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Objectives and Functions

Fecha de actualización, Immediately

  1. To strengthen the National Superintendence of Health as a technical body, rector of the surveillance system, inspection and control.

  2. To promote the improvement of quality in health care.

  3. To strengthen the inspection, surveillance and control of health insurance.

  4. To strengthen through IVC mechanisms generation and flow of resources from the General System of Social Security in Health and special and exempt regimes.

  5. To promote and strengthen citizen participation in the defense of the users’ the rights of the health sector.

  6. To advance administrative processes applying forceful intervention mechanisms to monitor agents auditors, liquidators and controllers and to perform inspection, monitoring and to control on voluntary liquidations in order to protect the rights of members and resources of the health sector.

  7. To protect the rights and recognize the obligations and duties of the various participants in the health sector claimant, through judicial functions and conciliation.

  8. To strengthen the institutional capacity of the National Superintendence of Health.

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  1. To direct, coordinate and implement policies inspection, surveillance and control of the General System of Social Security in Health.

  2. To execute the inspection, monitoring and enforcement of constitutional and legal provisions regulating the General System of Social Security in Health (SGSSS), including technical standards and regulations of the financial, scientific, and administrative of the health sector.

  3. To execute the inspection, supervision and control over the risk management inherent in the General System of Social Security in Health, including systemic risk.

  4. To send out instructions to the monitored subjects about how all laws that regulate their activities should be accomplished, how to set technical and legal criteria to facilitate compliance with such standards, and to outline the procedures for its full implementation.

  5. To inspect, monitor and control the efficiency, effectiveness and competence in the generation, cash flow, administration and implementation of the resources of the General System of Social Security in Health.

  6. To inspect, monitor and control the General System of Social Security in Health, tending their actors to provide the same information with quality, coverage, relevance, timeliness, flexibility and transparency.

  7. To inspect, monitor and control activities in health insurance companies, including those that manage the Mandatory Accident Insurance Paperwork (SOAT) and Occupational Risk Administrators, in accordance with current regulations, without prejudice to the powers assigned to other inspection, monitoring and control entities.

  8. To perform inspection, monitoring and control in local authorities, with regard to the execution of the functions that they develop in the field of health sector, such as insurance, inspection, monitoring, control and the provision of services health, in accordance with their competencies and under the terms stated on pertinent regulations.

  9. To monitor compliance related with the users’ rights in the General System of Social Security in Health, including those derived from membership or enrollment of the population in a health benefit plan, as well as the duties by the different entities belonging to the health sector.

  10. To inspect, monitor and control the provision individual and collective health services in in terms of availability, accessibility, acceptability and quality standards at the stages of promotion, prevention, diagnosis, treatment, rehabilitation and palliation in the different benefit plans, without prejudice to the powers assigned, among other authorities, the Superintendence of Family Subsidy, the Superintendent of the Solidarity Economy and the Financial Superintendence.

  11. To execute a jurisdictional and conciliation powers established by the law.

  12. To coordinate all State organisms that have monitoring, control, and surveillance functions, including all actions required for the compliance of all functions belonging to the National Superintendence of Health.

  13. To propose strategies and forward actions so as information and inspection, monitoring and control systems belonging to the General System of Social Insurance in Health owned by National Superintendence of Health would be interoperable in companion with all other information systems required for the accomplishment of all entity’s functions.

  14. To promote and develop citizens participation and users protection systems related to the competences owned by the National Superintendence of Health.

  15. To inspect, monitor and control the effective execution of accounting balances to the community, by all monitored subjects.

  16. To calculate, liquidate, gather, and administrate all correspondent fees that have to be defrayed to all entities in inspection, surveillance and control in accordance to the current law.

  17. To ensure the suitability of Social Security System in Health actors through, authorization or revocation of operations. Furthermore, To enable Administrators Entities Health Benefits Plans ( EAPB ) , or those acting in their stead in accordance with the current laws and normativity. For purposes of this decree it is meant by Managing Entities of Health Plans Beneficiaries ( EAPB ) those specified in paragraph 121.1 of Article 121 of Law 1438 of 2011 and the rules that modify it or add it.

  18. To approve volunteer plans of health and their fees, in terms established by the Article 38 Law 1438 of 2011, or the rules that modify it or substitute it.

  19. To execute surveillance monitoring and control of the Mandatory Quality Guarantee System, related to all subjects monitored by the General System of Social Security in Health in accordance to the current law.

  20. To execute inspection monitor and control on the execution of the resources destined to health in local entities.

  21. To execute inspection, surveillance and control over the operation, organization and administration of financial monopoly of liquor; income producing beers, siphons, petticoats, wines, snacks and similar; who imported liquors, wines, beers and snacks and similar; health income tax and surtax gathered from the consumption of cigarettes and prepared tobacco; the IVA tax assigned to the Health Sector and other possible income taxes. And, on the timely and efficient operation, administration and enforcement of such income.

  22. To execute inspection, monitoring and control over the profitable monopoly of gambling, regardless of the competences assigned to other authorities.

  23. To execute inspection, monitoring and control over the gathering and uses of all sources coming from the monopoly of gambling games in accordance to Article 53 of Law 643 of 2001, or the one that modify it, add it, or subrogate it.

  24. To previously authorize all monitored subjects to modify their registered name, statues, changes on their property composition, modifications on their legal nature, demergers, fusions, and any other transformation or change, as actives, passives and contracts cession.

  25. To make fusions, acquisition, liquidation, actives, passives and contracts cessions, possession procedures, as well as taking positions that allow administration liquidation and other actions and special measures that might be applied to the health service provider entities, in order to guarantee the appropriate health service provision, whenever these happen under the law and on its operation.

  26. To forward forced intervention processes in order to manage or liquidate monitored entities that perform functions of Administrative Entities of Benefits Health Plans (EAPB) or those that perform other health services in any way and their profitable monopolies assigned to the health sector, but not assigned to other entity. Besides, intervening technically and administratively all Local Health Offices.

  27. To execute inspection, monitoring and control over the users’ rights and the Health Sector sources in cases that volunteer liquidation processes are forwarded by monitored subjects.

  28. To forward the administrative processes, adopt measures required and move or report to the appropriate authorities, under the terms established in the current legislation, any irregularities that may be generated by the actors of the General System of Social Security in Health.

  29. To establish the mechanisms and accounting procedures to be taken by subjects from the General System of Social Security in Health, when these are not subject to inspection, surveillance and control of another authority under current legislation, subject to the principles and accounting standards generally accepted in Colombia and instructions of the General Accounting Office.

  30. To suspend, as a precautionary measure up to a year, the management of public resources of the actors of the General System of Social Security in Health, when requested by the Ministry of Health and Social Protection, as a result of the evaluation results set by the law.

  31. To penalize local entities which repeat the failure of management indicators in accordance to the terms established by law, with previous evaluation of the reports of the Ministry of Health and Social Protection.

  32. To forward inspection functions, monitoring and control to the Solidarity Fund and Guarantee for Health (Fosyga) or who administer these resources and other subjects watched the General System of Social Security, including the special schemes and exempt, under the Act 100 1993.

  33. To authorize transfers between insurance companies, regardless of the time users have been part of them, when it has undermined the right to free choice of health care providers or wherever it appears that the service provider is not certain.

  34. To forward inspection, monitoring and control functions for the Territorial Health Offices to fully comply with their duties assigned by law according to the principles the administrative function develops and to impose sanctions that may apply.

  35. To officially request or, as part appealing, the knowledge of those matters that are handled by the Regional Directorates of Health, when a violation of the principles developed by the administrative in order to comply their functions is evident.

  36. To develop the administrative sanction proceedings, respecting the rights of due process, defense, contradiction and second instance, in accordance to Article 128 of Law 1438 of 2011 and other provisions that modify it.

  37. To execute preferential jurisdiction of the inspection, surveillance and control over monitored subjects, whose development may initiate, continue or refer any investigation or pertinent prosecution of any other organization that executes inspection, surveillance and control within the General System Health and Social Security, guaranteeing the exercise of professional ethics, doctor-patient and respect for monitored subjects in order to respect patients and health professionals dignity and their appropriate relationships.

  38. To carry out inspection, monitoring and control to ensure that criteria for determining, identifying and targeting, and implementation of social spending on health by the Local Entities are met.

  39. To forward actions of inspection, monitoring and control for insurance institutions and providers of the General System of Social Security in Health, adopt and implement a Code of Conduct and Good Governance to guide the provision of services in their charge and ensures the achievement of the objectives outlined in the law.

  40. To implement and support the management of User Advocate in Health, within its competence, in coordination with the Ombudsman.

  41. To ensure regime investment compliance issued to the monitored subjects.

  42. To execute subsequent and selective control over advertising programs of the monitored subjects, in order to ensure their compliance with current regulations, legal, economic and social reality of the service promoted and to the rights of accurate information.

  43. To promote, through written requests legal representatives of the respective entrepreneur or entrepreneurs or one or more creditors or ex officio in case of entrepreneurs or companies under their supervision or control, the application of debt restructuring agreements, in accordance with the expected causals under current regulations.

  44. To execute inspection, supervision and control over rules compliance that require special conditions for the attention of new diseases, including mental and catastrophic or high risk diseases Orphan users Social Security System in Health, in accordance to their competence and current regulations.

  45. To define the set of preventive measures so as to control the monitored subjects, as well as early warning indicators and to execute their functions of inspection, supervision and control over the matter, in accordance with the General System of Social Security in Health according to current regulations.

  46. To know and to decide by law in first or single instance, with finality and with the faculties of a judge, over the disputes and other matters referred in Article 41 of Law 1122 of 2007 and the rules that modify it.

  47. To officially reconcile or upon part request, all arising disputes between the actors of the General System of Social Security in Health, under the terms provided in Article 38 of Law 1122 of 2007 and Article 135 of law 1438, 2011 and other rules that regulate, modify it.

  48. Other matters stipulated by law.

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