home Adviсe On approval of the procedure for organizing the provision of high-tech medical care using a specialized information system. Organization of the provision of high-tech medical care The procedure for organizing the provision of high-tech medicine

On approval of the procedure for organizing the provision of high-tech medical care using a specialized information system. Organization of the provision of high-tech medical care The procedure for organizing the provision of high-tech medicine

High-tech medical care (hereinafter referred to as HTMC), is part of specialized medical care, includes the use of new complex and (or) unique treatment methods, as well as resource-intensive treatment methods with scientifically proven effectiveness, including cellular technologies, robotic technology, information technology and genetic engineering methods developed on the basis of the achievements of medical science and related branches of science and technology.

The organization and procedure for the provision of high-tech medical care to residents of Moscow are determined by order of the Ministry of Health of Russia dated December 29, 2014 N 930n (as amended on August 27, 2015) “On approval of the Procedure for organizing the provision of high-tech medical care using a specialized information system.”

Since January 1, 2015, the List of types of high-tech medical care provided for in the framework of the Program of State Guarantees of Free Provision of Medical Care to Citizens, approved by Decree of the Government of the Russian Federation of November 28, 2014 No. 1273 (as amended on November 17, 2015) “On the Program of State Guarantees of Free Provision of Medical Care to Citizens” has been applied. medical care for 2015 and for the planning period of 2016 and 2017."

List of medical organizations of the city’s public health system

Moscow, where high-tech medical care is provided

	Profile of high-tech medical care	Name of medical organizations of the Moscow state healthcare system
	Abdominal surgery	GBUZ Moscow "Research Institute for SP named after. N.V. Sklifosovsky DZM", State Budgetary Healthcare Institution of Moscow "Moscow Clinical Scientific and Practical Center of the Doctor of Health Care", State Budgetary Healthcare Institution of Moscow "GKB named after. S.P. Botkin DZM", State Budgetary Healthcare Institution of Moscow "GKB No. 1 named after. N.I. Pirogova Department of Health Care", State Budgetary Institution of Moscow "City Clinical Hospital No. 7 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 12 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 24 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 31 Department of Health Care", GBUZ of Moscow "City Clinical Hospital No. 50 DZM" , GBUZ of Moscow "City Clinical Hospital No. 64 DZM", GBUZ of Moscow "City Clinical Hospital No. 67 DZM", GBUZ of Moscow "City Clinical Hospital No. 79 DZM", GBUZ of Moscow " GVV No. 3 DZM", GBUZ Moscow "DGKB No. 13 named after. N.F. Filatova DZM"
	obstetrics and gynecology	GBUZ Moscow "Center for Family Planning and Reproduction DZM", GBUZ Moscow "GKB im. S.G1. Botkin DZM", State Budgetary Healthcare Institution of Moscow "GKB No. 1 named after. N.I. Pirogova Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 12 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 31 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 50 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 64 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 64 Department of Health Care" , State Budgetary Healthcare Institution of Moscow "GKB No. 79 DZM", State Budgetary Healthcare Institution of Moscow "RD No. 17 DZM"
	Gastroenterology	State Budgetary Healthcare Institution of Moscow "Moscow Clinical Scientific and Practical Center of the Department of Health Care", State Budgetary Healthcare Institution of Moscow "GKB named after. S.P. Botkin DZM", Moscow State Budgetary Healthcare Institution "GKB No. 24"
	Hematology	GBUZ Moscow "GKB im. S.P. Botkin DZM", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 40 of the Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 52 of the Department of Health Care", State Budgetary Healthcare Institution of Moscow "Morozovskaya Children's City Clinical Hospital of the Department of Health and Health"
	Dermatovenereology	State Budgetary Healthcare Institution of Moscow "Scientific and Practical Center of Dermatovenereology and Cosmetology DZM"
	Combustiology	GBUZ Moscow "Research Institute for SP named after. N.V. Sklifosovsky DZM", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 36 of the Department of Health Care", State Budgetary Healthcare Institution of Moscow "Children's Clinical Hospital No. 9 named after. G.N. Speransky DZM"
	Neurosurgery	GBUZ Moscow "Research Institute for SP named after. N.V. Sklifosovsky DZM", State Budgetary Healthcare Institution of Moscow "GKB named after. S.P. Botkin DZM", State Budgetary Healthcare Institution of Moscow "GKB No. 15 named after. O.M. Filatova Department of Health Care, Moscow City Clinical Hospital No. 67 Department of Health Care, Moscow State Budgetary Healthcare Institution Research Institute of Emergency Pediatric Surgery and Traumatology Department of Health Care, Moscow State Budgetary Healthcare Institution Scientific and Practical Center for Medical Care for Children with Deformations of the Craniofacial Region and Congenital Diseases of the Nervous System DZM", State Budgetary Institution of Moscow "Morozovskaya Children's City Clinical Hospital of the Department of Health", State Budgetary Healthcare Institution of Moscow "Children's Clinical Hospital No. 9 named after. G.N. Speransky DZM"
	Neonatology	GBUZ of Moscow "Center for Family Planning and Reproduction of the Department of Health", GBUZ of Moscow "City Clinical Hospital No. 13 of the Department of Health", GBUZ of Moscow "City Clinical Hospital No. 8 of the Department of Health", GBUZ of Moscow "Children's Clinical Hospital No. 13 named after. N.F. Filatova DZM", Moscow State Budgetary Healthcare Institution "DIKB No. 6 DZM"
	Oncology	GBUZ of Moscow "Moscow City Oncology Hospital No. 62 DZM", GBUZ of Moscow "Oncological Clinical Dispensary No. 1 DZM", GBUZ of Moscow "City Clinical Hospital No. 24 DZM", GBUZ of Moscow "City Clinical Hospital No. 40 DZM", GBUZ Moscow City Clinical Hospital No. 57 DZM, Moscow State Budgetary Healthcare Institution Morozovskaya Children's City Clinical Hospital DZM
	Otorhinolaryngology	State Budgetary Healthcare Institution of Moscow "MNPC of Otorhinolaryngology DZM", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 1 named after. N.I. Pirogov Children's Clinical Hospital, Moscow State Clinical Hospital No. 67, Moscow City Clinical Hospital No. 67, Moscow City Clinical Hospital No. 9, Moscow Children's Clinical Hospital No. 9 named after. G.N. Speransky DZM"
	Ophthalmology	GBUZ of Moscow "OKB DZM", GBUZ of Moscow "GKB No. 1 named after. N.I. Pirogov DZM", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 12 of the Department of Health of Moscow", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 15 named after. O.M. Filatova DZM", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 36 of the Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 67 of the Department of Health Care"
	Pediatrics	State Budgetary Healthcare Institution of Moscow "Morozovskaya Children's City Clinical Hospital of the Department of Health", State Budgetary Healthcare Institution of the city of Moscow "Children's City Clinical Hospital of St. Vladimir, Department of Health of the City of Moscow", State Budgetary Healthcare Institution of the city of Moscow "Children's City Clinical Hospital No. 9 named after. G.N. Speransky Department of Health Care", Moscow State Budgetary Healthcare Institution "DIKB No. 6 Department of Health Care"
	Rheumatology	GBUZ Moscow "GKB No. 1 named after. N.I. Pirogov DZM", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 4 of the Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 52 of the Department of Health Care"
	Cardiovascular surgery	GBUZ Moscow "Research Institute for SP named after. N.V. Sklifosovsky DZM", Moscow State Budgetary Healthcare Institution "Scientific and Practical Center for Interventional Cardioangiology, Department of Health Care", Moscow State Budgetary Healthcare Institution "GKB named after. S.P. Botkin DZM", State Budgetary Healthcare Institution of Moscow "GKB No. 1 named after. N.I. Pirogov DZM"*, GBUZ of Moscow "City Clinical Hospital No. 4 DZM", GBUZ of Moscow "City Clinical Hospital No. 7 DZM", GBUZ of Moscow "City Clinical Hospital No. 12 DZM", GBUZ of Moscow "City Clinical Hospital No. 15 named after. O.M. Filatov DZM", GBUZ of Moscow "City Clinical Hospital No. 23 DZM", GBUZ of Moscow "City Clinical Hospital No. 64 DZM", GBUZ of Moscow "City Clinical Hospital No. 81 DZM", GBUZ of Moscow "DGKB No. 13 named after. N.F. Filatova DZM"
	Thoracic surgery	GBUZ Moscow "Research Institute for SP named after. N.V. Sklifosovsky DZM", GBUZ of Moscow "GKB No. 36 DZM", GBUZ of Moscow "DGKB No. 13 named after. N.F. Filatova DZM"
	Traumatology and orthopedics (including endoprosthetics of large joints)	GBUZ Moscow "Research Institute for SP named after. N.V. Sklifosovsky DZM", Moscow State Budgetary Institution of Medical Rehabilitation, Rehabilitation and Sports Medicine, Moscow State Budgetary Healthcare Institution "Research Institute of Emergency Pediatric Surgery and Traumatology, Department of Health Care", State Budgetary Healthcare Institution of Moscow "GKB im. S.P. Botkin DZM", State Budgetary Healthcare Institution of Moscow "GKB No. 1 named after. N.I. Pirogov DZM", GBUZ of Moscow "City Clinical Hospital No. 7 DZM", GBUZ of Moscow "City Clinical Hospital No. 12 DZM", GBUZ of Moscow "City Clinical Hospital No. 13 DZM", GBUZ of Moscow "City Clinical Hospital No. 15 named after. O.M. Filatova DZM", GBUZ of Moscow "City Clinical Hospital No. 31 DZM", GBUZ of Moscow "City Clinical Hospital No. 59 DZM", GBUZ of Moscow "City Clinical Hospital No. 64 DZM", GBUZ of Moscow "City Clinical Hospital No. 67 DZM", GBUZ Moscow "GKB No. 81 DZM", GBUZ of Moscow "GVV No. 2 DZM", GBUZ of Moscow "GVV No. 3 DZM", GBUZ of Moscow "Morozovskaya DGKB DZM", GBUZ of Moscow "DGKB No. 13 im. . N.F. Filatova DZM"
	Transplantation	GBUZ Moscow "Research Institute for SP named after. N.V. Sklifosovsky DZM", Moscow City Clinical Hospital No. 7 DZM"
	Urology	GBUZ Moscow "GKB No. 1 named after. N.I. Pirogova Department of Health Care", State Budgetary Institution of Moscow "City Clinical Hospital No. 12 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 31 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 50 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 57 Department of Health Care", State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 57 Department of Health Care" , State Budgetary Healthcare Institution of Moscow "Morozovskaya Children's City Clinical Hospital of the Moscow Health Department", State Budgetary Healthcare Institution of Moscow "Children's City Clinical Hospital No. 13 named after. N.F. Filatova DZM"
	Maxillofacial Surgery	GBUZ of Moscow "Moscow Clinical Scientific and Practical Center of the Department of Health Care"*, GBUZ of Moscow "City Clinical Hospital No. 1 named after. N.I. Pirogov DZM", Moscow State Budgetary Healthcare Institution "City Clinical Hospital No. 36 DZM"
	Endocrinology	GBUZ of Moscow "City Clinical Hospital No. 67 DZM", GBUZ of Moscow "City Clinical Hospital No. 81 DZM", GBUZ of Moscow "GVV No. 3 DZM", GBUZ of Moscow "Morozovskaya DGKB DZM"

ON APPROVAL OF THE PROCEDURE FOR ORGANIZING THE PROVISION OF HIGH-TECH MEDICAL CARE USING A SPECIALIZED INFORMATION SYSTEM

ABOUT THE PROGRAM OF STATE GUARANTEES OF FREE PROVISION OF MEDICAL CARE TO CITIZENS FOR 2015 AND FOR THE PLANNED PERIOD OF 2016 AND 2017

Content

Treatment of diseases using new and unique methods, expensive drugs and modern equipment is part of high-tech care in 2018. This is a modern therapy that minimizes the risk to human health and life. High-tech medical care differs from conventional medical care in its methodology and approach to treatment. It is provided at the expense of money under the compulsory medical insurance policy, but for some operations or medications a quota is established.

What is VMP in medicine

This is special medical care, for the provision of which unique scientific technologies and the latest achievements in the field of medicine, science and technology are used. Surgical interventions and procedures are performed exclusively by highly qualified doctors. The difference from the classic one is a larger list of services provided. They are necessary in the treatment of serious illnesses and their complications, such as:

leukemia, oncological and urological pathologies;
reproductive system problems;
thyroid diseases;
problems with the liver, kidneys;
neurosurgical diseases, etc.

VMP uses genetic engineering methods and cellular level technologies, modern equipment and materials. In recent years, non-invasive and minimally invasive surgical procedures have become common. They are characterized by minimal blood loss and a reduced number of complications. In addition, the patient does not have to stay in the hospital for too long, and the recovery process is significantly reduced. After such operations, a person quickly returns to everyday life. Other examples of high-tech medical care:

angiograph used by vascular surgery;
gamma knife, which irradiates with a focused beam of radiation and removes benign and malignant tumors;
replacement of joint components with implants;
cryosurgery, radiosurgery;
linear accelerator for 3D conformal radiotherapy, image-guided or modulated dose rate radiotherapy;
histoscanning of the prostate gland, which detects cancer at an early stage;
cryotherapy for prostate cancer;
magnetic resonance topometry;
laparoscopy performed through small punctures;
Da Vinci apparatus for prostatectomy;
hospital-replacing technologies, for example, shock wave technology for crushing kidney stones, which was previously carried out only in a hospital setting;
coronary artery bypass grafting;
radionuclide therapy with iodine;
stenting of cardiac vessels;
positron emission tomography combined with computed tomography.

Who can benefit

High-tech medical care in 2018 is available to every citizen of the Russian Federation. The condition is the presence of clear indications. They are reflected in a special document - a referral from the attending physician. When applying for a quota, you have to go through a more complicated procedure. A package of necessary documents is transferred to the commission, which after 10 days issues a decision on approval of treatment, refusal, or the need for additional laboratory and instrumental examinations:

X-ray;
endoscopic;
ultrasonic

Sources of financing

Until 2014, the only source of funding for VMP was the federal budget. The VMP was then divided into two main parts:

financed from the Federal Compulsory Health Insurance Fund (MHIF), i.e. included in the state compulsory medical insurance program;
financed entirely from the federal budget.

This separation helped increase access to treatment and reduce waiting times for hospitalization. By 2018, all high-tech assistance began to be financed only from the MHIF budget. The principle of financial support is as follows:

VMP, which is part of the basic compulsory medical insurance program, is financed by transferring funds to territorial funds as part of subventions;
VMP, which is not part of the state program, is financed directly by federal government agencies as part of the fulfillment of the state task for providing treatment.

For certain types of treatment, funds are allocated from the regional budget of territorial units of the Russian Federation. There is also co-financing of expenses of constituent entities of the Russian Federation arising from the provision of high medical care from the Compulsory Medical Insurance Fund. Fully determined by the Ministry of Health of the Russian Federation:

list of clinics;
the number of people who can receive high-tech medical care in 2018;
calculation of the base rate.

The list includes only institutions with the latest equipment and specialists of the highest category. Taking into account whether the therapy a person needs is included in the basic program, the medical institution is determined:

Therapy, which is included in the state compulsory medical insurance program, can be obtained in organizations that operate under the terms of this type of insurance.
VMP, not included in the basic system, is provided by private centers and government agencies of the Ministry of Health.

By 2018, the number of hospitals providing high-tech care in Moscow reached 45, and taking into account compulsory medical insurance - 48. All surgical departments of capital clinics have laparoscopic equipment. VMP is also provided to children. At the Center for Reproductive Health of Children and Adolescents of the Morozov Children's City Clinical Hospital, young patients can receive consultations:

uroandrologist;
endocrinologist;
gynecologist.

Areas of high-tech medical care in 2018

The list of types of high-tech assistance, which is financed through subventions to the budgets of territorial funds or from regional budgets, can be found in the official document. This is Decree of the Government of the Russian Federation dated December 19, 2016 No. 1403 “On the Program of State Guarantees for Free Medical Care to Citizens for 2017 and for the Planning Period of 2018 and 2019.”

According to the new procedural order, the list of GP referrals must be established annually by the Ministry of Health before December 20. The information is presented in the form of a table that reflects:

type of assistance code;
name of the type of VMP group;
disease codes according to ICD-10;
patient model, i.e. possible diseases in humans;
type of treatment;
treatment method.

Each area includes a large list of possible diseases that require high-tech medical care in 2018 and later. Among the many types of treatment, there is also surgical, but radiation, conservative, therapeutic and combination therapy options are also offered. The general list of VMP directions includes the following:

abdominal surgery (treatment of abdominal organs);
obstetrics and gynecology;
hematology;
combustiology (treatment of severe burn injuries);
neurosurgery;
pediatrics;
oncology;
otolaryngology;
ophthalmology;
pediatric surgery during the neonatal period;
cardiovascular surgery;
thoracic surgery (chest surgery);
in vitro fertilization (IVF);
traumatology and orthopedics;
transplantation;
urology;
endocrinology;
gastroenterology;
dermatovenerology;
rheumatology;
Maxillofacial Surgery;

Features of providing assistance by medical institutions

In 2018, high-tech medical care will be provided under the compulsory medical insurance policy or at the expense of the federal budget. The difference is visible even at the stage of document preparation. It lies in the number of steps that will have to be completed before treatment begins. Depending on whether the diagnosis given to a person is included in the state program, the institution where to go is determined. The prepared documents are submitted to the following authorities within 3 days:

the medical structure providing high medical care, if the service is provided under compulsory medical insurance;
regional profile structure, when assistance is financed from the federal budget.

VMP is included in the basic compulsory medical insurance program

If the disease is treated within the scope of the compulsory medical insurance program, then only a referral from the attending physician is required. The specialist prescribes it after checking for contraindications to VMP. Then proceed like this:

The referral is given to the head of the medical institution that provides high-tech care. This could be a regional clinic or a metropolitan medical center, where the patient undergoes a commission.
Within 7 days, the institution makes a decision that confirms the need to carry out the procedure specified by the doctor or refusal due to an unconfirmed diagnosis.
This information must be communicated to the patient no later than 5 days from the date of acceptance.

High-tech assistance that is not included in the compulsory medical insurance policy

When a patient requires therapy not covered by the basic compulsory medical insurance program, the procedure for obtaining high-tech care is more complicated. The whole process includes several stages:

the doctor refers the patient to the health department;
this regional body convenes a commission to select patients for the provision of high-tech care in 2018 or any other year;
within 10 days, if she agrees with the diagnosis, she makes a positive decision, which is recorded in the protocol;
the document is sent to the employees of the treatment center, which has a license, the necessary technological equipment and a quota for the treatment of oncology or another disease from the list;
only after this the patient appears before the employees of the “receiving” organization;
In case of refusal, the patient is also given a notification.

What is a treatment quota?

If a patient needs high-tech medical care in 2018, which is not part of the basic compulsory medical insurance program, then he needs to be allocated a quota for treatment. This is the name given to funds allocated from the federal budget to a specific medical institution for specific types of therapy. Today, the list of clinics that are eligible for VMP has been significantly expanded to include regional centers. This increased the total number of quotas and the chances of timely hospitalization, but made it more difficult to get into federal clinics.

A quota for surgery or treatment is given for certain diseases, and not for everyone. Their list reflects a document published by the Ministry of Health. The list is very large, containing up to 140 items from the areas that were listed above. Each stage of obtaining a quota is regulated by the regulatory framework. The process of their allocation is determined by a number of government documents, such as:

resolutions giving a guarantee to citizens of the country for free treatment;
orders of the Ministry of Health of the Russian Federation, which describe the quota process in more detail;
Federal Law No. 323, Art. 34, describing the process of issuing quotas and their implementation.

How to get a quota for surgery in 2018

Only the Ministry of Health deals with the issues of which institution and how many will receive quotas for the treatment of certain diseases, including in 2018. The procedure for obtaining them is not so simple. The whole process includes three main stages, each requiring a specialized commission. You need to start with the attending physician at the place of observation and inform him of your intentions.

To apply for a quota for surgery or treatment when providing high-tech medical care in 2018, you must go through the following preliminary stages:

receiving a referral from a doctor, undergoing additional manipulations and examinations if necessary;
issuance by the doctor of a certificate indicating the diagnosis, treatment method, diagnostic measures, and general condition of the patient;
consideration of the certificate by the commission of the given medical institution, which deals with quotas;
Receive a decision within 3 days.

If the commission has confirmed the need for VMP, then the next step is the transfer of papers. The logistics are complex: the patient's documents are sent to the regional health authority. The list of required papers includes:

an extract from the minutes of the commission meeting with a positive decision;
photocopy of passport or birth certificate;
an application indicating full name, registration address, passport details, citizenship and contact information;
a photocopy of the compulsory medical insurance and pension insurance policy;
information about the insurance account, examinations, analyzes;
an extract from the medical card with a description of the diagnosis (detailed).

Submitted documents are reviewed by a regional-level commission of 5 specialists. The Department of Health of the relevant constituent entity of the Russian Federation makes a decision within 10 days. If it is positive, then the commission:

indicates the clinic where high-tech care will be provided in 2018;
sends patient documents;
informs the patient of his decision.

For most patients, they choose a clinic that is closer to the patient’s place of residence. The main thing is that the institution has a license to provide high-tech medical care in 2018. The following are sent to the clinic:

voucher for the provision of medical treatment;
a copy of the protocol;
information about the person's condition.

The selected medical institution that received the package of documents has another quota commission. After holding a meeting of 3 or more specialists, a final decision is made on the provision and timing of treatment. This takes another 10 days. When money is used to treat a patient, a voucher for VMP is kept by the employees of this clinic as a document that serves as the basis for funding from the budget. The entire process of obtaining a quota may take approximately 23 days.

Where to contact

The above describes step-by-step instructions for obtaining a quota in the classic way, but this procedure takes a very long time. In addition, there is a risk of a negative decision, and this is wasted time, which is very valuable in some diseases. There is another option for obtaining a quota - contacting directly the clinic of your choice, which is licensed for high-tech treatment. To do this you need:

sign the package of documents listed above in the local clinic where the diagnosis was made, with the main medical staff - the attending physician and the chief physician;
go to the selected medical institution with signed documents;
write an application for a quota;
If the decision is positive, visit the health department again with a coupon.

This method of obtaining a quota is considered more effective. The reason is that the patient has the opportunity to familiarize himself with the medical facility. In addition, processing the request at the clinic will take less time compared to contacting the health department. This method of obtaining a quota for high-tech therapy is used by a large number of patients.

How to check a VMP coupon

All quotas are distributed among several medical institutions. If one clinic has already run out of them, then you can find another. It's worth visiting your local health department to find out how many quotas are left. There is a special electronic resource for patients. Here you can check online the coupon number that will provide high-tech medical care in 2018. To do this, you need:

go to the website http://talon.rosminzdrav.ru/;
In the window that opens, enter your coupon number and click “Find”;
study information about the progress of the queue.

After entering the coupon norm and clicking the “Find” button, a new page will open, where information about the date the quota was created, its profile, the medical institution and the status of the service (provided or not) will be indicated in a green window. There are other sections on the site. They include reference and regulatory information, news, surveys and a search for a medical organization by type of medical care, which you can contact to obtain a quota.

What documents are needed to obtain a quota?

After contacting a doctor and confirming the diagnosis, the patient will need to collect a certain package of documents. To submit papers, employees of the regional health department need:

statement of a patient in need of treatment;
written consent to the processing of personal data;
minutes of the commission meeting from the local clinic where the initial diagnosis was made;
an extract from the medical record indicating the examinations completed and the diagnosis;
passport and its copy;
compulsory health insurance policy, its photocopy;
insurance certificate;
if available, a certificate of disability.

Referral to hospitalization

To apply for a quota, a package of documents is required, without which a medical institution or health department cannot make a positive decision. The most important thing is the referral for hospitalization, which must be drawn up correctly. To do this, you need to check whether the document contains such information as:

patient's full name, year of birth, place of residence;
compulsory health insurance policy number;
patient diagnosis code according to ICD-10;
pension insurance certificate number;
name of the type of treatment that is indicated for the patient;
the name of the clinic where the patient is sent for treatment;
full name, contact phone number, email address of the attending physician who performed the therapy.

Refusal to provide high-tech medical care

If at one of the stages the commission decided to refuse to provide a patient with high-tech care in 2018, then he is given a protocol of the meeting indicating the reason and an extract from the medical documentation. The reasons for a negative decision are:

The ability to cure the patient using traditional methods, there are no indications for high-tech therapy. Solution: contact another clinic or another attending physician for a more accurate diagnosis.
Determination that high-tech medical care in 2018 is not able to cope with the patient’s disease. In this case, the patient is recommended to undergo additional examinations.
Quota limit has been reached. If this year the budget funds for VMP are exhausted at a certain clinic, then it is worth trying to contact the staff of another medical institution. When treatment is required urgently, it is worth doing it yourself, and then returning the funds through the health department.

Many patients have to deal with refusals, so you should be prepared to go through a number of difficulties. You need to convince your attending physician about the need to obtain a quota. If the refusal was given by the regional health department, you should go further by filing a complaint with the Ministry of Health and Social Development, sending a letter in writing or electronically. Patients are encouraged to involve the media in their problem. Then there is hope that a free quota will show up.

In what cases may paid services be required?

If, at the stage of confirming the diagnosis, the patient is prescribed additional tests, then not all of them are included in the compulsory medical insurance program. In this case, the patient has to undergo them at his own expense. Additional costs are associated with travel to the treatment site. They can also occur during the treatment phase. This is for example:

Marking tumor irradiation sites. It is performed at the expense of the patient. Radiation therapy itself is free.
Searching for donors for bone marrow transplantation.

Rehabilitation also rests with the patient himself. There are also restrictions on providing the most high-tech medical care in 2018. For example, when replacing the lens of an eye, the federal budget only pays for the installation of a domestically produced implant. If the patient decides to use an imported manufacturer, then the operation will have to be paid for independently.

Video

Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and give treatment recommendations based on the individual characteristics of a particular patient.

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High-tech medical care in 2018 - the procedure for obtaining quotas

High-tech medical care (hereinafter referred to as HTMC) is part of specialized medical care and includes the use of new complex and (or) unique treatment methods, as well as resource-intensive treatment methods with scientifically proven effectiveness, including cellular technologies, robotic technology, information technology and genetic engineering methods developed on the basis of the achievements of medical science and related branches of science and technology.

The organization and procedure for providing high-tech medical care to residents of Moscow are determined by order of the Ministry of Health and Social Development of the Russian Federation dated December 28, 2011 No. 1689n “On approval of the procedure for sending citizens of the Russian Federation to provide high-tech medical care at the expense of budgetary allocations provided for in the federal budget to the Ministry of Health and Social Development of the Russian Federation , using a specialized information system.”

The list of profiles and types of high-tech medical care is determined by the order of the Ministry of Health and Social Development of the Russian Federation dated December 29, 2012 No. 1629n “On approval of the list of types of high-tech medical care” (until December 31, 2013). On January 1, 2014, Order No. 565n of the Ministry of Health of the Russian Federation dated August 12, 2013 “On approval of the list of types of high-tech medical care” comes into force.

Residents of Moscow can receive VMP from medical organizations of the Moscow state health care system, as well as from federal medical organizations subordinate to the Ministry of Health of the Russian Federation, the Russian Academy of Medical Sciences and the Federal Medical and Biological Agency.

To obtain high medical care in medical organizations of the state healthcare system of Moscow or in federal medical organizations, in accordance with Order of the Ministry of Health and Social Development of Russia No. 1689n dated December 28, 2011 “On approval of the procedure for sending citizens of the Russian Federation to provide high-tech medical care at the expense of budgetary allocations provided for in federal budget to the Ministry of Health and Social Development of the Russian Federation, using a specialized information system", which can be found on the website of the Ministry of Health of Russia at: http://www.rosminzdrav.ru/docs/mzsr/high-tech-med/37" , to issue a “Voucher for the provision of medical treatment”, the patient (or his legal representative) must submit the following documents:

written application from the patient (his legal representative, authorized representative), consent to the processing of personal data of the citizen (patient);
an extract from the protocol of the decision of the medical commission of the medical institution at the place of observation and treatment with a recommendation on the need to provide VMP (original);
an extract from the medical documentation signed by the head of the medical organization at the place of treatment and observation of the patient, containing
information about the diagnosis of the disease, information about the state of health, examination and treatment performed;
results of laboratory, instrumental and other types of medical research on the profile of the disease;
a copy of the passport of a citizen of the Russian Federation (pages 2, 3 and 5);
a copy of the compulsory health insurance policy;
a copy of the certificate of compulsory pension insurance (if available);
a copy of the disability document (if available).

The specified documents should be submitted to the Reception Office of the Moscow Department of Health at the address: Moscow, 2nd Shchemilovsky lane, 4A, building 4 daily, except weekends and holidays, from 9 a.m. until 13 o'clock 30 min. and from 2 p.m. 30 min. until 18:00, telephone for inquiries: 8-499-973-08-61.

List of medical organizations of the city’s public health systemMoscow, where high-tech medical care is provided

	Profile of high-tech medical care	Name of medical organizations of the Moscow state healthcare system
	Abdominal surgery	GBUZ "Research Institute for SP named after. N.V. Sklifosovsky DZM", GBUZ "Moscow Clinical Scientific and Practical Center DZM", GBUZ "GKB named after. S.P. Botkin DZM", State Budgetary Institution "City Clinical Hospital No. 1 named after. N.I. Pirogova DZM", GBUZ "City Clinical Hospital No. 7 DZM", GBUZ "City Clinical Hospital No. 12 DZM", GBUZ "City Clinical Hospital No. 24 DZM", GBUZ "City Clinical Hospital No. 31 DZM", GBUZ "City Clinical Hospital No. 50 DZM", GBUZ "GKB No. 64 DZM", GBUZ "City Clinical Hospital No. 67 DZM", GBUZ "City Clinical Hospital No. 79 DZM", GBUZ "GVV No. 3 DZM", GBUZ "DGKB No. 13 named after. N.F. Filatova DZM"
	obstetrics and gynecology	GBUZ "Center for Family Planning and Reproduction DZM", GBUZ "GKB named after. S.G1. Botkin DZM", State Budgetary Institution "City Clinical Hospital No. 1 named after. N.I. Pirogova DZM", GBUZ "City Clinical Hospital No. 12 DZM", GBUZ "City Clinical Hospital No. 31 DZM", GBUZ "City Clinical Hospital No. 50 DZM"*, GBUZ "City Clinical Hospital No. 64 DZM", GBUZ "City Clinical Hospital No. 79 DZM", GBUZ "RD No. 17 DZM"
	Gastroenterology	GBUZ "Moscow Clinical Scientific and Practical Center of DZM", GBUZ "GKB named after. S.P. Botkin DZM", State Budgetary Healthcare Institution "City Clinical Hospital No. 24"
	Hematology	GBUZ "GKB im. S.P. Botkin DZM", GBUZ "City Clinical Hospital No. 40 DZM", GBUZ "City Clinical Hospital No. 52 DZM", GBUZ "Morozovskaya DGKB DZM"
	Dermatovenereology	State Budgetary Institution "Scientific and Practical Center of Dermatovenereology and Cosmetology, Department of Health"
	Combustiology	GBUZ "Research Institute for SP named after. N.V. Sklifosovsky DZM", GBUZ "City Clinical Hospital No. 36 DZM", GBUZ "DGKB No. 9 named after. G.N. Speransky DZM"
	Neurosurgery	GBUZ "Research Institute for SP named after. N.V. Sklifosovsky DZM", State Budgetary Institution "GKB named after. S.P. Botkin DZM", State Budgetary Institution "City Clinical Hospital No. 15 named after. O.M. Filatova DZM", GBUZ "City Clinical Hospital No. 67 DZM", GBUZ "Research Institute of Emergency Pediatric Surgery and Traumatology DZM", GBUZ "Scientific Center of Medical Care for Children with Deformations of the Craniofacial Region and Congenital Diseases of the Nervous System DZM", GBUZ "Morozovskaya Children's City Clinical Hospital DZM" , GBUZ "DGKB No. 9 named after. G.N. Speransky DZM"
	Neonatology	GBUZ "Center for Family Planning and Reproduction of the Department of Health", GBUZ "City Clinical Hospital No. 13 of the Department of Health", GBUZ "City Clinical Hospital No. 8 of the Department of Health", GBUZ "Children's Clinical Hospital No. 13 named after. N.F. Filatova DZM", GBUZ "DIKB No. 6 DZM"
	Oncology	GBUZ "Moscow City Oncology Hospital No. 62 DZM", GBUZ "Oncological Clinical Dispensary No. 1 DZM", GBUZ "City Clinical Hospital No. 24 DZM", GBUZ "City Clinical Hospital No. 40 DZM", GBUZ "City Clinical Hospital No. 57 DZM", GBUZ "Morozovskaya DGKB DZM" »
	Otorhinolaryngology	GBUZ "MNPC of Otorhinolaryngology of the Department of Health", GBUZ "City Clinical Hospital No. 1 named after. N.I. Pirogov DZM", GBUZ "City Clinical Hospital No. 67 DZM", GBUZ "Morozovskaya DGKB DZM", GBUZ "DGKB St. Vladimir DZM", GBUZ "DGKB No. 9 named after. G.N. Speransky DZM"
	Ophthalmology	GBUZ "OKB DZM", GBUZ "City Clinical Hospital No. 1 named after. N.I. Pirogov DZM", GBUZ "City Clinical Hospital No. 12 DZM", GBUZ "City Clinical Hospital No. 15 named after. O.M. Filatova DZM", GBUZ "City Clinical Hospital No. 36 DZM", GBUZ "City Clinical Hospital No. 67 DZM", GBUZ "Morozovskaya DGKB DZM"
	Pediatrics	State Budgetary Healthcare Institution "Morozov Children's City Clinical Hospital No. 9 named after. G.N. Speransky DZM", State Budgetary Healthcare Institution "District Clinical Hospital No. 6 DZM"
	Rheumatology	GBUZ "City Clinical Hospital No. 1 named after. N.I. Pirogov DZM", GBUZ "City Clinical Hospital No. 4 DZM", GBUZ "City Clinical Hospital No. 52 DZM"
	Cardiovascular surgery	GBUZ "Research Institute for SP named after. N.V. Sklifosovsky DZM", State Budgetary Institution "Scientific Center for Interventional Cardioangiology, Department of Health of the Department of Health", State Budgetary Institution "City Clinical Hospital named after. S.P. Botkin DZM", State Budgetary Institution "City Clinical Hospital No. 1 named after. N.I. Pirogov DZM"*, GBUZ "City Clinical Hospital No. 4 DZM", GBUZ "City Clinical Hospital No. 7 DZM", GBUZ "City Clinical Hospital No. 12 DZM", GBUZ "City Clinical Hospital No. 15 named after. O.M. Filatov DZM", GBUZ "City Clinical Hospital No. 23 DZM", GBUZ "City Clinical Hospital No. 64 DZM", GBUZ "City Clinical Hospital No. 81 DZM", GBUZ "DGKB No. 13 named after. N.F. Filatova DZM"
	Thoracic surgery	GBUZ "Research Institute for SP named after. N.V. Sklifosovsky DZM", GBUZ "City Clinical Hospital No. 36 DZM", GBUZ "DGKB No. 13 named after. N.F. Filatova DZM"
	Traumatology and orthopedics (including endoprosthetics of large joints)	GBUZ "Research Institute for SP named after. N.V. Sklifosovsky DZM", GBUZ "MNPC of Medical Rehabilitation, Rehabilitation and Sports Medicine DZM", GBUZ "Research Institute of Emergency Pediatric Surgery and Traumatology DZM", GBUZ "GKB named after. S.P. Botkin DZM", State Budgetary Institution "City Clinical Hospital No. 1 named after. N.I. Pirogov DZM", GBUZ "City Clinical Hospital No. 7 DZM", GBUZ "City Clinical Hospital No. 12 DZM", GBUZ "City Clinical Hospital No. 13 DZM", GBUZ "City Clinical Hospital No. 15 named after. O.M. Filatova DZM", GBUZ "City Clinical Hospital No. 31 DZM", GBUZ "City Clinical Hospital No. 59 DZM", GBUZ "City Clinical Hospital No. 64 DZM", GBUZ "City Clinical Hospital No. 67 DZM", GBUZ "City Clinical Hospital No. 81 DZM", GBUZ "GVV No. 2 DZM" ", GBUZ "GVV No. 3 DZM", GBUZ "Morozovskaya DGKB DZM", GBUZ "DGKB No. 13 named after. N.F. Filatova DZM"
	Transplantation	GBUZ "Research Institute for SP named after. N.V. Sklifosovsky DZM", State Budgetary Healthcare Institution "City Clinical Hospital No. 7 DZM"
	Urology	GBUZ "City Clinical Hospital No. 1 named after. N.I. Pirogova DZM", GBUZ "City Clinical Hospital No. 12 DZM", GBUZ "City Clinical Hospital No. 31 DZM", GBUZ "City Clinical Hospital No. 50 DZM"*, GBUZ "City Clinical Hospital No. 57 DZM", GBUZ "Morozovskaya Children's City Clinical Hospital No. 13 im. N.F. Filatova DZM"
	Maxillofacial Surgery	GBUZ "Moscow Clinical Scientific and Practical Center of the Department of Health" *, GBUZ "City Clinical Hospital No. 1 named after. N.I. Pirogov DZM", State Budgetary Healthcare Institution "City Clinical Hospital No. 36 DZM"
	Endocrinology	GBUZ "City Clinical Hospital No. 67 DZM", GBUZ "City Clinical Hospital No. 81 DZM", GBUZ "GVV No. 3 DZM", GBUZ "Morozovskaya DGKB DZM"

Find out on the basis of what documents a VMP coupon is issued, which organizations have the right to provide services and how to connect to the program. The information will allow you to navigate issues of high-tech assistance and avoid problems when working with documents.

Read in the article:

What is VMP

VMP is high-tech medical care that is provided to treat patients with complex and severe diseases. Services involve the use of expensive equipment, the latest developments and innovative technologies.

List of types of high-tech medical care

Diseases subject to treatment using coupons, VMP codes for 2019 are reflected in the Decree of the Government of the Russian Federation of December 19, 2016 No. 1403 “On the Program of State Guarantees for the provision of free medical care to citizens for 2017 and for the planning period of 2018 and 2019.”

The Decree lists 1,435 types of HFMP, which include:

microsurgery;
video thoracoscopic operations;
radiological interventions;
laser, intensive therapy;
transplantation of organs and tissues, etc.

Reference:Most often, patients need therapeutic, surgical and combined treatment.

Not all types of high-tech medical care are provided within the compulsory medical insurance system. The second section of the Resolution reflects a list of diseases financed from the federal budget from the Compulsory Medical Insurance Fund and other interbudgetary transfers. To start treatment outside compulsory medical insurance, the patient also receives a VMP coupon. The patient must be prepared for a long wait in line, as the number of places is sharply limited.

How can a patient obtain a voucher for VMP services?

The decision on the need for treatment is made at the outpatient hospital to which the patient belongs at the place of registration. You need to prove the presence of a serious illness, collect a package of documents and undergo additional examination. The final decision on whether to issue a VMP coupon or not is made at the regional level within 10 days.

If the outcome is positive, the papers are sent to an institution where high-tech medical care will be provided. The clinic commission has the right to review documents for another 10 days for electronic applications or 3 days for personal consultations.

Important! To receive a voucher for high-tech care that is not included in the basic program, contact the health department or the local branch of the Ministry of Health, and not the clinic at the place of registration.

List of documents for issuing a VMP coupon

List of documents for the provision of high-tech medical care for all persons:

conclusion of the chief freelance specialist of the Ministry of Health on the profile of the disease, which indicates that the person needs to receive medical treatment. In the conclusion, they write the type of assistance, the name of the federal center where the person will receive treatment;
an extract from the patient's outpatient card in printed form describing the examination results;
referral indicating the diagnosis code according to ICD-10;
pictures and disks with examination results - they are sent by the medical organization to the Ministry of Health by e-mail.

All adult patients (over 18 years of age) will need:

passport of a citizen of the Russian Federation;
compulsory medical insurance policy;
SNILS;
if there is a disability - certificates of medical and social examination;
consent to the processing of personal data.

Children under 18 will need:

birth certificate, from 14 years old - passport;
compulsory medical insurance policy;
SNILS;
medical and social examination certificates;
consent to the processing of personal data from parents and guardians;
passport of the parent or guardian.

As soon as the package of documents is collected, the person responsible for the provision of medical treatment in the clinic transfers it to the Ministry of Health of the region. The patient cannot do this on his own. After which the patient will find out the necessary information in the hospital to which he is attached, and if he has a coupon - on the open portal of high-tech medical care. In addition, on the website you can track the quota for VMP.

Important! If a person needs immediate help, but there is no time to prepare documents, he receives treatment and then collects the papers. But in this case, VMP is provided only for one area, for example, a vital operation is performed, and the associated problems are eliminated later.

In general, several months pass from the moment of submitting documents to the start of treatment. Most often, emergency hospitalization is not possible due to the fact that there is a long queue for VMP. Many patients do not wait for help at all, since their disease is considered insufficiently serious or incurable.

If assistance is refused, the patient has the right to contact Rosminzdrav. A VMP coupon can be issued after consideration of the complaint if a positive decision is made. In cases where a patient is not eligible for high-tech care for a number of reasons, he is offered alternative treatment methods.

Which clinics provide assistance with VMP coupons?

High-tech medical care, included in the basic compulsory health insurance program, is provided by organizations included in the register.
Assistance not included in the basic compulsory medical insurance program is provided by:

Federal State Institution of the Ministry of Health of the Russian Federation in accordance with the List (part 6 of article 34 of Law No. 323-FZ; clause 1 of the Order of the Ministry of Health of Russia dated December 28, 2015 No. 1014n);
medical organizations, the list of which is approved by the authorized executive body of the constituent entity of the Russian Federation (health care management body, OHC) (Part 7, Article 34 of Law No. 323-FZ; clauses 7, 8 of the Procedure).

The medical organization to which the patient is sent must be connected to the voucher assistance program, have a license and meet a number of criteria. In this case, each year you are required to submit an application for participation within a strictly allotted time.

How to become a participant in the basic compulsory medical insurance program

Organizations wishing to provide high-tech assistance next year are required to send a notification to the territorial fund before September 1 of the current year. A document is considered if it is drawn up in accordance with all the rules. What information to provide and in what form to prepare the paper is specified in the Compulsory Medical Insurance Rules.

The territorial fund checks documents and medical organizations for compliance with the criteria. A representative of the clinic has the right to be present during the inspection. If everything is in order, the fund assigns a registration number to the institution and sends a corresponding notification by email within 2 working days.

How to become a participant in the provision of assistance outside of compulsory medical insurance

The Ministry of Health compiles a list of organizations specializing in the provision of services outside the compulsory medical insurance program annually. If a clinic applies for inclusion in the register, it must submit documents before June 1 of the current year.

Reference: a complete list of documents and selection criteria are presented in the Rules for compiling the list (Government Decree No. 1160 dated November 12, 2016).

Members of the expert council, which includes specialists from the Ministry of Health, FAS, Roszdravnadzor, FFOMS, FMBA, FANO and institutions, analyze the papers and make a verdict. The council will inform the clinic of its decision within five working days. If it is negative, the representative of the institution can appeal it.

Reference: if you want to check whether an organization is included in the register or not, visit the VMP portal. The site provides a search for medical organizations by type of high-tech care.

How much funds are allocated for treatment using VMP coupons?

The Prime Minister annually reviews and approves the list of diseases and abnormalities, types and methods of treatment. The Resolution specifies the standards of financial costs per unit of volume (the cost of the procedure performed), as well as the number of allocations. Most types of high-tech assistance are priced between 50-200 thousand rubles.

The budget for 2019 allocated 100.8 billion rubles for the provision of high medical care outside compulsory medical insurance:

94.6 billion rubles. - for federal medical institutions;
6.4 billion rubles. - subsidies for regions.

To treat many diseases, patients do not have enough allocated funds, so they can only count on receiving a quota, and not covering all expenses. If the cost of a service exceeds the permissible limit, the patient bears part of the material costs or refuses assistance.

How are clinics financed?

For high-tech assistance under compulsory medical insurance, funds are allocated to territorial funds in the form of subventions, and for high-tech medical care not under the state program, they are awarded directly from federal institutions. The regional budget participates in financing in rare cases.

The regional commission distributes the volume of assistance between clinics. Members of the commission take into account standards for medical care, the volume of medical care consumed in the institution, the number of insured persons assigned to the hospital, etc. An amount is allocated for the treatment of patients, which is required by law and reflected in the Resolution (from 50 to 200 thousand rubles in 2019).

Important! Private clinics, which can also provide primary care since February 13, 2019, receive subsidies only if they are licensed and included in the register. The procedure for providing subsidies is approved in Government Decree No. 56 dated January 29, 2019.

What can organizations spend funds on?

Basic compulsory medical insurance program

The medical organization receives an amount that can be spent on the purchase of software, databases, communications, fire safety measures, security, checking devices, etc. That is, a medical organization has the right to spend funds accrued for providing assistance using VMP coupons for general business needs.

Providing assistance with VMP coupons outside compulsory medical insurance

The cost standard includes not only general economic needs, but also funds for providing assistance, including salaries for doctors, medicines, purchase of movable property, etc.

Regardless of the basis on which a medical organization provides high-tech care, it is obliged to report on treatment and expenditure of funds. If shortcomings are discovered, the institution is deprived of its license, and subsequently its management cannot apply for participation in the program.

If you plan to provide high-tech care, engage in the development of medical personnel so that the qualifications of doctors meet the requirements. Enroll them in advanced training courses at the Qualification and Training Assessment Center No. 1. , their duration and training time.

More materials

In the magazine, we examined the issues of financial support for the provision of high-tech medical care in 2015. Today we will analyze issues related to organizing the provision of such assistance. Starting from 01/01/2015, the procedure for providing high-tech medical care was established by Order of the Ministry of Health of the Russian Federation dated December 29, 2014 N 930n “On approval of the Procedure for organizing the provision of high-tech medical care using a specialized information system” (hereinafter referred to as Order N 930n).

In a day hospital (in conditions that provide medical supervision and treatment during the day, but do not require round-the-clock medical supervision and treatment);

High-tech medical care is provided in accordance with the list of types of high-tech medical care established by the State Guarantees Program. This list includes:

A list of types of high-tech medical care included in the basic compulsory medical insurance program, the financial support of which is provided through subventions from the FFOMS budget to the TFOMS budgets. Let us recall that this list is given in Sect. 1 appendix to the State Guarantee Program;

A list of types of high-tech medical care not included in the basic compulsory medical insurance program, the financial support of which is carried out from funds provided to the federal budget from the MHIF budget in the form of other interbudgetary transfers in accordance with the federal law on the MHIF budget for the next financial year and planning period. It is given in Sect. 2 annexes to the State Guarantee Program.

Note. High-tech medical care according to the specified lists is provided by medical organizations included in the register of medical organizations operating in the field of compulsory medical insurance.

By virtue of clause 9 of Order No. 930n, the FFOMS, on the basis of information from the TFOMS, submits to the Ministry of Health a list of medical organizations included in the register of medical organizations operating in the field of compulsory medical insurance and providing high-tech medical care according to the list of types of high-tech medical care included in the basic compulsory medical insurance program, in until December 10 of the year preceding the reporting year.

Medical organizations, the list of which is approved by the authorized executive body of the constituent entity of the Russian Federation in accordance with Federal Law N 323-FZ. This list must be submitted by the authorized executive body of the constituent entity of the Russian Federation to the Ministry of Health before December 20 of the year preceding the reporting year.

The Ministry of Health creates a list of medical organizations providing high-tech medical care in a specialized information system by December 30 of the year preceding the reporting year.

In accordance with clause 13 of Order N 930n, if there are medical indications for the provision of high-tech medical care, the attending physician of the medical organization in which the patient is undergoing diagnosis and treatment as part of the provision of primary specialized health care and (or) specialized medical care, issues a referral to hospitalization for the provision of high-tech medical care. It should be noted that a medical indication for the provision of high-tech medical care is the presence of a disease and (or) condition in the patient that requires the use of high-tech medical care in accordance with the list of types of such care.

A referral for hospitalization must be made on the letterhead of the referring medical organization. It must be legibly handwritten or submitted in printed form, certified by the personal signature of the attending physician, the personal signature of the head of the medical organization (the person authorized by him), the seal of the attending physician, the seal of the referring medical organization. The following patient documents must be attached to the referral for hospitalization:

1) an extract from the medical documentation, certified by the personal signature of the attending physician, the personal signature of the head (his authorized person) of the referring medical organization, containing the diagnosis of the disease (condition), diagnosis code according to ICD-10, information about the patient’s health status, results of laboratory, instrumental and other types of studies confirming the established diagnosis and the need for high-tech medical care;

The above set of documents must be sent within three working days, including through a specialized information system, postal and (or) electronic communication:

To a medical organization included in the register of medical organizations operating in the field of compulsory medical insurance, in the case of providing high-tech medical care included in the basic compulsory medical insurance program;

To the executive authority of a constituent entity of the Russian Federation in the field of healthcare (hereinafter referred to as the OHC) in the case of the provision of high-tech medical care that is not included in the basic compulsory medical insurance program.

In addition, it should be noted that the referral of patients from among the citizens of the Russian Federation, whose health care in accordance with the legislation of the Russian Federation falls under the jurisdiction of the FMBA, to federal medical organizations for the provision of high-tech medical care is carried out by the FMBA. In turn, patients from among military personnel and persons equal in medical support to military personnel are sent to medical organizations that provide high-tech medical care in accordance with Federal Law N 323-FZ.

OOUZ Commission. According to clause 18 of Order No. 930n, when referring a patient to provide him with high-tech medical care that is not included in the basic compulsory medical insurance program, the commission of the executive body of the constituent entity of the Russian Federation in the field of healthcare for selecting patients for the provision of high-tech medical care (hereinafter referred to as the OHC commission) issues a coupon for provision of high-tech medical care. The coupon is issued by the OHC using a specialized information system, attaching a set of documents submitted by the patient or the referring medical organization.

The period for preparing the decision of the OHC commission on confirming the presence (absence) of medical indications for referring the patient to the receiving medical organization to provide him with high-tech medical care should not exceed 10 working days from the date of receipt of the set of documents by the OHC.

An extract from the protocol of the decision of the OHC commission is sent to the sending medical organization, including via postal and (or) electronic communication, and is also handed over to the patient (his legal representative) upon written application or sent to the patient (his legal representative) via postal and ( or) electronic communications.

Note. The decision of the OOUZ commission is documented in a protocol, which is drawn up in two copies, one of which is subject to storage in the OOUZ for 10 years.

A medical organization providing high-tech medical care. The basis for hospitalization of a patient in a medical organization providing high-tech medical care is the decision of the medical commission of the medical organization to which the patient is referred to select patients for the provision of high-tech medical care (hereinafter referred to as the commission of the medical organization providing high-tech medical care). This commission is formed by the head of a medical organization providing high-tech medical care.