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"title": "L\u00e4\u00e4k\u00e4ripalvelujen hankinta seniorikeskuksiin ja palvelutaloihin",
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"Helsingin sosiaali- ja terveystoimialan sairaala-, kuntoutus ja hoivapalvelut (SKH) palvelukokonaisuuden kotihoidon l\u00e4\u00e4k\u00e4rit -yksikk\u00f6 vastaa perusterveydenhuoltoon liittyvien l\u00e4\u00e4k\u00e4ripalveluiden j\u00e4rjest\u00e4misest\u00e4 SKH:n pitk\u00e4aikaista asumispalvelua tarjoavissa seniorikeskuksissa ja palvelutaloissa. L\u00e4\u00e4k\u00e4ripalvelut on tarkoitus tuottaa kokonaisuudessaan ostopalveluna. Hankinnan kohteena ovat yll\u00e4 mainitut l\u00e4\u00e4k\u00e4ripalvelut, yksik\u00f6t on m\u00e4\u00e4ritelty tarjouspyynn\u00f6n liitteess\u00e4 3 Asumisyksik\u00f6t. ",
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"Tammikuussa 2022 hankinnan kohteena olevissa yksik\u00f6iss\u00e4 oli 1626 tehostetun palveluasumisen ja 466 laitoshoidon asukaspaikkaa. ",
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"Hankinnan kohteena olevissa yksik\u00f6iss\u00e4 asukkaiden ymp\u00e4rivuorokautisen hoivan tarve liittyy tavallisimmin muistisairauksien tai somaattisten pitk\u00e4aikaisten sairauksien aiheuttamiin toiminnanvajeisiin. Valtaosa asukkaista on vanhuksia. Osa yksik\u00f6ist\u00e4 tarjoaa hoitoa my\u00f6s alle 65-vuotiaille, ja osa on suuntautunut psykogeriatristen potilaiden hoitoon. Ruotsinkielisille on omat hoitoyksik\u00f6t. Kaikilla n\u00e4iss\u00e4 yksik\u00f6iss\u00e4 asuville on tehty ymp\u00e4rivuorokautista hoitoa koskeva hoitotasoratkaisu asiakasohjauksessa.",
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"Hankittavat palvelut on kuvattu tarkemmin tarjouspyynn\u00f6n liitteen\u00e4 olevassa palvelukuvauksessa (liite 1). ",
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"Hankinnalla perustetaan puitej\u00e4rjestely, johon valitaan kaksi (2) palveluntuottajaa. Palveluntuottajat asetetaan etusijaj\u00e4rjestykseen kokonaistaloudellisen edullisuuden perusteella, jossa hinnan painoarvo on 80% ja laadun 20%.",
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"Puitej\u00e4rjestelyn sis\u00e4ll\u00e4 yksik\u00f6t jaetaan siten, ett\u00e4 etusijaj\u00e4rjestyksess\u00e4 ensimm\u00e4inen palveluntuottaja saa hoitaakseen 65% palvelun piiriss\u00e4 olevista asukkaista ja etusijaj\u00e4rjestyksess\u00e4 toisena oleva 35% asukkaista. ",
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"Sopimuskauden aikana mahdollisesti perustettavien uusien yksik\u00f6iden l\u00e4\u00e4k\u00e4ripalvelut ohjataan valituille palveluntuottajille samassa etusijaj\u00e4rjestyksess\u00e4 kuin tarjouspyynn\u00f6ss\u00e4 m\u00e4\u00e4ritellyt liitteen 3 mukaiset asumisyksik\u00f6t jaetaan puitesopimuskauden alussa. Uusien yksik\u00f6iden tarjoamisessa huomioidaan yksikk\u00f6koko ja asukasm\u00e4\u00e4r\u00e4. Uudet yksik\u00f6t tarjotaan kahden suhteessa yhteen aloittaen tarjouskilpailun voittajasta. Palveluntuottajan tulee ottaa vastaan tarjotut yksik\u00f6t. ",
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"Mahdollisesti sopimuskauden aikana yksitt\u00e4iseen yksikk\u00f6\u00f6n perustettavat uudet osastot tai ryhm\u00e4kodit ohjataan ensisijaisesti sille palveluntuottajalle, jonka vastuulla yksikk\u00f6 on muutenkin. Yksik\u00f6ss\u00e4 tapahtuvien osastojen tai ryhm\u00e4kotien uudelleenj\u00e4rjestelyjen yhteydess\u00e4 (yhdist\u00e4minen, jakaminen, muuttaminen jne.) vastuu l\u00e4\u00e4k\u00e4ripalveluiden tuottamisesta s\u00e4ilyy yksikk\u00f6\u00e4 hoitavalla palveluntuottajalla. Palvelunostaja voi harkintansa perusteella p\u00e4\u00e4tt\u00e4\u00e4 n\u00e4ist\u00e4 periaatteista poikkeavasta menettelyst\u00e4.",
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