# Czech healthcare structural and administrative reforms > Live situation record from CLSTR: https://clstr.news/situations/czech-healthcare-structural-and-administrative-reforms > Updated: 2026-08-31T07:00:00.000Z. Sources: 2. Developments: 2. The Czech healthcare landscape is undergoing structural changes focused on specialized care and administrative modernization. Initially, the General Health Insurance Company (VZP) announced plans to introduce in-house cardiology care coordinators to manage cardiovascular care and pilot remote telemonitoring projects. This initiative leverages digitalized administrative processes to free up staff capacity. Following these developments, the Czech Ministry of Health announced a plan to centralize complex surgical procedures, specifically oncological operations, into specialized centers to improve survival rates. This rollout begins in September with liver, pancreas, and esophageal tumor surgeries, with further phases planned through 2030. While the Ministry aims to strengthen medical transport to assist patients, regional hospital directors have expressed concerns that losing these procedures may impact the ability to attract young doctors and reduce accessibility for elderly or less mobile populations. Additionally, VZP has raised concerns regarding the potential expansion of vaccination services to pharmacists, noting that such a move requires a unified, real-time data architecture to prevent administrative errors and ensure patient safety. ## Timeline ### 2026-08-31: Czech Republic plans centralization of complex surgeries and updates healthcare data needs Czech health authorities are planning to centralize complex cancer surgeries into specialized centers, while VZP warns that expanding vaccination access to pharmacists requires better real-time data integration 2 sources. https://clstr.news/cluster/czech-republic-plans-centralization-of-complex-surgeries-and-updates-healthcare-data-needs ### 2026-08-11: VZP plans to introduce in-house cardiology care coordinators VZP plans to introduce in-house cardiology care coordinators to manage cardiovascular health, while general practitioners in the Czech Republic see expanding roles in chronic disease management. 2 sources. https://clstr.news/cluster/vzp-plans-to-introduce-in-house-cardiology-care-coordinators --- Cite as: Czech healthcare structural and administrative reforms. CLSTR, https://clstr.news/situations/czech-healthcare-structural-and-administrative-reforms