Order 683 n dated September 30. On approval of the procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle in medical organizations. Work schedule for creation and commissioning

Order Federal service on environmental, technological and nuclear supervision
dated July 13, 2006 N 683

On the organization of control over the procedures for the preparation and issuance of licenses in an automated mode

In order to increase the efficiency of control over the activities related to the preparation of licenses in the central office and territorial bodies of the Federal Service for Environmental, Technological and Nuclear Supervision (hereinafter referred to as Rostechnadzor), I order:

1. Approve forms for presenting information on the progress of registration and recording of applications from license applicants, consideration of documents submitted to obtain licenses, execution and registration of licenses, as well as refusals to grant licenses, and identify departments of the central office of Rostechnadzor responsible for the accuracy, completeness and timeliness of entering information in approved forms N 1Л and N 2Л ().

2. Approve the “Schedule of work for the creation and commissioning of the functional task of the state automated information and control system for industrial safety regulation (AIS PB) “Monitoring work with applications of license applicants”, intended for automated collection and processing of information in accordance with approved forms N 1L and N 2L ().

3. To the heads of departments of the central office and heads of territorial bodies for technological and environmental supervision of Rostechnadzor:

3.1. ensure constant operation of the functional task “Monitoring work with applications of license applicants”;

3.2. before January 1, 2007, send comments and suggestions on the further development and improvement of the specified functional task.

4. The Interregional Territorial District for Informatization and Information Protection (MTOIZI, A.N. Chelyshev) until July 31, 2006, create an archive of licenses for 2006 in the field of use atomic energy, falling within the competence of Rostechnadzor. Complete all formation work full archive licenses in the field of atomic energy use until December 31, 2006.

5. The Department of Organizational and Legal Support of Regulatory Activities (V.V. Kochemasov) to summarize the comments and suggestions of departments on the functional task “Monitoring work with applications of license applicants” and, by February 1, 2007, submit consolidated proposals to the management of Rostechnadzor for further development and improvement of this functional tasks.

6. MTOIZI, together with the Department of Organizational and Legal Support, before August 1, 2006, submit proposals for the creation of tools for automated control of procedures for the preparation of permits issued by Rostechnadzor () and conclusions of the state environmental assessment.

7. I entrust control over the implementation of this order to the deputy head of Rostechnadzor K.L. Seagull.

HeadK.B. Pulikovsky

Order of the Ministry of Health of the Russian Federation of September 30, 2015 N 683n
“On approval of the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to create healthy image life in medical organizations»

In accordance with Part 4 of Article 30 of the Federal Law of November 21, 2011 N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2012, N 26, Art. 3442, 3446; 2013, N 27, art. 3459, 3477; N 30, art. 4038; N 39, art. 4883; N 48, art. 6165; N 52, art. 6951; 2014, N 23, art. 2930; N 30, Art. 4106, 4244, 4247, 4257; N 43, Art. 5798; N 49, Art. 6927, 6928; 2015, N 1, Art. 72, 85; N 10, Art. 1403, 1425; N 14, Art. 2018; N 27, Art. 3951; N 29, Art. 4339, 4356, 4359, 4397) I order:

1. Approve the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations in accordance with the appendix.

appendices No. 1, 5, 9 from the order of the Ministry of Health and social development Russian Federation dated August 19, 2009 N 597n “On organizing the activities of health centers to promote a healthy lifestyle among citizens of the Russian Federation, including reducing alcohol and tobacco consumption” (registered by the Ministry of Justice of the Russian Federation on September 25, 2009, registration N 14871), as amended by orders of the Ministry of Health and Social Development of the Russian Federation dated June 8, 2010 N 430n (registered by the Ministry of Justice of the Russian Federation on July 7, 2010, registration N 17754), dated April 19, 2011 N 328n (registered by the Ministry of Justice of the Russian Federation on May 4, 2011, registration N 20656), dated September 26, 2011 N 1074n (registered by the Ministry of Justice of the Russian Federation on November 17, 2011, registration N 22330);

appendices No. 7, 24 - 27 from the Regulations on the organization of provision of primary health care to the adult population, approved by order of the Ministry of Health and Social Development of the Russian Federation dated May 15, 2012 N 543n (registered by the Ministry of Justice of the Russian Federation on June 27, 2012, registration N 24726), as amended by order of the Ministry of Health of the Russian Federation dated June 23, 2015 N 361n (registered by the Ministry of Justice of the Russian Federation on July 7, 2015, registration N 37921).

Order 683 mz

Orders of the Government of the Russian Federation

  • Decree of the Government of the Russian Federation of April 15, 2014 No. 294 “On approval of the state program of the Russian Federation “Health Development”
  • Order of the Government of the Russian Federation No. 2128-r dated December 30, 2009 “On the Implementation Concept public policy to reduce the scale of alcohol abuse and prevent alcoholism among the population of the Russian Federation for the period until 2020"
  • Order of the Ministry of Health of the Russian Federation No. 683n dated September 30, 2015 “The procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations”
  • Order of the Ministry of Health of the Russian Federation No. 36an of February 3, 2015 “On approval of the procedure for conducting clinical examination of certain groups of the adult population”
  • Order of the Ministry of Health and Social Development of the Russian Federation dated May 15, 2012 N 543n “On approval of the regulations on the organization of primary health care for the adult population”
  • Order of the Ministry of Health of the Russian Federation No. 343n dated June 15, 2015 “On approval of the procedure for organizing and conducting sanitary and educational work on issues of preventive management vehicle in a state of alcohol, drug or other toxic intoxication"
  • Order of the Ministry of Health of the Russian Federation No. 1344n dated December 21, 2012 “On approval of the procedure for conducting dispensary observation”
  • Order of the Ministry of Health of the Russian Federation No. 1011n dated December 6, 2012 “On approval of the procedure for conducting a preventive medical examination”
  • Order of the Ministry of Health of the Russian Federation No. 1006n dated December 3, 2012 “On approval of the procedure for medical examination of certain groups of the adult population”
  • Order of the Ministry of Health and Social Development No. 597n dated August 19, 2009 “On organizing the activities of health centers to promote a healthy lifestyle among citizens of the Russian Federation, including reducing the consumption of alcohol and tobacco”
  • Order of the Ministry of Health and Social Development No. 826 of October 14, 2009 “On the creation of a working group on organizing the work of health centers as part of the implementation of measures to promote a healthy lifestyle among citizens of the Russian Federation, including reducing the consumption of alcohol and tobacco”
  • Order No. 113 of March 21, 2003 “On approval of the concept of protecting the health of healthy people in the Russian Federation”
  • Order No. 455 of September 23, 2003 was canceled
  • Order of the Ministry of Health of Russia dated December 31, 2003 No. 650 “On approval of instructions for filling out reporting and accounting documentation of the center, department (office)”
  • Order of the Ministry of Health of Russia dated April 23, 1997 No. I/61-119 “On the temporary form of statistical reporting”
  • Order No. 344 of November 26, 1997 “On the creation of a coordination center and regional offices for the prevention of non-communicable diseases and risk factors”

Basic regulatory documents

Constitution of the Russian Federation;

the federal law dated 04/05/2013 No. 44-FZ (as amended on 06/04/2014) “On the contract system in the field of procurement of goods, works, services to meet state and municipal needs”;

Federal Law of November 21, 2011 No. 323-FZ (as amended on June 25, 2012) “On the fundamentals of protecting the health of citizens in the Russian Federation”;

Federal Law of November 21, 2011 No. 52-FZ “On the sanitary and epidemiological welfare of the population”;

Federal Law No. 15-FZ of February 23, 2013 “On protecting the health of citizens from the effects of environmental tobacco smoke and the consequences of tobacco consumption”;

Order of the Government of the Russian Federation dated December 30, 2009 No. 2128-r “Concept for the implementation of state policy to reduce the level of alcohol abuse and prevent alcoholism among the population of the Russian Federation for the period until 2020”

Order of the Government of the Russian Federation dated June 30, 2012 No. 1134-r “Action Plan for the Implementation of the Fundamentals of State Policy of the Russian Federation in the field healthy eating population for the period until 2020"

Decree of the President of the Russian Federation dated May 7, 2012 No. 598 “On improving state policy in the field of healthcare”;

Order of the Ministry of Health of the Russian Federation dated March 21, 2003 No. 113 “On approval of the concept of protecting the health of healthy people in the Russian Federation”

Order of the Ministry of Health of the Russian Federation dated September 23, 2003 No. 455 “On improving the activities of health authorities and institutions for the prevention of diseases in the Russian Federation”;

Order of the Ministry of Health and Social Development of the Russian Federation dated August 19, 2009 No. 597n “On organizing the activities of health centers to promote a healthy lifestyle among citizens of the Russian Federation, including reducing the consumption of alcohol and tobacco”;

Order of the Ministry of Health and Social Development of the Russian Federation dated May 15, 2012 No. 543n “On approval of the Regulations on the organization of the provision of primary health care to the adult population”;

Order of the Ministry of Health of Russia dated 02/03/2015 No. 36an “On approval of the procedure for conducting clinical examination of certain groups of the adult population”

Order of the Ministry of Health of Russia dated December 6, 2012 No. 1011n “On approval of the Procedure for conducting a preventive medical examination”;

Order of the Government of Khanty-Mansiysk autonomous region– Ugra dated December 22, 2012 No. 775-rp “On a comprehensive plan of measures for the prevention of diseases and the formation of a healthy lifestyle among citizens living in the territory of the Khanty-Mansiysk Autonomous Okrug - Ugra, for 2013-2017”;

Order of the Department of Health of the Khanty-Mansiysk Autonomous Okrug - Ugra dated February 19, 2013 No. 78 “On organizing the activities of health centers”;

Order of the Department of Health of the Khanty-Mansiysk Autonomous Okrug - Ugra dated December 4, 2013 No. 653 “On measures to further improve the level of medical and hygienic knowledge of the population.”

Decree of the Government of the Khanty-Mansiysk Autonomous Okrug - Ugra dated May 30, 2013 No. 212-p “On the state program of the Khanty-Mansiysk Autonomous Okrug - Ugra “Health Development” for 2014 - 2020”;

Order of the Government of the Khanty-Mansiysk Autonomous Okrug - Ugra dated December 22, 2012 No. 762-rp “On the acceptance of medical organizations into state ownership in 2013 municipal system healthcare of the Khanty-Mansiysk Autonomous Okrug - Ugra";

Structure of the order 1. Order 2. Appendices (10) Order of the Ministry of Health of the Russian Federation dated September 30, 2015 683 n “On approval of the Procedure...” - presentation

Presentation on the topic: "Structure of the order 1. Order 2. Appendices (10) Order of the Ministry of Health of the Russian Federation dated September 30, 2015 683 n “On approval of the Procedure ..." - Transcript:

2 Structure of the order 1. Order 2. Appendices (10) Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”

3 Structure of the order (application) Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations” (hereinafter referred to as the Procedure). Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”

4 Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases ....” 1. Levels of prevention of non-communicable diseases - population, group and individual. 2. Who carries out prevention (organs state power, organs local government, employers, medical organizations, educational organizations and physical education and sports organizations, public associations). Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”

5 4. Prevention of non-communicable diseases is ensured by: 1) developing and implementing programs for promoting a healthy lifestyle and preventing non-communicable diseases, including programs to reduce the prevalence of the main risk factors for their development, as well as preventing the use of narcotic drugs and psychotropic substances without a doctor’s prescription; 2) implementation of measures for the prevention and early detection of non-communicable diseases, risk factors for their development, including early identification of the risk of harmful alcohol consumption, and the risk of consumption of narcotic drugs and psychotropic substances without a doctor’s prescription, measures to correct identified risk factors for the development of non-communicable diseases, as well as dispensary monitoring citizens with chronic non-communicable diseases or high risk their development. Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”

6 5. Prevention of non-communicable diseases and the formation of a healthy lifestyle among citizens, including minors, include a set of the following activities: 1) carrying out activities on hygienic education, information and communication activities on maintaining a healthy lifestyle, prevention of non-communicable diseases and drug use and psychotropic substances without a doctor’s prescription; 2) identification of violations of the basic conditions for maintaining a healthy lifestyle, risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of consuming narcotic drugs and psychotropic substances without a doctor’s prescription, determining the degree of their severity and danger to health; 3) provision of medical services for the correction (elimination or reduction of levels) of risk factors for the development of non-communicable diseases, prevention of complications of non-communicable diseases, including referral of patients for medical reasons to specialist doctors, including specialized medical organizations, referral of citizens with an identified risk of harmful alcohol consumption , the risk of consuming narcotic drugs and psychotropic substances without a doctor’s appointment with a doctor - psychiatrist - narcologist of a specialized medical organization or other medical organization providing drug treatment; 4) conducting medical examinations and preventive medical examinations; 5) conducting dispensary observation of patients with non-communicable diseases, as well as citizens with a high risk of developing cardiovascular diseases. Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”

7 7. Prevention of non-communicable diseases and the formation of a healthy lifestyle in medical organizations is carried out within the framework of the provision of primary health care, including primary pre-medical health care, primary medical health care, primary specialized health care, as well as specialized medical care and sanatorium and resort treatment. Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”

8 8. Medical assistance for the prevention of non-communicable diseases is provided in following conditions: 1) outpatient (in conditions that do not provide round-the-clock medical supervision and treatment), including at home when a medical professional is called; 2) in a day hospital (in conditions providing medical observation and treatment in daytime, but not requiring round-the-clock medical supervision and treatment); 3) inpatient (in conditions that provide round-the-clock medical supervision and treatment). Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”

9 10. A paramedic (nurse) of a paramedic and obstetric station and a paramedic health center when implementing the prevention of non-communicable diseases and carrying out measures to promote a healthy lifestyle: 1) identifies and corrects the main risk factors for the development of non-communicable diseases, refers, if there are medical indications, to a doctor - to a specialist providing primary medical and sanitary care, in the department (office) of medical prevention, health center, office of medical assistance to stop tobacco consumption; 2) participates in the organization and conduct of medical examinations and preventive medical examinations; 3) participates in the organization and conduct of dispensary observation of patients with non-communicable diseases and citizens with a high risk of developing cardiovascular diseases; 4) carries out the development and implementation of measures to inform and motivate citizens to lead a healthy lifestyle, including measures to prevent harmful consumption of alcohol and the use of narcotic drugs and psychotropic substances without a doctor’s prescription; 5) informs citizens about the need to urgently seek medical help in case of life-threatening conditions, diseases and their complications, as well as training persons at high risk of developing life-threatening conditions and their family members in the rules of first aid for these conditions. Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”

10 11. As part of the provision of primary medical care, the prevention of non-communicable diseases and the formation of a healthy lifestyle is carried out by general practitioners, local physicians, general practice(family doctors), pediatricians, local pediatricians upon referral from medical workers or upon independent application by a citizen. Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”

11 16. The organization of the prevention of non-communicable diseases and the formation of a healthy lifestyle is carried out by medical organizations and their structural divisions in accordance with Appendices No. 1-9 to this Procedure. Appendices No. 1-9 Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”

12 Structure of the order (application) Appendix 1 to the Order “Rules for organizing the activities of the department (office) of medical prevention for adults. Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”

13 Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults” 1. These Rules determine the procedure for organizing the activities of the department (office) of medical prevention for adults. 2. The department (office) of medical prevention for adults is a structural unit of a medical organization or other organization carrying out medical activities, providing primary health care (hereinafter referred to as the medical organization). 3. In a medical organization with an attached adult population of 20 thousand people or more, it is recommended to create a medical prevention department for adults, and with an attached adult population of less than 20 thousand people, it is recommended to create a medical prevention office for adults. Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”

14 A medical worker who has higher education in the specialties (areas of training) “medicine”, “pediatrics”, “medical and preventive care”, “dentistry”, “nursing”, completed training in additional professional development programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle. A medical worker with a secondary vocational (medical) education in the specialties “nursing”, “obstetrics”, “general medicine”, who has completed training in additional professional advanced training programs on the prevention of non-communicable diseases and the promotion of a healthy lifestyle. Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

15 7. The structure and staffing of the department (office) of medical prevention for adults are established by the head of the medical organization in which it was created, taking into account the recommended staffing standards established by Appendix No. 2 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote healthy lifestyle in medical organizations approved by this order. Appendix No. 2 Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

16 8. To organize the work of the department of medical prevention for adults, it is recommended to include the following structural units in its structure: 1) an office for organizing medical examinations and preventive medical examinations; 2) a room for diagnosis and correction of the main risk factors for the development of non-communicable diseases; 3) room for population prevention methods. 9. If it is not possible to allocate separate premises for the structural units of the medical prevention department, as well as when organizing a medical prevention room for adults, it is recommended to provide for zoning of premises for the implementation of activities for the organization of medical examinations and preventive medical examinations, diagnosis and correction of risk factors for the development of non-communicable diseases. Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

17 10. The equipment of the medical prevention department (office) for adults is carried out in accordance with the equipment standard established by Appendix No. 3 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out measures to promote a healthy lifestyle in medical organizations, approved by this order. Appendix No. 3 Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

18 11. The main functions of the department (office) of medical prevention for adults are: 1) carrying out measures to prevent non-communicable diseases, including those that are the main cause of disability and mortality of the population; 2) organization and participation in medical examinations and preventive medical examinations of the adult population; 3) participation in informing citizens receiving medical care in a medical organization about medical examinations and preventive medical examinations, about their goals and objectives, conducting explanatory work and motivating citizens to undergo medical examinations and preventive medical examinations; 4) maintaining medical records and performing certain medical studies during medical examinations and preventive medical examinations; 5) identification (diagnosis) of risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of consuming narcotic drugs and psychotropic substances without a doctor’s prescription, identifying violations of the basic conditions for maintaining a healthy lifestyle; 6) carrying out measures to correct risk factors for the development of non-communicable diseases, including in the form of individual in-depth preventive counseling or group preventive counseling (patient school), including the provision of medical care aimed at stopping tobacco consumption for citizens, including citizens with II and III health status groups * (as directed by a medical worker, as part of the second stage of clinical examination); * Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

19 11. The main functions of the department (office) of medical prevention for adults are (continued): 7) referral of patients, if necessary, to specialist doctors, including referral of citizens with tobacco addiction to medical assistance rooms to stop tobacco consumption, and citizens with identified harmful consumption of alcohol or the risk of consumption of narcotic drugs and psychotropic substances, see a doctor - psychiatrist - narcologist of a specialized medical organization providing drug treatment; 8) clinical observation, including appointment medicines for the correction of dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases; 9) increasing the level of knowledge of medical workers of a medical organization on the prevention of non-communicable diseases and the formation of a healthy lifestyle; 10) training citizens in the rules of first aid for life-threatening diseases and their complications (acute coronary syndrome, acute cerebrovascular accidents, acute heart failure, sudden cardiac death), including individual and/or group training for persons at high risk of developing these life-threatening conditions, and members of their families; 11) submission of reports in the prescribed manner**, collection and provision of primary data on medical activities for information systems in the field of healthcare ***, including control, recording and analysis of the results of medical examinations and preventive medical examinations; ** *** 12) organization and participation in events to promote a healthy lifestyle among the population, including as part of mass events and information campaigns, as well as informing the population, including means mass media, on methods for correcting risk factors for non-communicable diseases and preventing their complications; 13) participation in the development and implementation of measures for the prevention of non-communicable diseases, the formation of a healthy lifestyle, including the prevention of the use of narcotic drugs and psychotropic substances without a doctor’s prescription. Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

20 Structure of the order (application) Appendix 2 to the Order “Recommended staffing standards for the department (office) of medical prevention for adults.” Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” ¹ These recommended staffing standards do not apply to medical organizations of the private healthcare system.

21 Structure of the order (application) Appendix 3 to the Order “Standard for equipping a department (office) of medical prevention for adults.” Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”

22 Structure of the order (application) Appendix 4 to the Order “Rules for organizing the activities of the health center.” Appendix 5 to the Procedure “Recommended staffing standards for the health center.” Appendix 6 to the Order “Standard for equipping a health center.” Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”

23 Structure of the order (application) Appendix 7 to the Order “Rules for organizing the activities of a medical prevention center.” Appendix 8 to the Procedure “Recommended staffing standards for a medical prevention center.” Appendix 9 to the Procedure “Standard for equipping a medical prevention center.” Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”

Legislation

Order of the Ministry of Health and Social Development of the Republic of Kazakhstan No. 683 dated August 2, 2016

Ministry of Health and Social Development of the Republic of Kazakhstan

On amendments to the order of the Minister of Health and Social Development of the Republic of Kazakhstan dated April 28, 2015 No. 274 “On approval of the Rules for attracting independent experts in the field of healthcare”

In accordance with subparagraph 102-1) of paragraph 1 of Article 7 of the Code of the Republic of Kazakhstan dated September 18, 2009 “On the health of the people and the healthcare system” I ORDER:

1. Include in the order of the Minister of Health and Social Development of the Republic of Kazakhstan dated April 28, 2015 No. 274 “On approval of the Rules for attracting independent experts in the field of healthcare” (registered in the Register of State Registration of Normative Legal Acts under No. 11207 dated May 28, 2015, published in information and legal system “Adilet” on June 17, 2015) the following changes:

— the title should be stated as follows:

“On approval of the Rules for attracting independent experts when conducting external examinations”;

— the preamble should be stated as follows:

“In accordance with subparagraph 102-1) of paragraph 1 of Article 7 of the Code of the Republic of Kazakhstan dated September 18, 2009 “0 health of the people and the health care system” I ORDER:”;

— paragraph 1 should be stated as follows:

"1. Approve the attached Rules for the involvement of independent experts when conducting an external examination.”;

The rules for engaging independent experts when conducting an external examination (hereinafter referred to as the Rules), approved by the said order, shall be stated in a new edition in accordance with the appendix to this order.

2. The Committee for Control of Medical and Pharmaceutical Activities of the Ministry of Health and Social Development of the Republic of Kazakhstan shall ensure:

1) state registration of this order with the Ministry of Justice of the Republic of Kazakhstan;

2) sending a copy of this order in printed and in electronic format within five working days from the date of signing in one copy in the state and Russian languages ​​to the Republican state enterprise on the right economic management“Republican Center for Legal Information” for inclusion in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan;

3) within ten calendar days after state registration of this order with the Ministry of Justice of the Republic of Kazakhstan, direction for official publication in periodicals and the “Adilet” information and legal system;

4) posting this order on the Internet resource of the Ministry of Health and Social Development of the Republic of Kazakhstan;

5) within ten working days after the state registration of this order with the Ministry of Justice of the Republic of Kazakhstan, submission to the Department of Legal Service of the Ministry of Health and Social Development of the Republic of Kazakhstan information on the implementation of the measures provided for in subparagraphs 1), 2), 3) and 4) of this paragraph.

3. I reserve control over the execution of this order.

4. This order comes into force on January 1, 2017 and is subject to official publication.

And about. Minister of Health
and social development of the Republic of Kazakhstan A. Tsoi

Application
to the order of the Minister
health and
social development
Republic of Kazakhstan
dated August 2, 2016 No. 683

Approved
by order of the Minister
health and social development
Republic of Kazakhstan
dated April 28, 2015 No. 274

Rules for attracting independent experts when conducting external examinations

Chapter 1. General provisions

1. These Rules for the involvement of independent experts when conducting an external examination were developed in accordance with subparagraph 102-1) of paragraph 1 of Article 7 of the Code of the Republic of Kazakhstan dated September 18, 2009 “0 health of the people and the healthcare system” (hereinafter referred to as the Code) and determine the procedure for attracting independent experts during external examination.

2. The purpose of attracting independent experts is:

1) ensuring the rights of patients to receive medical care of the required volume and proper quality based on the optimal use of human, material and technical resources of healthcare entities and the use of modern medical technologies;

2) ensuring transparency and objectivity in assessing the activities of healthcare entities, the competence of medical workers, and the qualification level of specialists;

3) ensuring the relevance and validity of recommendations when forming general requirements to provide medical care to a patient with a specific disease or clinical situation.

3. Basic concepts used in these Rules:

1) subject of healthcare, healthcare organization, with the exception of organizations operating in the field of sanitary and epidemiological welfare of the population, as well as individuals those engaged in private medical practice and pharmaceutical activities;

2) an individual - citizens of the Republic of Kazakhstan, citizens of other states, as well as stateless persons;

3) a legal entity, an organization that has separate property by right of ownership, economic management or operational management and is liable for its obligations with this property, can acquire and exercise property and personal non-property rights and obligations on its own behalf, and be a plaintiff and defendant in court;

4) examination of the quality of medical services (hereinafter referred to as the Examination) - a set of organizational, analytical and practical activities carried out to make an opinion on the level of quality of medical services provided by physical and legal entities, using indicators reflecting the effectiveness, completeness and compliance of medical services with standards. Expertise is divided into internal and external;

5) independent examination - a procedure carried out by independent experts as part of an external examination in order to make an opinion on the level of quality of medical services provided by healthcare entities, using indicators reflecting the effectiveness, completeness and compliance of the medical services provided with standards;

6) independent expert, an individual with a higher education medical education and meeting the requirements for individuals applying for an independent examination, determined by the authorized body.

4. Individuals and healthcare entities receive information about independent experts from a database of accredited independent experts in the field of healthcare.

5. An independent expert is involved when conducting an external examination, taking into account his medical and pharmaceutical specialty.

6. Payment for services for conducting an independent examination is carried out on the basis of a certificate of completion of work.

Chapter 2. The procedure for attracting independent experts when conducting an external examination

7. Independent experts are involved when conducting an external examination of the activities of healthcare entities:

1) the authorized body and its territorial divisions;

2) healthcare subjects;

3) individuals or legal entities.

8. When conducting an external examination, independent experts are involved:

1) by the authorized body and its territorial divisions during a commission review in the following cases:

— conducting inspections in the field of quality of medical services for compliance. activities of the inspected entities to the requirements established by the legislation of the Republic of Kazakhstan;

— carrying out accreditation of healthcare entities in accordance with the order of the Minister of Health and Social Development of the Republic of Kazakhstan dated March 10, 2015 No. 127 “On approval of the Rules of accreditation in the field of healthcare” (registered in the Register of State Registration of Normative Legal Acts No. 10735);

— examination of treated cases with fatal outcomes;

2) healthcare entities on a contractual basis;

3) individuals or legal entities in cases of disagreement with the conclusions of the external examination.

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Order of the Federal Service for Environmental, Technological and Nuclear Supervision
dated July 13, 2006 N 683

On the organization of control over the procedures for the preparation and issuance of licenses in an automated mode

In order to increase the efficiency of control over the activities related to the preparation of licenses in the central office and territorial bodies of the Federal Service for Environmental, Technological and Nuclear Supervision (hereinafter referred to as Rostechnadzor), I order:

1. Approve forms for presenting information on the progress of registration and recording of applications from license applicants, consideration of documents submitted to obtain licenses, execution and registration of licenses, as well as refusals to grant licenses, and identify departments of the central office of Rostechnadzor responsible for the accuracy, completeness and timeliness of entering information in approved forms N 1Л and N 2Л ().

2. Approve the “Schedule of work for the creation and commissioning of the functional task of the state automated information and control system for industrial safety regulation (AIS PB) “Monitoring work with applications of license applicants”, intended for automated collection and processing of information in accordance with approved forms N 1L and N 2L ().

3. To the heads of departments of the central office and heads of territorial bodies for technological and environmental supervision of Rostechnadzor:

3.1. ensure constant operation of the functional task “Monitoring work with applications of license applicants”;

3.2. before January 1, 2007, send comments and proposals for further development and improvement of this functional task to the Department of Organizational and Legal Support of Regulatory Activities.

4. By July 31, 2006, the Interregional Territorial District for Informatization and Information Protection (MTOIZI, A.N. Chelyshev) will create an archive of licenses for 2006 in the field of atomic energy use that are within the competence of Rostechnadzor. Complete all work on the formation of a complete archive of licenses in the field of atomic energy use by December 31, 2006.

5. The Department of Organizational and Legal Support of Regulatory Activities (V.V. Kochemasov) to summarize the comments and suggestions of departments on the functional task “Monitoring work with applications of license applicants” and, by February 1, 2007, submit consolidated proposals to the management of Rostechnadzor for further development and improvement of this functional tasks.

6. MTOIZI, together with the Department of Organizational and Legal Support, before August 1, 2006, submit proposals for the creation of tools for automated control of procedures for the preparation of permits issued by Rostechnadzor () and conclusions of the state environmental assessment.

7. I entrust control over the implementation of this order to the deputy head of Rostechnadzor K.L. Seagull.

Head K.B. Pulikovsky



Appendix No. 2

Work schedule for the creation and commissioning of the functional task of the AIS PB "Monitoring work with applications from license applicants"

Event

Performer, co-performers

Deadline

Note

Develop the functional task of the AIS PB "Monitoring work with applications of license applicants"

Develop a “User’s Instruction for the functional task “Monitoring work with applications from license applicants”

LLC KB "RealTech" (as agreed)

Appoint persons in the entrusted departments who are personally responsible for entering information into the approved forms N 1L and N 2L for the presentation of information and transfer information about the appointed persons to the Ministry of Internal Affairs

2U, 6U, 7U, 8U, 9U, 10U, 11U, 12U, 13U, 14U, MTOIZI

Conduct two training seminars for persons responsible in the departments of the central office of Rostechnadzor for entering information within the framework of the functional task "Monitoring work with applications of license applicants"

MTOIZI, 2U, 6U-14U LLC KB "RealTech" (as agreed)

Put into operation the functional task “Monitoring work with applications from license applicants” in the central office of Rostechnadzor.

MTOIZI, LLC KB "RealTech" (as agreed)

Provide responsible persons access rights to information resources functional task "Monitoring work with applications from license applicants"

At the request of the Directorates (6U-14U)

Enter information in forms N 1L and N 2L for the period from 01.06. 2006 to current date

Look at the order

Ensure regular entry of up-to-date information into forms N 1L and N 2L

Constantly, from 01.08.06

Look at the order

Appoint persons in territorial bodies who are personally responsible for entering information into approved forms N 1L and N 2L for the presentation of information

Ensure the deployment and operation in the entrusted departments of the functional task "Monitoring work with applications of license applicants"

Territorial authorities on technological and environmental supervision

Under direct contracts, LLC KB "RealTech"

Organize the filling out of forms N 1L and N 2L for all currently valid licenses issued by the central office of Rostechnadzor, as well as central offices former Gosgortekhnadzor of Russia and Gosatomnadzor of Russia

Symbols - see this order.

Appendix No. 3

Types of permits issued by Rostechnadzor

Type of permit issued

Responsible Management

For the right to conduct work in the field of atomic energy use

For use technical devices at hazardous production facilities

9U, 10U, NU, 12U, 13U,

For the operation of hydraulic structures at industrial and energy facilities

For the use of industrial explosive materials and blasting operations

For the development of areas where mineral deposits occur

For transboundary movement of hazardous waste

On the transboundary movement of ozone-depleting substances and products containing them

For import into Russian Federation toxic substances

1. Approve the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations in accordance with.

1) development and implementation of programs for promoting a healthy lifestyle and preventing non-communicable diseases, including programs to reduce the prevalence of the main risk factors for their development, as well as preventing the consumption of narcotic drugs and psychotropic substances without a doctor’s prescription;

2) implementation of measures for the prevention and early detection of non-communicable diseases, risk factors for their development, including early identification of the risk of harmful alcohol consumption, and the risk of consumption of narcotic drugs and psychotropic substances without a doctor’s prescription, measures to correct identified risk factors for the development of non-communicable diseases, as well as dispensary monitoring citizens with chronic non-communicable diseases or a high risk of developing them.

5. Prevention of non-communicable diseases and the formation of a healthy lifestyle among citizens, including minors, include a set of the following measures:

1) carrying out activities on hygienic education, information and communication activities on maintaining a healthy lifestyle, prevention of non-communicable diseases and consumption of narcotic drugs and psychotropic substances without a doctor’s prescription;

2) identification of violations of the basic conditions for maintaining a healthy lifestyle, risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of consuming narcotic drugs and psychotropic substances without a doctor’s prescription, determining the degree of their severity and danger to health;

3) provision of medical services for the correction (elimination or reduction of levels) of risk factors for the development of non-communicable diseases, prevention of complications of non-communicable diseases, including referral of patients for medical reasons to medical specialists, including specialized medical organizations, referral of citizens with an identified risk of harmful alcohol consumption , the risk of consuming narcotic drugs and psychotropic substances without a doctor’s appointment with a psychiatrist-narcologist at a specialized medical organization or other medical organization providing drug treatment;

6. Medical care for the identification and correction of risk factors for the development of non-communicable diseases, early detection of non-communicable diseases and dispensary observation for non-communicable diseases is provided in accordance with the procedures for providing medical care and based on the standards of medical care.

7. Prevention of non-communicable diseases and the formation of a healthy lifestyle in medical organizations is carried out within the framework of the provision of primary health care, including primary pre-medical health care, primary medical health care, primary specialized health care, as well as specialized medical care and spa treatment.

1) on an outpatient basis (in conditions that do not provide for round-the-clock medical supervision and treatment), including at home when a medical professional is called;

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

9. As part of the provision of primary pre-medical health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle is carried out by paramedics and other medical workers with secondary medical education upon the direction of medical workers or upon independent application by a citizen.

10. A paramedic (nurse) of a paramedic-midwife station and a paramedic health center when implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle:

1) identify and correct the main risk factors for the development of non-communicable diseases, refer, if there are medical indications, to a specialist doctor providing primary health care, to the department (office) of medical prevention, health center, office of medical assistance for cessation of tobacco consumption;

3) participates in the organization and conduct of dispensary observation of patients with non-communicable diseases and citizens with a high risk of developing cardiovascular diseases;

4) carries out the development and implementation of measures to inform and motivate citizens to lead a healthy lifestyle, including measures to prevent harmful consumption of alcohol and the use of narcotic drugs and psychotropic substances without a doctor’s prescription;

5) informs citizens about the need to urgently seek medical help in case of life-threatening conditions, diseases and their complications, as well as training persons at high risk of developing life-threatening conditions and their family members in the rules of first aid for these conditions.

11. As part of the provision of primary medical care, the prevention of non-communicable diseases and the formation of a healthy lifestyle is carried out by general practitioners, local physicians, general practitioners (family doctors), pediatricians, local pediatricians in the direction of medical workers or upon independent application by a citizen.

12. General practitioner (precinct physician, general practitioner (family doctor), pediatrician, local pediatrician) when carrying out the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle:

1) identifies and corrects the main risk factors for the development of non-communicable diseases, including in the form of brief preventive counseling, timely diagnosis of non-communicable diseases, and, if necessary, refers, if necessary, to the department (office) of medical prevention, health center, medical care office for quitting tobacco consumption, paramedic health center and paramedic-midwife station, as well as to medical specialists in the profile of the identified disease (condition) and risk factor;

3) organizes and conducts dispensary observation of patients with non-communicable diseases, refers persons at high risk of developing cardiovascular diseases to dispensary observation of medical workers of the department (office) of medical prevention, health center, specialized medical organizations, paramedic health centers and paramedic-obstetric stations, keeps records of citizens undergoing dispensary examinations with other medical specialists;

13. As part of the provision of primary specialized health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle is carried out by medical specialists in the profile of the medical care provided upon the referral of medical workers or upon the independent request of a citizen, as well as in the process of dispensary observation of patients with non-communicable diseases.

14. As part of the provision of specialized medical care, medical specialists carry out the prevention of non-communicable diseases according to the profile of the medical organization (its structural unit), and also inform about maintaining a healthy lifestyle and correcting the main risk factors for the development of non-communicable diseases. If necessary, for this purpose the citizen is referred to a doctor for medical prevention at a medical organization providing specialized medical care.

16. The organization of the prevention of non-communicable diseases and the formation of a healthy lifestyle is carried out by medical organizations and their structural divisions in accordance with this Procedure.

Structure of the order (application) Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations” (hereinafter referred to as the Procedure). Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”


Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases ....” 1. Levels of prevention of non-communicable diseases - population, group and individual. 2. Who carries out prevention (state authorities, local governments, employers, medical organizations, educational organizations and physical education and sports organizations, public associations). Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”


4. Prevention of non-communicable diseases is ensured through: 1) development and implementation of programs for promoting a healthy lifestyle and prevention of non-communicable diseases, including programs to reduce the prevalence of the main risk factors for their development, as well as prevention of the use of narcotic drugs and psychotropic substances without a doctor’s prescription; 2) implementation of measures for the prevention and early detection of non-communicable diseases, risk factors for their development, including early identification of the risk of harmful alcohol consumption, and the risk of consumption of narcotic drugs and psychotropic substances without a doctor’s prescription, measures to correct identified risk factors for the development of non-communicable diseases, as well as dispensary monitoring citizens with chronic non-communicable diseases or a high risk of developing them. Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”


5. Prevention of non-communicable diseases and the formation of a healthy lifestyle among citizens, including minors, include a set of the following activities: 1) carrying out activities on hygienic education, information and communication activities on maintaining a healthy lifestyle, prevention of non-communicable diseases and the consumption of narcotic and psychotropic drugs substances without a doctor’s prescription; 2) identification of violations of the basic conditions for maintaining a healthy lifestyle, risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of consuming narcotic drugs and psychotropic substances without a doctor’s prescription, determining the degree of their severity and danger to health; 3) provision of medical services for the correction (elimination or reduction of levels) of risk factors for the development of non-communicable diseases, prevention of complications of non-communicable diseases, including referral of patients for medical reasons to specialist doctors, including specialized medical organizations, referral of citizens with an identified risk of harmful alcohol consumption , the risk of consuming narcotic drugs and psychotropic substances without a doctor’s appointment with a doctor - psychiatrist - narcologist of a specialized medical organization or other medical organization providing drug treatment; 4) conducting medical examinations and preventive medical examinations; 5) conducting dispensary observation of patients with non-communicable diseases, as well as citizens with a high risk of developing cardiovascular diseases. Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”


7. Prevention of non-communicable diseases and the formation of a healthy lifestyle in medical organizations is carried out within the framework of the provision of primary health care, including primary pre-medical health care, primary medical health care, primary specialized health care, as well as specialized medical care and sanatorium and resort treatment. Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”


8. Medical care for the prevention of non-communicable diseases is provided in the following conditions: 1) on an outpatient basis (in conditions that do not provide round-the-clock medical supervision and treatment), including at home when a medical worker is called; 2) in a day hospital (in conditions that provide medical supervision and treatment during the day, but do not require round-the-clock medical supervision and treatment); 3) inpatient (in conditions that provide round-the-clock medical supervision and treatment). Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”


10. A paramedic (nurse) of a paramedic and obstetric station and a paramedic health center when carrying out the prevention of non-communicable diseases and carrying out measures to promote a healthy lifestyle: 1) identifies and corrects the main risk factors for the development of non-communicable diseases, refers, if there are medical indications, to a specialist doctor providing primary medical care, in the department (office) of medical prevention, health center, office of medical assistance to stop tobacco consumption; 2) participates in the organization and conduct of medical examinations and preventive medical examinations; 3) participates in the organization and conduct of dispensary observation of patients with non-communicable diseases and citizens with a high risk of developing cardiovascular diseases; 4) carries out the development and implementation of measures to inform and motivate citizens to lead a healthy lifestyle, including measures to prevent harmful consumption of alcohol and the use of narcotic drugs and psychotropic substances without a doctor’s prescription; 5) informs citizens about the need to urgently seek medical help in case of life-threatening conditions, diseases and their complications, as well as training persons at high risk of developing life-threatening conditions and their family members in the rules of first aid for these conditions. Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”


11. As part of the provision of primary medical health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle is carried out by general practitioners, local physicians, general practitioners (family doctors), pediatricians, local pediatricians in the direction of medical workers or upon independent application by a citizen. Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”


16. The organization of the prevention of non-communicable diseases and the formation of a healthy lifestyle is carried out by medical organizations and their structural divisions in accordance with Appendices No. 1-9 to this Procedure. Appendices No. 1-9 Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix “Procedure for organizing and implementing the prevention of non-communicable diseases...”


Structure of the order (application) Appendix 1 to the Order “Rules for organizing the activities of the department (office) of medical prevention for adults. Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”


Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults” 1. These Rules determine the procedure for organizing the activities of the department (office) of medical prevention for adults. 2. The department (office) of medical prevention for adults is a structural unit of a medical organization or other organization carrying out medical activities, providing primary health care (hereinafter referred to as the medical organization). 3. In a medical organization with an attached adult population of 20 thousand people or more, it is recommended to create a medical prevention department for adults, and with an attached adult population of less than 20 thousand people, it is recommended to create a medical prevention office for adults. Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”


A medical worker with a higher education in the specialties (areas of training) “medicine”, “pediatrics”, “medical and preventive care”, “dentistry”, “nursing”, who has completed additional training is appointed to the position of head of the office of medical prevention for adults. professional development programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle. A medical worker with a secondary vocational (medical) education in the specialties “nursing”, “obstetrics”, “general medicine”, who has completed training in additional professional advanced training programs on the prevention of non-communicable diseases and the promotion of a healthy lifestyle. Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”


7. The structure and staffing of the department (office) of medical prevention for adults are established by the head of the medical organization in which it was created, taking into account the recommended staffing standards established by Appendix No. 2 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy image life in medical organizations approved by this order. Appendix No. 2 Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”


8. To organize the work of the department of medical prevention for adults, it is recommended to include the following structural units in its structure: 1) an office for organizing medical examinations and preventive medical examinations; 2) a room for diagnosis and correction of the main risk factors for the development of non-communicable diseases; 3) room for population prevention methods. 9. If it is not possible to allocate separate premises for the structural units of the medical prevention department, as well as when organizing a medical prevention room for adults, it is recommended to provide for zoning of premises for the implementation of activities for the organization of medical examinations and preventive medical examinations, diagnosis and correction of risk factors for the development of non-communicable diseases. Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”


10. The equipment of the medical prevention department (office) for adults is carried out in accordance with the equipment standard established by Appendix No. 3 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations, approved by this order. Appendix No. 3 Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”


11. The main functions of the department (office) of medical prevention for adults are: 1) carrying out measures to prevent non-communicable diseases, including those that are the main cause of disability and mortality of the population; 2) organization and participation in medical examinations and preventive medical examinations of the adult population; 3) participation in informing citizens receiving medical care in a medical organization about medical examinations and preventive medical examinations, about their goals and objectives, conducting explanatory work and motivating citizens to undergo medical examinations and preventive medical examinations; 4) maintaining medical records and performing certain medical studies during medical examinations and preventive medical examinations; 5) identification (diagnosis) of risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of consuming narcotic drugs and psychotropic substances without a doctor’s prescription, identifying violations of the basic conditions for maintaining a healthy lifestyle; 6) carrying out measures to correct risk factors for the development of non-communicable diseases, including in the form of individual in-depth preventive counseling or group preventive counseling (patient school), including the provision of medical care aimed at stopping tobacco consumption for citizens, including citizens with II and III health status groups * (as directed by a medical worker, as part of the second stage of clinical examination); * Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”


11. The main functions of the department (cabinet) of medical prevention for adults are (continued): alcohol consumption or the risk of using narcotic drugs and psychotropic substances to a doctor - psychiatrist - narcologist of a specialized medical organization providing drug treatment; 8) dispensary observation, including the prescription of drugs for the correction of dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases; 9) increasing the level of knowledge of medical workers of a medical organization on the prevention of non-communicable diseases and the formation of a healthy lifestyle; 10) training citizens in the rules of first aid for life-threatening diseases and their complications (acute coronary syndrome, acute cerebrovascular accidents, acute heart failure, sudden cardiac death), including individual and/or group training for persons at high risk of developing these life-threatening conditions, and members of their families; 11) reporting in the prescribed manner **, collection and provision of primary data on medical activities for health information systems ***, including control, recording and analysis of the results of medical examinations and preventive medical examinations; ** *** 12) organization and participation in activities to promote a healthy lifestyle among the population, including as part of mass actions and information campaigns, as well as informing the population, including the media, about methods for correcting risk factors for non-communicable diseases and prevention of their complications; 13) participation in the development and implementation of measures for the prevention of non-communicable diseases, the formation of a healthy lifestyle, including the prevention of the use of narcotic drugs and psychotropic substances without a doctor’s prescription. Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”


Structure of the order (application) Appendix 2 to the Order “Recommended staffing standards for the department (office) of medical prevention for adults.” Order of the Ministry of Health of the Russian Federation dated September 30, No. “On approval of the Procedure...” ¹ These recommended staffing standards do not apply to medical organizations of the private healthcare system.


Structure of the order (application) Appendix 3 to the Order “Standard for equipping a department (office) of medical prevention for adults.” Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”


Structure of the order (application) Appendix 4 to the Order “Rules for organizing the activities of the health center.” Appendix 5 to the Procedure “Recommended staffing standards for the health center.” Appendix 6 to the Order “Standard for equipping a health center.” Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”


Structure of the order (application) Appendix 7 to the Order “Rules for organizing the activities of the medical prevention center.” Appendix 8 to the Procedure “Recommended staffing standards for a medical prevention center.” Appendix 9 to the Procedure “Standard for equipping a medical prevention center.” Order of the Ministry of Health of the Russian Federation dated September 30 “On approval of the Procedure...”





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