– It is truly a tragedy what has happened to the Health Platform, and the healthcare organizations will be in deep financial crisis for many years to come. It’s just sad. That’s what Anne Breiby says to news. She was chairman of the board at St. Olav for six years until 2022, and then had a total of ten years behind her on the board. She now gives her full support to the shop stewards, who demand that the board of Helse Midt-Norge resign. Anne Breiby believes there should be a system change that ensures better governance in the healthcare system, and that the enterprise model be evaluated. Photo: Leiv-Erik Bondevik / news – They should assess for themselves whether they have the trust necessary to be the highest body in Central Norway’s Health. Must meet with the Minister of Health On Friday, the board will meet with the Minister of Health following the National Audit Office’s criticism of the introduction of the Health Platform. When asked by news, chairman Odd Inge Mjøen says that he is prepared for the minister to want him to resign. – It is conceivable. I haven’t received any signals about it, but it may come and you have to be prepared for that. – Have you or you considered resigning? – We have discussed it among us who are appointed owners. But none of us wants to retire. We believe that we have a job to do in terms of following up on the report. The board has previously said that they “recognise the criticism of the introduction of the Health Platform”. – Arrogant tone In a post on LinkedIn, former board chairman Breiby comments on the National Audit Office’s report as follows: “This is in line with what I experienced when I was board chairman at St. Olav: Helseplattformen’s management and the board and management of Helse Midt-Norge, which are the top responsible, did not take patient safety seriously. Those who spoke up were met with the fact that it cost too much to spend time ensuring patient safety and a tone that I think is arrogant,” Breiby writes, among other things, in the post. – The management in the health region has been more concerned with finances than patient safety, and there has been no shortage of warnings. In this case, the board has not exercised the investigative duty they have, says Breiby. She believes that the management of Helse Midt-Norge has distanced itself from those who provide health care, and is more concerned with protecting the ministry. Wants evaluation of the enterprise model The criticism raised in the report from the National Audit Office shows that it is time to evaluate the regional health enterprises, according to Breiby. – It has not happened before, and now is the time. They have never looked at the weaknesses in the business model, and I believe they must do so now. Breiby believes it is important to learn from the major problems associated with the introduction of the Health Platform. – A system change must take place here, so this never happens again. That is the most important thing. According to chairman Odd Inge Mjøen, Helse Midt-Norge is responsible for making arrangements for the healthcare institutions to safeguard patient safety, a task they take seriously. Photo: Eivind Aabakken / news Taking responsibility seriously Odd Inge Mjøen became chairman of Helse Midt-Norge as Anne Breiby stepped down as chairman at St. Olav. He will therefore not comment on things that happened before his time as chairman. He believes, in contrast to Breiby, that the enterprise model has been evaluated a number of times. No later than March 2023, when the Hospital Committee submitted its report. – There are many politicians and employees within the healthcare system who are dissatisfied with the model, but no one has come up with a new and better model. Mjøen rejects that the board is mostly concerned with and owes the ministry. – We get our assignments from the Ministry of Health and Care, but I spend all my time working with the health institutions we have, says Mjøen. – We are concerned with our responsibility to ensure. It is the healthcare institutions that have the direct responsibility for patient safety, and we must make it possible for them to carry out that task. – On a collision course Anne Kjersti Befring, professor at the Faculty of Law at the University of Oslo, gives full support to Breiby. – The health enterprise model has never been evaluated based on the goals that were set when the model was adopted in 2001. Parts of it have been mapped, especially by the National Audit Office, says Befring. Law professor Anne Kjersti Befring believes that the health enterprise model has clear weaknesses. She supports the former chairman of the board at St. Olav, Anne Breiby, in that the model must be evaluated. Photo: University of Oslo (UiO) She believes that the power in the regional health organizations may be on a collision course with the distribution of powers in the Constitution, something she recently wrote about in a column in Aftenposten. A research project has therefore been initiated at the faculty to look at the system challenges of the Health Enterprise Model. She believes that the decisions and processes linked to the introduction of the Health Platform clearly show the weaknesses of the model. – The aim was that this organization should provide better patient safety, strengthened staffing and better financial control. The opposite has happened, says Befring. She believes the National Audit Office has pointed out the same in several reports. – There are many reports from the National Audit Office on the health enterprise model. They show that the hospitals manage with a high risk both financially, in terms of patient safety and staffing. Published 01.11.2024, at 09.06
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