Signing a Contract with the NHSU Is Not Required When Registering in the eHealth System

Registration in the Electronic Healthcare System (eHealth)

According to Міністерство Здоров'я: Two separate processes-registering in the Electronic Healthcare System (eHealth) and signing an agreement with the National Health Service of Ukraine (NHSU)-should not be confused. All medical facilities, regardless of ownership type, must register in eHealth to meet licensing requirements. The system's primary goal is to create a unified electronic medical record for each patient, storing their health data regardless of where they receive treatment.

It is crucial to understand that registering in eHealth does not obligate a healthcare facility to sign a contract with the NHSU or participate in the Medical Guarantees Program. This means medical institutions can complete their eHealth registration without any interaction with the NHSU, preserving their autonomy in managing healthcare services.

Documents Required for Entry into eHealth

Certain documents must be submitted for inclusion in eHealth. The mandatory documents include:

• Medical certificates for birth and temporary disability (MCN and TDC);
• e-Prescriptions for medicines and medical devices;
• Records of prescriptions for reimbursable medical devices;
• Medical records that serve as the basis for creating medical certificates and e-Prescriptions;
• Referral and prescription records for medical services provided under the Medical Guarantees Program or other state-funded programs;
• Referral records for expanded neonatal screening of newborns;
• Results of rehabilitation assessments, rehabilitation interventions, and updates to medical records within individual rehabilitation plans.

Therefore, eHealth registration is a key step for medical facilities, ensuring compliance with licensing requirements while offering convenience and access to medical data. At the same time, the decision to enter into a contract with the NHSU remains at the discretion of each facility.

This registration is a vital component of Ukraine's healthcare reform, designed to improve service quality and provide patients with easy access to their medical information. Since medical facilities can independently decide whether to contract with the NHSU, this may influence competition in the healthcare sector and affect institutional funding levels. It is important for healthcare providers to understand both the benefits and obligations tied to eHealth registration, as this can significantly impact their operations and the quality of patient care.

As the landscape of healthcare continues to evolve, it's important for medical facilities to stay informed about the latest developments. Recently, healthcare institutions and private entrepreneurs have the opportunity to obtain their first license online, streamlining the process and enhancing accessibility. This shift not only simplifies compliance but also supports the integration of various services within the healthcare system.