Rus News Journal

The order of Ministry of health and social development of the Russian Federation (Minzdravsotsrazvitija of Russia) from May, 25th, 2007 N 360 Moscow Is registered in Ministry of Justice of the Russian Federation on June, 1st, 2007 Registration N 9579 About measures on realisation of the governmental order of the Russian Federation from May, 19th, 2007 N 296 “ About the statement of the list of subjects of the Russian Federation participating in realisation of the pilot project, directed on improvement of quality of services in public health services sphere, and financing rules in 2007 of the pilot project directed on improvement of quality of services in sphere of public health services “

According to point 3 of the governmental order of the Russian Federation from May, 19th, 2007 N 296 “ About the statement of the list of subjects of the Russian Federation participating in realisation of the pilot project, directed on improvement of quality of services in public health services sphere, and financing rules in 2007 of the pilot project directed on improvement of quality of services in sphere of public health services “ (“ “ from May, 26th, 2007 N4374) I order:

1. To confirm:

the form of the demand of territorial fund of obligatory medical insurance about the size of means for realisation of the pilot project directed on improvement of quality of services in sphere of public health services, according to appendix N 1;

the agreement form between Ministry of health and social development of the Russian Federation, the supreme body of executive power of the subject of the Russian Federation and Federal fund of obligatory medical insurance about conditions of realisation of the pilot project directed on improvement of quality of services in sphere of public health services, according to appendix N 2;

the contract form between enforcement authority of the subject of the Russian Federation, territorial fund of obligatory medical insurance and public health services establishment about realisation by establishment of public health services of the pilot project directed on improvement of quality of services in sphere of public health services, according to appendix N3.

2. To federal fund of obligatory medical insurance:

to confirm an order of representation by public health services establishments in the insurance medical organisation (at its absence - in territorial fund of obligatory medical insurance) accounts on payment of the medical aid rendered by them and the register of these accounts for carrying out mediko - economic examination.

3. To recommend to enforcement authorities of subjects of the Russian Federation together with territorial funds of obligatory medical insurance with a view of realisation of the pilot project directed on improvement of quality of services in sphere of public health services, to define an order of interaction between territorial funds of obligatory medical insurance, the insurance medical organisations, public health services establishments on realisation of the pilot project directed on improvement of quality of services in sphere of public health services.

4. Control over execution of the present order to assign to deputy minister R.A.Halfina.

Vr. And. An island of the Minister V.Starodubov

Appendix N 1

the Demand of territorial fund of obligatory medical insurance about the size of means for realisation of the pilot project directed on improvement of quality of services in sphere of public health services

on ________________________________ of 2007

(month)

_______________________________________________________________________

(the name of territorial fund of obligatory medical insurance)

N p/ p the Name of indicators for a month

1. The sum of actually paid accounts for the medical aid rendered to the population, insured in system of obligatory medical insurance, for financed month (rbl. copeck)

2. The sum of means of Federal fund of obligatory medical insurance from calculation of 25 % from the sum of actually paid accounts for the medical aid rendered to the population, insured in system of obligatory medical insurance, for financed month (rbl. copeck)

the Chief executive

territorial fund

obligatory medical

insurance ____________ ___________________

(signature) (signature decoding)

the Chief accountant

territorial fund

obligatory medical

insurance ____________ ___________________

(signature) (signature decoding)

M. P

Appendix N 2

the Agreement between Ministry of health and social development of the Russian Federation, the supreme body of executive power of the subject of the Russian Federation and Federal fund of obligatory medical insurance about conditions of realisation of the pilot project directed on improvement of quality of services in sphere of public health services

_____________________ “ ____ “ _________________

Ministry of health and social development of the Russian Federation (further - the Ministry) in the name of the Minister operating on the basis of Position about Ministry of health and social development of the Russian Federation, confirmed by the governmental order of the Russian Federation from June, 30th, 2004 N 321, and

(the name of the supreme body of executive power of the subject

the Russian Federation)

(further - the Subject), in the person

(F. And. O the official, its post)

operating on the basis

(the name of the standard legal certificate)

________________________________________ and Federal fund of obligatory medical insurance (further - Fund) in the name of the director operating on the basis of the Charter of Federal fund of obligatory medical insurance, confirmed by the governmental order of the Russian Federation from July, 29th, 1998 N 857, the Parties called further, with a view of interaction and activity coordination on realisation of the pilot project directed on improvement of quality of services in sphere of public health services (further - the pilot project), have entered into the present Agreement as follows.

1. The Agreement subject

the Subject of the present Agreement are conditions of realisation of the pilot project.

2. The rights and obligations of the Parties on realisation of the pilot project

2. 1. The ministry:

2. 1. 1. Carries out an organizational, methodical management and makes necessary explanations on realisation of the pilot project;

2. 1. 2. Provides realisation of monitoring of realisation of the pilot project in following directions:

orientation to the end result with stage-by-stage transition of establishments of the public health services participating in realisation of the pilot project, mainly on single-channel financing through system of obligatory medical insurance;

maintenance of financing of stationary medical aid according to the specifications of financial expenses calculated on the basis of standards of medical aid, taking into account an estimation of quality of the rendered medical aid;

realisation at level is out-patient - polyclinic establishments of partial accumulation of the means intended for payment of medical aid, on the basis of financing under the shower specification and system creation inside - and interoffice vzaimoraschetov;

reforming of payment of medical workers depending on the work end results;

maintenance of the account of volume of the rendered medical aid and an estimation of its quality.

2. 2. The subject:

2. 2. 1. Realises the pilot project on the following óńėīāč’õ1 with achievement of target indicators:

orientation to the end result with stage-by-stage transition of establishments of the public health services participating in realisation of the pilot project, mainly on single-channel financing through system of obligatory medical insurance:

target indicators:

a parity of means of obligatory medical insurance and the means of the consolidated budget directed on financing of public health services (%);

a parity of means of obligatory medical insurance and means of the budget of corresponding level in total amount of financing of establishments of the public health services participating in realisation of the pilot project (%);

a share of the means received by establishments of public health services on realisation of the pilot project and directed on payment of medical workers (%);

a share of the means received by establishments of public health services on realisation of the pilot project and directed on maintenance by medicines (%);

a share of the means received by establishments of public health services on realisation of the pilot project and directed on equipment by the medical equipment, toolkit, soft stock and products of medical appointment (%);

specification size podushevogo financings of the territorial program of the state guarantees, in t. ch. Under the base program of obligatory medical insurance (rbl.) ;

maintenance of financing of stationary medical aid according to the specifications of financial expenses calculated on the basis of standards of medical aid, taking into account an estimation of quality of the rendered medical aid:

target indicators:

number of establishments of the public health services participating in realisation of the pilot project, equipped according to the sheets of equipment recommended by the Ministry (%);

number of establishments of the public health services participating in realisation of the pilot project, introduced standards of medical aid (%);

a share of registers of accounts on payment of the rendered medical aid, the financial expenses generated on the basis of specifications calculated under standards of medical aid, taking into account the end result (%);

number of establishments of the public health services placing services of not medical character (attraction of external executors) from total number of establishments of public health services;

number of establishments of the public health services which are not concerning the state and municipal systems in which the state task from total number of establishments of public health services in which the state task is placed takes place;

realisation at level is out-patient - polyclinic establishments of partial accumulation of the means intended for payment of medical aid on the basis of financing under the shower specification, and system creation inside - and interoffice vzaimoraschetov:

target indicators:

a share it is out-patient - polyclinic establishments in system of obligatory medical insurance which are financed on a basis podushevogo the specification (%);

a share of establishments of the public health services, rendering it is out-patient - the polyclinic help, introduced partial fondoderzhanie from total number of establishments of the given type (%);

the increase in specifications podushevogo financings for is out-patient - polyclinic establishments (in % by 2006) ;

introduction of system of intraoffice calculation in is out-patient - the polyclinic establishments participating in realisation of the pilot project;

introduction of system of interoffice calculations for rendering of stationary medical aid, diagnostic services, consultations of experts and the first help;

hospitalisation level (on 10 thousand persons);

number of places in day hospitals (on 100 thousand persons);

number of persons to which the first help (on 1000 persons is rendered);

a share of municipal unions in which the system of a free choice is introduced by the population of the doctor of a primary link;

reforming of payment of medical workers depending on the work end results:

target indicators:

the average level of payment of medical workers of establishments of the public health services rendering the stationary help (rbl.) ;

growth of absolute value of an average salary of medical workers at the expense of introduction of new system of payment (in relation to level of 2006 in %);

a share of the municipal unions which establishments of public health services have passed to new system of payment (%);

a share state and municipal authorities of public health services which have passed to new system of payment from total number of establishments of public health services in the subject of the Russian Federation (%);

satisfaction of the population medical aid according to polls (%);

a share of justified complaints of the population on quality of medical aid in total amount of complaints (%).

maintenance of the account of volume of the rendered medical aid and an estimation of its quality:

target indicators:

a share of establishments of the public health services which working in system of obligatory medical insurance and have introduced system of the personified account of volumes of rendered medical aid (%);

growth of the automated workplaces in establishments of public health services (%);

information support of realisation of the pilot project:

target indicators:

a share of establishments of the public health services having regularly updated sites in a network the Internet (in %);

a share of establishments of the public health services which have published (in the mass-media, the separate edition, in a network the Internet) the public report about medical and financially economic activities (in %) 2.

2. 2. 2. Provides acceptance of standard legal certificates of the subject of the Russian Federation, necessary for realisation of the pilot project;

2. 2. 3. Participates in sofinansirovanii the pilot project in size

(thousand roubles)

by acceptance by the subject of the Russian Federation when due hereunder the law or other standard legal certificate defining account obligations of the subject of the Russian Federation on sofinansirovaniju of expenses in 2007 within the limits of realisation of the pilot project;

2. 2. 4. Develops the planned schedule of the Subject on realisation of the pilot project;

2. 2. 5. Defines the list of establishments of the public health services participating in realisation pilot ļšīåźņą3;

2. 2. 6. Provides representation by public health services establishments in territorial funds of obligatory medical insurance of the reporting about use of the means allocated for realisation of the pilot project;

2. 2. 7. Carries out control over an expenditure of the means allocated for realisation of the pilot project;

2. 2. 8. Will organise carrying out of the analysis of realisation of the pilot project and represents monthly, quarterly, semi-annual and annual reports to the Ministry;

2. 2. 9. Spends it is information - explanatory work with medical workers and the population concerning realisation of the pilot project.

2. 3. Fund:

2. 3. 1. Monthly lists to budgets of territorial funds of obligatory medical insurance the means provided on realisation of the pilot project, in the form of grants according to payment orders on separate opened for financing of the pilot project of the account of territorial funds of obligatory medical insurance in establishments of the Central bank of the Russian Federation on the balance account under the account of means of territorial funds. During 1 - go month of realisation of the pilot project it is listed the one twelfth sums

,

(thousand roubles)

and the next months to realisation of the pilot project - on the basis of the demand of territorial fund of obligatory medical insurance about the size of means for realisation of the pilot project directed on improvement of quality of services in sphere of public health services, under the form confirmed by the order of Ministry of health and social development of the Russian Federation from _____________ 2007 N ___________;

2. 3. 2. Carries out control over an expenditure of the means directed on payment of rendered medical aid, on the basis of the presented reports of territorial funds of obligatory medical insurance;

2. 3. 3. Informs the Ministry on cases of a no-purpose expenditure of the means provided on realisation pilot ļšīåźņą4;

2. 3. 4. Represents to the Ministry within the competence monthly the information on a course of realisation of the pilot project.

3. Agreement Period of validity

the Present Agreement comes into force from the date of its signing and operates till December, 31st, 2007

4. Final provisions

4. 1. The parties have the right to make changes to the present Agreement or to stop its action in an order provided by the legislation of the Russian Federation.

4. 2. All disputes following from the present Agreement or arising concerning the present Agreement, the Party resolve by mutual negotiations.

4. 3. The mutual relations of the parties which have been not settled by the present Agreement, are regulated by the legislation of the Russian Federation.

4. 4. In case of default of separate conditions of the present Agreement of the Party establish the reasons and take measures on their elimination.

1 Part of subjects of the Russian Federation will realise one or several conditions, depending on volumes sofinansirovanija the pilot project or their absence.

2 Russian Federation Everyone the subject specifies the indicators characterising realised subject of the Russian Federation conditions of the pilot project.

3 In the list of establishments of the public health services participating in realisation of the pilot project, public health services establishments, in which when due hereunder razmeshen state and (or) the municipal order can be included.

4 Except the Tyumen region and Hunts - Mansijsky autonomous region - Jugry.

Prilo zhenie N 3

the Contract between enforcement authority of the subject

the Russian Federation, territorial fund of obligatory medical insurance and public health services establishment

about realisation by establishment of public health services of the pilot project directed on improvement of quality of services in sphere of public health services

_____________________ “ ____ “ __________ 200_7

(the name of enforcement authority of the subject of the Russian Federation)

called further - the Subject, in the person

(F. And. The Island Official

persons, its post)

operating on the basis,

(the name of the standard legal certificate)

(the name of territorial fund of obligatory medical insurance)

called further - Territorial fund, in the person

(F. And. O the official, its post)

operating on the basis of Position about territorial fund of obligatory medical insurance, and

(a full name

establishments of the public health services rendering the stationary help)

called further - Establishment, in the person

(F. And. The Island Official

persons, its post)

operating on the basis

(the name and document requisites,

on which basis the official)

called operates further - the Parties, according to the order of Ministry of health and social development of the Russian Federation from __________ N _____ have concluded 2007 the present Contract as follows.

I. The Contract subject

the Subject of the present Contract are relations of the Parties on realisation of the pilot project directed on improvement of quality of services in sphere of public health services (further - the pilot project).

II. Duties of the Parties and a procedure of payments

1. The subject realises the pilot project according to the governmental order of the Russian Federation from May, 19th, 2007 N 296 “ About the statement of rules of financing in 2007 of expenses on carrying out in subjects of the Russian Federation of the pilot project directed on improvement of quality of services in sphere of public health services, and the list of subjects of the Russian Federation participating in its realisation “ and on the conditions defined by the agreement between Ministry of health and social development of the Russian Federation,

(the name of enforcement authority of the subject of the Russian Federation)

and Federal fund of obligatory medical insurance about conditions of realisation of the pilot project directed on improvement of quality of services in sphere of public health services which form is confirmed by the order of Ministry of health and social development of the Russian Federation from __________________ 2007 N ________.

2. Territorial fund:

) within 5 working days spends:

audit on payment of the rendered medical aid and registers of these accounts received from the insurance medical organisation;

mediko - economic examination of the accounts presented by Establishment on payment of the rendered medical aid (in case of absence of the insurance medical organisation);

on the basis of the checked up accounts on payment of the rendered medical aid and registers of these accounts makes out accounts on payment of 25 percent of the sum of accounts for the rendered medical aid;

within 5 working days lists means to Establishment;

represents to Federal fund of obligatory medical insurance the reporting about use of the means provided on realisation of the pilot project, in an order established by the Ministry in coordination with the Ministry of Finance of the Russian Federation and Federal fund of obligatory medical insurance.

2. Establishment:

represents monthly, not later 10 - go a date following for accounting, in the insurance medical organisation (at its absence - to Territorial fund) accounts on payment of the medical aid rendered by them and the register of these accounts for carrying out mediko - economic examination in an order confirmed by Federal fund of obligatory medical insurance;

spends the means received from Territorial fund for realisation of the pilot project for payment of the medical workers participating in rendering of medical aid (at a rate of not less than 40 percent of the specified means taking into account volumes and quality of medical aid), and also for maintenance with medicines and equipment according to point 10 of Rules of financing in 2007 of expenses on carrying out in subjects of the Russian Federation of the pilot project directed on improvement of quality of services in sphere of public health services, confirmed by the governmental order of the Russian Federation from May, 29th, 2007 N 296;

conducts the separate account of the territorial funds of obligatory medical insurance of the means provided on realisation of the pilot project received from budgets, and delivers to territorial funds of obligatory medical insurance the report on their use in an order established by the Ministry and in coordination with the Ministry of Finance of the Russian Federation and fund;

carries out the account of volume of the rendered medical aid and an estimation of its quality.

III. Notices and messages

1. All notices and the messages connected with execution by the Parties of the present Contract, should go in writing.

2. The parties undertake to inform immediately each other on all changes of the legal addresses and bank details.

IV. An order of the termination and cancellation of the present Contract

1. The present Contract stops in following cases:

the action expiry of the term (stay, cancellation, a response) licences for realisation by Establishment of medical activity;

the action expiry of the term;

liquidation of one of the Parties.

2. The present Contract can be terminated any of the Parties unilaterally in case of regular (more than 3 months) defaults of any of the Parties of the obligations.

At preschedule cancellation of the present Contract unilaterally the Party - the initiator of cancellation informs on it other Party 30 days prior to cancellation date in writing with instructions of the reasons.

V. Contract Period of validity

the Present Contract comes into force from the date of its signing and operates on December, 31st, 2007.

VI. Other conditions

1. The parties take all measures to the permission of questions at issue by negotiations. All disputes not settled between the parties on performance of positions of the present Contract are considered in an order established by the legislation of the Russian Federation.

2. The present Contract is made in 3 copies having identical validity. One copy is in the Subject, the second - in Territorial fund, the third - in Establishment.

VII. A site and requisites of the parties

the Subject: from the Subject:

____________________________________ ____________________________________

(the legal address) (the signature of the official)

M. P

“ _ “ ___________ 200_

Territorial fund: from Territorial fund:

____________________________________ ____________________________________

(the legal address) (the signature of the official)

M. P

“ __ “ ___________ 200_

Establishment: from Establishment:

____________________________________ ____________________________________

(the legal address) (the signature of the official)

M. P

“ __ “ ___________ 200_