2019 № 1 About inadmissibility of transfer of all chief physicians and their deputies to the status of non-medical workers and the admission to management of the medical organizations as the first heads of persons without medical education
In the article, the authors show in detail and justify the very dramatic consequences that the country's health care will receive if the planned changes to the Regulation on the licensing of medical care are adopted the activities assuming exception of works (services) on "the organization of health care and public health" from the List of the works (services) making medical activity, and also the admission to the management of the medical organization as the first leaders of persons without higher medical education. The authors emphasize that the implementation of the planned changes will lead to the fact that the chief physicians and their deputies will cease to be medical workers, the manageability of medical organizations and the quality of medical care will decrease, the system of training of managers will degrade. This is totally unacceptable.
2018 № 1 About the requirements of the identification and design of preliminary and clinical diagnoses: what you need to pay attention in a medical organization
The article discusses issues related to the organization of the identification and registration of clinical and preliminary diagnoses in accordance with the requirements of order of Ministry of Public Health from 10.05.2017 № 203н. Practical recommendations for filling approved by the Ministry of the Russian Federation of forms of medical documents (medical card of a patient receiving medical care in outpatient facilities, and medical card of the inpatient), taking into account new requirements for the establishment and design of the preliminary and clinical diagnoses. Brought to the attention of healthcare leaders that we now have a criterion of quality of medical care is the fulfillment of the requirements for the compulsory consultation of doctors in case of difficulty of establishing a clinical diagnosis within the specified time
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.
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
2018 № 10 About terms and order of provision of information constituting a medical secret to the institution of inquiry and investigation, the court, on request of the prosecution and of the criminal-executive system
The article shows and justifies which bodies in accordance with the legislation of the Russian Federation belong to the bodies of inquiry and investigation. The authors pay attention to a number of important features that need to be taken into account by medical organizations when working with requests for information constituting medical secrecy, the bodies of inquiry and investigation, the court, at the request of the Prosecutor’s office and the body of the penal system, as this activity is regulated not only by the legislation in the field of health, but also by regulatory legal acts regulating the activities of these bodies.
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
2018 № 8 Duties of the doctors and the quality control and safety of medical activity: what to consider in a medical organization
The article deals with the issues of registration and content of duties of a doctor in connection with the implementation of the state control of quality and safety of medical activities on checklists (lists of control issues). The authors pay attention to the direct requirement of the legislation in the field of health care, concerning the obligatory presence of job descriptions of doctors, as well as justify in detail where and how the medical organization should be prescribed job duties and duties of a doctor. The article shows that in the duties of a doctor it is necessary to document the provisions on compliance with the requirements for ensuring the quality and safety of medical activity.
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.
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
2020 № 6 What checks are cancelled and which are retained for medical organizations of the country in terms of the situation with coronavirus infection
The article contains a detailed analysis of the legal acts issued in April 2020 in connection with coronavirus infection and regulating the issues of state control (supervision) in relation to medical organizations until the end of 2020. In the publication, the authors present the main control and Supervisory measures that will be carried out in medical orga- nizations during 2020. A number of issues related to the legal regulation of control and Supervisory activities that require clarification are identified. In terms of the quality and safety of medical activities, the attention of medical organizations is drawn to the expediency of ensuring their own maximum readiness for various scenarios of carrying out certain control and Supervisory measures established before the end of 2020.