On approval of levels of medical organizations when providing medical care to the population

Accepted Department of Public Health Kemerovo region

1. According to Federal law"On the basics of protecting the health of citizens in Russian Federation"N 323-FZ of November 21, 2011, in order to implement the recommendations of the Ministry of Health of the Russian Federation on the introduction of a three-level system of medical care, I order:
2. 1. Approve:
3. 1.1. Levels of medical organizations in a three-tier system of medical care (Appendix 1).
4. 1.2. List of medical organizations providing medical care at the appropriate level, requirements for them (Appendices 2, 3, 4, 5).
5. 2. By December 1, 2012, the chief specialists of the Department of Public Health will develop routes for patients with diseases of the relevant profile to medical organizations of a level corresponding to the severity of the disease, taking into account optimal transport accessibility and time of delivery of the patient.
6. 3. Entrust control over the execution of the order to the First Deputy Head of the Department of Health Protection of the Kemerovo Region O.V. Seledtsova.
7. Head of Department
8. V.K.TSOY

Levels of care

1. 1. The first level is primary health care, provided on an outpatient basis and in a day hospital.
2. 2. The second level is specialized medical care provided in a hospital setting.
3. Medical organizations providing the second level of medical care are divided into medical organizations of level 2A and level 2B.
4. 3. The third level is specialized, including high-tech medical care, performed in clinical-level medical organizations.

Application

1. (center) Requirements medical organizations providing primary health care(/center)
2. Primary health care is provided by medical organizations with any form of ownership, independent or included in medical organizations as structural units.
3. Primary health care is carried out on a territorial-precinct basis.
4. Medical organizations providing primary health care must have on staff:
5. - general practitioners (for adults);
6. - local therapists (for adults);
7. - pediatricians (for the child population);
8. - local pediatricians (for the child population);
9. - doctors general practice(family doctors).
10. To provide medical care using hospital-replacement technologies, a medical organization must have a day hospital.
11. Medical organizations providing primary health care include:
12. 1. Independent clinics:
13. MBUZ "Clinical Polyclinic No. 5" Kemerovo;
14. MBUZ "Polyclinic No. 6" Kemerovo;
15. MBUZ "City" clinical clinic N 20" Kemerovo;
16. MBUZ "Clinical Consultative and Diagnostic Center" Kemerovo;
17. MBUZ "Center for General Medical Practice" in Kemerovo;
18. MBLPU " City clinic N 1 (OVP)" Novokuznetsk;
19. MBLPU "Outpatient clinic No. 4 (OVP)" Novokuznetsk;
20. MBUZ "City Clinic" Prokopyevsk;
21. MBUZ " City Hospital N 2" Kaltan;
22. MBUZ "City Clinic N 6" Belovo;
23. FKLPU "Clinical Hospital No. 1 of the Main Directorate Federal service execution of sentences in the Kemerovo region";
24. Kemerovo OJSC "Azot";
25. OJSC "Koks";
26. JSC Medical and Sanitary Unit "Health Center "Energetik";
27. NHI "Nodal clinic at the Mariinsk station of the open joint-stock company "Russian railways".
28. 2. Polyclinics (outpatient departments) that are part of hospital and outpatient associations of any form of ownership.

Application
to Order No. 1635 of November 13, 2012

1. (center)Requirements for medical organizations level 2A(/center)
2. Level 2A medical organizations include multidisciplinary hospitals.
3. Level 2A institutions must include:
4. - intermunicipal specialized centers or intermunicipal specialized departments;
5. - along with the main bed profiles (therapy, surgery, obstetrics and gynecology, pediatrics, infectious diseases) at least two specialized departments(specialized beds in other departments are not taken into account);
6. - availability of medical personnel to comply with licensing requirements, procedures and standards for the provision of medical care;
7. - conditions for providing emergency and routine medical care.
8. Level 2A medical organizations include:
9. 1. MBUZ Anzhero-Sudzhensky urban district "Central City Hospital"
10. 2. MBUZ "City Hospital No. 8" Belovo
11. 3. MBUZ "Children's City Hospital No. 1" Belovo
12. 4. MBUZ "City Hospital No. 4" Belovo
13. 5. MBUZ "City Infectious Diseases Hospital No. 3" Belovo
14. 6. MBU City Hospital No. 1, Belovo
15. 7. MBUZ "Central City Hospital" Berezovsky
16. 8. MBUZ "City Clinical Hospital No. 1 named after M.N. Gorbunova" Kemerovo
17. 9. MBUZ "City Clinical Hospital No. 2" Kemerovo
18. 10. MBUZ "City Infectious Clinical Hospital No. 8" Kemerovo
19. 11. MBUZ "City Clinical Hospital N 11" Kemerovo
20. 12. MBUZ "Children's Clinical Hospital No. 2" Kemerovo
21. 13. MBUZ "Children's Clinical Hospital No. 7" Kemerovo
22. 14. MBUZ "Children's Clinical Hospital No. 1" Kemerovo
23. 15. MBU "City Hospital N 2" Kiselevsk
24. 16. MBUZ "City Hospital No. 1" Leninsk-Kuznetsky
25. 17. MBUZ "City Infectious Diseases Hospital" Leninsk-Kuznetsky
26. 18. MBUZ "Central City Hospital" Myski
27. 19. MBUZ "Central City Hospital" Mezhdurechensk
28. 20. MBUZ "Central City Hospital" of the Mariinsky Municipal District
29. 21. MBLPU "Children's City Clinical Hospital No. 3", Novokuznetsk
30. 22. MBLPU "City Clinical Hospital N 11", Novokuznetsk
31. 23. MBLPU "City Clinical Hospital N 22", Novokuznetsk
32. 24. MBLPU "City Clinical Hospital No. 5", Novokuznetsk
33. 25. MBLPU "City Clinical Hospital No. 2 of the Holy Great Martyr George the Victorious" Novokuznetsk
34. 26. MBLPU "Maternity hospital No. 2" Novokuznetsk
35. 27. MBLPU "Clinical" maternity hospital N 3" Novokuznetsk
36. 28. MBLPU "City Clinical Infectious Diseases Hospital No. 8", Novokuznetsk
37. 29. State Budgetary Institution "Novokuznetsk Clinical oncology clinic"
38. 30. MBUZ "City Hospital" Osinnikovsky urban district
39. 31. MBUZ Children's City Hospital in Osinniki
40. 32. MBUZ "Central City Hospital" Polysayevo
41. 33. MBUZ "City Hospital No. 1" Prokopyevsk
42. 34. MBUZ "City Hospital No. 3", Prokopyevsk
43. 35. MBUZ "City Infectious Diseases Hospital" Prokopyevsk
44. 36. MBUZ "Children's City Hospital" Prokopyevsk
45. 37. MBUZ "City Hospital No. 1 of the city of Yurga"
46. 38. MBUZ "City Hospital No. 2 of the city of Yurga"
47. 39. MBUZ "Tashtagol Central" district hospital"
48. 40. MBUZ "Central District Hospital of Tisulsky District"
49. 41. MBUZ "Yurga Central District Hospital"

Application
to Order No. 1635 of November 13, 2012

1. (center)Requirements for medical organizations level 2B(/center)
2. Level 2B medical organizations include hospitals operating according to regional standards for city and district hospitals and federal standards for individual diseases.
3. Level 2B institutions must include:
4. - departments for the main profiles of medical care (therapy, surgery, obstetrics and gynecology, pediatrics, infectious diseases);
5. - availability of medical personnel to fulfill licensing requirements;
6. - conditions for providing emergency and routine medical care. Level 2B medical organizations include:
7. 1. MBUZ "City Hospital No. 2" Belovo
8. 2. MBU "City Hospital No. 1" Kiselevsk
9. 3. MBU "Children's City Hospital" Kiselevsk
10. 4. MBUZ "City Hospital No. 13" Kemerovo
11. 5. MBUZ "Hospital N 15" Kemerovo
12. 6. MBUZ "City Clinical Hospital No. 4" Kemerovo
13. 7. MBUZ "Central City Hospital" Kaltan
14. 8. MBUZ "Krasnobrod City Hospital"
15. 9. MBLPU "City Hospital No. 16", Novokuznetsk
16. 10. MBLPU "City Hospital N 26", Novokuznetsk
17. 11. MBLPU "City Children's Hospital N 28", Novokuznetsk
18. 12. MBLPU "City Children's Hospital No. 6", Novokuznetsk
19. 13. MBUZ "City Hospital N 2" Prokopyevsk
20. 14. MBUZ "City Hospital No. 4" Prokopyevsk
21. 15. MBUZ "Belovskaya Central District Hospital"
22. 16. MBUZ "Central District Hospital" of Guryevsky Municipal District
23. 17. MBUZ "Izhmorsk Central District Hospital"
24. 18. MBUZ "Krapivinskaya Central District Hospital"
25. 19. MBUZ "Central District Hospital" of the Kemerovo Municipal District
26. 20. MBU "Central District Hospital of the Novokuznetsk District"
27. 21. MBUZ "Prokopyevsk Central District Hospital"
28. 22. MBUZ "Central District Hospital of the Promyshlennovsky District"
29. 23. MBUZ "Central District Hospital of the Topkinsky Municipal District"
30. 24. MBUZ "Tyazhinskaya Central District Hospital"
31. 25. MBUZ "Central District Hospital of the Chebulinsky Municipal District"
32. 26. MBUZ "Yaya Central District Hospital"
33. 27. MBUZ Yashkinsky municipal district "Yashkinsky central district hospital"
34. 28. MBUZ "Central District Hospital" Leninsk-Kuznetsk Municipal District
35. 29. FKUZ "Medical and sanitary unit of the Ministry of Internal Affairs of the Russian Federation for the Kemerovo region"
36. 30. NHI "Departmental hospital at the Kemerovo station of the open joint-stock company "Russian Railways"
37. 31. National Health Institution "Nodal Hospital at the Belovo Station of the Open Joint Stock Company "Russian Railways"
38. 32. FKLPU "Hospital No. 2 of the Main Directorate of the Federal Penitentiary Service for the Kemerovo Region"
39. 33. National Health Institution "Nodal Hospital at the Novokuznetsk Station of the Open Joint Stock Company "Russian Railways"
40. 34. National Health Institution "Nodal Hospital at the Taiga Station of the Open Joint Stock Company "Russian Railways"

The capacity of hospitals is determined taking into account their profitability and the population’s need for specialized, including high-tech types of medical care.

Third-level medical organizations must have:

sufficient supply of medical personnel with high vocational training;

the presence of modern equipment in accordance with the equipment list, approved in the prescribed manner and updated taking into account moral and physical wear and tear;

the presence of accredited higher education departments on the basis of the medical medical organization educational institutions;

participation of practicing doctors in research work (availability of academic degrees, monographs, publications, development of new medical technologies and their implementation, patents).

Third level medical organizations include:

1. GBUZ KO "Kemerovo Regional Clinical Hospital"

2. GBUZ KO "Regional Clinical Hospital for War Veterans" Kemerovo

3. GBUZ KO "Kemerovo Regional Clinical Ophthalmological Hospital"

4. GBUZ KO "Regional Clinical Oncology Dispensary" Kemerovo

5. MBUZ "Kemerovo Cardiology Dispensary"

6. MBUZ "Children's City Clinical Hospital No. 5" Kemerovo

7. MBUZ "City Clinical Hospital No. 3 named after M.A. Podgorbunsky" Kemerovo

8. GBUZ KO "Regional Clinical perinatal center named after L.A. Reshetova" Kemerovo

9. MBLPU "City Clinical Hospital N 29", Novokuznetsk

10. MBLPU "City Clinical Hospital N 1" Novokuznetsk

11. MBLPU "Zonal Perinatal Center" Novokuznetsk

12. MBLPU "City Children's Clinical Hospital No. 4", Novokuznetsk

13. GBUZ KO "Regional Clinical Orthopedic Surgical Hospital for Rehabilitation Treatment" Prokopyevsk

14. Federal State budgetary institution- "Research Institute complex problems cardiovascular diseases"Siberian branch Russian Academy Medical Sciences (FGBU "Research Institute of the Communist Party of the Soviet Union" SB RAMS) Kemerovo (as agreed)

15. Federal budgetary medical and preventive institution "Scientific clinical center health protection of miners" (FGBLPU "NKTsOZSh") Leninsk-Kuznetsky (as agreed)

16. Federal State Budgetary Institution "Novokuznetsk Scientific and Practical Center medical and social examination and rehabilitation of disabled people" of the Ministry of Labor and social protection Russian Federation (FSBI NNPC MSE and RI Ministry of Labor of Russia) Novokuznetsk (as agreed)

Ilevel – healthcare institutions – legal entities, providingspecialized medical care, including high-tech specialized care:

1. City Clinical Hospital No.: 1 named after N.I. Pirogov, 4, 7, 12, 13, 15 named after O.M. Filatova, 19, 20, 23 named after Medsantrud, 24, 29 named after N.E. Bauman, 31, 36, 40, 50, 52, 57, 59, 64, 67, 68, 70, 81, State Clinical Hospital named after S.P. Botkin, GKUB No. 47, MGOB No. 62, OKB.
2. GVV No.: 1, 2, 3, Maxillofacial Hospital for War Veterans.
3. Moscow city scientific and research center for the fight against tuberculosis.
4. Moscow Scientific and Practical Center of Otorhinolaryngology.
5. Research Institute of Emergency Medicine named after N.V. Sklifosovsky.
6. Scientific and practical center interventional cardioangiology.
7. Center for Speech Pathology and Neurorehabilitation.
8. Family Planning and Reproduction Center.
9. Central Research Institute gastroenterology.
10. Scientific and practical center for medical care for children with developmental defects of the craniofacial region and congenital diseases nervous system.
11. Research Institute of Emergency Pediatric Surgery and Traumatology.
12. Children's City Clinical Hospital No. 9 named after G.N. Speransky.
13. Morozov Children's City Clinical Hospital.
14. Tushino Children's City Hospital.
15. Children's City Clinical Hospital of St. Vladimir.
16. Izmailovo Children's City Clinical Hospital.
17. Children's Psychoneurological Hospital No. 18.
18. Children's City Clinical Hospital No. 13 named after N.F. Filatov.
19. Children's Infectious Diseases Hospital No. 6 UZ Northern Administrative District of Moscow.

II level – healthcare institutions – legal entities providing specialized medical care (without high-tech medical care):

1. City Clinical Hospital No.: 6, 11, 14 named after. V.G. Korolenko, 45, 51, 53, 55, 60, 61, 63, 71, 79;
   GB No.: 3, 9, 17, 43, 49, 54, 56, 72;
2. IKB No.: 1, 2, 3.
3. TKB No.: 3 im. prof. G.A. Zakharyina, 7; TB No.: 6, 11.
4. PKB No.: 1 named. N.A. Alekseeva, 4 named after. P.B. Gannushkina, 12, 15;
   PB No.: 2 named. O.V. Kerbikova, 3 im. V.A. Gilyarovsky, 5, 7, 9, 10, 13, 14, 16;
   SKB No. 8 named after. Z.P. Solovyova (Clinic of Neuroses).
5. NKB No. 17.
6. Moscow Scientific and Practical Center for Narcology.
7. Center for Medical and social rehabilitation with a department for permanent residence of adolescents and adults with severe disabilities forms of cerebral palsy who do not move independently and do not care for themselves.
8. Moscow Scientific and Practical Center for Sports Medicine.
9. Center rehabilitation medicine and rehabilitation.
10. Diagnostic center(Women's Health Clinic).
11. Children's psychiatric hospitals №№: 6, 11.
12. Children's City Hospital for Rehabilitation No. 3.
13. Children's City Hospital No. 19 named after. T.S. Zatsepina.
14. Children's cardio-rheumatological sanatorium No. 20 "Krasnaya Pakhra".
15. Children's pulmonary sanatorium No. 39.
16. Children's tuberculosis sanatorium No. 64.
17. Children's bronchopulmonary sanatorium No. 23.
18. Children's sanatoriums No.: 44, 68.
19. Maternity hospitals Nos.: 1, 2, 3, 4, 5, 6 named after A.A. Abrikosova, 8, 10, 11, 14, 15, 16, 17, 18, 20, 25, 26, 27, 32.

III level – healthcare institutions – legal entities providing specialized and primary health care (institutions on which there are single- and multi-disciplinary specialized intermunicipal centers):

1. Ambulance and emergency medical care station named after A.S. Puchkov.
2. Scientific and Production Center for Emergency Medical Care.
3. City Hospital No. 8.
4. Gynecological hospitals No.: 1, 5, 11.
5. City clinic No. 25.
6. City consultative and diagnostic center for specific immunoprophylaxis.
7. Moscow City Center for Rehabilitation of Patients with spinal cord injury and consequences of cerebral palsy.
8. Manual Therapy Center.
9. Family planning and reproduction centers No.: 2.
10. Diagnostic Clinical Center No. 1; Diagnostic centers No.: 2, 3, 4, 5, 6.
11. MSCh No.: 2, 6, 8, 13, 14, 15, 17, 18, 23, 26, 32, 33, 34, 42, 45, 48, 51, 56, 60, 63, 66, 67, 68.
12. Rehabilitation clinics No.: 1, 2, 3, 4, 6, 7.
13. HDPE No.: 1, 2, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24.
14. Narcological Clinical Dispensary No. 5;
15. Anti-tuberculosis clinical dispensaries No.: 4, 12, 21;
    PTD No.: 2, 5, 6, 7, 8, 10, 13, 14, 15, 16, 17, 18, 20.
16. Oncological clinical dispensary No. 1,
    OD No.: 4.
17. Endocrinological dispensary.
18. Cardiological clinic No. 2.
19. Medical and physical education clinics No.: 4, 5, 6, 11, 13, 16, 17, 19, 27.
20. First Moscow hospice.
21. Hospices No.: 2, 3, 4, 5, 6, 7, 8.
22. Children's infectious diseases hospitals No.: 4, 5, 8, 12, 21.
23. Children's homes specialized for children with organic damage to the central nervous system and mental disorders No. 6, 9, 12.
24. Specialized children's homes No.: 20, 21, 23.
25. Tuberculosis sanatoriums No.: 5, 58.
26. Children's nephrological sanatorium No. 6.
27. Children's bronchopulmonary sanatoriums No. 8, 15, 29.
28. Children's tuberculosis sanatorium No. 17.
29. Children's cardio-rheumatological sanatoriums: No. 20 “Krasnaya Pakhra”, 42.
30. Children's psychoneurological sanatorium No. 30, 65, 66.

IVlevel – health care institutions – legal entities providing primary health care:

1. GP No.: 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 64, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, KDP No. 121, 122, 124, 125, 126, 127, 128, 130, , 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 5, 156, 157, 158, 159, 160, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, 174, 175, 176, 177, 179, 180, 181, 2, 183, 185, 186, 187, 188, 189, 190, 191, 192, 193, 194, 195, 196, 197, 198, 199, 201, 202, 203, 204, 205, 206, 207, 208, 9, 210, 211, 212, 213, 214, 215, 217, 218, 219, 220, 221, 222, GPTP No. 223, 224, 225, 226, 227, 229, 230.
2. DGP No.: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42 (teen center), 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 122 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 7, 148, 149, 150.
3. SP No.: 2, 3, 4, 5, 7, 8, 9, 11, 12, 13, 14, 15, 19, 20, 22, 23, 24, 27, 31, 32, 33, 34, 35, 48, 49, 50, 51, 53, 55, 56, 57, 60, 61, 62, 64, 65, 66, 67.
4. Chipboard No.: 1, 6, 10, 16, 21, 25, 26, 28, 29, 30, 36, 37, 38, 39, 41, 43, 44, 45, 46, 47, 52, 54, 58, 59, 63.
5. Residential complex No.: 9.
6. Children's sanatoriums No.: 9, 12, 13, 18, 19, 24, 25, 27, 33, 34, 45, 47, 48, 51, 56, 62, 67, 70.
7. Children's home no.: 2, 3, 4, 5, 13, 14, 15, 17, 19, 24, 25.
8. Rehabilitation treatment centers for children No.: 1, 3, 4, 5, 6, 7, 9.
9. Center for rehabilitation treatment for children with bronchopulmonary pathology.
10. Center for organizing rehabilitation treatment of specialized psychoneurological care for children No. 2.

Improving the organization of medical care in our country will be based on three blocks:

• First of all, on ensuring that the patient can get as quickly as possible to an institution that can provide medical care in accordance with Standard.

• The second very important block is the phasing of medical care according to Order.

• The third important block is the introduction of performance targets that reflect not only the types and volumes of medical care provided, but also its quality.

Level 1. Primary health care

Primary health care, organized on a territorial-precinct principle, has been and remains a priority area of ​​domestic health care due to the huge size of the country and uneven population density.

• Eliminating personnel shortages through intra-industry migration redistribution.
• Disaggregation of sites: reducing the number of attached adult population from 1700-2500 people to 1.2-1.5 thousand people per site (becomes possible when the personnel shortage is eliminated).
• Creation human conditions for work - increasing the standard time allocated per adult patient to 20 minutes.
• Reducing the workload by transferring a number of activities to nursing staff: first aid at acute pathology, dispensary observation patients with chronic pathology etc.
• Retrofitting primary care technologies replacing hospitals - the development of systems of “hospitals at home” and active patronage.
• Transition to other performance targets with an emphasis on preventive activities. For example, share healthy people everyone age groups from total number attached population, percentage of disease detection per early stages among all first-time cases.

Level 2. Inpatient care

• The main point is the intensification of the work of the bed. This will be possible, on the one hand, if hospital-replacing technologies are introduced into primary care, and a network of departments for after-care and rehabilitation is developed. Inpatient medical care should be limited to patients requiring 24-hour monitoring.
• Creation of a routing service in each hospital through which patients will be discharged from the hospital. This service will ensure the organization of stage-by-stage recovery treatment and rehabilitation, continuity in the management of the patient at all stages, the transfer of information about the patient and medical and social recommendations to the local patronage unit at the patient’s place of residence.
• Step-by-step creation of headers regional centers, coordinating the entire scope of preventive, diagnostic and therapeutic measures on socially significant medical problems.
• Improving institutional performance targets stationary level, reflecting the quality of medical care (mortality, degree of restoration of impaired functions).

Level 3. Rehabilitation

None of the previous Concepts for the development of healthcare, including the Soviet period, included this stage (remember, the Ministry of Health did not have its own sanatoriums?). Thus, a three-tier (instead of a two-tier) healthcare system is being created in Russia: primary health care, inpatient care and a rehabilitation treatment service.

• Creation and expansion of a network of institutions (departments) for rehabilitation treatment (aftercare), rehabilitation, medical care by repurposing some of the operating hospitals and sanatorium-resort institutions.
• Determination of target performance indicators that reflect the quality of medical care (degree of restoration of impaired functions, indicators of primary disability and severity of disability).

Level 4. Parahospital service

This is just a pilot project that will be launched in those regions that have achieved good development by 2014-2015.

The essence of the project: an organizational structure is being created that combines a hospital admissions department and an ambulance station, plus services for discharge and routing of patients, primary care patronage services and after-care services.

This service will be intended for:

• providing the population with emergency and emergency medical care (first-time cases and persons with exacerbation of a chronic disease);
• determining the need (or lack of need) for hospitalization of the patient in a hospital;
• carrying out a complex of diagnostic and therapeutic measures for pathological conditions that do not require continuous round-the-clock monitoring;
• organizing the optimal stage of follow-up treatment for the patient (“home hospital”, departments of rehabilitation treatment and rehabilitation, hospice) and implementing active or passive patronage.

1. Review the project sample program modernization of healthcare in a constituent entity of the Russian Federation for 2011-2012 (see www.minzdravsoc.ru).

2. Prepare and present information on Appendix 1 (not provided) (tables 1.2, 2.2, 2.3, 2.4, 2.5, 2.6, 3.4, 3.5, 3.8.1, 3.8.2, 3.8.3, 3.10, 4):

– for filling out electronically in the UAIS system (Moszdrav), module “Healthcare Modernization Program”. Deadline: until 12.00 08/19/2010;

– on paper with the signature of the head and the seal of the institution to the Department of Health (4th floor, conference room) 08.18.2010 from 15.00 to 17.00; 08/19/2010 from 10 to 12 o'clock.

When preparing information, be guided by the approximate Classification of healthcare institutions by level of medical care (appendix to the order).

3. Questions regarding the draft sample Health Care Modernization Program should be sent by e-mail to: [email protected].

First Deputy Head of the Moscow City Health Department, Chairman Working group S.V. Polyakov

Appendix to the order of the Moscow Department of Health dated August 13, 2010 N 2-18-81

CLASSIFICATION OF HEALTHCARE INSTITUTIONS BY LEVEL OF MEDICAL CARE

Level 1 – healthcare institutions, legal entities providing specialized medical care, including high-tech specialized care:

1. City Clinical Hospital No. 1 named after N.I. Pirogov, 4, 7, 12, 13, 15 named after O.M. Filatova, 19, 20, 23 named after Medsantrud, 24, 29 named after N.E. Bauman, 31, 33 named after prof. A.A. Ostroumova, 36, 40, 47, 50, 52, 57, 59, 62, 64, 67, 68, 70, 81, State Clinical Hospital named after S.P. Botkin, GKUB N 47, GOKB N 62, OKB.

2. GVV N 1, 2, 3, Maxillofacial Hospital for War Veterans.

3. Moscow City Scientific and Production Center for the Fight against Tuberculosis.

4. Moscow Scientific and Practical Center of Otorhinolaryngology.

5. Research Institute of Emergency Medicine named after N.V. Sklifosovsky.

6. Scientific and practical center for interventional cardioangiology.

7. Center for speech pathology and neurorehabilitation.

8. Center for Family Planning and Reproduction.

9. Central Research Institute of Gastroenterology.

10. Scientific and practical center for medical care for children with developmental defects of the craniofacial region and congenital diseases of the nervous system.

11. Research Institute of Emergency Pediatric Surgery and Traumatology.

12. Children's City Clinical Hospital N 9 named after G.N. Speransky.

13. Morozov Children's City Clinical Hospital.

14. Tushino Children's City Hospital.

15. Children's City Clinical Hospital of St. Vladimir.

17. Children's psychoneurological hospital No. 18.

18. Children's City Clinical Hospital N 13 named after N.F. Filatova.

Level 2 – healthcare institutions – legal entities providing specialized medical care (without high-tech medical care):

1. City Clinical Hospital No. 6, 11, 14 named after. V.G. Korolenko, 51, 53, 55, 60, 61, 63, 71, 79;

GB N 3, 9, 10, 17, 43, 49, 54, 56, 72;

SKB of rehabilitation treatment.

2. IKB No. 1, 2, 3.

3. TKB N 3 named after. prof. G.A. Zakharyina, 7;

4. PKB N 1 named after. N.A. Alekseeva, 4 named after. P.B. Gannushkina, 12, 15;

PB N 2 named after. O.V. Kerbikova, 3 im. V.A. Gilyarovsky, 7, 9, 10, 14, 16;

SKB N 8 named after. Z.P. Solovyova (Clinic of Neuroses).

6. Moscow Scientific and Practical Center for Narcology.

7. Center for medical and social rehabilitation with a department for permanent residence of adolescents and adults with disabilities with severe forms of cerebral palsy who cannot move independently and do not care for themselves.

8. Moscow Scientific and Practical Center for Sports Medicine.

9. Center for Regenerative Medicine and Rehabilitation.

10. Diagnostic center (Women's health clinic).

11. Children's psychiatric hospitals No. 6, 11.

12. Children's City Hospital for Rehabilitation No. 3.

13. Children's City Hospital No. 19 named after. T.S. Zatsepina.

14. Children's sanatoriums No. 20, 23, 39, 44, 64, 68.

15. Maternity hospitals No. 1, 2, 3, 4, 5, 6 named after. A.A. Abrikosova, 8, 10, 11, 14, 16, 17, 18, 20, 25, 26, 27, 32.

Level 3 – healthcare institutions – legal entities providing specialized and primary health care (institutions on which there are single- and multi-disciplinary specialized intermunicipal centers):

1. Ambulance and emergency medical care station named after. A.S. Puchkova.

2. Scientific and Practical Center for Emergency Medical Care.

3. City Hospital No. 8.

4. Gynecological hospitals No. 1, 5.

5. City consultative and diagnostic center for specific immunoprophylaxis.

6. Moscow City Center for Rehabilitation of Patients with Spinal Injury and Consequences of Cerebral Palsy.

7. Manual therapy center.

8. Family planning and reproduction centers No. 2, 3.

9. Diagnostic Clinical Center No. 1;

diagnostic centers No. 2, 3, 4, 5, 6.

10. MSCh N 2, 6, 8, 13, 14, 15, 17, 18, 23, 26, 32, 33, 34, 42, 45, 48, 51, 56, 58, 60, 63, 66, 67, 68.

11. Rehabilitation clinics No. 1, 2, 3, 4, 6, 7.

12. KVKD N 7, 8, 10, 23, 29;

KVD N 1, 3, 5, 6, 9, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 26, 27, 28, 30, 31.

13. HDPE N 1, 2, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24.

14. Narcological clinical dispensary N 5;

Narcological clinics No. 1, 2, 3, 4, 6, 7, 8, 9, 10, 11, 12, 13, 14.

15. Anti-tuberculosis clinical dispensaries No. 4, 12, 21;

PTD N 2, 5, 6, 7, 8, 10, 13, 14, 15, 16, 17, 18, 20.

16. Oncological clinical dispensary N 1;

17. Endocrinological dispensary.

18. Cardiological clinic N 2.

19. Medical and physical education clinics No. 4, 5, 6, 11, 13, 16, 17, 19, 27.

20. First Moscow hospice.

21. Hospices No. 2, 3, 4, 5, 6, 7, 8.

22. Children's infectious diseases hospitals No. 4, 5, 6, 8, 12, 21.

23. Children's homes specialized for children with organic damage to the central nervous system and mental disorders No. 6, 9, 12.

24. Specialized children's homes No. 20, 21, 23.

25. Tuberculosis sanatoriums No. 5, 58.

26. Children's nephrological sanatorium N 6.

27. Children's bronchopulmonary sanatoriums No. 8, 15, 23, 29.

28. Children's tuberculosis sanatoriums N 17, 64.

29. Children's cardio-rheumatological sanatoriums N 20 "Krasnaya Pakhra", 42.

30. Children's psychoneurological sanatoriums N 30, 44, 65, 66.

31. Children's pulmonary sanatorium N 39.

January 22, 2020, Radio electronics. Microelectronics. Supercomputer technologies. Photonics The Development Strategy of the electronics industry of the Russian Federation for the period until 2030 has been approved Order No. 20-r dated January 17, 2020. The goal of the Strategy is to create a competitive industry based on the development of scientific, technical and human resources potential, optimization and technical re-equipment of production facilities, creation and development of new industrial technologies, as well as improvement legal framework to meet the needs of modern electronic products.

October 8, 2019, Relocation of emergency housing The government has submitted to the State Duma a bill on improving mechanisms for relocating citizens from dilapidated housing Order of October 7, 2019 No. 2292-r. Prepared in pursuance of the instructions of the President of Russia following a meeting with members of the Government on the issue of relocating citizens from emergency housing stock.

September 21, 2019, Emergency situations and liquidation of their consequences A program for the restoration of housing and infrastructure facilities damaged as a result of floods in the Irkutsk region has been approved Order No. 2126-r dated September 18, 2019. The program for the restoration of housing, communication facilities, social, communal, energy and transport infrastructure, hydraulic structures, administrative buildings damaged or lost as a result of floods in the Irkutsk region includes 211 activities.

September 5, 2019, Quality of regional and municipal governance The Federal Statistical Work Plan has been supplemented with information on the effectiveness of the activities of senior officials and executive authorities of the constituent entities of the Federation Order of August 27, 2019 No. 1873-r. The Federal Statistical Work Plan includes 15 indicators for assessing the effectiveness of the activities of senior officials and executive authorities of the constituent entities of the Federation. The collection of statistical data on these indicators will make it possible to obtain a reliable assessment of the effectiveness of the activities of senior officials and executive authorities of the constituent entities of the Federation.

August 23, 2019, Social innovation. Non-profit organizations. Volunteering and volunteering. Charity The rules for the functioning of the unified information system in the field of volunteer development Resolution of August 17, 2019 No. 1067. Decisions made are aimed at providing information and analytical support for volunteer activities and will allow the formation of a single platform for interaction between institutions of volunteer activity.

August 15, 2019, Plant growing The long-term strategy for the development of the Russian grain complex until 2035 has been approved Order of August 10, 2019 No. 1796-r. The goal of the Strategy is the formation of a highly efficient, scientifically and innovation-oriented, competitive and investment-attractive balanced system of production, processing, storage and sale of basic grains and leguminous crops, their processed products, guaranteeing food security in Russia, fully meeting the country’s internal needs and creating significant export potential.

August 14, 2019, Circulation of medicines, medical devices and substances It was decided to conduct an experiment on the labeling of wheelchairs related to medical products Resolution of August 7, 2019 No. 1028. From September 1, 2019 to June 1, 2021, an experiment will be conducted on labeling wheelchairs related to medical devices with identification means. The purpose of the experiment is to study the issues of the operation of the wheelchair marking system and monitor their turnover, organize effective interaction between government bodies, including control bodies, and participants in the turnover of wheelchairs.

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