Articles with tag: «medical organization»

    Technology management
  • 2016 № 5 Modern approaches to the development of medical and technological assignment and effective design of healthcare institutions

    Annotation. In the present paper a study of healthcare facilities design models is presented. It is shown how the functional and spatial diagramming, diagramming of flows and modelling/design of healthcare facilities (BIM) allow us to determine (as early as at the stage of medical and technological assignment) the possibility of application of modern medical technologies and equipment, arrangement of process flows, cost of the project and operating costs, construction period time, as well as to ensure the development of high-quality design and detailed documentation.

    Authors: Timofeev A. V. [1] Yeremin G. B. [2] Mozzhukhina N. A. [2] Karelin A. O. [1]

    Tags: 3-dimensional building information modeling1 design2 health care facility1 innovation approaches to healthcare facilities design1 medical and technological assignment1 medical care7 medical institution1 medical organization28 medical technology1 safety and quality of health care1 spatial diagrams1 werfau jsc1

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  • Staff management
  • 2016 № 4 Restrictions on medical stuff in the exercise of professional activity and the prevention of conflicts of their interests: medical organization actions

    Annotation. The article deals with the features of today for the healthcare organizations compliance with the restrictions placed on medical stuff in the exercise of professional activity and on prevention of conflict of their interests. Authors substantiate and emphasize the need for strict governance of this work in medical organizations local regulations. It is shown that the restrictions imposed on medical stuff in the exercise of professional activity and the prevention of conflict of interests of medical stuff is an integral component of ensuring and control of quality and safety of medical activities in a medical organization.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: conflicts of interests1 control of quality and safety of medical activities2 medical organization28 medical stuff1 professional activities1 restrictions1

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  • Quality of medical aid
  • 2014 № 5 The quality of medical care or the quality and safety of medical activity: what are still controlled medical organizations? (Saint Petersburg, Irkutsk, Russia)

    In the article the authors reason imperfect regulation of the Federal law dated November 21, 2011, №323-FZ internal quality control and safety of the medical activity. Given specific proposals on consolidation in the law of the concepts of quality of medical activity and safety of medical activity. In addition, the authors have defined the list of measures that must be implemented in a medical organization within the framework of internal control of quality and safety of medical activity.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: internal control5 medical activity2 medical organization28 quality and safety2

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  • Quality of health care management
  • 2016 № 6 Order for examination of quality of medical care

    The article deals with the factors that must be considered when establishing the order of examination of quality of medical care in the Russia with the exception of medical assistance provided in accordance with the Russian legislation on mandatory medical insurance. Analyzed and systematized information on the powers of constituent entities of control of quality and safety of medical activities in feald of examination of quality of medical care. Subject to the authority of constituent entities of control of quality and safety of medical activities proposed to allocate external and internal examination of quality of medical care. The content of examination of quality of medical care carried out by medical organizations.

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: examination of quality of medical care1 medical activity2 medical organization28 quality control and safety of medical activity1 the expert of quality of medical care1

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  • Management in healthcare
  • 2014 № 11 Сontents of internal control quality and safety of medical activities in medical organizations: what should it be and what hinders it (Saint Petersburg; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    The issue deals with the fact that today in most medical organizations in the country is not built system of internal control quality and safety of medical activities, as provided by applicable law. In this context, the article presents and justified proposals for the filling of the internal control quality and safety of medical activities specific areas of work corresponding to the requirements of state control. The factors hindering the development of internal quality control and safety of medical activities.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: internal control5 medical organization28 quality and safety of medical activities4 quality inspection1

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  • Management in health care
  • 2013 № 7 The problems of realization of the patient rights for the choice of doctor and the ways of its solution in the medical organization (Saint-Petersburg, Irkutsk, Russia)

    The article considers the issues related to the implementation of the rights of the patient to choose a doctor. The authors emphasize that the need for compliance with the law in the medical organization requires the development and adoption of the relevant internal document regulating the procedure of choice of doctor it is in this medical organization. The article provides specific recommendations as to what should be reflected in the procedure of choice of doctor in the medical organization.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: choice of doctor1 medical organization28 patient rights3 replacement of a doctor1

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  • 2014 № 6 Measures to prevent the entry of substandard and counterfeit medicines in medical organizations (Center for Quality Assurance and Certification of drugs <Trans-Baikal Territory, Chita, Russia; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    The article presents practical approaches to implementation of individual measures on the safety of medicines in the medical organization. Shows the organizational technology to prevent receipt of substandard and counterfeit medicines in medical organization.

    Authors: Kitsul I. S. [32] Rezvikch U. A. [1] Kovalskaya G. N. [1]

    Tags: drug circulation1 drug safety1 falsification1 medical organization28 quality2

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  • 2014 № 7 Circulation of medical products: numerous problems regulatory or what chief doctor have to do. Part 1 (Saint Petersburg; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    In the article the characteristic of a number of issues in the sphere of medical products circulation: insufficient legislative regulation, absence of the system of training, lack of secure rights of a patient and, as a consequence, serious problems at the level of the medical organization. The authors offer concrete solutions as part of the normative regulation of the sphere of medical products circulation, and of the expanded operation algorithm at the level of medical organization in this area, namely those actions that must initiate the chief doctor.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: medical organization28 medical product2 quality and safety of medical practice4 the sphere of circulation of medical products2

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  • 2014 № 8 Circulation of medical products: numerous problems regulatory or what chief doctor have to do. Part 2 (Saint Petersburg; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    In the article the characteristic of a number of issues in the sphere of medical products circulation: insufficient legislative regulation, absence of the system of training, lack of secure rights of a patient and, as a consequence, serious problems at the level of the medical organization. The authors offer concrete solutions as part of the normative regulation of the sphere of medical products circulation, and of the expanded operation algorithm at the level of medical organization in this area, namely those actions that must initiate the chief doctor.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: medical organization28 medical product2 quality and safety of medical practice4 the sphere of circulation of medical products2

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  • 2015 № 10 About formation of new content of work of the head of the medical organization to ensure and control the quality and safety of medical activity

    The article deals with the problems and issues that impede the implementation of legislative requirements on ensuring and monitoring the quality and safety of medical activities in medical organizations. The article presents and justifies a specific list of the main activities of the head of the medical organization to ensure and control the quality and safety of medical activity. Proposed and substantiated the areas of control that should be reflected in the internal control of quality and safety of medical activity. Reasonable changes in the activities of medical commissions. Emphasized the need for active and systematic participation of the health authorities and the territorial departments of Roszdravnadzor in the formation of a new content of the work of the head of the medical organization to ensure and control the quality and safety of medical activity.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: head of medical organization1 health authorities1 medical commission4 medical organization28 quality and safety of medical activity6 quality of medical care9 territorial departments of roszdravnadzor1

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  • 2015 № 6 The need for more continuity and cooperation the relationship between quality of medical care in the mandatory medical insurance system and control of quality and safety of medical activities

    The article shows the lack of continuity and the relationship between the quality of medical care in the mandatory medical insurance system (MMI) and control of the quality and safety of medical activity. Named a number of problems in this regard in public health practice, one of which is the absence in most of the medical organizations of the country internal control systems of quality and safety of medical activity. Asked to create one for the whole health of the Russian Federation the Order of evaluation of the quality and safety of medical care, regardless of whether this examination in a medical organization that is involved in the implementation of insurance programmes, or it is performed in a medical organization, in which the implementation of the programs of the MMI is not involved.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: control the quality and safety of medical activities1 mandatory medical insurance7 medical organization28 quality control of medical care1 quality examination1

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  • 2015 № 2 Work with citizen's applications in a medical organization as one of the mostimportant indicators of quality and safety of medical practice

    The article presents the characteristics of modern features and challenges of working with citizens applications in a healthcare organization. Attention to the fact that this activity is often underestimated chief physicians. It is proved that work with citizens applications in a healthcare organization, being one of the most important indicators of the quality and safety of medical practice, requires allocation of this area in a separate section of the internal control quality and safety of medical practice.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: citizens applications1 internal control5 medical organization28 quality and safety of medical practice4

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  • Law
  • 2016 № 5 Legal regulation of internal control of the quality and safety of medical activity

    The article shows and proves what the Federal legislation should be analyzed and used in medical organization in the field of internal control of the quality and safety of medical activity. Presents directions for internal control of quality and safety of medical activities with regard to regulation of each Federal legislation.

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: internal control5 legislation2 medical organization28 quality and safety of medical activities4

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  • 2016 № 8 Guarantee citizens‘ rights while using medical devices

    The article shows that in recent years the requirements in the sphere of medical products circulation not only increased in volume but also become more stringent. So it requires that medical organizations has to do targeting actions to improve the work to ensure the rights of citizens to use medical devices. It is proved that the rights of citizens in the use of medical devices has certain specifics. The proposed measures aimed at improving the provision of these rights of citizens and safety monitoring of medical devices.

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: medical devices1 medical organization28 quality and safety of medical devices1 quality control and safety of medical practice1 rights of citizens1 safety monitoring of medical devices1

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  • 2017 № 6 Regulatory framework for providing high-technology ophthalmological medical care under outpatient treatment

    The article analyzes the existing legal basis for providing high-technology ophthalmological medical care through a systematic review of regulatory enactments that directly regulate this type of activity (14 regulatory enactments, including 2 federal laws).
    High-technology medical care is a separately licensed type of medical activity carried out by approved federal or regional medical organizations, financed by subsidy or directly from federal budget, provided for approved types of medical care in a hospital. The source of funding for healthcare determines essential conditions. The existing legal framework creates significant restrictions for providing high-technology ophthalmological medical care under outpatient treatment in the case of healthcare covered by Compulsory Health Insurance or an appropriate budget. The article outlines the ways of solving this problem proposed by the authors, including for a medical institution, without violating the current legislation. Healthcare covered by other sources of funding can be provided in any conditions, including outpatient

    Authors: Borshchuk E. L. [2] Chuprov A. D. [1] Lositskiy A. O. [1]

    Tags: compulsory medical insurance fund1 medical organization28 quality and safety of medical activity6 quality of medical care9 regulatory body of public health service1

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  • Information management
  • 2017 № 3 Experience of implementation of the call-center in activity of the budgetary medical organization (on the example of ICDC)

    This article presents a comparative analysis of two approaches for the telephone contacts management in a medical organization. The «traditional» model of the phone calls management in a medical institution and a model with the use of «call center» are considered. The advantages and disadvantages of these models are described. Specificity of the phone calls in a medical organization is disclosed. The «call center» activities analysis is carried out using the example of Interregional Clinical Diagnostic Center (ICDC), Kazan. The conclusion about the necessity of development of an information flow management system in a medical organization is drawn.

    Authors: Kupriyanov R. V. [3] Biktimirova O. R. [2] Zharkova E. V. [2] Khairullin R. N. [2]

    Tags: call center1 information flow1 leader1 medical organization28 phone contacts1 telephony1

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  • Healthcare and law
  • 2013 № 11 Legal representatives in the health care (Penza State University, Penza, Russia)

    This article analyzes the legal status of a legal representative in the various models of legal relations in the sphere of health care (with the consent to medical intervention prior to admittance to the patient). The basic challenges that may face a medical professional when determining the authority of the legal representative patient. Particular attention is paid to the guardianship authorities, as well as various organizations authorized to represent citizens under the law.

    Authors: Romanovskaya O. V. [6]

    Tags: health care10 legal representatives1 medical organization28 patient3

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  • 2014 № 5 Responsibilities of medical organizations (Penza State University, Penza, Russia)

    Аbstract. In the article obligations of the medical organizations (article 79 of the Federal law of November 21, 2011 № 323-FZ «About bases of health protection of citizens in the Russian Federation») are analyzed. The subject of duties is defined. The maintenance of such duties as is opened: to inform law-enforcement bodies on arrival of patients concerning whom there are sufficient bases to believe that harm to their health is done as a result of illegal actions; to carry out insurance on a case of infliction of harm of life and (or) to health of the patient when rendering a medical care. In article the maintenance of obligations of the medical organizations fixed in other statutiry sources (for example, in the Federal law of November 29, 2010 № 326-FZ «About obligatory medical insurance in the Russian Federation») is considered.

    Authors: Romanovskaya O. V. [6]

    Tags: duties1 insurance1 medical care7 medical organization28 responsibility1

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  • Focus of the problem
  • 2015 № 4 Safety of medical activity: what is it and how the Chief doctor should provide it

    The article deals with the contents of medical organization working to support and monitor the safety of medical activity. Priorities that should be decided by each head of the medical organization in this field. Emphasized that the main body of the medical organization for addressing issues and making decisions on ensuring and monitoring the safety of medical practice must be a medical Commission.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: chief doctor1 medical commission4 medical organization28 quality of medical activity1 safety of medical activity1

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  • Focus of problem
  • 2017 № 10 Criteria for assessing the quality of health care: what to consider and how to ensure compliance in a healthcare organization

    The issue deals with the organization of work on the application of criteria to assess the quality of care in a medical organization. The authors pay attention to a number of characteristics that must be taken into account specified criteria, including note that work on their application not only largely concerned, but also overlap with the functions of the medical Commission of the medical organization. The article shows that the use in a medical organization criteria for evaluating the quality of medical care is one of the tools that ensures the continuity of inter¬nal control of the quality and safety of medical activities with the departmental and state control of the quality and security of medical activity

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: criteria3 medical commission4 medical organization28 quality and safety of medical activity6 quality control2

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  • 2017 № 2 New tasks and directions of work of the medical commision in the system of providing and controlling the quality and safety of medical activities

    The article deals with the reasons of insufficiently work of medical commissions of medical organizations. It was noted that today the medical Commission, continuing to be the third level of quality control of medical care in medical organization, often is the third level of quality control and safety of medical activities. In the publication of the proposals to improve the efficiency of the medical Commission, including revealed the contents of its work in accordance with the objectives and functions set by law, which often remain outside the purview of heads of medical organizations.

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: medical commission4 medical organization28 quality and safety of medical activities4 quality of medical care9 safety of medical activities2

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  • 2017 № 5 A new control tool in healthcare: a control without interacting with legal entities and individual entrepreneurs

    The article deal with the emergence of a new monitoring tool in the health sector – organization and conduct of control measures without the cooperation of legal entities and individual entrepreneurs. The authors note that the legislation of the Russian Federation contains a significant amount of the requirements for medical organizations
    to embed and provide information. Thus compliance with these requirements will be validated by the Supervisory authorities by carrying out control activities without interaction with legal entities, individual entrepreneurs. All this increases the responsibility of medical organizations and confronts them with new challenges when conducting internal monitoring the quality and safety of medical activity.

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: caution1 control without interaction with legal entities and individual entrepreneurs1 medical organization28 quality and safety of medical activity6 requirements1

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  • 2017 № 7 The duty of medical organizations inform about the doctors: what is informing and how to organize it

    The article deals with the responsibility of medical organizations to provide information on doctors, their level of education and qualifications. Presented and substantiated list of specific information about doctors who have to post every medical organization on the official site in a network “the Internet”, as well as on the stands. The authors demonstrated that even if the doctor your consent to the placing of personal data (information about the doctor), which in accordance with legislation, obliged to submit medical organization, the placement of these data on its official site in a network “the Internet”, as well as on the stands should be continued. Stressed that the problem of placing medical organizations and maintaining up to date information about doctors, including their level of education and qualification, necessary water supply amount, and in strict accordance with the established requirements is one of the most important ways of ensuring and monitoring the quality and safety of medical activity

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: certificate of accreditation1 graduate certificate1 information about the doctor1 level of education and qualifications1 medical organization28 medical organization site1 personal data1 the quality and safety of medical practice1

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  • 2017 № 8 Standards of medical care: whether they are mandatory for compliance with medical organizations?

    In the Federal legislation of public health has stated that «medical care is organized and is … on the basis of standards of medical care…». The phrase «on the basis of standards of medical care» is interpreted differently in medical institutions, in connection with which the question often arises: «do I have to perform the standards of care, or they are Advisory in nature?». In the article the authors substantiate and prove that is currently approved in the prescribed manner the standards of care mandatory for medical organizations and doctors

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: inspections1 medical organization28 monitoring1 quality and safety of medical practice4 standards of medical care3

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  • 2018 № 4 The role and importance of criteria for evaluating the quality of medical care, approved by order of ministry of health of Russia from 10.05.2017 n203n for healthcare organizations working in the mandatory health insurance system

    The article analyzes the regulatory framework governing the quality control of medical care in the system of mandatory health insurance (MHI) and the application of criteria for assessing the quality of medical care in a medical organization. It is noted that the criteria for assessing the quality of medical care are an integral tool for ensuring and controlling the quality of medical care for all medical organizations without exception, including those operating in the MHI system. The authors explain and emphasize that the legislation on compulsory medical insur¬ance in no way limits the use of these criteria medical organizations working in MHI. At the same time application of the specified criteria allows to prevent or reduce number of defects of medical care / violations at rendering medical care, and also number of defects of registration of primary medical documentation

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: control of the quality of medical care1 examination of the quality of medical care1 mandatory health insurance2 medical care7 medical organization28 quality assessment criteria1

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  • 2018 № 5 Checklists of healthcare quality control and safety of medical activity: new challenges of medical organizations

    The article substantiates the necessity of analysis and careful study by medical organizations Of checklists (lists of control issues), approved by the order of Roszdravnadzor of December 20, 2017 № 10450. To this end, the authors propose to identify in the test sheets four conditional groups of control issues that have certain features that need to be considered by medical organizations. The article contains a reasonable conclusion that the analysis and careful study of the test sheets should be pre-determined by medical organizations as a mandatory component of internal quality control and safety of medical activities, ensuring its real continuity with the state control of quality and safety of medical activities

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: checklists1 lists of control questions1 medical organization28 quality and safety of medical activity6

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  • Financial management
  • 2013 № 5 Business planning in commercial medical organization's practice (Baykal State University of Economics and Law; JSC "Doctor Bermental"; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    The article is dedicated to the business planning technology as an instrument for management of a medical organization. Also there is analysis of the structure and function of a business plan. The article contains an example of the business plan's financial section of a commercial medical organization.

    Authors: Vinokurova A. M. [2] Pozdnyakov P. A. [2] Kitzul I. S. [3]

    Tags: break-even point1 business planning1 cost2 economic efficiency of the project1 medical organization28 net cost1 payback period1 profitability of investments1

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  • Feedback
  • 2017 № 9 The discussion about mandatory compliance with medical organizations standards of medical care

    The authors in the order of discussion into details justify and prove that currently approved and put into effect in the prescribed manner the standards of medical care mandatory for medical organizations and doctors

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: clinical guidelines2 law enforcement agencies1 medical organization28 standards of medical care3

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