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“After waiting a few months, the Minister of Health has finally found something. Well, because I haven’t found much before. He did not find a pandemic management memory, communication strategy, he did not even find his own pandemic management plan. And suddenly I finally found it. Specifically – found that did not find.
I have been waiting for the Minister who has replaced me to ‘warm my feet’, learn about the system and finally show leadership and present any initiative that can be discussed.
To paraphrase the saying: no matter how much a wolf feeds, he still looks at the forest, it could be said that no matter how many auditors he is encouraged to do in the health system administration, he still wants to do an audit. . The audit is not bad, but before reaching the system, A. Dulkys, or perhaps more precisely the State Audit Office that he heads, carried out several audits of the system, ”wrote A. Veryga on Facebook.
He noted that the minister came to lead the health system.
“Letters of support were received from baptized organizations. In the past, we will now see this in a new management and work culture that we have not seen before. It will be so transparent that it won’t even be invisible. That is the case. The heads of the organizations of the system have not met or communicated until now.
The questions are defended and presented almost exclusively by the people on the team (vice ministers or other team members, and the most unpleasant subjects are ministry employees). The management does not shy away from reminding you that you are a ministry to cover up the pressured ministry employees, “said A. Veryga.
He drew attention to the principles of team building.
He noted that a significant number of people in state control moved to the ministry.
What does this say about the new manager? People in the organization or system are most likely not trusted. That, I think, is felt by people, because there is no need to say so much. What do people who don’t trust do? It avoids responsibility, it does not show initiative, it tries to make sure and protect itself, ”wrote A. Veryga.
He said he could still understand the “shyness and hearing from the sixth dose of the Pfizer vaccine.”
“So apparently I wanted a decision that was as accurate as possible on paper, so no one blames anyone. I am less able to understand such prolonged inflexibility after the AstraZeneca vaccine talk, when the vaccines were spilled but not people were allowed off the priority list. However, the minister is out of date. His duties and work seemed to be taken over by the Prime Minister, who set out to travel the regions and urge people to get vaccinated. And What is the minister doing at that time? He was not in any medical institution together with the Prime Minister, “noted A. Veryga.
He stressed that leadership has yet to be demonstrated. Well, that’s what the minister showed.
“It was declared very solemnly that twenty wagons of personal protective equipment were missing. He even made a drawing of where those cars travel. In the end, the auditor found something he understood and where to say, ”said A. Veryga.
However, he questioned whether A. Dulkys really understood what he was talking about.
“I remember very well his statement that when he sat in the minister’s chair, he did not expect to find such a vivid and neglected system. According to him, all the work is done by the political leadership because either there are no leaders or they are deplorable.
And those hearings are heard by a person whose institution has audited the health system in a comprehensive manner and has made a series of recommendations, the implementation of which must be taken into account. The then State Comptroller spoke aloud at conferences about the problems of the health system, but when he arrived at the system, he was surprised by his condition. What were those strong messages about? “TO. Veryga asked rhetorically.
Management is called accounting
A. Veryga called the accounting management style of A. Dulkis.
“In the beginning, even the pandemic management plan had a numerical expression. The truth is apparently an impressive sounding number and it was the only content of that plan. The main measures to manage a pandemic were not even measures, but indicators for monitor those measures (number of new cases, percentage of positive tests, etc.). That’s accounting, “said A. Veryga.
According to him, a quarantine mitigation plan has been developed and is also based on numbers.
“It is true that these figures, as often happens in life and not in books, have not been met. Because people are not columns of numbers. For numbers, psychology does not make sense and going with people is something else. The plan and the indicators had to be abandoned.
Well and finally the lighting. Missing tools. It’s not really a laugh. The amounts are high and if it were really a robbery, it would be the same as stealing insulin from a diabetic.
Inhuman. The minister has already declared in all seriousness that these measures did not reach the doctors. And how do you know that you have not contacted your doctors? The comments from him and his team clearly indicate that it is not possible to trace according to the documents in which chain the measurements are missing, ”wrote A. Veryga.
He asked why it was then assumed that the remedies did not reach the doctors.
“I have no doubt (and I have high hopes) that everything will be clarified by the Prosecutor’s Office, which has launched an investigation. I will just remind you that the media reached Lithuania to such an extent that the Health Emergency Center not only filled the used warehouses, but had to repair the ones that had not been used before.
Logistics of this magnitude is certainly not the nose of the health sector, as it is completely outside the purview of the health system. The number of measures itself is unprecedented. Therefore, the logistics were handled by the Ministry of Transport and Communications, the Lithuanian Post logistics professionals, and the professional carriers whose job is logistics. The Lithuanian Armed Forces logistics officer helped control the supply of medical facilities, ”wrote A. Veryga.
He ironically stated that “Tula’s conservative A. Vyšniauskas stated that it would have been enough to hire a couple of anti-corruption specialists who would have counted the assets.”
“A brilliant thought. They probably still would have counted those goods, so they wouldn’t have reached the doctors at all. A colleague also boldly declares that he is well versed in everything. However, such comments are another illustration of the level of non-capture of the current rulers in terms of pandemic management, the complexity and complexity of the processes. Everything is simple for them, like an accountant twice twice, “wrote A. Veryga.
The former minister recalled medical complaints that at the beginning of the pandemic, all respirators received had to be signed.
“This is the auditory model of pandemic management. I guess then all the ‘ends are over’. To find out who and where has really disappeared, you will have to go through the entire logistics chain to the hospital ward. And what if it turns out that something was incorrectly posted there and someone did not sign for something? ”asked A. Veryga.
He discussed the problems of the doctors.
In his essay, the former minister pointed out that “other accounting matters are inexorably coming together.”
“There are already signs of a possible delay in the renewal of the industry’s collective agreement. It is important for doctors because it establishes certain guarantees for employees and regulates the calculation of wages.
The minister’s team is already saying that the PSDF reserve is running low and there are no plans to replenish it. Please understand that there will be no COVID supplements or salary increases. The budget review is approaching and there is still no progress, although they are like numbers, ”wrote A. Veryga.
According to him, other figures did not and did not leave.
“There was a sudden shortage of state-paid residencies for doctors. If they don’t find a few hundred thousand euros, those few dozen doctors will leave Lithuania,” said A. Veryga.
From the information published by the Health Insurance Funds, he interprets that the medicine policy applied by Lithuania has paid off, the prices of medicines have dropped, the budget has included a record number of new medicines in the compensation for the funds saved.
“The task included in the government’s program is to continue fighting for competition in the pharmaceutical market, but in reality the ruling Seimas is proposing modifications to the law, which are the opposite. They will not increase, but will reduce competition.
Furthermore, it is argued that these amendments are submitted in conjunction with the ministry. Numbers are no longer an argument here, “said A. Veryga.
According to him, the reforms are planned and described in the economic recovery plan updated during his tenure.
“It just came to our attention then. However, the numbers have changed significantly. Several projects have been phased out and eliminated. These include innovative digital medicine projects. The remaining projects of the infectious diseases cluster are scheduled to be implemented in 2026, en that is, two years after the end of this Seimas period.
This means you can relax and audit the system, ”wrote A. Veryga.
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