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To Managing directors of territorial funds of obligatory medical insurance:

      1. 4355/36
On direction of joint order of the Ministry of Health Russia and Federal Fund OMS "On improvement of checking the quality of medical treatment to population of the Russian Federation"

 

Federal fund of obligatory medical insurance directs a joint order of the Ministry of public health of the Russian Federation and of the Federal fund of obligatory medical insurance dated 24 October 1996. "On improvement of checking the quality of medical treatment to the population of the Russian Federations" for the management and use in work.

Simultaneously ask You bring the contents of given order before insurance medical organisations, participating in the obligatory medical insurance system.

Exhibits: mentioned order on 24 l.

 

Managing director V. V. Grishin

 

 Isp. Kirii K. A.

tel. 973-49-14

 

 

 


 

Ministry of public health of the Russian Federation - Federal fund of obligatory medical insurance:

DECREE

24 October 1996 Moscow 363/77

 

On improvement of checking of quality of medical treatment to population of Russian Federation

In accordance with and on the basis of:

legislation of the Russian Federation on protection health of people

the Law of Russian Federation "On personal medical insurance in the Russian Federation"

and with the purpose of improving checking of the quality of medical treatment to population of Russian Federation

and in consultation with Fund of social insurance of Russian Federation

CONFIRM:

1. Position on the system of departmental checking of quality of medical treatment in establishment public health of the Russian Federation (exhibit 1).

2. Position on the system of external checking of quality of medical treatment in the Russian Federation (exhibit 2).

3. Position on independent medical experts (exhibit 3).

4. Position on experts of insurance medical organisations (exhibit 4).

ORDER:

1. Leaders of management bodies in public health sectors of the Russian Federation to develop an organisation system and procedure for checking the quality of medical treatment in subdepartmental medico-preventive institutions.

2. Leaders of management bodies in public health sectors of the Russian Federation and territorial fund of obligatory medical insurance:

2.1. To organise a system for checking the quality of medical treatment to the population in accordance with the present order.

2.2. In consultation with interested organisations and establishments, to develop and confirm the order of external checking of the quality of medical treatment on Russian Federation territory.

3. Control scholastic management of the Ministry of Health Russia (N N Volodin) and Control scientifically-methodical provision and preparing a personnel (frames) of Federal fund OMS to develop and in accordance with the established order confirm the programme for preparing independent medical experts and experts of insurance medical organisations, realising checking the quality of medical treatment to the population.

4. Governing an organisation of medical treatment to the population Of the Ministry of Health Russia (A A Karpeyev) and Governing an organisation of obligatory medical insurance of Federal fund OMS (N D Tegai) ensure organising-methodical help to organs establishment public health, territorial funds of obligatory medical insurance, insurance medical organisations on questions of organisations of checking the quality of medical treatment to the population.

5. Checking for the performance of the order is entrusted to the undersecretary of public health of the Russian Federation V I Starodubov and first deputy managing director of Federal fund of obligatory medical insurance V U Semenov.

 

Minister of public health / Managing director of the Russian Federation of Federal fund of obligatory medical insurance:

T B Dmitriyev / V V Grishin

 

 


 

Exhibit 1 to order

Ministries of public health of Russian Federation and Federal fund OMS dated 24 October 1996. 363 / 77

POSITION

SYSTEM OF DEPARTMENTAL CHECKING OF THE QUALITY OF MEDICAL TREATMENT IN ESTABLISHMENT PUBLIC HEALTH IN THE RUSSIAN FEDERATION

1. GENERAL PROVISIONS. 1.1. The present position is designed in accordance with Bases of legislation of Russian Federation on the protection health of people, Laws of the Russian Federation "On the medical people insurance in Russian Federation", "On protection of rights of users" and other normative acts. It installs general organising and methodical principles of departmental checking of the quality of medical treatment provided to the population in establishment public health, regardless of departmental subordination and the form of property on the territory of Russian Federation.

1.2. Aiming at realisation of departmental checking of quality of medical treatment, ensuring the rights of patients to receive medical treatment of necessary volume and requisite quality on the base of optimum use of personnel and material and technical resources of public health and using the appropriate medical technologies.

1.3. With the object of checking medical treatment, seen as a complex of preventive, medico-diagnostic and rehabilitation actions, producing practical results in line with current technology.

1.4. The system of departmental checking of the quality of medical treatment includes the following elements:

  2. ORGANISATION AND PROCESSES OF DEPARTMENTAL QUALITY CHECKING OF MEDICAL TREATMENT.

 

2.1. Departmental checking of the quality of medical treatment is realised by expert executives in the medico-preventive establishment and management bodies of the public health, clinic-commissions of experts and main staff and independent specialists of all public health levels. Employees of BUZs, scientific centres, OMS and other establishment in the contractual system are to be involved in the processes necessary to carry out examinations.

2.2. For medico-preventive establishment within the scope of the Health Ministry order for Russia dated 13.01.95. "On measures on the improvement of examination of temporary disability", the quality of the examination of medical treatment is the responsibility of managing subdivisions (first level examinations), deputies of leader of establishments for clinic-expert work, medical work, dispensary-polyclinic help (second level examinations), clinic-commission of experts of establishment s (third level examinations). 2.3. Examination of the process of rendering medical treatment is evidenced by the finished outcome. Examination, as a rule, is based on assessment of medical documentation (inpatient medical card, outpatient card and others). As necessary, it can be conducted by expert visual inspection.

2.4. Expert checking in every case as follows:

All other events in rendering medical treatment must also be subject to expert evaluation on the basis of selection by statistical random sampling. 2.5. The managing subdivision conducts reviews of not less than 50% of finished events within a month. Deputy leaders of establishments in clinic-expert work, medical work, dispensary-polyclinic treatment conduct not less than 30-50 examinations during the quarter. The volume of work of a clinical-commission of experts is defined by the tasks necessary to ensure quality and efficiency of medical treatment, as allocated by the medico-preventive establishment, and by higher management bodies by the public health. The volume of work of managing dispensary-polyclinic subdivisions is based on the regional level.

2.6. The quality of examination of medical treatment to actual patients should be consistent with standards, which, as a rule, assume uniform equipment and volumes of diagnostic and treatment actions, as well as requirements in terms of treatment for the actual nosological forms of diseases presenting and the results.

The leading role in quality examination of medical treatment derives from the conclusions of the expert, who takes all circumstances of the individual event into account, against the background of performance standards.

2.7. During examination of the quality medico-diagnostic process, an expert:

2.8. On each occasion of expert evaluation a "Card of quality evaluation of medical treatment"is completed. As a result statistical processing, factors are developed characterising quality and efficiency of medical treatment.

2.9. A strategy for expert quality evaluation of medical treatment and sets of factors, and their characterisation, are developed, confirmed and agreed on the regional level.

2.10. Study of satisfaction for medical treatment is also included for acceptance in the regional strategy.

2.11. In preparing the analytical framework for evaluation of medico-preventive establishments, as well as the public health of region, quality factors and efficiency of medical treatment are complemented by activity factors of the public health establishment and features of the health population, such as the distribution and incidence of socially-significant diseases, indicators of invalidity and death-rate of people of working age, invalidity of infants, efficiency of rehabilitation of sick and invalids, including newborn screening or phenylketonuria and innate hypotereos for young children - audiological screening, abortion factors, infant and baby death-rate and others.

2.12. Information received as a result of quality evaluations on the efficiency of medical treatment is provided for to the information of leaders of establishments and public health management bodies and is a point at issue amongst employees.

 

 

3. CONCLUSION

3.1. Departmental checking of the quality and efficiency of medical treatment is a vital activity, the closest to the performers of medical services. Its results are used and compared with given external examinations.

3.2. Quality Factors and efficiency of medical treatment are to be used to differentiate labour payment of medical workers.

 

First Director for organisation of medical treatment to population, Ministry of Health of Russia

A A Karpeyev

 

 

 

 


 MACHINE TRANSLATION

Exhibit 2 to order of Ministry of public health of the Russian Federation and Federal Fund OMS dated 24 October 1996. 363 / 77

POSITION

ON SYSTEM OF EXTERNAL CHECKING THE QUALITY OF MEDICAL TREATMENT IN THE RUSSIAN FEDERATION

1. GENERAL PROVISIONS.

The system of external checking of the quality of medical treatment is established in the Russian Federation in accordance with effective legislation in order to defend the rights of people to health protection and give assistance to organs of state control in deciding tasks in improving activity in public health establishments.

Included in the competence of the external checking system is the quality evaluation of medical treatment not within the state public health system.

Powers for undertaking external checking are derived from the legislation of the Russian Federation on the protection health of people, the Law of the Russian Federation "On the medical people insurance in Russian Federation", the resolution of Government of the Russian Federation "On approving a Position on the licensing of medical activity", the Instruction on the order of issue of documents certifying temporary disability, and Standard obligatory medical insurance rules.

The present Position establishes united organisational and methodological principles for external supervision of the quality of medical services, provided by a public health establishment regardless of departmental subordination and form of ownership, as well as persons involved in private medical practice, in the territory of Russian Federation.

External supervision the quality of medical treatment is carried out on the basis of the evaluation resources and personnel availability in the medico-preventive establishment, applicable technologies, as well as volume factors and the outcomes of their activity.

To raise the efficiency of expert activity on the territory of the Russian Federation, the professional medical association (or the license-accreditation commission) maintains a register of independent experts in consultation with the territorial fund of obligatory medical insurance, the executive organ of the Fund of social insurance of the Russian Federation and the management body of the public health.

Responsibility for the organisation and condition of external supervision of the quality of medical treatment is held by leaders and executives of organisations and establishments, eligible on its undertaking, in accordance with duty regulations and effective legislation.

2. ABOUT SYSTEMS OF EXTERNAL SUPERVISION OF THE QUALITY OF MEDICAL TREATMENT AND THEIR COMPETENCE

 

External supervision of the activity of establishments of public health, as well as of physical persons, is carried out by: The primary task in external supervision of the quality of medical treatment is the organisation, within its competence, of medical and physician-economic examination to ensure the rights of people to receive the medically necessary quality of help and checking the efficiency of using public health resources, as well as the financial facilities of OMS and social insurance.

External supervision of quality is achieved in the following ways:

 

Competency license-accreditation commission

In accordance with its own authority, the license-accreditation commission:

 

Competence of insurance medical organisations.

(applies also to territorial OMS funds when they perform the functions of insurer).

 

 

 

Competence of underwriter.

 

Competence of executive organs of the Fund of social insurance of the Russian Federation.

Supervising within the limits of their own competence procedures for and accuracy of documentation certifying temporary disability, including circumstances where:

 

Competence of professional medical associations, deriving from their internal Constitution or Charter

 

Competence of associations protecting rights of users

 

3. ORGANISATION OF INTERACTION an SUBJECT of EXTERNAL SUPERVISION the quality With Public health establishment ON REALISATION OF QUALITY EXAMINATION OF MEDICAL TREATMENT

 

On the subject of External supervision the quality in events of revealing the defects in the process of rendering a medical treatment on its competencies: For perfecting an interaction of departmental and external quality examination of medical treatment on the subject of external supervision realise a request in the clinic-commission of experts medico-preventive establishment or corresponding management body by the public health on results of undertaking a departmental examination on put (deliver) questions, value results of the departmental examination, and, in the event of the consent with them, take necessary deciding or corresponding measures without undertaking an additional examination.

Main reasons of purpose of the external medical examination For insurance medical organisations:

 

For executive organs of Fund of social insurance of the Russian Federation:

 

For license-accreditation commissions:

 

Organisations and establishment, eligible for undertaking a external medical examination, are obliged:

 

Organisations and establishment, eligible for undertaking a external examination, can:

 

4. ORGANISATION And ORDER of UNDERTAKING a EXTERNAL QUALITY SUPERVISION OF MEDICAL TREATMENT

 

On the subject of External supervision the quality organise its expert activity in accordance with legislation of Russian Federation, departmental normative acts and the present Position. Undertaking a external quality supervision of medical treatment realise staff experts, as well as independent experts, fall into the register and allow to expert activity in accordance with the established order.

Quality Examination of medical treatment in the external supervision system shall be conduct on the territory subject Russian Federation on united methodological principles and technologies, co-ordinated with all subject external supervision.

Financing of expert activity in the system of external supervision the quality is realised to the account of facilities these subjects, as well as part of penalty sanctions, imposed on legal and physical persons in accordance with the Position on the order of medical service payment in the obligatory medical insurance system.

External supervision can be realise in the manner of:

Preventive supervision is realised license-accreditation by the commission before undertaking a licensing and accreditation of medical establishment or physical person.

Aiming to a preventive supervision is a determination of possibilities of medical establishment or physical person to render the declare types of medical treatment, as well as correspondences to their activity install to standards.

Preventive supervision is call to value the quality and safety level of working a medical establishment for the patient before getting by it permits on rendering the medical services to the population.

In the course of preventive supervision are value:

1. Structure of medical establishment, including evaluation:

2. Quality medico-diagnostic process, including evaluation:  

Preventive supervision is realised on the base of standards, for what as an instrument of evaluation use:

 

In events of absence of federal standards are used territorial standards, confirmed by the management body by the public health subject Russian Federation.

Supervision a result realise subject of external supervision.

Aiming to a supervision a result is an evaluation of quality executed medical facilities to the concrete patient. In the course of quality examinations medical facilities are value:

Under medical efficiency is understood degree of achievement put (deliver) purposes. Medical efficiency that above, than closer medical workman on results of treatments approaches to criteria and parameters of productivity of treatments, scheduled in the standard for given pathology.

Cost-performance is valued on the base of economic standard, characterising greatly possible expenses on the treatment of typical event for each medical condition. If execution medico-diagnostic process and achievement herewith greatly possible, for the case in point, medical efficiency of expenses do not exceed maximum borders of rate, follows to consider a cost-performance reach.

Quality medico-diagnostic process is valued on the standard, comprise of itself main elements:

Except this subject, implementing external supervision, has the right to study an opinion of patients on the quality provided to medical services, as far as opinion of patient is one of forming notions "qualitative medical service".

Supervision a result, as well as preventive supervision, is found on the conclusion of examination.

As required for the permit of disputable event subject external supervision can come to a conclusion on undertaking a target supervision with attraction of independent experts.

Indemnifying medical organisation has a right of check of only events of rendering a medical treatment to patients, having policy OMS, issued given by the insurance organisation and on types of medical treatment, fall into the territorial program OMS.

On results of check is arrange "Act of expert supervision" install forms.

Planned supervision the quality of medical treatment on the part of insurance medical organisations is realised in accordance with the agreement on granting medico-preventive help (medical services) on the medical insurance. In these cases indemnifying medical organisation forms a schedule of planned supervision the medical establishment, which is carry to the information last.

Schedule of planned supervision is form with the payment, to within a year each medical institution was subjected to a planned supervision not less 1 times per annum. For the reason reducing an amount of planned check, conduct in medical establishment, advisable, to subject of external supervision co-ordinated its work and, as far as possible, realised united check.

Disputes between parties on questions financial-economic examination are decided in the interdepartmental authorised tariff commission, medical examination - in authorised joint committee subject Russian Federation in accordance with the position on working these commissions.

Disputable questions, appear beside parties on the given level, are to be consider in the court in accordance with the established order.

 

Chief of Governing an organisation a Chief of Governing an organisation of medical treatment to population obligatory medical Of the Ministry of Health Russia of insurance of Federal fund OMS

A.A.Karpeyev I.D.Tegai

 

 


 MACHINE TRANSLATION

 

Exhibit 3 to order of Ministry of public health of the Russian Federation and Federal fund OMS from 24 October 1996. 363 / 77

POSITION

ON INDEPENDENT MEDICAL EXPERTS

1. GENERAL PROVISIONS

Expert can be a specialist with high medical formation, get training on a medical speciality and having length of service of work on her not less than 10 years, high qualification category or scientific degree, passed special training on the examination and a get license of the right of realisation of expert activity.

Expert carries out some work on the quality examination of medical treatment on the grounds of agreement with organisations and establishment, eligible on the realisation of expert activity.

Expert in its work follows acting legislative acts of the Russian Federation, other is normative-legal documents, adjusting legal relations in the system of quality examination of medical treatment, Position on the system of external supervision the quality of medical treatment in Russian Federation and the present Position.

Order and amounts of payment of labour of experts are defined at a rate of subject Russian Federation in accordance with the established order.

Actions of expert are to not disagree a professional honour and medical ethics.

Expert for the acknowledgement of their own authorities shall have a certificate with the instruction of term of its action and prescription on undertaking an examination.

Primary task of expert is an evaluation of correctness of choice of medical technology, terms and qualities render medical services install standards and terms of agreement.

2. ORGANISATION OF WORKING AN EXPERT.

Expert works with organisations and establishment, eligible on the realisation of expert activity, on the contractual base.

Time of working an expert on the agreement will an organisation, enter into agreement with the expert, with establishment administration on the main place of working an expert.

At need for a time of undertaking an examination an expert is dispense from main work on the grounds of the order of leader of establishment on the request of organisations, attracting expert to undertaking an examination.

Expert realises an examination in accordance with the received prescription on undertaking an expert check with observance of united principles and technologies of external supervision the quality of medical treatment, accepted on the territory subject Russian Federation.

Expert can conduct an examination only on its main medical profession within competencies, determined by the certificate of specialist.

Expert conducts an examination individually or with other experts.

Expert has the rights to realise an examination in medical establishment, with which bases in labour or contractual relations, and participate in the analysis of expert events, when patient is its relative or sick, in the treatment which expert took part.

On the completion of undertaking an examination an expert represents "Act of expert supervision" upon the terms according to the agreement.

Medico-Preventive institution is obliged to ensure an expert free familiarisation with establishment activity, connected with the performance of terms of agreement.

3. THE RIGHTS, DUTIES AND LIABILITY OF EXPERT

an Expert has a right:

 

Expert is obliged:

 

Expert in accordance with the established order has responsibility within their own authorities and competencies for the quality and objectivity of conduct examination.

In the event of the discrepancy of expert activity to professional requirements, organisation, enter into agreement with the expert, is obliged to report on this in the organ, forming register of experts, and organ, issuing license of the right of realisation of expert activity, for settle a problem on possibility of continuing by it this activity.

 

Chief of Governing an organisation a Chief of Governing an organisation of medical treatment to population obligatory medical Of the Ministry of Health Russia of insurance of Federal fund OMS

A.A.Karpeyev I.D.Tegai

 

 

 



MACHINE TRANSLATION
 

 

Exhibit 4 to order of Ministry of public health of the Russian Federation and Federal fund OMS from 24 October 1996. 363 / 77

POSITION

ON EXPERT OF INSURANCE MEDICAL ORGANISATIONS

1. GENERAL PROVISIONS

Expert can be a specialist with high medical formation, having length of service of work on a medical speciality not less than 5 years, specialisation on organisations of public health and social hygiene, passed special training on the examination.

Expert is a staff employee to insurance medical organisations and will comply with its leader.

Expert in its work follows acting legislative acts of the Russian Federation, other is normative-legal documents, adjusting legal relations in the system of quality examination of medical treatment, Position on the system of external supervision the quality of medical treatment in Russian Federation and the present Position.

Purpose and sacking an expert is produce in accordance with the established order.

Expert for the acknowledgement of their own authorities have a document, confirming its attitude to insurance medical organisations.

Actions of expert are to not disagree a professional honour and medical ethics.

Primary task of expert is an organisation of supervision and evaluation of volume, terms and qualities of rendering a medical treatment when arising an expert event in accordance with terms of agreement of medical insurance.

2. ORGANISATION of WORKING an EXPERT

In accordance with tasks and order of undertaking a external quality supervision of medical treatment on the territory subject Russian Federation by main functions of expert are:

In accordance with tasks and order of undertaking a external quality supervision of medical treatment on the territory subject Russian Federation by main functions of expert are:

2.1. Revealing the defects in the process of rendering a medical treatment to insureds, including:

2.2. Motivation of need of expert evaluation in accordance with reveal defects, precise wording of whole and tasks of forthcoming examination and co-ordination it with the manual medico-preventive institution.

2.3. Preparing documentation, necessary independent expert for undertaking an additional examination.

2.4. Evaluation of results of departmental and additional medical examination.

2.5. Familiarisation of manual of public health establishment with results of the medical examination.

2.6. Training on results of examinations of offers to the manual of insurance medical organisation on using the penalty sanctions to the medical institution.

 

 

 
3. RIGHTS, DUTIES AND LIABILITY OF EXPERT

3.1. Expert has a right:

 

3.2. Expert is obliged:

 

3.3. Expert in accordance with the established order has responsibility for the organisation of medical examination, as well as excess of their own authorities, afford him legislative and normative acts.

 

 

Chief of Governing an organisation of medical treatment to population - Chief of Governing an organisation obligatory medical Of the Ministry of Health Russia of insurance of Federal fund OMS

A.A.Karpeyev I.D.Tegai



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