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"Julkisista hankinnoista ja k\u00e4ytt\u00f6oikeussopimuksista annetun lain (1397\/2016) 40 \u00a7:n 2 momentin 2)-kohdan perusteella hankintayksikk\u00f6 voi valita suorahankinnan, jos teknisest\u00e4 tai yksinoikeuden suojaamiseen liittyv\u00e4st\u00e4 syyst\u00e4 vain tietty toimittaja voi toteuttaa hankinnan. Lis\u00e4edellytyksen\u00e4 on, ett\u00e4 j\u00e4rkevi\u00e4 vaihtoehtoisia tai korvaavia ratkaisuja ei ole eik\u00e4 kilpailun puuttuminen johdu hankinnan ehtojen keinotekoisesta kaventamisesta. ",
"",
"HUSissa p\u00e4\u00e4tettiin vuonna 2016 ottaa k\u00e4ytt\u00f6\u00f6n sairaaloiden laatuj\u00e4rjestelm\u00e4 yhten\u00e4 toiminnan l\u00e4pimurtohankkeena. Samassa yhteydess\u00e4 k\u00e4ynnistettiin selvitys HUSille sopivan laatuj\u00e4rjestelm\u00e4n l\u00f6yt\u00e4miseksi. Huippuorganisaationa HUS halusi ehdottomasti kansainv\u00e4lisen laatuj\u00e4rjestelm\u00e4n ja vaihtoehtoina esiin nousivat Joint Commission International (JCI), US Best Hospitals ja Leapfrog. US Best Hospitals ilmoitti, ettei se ota laatuj\u00e4rjestelm\u00e4\u00e4ns\u00e4 mukaan lainkaan USAn ulkopuolisia organisaatioita. Tehdyn selvityksen perusteella JCI oli selv\u00e4sti monipuolisempi ja maailmalla laajemmalle levinnyt kuin Leapfrog, joten siihen p\u00e4\u00e4dyttiin. Euroopassa ei ollut varteenotettavia laatuj\u00e4rjestelmi\u00e4 tarjolla ja kotimainen laatuj\u00e4rjestelm\u00e4 ei tullut HUSin kohdalla kysymykseen. JCI on maailman laajimmalle levinnyt sairaaloiden akkreditaatioj\u00e4rjestelm\u00e4. Se on alun perin suunniteltu terveydenhuoltoon ja on hyvin potilaskeskeinen, kaikkia ammattiryhmi\u00e4 koskeva. Tehdyn selvitysty\u00f6n perusteella todettiin, ettei JCI:n valinnalle ollut kilpailijoita. Laatuj\u00e4rjestelm\u00e4n valinnasta seurasi, ett\u00e4 akkreditoinnin edellytyksen\u00e4 olevat tarkastukset niihin liittyvine oheispalveluineen tulee niin ik\u00e4\u00e4n hankkia JCI:lt\u00e4.",
"",
"Vaihtoehtoisia tai korvaavia ratkaisuja ei edell\u00e4 kuvatun perusteella ole mahdollista k\u00e4ytt\u00e4\u00e4 eik\u00e4 kilpailun puuttuminen johdu hankinnan keinotekoisesta kaventamisesta."
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