PwC conducted an analysis of the internal control system of SA Pärnu Haigla and the structure of internal control measures

PwC conducted an analysis of the internal control system of SA Pärnu Haigla and the structure of internal control measures.

The need to carry out the analysis arose in connection with Pärnu Hospital's obligation to address the requirements set out in the Estonian Health Insurance Fund treatment financing agreement to the internal control system of the healthcare service provider. According to the agreement, the healthcare service provider must have an internal control system within the hospital, which includes activities that the healthcare service provider regularly checks at itself and covers at least the following areas:

• Treatment services provided by the hospital and the hospital's verification of the correctness, justification, and accuracy of submitted treatment invoices to the Estonian Health Insurance Fund;

• Preparation of medical documents (e.g. compliance with formal requirements), issuing (e.g. prescribing discount medicine prescriptions) and proper documentation of medical indications and the need for a treatment by the clinical staff.

• Keeping a treatment order. 

• Prevention of conflict of interest and misconduct. 

• General principles of internal control and reporting to interest groups.