Law change regarding co-signing ('attestation') by RKV

As of January 26, 2019, there is removal of the legal requirement for hospitals to have the collection certificates regarding blood products co-signed by the blood establishment.

Until January 26, 2019, the NIHDI legislation provided that:

• the hospital must prepare, at regular intervals and in a digital format, a collection certificate of the individual administrations of blood products in the hospital and - after being signed by a physician of the hospital - provide it to the blood establishment that delivered the blood products to the hospital.
• the responsible physician from the blood establishment concerned must co-sign the hospital's collection certificate (referred to below as the "attestation by the blood establishment")
• the blood establishment must provide the co-signed collection certificate to the hospital for the purpose of charging the administered blood products to the nursing note.
  (cfr RD 20 APRIL 2010. - Royal Decree establishing the conditions under which the compulsory insurance for medical care and benefits intervenes in the costs of human whole blood and some labile blood products, under Articles 5 and 6)

This obligation to deliver the collection statements to the blood establishment for countersigning now lapses as a result of the publication, on January 16, 2019, in the Belgian Official Gazette of the following RD:
Royal Decree amending the Royal Decree of April 20, 2010 establishing the conditions under which the compulsory insurance for medical care and benefits intervenes in the costs of human whole blood and certain labile blood products.- B.S. 2019-01-16.

This legislative amendment represents a significant administrative simplification that came about at the initiative of Belgian Red Cross-Flanders which, with the support of Zorgnet-Icuro, proposed the legislative amendment. You can find Zorgnet-Icuro's Information Note 2019/14 on this matter here.

Since the new RD does not contain a provision determining its entry into force, it will enter into force the tenth day after its publication in the Belgian Official Gazette, i.e., on January 26, 2019.

Consequently, please stop forwarding to Belgian Red Cross-Flanders collection statements related to blood products administered at your hospital after January 2019.