Romania: Law No. 185/2017 About Quality Assurance In The Health System

Last Updated: 26 January 2018
Article by Albulescu Attorneys At Law

1. Overview

Law no. 185/2017 addresses quality assurance in the health system. It regulates the quality management standards of health services provided at the national level.

The standardization and evaluation of health services are carried out by the National Authority for Quality Management in Health (NAQMH).

The essential features of NAQMH are the following:

  • NAQMH is a public institution with a legal personality. It is a specialized body of the central public administration in the field of health quality management, and it operates under the control of the Government and the coordination of the Prime Minister. Its headquarters are in Bucharest.
  • NAQMH holds the authority for standardization and impartial evaluation of health services, accreditation, and monitoring of healthcare providers regardless of stakeholders.
  • NAQMH is funded from its own revenues and subsidies from the public budget. The income earned from accreditation activities is considered its own revenue.

The purpose of NAQMH is to ensure and continuously improve the quality of health services and patient safety by standardizing and evaluating health services and accrediting healthcare providers.

To attain its objectives, NAQMH holds extensive responsibilities, amongst which the most important are:

  • the participation, in collaboration with the Ministry of Health, in implementing the National Strategy for Quality Assurance in the Health System;
  • proposing to the Ministry of Health and Government draft laws that enact national legislation about quality assurance in health services in the health system and that adopt international regulations in the field;
  • recognizing, according to methodology approved by NAQMH President's Order, the quality of health services advisory service providers and training personnel specializing in health services quality management;
  • Evaluating, assessing, accrediting, and re-accrediting health care providers and monitoring the quality assurance of health services at their level;
  • Issuing or withdrawing an accreditation certificate of the healthcare providers according to the conditions approved by the resolution of the Managing Board;

2. The accreditation procedure

Healthcare providers are registered in the accreditation process by submitting documentation to NAQMH accompanied by the proof of payment of the accreditation fee under the conditions established by the resolution of the NAQMH Managing Board.

a. Submitting documentation to NAQMH

The methodology, deadlines, and conditions for the enrolment of healthcare providers in their accreditation process and their planning in the evaluation process for accreditation are approved by the resolution of the NAQMH Managing Board.

The accreditation lasts five years then must be renewed.

Accreditation is a mandatory requirement for healthcare providers that provide services in the public health insurance system.

b. Other relevant provisions

The accreditation categories of the healthcare providers are approved by the NAQMH Managing Board after receiving Ministry of Health approval.

The validity of the accreditation certificate obtained following the reaccreditation process cannot exceed the period of validity of the original accreditation certificate

3. Organization and leadership

The governing bodies are represented by:

  • Managing Board;
  • Permanent Office of the Managing Board;
  • President of NAQMH;
  • CEO (Chief Executive Officer).

a. NAQMH Managing Board

The NAQMH Managing Board is the collective leading body of NAQMH and consists of 25 people that represent different authorities, institutions, and organizations.

Member's appointment

The members of the Managing Board are designated by the authorities, institutions or organizations they represent for five years.

An appointee may not complete a term because of:

  • Resignation;
  • ca urmare a constatării neîndeplinirii sau îndeplinirii defectuoase a atribuţiilor aferente calităţii de membru, la sesizarea preşedintelui sau a membrilor Colegiului director, adresată autorităţii, instituţiei publice sau organizaţiei care l-a desemnat;
  • Termination of the appointment as result of a proven failure in fulfilling or of an inadequate fulfilling of the responsibility of membership;
  • The withdrawal of the appointment by the authority, public institution, or organization that has appointed the Appointee in that capacity;
  • Other situations provided by law.

If any of these situations occur, the authority, the public institution, or the organization stipulated by the law appoints a new representative up until the end of the five-year period.

The ways of organizing and functioning of the Managing Board are established by its own regulation. Also, in fulfilling its duties, the Managing Board issues resolutions.

The Managing Board meets on a regular basis in regular sessions.

b. Permanent Office of the Managing Board

Member's appointment

The Permanent Office of the Managing Board consists of seven people, namely the President of the NAQMH, permanent member, as well as six members, chosen by rotation by the Managing Board out of its members, for six months.

Organizing and main attributions

The Permanent Office of the Managing Board meets monthly, between the ordinary meetings of the Managing Board.

c. President of NAQMH


The NAQMH President has the rank of the Secretary of State and is appointed for a five-year mandate, by decision of the Prime Minister. He is also the President of the Managing Board.

Appointment ceasing before deadline:

  • Resignation;
  • Criminal conviction established by a final court order;
  • The inability to perform the legal responsibilities of the President's office for at least 90 days;
  • Death;
  • Other situations provided by law.

d. CEO (Chief Executive Officer)

The executive management is the responsibility of a CEO appointed by the President of NAQMH based on merit.

The qualifications for CEO include:

  • Long-term higher education in the medical, legal, or economic field;
  • Masters in health management or specialization in health services quality management;
  • Compliance with legal provisions about conflicts of interest and incompatible office.

Main duties

The duties of the CEO for the executive management of NAQMH are established by the regulations on the organization and functioning of NAQMH.

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.

To print this article, all you need is to be registered on

Click to Login as an existing user or Register so you can print this article.

Some comments from our readers…
“The articles are extremely timely and highly applicable”
“I often find critical information not available elsewhere”
“As in-house counsel, Mondaq’s service is of great value”

Related Topics
Related Articles
Up-coming Events Search
Font Size:
Mondaq on Twitter
Register for Access and our Free Biweekly Alert for
This service is completely free. Access 250,000 archived articles from 100+ countries and get a personalised email twice a week covering developments (and yes, our lawyers like to think you’ve read our Disclaimer).
Email Address
Company Name
Confirm Password
Mondaq Topics -- Select your Interests
 Law Performance
 Law Practice
 Media & IT
 Real Estate
 Wealth Mgt
Asia Pacific
European Union
Latin America
Middle East
United States
Worldwide Updates
Registration (you must scroll down to set your data preferences)

Mondaq Ltd requires you to register and provide information that personally identifies you, including your content preferences, for three primary purposes (full details of Mondaq’s use of your personal data can be found in our Privacy and Cookies Notice):

  • To allow you to personalize the Mondaq websites you are visiting to show content ("Content") relevant to your interests.
  • To enable features such as password reminder, news alerts, email a colleague, and linking from Mondaq (and its affiliate sites) to your website.
  • To produce demographic feedback for our content providers ("Contributors") who contribute Content for free for your use.

Mondaq hopes that our registered users will support us in maintaining our free to view business model by consenting to our use of your personal data as described below.

Mondaq has a "free to view" business model. Our services are paid for by Contributors in exchange for Mondaq providing them with access to information about who accesses their content. Once personal data is transferred to our Contributors they become a data controller of this personal data. They use it to measure the response that their articles are receiving, as a form of market research. They may also use it to provide Mondaq users with information about their products and services.

Details of each Contributor to which your personal data will be transferred is clearly stated within the Content that you access. For full details of how this Contributor will use your personal data, you should review the Contributor’s own Privacy Notice.

Please indicate your preference below:

Yes, I am happy to support Mondaq in maintaining its free to view business model by agreeing to allow Mondaq to share my personal data with Contributors whose Content I access
No, I do not want Mondaq to share my personal data with Contributors

Also please let us know whether you are happy to receive communications promoting products and services offered by Mondaq:

Yes, I am happy to received promotional communications from Mondaq
No, please do not send me promotional communications from Mondaq
Terms & Conditions (the Website) is owned and managed by Mondaq Ltd (Mondaq). Mondaq grants you a non-exclusive, revocable licence to access the Website and associated services, such as the Mondaq News Alerts (Services), subject to and in consideration of your compliance with the following terms and conditions of use (Terms). Your use of the Website and/or Services constitutes your agreement to the Terms. Mondaq may terminate your use of the Website and Services if you are in breach of these Terms or if Mondaq decides to terminate the licence granted hereunder for any reason whatsoever.

Use of

To Use you must be: eighteen (18) years old or over; legally capable of entering into binding contracts; and not in any way prohibited by the applicable law to enter into these Terms in the jurisdiction which you are currently located.

You may use the Website as an unregistered user, however, you are required to register as a user if you wish to read the full text of the Content or to receive the Services.

You may not modify, publish, transmit, transfer or sell, reproduce, create derivative works from, distribute, perform, link, display, or in any way exploit any of the Content, in whole or in part, except as expressly permitted in these Terms or with the prior written consent of Mondaq. You may not use electronic or other means to extract details or information from the Content. Nor shall you extract information about users or Contributors in order to offer them any services or products.

In your use of the Website and/or Services you shall: comply with all applicable laws, regulations, directives and legislations which apply to your Use of the Website and/or Services in whatever country you are physically located including without limitation any and all consumer law, export control laws and regulations; provide to us true, correct and accurate information and promptly inform us in the event that any information that you have provided to us changes or becomes inaccurate; notify Mondaq immediately of any circumstances where you have reason to believe that any Intellectual Property Rights or any other rights of any third party may have been infringed; co-operate with reasonable security or other checks or requests for information made by Mondaq from time to time; and at all times be fully liable for the breach of any of these Terms by a third party using your login details to access the Website and/or Services

however, you shall not: do anything likely to impair, interfere with or damage or cause harm or distress to any persons, or the network; do anything that will infringe any Intellectual Property Rights or other rights of Mondaq or any third party; or use the Website, Services and/or Content otherwise than in accordance with these Terms; use any trade marks or service marks of Mondaq or the Contributors, or do anything which may be seen to take unfair advantage of the reputation and goodwill of Mondaq or the Contributors, or the Website, Services and/or Content.

Mondaq reserves the right, in its sole discretion, to take any action that it deems necessary and appropriate in the event it considers that there is a breach or threatened breach of the Terms.

Mondaq’s Rights and Obligations

Unless otherwise expressly set out to the contrary, nothing in these Terms shall serve to transfer from Mondaq to you, any Intellectual Property Rights owned by and/or licensed to Mondaq and all rights, title and interest in and to such Intellectual Property Rights will remain exclusively with Mondaq and/or its licensors.

Mondaq shall use its reasonable endeavours to make the Website and Services available to you at all times, but we cannot guarantee an uninterrupted and fault free service.

Mondaq reserves the right to make changes to the services and/or the Website or part thereof, from time to time, and we may add, remove, modify and/or vary any elements of features and functionalities of the Website or the services.

Mondaq also reserves the right from time to time to monitor your Use of the Website and/or services.


The Content is general information only. It is not intended to constitute legal advice or seek to be the complete and comprehensive statement of the law, nor is it intended to address your specific requirements or provide advice on which reliance should be placed. Mondaq and/or its Contributors and other suppliers make no representations about the suitability of the information contained in the Content for any purpose. All Content provided "as is" without warranty of any kind. Mondaq and/or its Contributors and other suppliers hereby exclude and disclaim all representations, warranties or guarantees with regard to the Content, including all implied warranties and conditions of merchantability, fitness for a particular purpose, title and non-infringement. To the maximum extent permitted by law, Mondaq expressly excludes all representations, warranties, obligations, and liabilities arising out of or in connection with all Content. In no event shall Mondaq and/or its respective suppliers be liable for any special, indirect or consequential damages or any damages whatsoever resulting from loss of use, data or profits, whether in an action of contract, negligence or other tortious action, arising out of or in connection with the use of the Content or performance of Mondaq’s Services.


Mondaq may alter or amend these Terms by amending them on the Website. By continuing to Use the Services and/or the Website after such amendment, you will be deemed to have accepted any amendment to these Terms.

These Terms shall be governed by and construed in accordance with the laws of England and Wales and you irrevocably submit to the exclusive jurisdiction of the courts of England and Wales to settle any dispute which may arise out of or in connection with these Terms. If you live outside the United Kingdom, English law shall apply only to the extent that English law shall not deprive you of any legal protection accorded in accordance with the law of the place where you are habitually resident ("Local Law"). In the event English law deprives you of any legal protection which is accorded to you under Local Law, then these terms shall be governed by Local Law and any dispute or claim arising out of or in connection with these Terms shall be subject to the non-exclusive jurisdiction of the courts where you are habitually resident.

You may print and keep a copy of these Terms, which form the entire agreement between you and Mondaq and supersede any other communications or advertising in respect of the Service and/or the Website.

No delay in exercising or non-exercise by you and/or Mondaq of any of its rights under or in connection with these Terms shall operate as a waiver or release of each of your or Mondaq’s right. Rather, any such waiver or release must be specifically granted in writing signed by the party granting it.

If any part of these Terms is held unenforceable, that part shall be enforced to the maximum extent permissible so as to give effect to the intent of the parties, and the Terms shall continue in full force and effect.

Mondaq shall not incur any liability to you on account of any loss or damage resulting from any delay or failure to perform all or any part of these Terms if such delay or failure is caused, in whole or in part, by events, occurrences, or causes beyond the control of Mondaq. Such events, occurrences or causes will include, without limitation, acts of God, strikes, lockouts, server and network failure, riots, acts of war, earthquakes, fire and explosions.

By clicking Register you state you have read and agree to our Terms and Conditions