Government launches inquiry into healthcare journal systems

The government has decided to launch an inquiry into the regions' journal systems in healthcare. The announcement has sparked joy among doctors in Dalarna who have long criticized the Cosmic system.

Child doctor Torbjörn Hemberg described the reaction in an sms as “Now the accident commission is here!” He is one of five doctors who previously demanded an external investigation into the procurement and introduction of Cosmic in Region Dalarna.

Senior physician Kim Busk Madsen at the eye clinic in Falun hopes the inquiry will bring change. “I hope this never happens again”, he says, stressing the importance of listening to those who use the systems.

Regional leadership in Dalarna has mixed reactions. Elin Norén (S) welcomes the assignment to the e-health authority but believes the state also needs to review legislation on complex procurements. Opposition councillor Björn Ljungqvist (M) calls the announcement unfortunate and highlights the need for digitalisation.

Makala yanayohusiana

Illustration of Cambio Healthcare executives paying Region Dalarna's fines for the Cosmic procurement scandal, with disapproving Konkurrensverket observer.
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Cambio to pay Region Dalarna's fines in Cosmic case

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Nine regions, including Region Dalarna, avoid paying 10 million kronor fines each for the illegal procurement of the Cosmic journal system. Supplier Cambio Healthcare will cover the costs per prior agreement. Konkurrensverket criticizes the arrangement but will not act in this case.

Following months of criticism over the Cosmic system in Region Dalarna—including doctors' demands for a failure commission and reports of patient safety risks—the government has tasked E-hälsomyndigheten with a national failure investigation of the journal systems market. Region councilor Elin Norén (S) welcomes the move but calls for reforms to public procurement law.

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A group of doctors in Dalarna is demanding an external failure commission and investigation to break the contract for the Cosmic journal system from Cambio. They claim it threatens patient safety after six months of use. Region leadership rejects the proposal.

The Administrative Court of Appeal in Gothenburg has ruled that addendum agreements to the Cosmic contract for nine regions, including Region Dalarna, violated the law. Each region must pay 10 million kronor in procurement penalty fees following Tuesday's ruling. The Competition Authority prevailed after the Administrative Court had acquitted the regions.

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Region Skåne has again postponed the launch of the Millennium healthcare IT system following an internal review that identified major flaws. The current version is judged not sufficiently usable, and the region director will investigate alternatives.

Four regional councilors from Samling för Dalarna unveiled plans on Tuesday for a 1.2 billion kronor renovation of Mora lasarett. The investment addresses 1970s operating rooms, work environment issues, and threats of fines following a prolonged process with setbacks.

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Majority parties in Region Uppsala propose a budget with 592 million kronor extra for healthcare next year. Investments target primary care, elderly care, and cancer treatment. The opposition calls it an irresponsible budget, saying the funds mainly cover wage increases.

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