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About The Order Of Carrying Out The Reform Of The Health Care System In Vinnytsia, Dnipropetrovsk, Donetsk Oblasts And The City Of Kyiv

Original Language Title: Про порядок проведення реформування системи охорони здоров'я у Вінницькій, Дніпропетровській, Донецькій областях та місті Києві

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C A C U A TO R S
On the order of reforming the security system
Health in Vinnytsia, Dnipropetrovsk,
Donetsk and the city of Kiev
(Information of the Verkhovna Rada of Ukraine (VR), 2012, N 12-13, pp. 81)
{With changes under the Laws
N 5081-VI ( 5081-17 ) from 05.07.2012, VR, 2013, N 30, pp. 340
N 1197-VII ( 1197-18 ) from 10.04.2014, VR, 2014, N 24, pp. 883}

This Act defines organizational and legal principles
Reform of the health system in Vinnytsia,
Dnipropetrovsk, Donetsk regions and city of Kyiv.
Article 1. Reform of the health system
1. The purpose of implementation in Vinnytsia, Dnipropetrovsk,
Donetsk and the city of Kiev pilot project
The reform of the health system (further-pilot project) is
Implementation and processing of new organizations
financial and financial mechanisms aimed at improving
the efficiency and availability of the medical services of the population and is
Necessary for the development of the health system of Ukraine.
2. Pilot project on the reform of the health system
stipulates for 2011-2014
Structural and organizational and functional systems
Medical services in the pilot regions, which will allow:
Increase the medical level of the population,
expand the capabilities of its availability and quality;
implement new job organization approaches
Health in the pilot regions and their financial
Ensuring;
improve the efficiency of the use of budget funds,
predicted for financial security of the health system
in pilot regions.
3. The realization of the pilot project involves:
creating on the base of the existing in the pilot regions of the network
Health care facilities are structured in the types of medical
Assistance to the medical services system by secession
(or union) of health care facilities that satisfy
the needs of the population in primary, secondary, tertiary and emergency
Medical care;
organizing and ensuring the functioning of the pilot
Regions of Primary Medical (Health) Assistance Centers
to meet the needs of the population in such medical care;
Reprofiling the health facilities of the pilot regions,
that provide secondary (specialized) medical care, with
-Given the intensity of its delivery;
organizing activities in the pilot regions of the hospital
Counties that need to provide conditions for the purpose of providing
Secondary (specialized) medical care;
creating in pilot regions of emergency medical centers
to meet the needs of the population in such a medical
Help;
redistribution of resources between animal health facilities
regions providing primary, secondary (specialized), tertiary
(highly specialized) and emergency medical care in the area
Selected regions;
The separation of costs between local security budgets
Health for the types of medical care;
Implementation of the financial services since 2012
Health care facilities in pilot regions for types of medical care
Assistance in accordance with the medical services treaties
The population according to the requirements of this Act;
implementation of the indicator system starting in 2012
quality of primary, secondary (specialized), tertiary
(highly specialized) and emergency medical care, which
are taken into account when assessing the quality of medical care
The corresponding species
application to target method in
budget process at the level of local budgets in part of the outstanding
to health care for appropriate types of medical care.
Members of the pilot project are health facilities
regardless of the type and type of medical service
on the territory of the pilot regions according to the requirements of this Act, and
Also the central authority of the executive branch in the field of health,
local government administration and local government bodies
pilot regions.
4. For the purposes of this Act, municipal health facilities
in pilot regions according to the law may be
reorganised into communal non-profit enterprises or
municipal non-profit institutions whose primary purpose is to implement
Health care of the population without the goal of receiving a profit.
These health facilities are non-profit organizations.
Article 2. Network of establishments of health of pilot regions
1. Network health facilities in pilot regions-
A collection of health care facilities that satisfy the pilot
regions of the need for population in medical services based on
Medical (pharmaceutical) workers ' activities.
The functioning of a network of health care facilities in pilot
regions are carried out with regard to the health needs of the medical
maintenance, the need to create conditions to ensure
the proper quality of such maintenance, its timeliness and
accessibility for citizens, effective use of material,
Labour and financial resources.
2. Planning and forecasting of network of communal services
Health care facilities in pilot regions are carried out within
the powers defined by the law, the executive authorities and the
Local government authorities.
3. Planning and forecasting of community networking
Health care facilities in pilot regions are carried out
Subject:
identity, specialization and intensity
Assistance;
Health care standards for the population
Medical attention.
Order of the planning and prediction of network development
public health facilities in pilot regions, as well as
Health Care Standards for Population
Medical assistance determines the central authority of the executive
Health care.
4. List of health care facilities
assistance provided, their functions according to the profile and
The specialization is determined by the central body of the executive branch
Health care.
Article 3. Organization of primary health care
pilot regions
1. Primary medical care is a kind of medical care
provided in outpatient conditions or by residence
(stay) patient of general practice-family
Doctor and provides consultancy, conducting diagnosis
and treatment of the most common diseases, injuries, poisonings,
pathological, physiological (during pregnancy) states,
committing preventive measures; referrals according to
medical screening of a patient who does not need emergency medical
assistance, to give it secondary (specialized) or
Tertiary (highly specialized) medical care; providing
Emergency medical care in case of acute disorder of physical
or mental health of a patient who does n' t need an emergency,
secondary (specialized) or tertiary (highly specialized)
Medical attention.
2. The representation of primary medical care provide centres
Primary medical (medical) assistance that are laid
health care, as well as doctors of general practice-family
Doctors who failed medical practice
as a physical person-an entrepreneur and can be with these
Health care in civil-legal relations. To
Centres of Primary Medical (Health) Assistance Centers
can enter as structural or separable units
obstetricians, ambulatories, medical checkpoints,
Medical cabinets.
In the period of implementation of the pilot project of the
practice-family medicine can be integrated
Physicians and pediatricians
A small one. During this period up to the post-painting centers of the primary
Medical (medical) assistance may include positions
Physicians of gynecologists, surgeons, ophthalmologists,
Surrounded by neuropathologists, psychiatrists, who will provide
Primary medical care in certain diseases with respect to
separation of functions between primary and secondary (specialized)
Medical aid.
Primary health care, including research
medical expertise with temporary employment loss in order,
the central authority of the executive branch in the field of
Health care can also provide general practice doctors-
family doctors failing economic activities from medical care
practice as a physical person-an entrepreneur.
3. The Centers for Primary Medical (Health) Care is
Health facilities and can be created as communal services
non-profit or municipal non-profit institutions,
primary purpose of which is to provide primary medical care without a goal
Profit margin.
The centers of the primary medical (medical and sanitary) aid are
Non-profit organizations.
Centre for Primary Medical (Medical and Health)
assistance is approved by the central executive body in
Health care.
The order and changes of the patient doctor's patient practices-
the family doctor and the order of medical care for citizens
Centers of Primary Medical (Health) Assistance
are determined by the central body of the executive branch
Okay.
Article 4. Secondary (specialized)
Medical care and the functioning of the hospital
districts in pilot regions
1. Secondary (specialized) medical care is a kind of medical
assistance provided in outpatient or stationary conditions in the
planned order or emergency conditions and provides for the provision of
consultation, conducting diagnostics, treatment, rehabilitation and
Disease prevention, injuries, poisonings, pathological and physiological
(on pregnancy and childbirth) states that can be provided
doctors of appropriate specialization (except doctors of the general
practices-family doctors); directing the patient to provide
secondary (specialized) medical care from another
specialization or for providing a tertiary (highly specialized)
Medical attention.
2. Provided by secondary (specialized) medical care
is provided in stationary conditions by multidisciplinary hospitals
intensive treatment, recovery hospitals (rehabilitation),
planned treatment, hospice, specialized medical services
centers; in outpatient conditions-advisory and diagnostic
The units of hospitals, centres on medical consultations and
diagnoses (consultation and diagnostic centers).
3. Criteria for determining health care facilities
meet the needs of the population in pilot regions in secondary
(specialized) medical care, their types and species are determined
The central organ of the executive branch in the field of health.
4. Health Organization for the Health Organization
Secondary (specialized) health care
is carried out in the order determined by the central body of the executive
In the area of health care.
Order of sending patients to health care facilities,
who provide secondary (specialized) medical care,
is set by the central body of the executive branch in the field of
Health care.
5. To ensure effective delivery of secondary
(specialized) medical assistance in pilot regions
in order ( 1113-2012-P. ), established by the Cabinet of Ministers
In Ukraine, hospitals are created, which are composed of
Provide health care for the relevant identity and specialization.
Hospital District-Organising-Functional Union
the health facilities of the pilot region that satisfy
the need for a population of one or more
Administrative and territorial units of such a region in secondary
(...) (...)
Within one administrative unit
The pilot region of the established Cabinet of Ministers of Ukraine
The order may be created by more than one hospital district.
Health facilities can be included in the
Hospital districts under the approval of bodies authorized by the
In accordance with the law to administer the property of these institutions.
Organization and functioning of hospital districts
are carried out with the retention of constitutional rights of citizens to the protection of citizens
Health and medical care.
Regulations and requirements for the organization of hospital activities
the districts of pilot regions are set by the central body
of the United States of America
and the nature of population separation, the state of transport communications
and other regional features.
6. Coordination of health care facilities
enter the hospital district, is carried out within
the authority organ of the health care management of the regional
(Kyiv City) of the State Administration of the respective pilot
the region.
Article 5. Tertiary organization
(highly specialized) medical care in
pilot regions
1. Treettin (highly specialized) medical care-view
Medical care provided in outpatient or stationary
conditions in planned order or emergency cases and stipulates
Provision of consultation, diagnosis, disease treatment,
injuries, poisoning, pathological states, conduct of physiological and
The pathological states (when pregnancy and childbirth) using
high technology equipment and/or highly specialized
medical procedures of high complexity; treatment of the patient for
providing secondary (specialized) assistance or tertiary care
(highly specialized) medical care from another specialist.
2. Provided by a tertiary (highly specialized) medical
assistance is provided by highly specialized multidisciplinary
or single-profile health facilities.
3. Criteria for determining health care facilities
meet the needs of the population in a tertiary (highly specialized)
medical treatment, their types and species are determined by the central
the authority of the executive branch in the field of health care.
4. Method of sending patients to security institutions
health care providing a tertiary (highly specialized) medical
assistance is established by the central executive body in
Health care.
Organisation for Medical Services of Citizens in the Institution
Health care of tertiary (highly specialized) medical
assistance is carried out in a manner defined by the central authority
In the field of public health.
Article 6. Organization of emergency medical care
pilot regions
1. Equitable medical care-medical care, which is
in carrying out medical workers according to the law
Organizational, diagnostic and treatment activities,
directed at the rescue and preservation of life in the
and minimizing the effects of such a state
On her health.
2. Organization for emergency medical care in pilot
regions are carried out by creating in each region of the system
Emergency medical care, which consists of a centre of emergency
medical care and disaster medicine, emergency stations
(ambulance) medical care, emergency medical crew (ambulance)
-Emergency Medical Assistance and Emergency Medical Services.
3. Emergency medical care system is created from
If necessary to provide a crew
Emergency medical care (emergency)
events that are defined by the Cabinet of Ministers of Ukraine and their
Cooperation with health facilities {Text of Article 6 in the edition of Act N 5081-VI ( 5081-17 ) From
05.07.2012}
Article 7. Financial management
health systems in pilot regions under
pilot project implementation time
1. Financial management of the pilot implementation
The project involves
shaping budget projects for 2012-2014 from
considering the concentration of budget funds to provide the primary
Medical care at the level of district budgets and budgets of cities
regional value, the funds to grant secondary (specialized),
tertiary (highly specialized) and emergency medical care-
on the level of regional budgets of pilot regions (apart from the city of Kyiv) and
budget funds to provide primary, secondary
(specialized), tertiary (highly specialized) and emergency services
Medical care at the level of the Kiev city budget;
defining in pilot regions of volume of outstanding values
Local health budgets: primary, secondary
(specialized), tertiary (highly specialized) and emergency.
medical assistance for the formation of budget projects at
2012-2014
implementing the financial management mechanism
health care in pilot regions for types of medical care
based on the medical services contracts of the population, which
are concluded in accordance with the requirements of this Act.
2. Redistribution of the volume of the costs between the health facilities of the
The pilot regions for the types of medical care provided,
is carried out in accordance with the methodology ( z1044-13 )
is approved by the central body of executive power in the field of
Health care.
Article 8. Report on the medical services of the population
1. Medical Care Treaty
Aim to provide medical care for institutions
Health care in the pilot regions.
Work on medical care for the population
are approved by the central body of executive power in the field of
Health care.
2. Parties to the Union Medical Service Treaty are:
concerning primary health care-centers of the primary
Medical care and related
Budget orders of the district ' s district, urban (urban)
(value) Budget, budget of the city of Kyiv;
for the secondary (specialized) medical care institution
Health care that provide such assistance, and
The relevant main orders of budget funds of the regional budgets
and the budget of the city of Kyiv;
concerning the tertiary (highly specialized) medical care-
Health care facilities that provide such assistance,
and the respective main orders of the budgetary funds of the regional
The budget and budget of the city of Kyiv;
for emergency medical care centers of emergency medical care
Aid and the relevant major cost of budget funds
regional budgets and the budget of the city of Kyiv.
3. In the contract for the medical service of the population
Have the following:
volume of medical care to provide
Health care;
Indicators of medical quality;
Volume of expenditures on provision of medical care;
rights and obligations of the parties, their responsibility.
4. Information on the agreed agreements on the medical
maintenance of the population during the week from day-to-date
posted on the official website of the main ordinators
budget funds and available to the public in institutions
Health care.
Article 9. Pilot Health Care Staffing
regions
1. Staffing of the health care for the pilot region
is determined by the supervisor of such a institution and is approved for its
Providing the main order of budget funds. State Post
is formed depending on the volume of medical care provided by
That's the institution of health care.
2. For health care facilities that are members of the pilot
the project, the action of existing state regulations established by the central
the executive body in health care, not
is applied.
Article 10. Payment of the labour of health workers
Health of the pilot regions
1. On the payment of workers to health care workers,
that are members of the pilot project on the reform of the security system
health according to this Act, including order
installing encouraging payments to medical staff based on
volume and quality of work done ( 209-2012-P. ), defined
Cabinet of Ministers of Ukraine.
Article 11. Monitoring the reform of the health system
1. Monitoring the reform of the health system in the
Vinnytsia, Dnipropetrovsk, Donetsk regions and city of Kyiv
the central body of the executive branch in the field of
a health using a system of indicators.
2. Indicators for assessing pilot results
the project, as well as indicators of the quality of medical care
are approved by the central body of executive power in the field of
Health care.
3. Results of monitoring the reform of the security system
health is used solely to make decisions about
further development of the population health system and
Reform of the health system in Ukraine and cannot be
For other purposes.
4. Places of public administration and local authorities
Self-governing pilot regions have the right to contribute to
The central body of the executive branch in health care
proposals to implement a pilot project on the territory of such
regions.
5. Public administration of pilot regions
provide public participation, in particular the associations of patients,
to conduct monitoring and enforcement of control of the quality of medical
Assistance and medical care in the pilot regions.
Article 12. Final and Transitional Provisions
1. This Act will take effect from the day, next in the day
publication, and operates until 31 December 2014.
2. During the implementation period of the pilot project:
the operation of licenses and other leisure documents issued by the institution
Protecting the health of the pilot regions prior to this
By law, it spreads to health facilities of such regions,
which are created on their base in the process of reorganization;
Specialist health care professionals
pilot regions, which are employed by doctors
general practice-family medicine, passing accordingly.
The specialization is free and in first order. To delete
a certificate confirming the passage of this specialty, for
such doctors are in the qualification category for
Previous specialty.
3. In case of the reorganisation of the security institutions
health in pilot regions of such establishments
are translated for their consent to another lower-paid job in the
alone or another institution, the payment of the labor of such workers
is carried out in accordance with the provisions of this Act or by the request of
These employees have their average salary in the previous place
work is kept for the entire duration of the underpaid work,
but not more than six months from the day of such a rebirth.
4. To make changes to the following legislative acts of Ukraine:
1) in the Budget Code of Ukraine ( 2456-17 ) (Information
Verkhovna Rada of Ukraine, 2010, N 50-51, st. 572):
Paragraph 3 of paragraph 3 of the first article 89 after the words
"Feldsherry points" to complement the words "centers of primary medical care"
(Medical and health care)
Section VI "Final and Transitional Provisions"
Paragraphs 12 and 13 of this content:
" 12. In the period of implementation of the Law of Ukraine " On
Conducting a reform of the health system in Vinnytsia,
Dnipropetrovsk, Donetsk regions and the city of Kiev " (3612-17):
1) The Cabinet of Ministers of Ukraine has the right to change the demarcation
Expenditures on health among local pilot budgets
Regions of the Code, established by articles 89 and 90 of this Code, and
determine the features of the financial security of the security facilities
The health involved in the pilot project;
2) to determine the costs of the general fund of local budgets
The pilot regions on health protection;
3) to outstanding expenditures from regional budgets, budget
Cities of Kyiv and are counted in determining the volume of the inter-budget
transfers, owned by secondary (specialized),
tertiary (highly specialized) and emergency medical care
(health facilities for pilot regions that provide
providing the basis of secondary (specialized), tertiary
(highly specialized) and emergency medical care.
13. Prior to expenditures made from district budgets,
budgets of cities of regional importance, the budget of the city of Kyiv and
are taken into account in determining the volume of inter-budget transfers,
belong to primary health care (primary care centers)
Medical (medical) assistance. "

{Sub-paragraph 2 of the fourth article 12 lost the validity of
Act N 1197-VII ( 1197-18 ) of 10.04.2014}

5. Cabinet of Ministers of Ukraine for three months from
The Act:
to adopt normative legal acts stemming from this
Law;
ensure adoption of ministries, other central and
the executive authorities of the executive branch of the
They are from this law.

President of Ukraine V. YASUKOVIC
Um ... Kiev, July 7, 2011
N 3612-VI