Articles from rubric: «Manager of health care consults»
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2022 № 9 About some methodological approaches to the assessment of the salary level of medical workers.
The article deals with methodological issues of assessing the level of salaries of medical workers by official statistics bodies (Rosstat) and within the framework of surveys of medical workers themselves.
The main methodological differences are shown in the methods of calculating the indicators characterizing wages used by statistical authorities and survey organizers. The main reasons leading to the discrepancy between the results of such assessments are shown. Among them, first of all, it is necessary to name different approaches to accounting for personal income tax, restrictions in the sample, etc.
In addition, official statistics take into account not only wages, but also some other expenses in favor of employees. At the same time, the concept of "average number" is used, which is not taken into account in the framework of the conducted surveys.
At the same time, the salaries of medical workers in order to assess the achievement of the targets set by the May Presidential
Decrees should be correlated not with the average salary for the subject of the Russian Federation, but with the average monthly income from work.
Such methodological differences create an objective basis for the discrepancy between the survey results and official statistical data and should be taken into account when interpreting the data obtained. -
2022 № 8 About some methodological issues of remuneration of medical workers
The article discusses a number of methodological issues of remuneration that arose against the background of the suspension of special social payments for work with COVID‑19 and their replacement with compensation payments, as well as the postponement of pilot projects that were to be implemented in order to prepare for the introduction of a new system of remuneration for medical workers.
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2022 № 7 Issues related to the replacement of special social payments for work with COVID-19 with compensation payments
The article discusses issues related to the suspension of special social payments for work with COVID‑19 and their replacement with compensation payments. Problems such as the procedure for completing existing payments, lists of employees who are subject to compensation payments, measures that need to be taken by medical organizations in a new situation are considered.
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2022 № 6 Changes in the procedure for carrying out control measures in the compulsory health insurance system in 2022
One of the most important innovations in the system of compulsory medical insurance in 2021 was the change in the order of control measures. At the same time, both the participants of the MHI system, who have the authority to conduct control measures, and the procedure for conducting control have changed.
This paper analyzes the next, rather voluminous changes in the system of control measures that occurred already in 2022. An assessment of the impact of these changes on the effectiveness of control and on the work of medical organizations is given. -
2022 № 1 Financing of the compulsory health insurance system in 2022
The most important factor affecting the amount and methods of financial support of the compulsory medical insurance system, as in the last two years, continues to be the spread of coronavirus infection COVID‑19.
In the proposed paper discusses not only the indicators of the budget of the Federal compulsory medical insurance Fund, but the dynamics of indicators, including, in comparison with the rate of inflation, and other factors.
New directions of the use of compulsory medical insurance funds are identified, the reasons for their appearance are considered. -
2022 № 1 Financing of the compulsory health insurance system in 2022
The most important factor affecting the amount and methods of financial support of the compulsory medical insurance system, as in the last two years, continues to be the spread of coronavirus infection COVID‑19.
In the proposed paper discusses not only the indicators of the budget of the Federal compulsory medical insurance Fund, but the dynamics of indicators, including, in comparison with the rate of inflation, and other factors.
New directions of the use of compulsory medical insurance funds are identified, the reasons for their appearance are considered. -
2021 № 9 Labor rationing as one of the effective management tools of a medical organization.
Labor rationing is an important tool for managing the workforce of a medical organization, which is not limited to setting labor standards. Rationing has a number of potential opportunities, the competent implementation of which makes it possible to solve a number of urgent management tasks, including stimulating of employees.
The article discusses various aspects of the use of rationing in order to improve the efficiency of the medical organization. -
2020 № 6 Assessment of public policy in relation to certain issues of healthcare functioning during the spread of COVID-19 Coronavirus
Health care, as a predominantly public system, is objectively subject to serious regulation in special operating conditions, which include the spread of COVID-19 coronavirus infection. It is also important that the private healthcare system is also subject to direct or indirect regulation. At the same time, public authorities are sometimes forced to resort to "manual management", the consequences of which are not always clear for both public and private health care.
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2020 № 3 The problems of paying for medical care provided to residents of other subjects of the Russian Federation within the framework of compulsory medical insurance
The legislation guarantees citizens the right to receive medical care under a compulsory health insurance policy (CHI) throughout the Russian Federation. But in some cases, in accordance with current legislation, a referral is required to receive medical care. This also applies to situations where a citizen receives medical care outside of the subject of the Russian Federation where the citizen is insured. The system of such referrals to medical organizations located in another region is more or less regulated only when they are sent to Federal medical organizations. The situation is further compounded by the fact that the Supreme court contrary to law, making decisions, actually leveling a direction. At the same time, payment for medical care provided outside the region in which the MHI policy is issued depends on the payment of this assistance from the Territorial Fund of this region. This leads to numerous delays in payment and, as a result, reduces the interest of medical organizations in providing medical care to "nonresidents". Patients suffer as a result. All this raises the question of the need to improve the current mechanism for conducting inter-territorial settlements in the MHI system.
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2020 № 2 The Main approaches to the evaluation of the effectiveness of the implementation of the “effective contract” in health care
The upcoming reform of the wage system involves a more detailed analysis of not only the advantages and disadvantages of the existing system (as well as previous ones), but also the practice of its application. The most obvious criterion for evaluating the effectiveness of the current wage system is to assess how well it has enabled the implementation of an effective contract and the tasks assigned to it. At the same time, it is necessary to analyze what were the problems of introducing an effective contract that are not directly related to a specific wage system.
One of the main methodological problems with the introduction of an effective contract is that the recommendations for its introduction, developed at the preliminary stage, were not revised following the evaluation of the implementation of an effective contract and its results. Best practices and mistakes were not taken into account, which made it impossible to adjust and specify approaches to the introduction of an effective contract.
In many ways, this is why many institutions have approached the introduction of an effective contract quite formally.
The proposed article is devoted to the criteria for evaluating the success of implementing an effective contract in state (municipal) health care institutions. -
2019 № 10 The main contours of the next reform of sectoral wage system in public health
The special attention paid to staffing is not accidental – it is a natural reaction of the state to the deterioration of the situation with the number of medical workers in state (municipal) institutions. In turn, the personnel deficit has increased due to the fact that in difficult economic conditions, many institutions have taken the path of reducing workers in order to increase the wages of the remaining. These steps directly contradicted the logic of the "May" presidential Decrees of 2012, but simplified the task of achieving the salaries of medical workers at the level stipulated by these Decrees. Therefore, a number of documents reflecting the strategy of development of health care, as well as the Instructions of the President contain measures aimed at correcting the situation, including by reforming the system of remuneration of employees of state (municipal) health care institutions. At the same time, it is important not just to implement the measures provided for in these documents, but also a specific implementation mechanism. Therefore, the article analyzes the possible positive and negative consequences of various options for the implementation of measures provided for by the Instructions and other documents.
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2019 № 9 Work with appeals of citizens and satisfaction of separate requirements of the consumer: what to consider medical organizations
The article deaths with the features of working with citizens and to meet the individual requirements of the consumer, which are required to know medical organizations. The authors show and justify under what conditions the consumer’s demand is a citizen’s appeal, as well as how the terms of consideration of citizens ‘ appeals and the terms of satisfaction of individual consumer requirements are correlated with each other. In the article it is noted that in the medical organization work with citizens‘ appeals should be an integral component of ensuring and controlling the quality and safety of medical activities.
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2019 № 2 How to arrange the provision of paid medical services anonymously
he article proposes specific mechanisms for the implementation of the right of patients to receive paid medical services anonymously. The authors propose and justify the use in the provision of paid medical services anonymously as the patient’s name alias (fictitious name), which should be reflected in the documentation – in the contract, the patient’s medical record, informed voluntary consent to medical intervention, etc. The Implementation of the proposals expressed by the authors of the article will allow to provide medical care anonymously in compliance with all the requirements of the law.
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2019 № 2 About some practical aspects of application of professional standards in the field of health care
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2019 № 1 Financing health care in 2019: new priorities and channels for the movement of funds
Analysis of the future financing of health care shows that in 2019–2021, despite the difficult financial situation, the volume of financial support for the industry will continue to grow. Thus, the size of health care spending from the Federal budget is growing not only in absolute terms, but also occupies all a large share in the structure of Federal budget expenditures. The increase in expenses in the system of compulsory health insurance (CHI) in absolute terms is still quite large. Among the priorities of 2019 are the increase in funding for cancer care, as well as high-tech medical care, which directly follows from the provisions of the Decree of the President of the Russian Federation May 7, 2018 № 204 "The national goals and strategic objectives of the Russian Federation for the period up to 2024" (presidential Decree № 204). The distribution of funds to the compulsory medical insurance system is based on these priorities, and based on the results of implementation of decrees of the President 2012 for leveling a series of problems, such as unreasonable reductions in personnel. All this should have a positive impact on the further development of health care.
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2018 № 3 «Other conditions» as the basis for payment of the rendered medical care. Part 2
The legislation determined that one of the grounds for the provision of medical care for a fee is its provision on other conditions than provided by the state guarantees program. However, the interpretation of «other conditions» is rather ambiguous and requires detailed consideration. For this purpose it is necessary to study not only the state guarantees program itself, but also a number of other regulatory legal acts. Thus it is necessary to distinguish accurately other conditions of rendering medical care from household and service. The article deals with various aspects of medical care for a fee on the basis of its provision on terms different from the state guarantees program
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2018 № 1 Prospects of health financing in 2018
New 2018 in terms of funding health care will differ from the previous - it is expected a sharp increase in funding from all types of sources. However, this is due not only to increased revenues and the restructuring expenses. It becomes more rational - "saving" (for example, reducing expenditures on more costly inpatient care in the Federal budget). In the system of obligatory medical insurance is the refusal of a number of "non-core" expenditure. All of this should have a positive impact on the development of health care
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2017 № 9 Practical aspects of regulation of labor in the state (municipal) institutions health
Labor regulation is a major work in the initial stages and requires systematic monitoring of compliance, assessment of their validity, need to review them in the future. With sufficient elaboration of the regulatory framework, methodological issues of labor regulation at the level of medical organizations covered clearly enough. «Guidelines for the development of systems of rationing of work in the state (municipal) institutions», approved by the Ministry of labour and social protection of the Russian Federation dated 30 September 2013 N504, do not give detailed algorithms for the valuation. The orders of Ministry of health of Russia approving the model time norms relate only to certain aspects of the practical application of labour standards. So there is a need to assess the capabilities and limitations of different techniques of work measurement-level medical associations to offer «step-by-step algorithms» implementation of labor standards, to develop practical recommendations. The tasks and focus of this publication
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2017 № 7 The issues of creation and functioning of centralized laboratories in the system of compulsory medical insurance
Centralization of laboratory diagnostics is a time commitment associated with the benefits it provides. However, the appeal to this topic is also connected with the new factors that are considered in the article. The difference in the regional features of the organization of health care, the availability of various sources of financial support for medical organizations, etc., suggest a distinction between specific models of centralization, the system of financial relationships, etc. In addition, the centralization of the laboratory service, having undoubted merits, also carries certain risks and threats that must be taken into account. This article addresses these and other issues related to the practical aspects of the centralization of the laboratory service.
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2017 № 4 Paradoxes of law: the guarantee of free medical aid often limit the rights of patients to improve quality
The legislation of the Russian Federation, recognizing the rights of citizens on free medical aid and paid medical services, however, makes clear the roll the side free of charge. At the same time guarantee free of charge formulated in such a way that often limit the rights of citizens to receive medical care with the use of drugs, medical devices, etc., not provided for in the programme of state guarantees of free rendering to citizens of medical aid. Moreover, if the rights of citizens to receive paid medical services directly spelled out in the law, the right of citizens to self-purchase of medicines, medical devices, etc. did not say anything. There is no outright bans, which in practice leads to numerous conflict situations. The article provides specific suggestions for improving the legislation in this field.
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2017 № 3 The paid services in the field of family planning
The paid services in the field of family planning (including in the form of a voluntary medical insurance) are perceived as a violation, although legally they are not prohibited. But the legislation provides specific protection in this area, which is quite legitimate. Sometimes the guarantee is worded in such a way that in practice, healthcare organizations can easily get around them. The analysis of these problems addressed in this article.
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2017 № 2 The ways to counter the "consumer (patient) extremism" in the provision of paid medical services
The medical organization in the provision of paid medical services are faced not only with a large number of inspectors, with unreasonable restrictions (which usually applies to state and municipal institutions), the discontent of the population by the fact of payment for medical care, etc., but with the incorrect behavior of patients seeking unreasonably to obtain the benefits that they are not guaranteed. We are talking about the phenomenon called «patient extremism». The position of the regulators is often in almost unconditional support for patients. The current mentality is based on the incorrect position of «the patient is always right». Meanwhile, the provision of paid medical services is a sphere of civil relations where there should rule the law. In recent years adopted laws (including amending the Civil code) allow healthcare organizations to more successfully assert their legal rights when lawful execution and performance of contracts for the provision of paid medical services to patient and resist extremism. The analysis of the legislation addressed in this article.
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2017 № 1 Нealth care Funding in 2017 – another paradox: the means was less than planned for 2016, but the financial support for the industry has improved
In recent years, the Federal budget is closely linked to the budget of the Federal mandatory medical insurance Fund – they cannot be analysed separately from each other. The Federal funding is reduced, but the budget of the Federal mandatory medical insurance Fund in 2017 favorably with previous: 2016 was suddenly executed with a surplus. Large carryovers for 2017 are not evaluated as a negative factor, as it was before, but as positive, as they relate to the refusal of the state from the withdrawal of the Federal budget planned amounts. Therefore, a sharp drop of healthcare financing from the Federal budget does not mean the deterioration in the financing industry – changing channels the movement of funds. This is due to the fact that the government became aware that the transformation of the budget of the Federal mandatory medical insurance Fund to source for other budgets will not ensure the implementation of presidential Decrees on raising wages. In addition, there have been major changes to the financing of high-tech medical care, which is not included in base program OMS –2017 it is almost completely financed by funds. In the article the analysis of dynamics and trends of health financing from different sources.
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2016 № 10 Practical aspects of implementation of the professional standard «Junior medical staff»
The appearance of professional standards is a new stage in the development of professional competencies. Often this process is accompanied by difficulties of applying professional standards in practice. This is true for the professional standard «Junior medical staff». The standard requires nurses training in the appropriate positions. Previously, this requirement did not exist. The training system is not yet developed. This is one of the key problems of implementation considered the professional standard. Differences of professional standard «Junior medical staff» of qualifications «Nurse» associated with the need to implement the provisions of the Federal law of 21.11.2011 No. 323-FZ «About bases of health protection of citizens in the Russian Federation», defining the term «health worker».
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2016 № 9 Prospects of implementation «May» Decrees of the President in the field of health
2017 is key year in the implementation of the «May» Decrees of the President. Despite the difficult financial conditions, there are many ways to achieve the specified orders, the levels of remuneration. Planned real measures for financial support of these activities. However, more important is not how to provide the intended level of pay, and how to achieve the goals of the Decrees, which are not be reduced to a simple wage increase.
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2016 № 8 Features of the application of professional standards in the state (municipal) institutions health
The government of the Russian Federation established a particular application of professional standards in terms of requirements, obligatory for the state (municipal) institutions. However, it does not mean that professional standards are required for the application at these institutions. The professional standards are implemented in stages, and the institution defines these stages itself.
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2016 № 7 The possibilities of use of OSDs funds financing for the drug supply in the provision of medical care for patients with rare diseases
The article analyzes the possibilities of use of means of obligatory medical insurance for drug supply patients with rare (orphan) diseases in the provision of medical care in hospital and day hospital.
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2016 № 6 High-tech medical care for patients with rare diseases problems of organization and financing
The article analyzes the problem of providing high-tech medical care for patients with rare (orphan) diseases. The authors propose recommendations for improving organizational and financial mechanisms of the organization of medical care for patients with rare (orphan) diseases.
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2016 № 5 Job Description in terms of the latest novelty in the field of health workers labor competencies
Job descriptions, being a common document, however, does not have a clear legal regulation. A lot of questions are raised when the need arises to change them. Nowadays, there are rather a lot of reasons to job description changes. First of all, there are serious innovation in the field of professional competence of employees related to the development of professional standards, accreditation of health care workers, certification, effective contract administration, etc. The article considers the legal and organizational aspects of job descriptions development, approval and change in the light of the latest novelties in the regulatory framework and the field of professional competence.
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2016 № 4 Manager of Health Care consu lts Actual problems of the introduction of professional standards
Professional standards – a major innovation in the field of professional competence. They are designed to solve a number of problems that were beyond the power of qualifying characteristics to be approved by the relevant qualification directories (ECTS, etc.). In particular this applies an integrated approach to the qualification requirements of their structuring, codification (in order to automate the search for workers, taking into account the in-depth expertise, etc.). Professional standards creates good preconditions for the formation of job descriptions by combining professional standards contained in the job functions and work activities.
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2016 № 3 New requirements to remuneration pay of executives in State and Municipal organisations (institutions)
The Russian Ministry of Labour prepared a legislation bill on changing requirements for remuneration pay of executives of main types of state (municipal) organisations. Suggested changes in the labour legislation are essentially directed towards withholding remuneration and pay-outs to executives of state (municipal) organisations and institutions. They do not contain any principally new statements; however, toughen control over remuneration payouts to not only executives, but deputies, and chief finance officers (accountant). These measures are relevant to a whole plethora of other organisational-legal forms of state and municipal organisations, including state corporations, which paid their executives salaries that have raised a lot of questions among the public for a long time.
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2016 № 2 The challenges, related to provision of paid medical services on anonymous basis
Current legislation has quite clearly settled the questions regarding the provision of the medical aid on a paid basis. Medical organisations, participating in the realization of the programmes of state guarantees for delivering free medical aid and territorial programmes of state guarantees for providing free medical aid to the population have a right to provide patients with paid medical services anonymously exempt for the cases set forth by Russian legislation. However, the provision of medical aid on a paid basis requires conclusion of contracts. There is no special legislation or other normative regulation for contract conclusion on anonymous basis. Nevertheless, an analysis of the normative basis, related to the anonymous provision of medical aid allows finding solutions to the most frequently occurred problems.
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2016 № 1 The paradoxes of health care funding in 2016: the system of mandatory health care insurance policies recorded extra funds, which will be withdrawn back into the federal budget
With all complexity of current economic landscape in the country, health care remains to be one of the top priority spheres regarding financing. Despite the crisis, the volume of funds, allocated to the field is gradually increasing. However, the growth rates of spending on health care lag behind the rates of inflation. Furthermore, a significant part of the budget of Federal Fund of the mandatory medical insurance policy is not connected with the provision of medical aid in the medical mandatory insurance system. Expenditure of Mandatory Medical Insurance System is not oriented on President’s orders to increase the salaries. And despite the presence of crucial financial issues in the mandatory medical insurance system, substantial funds are withdrawn from the Federal budget of Mandatory Medical Insurance system into the federal budget.
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2015 № 10 How the process of loosing real authority among directors of Federal (Municipal) institutions impact the efficiency of operations in organisations lead by them
The market conditions in which health care and other social sphere industries operate, issues with financing and so forth prompted the need for reforms, directed on forming an optimal balance between rights and responsibilities of state (municipal) institutions and their leaders. This article looks into opportunities for executing legislatorial rights of Federal Municipal health care institutions from the perspective of matching the authority given to the directors with the responsibilities weighted on them.
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2015 № 9 Provision of medical aid within a medical approbation
Currently there are developed legal and methodological principals for medical aid provision within a clinical approbation of prevention methods, diagnostics, treatment and rehabillitation. Despite the imperfections of the developed system, it allows to eccelerate the process of implimenting new medical technologies into the health care system, having simultaneously provided financial support to federal clinics, experiencing serious economical burdens due to budget cuts for the most common types of medical care in circumstances of economical instability. The article analyses the issues and provides recommendations for improving organizational mechanisms of clinical approbation.
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2015 № 8 Regulatory control of state-private (municipal-private) partne
The article examines a legislation, related to the state-private partnership and municipal-private partnerships, specifics of its application in the state system. There is also analysis done of a possible impact of the new legislation on investment activity in circumstances of current economic crisis. There are demonstrated legislation opportunities and limitations for realizing state-private partnership projects with participation of state (municipal) institutions in health care.
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2015 № 7 Myths around an effective contract. Part 2 …
Introduction of an effective contract exceeded the framework of a «concrete labor contract». It relates to a wide bredth of questions, such as how to increase salaries, at the cost of which resources, is it possible to cut renumeration within an effective contract and so on and so forth. Consequently, this gave birth to a lot of myths and wrong thinking around different aspects of an effective contract. This article is dedicated to the analysis of these wrong perceptions (myths).
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2015 № 6 Myths around an effective contract…
Introduction of an effective contract exceeded the framework of a «concrete labor contract». It relates to a wide bredth of questions, such as how to increase salaries, at the cost of which resources, is it possible to cut renumeration within an effective contract and so on and so forth. Consequently, this gave birth to a lot of myths and wrong thinking around different aspects of an effective contract. This article is dedicated to the analysis of these wrong perceptions (myths).
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2015 № 5 Issues related to utilizing standards of medical aid in the mandatory medical insurance system
The article is dedicated to analysis of legislation, other normative acts, related to application of regulations on providing medical aid and standards of medical aid, medical aid quality control and enforcement of penalty sanctions towards medical organizations in the system of mandatory medical insurance.
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2015 № 4 Administrative and legal principals for converting hospital nurses into cleaning personnel of manufacturing or office premises
Requirements of «May» Orders issued by the Russian President force institutions not only search for additional funds but also optimize the structure of institutions and cut expenses. One of the possible solutions — is to convert nurses into a cleaning personnel. The article represents an analysis of labour legislation and other normative acts, related to the issue of converting hospital nurses into a cleaning personnel.
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2015 № 3 Forms of documents, deemed necessary for completing qualification evaluation of employees in the health care institutions
There has not yet been adopted a standard for completing qualification evaluation procedure by the current normative and methodology documents. There is no uniformed documents, needed to complete the evaluation. The following article outlines forms of corresponding documents, developed on the basis of analysis of analogue forms, appliedbyvariousfederalauthoritiesaswellaswiththesupportofcurrentunifiedforms.
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2015 № 2 Regulations on how to assess professional competence of health employees and adequacy of their job titles
In December 2013 President of Russian Federation, Vladimir Putin announced a task to complete an assessment of specialists with their further transfer onto effective contract basis. However, available normative documents do not describe the order on how to complete the assessment for job competence. The following article is dedicated to the issue of developing proposals and recommendations on competence assessment of state (municipal) health care specialists on the basis of analysis of current normative base, documents, related to certain aspects of assessment process and/or with consideration of the goals and targets of the assessment process.
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2015 № 1 Changes in the Program of State guarantees for free medical aid provision to the population in 2015 and plans for 2016 and 2017 years
By issuing a resolution № 1273 dated on 28th of November 2014 the Government of Russian Federation approved a Program of State guarantees for free medical aid provision to the population in 2015. In the new revision there was a new section dedicated to program of mandatory medical insurance, the program is expanded by appendix with a list of types of high technological medical aid with the indication of average financial expenses normatives. The changes have also affected the set of normative indexes. There has been conducted an analysis of changing values of normative indexes in comparison with the program for 2014–2016 years (further-PGG 2014).
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2014 № 12 Independent assessment of services provided by medical organizations (Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow, Russia)
In the framework of the events, related to introduction of the efficient contract, there is planned an independent assessment of provided state (municipal) services. In relation to this, there were adopted a lot of normative legal acts. With big potential opportunities, such system, however, is associated with a number of risks, which is important to factor in order to avoid the decrease of subjectiveness, real dependency and efficiency of introducing the independent quality assessment.
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2014 № 11 Federal recommendations on regional and municipal remuneration systems in the health care (Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow)
Letter of Russian Ministry of Healthcare dated on 04.09.2014 № 16-3/10/2-6752 «On improving regional and municipal systems of renumeration of medical employees» suggests a significant increase of salaries shares in total amount of renumeration (up to 55–60%). There goings analyzed current situation with salaries and concluded, that there are difficulties associated with execution of proposals of Russian Ministry of HealthCare. The risks, related to formal implementation of these proposals are described in this article.
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2014 № 10 Number of problems in enhancing the system of labor remuneration in health care (Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia)
Annotation. The Russian Ministry of Health Care conducts work on enhancing the systems of labor remuneration for employees of federal health care organizations, attracting regional authorities to this activity as well. The main focus is made on re-consideration of incentive pay outs list in the frame of introducing an efficient contract. Another important objective is to amend the relative share of wages in the total amount of labor remuneration — at current stage, the wages share is groundlessly low, what causes a number of problems. There are other reforms that need to be implemented in the system of labor remuneration.
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2014 № 9 The order for developing the regulation on labour system norms in a state (municipal) healthcare institution (FSHI «Health Organization and Informatics» Ministry of Health Care of Russia, Moscow, Russia)
Annotation. Questions with regards to the labour norming standards are becoming gradually relevant due to the necessity of establishing indexes and criteria for evaluating employees activity efficiency in the frames of introducing an efficient contract. Logically speaking, norming of the labour should come first before introducing the efficient contract. However, norming the labour — is a complex and time-consuming process, which has to run consistently on an ongoing basis. Therefore, these processes, to a large extent, develop parallel one to another. The starting document for institutions (along with the recommendations of state (municipal) bodies has to become a local normative act — Resolution regarding the system of norming the labour in institution.
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2014 № 8 An analysis of possible consequences from introduction of co-payments from unemployed population into the system of mandatory medical insurance (Federal Research Institute for Health Care Organization and Information of the Ministry of Health Care and Social Development of Russian Federation, Moscow)
In accordance with the current legislation, employers are obligated to cover expenses for mandatory medical insurance system. Constituent territories of Russian Federation are responsible for making payments to support unemployed population (children and elderly and as such). Ministry of Finance of Russia suggested to introduce a mechanism in accordance to which the unemployed population (with exceptance of certain categories) would be responsible for covering expenses for mandatory medical insurance system themselves. The article is dedicated to an analysis of consequences of establishing proposals of Russian Ministry of Finance with regards to introducing co-payments into the system of mandatory medical insurance.
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2014 № 7 Medical duty of medical staff at home within the frame of new legislation (FSBI «Central scientific research institute of the organization and information of public health services Ministry of HealthCare of the Russian Federation», Moscow, Russia)
Annotation. Medical duties at home were always considered as a rational form of organizing medical staff's labour, primarily in rural areas. However, within the new labour legislation they turned to be «above the law». One of yet another modification made to Labour codex returned the right to introduce medical duties at home. The article is dedicated to analysis of labour legislation, other normative acts related to medical duties at homes.
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2014 № 6 Way of including salaries and other payouts of compensational character in the labor contract, concluded in the frames of efficient contract introduction (FSBI <Central scientific research institute of the organization and information of public health services Ministry of HealthCare of the Russian Federation>, Moscow, Russia)
The article is dedicated to analysis of labor legislation, related to compensation payouts for workers. The core aspects of studied problem are the order of their determination and paying out process, reflection in labor contracts, concluded in the frames of an efficient contract introduction.
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2014 № 5 Challenges with labor compensation at the time of providing medical services within main working hours schedule (FSBI «Central scientific research institute of the organization and information of public health services Ministry of HealthCare of the Russian Federation», Moscow, Russia)
Wide spread opinion on in admissibility of fee based medical services provision instate (municipal) organizations is not confirmed by requirements of normative documents. Moreover, in the number of cases, medical staff was obliged to provide fee based medical services within main working hours schedule. However, this sphere encounters objective normative which is necessary to take in to consideration. Simultaneously, it is important to follow strict rules on labor compensation of employees when they provide fee based medical services within the main hours schedule. Many of them are accurately written down in the Labor Codex.
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2014 № 4 Legal and practical aspects of decreasing amount of labor compensation (including the amounts of incentive pay outs) in the frames of introducing an efficient contract (Federal research institute for health organization and informatics of ministry of health of the Russian Federation, Moscow, Russia)
Introduction of efficient contract suggests further close-bodied dependency of labor compensation from its outcome. It also considers not only raise of salaries as far as reaching best results, but a decrease of salaries in case of decline of corresponding indexes. However, there are legislative limitations directed on decrease of labor compensation amount. The study also considers problems of decreasing labor compensation amounts while not reaching foreseen indexes with meeting requirements of active legislation.
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2014 № 3 Problems of combining requirements on concretization of labor conditions compensation while concluding a labor contract with the necessity to consider real outcome of the work (Federal Research Institute for HealthCare Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow)
Annotation. Introduction of efficient contract suggests concretization of the content of labor contracts with employees, including the point of labor compensation conditions. However, the compensation should depend from the work outcome, which is impossible to evaluate beforehand. How should the combination of these two requirements be guaranteed? Should there always be indicated an exact amount of compensation in the labor contract? This material is dedicated to possible ways of solving this problem.
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2014 № 2 Problems of financial provision of high-tech medical aid (Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow)
Annotation: In accordance with legislation the high tech medical aid is gradually transferred into the system of mandatory medical insurance. However, the mechanism of organizing the high tech medical aid in the system of mandatory medical insurance, as well as the order of financial provision and etc. remain till now unclear. This material is dedicated to the analysis of problems related to the issues above and to a review of suggested approaches in solving them.
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2013 № 12 Forms of several documents, required for transition to efficient contract Consultant Phd. of Economic F.N. Kadirov
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2013 № 2 Efficient contract in the health care Consultant: Phd. of Economic F.N. Kadyrov