infrastructure of palliative care and nursing care services and introducing palliative care services at health care institutions. Previously, palliative care, nursing care and palliative support services in Lithuania were provided in general and specialised hospitals (oncological and others), but due to the lack of nursing equipment and specifically trained specialists palliative care was not very effective or of high quality. Therefore, the challenge of projects drafted under this measure is to increase the number of health care institutions providing palliative care, nursing care and palliative support services, improve their quality and upgrade them in accordance with the European Union standards.

These projects were implemented in many health care institutions across Lithuania that provide the following services: secondary (specialised) outpatient consultations and rehabilitation, palliative treatment, nursing care and palliative care as well

as inpatient treatment (admission and emergency departments, day surgery centres, etc.). Many premises used for treatment at the above institutions went through repairs, reconstruction and expansion; they were upgraded with the establishment of new relevant departments (outpatient rehabilitation, palliative care, day surgery, etc.), which are furnished with modern medical equipment set to aid with patient diagnosis, nursing care, surgery and outpatient rehabilitation; they are installed with a significantly increased number of beds (over a 1,000 beds for palliative care and nursing care and 180 beds for palliative support); a new monitoring service was installed allowing to monitor patients arriving at admission and emergency departments for up to 24 hours.

Implementation of projects under the measure The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services saw the renewal of many secondary level health care institutions’ infrastructure, an increased number of modern hospitals equipped in accordance with the EU standards while taking into account national priorities set for the country’s demographic composition as well as its financial policy, a significant increase in the number of treated patients, improvements in the accessibility of health care institutions, a larger number of new and modern services provided as well as improvements in their quality and efficiency.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

157

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

1.

Public institution Abromiškės Rehabilitation Hospital Public institution Alytus County V. Kudirka Hospital

Development of outpatient services in PI Abromiškės Rehabilitation Hospital The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services, PI Alytus County V. Kudirka Hospital The development of palliative treatment and nursing care services in Alytus Medical Rehabilitation and Sports Centre Improving the quality of palliative treatment and nursing care services in Alytus District

377.2

320.6

1,202.2

1,021.8

137.8

117.1

180.1

153.1

Upgrading the infrastructure of secondary care outpatient, outpatient rehabilitation services, emergency reception, day surgery department and palliative treatment and nursing care development in PI Anykščiai District Municipality Hospital Improving the quality of palliative treatment and nursing care services in Anykščiai District

956.9

813.4

628.9

534.6

The development of palliative treatment and nursing care services in PI Ariogala Primary Health Care Centre Improving the quality of outpatient, inpatient and palliative treatment and nursing care services in PI Biržai Hospital The development of the infrastructure of secondary care outpatient, outpatient rehabilitation, palliative treatment and nursing care, day surgery services and emergency reception–emergency medical assistance department in PI Druskininkai Hospital The development of palliative treatment and nursing and palliative care services in PI Druskininkai Primary Health Care Centre The improvement of palliative treatment and nursing care services in PI Eišiškės Primary Health Care Centre The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services, PI Elektrėnai Hospital The improvement of palliative treatment and nursing care services in PI Grigiškės Health Care Centre

427.2

363.1

592.4

503.6

685.5

582.7

456.7

388.2

171.2

145.5

1,112.7

945.8

252.8

214.9

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

158

Public institution Alytus Medical Rehabilitation and Sports Centre Public institution Alytus District Municipality Primary Health Care Centre Public institution Anykščiai District Municipality Hospital

Public institution Anykščiai District Municipality Primary Health Care Centre Public institution Ariogala Primary Health Care Centre Public institution Biržai Hospital Public institution Druskininkai Hospital

Public institution Druskininkai Primary Health Care Centre Public institution Eišiškės Primary Health Care Centre Public institution Elektrėnai Hospital Public institution Grigiškės Health Care Centre

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

14.

Public institution Ignalina District Hospital

511.5

434.8

15.

Public institution Jonava Hospital Administration of Jonava District Municipality

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services, Public institution Ignalina District Hospital The development of outpatient rehabilitation and palliative care services and the optimisation of inpatient care services in PI Jonava Hospital The modernisation of nursing care and palliative treatment department, establishment of palliative care beds in PI Jonava Hospital and Jonava Primary Health Care Centre Improving the quality of services provided by PI Joniškis Hospital through the modernisation of outpatient, outpatient rehabilitation, palliative treatment and nursing care, emergency reception–emergency medical assistance and day surgery services Improving the quality of services provided by PI Jurbarkas Hospital through the modernisation of outpatient, outpatient rehabilitation, palliative treatment and nursing care, emergency reception–emergency medical assistance and day surgery services Improving the quality of palliative treatment and nursing care services in Kaunas City Municipality

710.8

604.2

415

352.8

1,051.2

893.6

1,404.7

1,194

1,280.2

1,088.1

Improving the quality of outpatient and palliative treatment and nursing care services in PI Kaišiadorys Hospital The development of palliative treatment and nursing and palliative care services in PI Kaltinėnai Primary Health Care Centre Improving the quality of palliative treatment and nursing care services in PI Kalvarija Hospital The development of outpatient rehabilitation, day surgery services, provision of the reception department with necessary equipment and introduction of palliative care services in PI Republican Hospital of Kaunas The modernisation of the radiology department and the development and quality improvement of outpatient services in PI Kauno Centro Poliklinika The development of secondary care outpatient and outpatient rehabilitation services in Kaunas Dainava Outpatient Clinic The modernisation of the departments of physical medicine and rehabilitation and x-ray of PI Kaunas Kalniečiai Outpatient Clinic

1,100.7

935.6

377

320.4

188.2

160

1,213.2

1,031.2

237.5

201.9

527.3

448.2

236.6

201.1

16.

17.

Public institution Joniškis Hospital

18.

Public institution Jurbarkas Hospital

19.

Public institution K. Grinius Nursing and Supportive Care Hospital Public institution Kaišiadorys Hospital Public institution Druskininkai Primary Health Care Centre Public institution Kalvarija Hospital Public institution Republican Hospital of Kaunas

20.

21.

22.

23.

24.

25.

26.

Public institution Kaunas Central Outpatient Clinic Public institution Kaunas Dainava Outpatient Clinic Public institution Kaunas Kalniečiai Outpatient Clinic

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

159

No

Project promoter

Project title

27.

Public institution Kaunas Clinical Hospital

1,001.5

28.

Public institution Kaunas Clinical Hospital Hospital of Lithuanian University of Health Sciences public institution Kauno klinikos Public institution Kaunas Panemunė Nursing and Palliative Care Hospital Public institution Kaunas Nursing Home Hospital Public institution Kaunas Šančiai Outpatient Clinic Public institution Kaunas Šilainiai Outpatient Clinic Public institution Kazlų Rūda Hospital Public institution Kėdainiai Hospital Public institution Kelmė Hospital

The rehabilitation of the infrastructure of PI Kaunas Clinical Hospital for 1,178.2 providing reception-emergency medical assistance, day surgery and outpatient rehabilitation services in PI Kaunas Clinical Hospital The modernisation of the infrastructure and the development of medical 1,139.5 services in PI Kaunas Clinical Hospital The upgrading of laboratory diagnostic infrastructure of PI Kauno klinikos 5,869.4

Improving the quality of palliative treatment and nursing care services in Kaunas City Municipality

1,485.6

1,262.7

The reconstruction and the development of palliative care services of PI Kaunas Nursing Home Hospital The improvement of radiological diagnostic quality in PI Kaunas Šančiai Outpatient Clinic The development of outpatient diagnostic and rehabilitation services in PI Kaunas Šilainiai Outpatient Clinic The improvement of the infrastructure for providing palliative treatment and nursing care services of PI Kazlų Rūda Hospital The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Kėdainiai Hospital Overhaul of the infrastructure of Kelmė Hospital in the fields of provision of reception–emergency medical assistance, day surgery, outpatient care services, outpatient rehabilitation, palliative treatment and nursing care and inpatient palliative care services Improving the quality of services provided by PI Klaipėda Seamen’s Hospital through the modernisation of the infrastructure of outpatient rehabilitation, palliative treatment and nursing care, emergency reception–emergency medical assistance and day surgery services The development of day surgery services in PI Republican Hospital of Klaipėda The development of palliative treatment and nursing care and palliative care services and improvement of the quality of services in Klaipėda Medical Care Hospital

605.3

514.5

115.8

98.5

344.2

292.6

318.1

270.4

1,348.2

1,145.9

1,414.6

1,202.5

1,473.4

1,252.4

2,002.6

1,702.2

597.5

507.9

29.

30.

31.

32.

33.

34.

35.

36.

37.

Public institution Klaipėda Seamen’s Hospital

38.

Public institution Republican Hospital of Klaipėda Public institution Klaipėda Medical Care Hospital

39.

160

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

968.6 4,989

No

Project promoter

40.

Public institution Klaipėda Health Care Centre

41.

42.

43.

44.

45.

46.

47.

48.

49.

50.

51.

52.

53.

Project title

The improvement and modernisation of the infrastructure and availability of outpatient rehabilitation services in the third unit of public institution Klaipėda Health Care Institution Public institution Klaipėda The improvement of the operation of PI Klaipėda University Hospital in University Hospital the fields of the development of infrastructure of outpatient care and outpatient rehabilitation, palliative treatment and nursing care and day surgery services Public institution Klaipėda The modernisation of day surgery operating theatres and improvement of Children’s Hospital the quality of palliative assistance services in PI Klaipėda Children’s Hospital Public institution of Kretinga District The development of outpatient, palliative treatment and nursing care services Municipality Kretinga Hospital and the optimisation of inpatient care services in PI Kretinga Hospital The development and quality improvement of palliative treatment and Public institution of Kretinga District Municipality Salantai nursing care and palliative care services provided by Kretinga District Primary Health Care Centre Municipality PI Salantai Primary Health Care Centre Public institution Kupiškis The development of secondary care outpatient and outpatient Hospital rehabilitation services in PI Kupiškis Hospital Public institution Kuršėnai Improving the quality of outpatient, palliative care and nursing care Hospital services in PI Kuršėnai Hospital Public institution Lazdijai Improving the quality of inpatient and palliative treatment and nursing Hospital care services in PI Lazdijai Hospital Public institution Lazdynai Improving the infrastructure for providing secondary care outpatient Outpatient Clinic services in PI Lazdynai Outpatient Clinic Ministry of Health of the The development of Outpatient Services in PI Vilnius University Republic of Lithuania Antakalnis Hospital Public institution Marijampolė The development of outpatient, palliative treatment and nursing care services Hospital and the optimisation of inpatient care services in PI Marijampolė Hospital Public institution Mažeikiai The development and improvement of the infrastructure of secondary Hospital health care services in PI Mažeikiai Hospital Public institution Mykolas The development of outpatient, palliative treatment and nursing care Marcinkevičius Hospital services and the optimisation of inpatient care services in PI Mykolas Marcinkevičius Hospital Public institution Molėtai Improving the quality and availability of outpatient diagnostics, Hospital day surgery, reception and emergency medical assistance, palliative treatment, nursing care and palliative care services in PI Molėtai Hospital

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

473.6

402.5

1,486.8

495

279.3

237.4

1,092.8

928.9

207.1

176.1

805.2

684.4

418.3

355.6

977.5

830.8

382

324.7

478.7

406.9

812.5

690.6

1,375.4

1,169.1

1,561.8

1,327.5

972.1

826.3

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

161

No

Project promoter

54.

Public institution Naujininkai Outpatient Clinic Public institution Naujoji Akmenė Hospital

55.

56.

57.

58.

59.

60.

61.

62.

63.

64.

65.

66.

67.

162

Project title

Improving the quality of secondary health care services and the optimisation of their infrastructure in PI Naujininkai Outpatient Clinic Improving the quality of services provided by PI Naujoji Akmenė Hospital through the modernisation of the infrastructure of outpatient care, outpatient rehabilitation services and introducing palliative care services Public institution Naujoji Vilnia Improving the infrastructure of secondary outpatient care services of Outpatient Clinic PI Naujoji Vilnia Outpatient Clinic Public institution Neringa Improving the quality of palliative treatment and nursing care services in Primary Health Care Centre Neringa Municipality The development and quality improvement of palliative treatment Public institution Onuškis Palliative Care and Nursing and nursing care services in PI Onuškis Palliative Care and Nursing Care Hospital Care Hospital Public institution Pakruojis The development of outpatient services and the optimisation of inpatient Hospital services in PI Pakruojis Hospital Public institution Republican The development of outpatient rehabilitation services in Likėnai Hospital of Panevėžys Rehabilitation Hospital, Branch of PI Panevėžys Hospital Public institution Republican The development of outpatient rehabilitation and day surgery services in Hospital of Panevėžys PI Republican Hospital of Panevėžys Public institution Panevėžys Improving the quality of palliative treatment and nursing care services in Extended Care Hospital Panevėžys City Municipality Public institution Panevėžys The development and infrastructure improvement of secondary outpatient District Municipality care, nursing care and palliative treatment services in PI Panevėžys District Outpatient Clinic Municipality Outpatient Clinic Public institution Pasvalys The improvement of the infrastructure of PI Pasvalys Hospital for providing secondary Hospital care outpatient consulting, outpatient rehabilitation, day surgery, reception– emergency medical assistance and nursing care and palliative treatment services Public institution Plungė The development and quality improvement of outpatient services, District Municipality Hospital nursing care and palliative treatment services and the optimisation of inpatient services in PI Plungė District Municipality Hospital Public institution Prienai The development of outpatient services and the optimisation of inpatient Hospital services in PI Prienai Hospital Public institution Radviliškis The development and infrastructure modernisation of outpatient care, outpatient Hospital rehabilitation, reception–emergency medical assistance, day surgery, nursing care and palliative treatment and palliative care services in PI Radviliškis Hospital

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

392.1

333.3

461.5

392.2

288.4

245.1

63.5

54

240.3

204.3

854

725.9

177

150.4

887.3

754.2

1,337.8

1,137.1

1,290.2

1,096.6

977.2

830.6

1,183.7

1,006.1

915.8

778.4

1,217.8

1,035.1

No

Project promoter

68.

Public institution Raseiniai Hospital Public institution Rietavas Primary Health Care Centre Public institution Rokiškis District Hospital Public institution Seda Primary Health Care Centre Public institution Skaudvilė Extended Care Hospital Skuodas Primary Health Care Centre Public institution Šakiai Hospital Public institution Šalčininkai District Municipality Hospital

69.

70.

71.

72.

73.

74.

75.

76.

77.

78.

79.

80.

81.

Project title

The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Raseiniai Hospital Improving the quality of palliative treatment and nursing care services in Rietavas Municipality Improving the quality of outpatient, inpatient and palliative treatment and nursing care services in PI Rokiškis Hospital Improving the quality of palliative treatment and nursing care services in PI Seda Primary Health Care Centre Improving the quality of palliative treatment and nursing care services in Tauragė District Municipality Improving the quality of palliative treatment and nursing care services in Skuodas District Municipality The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Šakiai Hospital The development of the infrastructure of the departments of secondary care outpatient, outpatient rehabilitation, palliative treatment and nursing care, day surgery services and reception–emergency medical assistance in PI Šalčininkai District Hospital Public institution Republican The optimisation of inpatient services in PI Republican Hospital of Hospital of Šiauliai Šiauliai Šiauliai Long-Term Care and The development and modernisation of the palliative treatment and Geriatric Centre nursing care departments and establishment of palliative care department in Šiauliai Long-Term Care and Geriatric Centre Public institution Šilalė District The development of outpatient, palliative treatment and nursing care services Hospital and the optimisation of inpatient care services in Šilalė District Hospital Public institution Šilutė Improving the quality of services provided by PI Šilutė Hospital through Hospital the modernisation of the infrastructure of outpatient, outpatient rehabilitation, reception–emergency medical assistance department, of day surgery, palliative treatment and nursing care services Public institution Širvintos Upgrading the infrastructure of secondary care outpatient, reception– Hospital emergency medical assistance department and development of palliative treatment and nursing care services in PI Širvintos Hospital Public institution Saint Clare’s Improving the quality of palliative treatment and nursing care services in Hospice Utena District

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

1,334

1,133.9

555.4

472.1

1,148.1

975.9

731.9

622.1

651.1

553.4

410.5

348.9

909

772.7

657.7

559

218.6

185.8

1,015.9

863.5

542.4

461.1

1,277.4

1,085.8

600.4

510.3

226.3

192.4

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

163

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

82.

Public institution Švenčionys District Hospital Public institution Švenčionys District Primary Health Care Centre Public institution Tauragė Hospital Public institution Regional Hospital of Telšiai

The development of outpatient services and the optimisation of inpatient services of PI Švenčionys Hospital The development of palliative treatment, nursing care and palliative care services of PI Švenčionys District Primary Health Care Centre The development of day surgery, nursing care and palliative care services and the optimisation of inpatient services Improving the quality of services provided by PI Regional Hospital of Telšiai through the modernisation of the infrastructure of day surgery, outpatient rehabilitation, palliative treatment and nursing care, palliative care services The development of outpatient, palliative treatment and nursing care services and the optimisation of inpatient care services in PI Trakai Hospital The development of outpatient services and the optimisation of inpatient services in PI Ukmergė Hospital The development of outpatient services and the optimisation of inpatient services in PI Varėna Hospital The development and optimisation of palliative treatment and nursing care services at PI Varėna Primary Health Care Centre The development of palliative treatment and nursing care services, improvement of availability and quality, establishment of inpatient beds for palliative care patients at Public institution Varniai Primary Health Care Centre Improving the availability and quality of health care services provided by PI Vilkaviškis Hospital Improving the availability of palliative treatment and nursing and palliative care services in PI Vilkija Primary Health Care Centre The development of secondary outpatient personal health care services and outpatient rehabilitation services, improving quality and availability at PI Antakalnis Outpatient Clinic The development of outpatient diagnostic and rehabilitation services in PI Central Outpatient Clinic The development of secondary care outpatient, outpatient rehabilitation services and infrastructure improvement in PI Karoliniškės Outpatient Clinic Improving the quality of outpatient rehabilitation, reception–emergency medical assistance and day surgery services in PI Vilnius City Clinical Hospital Antakalnis Branch

411.7

350

430.1

365.6

1,594.5

1,355.3

801.6

681.4

780.8

663.7

1,332.2

1,132.4

477.4

405.8

125.3

106.5

82.3

69.9

1,106.6

940.6

291.5

247.8

786.7

668.7

1,100.6

935.5

1,031.7

876.9

1.452.1

1,234.3

83.

84.

85.

86.

87.

88.

89.

90.

91.

92.

93.

94.

95.

96.

164

Public institution Trakai Hospital Public institution Ukmergė Hospital Public institution Varėna Hospital Public institution Varėna Primary Health Care Centre Varniai Primary Health Care Centre Public institution Vilkaviškis Hospital Public institution Vilkija Primary Health Care Centre Public institution Vilnius Outpatient Clinic Public institution Central Outpatient Clinic Public institution Karoliniškės Outpatient Clinic Public institution Vilnius City Clinical Hospital

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

97.

Administration of Vilnius City Municipality

1,204.1

1,023.5

98.

Public institution Šeškinė Outpatient Clinic Public institution Vilnius City University Hospital

The reconstruction of the premises of St. Roch’s Hospital in order to improve the quality of nursing care and palliative treatment and palliative care services The assurance of development and quality of outpatient health care services in public institution Šeškinė Outpatient Clinic The development of day surgery services and the improvement of the infrastructure of reception–emergency medical assistance department in PI Vilnius City University Hospital Improving the quality of palliative treatment and nursing care services in Vilnius City The development of outpatient services and the establishment of palliative care beds in PI Central Outpatient Clinic of Vilnius District The improvement of the infrastructure of secondary outpatient care and palliative treatment and nursing care services in PI Vilnius District Nemenčinė Outpatient Clinic Improving the quality of day surgery services in PI Republican Vilnius University Hospital The development of outpatient rehabilitation, palliative treatment and nursing care and day surgery services in Children’s Hospital, public institution Vilnius University Hospital Santariškių Klinikos The reconstruction and installation of the premises of the Reception Department and Outpatient Rehabilitation Department of VUH Santariškių Klinikos The refurbishment of the infrastructure of the reception–emergency medical assistance department and the development of day surgery services in Vilnius University Hospital Žalgirio Clinic The development of outpatient services, the optimisation of inpatient services, the development of palliative treatment and nursing care services in PI Visaginas Hospital The rehabilitation of the infrastructure of outpatient rehabilitation, reception– emergency medical assistance department and the development of palliative treatment and nursing care by introducing palliative care in PI Zarasai Hospital The development of the rehabilitation of the infrastructure of secondary consulting outpatient clinic in PI Zarasai Hospital of Zarasai District Municipality

712.2

605.4

1,465.2

1,245.4

311.5

264.8

682.8

580.4

239.4

203.5

408.4

347.1

884.6

751.9

14,191

12,062.3

468.4

398.1

960.4

816.4

155.8

132.4

119.1

101.2

99.

100.

101.

102.

103.

104.

105.

106.

Public institution Vilkpėdė Hospital Public Institution Central Outpatient Clinic of Vilnius District Public Institution Vilnius District Nemenčinė Outpatient Clinic Public institution Republican Vilnius University Hospital Public institution Vilnius University Hospital Santariškių Klinikos Vilnius University Hospital Santariškių Klinikos Public institution Vilnius University Hospital Žalgirio Clinic

107.

Public institution Visaginas Hospital

108.

Public institution of Zarasai District Municipality Zarasai Hospital Public institution of Zarasai District Municipality Zarasai Hospital

109.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

165

55. Public institution Naujoji Akmenė Hospital

5. Public institution Anykščiai District Municipality Hospital 6. Public institution Anykščiai District Municipality Primary Health Care Centre

51. Public institution Mažeikiai Hospital 71. Public institution Seda Primary Health Care Centre

8. Public institution Biržai Hospital 70. Public institution Rokiškis District Hospital

Mažeikiai Skuodas

Naujoji Akmen

Seda

Telšiai

Palanga Plung Kretinga

Biržai

Joniškis

Šiauliai

Pasvalys Pakruojis

Rokiškis

Radviliškis Zarasai

Gargždai Rietavas

i Utena Ignalina

Raseiniai

Taurag Jurbarkas

Jonava

Šakiai

s Širvintos

Kaunas

a Vilkaviškis

Prienai

Marijampol

Kaišiadorys

Birštonas Kalvarija

Trakai

Alytus V

Lazdijai

37. Public institution Klaipėda Seamen’s Hospital

Onuškis

Vilnius

Druskininkai

1. Public institution Abromiškės Rehabilitation Hospital

38. Public institution Republican Hospital of Klaipėda

9. Public institution Druskininkai Hospital

39. Public institution Klaipėda Medical Care Hospital

10. Public institution Druskininkai Primary Health Care Centre

40. Public institution Klaipėda Health Care Centre 41. Public institution Klaipėda University Hospital

2. Public institution Alytus County V. Kudirka Hospital 3. Public institution Alytus Medical Rehabilitation and Sports Centre 4. Public institution Alytus District Municipality Primary Health Care Centre

42. Public institution Klaipėda Children’s Hospital

166

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

76. Public institution Republican Hospital of Šiauliai

60–61. Public institution Republican Hospital of Panevėžys 62. Public institution Panevėžys Extended Care Hospital

77. Šiauliai Long-Term Care and Geriatric Centre

63. Public institution Panevėžys District Municipality Outpatient Clinic

46. Public institution Kuršėnai Hospital

108–109. Public institution of Zarasai District Municipality Zarasai Hospital

Mažeikiai Skuodas

Naujoji Akmen Kuršėnai

Telšiai

Palanga Plung Kretinga

Biržai

Joniškis

Šiauliai

Pasvalys

Pakruojis

Rokiškis

Radviliškis Zarasai

Gargždai Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

Jonava

Šakiai

s Širvintos

Kaunas

a

74. Public institution Šakiai Hospital

Vilkaviškis

Kaišiadorys

Marijampol

Vilnius Trakai

Birštonas Kalvarija Alytus

90. Varniai Primary Health Care Centre

Lazdijai

V

Druskininkai

19. Public institution K. Grinius Nursing and Supportive Care Hospital 23. Public institution Republican Hospital of Kaunas

85. Public institution Regional Hospital of Telšiai 29. Hospital of Lithuanian University of Health Sciences public institution Kauno Klinikos

24. Public institution Kaunas Central Outpatient Clinic

30. Public institution Kaunas Panemunė Nursing and Palliative Care Hospital

25. Public institution Kaunas Dainava Outpatient Clinic

31. Public institution Kaunas Nursing Home Hospital

26. Public institution Kaunas Kalniečiai Outpatient Clinic

32. Public institution Kaunas Šančiai Outpatient Clinic

27-28. Public institution Kaunas Clinical Hospital

33. Public institution Kaunas Šilainiai Outpatient Clinic

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

167

48. Public institution Lazdynai Outpatient Clinic 49. Ministry of Health of the Republic of Lithuania 52. Public institution Mykolas Marcinkevičius Hospital 54. Public institution Naujininkai Outpatient Clinic 56. Public institution Naujoji Vilnia Outpatient Clinic 92. Public institution Vilkija Primary Health Care Centre 93. Public institution Vilnius Outpatient Clinic 94. Public institution Central Outpatient Clinic 95. Public institution Karoliniškės Outpatient Clinic 96. Public institution Vilnius City Clinical Hospital 97. Administration of Vilnius City Municipality 98. Public institution Šeškinė Outpatient Clinic Mažeikiai 99. Public institution Vilnius City University Hospital Skuodas Naujoji Joniškis Akmen 100. Public institution Vilkpėdė HospitalSeda Telšiai 101. Public Institution CentralPalanga Outpatient Plung Clinic of Vilnius District Šiauliai Kretinga 102. Public Institution Vilnius District Nemenčinė Outpatient Radviliškis ClinicPakruojis 103. Public institution Republican Vilnius University Hospital 104–105. Public institution Vilnius University Hospital Santariškių Gargždai Rietavas Klinikos 106. Public institution Vilnius University Hospital Žalgirio Clinic Raseiniai

Biržai Pasvalys

Rokiškis

Zarasai i Utena Ignalina

Taurag

Jurbarkas

18. Public institution Jurbarkas Hospital 50. Public institution Marijampolė Hospital

Jonava

Šakiai

Kaunas a

Vilkaviškis Prienai

Marijampol

Kaišiadorys

Birštonas Kalvarija

Onuškis

Eišiškės

V

Lazdijai Druskininkai

87. Public institution Ukmergė Hospital 88. Public institution Varėna Hospital 11. Public institution Eišiškės Primary Health Care Centre

168

Vilnius Trakai

Alytus

22. Public institution Kalvarija Hospital 47. Public institution Lazdijai Hospital

s Širvintos

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

69. Public institution Rietavas Primary Health Care Centre

68. Public institution Raseiniai Hospital 7. Public institution Ariogala Primary Health Care Centre

78. Public institution Šilalė District Hospital 84. Public institution Tauragė Hospital

17. Public institution Joniškis Hospital

73. Skuodas Primary Health Care Centre

67. Public institution Radviliškis Hospital 36. Public institution Kelmė Hospital

Skuodas

81. Public institution Švenčionys District Hospital

Mažeikiai Biržai

Joniškis

Seda

Telšiai

Palanga Plung Kretinga

Pasvalys

Šiauliai

Rokiškis

Pakruojis Radviliškis

Zarasai

Gargždai Rietavas

i Utena Ignalina

Raseiniai Ariogala

Taurag Jurbarkas

Vilkija

Šakiai

79. Public institution Šilutė Hospital

Jonava

s Širvintos

Kaunas

a Vilkaviškis

Prienai

Marijampol

Birštonas Kalvarija

91. Public institution Vilkaviškis Hospital 34. Public institution Kazlų Rūda Hospital 66. Public institution Prienai Hospital

Vilnius

Kaišiadorys Onuškis

Trakai

82. Public institution Švenčionys District Primary Health Care Centre

79. Public institution Šilutė Hospital

Alytus V

Lazdijai Druskininkai

15. Public institution Jonava Hospital 16. Administration of Jonava District Municipality 58. Public institution Onuškis Palliative Care and Nursing Care Hospital 20. Public institution Kaišiadorys Hospital

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

169

21. Public institution Druskininkai Primary Health Care Centre

59. Public institution Pakruojis Hospital 35. Public institution Kėdainiai Hospital

72. Public institution Skaudvilė Extended Care Hospital

64. Public institution Pasvalys Hospital 45. Public institution Kupiškis Hospital

89. Public institution Varėna Primary Health Care Centre

53. Public institution Molėtai Hospital

84. Public institution Tauragė Hospital 65. Public institution Plungė District Municipality Hospital

80. Public institution Širvintos Hospital

Mažeikiai

Skuodas

Biržai

Joniškis Palanga

Telšiai

Plung

Šiauliai

Kretinga

Pakruojis

Pasvalys Kupiškis

Radviliškis

Varniai

Zarasai

Skaudvilė

Gargždai Rietavas

i Utena

Kaltinėnai

Jurbarkas

Jonava

Šakiai

44. Public institution of Kretinga District Municipality Salantai Primary Health Care Centre

s Širvintos

Kaunas

a Vilkaviškis

Kaišiadorys

Marijampol

Grigiškės

Birštonas Kalvarija

Visaginas

Ignalina

Raseiniai

Taurag

43. Public institution of Kretinga District Municipality Kretinga Hospital

87. Public institution Ukmergė Hospital

Rokiškis

Alytus

107. Public institution Visaginas Hospital

Vilnius

14. Public institution Ignalina District Hospital

V

Lazdijai Druskininkai

57. Public institution Neringa Primary Health Care Centre

75. Public institution Šalčininkai District Municipality Hospital 13. Public institution Grigiškės Health Care Centre 12. Public institution Elektrėnai Hospital

170

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution AbromiĹĄkÄ—s Rehabilitation Hospital

1.

2.

1. A knee joint flexing training apparatus. 2. Demonstration of ergotherapy system.

3. Reconstructed ergotherapy area and equipment.

3.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

171

Public institution AbromiĹĄkÄ—s Rehabilitation Hospital

4.

4. An equipped internal disease prevention training class.

5. A purchased treadmill for movement exercises.

5.

172

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Anykščiai District Municipality Hospital

6.

6. Reconstructed reanimation room, surgery room. A purchased anaesthetic apparatus and equipment for electrocautery. 7–9. The hospital has purchased new medical equipment. Pictures of artificial lung ventilation equipment, vacuum pump and a Fango-Paraffin preparation equipment.

7.

8.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

9.

173

Public institution AnykĹĄÄ?iai District Municipality Hospital

10.

10. Physical Medicine and Rehabilitation Division was supplied with shoulder and knee joint exercise apparatus. 11. Vertical bath tub facilities.

11.

174

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Anykščiai District Municipality Primary Health Care Centre

12.

12, 13. Renovated Troškūnai Maintenance Treatment and Care Hospital. Pictures of renovated front of the building and a corridor.

13.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

175

Public institution Druskininkai Primary Health Care Centre

14.

14. Renovated front of the building of Druskininkai PHCC Medical Care and Maintenance Treatment Division. 15. Recreational zone in the second floor.

15.

176

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Druskininkai Hospital

16.

16–18. A mechanotherapy equipment purchased by the hospital. Pictures of a hand and a leg of a patient exercised by the mechanotherapy equipment.

17.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

18.

177

Public institution Ignalina District Hospital

20.

19.

19–21. A purchased artificial lung ventilation equipment, a surgery table and an equipment for electrocautery.

178

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

21.

Public institution JoniĹĄkis Hospital

22.

23.

24.

25.

22. Reconstruction works of JoniĹĄkis Hospital and upgrading of medical equipment. 23. Physical Medicine and Rehabilitation Division was equipped with a regulated height massage couch and a massage chair.

24. A high pressure vacuum pump, an anaesthetic apparatus, a monitor of vital functions and a mobile x-ray equipment for the surgery room. 25. Intensive care room was equipped with an artificial lung ventilation apparatus and a monitor of vital functions.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

179

Public institution Jurbarkas Hospital

26.

27.

28.

26. The hospital has purchased a modular combined electrotherapy and ultrasound therapy unit of low-and medium-frequency waves. 27, 28. Outpatient rehabilitation has purchased a shock wave equipment and a Fango-Paraffin preparation heater. 29. Reconstruction of the day surgery room.

29.

180

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution KaiĹĄiadorys Hospital

31.

32.

30.

33.

30–33. Reconstruction of traumatologic dressing room, pulmonology room, massage room and a care station.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

181

Public institution Republican Hospital of Kaunas

34.

34. The purchased ambulance vehicle.

35. Therapeutic pool.

35.

182

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Hospital of Lithuanian University of Health Sciences public institution Kauno Klinikos

36.

36, 37. Constructions of Kauno Klinikos Laboratory Block.

37.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

183

Public institution Kaunas Clinical Hospital

38.

38, 39. Reconstruction of a hydro-massage room and a surgery room.

39.

184

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Kaunas Kalniečiai Outpatient Clinic

40.

40–42. Reconstruction of children’s exercise room in FMR Division, endoscopy room of Diagnostic Division and a room of electric procedures of FMR Division.

41.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

42.

185

Public institution Kaunas Nursing Home Hospital

43.

45.

46.

47.

43, 44. A set-up room for family members of a palliative patient and a stationary lift of a patient.

45. A purchased patient’s monitoring apparatus. 46, 47. Reconstruction of the second floor staircase and a lobby of the corridor. 48. A massage table in the kinesitherapy area.

186

44.

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

48.

Public institution Kaunas Ĺ ilainiai Outpatient Clinic

49.

49. Repair of Radiology Subdivision room.

50. Patient’s treatment by a new magnetotherapy apparatus.

50.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

187

Public institution Kuršėnai Hospital

51.

52.

51. Patients’ lift to bath apparatus. 52, 53. The hospital was equipped with new medical equipment.

Pictures of a patient’s monitoring apparatus and a stationary x-ray apparatus.

53.

188

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution KÄ—dainiai Hospital

54.

55.

54. X-ray and Echoscopy Division was equipped with a new echoscope. 55. New surgery table, equipment for electrocautery, multipurpose control console for the Surgery Division. 56. New stationary x-ray apparatus for the X-ray and Echoscopy Division.

56.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

189

Public institution Kelmė Hospital

57.

57. Reconstruction of the building of Kelmė Hospital. 58. Renovated patients’ reception in Emergency Division. 59. New functional patient’s beds, monitoring equipment and an artificial lung ventilation apparatus in the Reanimation–Intensive Therapy Division.

58.

190

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

59.

Public institution Klaipėda Seamen’s Hospital

60.

61.

62.

60–62. New equipment of kinesitherapy area. Pictures of extension equipment, electric kinesitherapy table, walking system, and a table of verticalisation. 63. The renovated room of water procedures. A new water massage bath.

63.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

191

Public institution Klaipėda Children’s Hospital

64.

64. An installed room of palliative care.

65, 66. A renovated day surgery room and post-surgery room.

65.

192

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

66.

Public institution KupiĹĄkis Hospital

67.

67. An echoscopy room was equipped with an ultrasound diagnostic apparatus.

68. A new portative x-ray apparatus.

68.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

193

Public institution LikÄ—nai Rehabilitation Hospital

69.

70.

69–71. Renovated kinesitherapy area and physiotherapy room.

71.

194

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution MarijampolÄ— Hospital

72.

72. A unit of vertical bath equipment in the Division of Physical Medicine and Rehabilitation.

73, 74. Rooms of electric procedures and ergotherapy.

73.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

74.

195

Public institution MolÄ—tai Hospital

75.

76.

77.

75. Interior repair of the hospital. Picture of the renovated corridor. 76. Renovated surgery room. New lamp. 77. Reception was equipped with a portative ultrasound apparatus. 78. The purchased echoscope.

196

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

78.

Public institution Pakruojis Hospital

80.

81.

79.

82.

79. Pakruojis Hospital Consultation Clinic was equipped with endoscopic apparatus with a video gastroscope.

80. A renovated station of an on-duty carer at the Reception. 81. Otorhinolaryngological endoscopic system in the otorhinolaryngology room. 82. A renovated x-ray room at the consultation clinics.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

197

Public institution Pasvalys Hospital

83.

83. Reanimation ward equipped with an infusomat and functional beds.

84. Kinesitherapy room equipped with a new massage table. Improved conditions for sports exercises.

84.

198

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution PlungÄ— District Municipality Hospital

86.

87.

85.

88.

85–88. New medical equipment of the hospital. Pictures of a video gastrofibroscope, video colonoscope, surgery room lamp, defibrillator and equipment for compression therapy.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

199

Public institution Prienai Hospital

89.

90.

91.

89. Premises of a reconstructed Prienai Hospital. 90. Gastroenterology room equipped with a videogastroscope. 91, 92. Renovated wards and a corridor in the Maintenance Treatment and Care Division.

200

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

92.

Public institution Šilutė Hospital

93.

93–95. The hospital was equipped with a new medical equipment. Pictures of an electrocardiagraph, defibrillator, apparatus for stretching the spine, gastroscope and an endoscope.

94.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

95.

201

Public institution Ĺ irvintos Hospital

96.

97.

96, 97. Renovated dressing room in the Care and Maintenance Treatment Division, new cardiopulmonary equipment. 98. Newly equipped massage room.

98.

202

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution Švenčionys District Hospital

100.

101.

99

102.

99. Video endoscope purchased by the hospital. 100–102. Repair of the interior of premises. Pictures of a repaired ward, a dental facility and a laboratory.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

203

Public institution Trakai Hospital

103.

103. Renovated x-ray premises. 104–106. Newly purchased medical equipment. Pictures of equipment for electrocautery and artificial lung ventilation, colposcope.

104.

204

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

105.

106.

Public institution UkmergÄ— Hospital

108.

109

107.

110.

107. Vertical bathtub in the outpatient rehabilitation. 108. Upgraded mammography room.

109. New difibrillator in the Cardiology Division. 110. New equipment of an ophthalmology room in Consultation Clinics.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

205

Public institution Saint Clare’s Hospice

111.

112.

111. Complete repair of the hospital.

112. Renovated bathroom, newly acquired bedpan washing machine.

113. New monitoring equipment of the hospital.

113.

206

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public institution VarÄ—na Hospital

114.

115.

114–116. Newly acquired medical equipment. Pictures of a new video gastroscope, new radiology room and a digital radiology equipment.

116.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

207

Public institution Antakalnis Outpatient Clinic

117.

118.

119.

117, 118. Knee joint training apparatus and bicycle ergometer.

119–122. Modern medical equipment of the clinics. Pictures of a combined physiotherapy apparatus, ultrasound diagnostic apparatus, a gastroscope, a colonoscope.

120.

208

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

121.

122.

Public institution Vilnius City University Hospital

123.

124.

125.

126.

123–126. Employees of the hospital appreciate the new medical equipment. Pictures of a surgery room lamp, an infusomat, a defibrillator and an anaesthetic apparatus with a monitoring system.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

209

Public institution Central Outpatient Clinic of Vilnius District

127.

127. Repair of the premises of the clinics. 128, 129. New medical equipment. Pictures of a digital ultrasound diagnostic apparatus, combined light and electromagnetic field therapy apparatus.

128.

210

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

129.

Public institution Mykolas MarcinkeviÄ?ius Hospital

131.

132.

130.

133.

130–133. Hospital renovation. Modern medical equipment. Pictures of the renovated corridor of the Second Maintenance Treatment and Care Division, the monitoring ward and endoscopy room of the Emergency and outpatient Consultation Division.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

211

Public institution Vilnius District NemenÄ?inÄ— Outpatient Clinic

134.

135.

136.

134. Haematology analyser purchased by the clinics. 135. Repaired wards, new beds.

136, 137. Repaired x-ray room equipped with a new x-ray apparatus.

212

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

137.

Public institution Vilnius District Nemenčinė Outpatient Clinic

139.

138.

140.

138–140. Staff of the clinics appreciates the new medical equipment. Pictures of an autoclave, a defibrillator and a new patient lift.

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

213

Public institution Visaginas Hospital

141.

141, 142. Reconstructed interior. Pictures of a renovated hall and otorhinolaryngology room of the Division of Diagnostics and Consultations.

142.

214

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

THE ELEVENTH MEASURE Development of the infrastructure of public health care services in municipalities

The development of outpatient, palliative care and nursing care services and the optimisation of inpatient care services

215

Development of the infrastructure of public health care services in municipalities Public health care services provided in Lithuanian municipalities were often unsystematic, insufficient, fragmented, poorly coordinated or not provided at all. There was a lack of properly prepared health care monitoring programmes designed to provide detailed information about public health care, risk factors allowing identifying public health care problems and prioritising improvements, plan and implement health strengthening and prevention measures especially among children and youth. Sometimes municipality-prepared health promoting programmes were shortlived. This measure was initially aimed at the development of infrastructure and improvement of accessibility and quality of public health services in municipalities. Therefore, it was decided to establish new or modernise already existing public health care offices, provide them with communication and other modern technologies, which would help evaluate the need for public health programmes and examine their scope,

216

prepare and implement health strengthening programmes important for local communities, spread information on various ways of improving public health, cooperate with state institutions, non-governmental organisations, community, families and others.

Implementation of the measure Development of the infrastructure of public health care services in municipalities resulted in the establishment or modernisation of public health offices in many Lithuanian municipalities (one in each of the biggest Lithuanian cities including Vilnius, Kaunas, Klaipėda, Šiauliai and Panevėžys, and no more than two in each county). Municipality buildings were renovated, reconstructed and equipped with new public health office space, fitted with necessary furniture, modern technology, teaching equipment, transport and other work tools. This way, conditions were created and improved to facilitate a more effective operation of public health offices designed to provide local

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

communities with a variety of health care services: monitor health changes within local communities, develop appropriate programmes especially paying attention to children and youth health, enable professionals to improve their qualification, work on the dissemination of information on health promotion, coordinate operations of relevant state and non-governmental organisations and others.

Following the implementation of the measure Development of the infrastructure of public health care services in municipalities, public health offices were installed or modernised in many municipalities. It helped the Lithuanian public access information on health promotion as well as improve and protect its health, which in turn helped reduce morbidity rates from the most common diseases.

Development of the infrastructure of public health care services in municipalities

217

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

1.

Alytus City Municipality Public Health Office Biržai District Municipality Public Health Office Ignalina District Municipality Public Health Office Joniškis District Municipality Public Health Office Kaišiadorys District Municipality Public Health Office Kaunas City Municipality Public Health Office Kaunas District Municipality Public Health Office Kėdainiai District Municipality Public Health Office Kelmė District Municipality Public Health Office Klaipėda City Municipality Public Health Office

Development of Alytus City Municipality Public Health Office

160.9

136.7

Modernisation of infrastructure of Biržai District Municipality Public Health Office Modernisation of Ignalina District Municipality Public Health Office

75.1

63.9

130.9

111.3

Development of infrastructure of public health care services in Joniškis district municipality Modernisation of Kaišiadorys District Municipality Public Health Office

113.1

96.2

96.2

81.8

Modernisation of Kaunas City Municipality Public Health Office

272.4

231.5

Development and modernisation of infrastructure of Kaunas District Municipality Public Health Office Modernisation of Kėdainiai District Municipality Public Health Office

34.1

29

97

82,4

Modernisation of Kelmė District Municipality Public Health Office and development of the quality of public health care services Complete repair of the premises in the third floor of the building by accommodating it to BI Klaipėda City Municipality Public Health Office (Taikos pr. 76, Klaipėda) Development of infrastructure of the public health care services at Klaipėda district municipality Development of the infrastructure of public health care office services in Lazdijai Modernisation of Marijampolė Municipality Public Health Office and upgrade of technical and technological basis Development of infrastructure of Panevėžys city municipality public health care services

91.6

77.9

297

252.4

87

73.9

195.9

166.5

195.9

166.5

77.1

65.5

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

218

Klaipėda District Municipality Public Health Office Lazdijai District Municipality Public Health Office Marijampolė Municipality Public Health Office Panevėžys City Municipality Public Health Office

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

No

Project promoter

Project title

Value of the project implemented/ under implementation (thousand, EUR)

EU funding of the project (thousand, EUR)

15.

Panevėžys District Municipality Public Health Office Pasvalys District Municipality Public Health Office Plungė District Municipality Public Health Office Prienai District Municipality Public Health Office Rokiškis District Municipality Public Health Office Šakiai District Municipality Public Health Office Šiauliai City Municipality Administration Šilalė District Municipality Public Health Office Šilutė District Municipality Public Health Office Švenčionys District Municipality Public Health Office Ukmergė District Municipality Public Health Office Utena District Municipality Public Health Office Vilnius City Municipality Public Health Office

Development of public health care services infrastructure in Panevėžys district municipality Modernisation of Pasvalys District Municipality Public Health Office

77.5

65.8

74.8

63.6

Modernisation of Plungė District Municipality Public Health Office

253.9

215.8

Modernisation of Prienai District Municipality Public Health Office

33.9

28.8

Development of infrastructure of Rokiškis District Municipality Public Health Office Development of infrastructure of Šakiai District Municipality Public Health Office Development of the quality of public health care services in Šiauliai city by modernisation of Šiauliai City Municipality Public Health Office Modernisation of Šilalė District Municipality Public Health Office

111.6

94.9

193

164.1

228.9

194.5

272.9

232

Modernisation of Šilutė District Municipality Public Health Office

72.6

61.7

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

Development of the activity of ME Švenčionys District Municipality Public 127.5 Health Office

108.4

Development of the infrastructure of Ukmergė District Municipality Public 127.5 Health Office Modernisation of Utena District Municipality Public Health Office 195.9

108.4

Development of the infrastructure of public health care services at Vilnius 314.7 city municipality

267.5

166.5

Development of the infrastructure of public health care services in municipalities

219

17. Plungė District Municipality Public Health Office

9. Kelmė District Municipality Public Health Office

10. Klaipėda City Municipality Public Health Office

8. Kėdainiai District Municipality Public Health Office

11. Klaipėda District Municipality Public Health Office

21. Šiauliai City Municipality Administration Mažeikiai Naujoji Akmen

Skuodas Palanga

Plung

Biržai

Joniškis

Telšiai

Pasvalys

Šiauliai

Pakruojis

Kretinga

Rokiškis

Radviliškis

Zarasai

Rietavas

Gargždai

i Utena Raseiniai

Ignalina

Taurag Jurbarkas Šakiai

23. Šilutė District Municipality Public Health Office

Širvintos

Kaunas

Vilkaviškis Marijampol

Prienai

Kaišiadorys

Kalvarija

Vilnius Trakai

Birštonas

22. Šilalė District Municipality Public Health Office

s

Jonava

Alytus Lazdijai

20. Šakiai District Municipality Public Health Office 4. Joniškis District Municipality Public Health Office

V

Druskininkai

1. Alytus City Municipality Public Health Office 6. Kaunas City Municipality Public Health Office 7. Kaunas District Municipality Public Health Office

220

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

14. Panevėžys City Municipality Public Health Office

2. Biržai District Municipality Public Health Office 16. Pasvalys District Municipality Public Health Office

15. Panevėžys District Municipality Public Health Office

19. Rokiškis District Municipality Public Health Office 3. Ignalina District Municipality Public Health Office

Mažeikiai Skuodas

Naujoji Akmen Telšiai

Palanga Plung Kretinga

Biržai

Joniškis

Pasvalys

Šiauliai Pakruojis

Rokiškis

Radviliškis

Zarasai

Gargždai Rietavas i Utena Raseiniai

Ignalina

Taurag Jurbarkas

s

Jonava

Šakiai

Širvintos

Kaunas

a Vilkaviškis Marijampol

Prienai

Kaišiadorys

13. Marijampolė Municipality Public Health Office

Alytus V

Lazdijai

Vilnius

24. Švenčionys District Municipality Public Health Office

Trakai

Birštonas Kalvarija

26. Utena District Municipality Public Health Office

27. Vilnius City Municipality Public Health Office

Druskininkai

12. Lazdijai District Municipality Public Health Office

25. Ukmergė District Municipality Public Health Office

18. Prienai District Municipality Public Health Office

5. Kaišiadorys District Municipality Public Health Office

Development of the infrastructure of public health care services in municipalities

221

Alytus City Municipality Public Health Office

1.

2.

1. The Office was equipped with training equipment and visual teaching material.

2. The purchased vehicle Lodgy Dacia. 3. Repaired hall of the Office for sports exercises.

3.

222

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

BirĹžai District Municipality Public Health Office

4.

4. Repaired premises of the Office, purchased furniture.

5. New office equipment was purchased: a copying machine and a computer.

5.

Development of the infrastructure of public health care services in municipalities

223

JoniĹĄkis District Municipality Public Health Office

6.

6. Repaired premises. In photo: the renovated office of the head of the Office.

7. Training hall.

7.

224

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Kaunas District Municipality Public Health Office

8.

8. Renovated premises of the Office.

9. Newly equipped premises for trainings.

9.

Development of the infrastructure of public health care services in municipalities

225

KelmÄ— District Municipality Public Health Office

10.

10. Repaired hall of the Office. New visual tools, multimedia equipment.

11. New training related measures.

11.

226

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

KÄ—dainiai District Municipality Public Health Office

12.

12. Repaired premises of the Office, purchased equipment and furniture.

13. KÄ—dainiai district residents are granted conditions to lead a healthy lifestyle.

13.

Development of the infrastructure of public health care services in municipalities

227

KlaipÄ—da Public Health Office

14.

14. Reconstructed premises for the organisation of training and information events.

15. Newly equipped sports facility.

15.

228

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Lazdijai District Municipality Public Health Office

16.

16. Purchased furniture and work related equipment.

17. Newly equipped training facility.

17.

Development of the infrastructure of public health care services in municipalities

229

Panevėžys City Public Health Office

18.

18. Premises set up for sports and exercises of healthy lifestyle.

230

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Panevėžys City Public Health Office

19.

19. An installed hall for trainings.

20. A new public health care room equipped at the Panevėžys Juozas Balčikonis Gymnasium.

20.

Development of the infrastructure of public health care services in municipalities

231

Pasvalys District Municipality Public Health Office

22.

21.

21–23. The Office was relocated to new more spacious premises, and training related tools were purchased.

232

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

23.

PlungÄ— District Municipality Public Health Office

24.

24, 25. The repaired training and health care premises.

25.

Development of the infrastructure of public health care services in municipalities

233

Prienai District Municipality Public Health Office

26.

26. The new vehicle Citroen.

27. The Office was equipped with training related visual tools and equipment.

27.

234

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

RokiĹĄkis District Municipality Public Health Office

28.

28. A training hall was set up in the Office.

29. Repaired premises of the Office.

29.

Development of the infrastructure of public health care services in municipalities

235

Ĺ akiai District Municipality Public Health Office

30.

30. Renovated room of health care professionals of the Office.

31. Training hall was set up and visual aids were purchased.

31.

236

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Ĺ ilalÄ— District Municipality Public Health Office

33.

32.

34.

32. The purchased training related visual measures and equipment.

33. Renovated front of the Office building. 34. New training hall.

Development of the infrastructure of public health care services in municipalities

237

Ĺ ilutÄ— District Municipality Public Health Office

36.

35.

35. The purchased training related visual measures.

36. New furniture of the Office. 37. New copying machine of the Office.

238

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

37.

Švenčionys District Municipality Public Health Office

38.

39.

40.

38, 39. Renovated front of the Office building, a corridor and other premises.

40. A new public health care room equipped at the Švenčionys Zigmas Žemaitis Gymnasium.

Development of the infrastructure of public health care services in municipalities

239

Utena District Public Health Office

42.

43.

41.

41. Reconstructed building of the Office. 42. The new training hall.

43. Newly purchased vehicle Opel. 44. New visual training aids.

240

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

44.

Utena District Public Health Office

45.

45. Reconstructed premises of the Office.

Development of the infrastructure of public health care services in municipalities

241

Vilnius City Municipality Public Health Office

47.

48.

46.

46. Renovated interior and corridor of the Office.

47. A new meeting room, new furniture and necessary equipment.

48. New vehicle Skoda Roomster. 49. New job aids.

242

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

49.

Pavadinimas

THE TWELTH MEASURE Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services

Development of the infrastructure of public health care services in municipalities

243

Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services When implementing the programme Continuity of Health Care System Reform, Optimisation of Health Care Infrastructure, plans were made to modernise all three levels of private health care institutions in accordance with the EU priorities and standards. In Lithuania a number of health care functions are carried out by private medical institutions and include services provided by medical limited liability companies, outpatient clinics, various specialised private doctor’s offices, day centres and clinics.

Before the projects were implemented, many of these institutions were not sufficiently equipped with specialised modern medical equipment and special furniture while their premises had not been renovated for a long time. EU funds were allocated in order to enable private health care institutions to provide the same quality medical services as the ones offered by state institutions

244

on a national level. The funds were used for the reconstruction of medical premises as well as the purchase and renewal of medical and therapy equipment, and computer software.

A total of 37 institutions representing all three levels of private health care participated in the implementation of the measure Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services. Under these projects premises of the above mentioned institutions underwent repairs and reconstruction, were adopted to serve relevant functions and provide various personal health care services; a large number of essential modern medical and programming equipment was acquired in addition to special furniture to meet the needs of these institutions.

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

The completion of projects implemented under the measure Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services resulted in the improvement of quality and accessibility of health care services provided by private medical institutions. This is one of the factors that helped to improve the health of Lithuanian population, provide people with medical services on the required level, increase their capacity for work and reduce the amount of social benefits allocated from the state budget to cover unemployment benefits.

Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services

245

No

Project promoter

Project title

EU funding of the project (thousand, EUR)

1.

Sole proprietorship A. Vitkausko

48.3

2.

Private limited company Aksanas

3.

Development of infrastructure of secondary outpatient services at SP Arūnas Žiurlys Klinika Development of public outpatient and stationary services infrastructure at PLC Baltic American Clinic Improvement of infrastructure of day surgery services at PLC Bendrosios Medicinos Praktika Improvement and development of infrastructure of the provision of echoscopy services at PLC Elite Medicale

72.6

Development of Day Surgery Division at PLC Estetinės Chirurgijos Centras

82.7

11.

12.

Small partnership Alfonso Andrulio kardiologo kabinetas Private limited company Alytaus Medea klinika Private limited company Antano Lizdenio sveikatos centras Sole proprietorship Arūno Žiurlio klinika Private limited company Baltijos ir Amerikos terapijos ir chirurgijos klinika Private limited company Bendrosios medicinos praktika Private limited company Lietuvos ir Prancūzijos uždaroji akcinė bendrovė Elite Medicale Private limited company Estetinės chirurgijos centras Private limited company Gydora Private limited company GK klinika

Development of quality of public outpatient secondary services and accessibility at SP A. Vitkausko Development of public outpatient personal health care services provided by PLC Aksanas Supply of diagnostic medical equipment to cardiology clinic providing public outpatient services Development of public outpatient personal health care services in PLC Alytaus Medea Klinika Development of rheumatologic aid to Akmenė and the neighbouring population

65.3 190.7

13.

Private limited company Kardiolita

14.

Private limited company Kėdainių šeimos klinika

Improvement of outpatient service infrastructure at PLC Gydora Development of the quality and accessibility of the day surgery services by modernisation of the infrastructure of PLC GK Klinika Development of the quality and accessibility of the day surgery services by modernisation of the infrastructure of PLC Kardiolita Development of secondary outpatient echoscopy services by modernisation of infrastructure of PLC Kėdainių Šeimos Klinika

4.

5.

6.

7.

8.

9.

10.

246

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

91.3 52.8 101 58.3

578.4 256.1 111

252.4 37.5

No

Project promoter

Project title

EU funding of the project (thousand, EUR)

15.

Private limited company Kuncų ambulatorinė klinika Private limited company Lietuvos ir Vokietijos uždaroji akcinė bendrovė Lirema Private limited company Lorna Private limited company Mano gydytojas Private limited company Medea klinika

Development of the quality and accessibility of the secondary outpatient services by modernisation of the infrastructure of PLC Kuncų Ambulatorinė Klinika Improvement of the quality of outpatient services of the clinics of eye diseases PLC Lirema

162.4

Development of infrastructure of secondary outpatient services at PLC Lorna Development of the quality and accessibility of the secondary outpatient personal health services by modernisation of the infrastructure of PLC Mano Gydytojas Development of the quality and accessibility of the public outpatient services provided at PLC Medea Klinika Development of day surgery services and infrastructure modernisation at PLC Northway Chirurgijos Centras Development, improvement of the quality and accessibility of secondary outpatient and day surgery services at JSC Ortopedijos Technika Upgrade of infrastructure of PLC Ortopedijos Centras

122.3 31.6

Development of stationary services of PLC Panevėžio BMR Diagnostika

36.2

Modernisation of B. Paškevičienė private family outpatient clinic and optimisation of services. (Modernisation and optimisation of services of an outpatient clinic) Improvement of the quality and accessibility of secondary outpatient personal health care services –echoscopy analysis at SP Gydytojos Linos Pališaitienės Konsultacijų Kabinetas Modernisation of the public outpatient personal health care services infrastructure at PLC Plungės Klinika Purchase and modernisation of diagnostic medical equipment at Gydytojų Pranevičių Kabinetas

72.1

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

Private limited company Northway chirurgijos centras Joint stock company Ortopedijos technika Private limited company Ortopedijos centras Private limited company Panevėžio BMR diagnostika Private limited company Panevėžio medicinos centras Sole proprietorship Gydytojos Linos Pališaitienės konsultacijų kabinetas Private limited company Plungės klinika Sole proprietorship Gydytojų Pranevičių kabinetas

150.8

51.7 157.2 542.9 51.4

43

62.1 29.9

Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services

247

No

Project promoter

Project title

EU funding of the project (thousand, EUR)

28.

Private limited company Senojo bokšto klinika Private limited company SK Impeks medicinos diagnostikos centras Private limited company Šiaulių chirurginės pagalbos centras Private limited company Šiaulių BMR diagnostika Private limited company Šnipiškių medicinos centras Sole proprietorship A. Šimkaus, Therapia scientifica Private limited company UMTC

Development of the quality and accessibility of the secondary outpatient services by modernisation of infrastructure of PLC Senojo Bokšto Klinika Modernisation of the infrastructure of public outpatient and stationary services at PLC SK Impeks Medicinos Diagnostikos Centras Development of public day surgery services at PLC Šiaulių Chirurginės Pagalbos Centras Development of stationary services at PLC Šiaulių BMR Diagnostika

116.1

Development of the infrastructure of public secondary outpatient echoscopy services at PLC Šnipiškių Medicinos Centras Development of the quality and accessibility to the treatment of thyroid diseases by modernisation of infrastructure of SP Therapia Scientifica Modernisation of infrastructure of outpatient personal health care services provided by PLC UMTC Improvement of the quality and accessibility of secondary outpatient services by modernisation of the infrastructure of PLC Vilniaus Sveikatos Namai Development of services provided by PLC Vita Longa by installation of modern medical diagnostic equipment and reconstruction of the premises of the secondary outpatient services Modernisation of infrastructure of public outpatient personal health care services provided by PLC Vitgelba

44.6

29.

30.

31.

32.

33.

34.

35.

36.

Private limited company Vilniaus sveikatos namai Private limited company Vita longa

37.

Private limited company Vitgelba

248

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

548.8 140.3 36.1

35.1 60.5 235.3 193.9

51.6

Private limited company Alytaus Medea klinika

1.

1. Renovated reception at the first floor.

2. Renovated ultrasound room. Newly purchased equipment.

2.

Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services

249

Private limited company Bendrosios medicinos praktika

3.

3, 4. Renovated reception and surgery room.

4.

250

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Public limited company KuncĹł ambulatorinÄ— klinika

6.

7.

5.

8.

5, 6, 8. New echoscope, colonoscope and gastrofibroscope.

7. Repaired premises.

Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services

251

Private limited company Baltijos ir Amerikos terapijos ir chirurgijos klinika

10.

11.

9.

9, 10. New cardiological ultrasound and surgery lamp including a monitor.

11. Renovated surgery division. 12. Newly purchased endoscopic and laparoscopic equipment.

252

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

12.

Private limited company Kardiolita

13.

13. Renovated surgery room, new surgery table.

14. New monitor of vital functions.

14.

Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services

253

Private limited company SK Impeks medicinos diagnostikos centras

15.

15–17. Renovated surgery room.

16.

254

The Projects of the Lithuanian Health Sector Implemented with the 2007-2013 European Union Funds

Private limited company SK Impeks medicinos diagnostikos centras

17.

Investment into the infrastructure of private health care institutions providing public outpatient and inpatient services

255

This photobook is meant for raising the awareness of the general public about the projects of the Lithuanian health care sector implemented and administered with the 2007-2013 EU structural funds.

THE PROJECTS OF THE LITHUANIAN HEALTH SECTOR IMPLEMENTED WITH THE 2007-2013 EUROPEAN UNION FUNDS

Print run: 300 copies Published by UAB “Eugrimas” Gedimino pr. 21/2, LT-01103 Vilnius, Tel./fax.: 8 5) 273 3955, (8 5) 275 4754 info@eugrimas.lt www.eugrimas.lt Printed by UAB “BALTO print” Utenos g. 41A, LT-08217 Vilnius

The employees of the European Union Support Division of the Ministry of Health are happy that the projects implemented with the 2007-2013 European Union funds helped to improve the quality of health care services for Lithuanian people.

ÄŽvadas

1