Job description of the deputy chief physician for organizational and methodological work[name of medical organization]
Real job description developed and approved in accordance with the provisions and other legal acts regulating labor relations.
1. General Provisions
1.1. This job description defines official duties, rights and responsibility of the deputy chief physician for organizational and methodological work (OMR).
1.2. A person with a higher professional (medical) education, postgraduate and (or) additional professional education and a certificate of a specialist in the specialty "Health Organization and Public Health", "Social Hygiene and Organization of the State Sanitary and Epidemiological Service", "Nursing Management" and at least [value] years of work experience in the specialty.
1.3. The deputy chief physician for OMR belongs to the category of managers, is hired and dismissed from it by order of the chief physician of a medical organization.
1.4. In his activities, the Deputy Chief Physician for OMR is guided by resolutions, orders, orders, regulatory documents and guidance materials of higher and other bodies in the field of healthcare.
1.5. The Deputy Chief Physician for OMR must know:
constitution Russian Federation;
Laws and other regulations legal acts of the Russian Federation, which determine the activities of health authorities and medical organizations;
Fundamentals of organization of healthcare and public health;
Organization of emergency, primary health care medical care specialized, including high-tech, medical care;
Organization of outpatient care for the population;
Organization of inpatient care for the population;
Organization of medical and preventive care for workers of industrial enterprises;
Organization of specialized assistance to the population;
Organization of medical care for the rural population;
Organization of obstetric and gynecological care;
Organization of medical care for adolescents;
Organization of medical care for children;
Organization of emergency and urgent care to the population;
Rules of action upon detection of a patient with signs of especially dangerous infections, HIV infection;
Organization of medical examination of the population;
Fundamentals of health care management;
Fundamentals of health planning and economics;
Theory and methods of sanitary statistics;
population health statistics;
health statistics;
Issues of international statistics;
Fundamentals of medical cybernetics;
Internal labor regulations;
Rules on labor protection and fire safety.
2. Job responsibilities
Deputy Chief Physician for OMR:
Calculates health indicators of the population and performance indicators of a medical organization, unit.
Draws up a draft plan for the development of health care in the region, district, medical organization to include it in the plan for the socio-economic development of the region (district).
Plans, based on an analysis of the specific situation in the region (district), development various kinds medical care to the population.
Organizes work on the introduction of best practices elements of the scientific organization of labor in a medical organization.
Organizes a system for monitoring the implementation of planned activities.
Conducts instructing employees of a medical organization on organizational and methodological work.
Organizes classes, seminars, meetings, conferences for the exchange of experience.
Supervises the implementation of planned activities.
3. Rights
The Deputy Chief Physician for OMR has the right to:
3.1. For all social guarantees provided for by law.
3.2. Payment of additional expenses for medical, social and professional rehabilitation in cases of damage to health due to an accident at work and occupational disease.
3.3. Sign and endorse documents within their competence.
3.4. Participate in conferences and meetings that address issues related to its work.
3.5. Pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category.
3.6. The Deputy Chief Physician for OMR enjoys all the rights provided for labor law RF.
4. Responsibility
The Deputy Chief Medical Officer is responsible for:
4.1. Timely and high-quality implementation of the duties assigned to him.
4.2. Organization of their work, timely and qualified execution of orders, orders and instructions from higher management, regulatory legal acts on their activities.
4.3. Rational and efficient use of material, financial and human resources.
4.4. Compliance with internal regulations, sanitary and anti-epidemic regime, fire safety and safety.
4.5. Maintenance of documentation provided for by the current regulatory legal acts.
4.6. Providing, in the prescribed manner, statistical and other information on their activities and the activities of a medical organization.
4.7. Offenses committed in the course of carrying out their activities - within the limits determined by the current labor, administrative, criminal and civil legislation of the Russian Federation.
The job description was developed in accordance with [name, number and date of the document]
Head of Human Resources
[initials, last name]
[signature]
[day month Year]
Agreed:
[job title]
[initials, last name]
[signature]
[day month Year]
Familiarized with the instructions:
[initials, last name]
[signature]
[day month Year]
General provisions
1. For the position of a doctor of the organizational and methodological department for social and medical work(hereinafter referred to as the doctor) a person with higher medical education with considerable experience practical work in hospice.
2. The doctor is appointed and dismissed by the chief doctor of the hospice in accordance with the current legislation.
3. The doctor is directly subordinate to the head of the organizational and methodological department, and in the absence of the head - to the deputy chief physician for medical work.
4. The doctor organizes his work in accordance with the Regulations on the organizational and methodological department for social and medical work and is guided by the current legislation of the Russian Federation, orders of the Ministry of Health of the Russian Federation and the Moscow Health Committee, regulations, instructions and this Regulation.
5. Orders of the head are obligatory for the doctor.
6. The doctor fulfills his duties and exercises his rights on the basis of constant observance of the commandments and the basic provisions of the hospice concept; carries out a holistic approach to the personality of the patient and his family, facilitates not only their physical and mental condition, but also supports their social and spiritual potential.
Responsibilities
The doctor of the organizational and methodological department for social and medical work is obliged to:
1. Participate in the preparation of work plans, which, first of all, provide for the implementation of measures to improve social and medical care for patients and their families.
2. Instruct new hospice employees, as well as prepare, educate and monitor compliance by hospice personnel with the basic moral and ethical standards and principles of the hospice.
3. Plan and organize classes (group and individual) with social and medical workers, voluntary assistants and relatives of patients on social, medical and psychological (together with a medical psychologist) assistance to patients and their families.
4. Participate in the development and implementation official regulations hospice staff.
5. Provide practical assistance to medical and service personnel on issues of social and medical assistance to patients and their families.
6. To study, summarize and analyze domestic and foreign literature, scientific publications and monographs on the organization of the work of hospices, social and medical care for patients and their families.
7. Provide:
Introduction into practice of new methods of social and medical care for patients and their families;
Organization and setting up statistical accounting, compiling annual report, preparation of analytical reports and other materials based on the data medical statistics;
Development and implementation of quality indicators of the hospice;
Work with proposals, letters and statements of citizens, representatives of institutions and organizations on the quality of social and medical care for patients and their families;
Development and implementation of measures for coordination and continuity in work with other departments of the hospice and medical institutions, as well as with existing and newly opened hospices in Moscow and the Russian Federation on issues of social and medical care for patients and their families;
Formation and constant replenishment of an electronic data bank on all existing charitable foundations, laws, instructions, etc., aimed at providing preferential treatment for patients, their relatives in the event of loss of a breadwinner, and also, if necessary, at material support for the family of the deceased.
8. Keep the established accounting and reporting documentation; forms an archive of normative and methodological materials, materials of conferences, meetings, etc.
9. To carry out, within the limits of their competence, various assignments of the head physician of the hospice and the head of the department.
10. Comply with the rules of internal labor regulations.
The doctor of the organizational and methodological department for social and medical work has the right to:
1. Make decisions within their competence.
2. Receive information necessary for the performance of their duties.
3. Make proposals to the administration on improving the organization and working conditions.
4. Improve your professional skills (attestation, recertification, refresher courses, reading medical literature, participation in seminars, meetings, scientific and practical conferences, etc.).
5. To take part in the work of meetings at which issues related to the scope of its activities are considered.
6. Report to the head of the department on the state of organizational and methodological work and make proposals aimed at improving the organization of this work.
7. Give orders and instructions to the nursing staff of the department in accordance with the level of competence and qualifications of the employee and monitor their implementation.
8. Be a member of various public, charitable and professional organizations whose activities meet the goals and objectives of the hospice movement.
Responsibility
The doctor of the organizational and methodological department for social and medical work is responsible for the accuracy of the reports drawn up and the failure to fulfill his duties stipulated by the internal labor regulations and these Regulations.
More on the topic 10. Regulations on the doctor of the organizational and methodological department for social and medical work:
- 9. Regulations on the head of the organizational and methodological department for social and medical work
- 13. Regulations on the nurse of the organizational and methodological department for social and medical work
- 14. Regulations on medical statistics of the organizational and methodological department for social and medical work
from 11-06-13 to 14-06-13
Format: Seminar
City: Saint Petersburg
Location: Saint-Petersburg, Educational complex CNTI "Progress", Vasilyevsky island, Sredny prospect, 36/40
1. Organizational methodical work- an integral link for improving the efficiency of health care facilities.
Tasks, content and methods of organizational and methodological work of health care facilities.
Methodology of interaction between medical departments in a multidisciplinary hospital in solving organizational and methodological problems.
Drawing up a comprehensive plan for the organizational method of work of medical facilities: analytical and statistical, operational, tactical.
Organizational and methodological department (office) of the health facility as the headquarters of the chief physician and chief specialists.
Regulatory documents on the work of organizational and methodological departments (OMO) of health facilities.
Content and scope of work of the OMO.
Job descriptions for managers, doctors and other OMO personnel.
The activities of the city organizational and methodological department for the coordination of work and information support HCI for the provision of high-tech medical care (HMP).
2. Modern the legislative framework in the health sector. Federal Law of November 21, 2012 No. 323 "On the basics of protecting the health of citizens of the Russian Federation" and its implementation in health care facilities.
New in the licensing of medical activities.
The program of state guarantees for the provision of free medical care to citizens.
Changes in the compulsory health insurance system - theory and practice.
3. Organization of office work and document flow in a medical institution.
Organization of work with documents: requirements and recommendations. Organizational and administrative documentation. Work with provisions, instructions; preparation of analytical reviews, references, materials, etc. Work with regulatory documents (orders, orders, etc.); work with methodical and normative literature. Bringing business information to everyone structural divisions medical institution. Work with letters, appeals.
Organization and control over the correct acquisition of archives of health care systems with documents, ensuring the normative terms of their storage.
4. The role of organizational and methodological departments in the system of accounting and reporting of medical organizations. Accounting for documentation used to generate reporting forms on health care activities for federal statistics and sectoral statistics.
5. Standardization as one of the areas of methodological work.
The principle of the formation of the Federal Standard.
The principle of formation of the territorial standard.
Organization of a quality control system for the provision of medical care at all stages of the treatment and diagnostic process. Assessment of defects in the provision of medical care. Analysis of the quality of medical care. Organizational and managerial issues on the construction of a quality management system.
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
CENTRAL SCIENTIFIC - RESEARCH INSTITUTE
ORGANIZATION AND INFORMATIZATION OF HEALTH CARE
APPROVE
First Deputy Minister
A.I. VYALKOV
October 15, 2002 N 2002/107
GUIDELINES
PLANNING ORGANIZATIONAL AND METHODOLOGICAL WORK
AND ORGANIZATION OF OUTSIDE ASSISTANCE OF MEDICAL -
TO PREVENTIVE INSTITUTIONS
These guidelines present methodological approaches tested in the administrative territories of Russia to planning organizational and methodological work in the main areas of public health protection and organizing outreach medical care.
The proposed approaches can be used by employees of regional institutions that provide organizational and methodological assistance to medical and preventive institutions of administrative territories, as well as municipal health officials, including chief physicians of the Central District Hospital.
The recommendations can be applied in the organization of the pedagogical process in the preparation of healthcare organizers and advanced training of management personnel, primarily specialists in organizational and methodological work.
Organization - developer:
Central Research Institute of Organization and Informatization of Health of the Ministry of Health of the Russian Federation.
Authors:
Doctor of Medical Sciences, Prof., Corresponding Member RAMS V.I. Starodubov, MD, prof. Yu.V.Mikhailova, MD, prof. R.A. Khalfin, Ph.D. T.A. Siburina, MD Yu.A. Korotkov, MD, prof. A.A. Kalininskaya, Ph.D. T.I.Eremicheva, Ph.D. V.A.Magnitsky, Ph.D. S.I. Shlyafer, Ph.D. V.K.Popovich, MD G.Ch. Makhakova, Ph.D. E.M. Gudanova, Ph.D. N.P. Soboleva, M.D. Duganov, Ph.D. E.V. Mezentsev, V.I. Nazarov, M.Yu. Potemkina, MD, prof. V.N.Ektov, I.A.Sizova, D.N.Muraviev.
INTRODUCTION
Russian healthcare has changed significantly in the last decade. The reforms expanded the economic independence of the heads of medical and preventive institutions. The importance of organizational and methodological work in organizing and improving the quality of the medical and diagnostic process is growing. The reorganization of the management of organizational and methodological activities in accordance with the main strategic directions for the development of the industry is becoming extremely relevant.
In accordance with the Concept for the Development of Health Care and Medical Science in the Russian Federation, further improvement of organizational and methodological work in health care is aimed at:
- improving the quality of medical care to the population, strengthening the preventive component in the activities of healthcare institutions;
- provision of state guarantees in the provision of qualified medical care to the rural population through the strengthening of primary health care and the development of outreach forms of medical care;
- improving the efficiency of resource use, the formation of rational systems of phased medical care and the introduction of resource-saving technologies;
- expanding the influence of healthcare on the formation and implementation of state policy in the field of public health protection at all levels of government;
- coordination of interaction between various services and departments in solving complex medical and social problems.
The implementation of the goals set will require significant changes in the organizational and methodological work, which is an integral part of the management activities of the system of regional and municipal health management.
Planning organizational and methodological work is built in accordance with modern ideas about its essence. The concept of organizational and methodological work includes:
- implementation of analytical work to assess the state and dynamics of development of the healthcare system of the relevant administrative territory, the state of public health, the medical and demographic situation and other environmental factors that affect the level of public health;
- organization and improvement of the system of accounting and reporting on the activities of government bodies and healthcare institutions, the results of functioning, the dynamics of the state of health of the population;
- development of long-term and current plans for the activity of the healthcare system of the administrative territory, targeted programs in priority areas of development, organization of their implementation, monitoring and evaluation of the effectiveness of implementation;
- organization and conduct of targeted inspections, expert evaluation of the activities of individual health services and institutions with the departure of experts to the field and the provision of organizational, methodological and advisory assistance;
- determination of the need for medical personnel in various forms continuous training, planning, together with the personnel services of the health authorities, work on advanced training medical workers, organization and holding of conferences, seminars, field boards, medical councils, meetings, etc.;
- organization of outreach assistance to rural residents.
In everyday practice, the role of analytical activity is significantly increasing, its quality level is increasing based on the use of modern technologies for collecting and processing statistical data, transferring medical information, methods of analysis, justification and formation of strategies.
Lately the requirements for the organization of planned work are significantly increased on the basis of a more complete account of the influence of environmental factors, the conditions for the functioning and development of the industry, and the forecast of the most probabilistic prospects. The strategic components of planning are being strengthened. Plans for current activities are built in accordance with the directions for the implementation of strategic goals. A system of plans is being formed that unites various levels of management. Planned activities are linked with their resource provision. The program-targeted approach continues to be widely used to solve complex or interdepartmental problems. At the planning stage, forms of control are determined and criteria are developed for evaluating the effectiveness of the implementation of planned activities used for their implementation of management mechanisms.
The need to intensify the treatment and diagnostic process requires the improvement of innovative activities in healthcare bodies and institutions, its organization on the basis of today's ideas about marketing, business planning of innovations, organizational forms and methods of implementation.
Increasing the level of medical and preventive and consultative and diagnostic assistance to the rural population in modern conditions provides for the strengthening of the material and technical base and human resources of rural healthcare, the development of an optimal model of medical care for the rural population in healthcare institutions at various stages of medical care and, as an additional measure, use of offsite forms of targeted medical care.
Thus, one of the most important functions of the health management body has been delegated to health care institutions (republican, regional, regional hospitals, central district hospitals) - the development of draft plans for the activities of the subordinate health care system, organization, control and evaluation of their implementation. In this aspect, the provision of organizational and methodological assistance to the rural population, including outreach assistance, being the main functions of the organizational and methodological departments of health care institutions of the indicated levels and fully corresponding to their area of competence, is planned independently, and the procedure for adopting the plan reflects the procedure regulated for hospital departments.
Description (formula) of the method: an improved planning system for the organizational and methodological work of the regional health care facility and the Central District Hospital is proposed, which includes proposals for the composition of the main activities, requirements for the execution of planning documents, the adoption procedure, as well as a description of the mechanisms for their implementation and forms of monitoring implementation.
CONTENT AND STRUCTURE
PLAN FOR ORGANIZATIONAL AND METHODOLOGICAL WORK
The plan of organizational and methodological work (hereinafter PLAN) is a list of specific tasks, determines the order, timing, sequence of activities for the planned period of time, establishes specific executors and provides for resource, including financial, support for planned activities, its amount and sources of investment.
The plan consists of the main part and appendices.
The main part of the plan includes sections:
1. Development of the material and technical base of healthcare.
2. Training and advanced training of personnel.
3. Preventive work.
4. Organization of detection of socially significant pathology.
5. Improving diagnostic, therapeutic, rehabilitation care and implementation modern technologies.
6. Sanitary - hygienic education.
7. Scientific research.
8. Monitoring the implementation of the plan.
Applications should be a set of the following documents:
- Analytical information about the state of medical care to the population and the activities of health care institutions at the time of the development of the Plan.
- Report on the implementation of the Plan and targeted programs for the previous year.
- Conceptual provisions for the strategic development of health care for the long term.
- A list of the main planned indicators (landmarks) and justification of the likelihood of their achievement in the planning period.
- Draft regulatory documents required for the implementation of planned activities.
- Projects of new targeted comprehensive programs to address interdepartmental problems.
1. Development
material and technical base of healthcare
The section on the development of the material and technical base of healthcare covers measures to strengthen and maintain the fixed assets of healthcare institutions (buildings, vehicles, supply systems, technical and medical equipment, inventory), as well as a list of activities as part of the implementation of the strategy for restructuring the medical care system.
As the main activities for the first subsection, the following can be planned:
- construction of new institutions, buildings;
- carrying out capital and current repairs of buildings, premises;
- landscaping works;
- development of the vehicle fleet;
- technical re-equipment and updating of obsolete equipment, etc.
The second subsection may include activities for:
- liquidation (re-profiling) of low-capacity hospitals, not staffed with medical personnel, poorly equipped, medical institutions;
- strengthening the outpatient-polyclinic link through the opening of new institutions, offices, receptions, the development of new forms of service in polyclinics;
- introduction of hospital-replacing technologies (day hospitals, day hospitals, hospitals at home);
- differentiation of the bed fund according to the intensity of the medical and diagnostic process, the creation of beds (departments) for nursing care, hospices, the formation of institutions or departments of a medical and social nature.
Specification of planned targets should be carried out in accordance with the strategic goals of regional and municipal healthcare systems aimed at reorienting medical care from the inpatient to the outpatient level. Attention should be paid to the expediency of not only strengthening, but also modernizing the diagnostic, laboratory and rehabilitation base of outpatient clinics, opening specialized rooms for the profiles of medical specialties that meet the real needs of the population, changing the nature of the activities of existing rooms in accordance with the introduction of new medical technologies. services (outpatient surgery, specialized day hospitals, preventive units, etc.).
The urgency of the problem of supplying medical and prophylactic institutions with consumables also justifies the expediency of reflecting ways to solve it in planning documents.
2. Training and advanced training of personnel
This section of the Plan includes a list of the main activities for the training of medical personnel and other healthcare system specialists (economists, accountants, medical equipment maintenance technicians, etc.):
- targeted training of specialists based on targeted orders from regional and municipal governments;
- advanced training of employees at central bases, in the GIDUV system, in foreign medical centers and other educational institutions with a break from work;
- advanced training on the job at cycle, intermittent, full-time - correspondence courses, seminars;
- holding medical and nursing conferences, congresses, meetings;
- organization of professional competitions;
- Participation in organizing the work of scientific societies.
The work on personnel training is planned by the organizational and methodological departments in coordination with the personnel health services in the region (municipality).
3. Preventive work
Planning of preventive work provides for the formation of a list of activities for the following subsections:
- vaccination;
- chemoprophylaxis;
- measures in the foci of infection;
- activities at agricultural facilities (livestock, dairy farms, etc.).
All activities included in this section of the Plan are carried out in contact with the state sanitary and epidemiological surveillance authorities in accordance with the current instructions and methodological recommendations according to the established schedule.
4. Organization of detection of socially significant pathology
Measures to organize the identification and medical examination of the population with socially significant diseases (tuberculosis; HIV / AIDS; sexually transmitted diseases (STDs); various forms of drug addiction; mental disorders) include:
- annual examination of contingents subject to periodic examinations and dispensary observation;
- accelerated clinical examination of persons with identified pathology;
- practical assistance of regional (district) institutions in surveying the population of districts;
- registration of the examined and police records of the identified pathology;
- conducting systematic consultations on the detection of diseases and the provision of advisory assistance on the diagnosis, treatment and rehabilitation of this group of patients, including in regional, district and central specialized institutions.
The plan is built in the context of the type of pathology in the listed areas of work.
5. Improving diagnostic, therapeutic,
rehabilitation assistance and the introduction of modern
technologies
The main directions of organizational activities of this section include:
- monitoring the quality of diagnostics and treatment based on the results of consultations conducted by highly qualified specialists in regional (municipal) institutions (subdivisions), as well as during visits to subordinate healthcare institutions;
- regulation of taking for dispensary observation and control of contingents of prophylactic patients;
- organization of centralized control of the correctness of registration of death certificates.
Planning can be carried out according to the objects subject to control (institutions, services, departments, specialists), according to the forms of control (conducting an expert assessment of medical documentation), according to indicators characterizing the state of the care process (implementation of individual treatment plans, provision of successive medical care, timely hospitalization , consultation, on the validity of the selection of patients for treatment in institutions of a different level, on hospital-replacing technologies), on the activity of medical intervention (surgical treatment), on the results (restoration of the working capacity of patients, timeliness of referral to MSEC) and in the context of other performance indicators.
The implementation section covers modern technologies for prevention, diagnosis, treatment, rehabilitation to be introduced into the activities of healthcare institutions and the corresponding organizational measures for implementation.
6. Sanitary and hygienic education
Activities covering health education may include:
- creation, dissemination, control of activities, development of various organizational forms of health education of the population - "Health Universities", "Health Schools" in polyclinic institutions, "Schools for Convalescents" for inpatients;
- preparation of a profiled sanitary asset for the care of patients at home, primarily from among relatives;
- use of various forms of mass dissemination of hygienic knowledge among the population (appearances in the media, organization of exhibitions, publication of educational materials);
- organization of meetings with medical workers (lectures, conversations, explanations, recommendations);
- the spread of modern forms of attracting the population to a healthy lifestyle.
7. Scientific research
The planning of scientific research topics is carried out in accordance with the applied tasks of practical health care, which may include certain issues of public health, the provision of medical care and the development of strategically important directions for the development of the regional (municipal) health care system.
The process of preparing the draft Plan and its procedure
acceptance
The plan is developed with the participation of the main specialists of the corresponding level and, upon completion of the development, is endorsed by them. The purposefulness of plans and the effectiveness of planned targets depend on the correct setting of goals, the choice of strategies for achieving them, and the concentration of efforts on the selected priorities.
Regional priorities for the development of medical care for the population are determined in accordance with the directions of state policy in the field of public health, taking into account regional characteristics and resource opportunities. Despite the differences in regions in most subjects of the Russian Federation, the main areas are similar - tuberculosis; HIV AIDS; diabetes; vaccination; safe motherhood and childhood.
The plan of organizational and methodological work of the republican, regional, regional hospital, CRH is a structural component of a unified plan for the development of regional (municipal) health care, which determines the hierarchical system of long-term and current planning of the activities of government bodies and health care institutions of the region (municipality).
The procedure for adopting the plan includes its discussion at the medical council of the institution, either as an independent issue, or as an integral part of the discussion of the results of the institution's work, the progress in the implementation of targeted programs over the past period. The regulation of the procedure for adopting the plan provides for mandatory participation in the discussion of representatives of the apparatus of the health management body of the appropriate level, and for the Central District Hospital - representatives of the district administration. The optimal level of hearing for regional institutions is the collegium of the health authority, if the plan concerns only medical activities, and the regional government, if the plan is comprehensive.
After discussion, the comprehensive plan is approved by the head (deputy) of the administration of the corresponding level, and if the plan is intradepartmental, then by the head of the relevant health management body. The approved plan is a guiding document that is mandatory for execution.
8. Monitoring the implementation of the plan
The current control over the implementation of the plan by quantitative and qualitative criteria is carried out by the organizational and methodological department (office) of the organization that compiled it.
Sections of the plan, which provide a list of activities, levels of their implementation, deadlines, responsible, dates of planned execution, it is advisable to supplement columns for dates of actual execution and costs for their implementation. For control use the data of the state statistical reporting. It is verified on the spot by district curators during scheduled visits.
Transparency of activities is ensured by simultaneous public hearing of the curator and persons responsible for carrying out the planned events.
It is methodologically more effective to hear not one district on the maximum possible number of questions, but several districts on one issue. This makes it possible to cover the problem in a multifaceted way and choose the best approaches to its solution, arising from the accumulated practical experience.
An important instrument of control is the semi-annual (depending on the importance of the issue) interim hearing of the implementation of the plan in the health management apparatus of the region and the administration of the territory.
Examples of private hearing questions include:
- organization and effectiveness of examinations of the population and clinical examination;
- treatment of patients with chronic diseases;
- carrying out anti-epidemic measures;
- about the role of regional institutions as organizational and methodological centers;
- information about teaching aids;
- analysis of the work of institutions, etc.
Final report on the implementation of the plan
The final report on the implementation of the plan is compiled either in tabular or descriptive form by sections of it and includes the following headings:
- planned tasks to be solved;
- Baseline indicators at the beginning of the planning period;
- activities carried out (a, b, c, etc.);
- results of the current year;
- efficiency mark.
According to the report, an explanatory note is drawn up with an analysis of the results achieved, and in the absence or insufficient effectiveness of the measures taken, with an analysis of the causes, a critical assessment of the defects in the implementation of measures and possible measures to improve their quality.
A report on the implementation of measures according to the plan of organizational measures by the departments of the institution that supervises subordinate medical and preventive institutions is provided at the request of the organizational and methodological department (office) within the established timeframe according to the profile of the department, indicating the executors for the following aspects:
- preparation of questions for hearing at meetings, collegiums of the administrative apparatus (scheduled / unscheduled, level);
- writing business reviews on the profile of departments;
- release of methodological materials for the curation area (which ones);
- pedagogical work (courses, seminars, lectures, individual training of specialists);
- business trips to supervised territories (where, purpose, duration, scheduled / unscheduled, brigade / individual, what kind of assistance was provided);
- participation in meetings, conferences, congresses, etc. (which ones, the topic of the speech, the level of regional, interregional, international).
When analyzing the progress of the plan, they strive not so much to set new tasks, but to determine the effectiveness of already known approaches to solving the set ones.
Organizational and methodological assistance to institutions
health care
Organizational and methodological activities are carried out by the leading (head) institutions of the federal, regional and district levels of health care and it consists in providing practical assistance to supervised services and health care institutions on a wide range of issues related to the organization and improvement of the quality of the treatment and diagnostic process, improvement of prevention, technological improvement of activities , optimization of management, including improving the level of planning.
Institutions of federal subordination provide planned assistance primarily to institutions at the regional level, but, if necessary, at the level of districts. Leading institutions of the regional level provide organizational and methodological assistance to municipal institutions, practically help both the Central Regional Hospital (inter-district centers) and primary medical care institutions.
Diagnostic, therapeutic and rehabilitation medical care for patients who apply to institutions is regulated by the job descriptions of the relevant departments and the internal regulations of the institution. The plan of organizational measures coordinates the organizational, methodological and practical assistance provided by employees of all departments of the institution to supervised institutions both directly on the basis of the institution and during field trips. It outlines the terms of reference for the performance of the department's (office) own work.
The organizational and methodological department (office) of the leading (head) health care facility is designed to solve mainly three large blocks of tasks:
1. Formation of commissions and mobile teams from the employees of the institution. Organization of a planned departure of curators and teams of curators to the districts of the territories, inter-district centers for organizational, methodological, advisory and practical assistance; listening to their reports, taking into account the work done, creating and maintaining a regional card file of recommendations.
2. Development of materials of strategic (program), operational (plans), directive value (orders) for the administrative apparatus of the regional (for regional institutions) or district level (for the Central District Hospital):
- to control the implementation of directive documents of the administrative apparatus of the federal, regional, district, municipal levels;
- on organizational support of the work of municipal councils, commissions (together with the administration of the institution, allocated responsible);
- to popularize best practices in improving the health of the population (together with leading experts).
3. Drawing up a consolidated annual report, analyzing it, drawing up conclusions based on the results of work, market reviews, collections of the main indicators of the work of medical institutions and public health (with the participation of leading experts).
Organization of on-site medical care for residents
rural areas
The low density of the rural population, employment in personal subsidiary plots, seasonality and urgency of the main agricultural work, the remoteness of medical (especially specialized) care from the places of residence of patients, the poor development of transport communications at significant distances, the high cost of travel - all this reduces the level of appeal and hospitalization of the rural population .
Unsatisfactory working conditions in the agricultural sector, in most industries that do not meet sanitary and hygienic requirements due to non-compliance sanitary norms and rules, contribute to the emergence of diseases, which, with low detection and insufficient treatment, leads to the development of advanced cases, chronic pathology, and high mortality. Brucellosis, intestinal infections, diseases of the musculoskeletal system, diseases of the respiratory organs (dust bronchitis), vibration disease are more common in the countryside than in cities. This implies the need to intensify visiting forms of organizational, advisory and practical assistance from regional and inter-district institutions. At the same time, one should take into account the long separation of qualified specialists from the performance of their duties in their main work, the disorder of their life when they leave, irregular working hours.
Emergency and urgent care for patients with complex pathologies, in particular, requiring surgical interventions, is provided year-round by the department of emergency and planned advisory care of regional (regional, republican, district) hospitals or the Center for Disaster Medicine by means of air ambulance (airplane, helicopter) or fixed vehicles. 27% of rural residents in the population account for more than 67% of patients served by air ambulance. The average national indicator is 1.7 departures per 1000 rural population, the maximum level reaches 4.4.
Planned care is provided to specialists of the Central District Hospital, curators, specialists from hospitals and consultative polyclinics of the constituent entities of the Russian Federation.
To provide assistance to rural health facilities, by order of the regional health management authority, both full-time and freelance specialists of regional (regional, republican) institutions are assigned to district and city health facilities - hospitals (adults and children), a maternity hospital, dispensaries, centers for combating AIDS and medical prevention , State Sanitary and Epidemiological Supervision, as well as inter-district diagnostic and treatment centers.
The volume and nature of planned assistance to health care institutions for serving the rural population depends on the type of supervising institution and its financial capabilities. The provision of highly qualified specialized care is provided by the departments of emergency and planned advisory care of regional clinical hospitals.
All these structures provide assistance to the Central District Hospital, district hospitals, district hospitals, rural outpatient clinics, FAPs and feldsher points, nursing care hospitals, and district ambulance stations.
The content of assistance provided by regional institutions to district ones is:
- coordination of health care management;
- implementation of strategic decisions of the healthcare management apparatus;
- systematization of organizational and methodological work of municipal health care systems;
- practical assistance to the management and specialists of the Central District Hospital, other institutions of the municipal level;
- strengthening of intradepartmental quality control of medical care;
- strengthening expert work at all levels;
- holding seminars, etc.
The main tasks of the curators when traveling to the districts are to determine how the agreements between the administration of the municipality and the health management authority of the region in the field of public health are being implemented; board decisions and orders; how the security regime is observed in the health care facility of the district. The curator provides organizational and methodological assistance and introduces standards of medical care, organizes control over their observance.
Chief specialists of regional institutions should introduce modern technologies and disseminate best practices. In addition to the visits of the main specialists, the curation of rural health facilities is carried out by specialists from regional institutions and departments of higher educational institutions of a medical profile.
In the constituent entities of the Russian Federation, various organizational forms of assistance are used by institutions of regional subordination to medical and preventive institutions of the districts. The division of assistance by type is conditional. One can only talk about the prevalence of one or another component: expert-advisory, organizational-methodical or directly practical participation in the treatment-diagnostic process.
Advisory assistance on the issues of diagnosis, treatment and rehabilitation of patients is provided in the clinics of the Central District Hospital, in district hospitals, at home, in a hospital. Noteworthy is the experience of the Novosibirsk region in organizing round-the-clock support by the Center for Remote Electrocardiography on the basis of the regional hospital for diagnostic and advisory work in all districts of the region and some district hospitals. In the Stavropol Territory, on the basis of inter-district deaf rooms and large central district hospitals, mobile teams of specialists from the centers of audiology, hearing aids and phoniatrics of the clinical hospital work.
Organizational and methodological assistance is provided by the main full-time and freelance specialists of the regional (territorial, republican, district) level. The most experienced, highly qualified specialists are involved in field work.
On the instructions of the administrative apparatus of the region (krai, republic, district), in the course of preparing medical councils, visiting collegiums, meetings, conferences, the quality of medical care for the rural population in municipal institutions (CRH, UB, FAPs) is controlled; the material-technical and personnel potential, the possibilities of licensing the services of the Central District Hospital are being studied; the results of responding to public complaints are monitored. At the same time, methodological assistance is also provided.
Visiting hospital medical councils with the participation of the heads of administrations and the medical community of the districts justify themselves, at which the results of an expert assessment of the activities of the district services according to a unified methodology are discussed, and consultative reception of patients by specialists of regional institutions is organized.
In order to improve the quality of nursing, to ensure normative acts with the participation of representatives of the regional Council of Sisters, conferences and inter-district reviews are organized (for example, in the Kursk region).
With the participation of the teaching staff of the departments of medical institutes, academies, universities, field conferences are held, incl. scientific - practical, seminars, meetings.
In the course of providing mainly practical assistance, complex, targeted, preventive examinations and medical examinations of the population are organized, expeditionary trips are carried out. The CRH specialists monthly examine the population served by district hospitals and FAPs.
Of practical importance is the participation of specialists from regional institutions in the work of draft commissions.
In the Stavropol Territory, experience has been gained in servicing people involved in harvesting. During the period of field work in the countryside, mobile teams are assigned to field camps for preventive examinations of machine operators, field farmers, sanitary and educational work to prevent injuries, poisoning, and infectious diseases.
Teams of doctors from the Perinatal
center of the Lipetsk region for examination of women of childbearing age with
risk factors and pregnant women.
Of great practical importance are planned surgical operations, incl. outpatient, selection of patients for additional examination and treatment in adults and children regional institutions.
Possible forms of field work:
- individual visits of specialists are often unscheduled - at the request of the municipal health care facility; the practice of emergency calling of the necessary specialists at the request of the head physician of the institution is expanding at the expense of the host;
- departures of brigades of 2-5 specialists (adults and children), who are given preference in planned work, as they are more cost-effective compared to individual visits; in the structure of trips - brigade 77% versus 23% - individual;
- mobile (field) outpatient clinics (polyclinics): the teams formed in their structure serve adult patients and children according to the plan approved by the chief physician and coordinated with the territorial health authorities.
This form of public service is firmly established. A team of 5-7 specialists is assembled taking into account the wishes of the districts and works on average for four days (the first and fourth - in the Central District Hospital, one each - in district hospitals). The population is notified in advance about the composition of the brigade through the media (regional newspapers, radio), through paramedics.
In the Voronezh region, consultations account for 84.7% in the structure of planned outreach assistance; participation in interdistrict conferences, seminars, meetings - 6%; educational and methodological assistance - 4%; on instructions from the main health department - 2.2%; conducting comprehensive inspections - 1.75%; licensing of healthcare facilities - 1.3%. Single trips - 33.8%. The share of trips of the main freelance specialists amounted to 6.2%.
On average, the strength of mobile teams consists of 5-6 people: specialists in therapeutic, surgical, pediatric, obstetric-gynecological, paraclinical profiles, in organizational and methodological work, a neurologist, an ophthalmologist. The composition of the team of specialists is completed taking into account the interests of the region, if necessary, it is expanded at the expense of other specialists, in particular, phthisiatricians, dermatovenereologists, etc.
In preparation for a planned trip to the regions of the region, an analysis of the epidemic situation in the region is carried out; study of the quality and effectiveness of outpatient care, in particular for the rural population, by levels (regional institutions, Central District Hospital, rural outpatient clinics); assessment of staffing of doctors and nursing staff, their qualifications.
In the districts of the region, before the arrival of the brigade, a flow of patients is formed, mainly a dispensary group, as well as groups for receiving prompt assistance from an ophthalmologist, traumatologist, oncologist at the rate of 2-3 operations per visit. It is necessary to equip traveling teams with equipment for examination and treatment of adults and children.
During the visit, patients are examined in the central district hospital, and if necessary - at FAPs, in rural outpatient clinics and district hospitals.
The duration of travel work ranges from several hours to 10 days, averaging 2.4 days. According to the Samara region, each specialist has the opportunity to consult from 30 to 50 people in two days of work. At the same time, according to the data of the Republic of Khakassia, a consultation with a mobile team specialist costs 2.5 times more than a consultation with the same specialist, but in a consultative polyclinic.
The practice of replacing, at the request of the head doctor of the corresponding health facility, for a long time (from 7 to 35 days) absent CRH specialists, mainly of a surgical profile (vacation, study, specialization), is increasingly being used.
According to the plan - schedule, employees of the Central District Hospital provide assistance to the population assigned to district hospitals, medical outpatient clinics, FAPs. The brigades are staffed with CRH doctors in such a way as to provide from 6 to 12 trips to the rural area per year; they most often include a pediatrician, gynecologist, therapist, neurologist. During the trips, the specialists of the Central District Hospital provide, first of all, advisory assistance, first of all, to pregnant women and children. The number of consultations usually ranges from 25 to 30 per visit.
Dispensary observation of patients with peptic ulcer, diabetes mellitus, gastritis, nephritis, rheumatic heart disease, rheumatoid arthritis, etc. requires special attention. Purposeful departure of the brigade 2-3 times a year allows you to examine almost the entire dispensary group. During the visit, patients are also selected for therapeutic and surgical treatment in the Central District Hospital and in regional institutions, and in some cases practical assistance is provided directly on the spot. It is mandatory to analyze the work of rural medical workers, monitor the course of dispensary observation, the course of treatment after the previous consultation, and also give recommendations for improving medical care.
The introduction of telecommunication technologies makes it possible to use new principles for the transfer of medical information between clinical centers and the Central District Hospital, and contributes to the development of "Internet" technologies. The prospective value of this direction for public health is undoubtedly, although the organizational experience of its implementation and use is only accumulating.
It is also possible to work in such a form as visiting medical assistant stations in order to ensure monitoring of patients in hospitals at home in sparsely populated areas, to deliver the necessary medicines to patients.
When assessing the nature and volume of organizational and methodological assistance, the following are taken into account:
a) information and analytical assistance in the preparation, publication and distribution of various materials: methodological recommendations, information letters, collections of health and work indicators, bulletins; preparation of reference materials at the request of higher organizations; information for health education of the population and patients through the media, incl. nosocomial, with the help of special stands;
b) consultations and participation in preventive examinations of the population, separately for adults and children, separately for the specialists involved in providing assistance, areas and the number of trips; the number of those examined with instrumental methods (endoscopy, ultrasound, ECG, etc.) is also taken into account.
The technical report of specialists is compiled in sections:
- inspected everything;
- of them sick were revealed;
- incl. with a diagnosis for the first time in life;
- outpatient treatment is recommended at the place of residence;
- inpatient treatment is recommended at the place of residence;
- sent to regional polyclinics for further examination;
- sent to regional polyclinics for dispensary registration;
sent to regional hospitals.
Efficiency of using the method
The recommendations are a generalization of the experience of organizational, methodological and field work of 42 administrative territories of the Russian Federation and the Southern District Medical Center of the Ministry of Health of the Russian Federation with 24 branches.
In the course of the analysis, it was found that among the main problems of organizational and methodological work to protect the health of the population of the administrative territories of the Russian Federation, the problem of qualification of personnel of organizers - methodologists is relevant. Its appearance is associated with both defects basic training and improvements, as well as with a lack of information and methodological materials in the specialty.
Serious objective difficulties in organizing outreach assistance to municipal and district institutions are exacerbated by shortcomings in the organization, in particular, the lack of continuity in the outreach work of specialists from regional institutions of various profiles due to imperfect coordination of their activities in the districts.
Significant reserves for improving organizational work have been identified. So, if on average 0.48% of the financial support of the institution is spent on organizational and methodological work, then in a number of territories the funding is much higher (almost twice), indicating the recognition of the importance of this activity (the republics of Buryatia, Udmurtia, Khakassia; Kamchatka, Ulyanovsk regions, Yamalo-Nenets Autonomous Okrug). The structure of expenses for organizational and methodological work, the approximate level of service for the rural population by air ambulance has been established; proposals were made on the formation of field teams, the duration of field work.
All this makes it possible to improve the quality, efficiency and accessibility of medical care, primarily to the rural population.
So, a team of 6 specialists from the Voronezh Regional Clinical Hospital No. 1 travels according to the schedule once a week in a Gazelle utility vehicle for a distance of 50 to 300 km on average for one day. If the area is remote, the duration of the business trip is determined by the time spent on the road and the amount of work to be done.
Multidisciplinary teams of an average of 4 employees of the Southern District Medical Center of the Ministry of Health of the Russian Federation perform up to 7 trips per year with a range of 500 km to subordinate medical and preventive institutions of the Azovo-Volga-Don water basin to provide planned advisory assistance for an average of 2 days.
Appendix No. 1
CURATOR'S FOLDER OF MUNICIPAL INSTITUTIONS AND REGIONS
ADMINISTRATIVE TERRITORIES
The dossier on municipal and district health institutions includes sections:
1. Assessment of the health of the population of the city, district.
The section contains information about the demographic situation in the region, performance indicators of the municipal health management body; performance indicators of the municipal health management body according to the annual report. Materials of previous checks, recommendations. Written appeals of citizens.
2. Material and technical base.
The structure of municipal health care. state of institutions. Prospects for medical and technical equipment. Adaptation of the provisions of the concept of healthcare development at the level of the city, district.
3. Compliance with the security regime of health facilities.
The section reflects the results of inspections of the condition of buildings and its premises for the presence of suspicious foreign objects, the possibility of entry of foreign vehicles; checking the integrity and safety of seals and seals, locks in unused premises.
Leasing of buildings, structures and premises of healthcare facilities is fixed.
Interaction with the ATC authorities is being specified in terms of notification of cases of penetration of unauthorized persons into the territory or into the premises of medical facilities; identification of persons undergoing inpatient treatment, whose identity is not confirmed by documents; treatment of persons with injuries and wounds, not excluding criminal origin, correction and instruction of the on-duty personnel of the institution to the medical institution.
In case of emergencies, the round-the-clock readiness of medical facilities to provide assistance to victims with injuries and burns, the presence of an irreducible supply of medicines and consumables are checked; composition, addresses and telephone numbers of teams to strengthen the duty service, the procedure for notifying and gathering employees in healthcare facilities.
Finally, the presence of an order from the hospital to limit visits of patients with relatives until 18:00 is being clarified.
4. Provision of the population with doctors and paramedical workers.
Of particular importance are the following questions: staffing of the administrative apparatus; work with a reserve; availability of job descriptions for employees (duties, rights, responsibilities); provision of housing for health workers; control of the personnel development plan (conferences, seminars, improvement courses).
5. Availability of organizing orders and control over their execution.
6. The state of fire safety (the presence of an order, a plan of fire prevention measures, instructions, briefing, availability of fire extinguishing equipment).
7. Compliance with safety regulations: creation of an attestation commission for labor protection; the presence of an introductory briefing log when applying for a job; instructions; measuring the resistance of the ground loop and electrical wiring insulation; availability of an order for employees responsible for electrical facilities; operation of the oxygen economy under pressure.
8. Work with the administration of the city, district to protect the health of the population. The effectiveness of interdepartmental commissions on socially conditioned diseases.
9. Implementation of the decisions of the collegium of the territorial health authority.
10. Organizational and methodological work.
The section provides data on the distribution of responsibilities between officials; information support of the institution; the work of the medical council; control over the execution of directive documents; indicators and analysis of the activities of the institution for three years; availability of an approved plan of the main activities of the institution for the current year with annexes (holding a medical council, medical conferences, introducing new technologies, the work of mobile teams); work with the recommendations of specialists from regional institutions, incl. on the implementation of the Concept for the development of healthcare in the region; control over the implementation of existing orders.
11. Compliance with the sterilization and disinfection regime in the institution.
12. Therapeutic and preventive care.
Contains materials to evaluate:
a) the quality and availability of outpatient care:
- introduction of new technologies and forms of medical care (day hospitals, hospitals at home, day hospitals);
- the work of prevention and rehabilitation departments, the conversion of beds in district hospitals into nursing care departments, for the treatment of patients according to medical and social indications, medical outpatient clinics with a day hospital; timely transfer of patients in need of medical and social assistance to boarding schools;
- mode of operation of the institution; provision of paid services to the population, enterprises, organizations;
- continuity in the examination, treatment and rehabilitation of patients between the clinic and the hospital;
- restructuring of the hospital bed fund;
- equipping the hospital with diagnostic and medical equipment;
- a system of emergency care, hospitalization and discharge of patients;
- organization of drug supply;
- organization of resuscitation care for women and children, analysis of indicators of maternal and child mortality;
b) a system for controlling the circulation of narcotic drugs: an order, a permit from the Ministry of Internal Affairs, storage, a register of narcotic drugs and psychotropic substances in accordance with the requirements of the Ministry of Health of the Russian Federation; acceptance and destruction of used ampoules, the work of the commission on the use of narcotic and psychotropic substances; work with special prescription forms.
13. Organization of the quality of work of emergency and emergency medical care.
14. Organization of the work of the municipal health management body in the conditions of CHI and VHI:
- protocols of the licensing and accreditation commission, plan and implementation of recommendations;
- control of terms and quality of treatment of the insured;
- itemized monthly use of budget funds and CHI.
15. Implementation of standards for the volume and quality of medical care at various stages and levels of health care facilities of the city, district.
16. Clinical work - expert commission.
17. The work of support services (laundry, communications, transport).
18. Sanitary condition of health care institutions.
19. Conclusions and suggestions.
Note: When developing Appendix 1, the order of the Ministry of Health of the Saratov Region N 101-p dated 01/20/2001 "On supervision of municipal health care institutions of cities and districts of the region, regional health care facilities by the Ministry of Health for 2001" was used.
Appendix No. 2
REPORT
ABOUT SCHEDULED (UNSCHEDULED) DEPARTURE OF THE CURATOR (SPECIALIST)
TO PROVIDE METHODOLOGICAL AND PRACTICAL ASSISTANCE
MUNICIPAL, REGIONAL HEALTH INSTITUTIONS
1. Full name, position, place of work.
2. Date of departure.
3. Settlement, institution, which received assistance.
4. The purpose of the trip: the introduction of new methods, technologies; education; practical help; conducting inspections.
5. Results: filled in in accordance with the headings of the Curator's Folder within the competence of the specialist.
The nature of the help for the section:
- organizational and methodological work includes the results of inspections of outpatient, inpatient facilities, emergency medical care according to statistical indicators, according to ongoing documentation, standards for patient management, etc.;
- medical and advisory work - the number of consulted by age groups, industry, operations, manipulations, benefits is indicated;
- pedagogical work - its type is noted: lecture, conference, seminars, practical classes; topic, number of participants.
6. Recommendations.
The report is drawn up in duplicate and certified by the signatures of the seconded specialist and the heads of the institution to which assistance was provided. One copy remains in the health facility to implement the recommendations, the other is transferred to the organizational and methodological department of the institution that sent the employee on a business trip.
Organization of the statistical work of a medical institution
Health statistics help the heads of the institution to quickly manage their facility, and doctors of all specialties - to judge the quality and effectiveness of treatment and preventive work.
The intensification of the work of medical workers in the conditions of budgetary insurance health care imposes increased requirements on scientific and organizational factors. Under these conditions, the role and importance of medical statistics in scientific and practical activities medical institution.
Healthcare leaders constantly use statistical data in operational and prognostic work. Only a qualified analysis of statistical data, an assessment of events and appropriate conclusions allow you to make the right management decision, contribute to the best organization work, more accurate planning and forecasting. Statistics help to control the activities of the institution, to manage it promptly, to judge the quality and effectiveness of treatment and preventive work. Supervisor in the preparation of current and long-term plans work should be based on the study and analysis of trends and patterns in the development of both health care and the health status of the population of your district, city, region, etc.
The traditional statistical system in health care is based on the receipt of data in the form of reports, which are compiled in grass-roots institutions and then summarized at intermediate and higher levels. The reporting system has not only advantages (a single program, ensuring comparability, indicators of the volume of work and resource use, simplicity and low cost of collecting materials), but also certain disadvantages (low efficiency, rigidity, inflexible program, limited set of information, uncontrolled accounting errors, etc.). ).
Analysis, generalization of the work done should be carried out by doctors not only on the basis of existing reporting documentation, but also through specially conducted selective statistical studies. A statistical study plan is drawn up to organize work in accordance with the planned program. The main points of the plan are:
1) definition of the object of observation;
2) determination of the period of work at all stages;
3) indication of the type statistical observation and method;
4) determining the place where observations will be made;
5) finding out by what forces and under whose methodological and organizational leadership the research will be carried out.
The organization of statistical research is divided into several stages:
1) the stage of observation;
2) statistical grouping and summary;
3) counting processing;
4) scientific analysis;
5) literary and graphic design of the research data.
Organization of statistical accounting and reporting Staffing and organizational structure of the department of medical statistics
The functional subdivision of the health facility responsible for the organization of statistical accounting and reporting is the department of medical statistics, which is structurally part of the organizational and methodological department. The head of the department is a statistician.
The structure of the department may include the following functional units, depending on the form of health care facilities:
1) department of statistics in the polyclinic - is responsible for the collection and processing of information received from the outpatient service;
2) department of statistics of the hospital - is responsible for the collection and processing of information received from the departments of the clinical hospital;
3) medical archive - is responsible for the collection, accounting, storage of medical documentation, its selection and issuance according to the requirements. The statistics department should be equipped with automated workstations connected to local network LPU.
Based on the data received, the OMO develops proposals and measures to improve the quality of medical care, organizes statistical accounting and reporting in all healthcare facilities of the region, trains staff on these issues and carries out ...
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