Articles from rubric: «Manager of healthcare consults»

    2020
  • 2020 № 9 State measures to support the budget and budget institutions at the current stage of the spread of coronavirus infection

    Despite the fact that the main source of financial support for health care is currently the means of compulsory
    medical insurance, the importance of the Federal budget and the budget system as a whole for the functioning of the
    industry cannot be overestimated. In the context of the spread of coronavirus infection, budget legislation is undergoing major changes, with many changes being temporary and aimed at ensuring the budget process in specific conditions related to the fight against COVID‑19.

    Authors: Kadyrov F. N. [122]

    Tags: autonomous institutions1 budget7 budgetary institutions1 coronavirus  infection10 covid-1927 federal budget9

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  • 2020 № 5 Russian Health Care in the background coronavirus COVID-19: Opportunities and Threats

    The effectiveness of any public system, including health care, is determined by the adequacy of its legal regulation. The situation with coronavirus exposed many problems in this area, a number of which were quickly resolved with varying degrees of success. However, there are still many unresolved issues and the need to further improve the legal regulation of health care. This applies, among other issues, to the remuneration of medical workers engaged in providing medical care to patients who have been diagnosed with COVID‑19 coronavirus infection. The article presents an analysis of the procedure for implementing incentive payments at the expense of Federal funds, and suggests measures to improve it. The article presents a SWOT analysis of the state of Russian healthcare against the background of the spread of COVID‑19 coronavirus.

    Authors: Kadyrov F. N. [122] Obukhova O. V. [28] Bazarova I. N. [12] Starodubov V. I. [40] Yu. V. Endovitskaya [6] N. Ya.  Nesvetailo [2]

    Tags: coronavirus3 covid-1927 crisis3 financing13 health care24 mandatory health insurance5 medical organizations23

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  • 2020 № 4 The effect of coronavirus Сovid-19 on the situation in Russian healthcare

    The relatively slow initial rate of spread of COVID-19 coronavirus in Russia has its own objective reasons related to the size of the territory, population density, tourist activity of the population, etc. They have played a positive role in making it possible to better prepare for the fight against it, taking into account, among other things, the experience of countries where the rate and scale of the spread of the coronavirus was much higher.
    Despite the serious damage to the economy, there are no global financial threats to health care yet. However, it is important that resources arrive in time to medical organizations in the context of large-scale conversion of beds, etc. Unavoidable periods of downtime during periods of re-profiling, being in standby mode, etc., lead to the fact that many medical organizations risk finding themselves in a difficult financial situation, even with sufficient resources in the industry. Therefore, at this stage, it is sometimes more important than serious financial infusions, and mechanisms aimed at com- pensating for the loss of income.

    Authors: F.  N.  Kadyrov [9] O.  V.  Obukhova [3] Yu. V. Endovitskaya [6] V.  I.  Starodubov [1] I.  N.  Bazarova [1] N. Ya.  Nesvetailo [2]

    Tags: coronavirus3 covid-1927 crisis3 financing13 health care24 mandatory health insurance5 medical organizations23

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  • 2019
  • 2019 № 8 Delegation of authority to regions to determine the need for private clinics: analysis of prospects and possible consequences

    It is planned to further assess the needs of medical organizations, including private medical organizations in the framework of licensing of medical activities in accordance with the instructions of the President. Finding a balance betweenthe public (municipal) and private health sectors is very important. However, the fundamental question is what methods shouldbe used: restrictive (prohibitive) or stimulating (methods of taxation, etc.). The desire of the regions to subdue private clinics,to command them can lead to conflicts between the government and business and to real losses of working meth, taxes,insurance premiums, etc. The article attempts to analyze the possible positive and negative consequences of such decisions.

    Authors: Kadyrov F. N. [122]

    Tags: competition2 corruption2 licensing of medical activity1 powers of public authorities1 private medical organizations1 state guarantees4

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  • 2019 № 7 Some approaches to the labor normalization in the laboratory diagnostics

    The laboratory service is one of the most difficult from the point of view of labor normalization, which is determined,
    first of all, by the many and ever-increasing number of studies, the variety of equipment used, etc. Laboratory
    labor standards were developed more than 20 years ago. They relate primarily to non-automated techniques and do not
    reflect the modern organization of labor, new laboratory technologies, etc. Due to the lack of centrally developed labor
    standards, medical organizations are forced to determine the load indicators, the number of necessary laboratory workers
    mainly by expert means, or try to independently develop labor standards. In these conditions, it is necessary to determine
    the main approaches to the implementation of labor standards in the laboratory service, to develop normalization methods
    for various research groups. The authors' suggestions were the result of joint research by Federal Research Institute for
    Health Organization and Informatics of Ministry of Health of the Russian Federation (Moscow) and St. Petersburg State
    Budgetary Healthcare Institution Consultative and Diagnostic Center for Children (St. Petersburg).

    Authors: Kadyrov F. N. [122] Klimenkova O. A. [2] Ivashikina T. M. [2] Pashkova V. P. [2]

    Tags: labor normalization1 labor standards5 laboratory diagnostics3 laboratory research1 standards of staff number1 state (municipal) institutions7 timekeeping2

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  • 2019 № 6 New rules of obligatory medical insurance: major changes

    The rules of obligatory health insurance regulate legal relations of subjects and participants of compulsory health insurance. New rules of obligatory health insurance developed by the Ministry of health of Russia in accordance with the recommendations of the Ministry of justice. The essence of these recommendations was not to make regular changes to the existing rules of obligatory health insurance, but to approve new rules of obligatory health insurance. To a large extent, these changes are associated with the Informatization of health care, with the advent of legislative regulation of the use of telemedicine technologies. Most of the changes affect the order of calculation of the value of sanctions applied to the medical organisations in the mandatory medical insurance system. In turn, these changes reflect the desire to reduce the financial burden on state (municipal) institutions and make it easier for them to achieve the level of wages provided for by the "may" presidential Decrees of 2012.

    Authors: Kadyrov F. N. [122] Kuftova Yu. V. [2]

    Tags: compulsory health insurance policy2 compulsory medical insurance18 healthcare  organizations1 health  insurance  organizations3 penalties1 sanctions3 telemedicine  technology1 the  rules  of  compulsory  medical  insurance1

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  • 2019 № 5 The procedure for co-financing of salary for newly hired employees in primary care

    In his Decree No. 204 of May 7, 2018 “On the national goals and strategic objectives of the development of the Russian Federation for the period up to 2024”, the President set the task to ensure the achievement of a number of goals and targets in the health sector. These include the elimination of personnel shortages in medical organizations that provide primary health care.
    To help solve this problem, a mechanism has been developed to co-Finance the salary costs of state (municipal) institutions, which provide an increase in the staffing of employees.
    Corresponding changes were made to Federal Law of November 29, 2010 № 326-ФЗ “On Compulsory Medical Insurance in the Russian Federation” (Part 6.6. Of Article 26).
    This article is devoted to the order of formation, the conditions of provision to medical organizations of the state health system and the municipal health care system, providing primary health care in accordance with the territorial programs of compulsory health insurance, the funds of the normalized insurance stock of the territorial Fund of compulsory medical insurance provided for co-financing of expenses of the medical organizations for compensation of doctors and average medical personnel.

    Authors: F.  N.  Kadyrov [9]

    Tags: co-financing3 compulsory medical insurance18 health  personnel2 normalized  insurance  reserve1 state  (municipal)  health  care  institutions.1 territorial  funds  of  compulsory  medical  insurance1

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  • 2019 № 4 The review of judicial practice on the payment of over-planned volumes of medical care in the system of compulsory health insurance 

    Despite rather rigid legislative norms concerning payment of the medical care rendered over the volumes allocated by the Commission on development of the territorial program of CHI, and also the developed practice of rela- tionship between the medical organizations – on the one hand and the insurance medical organizations, territorial funds of CHI – on the other hand, judicial practice often demonstrates other approaches. Although the current legislation does not imply payment of over-planned volumes of medical care, the courts often take the side of medical organizations. Thus, the current judicial practice illustrates the existence of problems in this area. This article is devoted to the review of judicial practice in the matter of payment for over-planned volumes of medical care in the system of compulsory health insurance.

    Authors: Yu. V. Kuftova [4] F.  N.  Kadyrov [9]

    Tags: compulsory health insurance17 health care organizations1 health  insurance  organizations3 judicial practice1 payment for medical care4 the commission on the development of the territorial chi program1 the  volume  of  medical  care2

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  • 2019 № 3 Рayment for medical care provided in excess of the volumes of granting of medical aid in system of obligatory medical insurance

    Сurrently, health organizations are extremely important are the issues associated with excess of volumes of granting of medical aid in system of obligatory medical insurance. This is the so-called problem of "super-planned patients". The current legislation does not provide for payment of super-planned volumes of medical care.. But the incidence rate is difficult to predict with a high level of accuracy. Within the framework of the current regulatory framework, all financial risks in this situation are assigned to the medical organization, which does not correspond to the logic of insurance. However, there are some options to mitigate this problem. This is illustrated by the court practice in this area.
    сompulsory medical insurance, volumes of medical care, insurance medical organizations, medical organizations, sanctions, the Commission on development of the territorial judicial practice.

    Authors: Kadyrov F. N. [122]

    Tags: insurance medical organizations4 medical organizations23 sanctions3 the commission on development of the territorial judicial practice1 volumes of medical care2 сompulsory medical insurance1

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  • 2018
  • 2018 № 9 Recommendations for the selection of labor norms for employees of different medical organizations units

    With sufficient development of the regulatory framework, methodological issues of labor regulation at the level of medical organizations are clearly not covered enough. The final result of the regulation of labor is the establishment of labor standards. However, due to the variety of existing labor standards, the complexity of their calculation, etc., one of the most urgent is the question of what labor standards should be established for employees of specific departments holding specific positions. Although the regulation of labor is a serious large-scale work, in the arsenal of medical organizations, there are many methods that are not as costly as, for example, timing. However, the implementation of these methods requires their correct design and application. This publication is devoted to these issues

    Authors: Kadyrov F. N. [122]

    Tags: labor regulation2 labor standards5 load norms1 quantity norms1 service norms1 standard norms1 time norms2

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  • 2018 № 7 Material stimulation of employees of the economic services of the state (municipal) establishments of public health

    The deadline for the introduction of an effective contract in state (municipal) institutions is approaching. In health care facilities, an effective contract is introduced not only for medical but also for other workers, in particular, for economists. In order to correctly establish incentive payments to economic service employees, it is necessary to identify the key functions performed by them. This would be greatly facilitated by professional standards. But, unfortunately, they have not yet been approved for economic positions. On the other hand, the main types of work carried out by economists in state (municipal) health care institutions are well known. Taking into account the experience gained in the development of indicators and criteria for assessing the performance of medical and other positions, this allows you to choose the best options for assessing the activities and employees of the economic service. The article contains an analysis of possible approaches to the methods of material incentives for employees of the economic service, to the establishment of incentive payments within the framework of the introduction of an effective contract

    Authors: Kadyrov F. N. [122]

    Tags: bonuses1 effective contract13 employment contract5 incentive payments8 incentives3 wages5

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  • 2018 № 5 The procedure for the formation of staff lists of state (municipal) health care institutions

    The staff schedule determines the composition and structure of positions, is an important tool for regulating labor relations in the team. At the same time, it is an important economic tool. The powers of the head of the medical organization depend on its rights on the formation of the staffing structure. Often the staff list becomes the object of disputes and conflicts with the founders and various regulatory authorities. The article discusses the legal basis for the formation of staffing in state (municipal) health care institutions

    Authors: Kadyrov F. N. [122] Starodubov V. I. [40]

    Tags: powers of state (municipal) institutions1 regulation2 staff list1 staff standards1

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  • 2018 № 4 The sources of financial provision of rendering emergency medical care

    Free provision of emergency medical care is provided by the legislation. This requires a clear definition of the source of cost recovery for medical organizations that provide this assistance, In a particular situation, how¬ever, there are often situations where law enforcement officials refuse to pay for emergency assistance provided to their employees, referring to the above-mentioned legislative requirement. Many problems in the provision of emergency arises in the system of compulsory health insurance. Payment for emergency medical care rendered in excess of the approved amounts remains an unresolved problem. The problem of compensation for emergency assistance to uninsured citizens is not settled either. These problems are especially urgent for private medical organizations

    Authors: Kadyrov F. N. [122] Sorokinа Yu. А. [1]

    Tags: compulsory health insurance17 contracts for the provision of medical care1 financial support of medical care1 health care24 medical care in emergency form1 paid medical services21

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  • 2018 № 2 «Other conditions» as a basis for payment of medical care. Part 1

    The legislation determined that one of the grounds for the provision of medical care for a fee is its provi- sion on other conditions than provided by the state guarantees program. However, the interpretation of «other con- ditions» is rather ambiguous and requires detailed consideration. For this purpose it is necessary to study not only the state guarantees program itself, but also a number of other regulatory legal acts. Thus it is necessary to distinguish accurately other conditions of rendering medical care from household and service. The article deals with various aspects of medical care for a fee on the basis of its provision on terms different from the state guarantees program

    Authors: Kadyrov F. N. [122]

    Tags: grounds for rendering paid services2 household services2 paid medical services21 service2 the program of the state guarantees of free rendering medical care to citizens2

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  • 2017
  • 2017 № 8 Telemedicine: dreams and realities

    The adoption of the Federal law directly affecting telemedicine was expected for a long time. So the law has generated great interest in the medical community. However, a large number of evaluations of the new law is not accompanied by serious analysis. Meanwhile, despite the apparent «breakthrough» of the right regulation of telemedicine, the possibilities of practical use of telemedicine technologies remain very limited. This is due to the legal boundaries of the use of telemedicine technologies, and organizational and financial. This article discusses these and other issues related to the practical aspects of using telemedicine

    Authors: Kadyrov F. N. [122] Kurakova N. G. [15]

    Tags: consultation2 e-health3 informatization of healthcare3 medical help2 telemedicine10 unified state information system in healthcare1

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  • 2017 № 6 Royalty revenues in medical organizations: types, account features and usage

    A potentially important additional source of financial support of medical organizations, particularly state and municipal systems are non-repayable receipts in the form of donation, donations, etc. In some cases, they can act as an alternative to this form of income-generating activities as the provision of paid medical and other services. However, we must not only learn how to attract these funds, but also the right of their issue and use. For example, to clearly understand how to put the contracts for the receipt of these funds, within the framework of the legislation to procure funds received from donations, etc. this article discusses these and other issues associated with the various types of gratuitous receipts.

    Authors: Kadyrov F. N. [122]

    Tags: charity1 donation income-generating activities of the state (municipal) procurement1 donations1 health funding1

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  • 2013
  • 2013 № 4 New form of labor contract in the process of implementing efficiency contract Consultant: Phd. of Economic F.N. Kadyrov

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