683 order of the Ministry of Health. On approval of 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 of September 30, 2015 N 683n
“On approval of the Procedure for organizing and implementing prevention non-communicable diseases and carrying out activities to form 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 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” (registered by the Ministry 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;

Federal Law No. 44-FZ dated 04/05/2013 (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 the Khanty-Mansiysk Autonomous Okrug - Ugra dated December 22, 2012 No. 775-rp “On a comprehensive action plan for the prevention of diseases and the promotion 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, 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...”

5 4. Prevention of non-communicable diseases is ensured by: 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 consumption 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...”

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 assistance 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 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...”

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 - 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 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...”

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 the prescription of medications 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 with the right of 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 the 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 legal service Ministry of Health and Social Development of the Republic of Kazakhstan information on the implementation of 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 attracting 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 public health 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, 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 with this property for its obligations, 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 who has a higher medical education and meets 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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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 (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) dispensary observation, including the prescription of medications 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 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...”

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ORDER

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 prevention in non-infectious medical organizations in accordance with the appendix.

2. Exclude:

appendices N 1, , 9 from the order of the Ministry of Health and Social Development of the 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 the consumption of alcohol and tobacco” (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 year N 328н (registered by the Ministry of Justice of the Russian Federation on May 4, 2011, registration N 20656), dated September 26, 2011 N 1074н (registered by the Ministry of Justice of the Russian Federation on November 17, 2011, registration N 22330);

appendices N 7, -27 from the Regulations on the organization of provision of primary health care to the adult population, approved 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 , introduced 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).

Minister
V.I.Skvortsova

Registered
at the Ministry of Justice
Russian Federation

registration N 39822

Application. The procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations

Application
to the order of the Ministry
health
Russian Federation

1. This Procedure establishes the rules for organizing and implementing the prevention of non-communicable diseases, as well as carrying out activities to promote a healthy lifestyle in medical organizations and other organizations engaged in medical activities (hereinafter referred to as medical organizations).

2. Prevention of non-communicable diseases is carried out at the population, group and individual levels by state authorities, local governments, employers, medical organizations, educational organizations and physical education and sports organizations, public associations through the development and implementation of a system of legal, economic and social measures aimed at prevention of the occurrence, spread and early detection of such diseases, as well as reducing the risk of their development, prevention and elimination negative impact on the health of internal and external environment, formation of a healthy lifestyle.
________________
Part 2 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; 2013, N 48, Art. 6165) ( hereinafter referred to as Federal Law of November 21, 2011 N 323-FZ).

3. The formation of a healthy lifestyle among citizens, including minors, is ensured by carrying out activities aimed at informing citizens (legal representatives of persons specified in Part 2 of Article 20 of the Federal Law of November 21, 2011 N 323-FZ) about risk factors for their health, creating motivation to lead a healthy lifestyle and creating conditions for leading a healthy lifestyle, including physical education and sports.
________________
Part 3 of Article 30 of the Federal Law of November 21, 2011 N 323-FZ.

4. Prevention of non-communicable diseases is ensured by:

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;
________________
Appendix No. 2 to the Procedure for medical examination of certain groups of the adult population, approved

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;

4) conducting medical examinations and preventive medical examinations;
________________
Order of the Ministry of Health of the Russian Federation dated February 3, 2015 N 36an “On approval of the Procedure for conducting clinical examination of certain groups of the adult population” (registered with the Ministry of Justice of the Russian Federation on February 27, 2015, registration N 36268), order of the Ministry of Health of the Russian Federation dated December 6, 2012 N 1011n “On approval of the Procedure for conducting preventive medical examinations” (registered with the Ministry of Justice of the Russian Federation on December 29, 2012, registration N 26511), order of the Ministry of Health of the Russian Federation dated December 21, 2012 N 1346n “On the Procedure for medical examinations by minors, including including upon admission to educational institutions and during the period of study in them" (registered with the Ministry of Justice of the Russian Federation on April 2, 2013, registration N 27961), order of the Ministry of Health of the Russian Federation dated February 15, 2013 N 72n "On conducting medical examinations of those staying in inpatient institutions orphans and children in difficult life situations" (registered with the Ministry of Justice of the Russian Federation on April 2, 2013, registration N 27964), order of the Ministry of Health of the Russian Federation dated April 11, 2013 N 216n "On approval of the Procedure for medical examination of orphans and children left without parental care, including adopted children, taken under guardianship (trusteeship), into a foster or foster family" (registered with the Ministry of Justice of the Russian Federation on May 21, 2013, registration No. 28454).

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 December 21, 2012 N 1344n "On approval of the Procedure for conducting dispensary observation" (registered with the Ministry of Justice of the Russian Federation on February 14, 2013, registration N 27072), order of the Ministry of Health of the Russian Federation dated December 21, 2012 N 1348n " On approval of the Procedure for undergoing medical observation by minors, including during the period of training and education in educational institutions" (registered with the Ministry of Justice of the Russian Federation on March 28, 2013, registration N 27909).

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.

8. Medical assistance for the prevention of non-communicable diseases is provided in the following conditions:

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);

3) inpatient (in conditions that provide 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;

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;

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;

2) organizes and participates in medical examinations and preventive medical examinations;

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;

4) takes part in the development and implementation of measures to inform and motivate citizens, including minors, to maintain a healthy lifestyle and prevent non-communicable diseases, reduce the risk of harmful alcohol consumption and consumption 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.

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.

15. As part of sanatorium-resort treatment, medical specialists of sanatorium-resort organizations identify the main risk factors for the development of non-communicable diseases and carry out their correction, including in the form of individual in-depth preventive counseling or group preventive consultation, carry out the prevention of non-communicable diseases according to the profile of the sanatorium-resort organizations and information about maintaining a healthy lifestyle.

Appendix No. 1. Rules for organizing the activities of the department (office) of medical prevention for adults

Appendix No. 1

prevention of non-infectious
diseases and measures for
formation of a healthy lifestyle in

by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

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.

4. A medical specialist with a higher education in the specialties of general medicine, pediatrics, preventive medicine, and dentistry, who has completed additional professional development programs in the field of medicine, is appointed to the position of head of the department of medical prevention for adults. prevention of non-communicable diseases and promotion of a healthy lifestyle.

5. A medical worker with a higher education in the specialties (areas of training) “general medicine”, “pediatrics”, “medical and preventive care”, “dentistry”, “nursing”, who has completed training, is appointed to the position of head of the office of medical prevention for adults. for 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 fields, is appointed to the position of head of the office of medical prevention for adults, providing primary pre-hospital health care. advanced training programs on the prevention of non-communicable diseases and the promotion of a healthy lifestyle.

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) 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.

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);
________________
, approved by order of the Ministry of Health of the Russian Federation dated February 3, 2015 N 36an (registered with the Ministry of Justice of the Russian Federation on February 27, 2015, registration N 36268).

7) referral of patients, if necessary, to medical specialists, including referral of citizens with tobacco addiction to medical care rooms to stop tobacco consumption, and citizens with identified harmful alcohol consumption or the risk of consuming narcotic drugs and psychotropic substances to a specialized psychiatrist-narcologist medical organization providing drug treatment;

8) clinical observation, including the prescription of medications 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;

11) reporting in the prescribed manner, collecting and providing primary data on medical activities for information systems in the field of healthcare, including monitoring, recording and analysis of the results of medical examinations and preventive medical examinations;
________________
(Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165; 2014, N 30, Art. 4257) (hereinafter referred to as Federal Law of November 21, 2011 N 323-FZ).

.

12) organization and participation in events to promote a healthy lifestyle among the population, including through mass events and information campaigns, as well as informing the population, including the media, about 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.

Appendix No. 2. Recommended staffing standards for the department (office) of medical prevention for adults

Appendix No. 2
to the Procedure for organizing and implementing
prevention of non-infectious
diseases and measures for
formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н


	Job title	Number of positions, units
	Head of the department (office) of medical prevention -	1 instead of 0.5 positions of a doctor for medical prevention
	Medical prevention doctor
		1 per department (office)
	Senior nurse	1 instead of 0.5 paramedic positions ( nurse)
	Paramedic (nurse, obstetrician)	1 per 20 thousand adult population

Appendix No. 3. Standard equipment for the department (office) of medical prevention for adults

Appendix No. 3
to the Procedure for organizing and implementing
prevention of non-infectious
diseases and measures for
formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Standard equipment for a department (office) of medical prevention for adults


	Name	Quantity, pcs.
	Tonometer	at least 1
		at least 1
		at least 1
		at least 1
	Portable tonometer for measuring intraocular pressure	at least 1
		at least 1
		at least 1
	Height meter	at least 1
	Stopwatch	at least 1
		at least 1
	Set of visual aids	at least 1
	Personal Computer	by number of jobs
	Printer or multifunction device: printer - copier - scanner	at least 1
	Tape measure	at least 1
		at least 1
	Desk	at least 1
		at least 1
	Filing Cabinets	at least 1
	Clothes hanger
	Treatment table	at least 1
	Portable germicidal lamp	at least 1
	Container for soaking disposable mouthpieces, test strips	at least 1

Appendix No. 4. Rules for organizing the activities of the health center

Appendix No. 4
to the Procedure for organizing and implementing
prevention of non-infectious
diseases and measures for
formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Rules for organizing the activities of the health center

1. These Rules determine the procedure for organizing the activities of a health center that provides medical care for the prevention of non-communicable diseases to the adult population (hereinafter referred to as the Center).

2. The center is a structural unit of a medical organization or other organization engaged in medical activities (hereinafter referred to as the medical organization). It is recommended to create a center for at least 200 thousand people.

3. A medical specialist with a higher education in the specialties of general medicine, pediatrics, medical and preventive care, dentistry, who has completed additional professional development programs in the prevention of non-communicable diseases and formation of a healthy lifestyle.

4. A medical specialist with a higher education who has completed training in additional professional development programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle is appointed to the position of a doctor for medical prevention.

5. The structure and staffing of the Center are approved by the head of the medical organization in which it was created, taking into account the recommended staffing standards established by Appendix No. 5 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in adults in medical organizations, approved by this order.

6. To organize the work of the Center, it is recommended to include the following structural divisions in its structure:

1) doctor's office;

2) an office for group preventive counseling (patient schools);

3) testing rooms, instrumental and laboratory examinations;

4) dental hygienist’s office;

5) physical therapy room;

6) healthy eating room.

7. The Center is equipped in accordance with the equipment standard established by Appendix No. 6 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in adults in medical organizations, approved by this order.

8. The main functions of the Center are:

1) participation in the provision of primary health care to the adult population;

2) conducting a survey of citizens in order to assess functional and adaptive health reserves, identify 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, prognosis of health status, including determination of anthropometric parameters, screening assessment of the level of psychophysiological and somatic health, functional and adaptive reserves of the body, express assessment of the state of the cardiovascular system, assessment of function indicators respiratory system, organ of vision, identification of pathological changes in teeth, periodontal diseases and oral mucosa;

3) individual consultation of citizens on maintaining a healthy lifestyle, including recommendations on rational nutrition, physical activity, physical education and sports, sleep patterns, living conditions, work (study) and rest, mental hygiene and stress management, prevention of risk factors for the development of non-infectious diseases diseases, responsible attitude towards one’s health and the health of one’s family members, the principles of responsible parenthood;

4) 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);
________________
Clause 17 of the Procedure for carrying out clinical examination of certain groups of the adult population, approved by order of the Ministry of Health of the Russian Federation of February 3, 2015 N 36an (registered with the Ministry of Justice of the Russian Federation on February 27, 2015, registration N 36268).

5) referral of patients, if necessary, to medical specialists, including referral of citizens with tobacco addiction to a medical assistance office to stop tobacco consumption, and citizens with an identified risk of harmful alcohol consumption or risk of consumption of narcotic drugs and psychotropic substances to a psychiatrist-narcologist a specialized medical organization or other medical organization providing drug treatment;

6) individual in-depth preventive counseling on healthy nutrition, including assessment of actual nutrition, in-depth examination of the composition of tissues and the basal metabolism of the human body, provision of medical care to optimize the mass and composition of tissues of the human body, correction of nutritional disorders;

7) participation in medical examinations and preventive medical examinations;

8) clinical observation, including the prescription of medications to correct dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases;

9) organizing and conducting events to inform and motivate citizens to lead a healthy lifestyle (including in work and educational groups), including a balanced diet, increasing physical activity, reducing stress, stopping tobacco consumption, harmful alcohol consumption, and drug use drugs and psychotropic substances without a doctor’s prescription;

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) informing doctors of the medical organization within which the Center is organized about cases of identifying citizens with a high risk of developing cardiovascular diseases;

12) 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;

13) analysis of the prevalence of risk factors for the development of non-communicable diseases, indicators of morbidity, disability and mortality of the population from these diseases;

14) organization and participation in events to promote a healthy lifestyle, including propaganda aimed at stopping tobacco consumption, harmful consumption of alcohol and consumption of narcotic drugs and psychotropic substances without a doctor’s prescription among the population;

15) participation in the development and implementation of measures for the prevention of non-communicable diseases and the formation of a healthy lifestyle;

16) reporting in the prescribed manner, collecting and providing primary data on medical activities for information systems in the field of healthcare, including monitoring, recording and analysis of the results of medical examinations and preventive medical examinations.
________________
Clause 11 of part 1 of Article 79 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; 2013, N 48, Art. 6165 ; 2014, N 30, Art. 4257) (hereinafter referred to as Federal Law of November 21, 2011 N 323-FZ).

Part 1 of Article 91 of the Federal Law of November 21, 2011 N 323-FZ.

Appendix No. 5
to the Procedure for organizing and implementing
prevention of non-infectious
diseases and measures for
formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н


	Job title	Number of positions, units
	Head - doctor for medical prevention
	Medical prevention doctor	1 per 40 thousand adult population
	Psychotherapist or medical psychologist
	Dental hygienist
	Physical therapy instructor
	Senior nurse
	Nurse	1 for 1 position of a doctor for medical prevention
	Medical optometrist (nurse)

________________
If there is a healthy nutrition office in the structure of the health center, an additional position of a doctor for medical prevention is introduced.

Subject to completion of training on assessing visual function indicators.

Appendix No. 6. Health center equipment standard

Appendix No. 6
to the Procedure for organizing and implementing
prevention of non-infectious
diseases and measures for
formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Health center equipment standard


	Name	Quantity, pcs.
	Hardware and software complex for screening assessment of the level of psychophysiological and somatic health, functional and adaptive reserves of the body with a set of equipment for measuring parameters of physical development	at least 1
	Computerized heart screening system (rapid assessment of heart condition using ECG signals from the extremities)	at least 1
	Angiological screening system with automatic systolic measurement blood pressure and calculation of the brachial-ankle index	at least 1
	Apparatus for a comprehensive detailed assessment of the functions of the respiratory system (computerized spirometer)	at least 1
	Express analyzer for determining total cholesterol and blood glucose (with accessories)	at least 1
	Exhaled air carbon monoxide analyzer with determination of carboxyhemoglobin (smokelizer)	at least 1
	Pulse oximeter (pulse oximeter)	at least 1
	Set of equipment for a treatment room physical culture	at least 1
	A set of equipment for visually promoting a healthy lifestyle	at least 1
	Set of visual aids	at least 1
	Workplace of a dental hygienist (dental unit, compressor, vacuum cleaner-saliva ejector)	at least 1
	Workplace for a medical optometrist (nurse) (a set of trial spectacle lenses and prisms with a trial frame, a sign projector, an automatic refractometer, an automatic pneumotonometer)	at least 1
	Workplace of a doctor in a healthy nutrition office (special software; ultrasonic bone densitometer)	subject to availability
	Personal Computer	by number of jobs
		at least 1
	Tonometer	at least 1
		at least 1
	Height meter	at least 1
	Tape measure	at least 1

Appendix No. 7. Rules for organizing the activities of the center for medical prevention

Appendix No. 7
to the Procedure for organizing and implementing
prevention of non-infectious
diseases and measures for
formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Rules for organizing the activities of the medical prevention center

1. These Rules establish the procedure for organizing the activities of the medical prevention center.

2. The Center for Medical Prevention is an independent medical organization or a structural unit of a medical organization or other organization engaged in medical activities (hereinafter referred to as the medical organization).

3. The regional (republican, regional, regional, district) center for medical prevention is an independent medical organization and carries out coordination and methodological support of activities for the prevention of non-communicable diseases and the formation of a healthy lifestyle in a constituent entity of the Russian Federation.

4. A specialist who meets the qualification requirements established by the qualification characteristics of the position “chief physician” is appointed to the position of head of the center for medical prevention, which is an independent medical organization<*>(president, director, head, manager, chief) of a medical organization."
________________
Order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N 541n “On approval of the Unified Qualification Directory of positions of managers, specialists and employees, section “Qualification characteristics of positions of workers in the field of healthcare” (registered with the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247).

5. A medical worker with a higher education in the specialties (areas of training) “general medicine”, “pediatrics”, “medical and preventive care”, “dentistry”, “nursing” is appointed to the position of head of the center for medical prevention, which is a structural unit of a medical organization. case”, who completed additional professional development programs on issues related to the prevention of non-communicable diseases and the formation of a healthy lifestyle.

6. A medical specialist with a higher education who has completed training in additional professional development programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle is appointed to the position of a doctor for medical prevention.

7. The structure and staffing of the medical prevention center are established taking into account the recommended staffing standards established by Appendix No. 8 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.

8. To organize the work of a medical prevention center, it is recommended that its structure include:

1) department of interdepartmental relations and comprehensive prevention programs;

2) department of organizational and methodological support of preventive work;

3) department for the preparation and replication of medical information materials;

4) health monitoring department;

5) advisory and health department;

6) department for organizing and conducting events in the field of hygienic training and education.

9. The equipment of the medical prevention center is carried out in accordance with the equipment standard established by Appendix No. 9 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.

10. The main functions of the medical prevention center are:

1) development and implementation of activities and programs for the prevention of non-communicable diseases, the formation of a healthy lifestyle, including the cessation of tobacco consumption, harmful consumption of alcohol and the risk of consuming narcotic drugs and psychotropic substances without a doctor’s prescription;

2) organizational and methodological support for the work of departments (offices) of medical prevention, health centers and other structural units of medical organizations on the prevention of non-communicable diseases and the formation of a healthy lifestyle, including among minors;

3) preparation of information materials on the prevention of non-communicable diseases, the formation of a healthy lifestyle, as well as on the rules of first aid for life-threatening diseases and conditions;

4) analysis of the dynamics of morbidity, hospital and out-of-hospital mortality of the population from non-communicable diseases (based on medical statistics);

5) monitoring and analysis of prevalence indicators and public awareness of the main risk factors for non-communicable diseases, the dangers of consuming narcotic drugs and psychotropic substances without a doctor’s prescription;

6) analysis and assessment of the work of medical organizations on the prevention of non-communicable diseases and the formation of a healthy lifestyle;

7) organizing and conducting lectures, training and methodological lessons with medical professionals on issues of individual in-depth preventive counseling or group preventive counseling (patient school);

8) methodological support interdepartmental interaction on issues of strengthening and preserving public health, participation in the development and implementation of events and programs to improve the level of knowledge of employees educational organizations, cultural organizations, physical education organizations, the media, and other organizations on the prevention of non-communicable diseases and the formation of a healthy lifestyle;

9) organization and participation in conducting mass events, shares, round tables, conferences, public hearings on the prevention of non-communicable diseases and the formation of a healthy lifestyle, promoting the practical implementation of the decisions taken at them;

10) introduction into practice of modern achievements in the field of prevention of non-communicable diseases and the formation of a healthy lifestyle, as well as methods of training and increasing the literacy of the population on these issues, analyzing the effectiveness of their use;

11) participation in international and Russian projects in the field of prevention of non-communicable diseases and the formation of a healthy lifestyle;

12) diagnosis and correction of risk factors for the development of non-communicable diseases;

13) maintaining medical records and submitting reports in the prescribed manner, collecting and providing primary data on medical activities for information systems in the field of healthcare, including monitoring, recording and analysis of the results of medical examinations and preventive medical examinations.
________________
Clause 11 of part 1 of Article 79 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; 2013, N 48, Art. 6165 ; 2014, N 30, Art. 4257) (hereinafter referred to as Federal Law of November 21, 2011 N 323-F3).

Part 1 of Article 91 of the Federal Law of November 21, 2011 N 323-FZ.

11. The Center for Medical Prevention can be used as a clinical base for educational and scientific organizations implementing professional educational programs for medical education.
________________
(Collected Legislation of the Russian Federation, 2012, No. 53, Art. 7598).
________________
*Probably an error in the original. Should read "December 29, 2012". - Database manufacturer's note.

Appendix No. 8. Recommended staffing standards for the medical prevention center

Appendix No. 8
to the Procedure for organizing and implementing
prevention of non-infectious
diseases and measures for
formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н


	Job title	Number of positions, units
	Head (chief physician, director)
	Head of the department - medical prevention doctor (methodologist)	1 per department
	Methodist doctor
	Medical prevention doctor	1 per 200 thousand population (at least 3)
	Medical statistician
	Nurse

Note:

Number of other positions (public relations specialist, sociologist, psychologist (teacher-psychologist), editor, correspondent, photographer, computer graphics artist, software engineer (programming technician), operator of electronic computers and computers, operator of electronic typing and layout, flat-panel printer and others) is established by the head of the medical organization depending on the specific working conditions and volume of work.

Appendix No. 9. Standard for equipping a medical prevention center

Appendix No. 9
to the Procedure for organizing and implementing
prevention of non-infectious
diseases and measures for
formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Standard for equipping a medical prevention center


	Name	Quantity, pcs.
	Personal Computer	by number of jobs
	A4 printer	at least 1 per 3 workplaces
	A3 printer	at least 1
	Multimedia projector	at least 1
		at least 1
	A set of equipment for visually promoting a healthy lifestyle	at least 2
	Set of visual aids	at least 1
		at least 1
	Dictaphone	at least 1
	TV	at least 1
	DVD player	at least 1
	Digital camera	at least 1
	A4 size copier	at least 1
	A3 full color copier	at least 1
	Flatbed scanner	at least 1
	Brochurator	at least 1
	Motor transport	at least 1
	Express analyzer for determining total cholesterol in the blood	at least 1
	Express analyzer for determining blood glucose	at least 1
	Exhaled air carbon monoxide analyzer with determination of carboxyhemoglobin (smokelizer)	at least 1
	Spirometer (portable with disposable mouthpieces)	at least 1

Electronic document text
prepared by Kodeks JSC and verified against:
Official Internet portal
legal information
www.pravo.gov.ru, 11/27/2015,
N 0001201511270031

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

On the organization of control over 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. 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 Rostekhnadzor 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)
Grant 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 bodies for 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 by the central offices of the 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
	On cross-border movement hazardous waste
	On the transboundary movement of ozone-depleting substances and products containing them
	For import into Russian Federation toxic substances

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