Order 230 dated 09.06 03. HIV infection from mother to child. From mother to child in the Russian Federation
MINISTRY OF HEALTH
RUSSIAN FEDERATION
About modification and additions to the order of the Ministry of Health of Russia of June 9, 2003 N 230
In order to improve the organization and standardization of work of health care workers and on the basis of the Decree of the Government of the Russian Federation of April 29, 2002 N 284 "On approval of the Regulations on the Ministry of Health of the Russian Federation" (Collected Legislation of the Russian Federation, 2002, N 18, Art. 1771)
I order:
1. To introduce amendments and additions to the order of the Ministry of Health of Russia dated June 9, 2003 N 230 "On approval of staff standards for employees and workers of state and municipal health care institutions and employees of centralized accounting departments at state and municipal health care institutions" (Appendices NN 1-3).
2. To impose control over the execution of this order on the First Deputy Minister of Health of the Russian Federation A.I. Vyalkov.
Minister
Yu.L. Shevchenko
Appendix N 1. Changes and additions to Appendix N 1 "Staffing standards for employees and workers of state and municipal healthcare institutions" to the order of the Ministry of Health of Russia dated 09.06.2003 N 230
Appendix No. 1
APPROVED
Russian Federation
of December 19, 2003 N 607
1. In section 1 "Positions of employees entered by types of institutions":
1.1. Subclause 1.1.11 of clause 1.1. "Treatment-and-prophylactic establishments (MPU), having in its composition outpatient-polyclinic divisions"
"
1.2. Subparagraphs 1.3.3 and 1.3.4 of paragraph 1.3 "Outpatient clinics; other healthcare institutions that do not have a bed capacity" shall be stated as follows:
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1 position: In institutions classified as groups I-IV in terms of remuneration of managers; In institutions classified as group V in terms of remuneration of managers, with more than 40 medical positions; |
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Deputy Head of Economic Affairs | 1 position in institutions assigned to II-IV groups in terms of remuneration of managers. |
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Economist | Based on 1 position per 100 medical positions, but not less than 1 position in the institution |
1.3. Sub-clauses 1.4.4 and 1.4.12 of clause 1.4 "Blood transfusion stations, blood centers" shall be stated as follows:
Deputy Head for Economic Affairs | ||
Head of economic department | 1 position in institutions assigned to the IV group in terms of remuneration of managers. |
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Economist | 1 position in institutions referred to the V group in terms of remuneration of managers; 2 positions in institutions assigned to II-IV groups in terms of remuneration of managers; 3 positions in institutions classified as group I in terms of remuneration of managers |
1.4. Sub-clauses 1.5.2, 1.5.3, 1.5.7 and 1.5.10 of clause 1.5 "Ambulance stations" shall be stated as follows:
Deputy Chief Physician for Economic Affairs | 1 position in institutions assigned to I-IV groups in terms of remuneration of managers |
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Deputy chief physician for economic issues | 1 position in institutions assigned to groups I-II in terms of remuneration of managers. In institutions assigned to III-IV groups in terms of remuneration of managers, the position of head of the economic department is being introduced. In institutions classified as group V in terms of remuneration of managers, the position of head of the economy is being introduced |
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Economist | 1 position in institutions with up to 50 thousand visits per year. In institutions with more than 50 thousand visits per year - 1 position and additionally at the rate of 1 position per 100 thousand visits per year (over 50 thousand) |
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Secretary- | 1 position in the institution |
2. In section 2 "Positions of employees and professions of workers, introduced depending on the organizational and technical conditions for the functioning of institutions":
2.1. Subparagraph 2.1.7 of subsection 2.1 "Positions of employees" shall be stated as follows:
Head of technical department | 1 position in medical and preventive institutions assigned to groups III-V in terms of remuneration of managers, equipped with complex medical and other equipment, apparatus and facilities; 1 position at blood transfusion stations assigned to II-IV groups in terms of remuneration of managers; 1 position at ambulance stations with at least 50,000 visits per year, with radiotelephone communications |
2.2. Subclauses 2.2.13 and 2.2.24 of subsection 2.2. "Professions of workers" shall be stated in the following wording:
On a freight elevator per shift; |
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All institutions for 1-2 shifts according to the standards for the number of workers in hotel maintenance |
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support worker | All institutions depending on the amount of work not provided for in other professions of workers. In pharmacies assigned to groups I-IV in terms of remuneration of managers |
Appendix N 2. Changes and additions to Appendix N 2 "Staffing standards for employees of centralized accounting departments at state and municipal healthcare institutions" to the order of the Ministry of Health of Russia dated 06/09/2003 N 230
Appendix No. 2
APPROVED
order of the Ministry of Health
Russian Federation
of December 19, 2003 N 607
CHANGES AND ADDITIONS
in Appendix N 2 "Staffing standards for employees of centralized accounting departments at state and municipal healthcare institutions"
to the order of the Ministry of Health of Russia dated June 9, 2003 N 230
1. Subparagraph 2.1 of paragraph 2 shall be stated as follows:
"2.1. In addition, the position of deputy chief accountant may be introduced at the expense of one of the positions of group leaders in centralized accounting departments with a total number of beds over 2100 and the number of medical posts over 420 in serviced institutions that do not have a bed capacity;".
2. In paragraph 7:
2.1. The third paragraph of paragraph 7 shall be stated as follows:
"- 150 positions of doctors in serviced institutions that do not have a bed fund;".
2.2. Subclause 7.3 shall be stated as follows:
"7.3. In serviced institutions operating in the system of compulsory health insurance, at the rate of 1 position for:
- 1000 beds;
- 200 positions of doctors in institutions that do not have a bed fund;".
3. Sub-clause 8.1.1 of clause 8 shall be stated as follows:
"8.1. 1 position - when servicing less than 10 institutions with more than 300 beds (in total) and 60 positions of doctors (in total) in institutions that do not have a bed fund;
2 positions - at least 15 institutions with more than 750 beds (in total) and 150 positions of doctors (in total) in institutions that do not have a bed fund;".
4. Sub-clause 11.1 of clause 11 shall be stated as follows:
"11.1. At the rate of 1 post for 200 beds and 50 medical posts, with the number of beds in serviced institutions over 300 (in total) and over 60 medical posts (in total) in institutions that do not have a bed fund;".
5. In the notes:
5.1. Paragraph 2 shall be stated in the following wording:
"2. Whole positions or 0.25, 0.5 and 0.75 positions (units) can be entered into the staff lists, when calculating them, final figures less than 0.13 are discarded, figures 0.13-0.37 are rounded up to 0.25 , the numbers 0.38-0.62 are rounded up to 0.5, the numbers 0.63-0.87 are rounded up to 0.75, and over 0.87 - to one.".
5.2. Paragraph 3 shall be stated in the following wording:
"3. The formation of functional groups and the determination of the number of accounting and accounting personnel in each group is determined by the chief accountant within the limits of the number of positions that are due to centralized accounting according to these staffing standards.".
5.3. Paragraph 4 shall be stated in the following wording:
"4. When calculating the positions of accountants-auditors, economists for financial work, the number of beds and the number of positions of doctors in institutions that do not have a bed fund include the indicated indicators only for those institutions that are financed through centralized accounting.".
Appendix N 3. Staffing standards for structural units (employees) specially authorized to solve problems in the field of civil defense, state and municipal healthcare institutions "to the order of the Ministry of Health of Russia dated 09.06.2003 N 23
Appendix No. 3
APPROVED
order of the Ministry of Health
Russian Federation
of December 19, 2003 N 607
to read as follows:
"Staff standards of structural units (employees) specially authorized to solve problems in the field of civil defense, state and municipal health care institutions
Number of employees in the healthcare facility | Job titles |
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Up to 500 people | 1 position of Deputy Chief Physician (Director, Head, Head) for the medical unit for work on civil defense and mobilization work or Deputy Chief Physician (Director, Head, Head) for civil defense and mobilization work |
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From 500 to 2000 people | 1 position of deputy chief physician (director, head, head) for the medical unit for work on civil defense and mobilization work or deputy chief physician (director, head, head) for civil defense and mobilization work; 1-2 positions of civil defense specialists |
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From 2000 to 5000 people | 1 position of deputy chief physician (director, head, head) for the medical unit for work on civil defense and mobilization work or deputy chief physician (director, head, head) for civil defense and mobilization work; 2-3 positions of civil defense specialists |
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Over 5000 people | 1 position of deputy chief physician (director, head, head) for the medical unit for work on civil defense and mobilization work or deputy chief physician (director, head, head) for civil defense and mobilization work; 4-5 positions of civil defense specialists |
In institutions, organizations and enterprises that are not classified as civil defense with more than 200 employees, 1 position of deputy chief physician (director, head, head) for the medical unit for work on civil defense and mobilization work or deputy chief physician is introduced ( director, head, chief) for civil defense and mobilization work.
Notes:
1. When determining the number of employees in structural divisions for civil defense and mobilization work (individual employees as part of other divisions) in organizations with hospitals, the number of patients being treated (according to the number of estimated beds) is taken into account.
2. In medical institutions that have departments for non-transportable patients for a special period, instead of the position of a civil defense specialist, the position of head of the department may be introduced.
In order to improve the organization and standardization of work of health care workers and on the basis of Decree of the Government of the Russian Federation of April 29, 2002 N 284 "On approval of the Regulations on the Ministry of Health of the Russian Federation" (Collected Legislation of the Russian Federation, 2002, N 18, art. 1771) I order:
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Order of the Ministry of Health of the Russian Federation of 09062003 230
1. The title of the position of the head of the institution is established in accordance with the profile of the institution headed, for example: hospital, polyclinic - chief physician; hospital - chief; sanatorium, center - chief physician, director; pharmacy - manager, etc.
In the staffing table of the institution, the position of the head is taken into account in the general institution staff.
The position of director, replaced by specialists who do not have a medical education, is established in sanatorium-and-spa institutions assigned to groups I-IV in terms of remuneration of managers. In this case, the position of director as deputy head of the institution is not introduced.
2. The head of the institution, based on production needs, has the right to strengthen individual structural units or introduce positions (professions of workers) not provided for by these staffing standards, at the expense of positions of other structural units within the limits of the wage fund established by the institution.
The introduction of additional positions in excess of the current staff standards is allowed only if there is a job description on the functional duties of an employee additionally introduced into the staff of the institution, and an economic justification for the expediency of introducing the specified position.
At the same time, the names of positions of employees and professions of workers must correspond to their names provided for in the current staffing standards, Tariff and qualification characteristics for industry-wide positions of employees and professions of workers approved by the Ministry of Labor of Russia. The names of the professions of workers that are not provided for by the Tariff and qualification characteristics for industry-wide professions of workers are established in accordance with the names contained in the Unified Tariff and Qualification Directory of Works and Professions of Workers (ETKS).
In the staff list of the institution, vacant positions are indicated by their basic name, for example, accountant, economist, engineer.
The names of positions occupied by specific employees are determined based on the compliance of their qualifications with the requirements provided for by the tariff and qualification characteristics for industry-wide positions of employees, for example, a specialist (economist, accountant, engineer) with a higher professional education and 4 years of work experience as an economist, in in the staff list of the institution, the position will be called an economist of the II category, etc.
3. Integer or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the final figures less than 0.13 are discarded, the figures 0.13-0.37 are rounded up to 0.25, figures 0.38-0.62 are rounded up to 0.5, figures 0.63-0.87 are rounded up to 0.75, and over 0.87 - to one. If several titles form 0.25, 0.5 or 0.75 positions (units) each, they may be combined by categories of personnel (employees, workers) under one of the combined titles with the performance of functions in all the combined positions (professions).
Staffing standards for employees of centralized accounting departments at state and municipal healthcare institutions
1. The position of the chief accountant is established in each accounting department.
2. The positions of deputy chief accountants are established in the accounting department, which relies on paragraphs. 4-8 of these staff standards:
— from 5 to 10 positions of accountants — 1 position;
— from 11 and above positions of accountants — 2 positions.
2.1. Additionally, the position of deputy chief accountant may be introduced at the expense of one of the positions of group leaders in centralized accounting departments with a total number of beds over 2100 and the number of medical positions over 420 in serviced institutions;
3. The position of the head of the accounting group is established for each functional group, which, according to paragraphs. 4-8 of these staff standards, at least 6 positions of accountants are required, instead of one of them.
4. The positions of accountants for accounting and costing of food products are established at the rate of 1 position for 300 beds in medical institutions with a bed fund, and places in orphanages.
- 300 beds in medical and preventive institutions with a bed fund, and places in children's homes;
6. The positions of accountants for settlements with workers and employees are established at the rate of 1 position per 200 full-time positions in the serviced institutions.
150 positions of doctors in serviced institutions. Additionally, the positions of accountants in financial accounting are established:
7.1. 1 position in the execution of cash transactions through the treasury system;
7.2. 1 position to work with funds: compulsory health insurance, pension and social development;
7.3. at the rate of 1 position per 1000 beds and 200 positions of doctors in serviced institutions operating in the system of compulsory health insurance;
7.4. 1 position in servicing blood transfusion stations assigned to groups III - IV and 2 positions - to groups I-II for the remuneration of managers;
7.5. at the rate of 1 position per 100 thousand visits per year in serviced ambulance stations;
7.6. 0.5 positions in the service of the centers of state sanitary and epidemiological supervision assigned to groups III - IV and 1 position to groups I - II for the remuneration of managers;
7.7. at the rate of 1 position for 60 medical positions in the service of the forensic medical examination bureau;
7.8. 0.5 positions in servicing dairy kitchens with a daily throughput of 1 to 5 thousand servings, 1 position - over 5 to 7 thousand servings and 1.5 positions - over 7 thousand servings.
8. The positions of accountants-auditors are established:
8.1. 1 position - when servicing less than 10 institutions with more than 300 beds (in total) and (or) 60 doctor positions (in total);
2 positions - at least 15 institutions with more than 750 beds (in total) and (or) 150 doctor positions (in total);
8.2. 1 position - when servicing ambulance stations with more than 100 thousand visits per year;
8.3. 1 position in the presence of centers of state sanitary and epidemiological surveillance with a population of more than 1 million people served;
8.4. 1 position in servicing blood transfusion stations with the amount of plasma harvested at least 10 thousand liters per year or processing at least 40 thousand liters of plasma per year;
9. The position of a senior cashier is established in the accounting department serving more than 1000 employees (individuals) instead of one cashier position, which is due under clause 10 of these staff standards.
10. The position of the cashier is established in each accounting department. When the accounting department directly conducts cash settlements with the population, additional positions of cashiers are established in its staff:
10.1. 0.5 positions in the presence of a dairy kitchen with a daily throughput of up to 2 thousand servings; 1 position - over 2 thousand portions;
10.2. 0.5 positions in the presence of a prosthetic department with the number of positions of orthopedic dentists 5 or more;
10.3. 0.5 positions in the presence of a blood transfusion department with a procurement of at least 2 thousand liters of blood from paid donors;
10.4. 0.5 positions in the presence of a department of preventive disinfection with a staff of 10 or more positions of medical disinfectors for paid work on preventive disinfection, disinfestation and deratization;
11. The position of an economist for financial work is established:
11.1. at the rate of 1 position for 200 beds and 50 medical positions with the number of beds in serviced institutions over 300 (in total) and over 60 medical positions (in total);
11.2. at the rate of 1 position per 100,000 visits per year at ambulance stations;
11.3. at the rate of 1 position for 60 medical positions in the Bureau of Forensic Medical Examination;
11.4. 1 position in servicing the centers of state sanitary and epidemiological surveillance and blood transfusion stations assigned to groups III-IV and 2 positions - to groups I-II for the remuneration of managers.
12. 0.5-1.0 the position of a typist is established in each accounting department.
1. Economic maintenance of the centralized accounting department (cleaning and repair of premises, current monitoring of equipment and apparatus, etc.) is carried out by the personnel of the institution in which the centralized accounting department is organized.
The positions of employees and professions of workers of centralized accounting departments located in separate premises, as well as those employed in the technological process, are established according to the standards of the relevant employees provided for medical institutions.
2. Integer or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the final figures less than 0.13 are discarded, the figures 0.13-0.37 are rounded up to 0.25, figures 0.38-0.62 are rounded up to 0.5, figures 0.63-0.87 are rounded up to 0.75, and over 0.87 - to one. If several titles form 0.25, 0.5 or 0.75 positions (units) each, they may be combined by categories of personnel (employees, workers) under one of the combined titles with the performance of functions in all the combined positions (professions).
3. The formation of functional groups and the determination of the number of accounting and accounting personnel in each group is determined by the chief accountant within the limits of the number of posts that are due to centralized accounting for these model states.
Staff standards of structural units (employees) specially authorized to solve problems in the field of civil defense, state and municipal health care institutions (approved by order of the Ministry of Health of June 9, 2003 N 230)
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ORDER of the Ministry of Health of the Russian Federation dated 09.06.2003 N 230 "ON APPROVAL OF STAFF NORMATIVES OF EMPLOYEES AND WORKERS OF STATE AND MUNICIPAL HEALTH CARE INSTITUTIONS AND EMPLOYEES OF CENTRALIZED ACCOUNTING AT STATE AND MUNICIPAL INSTITUTIONS"
1. Approve the staffing standards for employees and workers of state and municipal healthcare institutions (Appendix N 1), staffing standards for employees of centralized accounting departments at state and municipal healthcare institutions (Appendix N 2) and staffing standards for structural units (employees) specially authorized to solve problems in areas of civil defense of state and municipal health care institutions (Appendix N 3).
2. Consider invalid the Order of the Ministry of Health of Russia dated May 22, 2001 N 165 "On the approval of staff standards for employees and workers of health care institutions and employees of centralized accounting departments at health care institutions."
3. To impose control over the execution of this Order on the First Deputy Minister of Health of the Russian Federation A.I. Vyalkov.
1.1. Treatment-and-prophylactic establishments (HPU) having in its composition outpatient-polyclinic divisions
- in institutions with up to 100 beds;
- in institutions classified as groups I - II in terms of remuneration of managers
- in maternity hospitals with antenatal clinics with less than 5 medical positions and a hospital with 100 - 180 beds; 1 position:
- in regional, regional, republican, district hospitals;
- Narcological and neuropsychiatric clinics of republican, district, regional, city (cities with a population of over 800 thousand) subordination; skin and venereal dispensaries of urban subordination, serving at least 200 thousand people; in the absence of a psycho-neurological dispensary, this position is established in one of the psychiatric hospitals that have a dispensary department;
- in central district and central city hospitals in rural areas and cities with a population of over 25 thousand people;
- in city hospitals with 360 or more beds;
- in children's city hospitals, the polyclinic of which serves 15 thousand or more children. When serving a smaller number of children, the specified position is introduced at the rate of 15 thousand children;
- in maternity hospitals, in antenatal clinics, in which there are 5 or more medical positions. In cases where there are fewer medical positions in the antenatal clinic, this position is introduced if there are at least 190 beds in the hospital
1.2. Treatment and prophylactic institutions that do not have outpatient departments
- in specialized hospitals with 200 or more beds;
- in maternity hospitals with 100 or more beds;
- in sanatoriums for adults with 200 or more beds;
- in other medical institutions - for 150 or more beds (places in children's homes)
- in sanatoriums for adults and children with 100 or more beds;
- in other medical institutions - for 150 or more beds (places in children's homes).
In institutions classified as group I in terms of remuneration of managers, the position of deputy head for economic issues is not established
- in maternity hospitals for 50 - 100 beds;
- in specialized hospitals with 100 - 200 beds;
– for adults for 100 – 200 beds;
- for children for 100 - 150 beds;
- in other institutions - for 100 - 150 beds (places in children's homes) and in institutions classified as group I in terms of remuneration of managers.
In institutions with bed capacity indicators below those provided for in this subparagraph, instead of the position of the head of the economic department, the position of the head of the economic department is introduced
- in sanatoriums for 100 - 190 beds;
- in children's hospitals for 250 - 300 beds;
- in sanatoriums with 200 or more beds;
- in other health facilities for 1000 or more beds.
In infectious diseases and dermatovenerological institutions, this position is not established
- in medical institutions for 360 - 650 beds;
- in maternity hospitals for 100 - 180 beds;
- in medical institutions with 660 or more beds;
— in maternity hospitals with 190 or more beds
- in sanatoriums up to 100 beds; 1 position:
- in sanatoriums with 100 or more beds
- in sanatoriums for adults up to 100 beds; 1 position:
- in sanatoriums for adults over 100 beds.
Based on 1 post per 1000 beds in psychiatric hospitals
1.3. outpatient clinics; other health care institutions that do not have a bed capacity
- for women's consultation with the number of medical positions from 11 positions;
- for a children's polyclinic serving 15 thousand or more children. When serving a smaller number of children, the specified position is introduced at the rate of 15 thousand children;
- to the dermatovenerological dispensary of republican, district, regional, city (cities with a population of at least 200 thousand) subordination;
— for narcological and neuropsychiatric dispensaries of republican, district, regional, regional, city (cities with a population of over 800 thousand) subordination
1.4. Blood transfusion stations, blood centers
1.5. Ambulance stations
- in institutions with more than 40 to 100 thousand visits per year;
– in institutions with more than 300 thousand visits per year
1.6. Pharmacy institutions, control and analytical laboratories, centers for quality control and certification of medicines, certification centers
2.1. Positions of employees
- medical and preventive institutions with a bed fund, referred to group I in terms of remuneration of managers in the presence of an energy sector;
— blood transfusion stations classified as group I in terms of remuneration of managers, in the presence of an energy economy
— blood transfusion stations classified as group I in terms of remuneration of managers
- water supply and sewerage - with an average daily supply of water and an average daily amount of liquid discharged through the sewer network of at least 4 thousand cubic meters. m; - gas - with the volume of work of the gas economy over 500 conventional units;
- elevator - if there are at least 45 elevators;
- air conditioning and heating - in the presence of central and autonomous air conditioners and ventilation facilities;
- energy - in hospitals with energy facilities.
In cases where it is inappropriate to introduce the positions of chiefs for individual services, positions of chiefs for joint services may be introduced.
- blood transfusion stations assigned to II - IV groups according to the remuneration of managers;
- ambulance stations with a number of visits per year of at least 50 thousand, with radiotelephone communications
- in the institutions provided for in paragraphs 1.1 and 1.2, assigned to groups I - IV for the remuneration of managers;
– in blood transfusion stations that process 15 thousand or more liters of plasma per year in the production of plasma protein fractionation
2.2. Worker professions
- 30 thousand sq. m of the total area of brick buildings or 33,700 sq. m of the total area of large-block and large-panel buildings operated up to 10 years;
- 20 thousand sq. m or 22500 sq. m, respectively, in these buildings, operated for more than 10 years
— 300 places in children's homes;
– 300 beds in institutions from 150 beds, but not less than 1 in maternity hospitals from 100 beds
– 10300 sq. m of steel roofing;
– 9200 sq. m of roll roofing (soft);
– 11800 sq. m of slate roofing;
– 16500 sq. m of roofing from asbestos-cement coatings;
– 12400 sq. m of tiled roof
– 20000 sq. m of total area in stone buildings operated up to 10 years;
– 13500 sq. m - in the indicated buildings that have been in operation for more than 10 years;
– 16000 sq. m of total area in wooden buildings;
– 14000 sq. m of total area in other buildings
– 18000 sq. m of total area in stone buildings operated up to 10 years;
– 11000 sq. m - in the indicated buildings that have been in operation for more than 10 years;
– 8000 sq. m of total area in wooden buildings;
- 10000 sq. m of total area in other buildings
- 250 sq. m wooden floors;
- 350 sq. m of floors covered with ceramic tiles;
- 425 sq. m of floors covered with linoleum;
- 550 sq. m of passages and tunnels connecting buildings
- 0.2 for 1 position of a methodologist in the state of the republican centers of medical prevention;
- 0.15 for 1 position of a methodologist in the staff of other medical prevention centers;
— 0.1 for one position of a doctor in the Bureau of Forensic Medical Examination
Notes. 1. The title of the position of the head of the institution is established in accordance with the profile of the institution headed, for example: hospital, polyclinic - chief physician; hospital - chief; sanatorium, center - chief physician, director; pharmacy - manager, etc.
The position of the director, replaced by specialists who do not have a medical education, is established in sanatorium-and-spa institutions assigned to groups I-IV in terms of remuneration of managers. In this case, the position of director as deputy head of the institution is not introduced.
2. The head of the institution, based on production needs, has the right to strengthen individual structural units or introduce positions (professions of workers) that are not provided for by these staffing standards, at the expense of positions of other structural units within the limits of the wage fund established by the institution.
At the same time, the names of positions of employees and professions of workers must correspond to their names provided for in the current staffing standards, tariff and qualification characteristics for industry-wide positions of employees and professions of workers approved by the Ministry of Labor of Russia. The names of the professions of workers that are not provided for by the tariff and qualification characteristics for industry-wide professions of workers are established in accordance with the names contained in the Unified Tariff and Qualification Directory of Works and Occupations of Workers (ETKS).
In the staff list of the institution, vacant positions are indicated by their basic name, for example, accountant, economist, engineer.
The names of positions occupied by specific employees are determined based on the compliance of their qualifications with the requirements provided for by the tariff and qualification characteristics for industry-wide positions of employees, for example, a specialist (economist, accountant, engineer) with a higher professional education and 4 years of experience as an economist, in the staff list of the institution, the position will be called an economist of the II category, etc.
3. Integer or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the final figures less than 0.13 are discarded, the figures 0.13 - 0.37 are rounded up to 0.25, figures 0.38 - 0.62 are rounded up to 0.5, numbers 0.63 - 0.87 are rounded up to 0.75, and more than 0.87 - to one. If for several titles 0.25, 0.5 or 0.75 positions (units) are formed, they may be combined by categories of personnel (employees, workers) under one of the combined titles with the performance of functions in all the combined positions (professions).
2. The positions of deputy chief accountants are established in the accounting department, which is subject to paragraphs 4 - 8 of these staff standards:
2.1. Additionally, the position of deputy chief accountant may be introduced at the expense of one of the positions of group leaders in centralized accounting departments with a total number of beds over 2100 and the number of medical positions over 420 in the serviced institutions.
2.2. Additionally, the position of deputy chief accountant may be introduced in institutions that carry out tax and statistical accounting operations.
3. The position of the head of the accounting group is established for each functional group, which, according to paragraphs 4 - 8 of these staff standards, is entitled to at least 6 positions of accountants, instead of one of them.
4. The positions of accountants for accounting and costing food products are established at the rate of 1 position for 300 beds in medical institutions with a bed fund, and places in orphanages.
5. The positions of accountants for accounting of material assets are established at the rate of 1 position for:
- 100 medical positions in institutions that do not have a bed fund.
7. The positions of accountants in financial accounting are established at the rate of 1 position for:
— 150 positions of doctors in serviced institutions.
Additionally, the positions of accountants in financial accounting are established:
7.1. 1 position in the execution of cash transactions through the treasury system.
7.2. 1 position to work with funds: compulsory health insurance, pension and social development.
7.3. At the rate of 1 position per 1000 beds and 200 positions of doctors in serviced institutions operating in the compulsory health insurance system.
7.4. 1 position in servicing blood transfusion stations assigned to III-IV groups, and 2 positions - to groups I-II for the remuneration of managers.
7.5. Based on 1 position per 100,000 visits per year in serviced ambulance stations.
7.6. 0.5 positions in servicing the centers of the state sanitary and epidemiological supervision, assigned to groups III - IV, and 1 position - to groups I - II for the remuneration of managers.
7.7. At the rate of 1 position for 60 medical positions in the service of the forensic medical examination bureau.
8.1. 1 position - when servicing less than 10 institutions with more than 300 beds (in total) and (or) 60 doctor positions (in total).
2 positions - at least 15 institutions with more than 750 beds (in total) and (or) 150 doctor positions (in total).
8.2. 1 position - when servicing ambulance stations with more than 100 thousand visits per year.
8.3. 1 position in the presence of centers of state sanitary and epidemiological surveillance with a population of more than 1 million people served.
8.4. 1 position when servicing blood transfusion stations with the amount of plasma harvested at least 10 thousand liters per year or processing at least 40 thousand liters of plasma per year.
8.5. 1 position in the service of the Bureau of Forensic Medical Examination with more than 60 medical positions.
9. The position of a senior cashier is established in the accounting department serving more than 1000 employees (physical eggs), instead of one cashier position, which is due under paragraph 10 of these staff standards.
10.1. 0.5 positions in the presence of a dairy kitchen with a daily throughput of up to 2 thousand servings; 1 position - over 2 thousand servings.
10.2. 0.5 positions in the presence of a prosthetic department with the number of positions of dentists-orthopedists 5 or more.
10.3. 0.5 positions in the presence of a blood transfusion department with a procurement of at least 2 thousand liters of blood from regular donors.
10.4. 0.5 positions in the presence of a department of preventive disinfection with a staff of 10 or more positions of medical disinfectors for paid work on preventive disinfection, disinfestation and deratization.
10.5. 1 position for other paid medical services.
11.1. At the rate of 1 position for 200 beds and 50 medical positions, with the number of beds in serviced institutions over 300 (in total) and over 60 medical positions (in total).
11.2. Based on 1 position per 100,000 visits per year at ambulance stations.
11.3. At the rate of 1 position for 60 medical positions in the Bureau of Forensic Medical Examination.
11.4. 1 position in servicing the centers of state sanitary and epidemiological surveillance and blood transfusion stations assigned to III-IV groups, and 2 positions - to groups I-II for the remuneration of managers.
12. 0.5 - 1.0 the position of a typist is established in each accounting department.
Notes. 1. Economic maintenance of the centralized accounting department (cleaning and repair of premises, current monitoring of equipment and apparatus, etc.) is carried out by the personnel of the institution in which the centralized accounting department is organized.
The positions of employees and professions of workers of centralized accounting departments located in separate premises, as well as those employed in the technological process, are established according to the standards of the relevant employees provided for medical institutions.
2. Whole positions or 0.25, 0.5 and 0.75 positions (units) can be entered into the staff lists, when calculating them, the final figures less than 0.13 are discarded, the figures 0.13 - 0.37 are rounded up to 0.25, figures 0.38 - 0.62 are rounded up to 0.5, numbers 0.63 - 0.87 are rounded up to 0.75, and more than 0.87 - to one. If 0.25, 0.5 or 0.75 positions (units) are formed for several items, they can be combined by categories of personnel (employees, workers) for one of the combined items with the performance of a function for all the combined positions (professions).
3. The formation of functional groups and the determination of the number of accounting and accounting personnel in each group is determined by the chief accountant within the limits of the number of positions that are due to centralized accounting for these model states.
4. When calculating the positions of accountants-auditors, economists for financial work, the number of beds and the number of positions of outpatient doctors include the indicated indicators only for those institutions that are financed through centralized accounting.
Order of the Federal Compulsory Medical Insurance Fund dated December 13, 2011 N 230 "On approval of the procedure for maintaining the territorial register of experts in the quality of medical care by the territorial compulsory medical insurance fund and posting it on the official website of the territorial compulsory medical insurance fund on the Internet" (with amendments and additions)
“On Approval of the Procedure for Maintaining the Territorial Register of Quality Experts
medical care by the territorial fund of obligatory medical
insurance and posting it on the official website of the territorial fund
compulsory health insurance on the Internet
With changes and additions from:
In accordance with Part 7 of Article 40 of the Federal Law of November 29, 2010 N 326-FZ "On Compulsory Medical Insurance in the Russian Federation" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2010, N 49, Art. 6422; 2011, N 25, Art. 3529 ; N 49 (part 1), art. 7032; N 49 (part 1), art. 7047) I order:
Approve the procedure for maintaining the territorial register of experts in the quality of medical care by the territorial fund of compulsory medical insurance and posting it on the official website of the territorial fund of compulsory medical insurance on the Internet in accordance with the appendix.
Registration N 23086
The procedure for maintaining the territorial register of experts in the quality of medical care has been approved.
An expert in the quality of medical care can be a doctor with a higher professional education, an accreditation certificate or a specialist certificate. His work experience is at least 10 years. He must also be trained in expert activities in the field of compulsory health insurance.
To include an expert in the register, it is necessary to submit an application and an application from a specialist doctor (forms are provided). The application is submitted by one of the following subjects: the executive authority of the subject of the Federation in the field of healthcare, the department of Roszdravnadzor, a professional medical association, a public association of medical specialists, a medical or insurance medical organization.
The decision to include an expert in the register or to exclude him from it is made by the Director of the Foundation.
The register is posted on the official website of the TFOMS and is updated as necessary.
Order of the Federal Compulsory Medical Insurance Fund dated December 13, 2011 N 230 "On approval of the Procedure for maintaining the territorial register of experts in the quality of medical care by the territorial compulsory medical insurance fund and posting it on the official website of the territorial compulsory medical insurance fund on the Internet"
This Order shall enter into force 10 days after the date of its official publication.
This document has been modified by the following documents:
The changes come into force 10 days after the day of the official publication of the said order.
Order of the Ministry of Health of the Russian Federation of 09.06.2003 No. 230 (ed. Dated December 19, 2003) on approval of full-time regulations of employees and workers of state and municipal health institutions and employees of centralized accounting at state and municipal healthcare institutions
ABOUT THE APPROVAL OF STAFF STANDARDS
EMPLOYEES AND WORKERS OF THE STATE
AND MUNICIPAL HEALTH INSTITUTIONS
AND EMPLOYEES OF CENTRALIZED ACCOUNTING OFFICES
UNDER STATE AND MUNICIPAL
In order to improve the organization and standardization of work of health care workers and on the basis of Decree of the Government of the Russian Federation of April 29, 2002 N 284 "On approval of the Regulations on the Ministry of Health of the Russian Federation" (Collected Legislation of the Russian Federation, 2002, N 18, art. 1771) I order:
2. Consider invalid the Order of the Ministry of Health of Russia dated May 22, 2001 N 165 “On approval of the staffing standards for employees and workers of health care institutions and employees of centralized accounting departments at health care institutions”.
(As amended by the Order of the Ministry of Health of the Russian Federation of December 19, 2003 N 607)
1. Positions of employees introduced by types of institutions
¦ N ¦ Name ¦ Number of posts ¦
¦1.1.1. ¦ Head (heads - ¦ 1 position in each institution. ¦
¦ ¦ doctor, director, ¦ In institutions up to 30 beds position ¦
¦ ¦ chief) ¦ leader is installed instead of ¦
¦ ¦ ¦ 1 doctor's position, for 30 - 50 beds -¦
¦ ¦ ¦instead of 0.5 doctor positions ¦
¦1.1.2. ¦Director ¦1 position in institutions, ¦
¦ ¦ ¦ assigned to I - II groups according to ¦
¦1.1.3. ¦Deputy manager- ¦1 position in institutions per 100 and ¦
¦ ¦ driver for economically ¦ more beds ¦
¦1.1.4. ¦Deputy manager- ¦1 position in institutions per 100 — ¦
¦ ¦ driver for the host - ¦ 800 beds ¦
¦1.1.5. ¦ Head of housekeeping - ¦ 1 position: ¦
¦ ¦ venous department ¦ - in institutions up to 100 beds; ¦
¦ ¦ ¦- in institutions classified as I - II¦
¦ ¦ ¦ pay groups ¦
¦1.1.6. ¦Head of the host - ¦1 position for each ¦
¦ ¦ ¦ subdivision with the number of medical ¦
¦ ¦ ¦ posts over 20, located in ¦
¦ ¦ ¦ 1 position for each stationary ¦
¦ ¦ ¦ department (group of departments) with ¦
¦ ¦ ¦ the number of beds in it (in them) is over 60, ¦
¦ ¦ ¦ located in a separate building ¦
¦1.1.7. ¦Chief Accountant ¦1 position in each accounting department. In ¦
¦ ¦ ¦ an institution that is entitled to up to ¦
¦ ¦ ¦ 3 accounting and accounting positions ¦
¦ ¦ ¦ workers, this position is introduced ¦
¦ ¦ ¦instead of the position of an accountant, over 3¦
¦ ¦ ¦ up to 6 - instead of 0.5 positions ¦
¦1.1.8. ¦Deputy Head- ¦According to staff standards ¦
¦ ¦ accountant, ¦ centralized accounting departments at ¦
¦ ¦ accountant, accountant- ¦ health care institutions based on ¦
¦ ¦ter-auditor, ¦from the indicators of this institution ¦
¦1.1.9. ¦Cashier ¦1 position in each institution ¦
¦1.1.10.¦Deputy chief-¦1 position in institutions, ¦
¦ ¦ the first doctor by staff ¦ assigned to I - II groups according to ¦
¦ ¦ ¦ wages of managers ¦
¦1.1.11.¦ Head of department ¦ 1 position in institutions, ¦
¦ ¦ frames ¦ assigned to groups I - IV ¦
¦ ¦ ¦on the remuneration of managers, ¦
¦ ¦ ¦instead of one of the posts, ¦
¦ ¦ ¦ provided for in clause 1.1.12 ¦
¦ (clause 1.1.11 as amended by the Order of the Ministry of Health of the Russian Federation of December 19, 2003 N 607) ¦
¦1.1.12.¦HR specialist- ¦Based on 1 position per 150 ¦
¦ ¦ frames, inspector for ¦ positions, but not less than 1 position ¦
¦ ¦ personnel (senior ¦ in the institution ¦
¦1.1.13.¦Head of office - ¦1 position in institutions, ¦
¦ ¦ laria ¦ assigned to I - II groups according to ¦
¦1.1.14.¦ Clerk ¦ 1 position in institutions, ¦
¦ ¦ ¦ assigned to I - IV groups according to ¦
¦1.1.15.¦Secretary - ¦1 position in each institution ¦
¦1.1.16.¦Head of planning - ¦1 position in institutions, ¦
¦ ¦ economic related to I - II groups according to ¦
¦ ¦ affairs ¦ wages of managers. ¦
¦ ¦ ¦ In institutions classified as III ¦
¦ ¦ ¦ wage group ¦
¦ ¦ ¦ leaders, position of chief ¦
¦ ¦ ¦ is introduced instead of 0.5 positions ¦
¦1.1.17.¦Economist ¦Based on 1 position per 150 beds in¦
¦ ¦ ¦institutions up to 600 beds, but not less¦
¦ ¦ ¦0.5 positions in institutions up to 75 ¦
¦ ¦ ¦ beds and 1 position in institutions on ¦
¦ ¦ ¦ 75 and more beds. In institutions above¦
¦ ¦ ¦ 600 beds - 4 posts and ¦
¦ ¦ ¦ additionally 1 position per ¦
¦ ¦ ¦ each subsequent 400 beds (over ¦
¦ ¦ ¦ In health care facilities that have in their composition ¦
¦ ¦ ¦ points, health centers (medical, ¦
¦ ¦ ¦ paramedical) with the number of positions ¦
¦ ¦ ¦ medical workers in these ¦
¦ ¦ ¦ divisions in total over 50, ¦
¦ ¦ ¦ the position is additionally introduced ¦
¦ ¦ ¦economist at the rate of 0.25 positions¦
¦ ¦ ¦ for 50 medical posts ¦
¦1.1.18.¦Economist for ¦1 position in institutions, ¦
¦ ¦ financial work ¦ assigned to III - V groups according to ¦
¦ ¦ ¦ 2 positions in institutions, ¦
¦ ¦ ¦ wages of managers, not ¦
¦1.1.19.¦Head ¦1 position in institutions for 360 and ¦
¦ ¦ library ¦ more beds with libraries, ¦
¦ ¦ ¦ which can be attributed to ¦
¦ ¦ ¦ leaders. In maternity hospitals,
¦1.1.20.¦Librarian ¦1 position in institutions for 360 and ¦
¦ ¦ ¦ more beds (CRH for 190 and more ¦
¦ ¦ ¦ beds), having libraries that ¦
¦ ¦ ¦ cannot be assigned to groups according to ¦
¦ ¦ ¦ wages of managers; ¦
¦ ¦ ¦0.5 positions in children's hospitals and ¦
¦ ¦ ¦ hospitals for war veterans at 190¦
¦ ¦ ¦ In maternity hospitals, infectious diseases, ¦
¦ ¦ ¦ this position is not established ¦
¦1.1.21.¦Engineer ¦1 position in institutions for 360 - ¦
¦ ¦ ¦ 2 positions in institutions at 601 and ¦
¦ ¦ ¦ more beds and an additional 1 ¦
¦ ¦ ¦ position for every 500 beds over ¦
¦1.1.22.¦Security engineer ¦1 position in institutions with ¦
¦ ¦ labor ¦ the number of employees (physical ¦
¦ ¦ ¦ persons) over 100 and additionally - by ¦
¦ ¦ ¦ number of security service workers ¦
¦ ¦ ¦ labor in organizations ¦
¦1.1.23.¦Technician ¦1 position in institutions, ¦
Order of the Ministry of Health of Russia of 06.06.2016 N 352n "On approval of the procedure for issuing a certificate of accreditation of a specialist, the form of a certificate of accreditation of a specialist and technical requirements for it" (Registered in the Ministry of Justice of Russia on 04.07.2016 N 42742)
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
ON THE APPROVAL OF THE ORDER
ISSUANCE OF A CERTIFICATE OF ACCREDITATION OF A SPECIALIST, FORM
CERTIFICATES OF ACCREDITATION OF A SPECIALIST
AND TECHNICAL REQUIREMENTS FOR IT
In accordance with Part 3 of Article 69 of the Federal Law of November 21, 2011 N 323-FZ “On the Basics of Protecting the Health of Citizens in the Russian Federation” (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2013, N 27, Art. 3477; 2016, N 1, Art. 9) I order:
the procedure for issuing a certificate of accreditation of a specialist in accordance with Appendix No. 1;
form of certificate of accreditation of a specialist in accordance with Appendix No. 2;
technical requirements for a certificate of accreditation of a specialist in accordance with Appendix No. 3.
PROCEDURE FOR ISSUING A CERTIFICATE OF ACCREDITATION OF A SPECIALIST
1. The procedure establishes the rules for issuing a certificate of accreditation of a specialist.
2. The certificate of accreditation of a specialist is issued by the Ministry of Health of the Russian Federation and signed by an authorized person of the Ministry of Health of the Russian Federation.
3. A certificate of accreditation of a specialist is issued by the accreditation commission to a person recognized as an accredited specialist for the first time no later than 30 calendar days from the date of signing the minutes of the meeting of the accreditation commission containing the decision of the accreditation commission on recognizing the person as having passed the accreditation of a specialist.
4. The certificate of accreditation of a specialist is valid for 5 years from the date of signing the minutes of the meeting of the accreditation commission, containing the decision of the accreditation commission on recognizing the person as having passed the accreditation of a specialist.
5. The term of validity of the certificate of accreditation of a specialist is extended for 5 years if the person is recognized as having passed the accreditation of a specialist in accordance with the Regulations on the accreditation of specialists, approved by order of the Ministry of Health of the Russian Federation dated June 2, 2016 N 334n "1" (hereinafter - Regulations on accreditation) .
"1" Registered by the Ministry of Justice of the Russian Federation on June 16, 2016, registration N 42550.
6. Filling in the form of a certificate of accreditation of a specialist is carried out in Russian in electronic form using software or by hand.
7. When filling out the form of a certificate of accreditation of a specialist, the following shall be indicated:
surname, name, patronymic (if any) of the person recognized by the accreditation commission as an accredited specialist;
level of education in the specialty (training area) in accordance with the List of specialties (training areas) of higher education "1" and the List of specialties of secondary vocational education "2";
"1" Order of the Ministry of Education and Science of the Russian Federation dated September 12, 2013 N 1061 "On approval of the lists of specialties and areas of higher education training" (registered by the Ministry of Justice of the Russian Federation on October 14, 2013, registration N 30163) as amended by orders Ministry of Education and Science of the Russian Federation of January 29, 2014 N 63 (registered by the Ministry of Justice of the Russian Federation on February 28, 2014, registration N 31448), dated August 20, 2014 N 1033 (registered by the Ministry of Justice of the Russian Federation on September 3, 2014 , registration N 33947), dated October 13, 2014 N 1313 (registered by the Ministry of Justice of the Russian Federation on November 13, 2014, registration N 34691), dated March 25, 2015 N 270 (registered by the Ministry of Justice of the Russian Federation on April 22, 2015 , registration N 36994) and dated October 1, 2015 N 1080 (registered by the Ministry of Justice of the Russian Federation 19 October 2015, registration N 39355).
"2" Order of the Ministry of Education and Science of the Russian Federation of October 29, 2013 N 1199 "On approval of the lists of professions and specialties of secondary vocational education" (registered by the Ministry of Justice of the Russian Federation on December 26, 2013, registration N 30861) as amended by orders Ministry of Education and Science of the Russian Federation of May 14, 2014 N 518 (registered by the Ministry of Justice of the Russian Federation on May 27, 2014, registration N 32461), dated November 18, 2015 N 1350 (registered by the Ministry of Justice of the Russian Federation on December 3, 2015 , registration N 39955).
type of activity (medical or pharmaceutical);
specialty in accordance with the Nomenclature of specialties for specialists with higher medical and pharmaceutical education "1" and (or) the Nomenclature of specialties for specialists with secondary medical and pharmaceutical education in the field of healthcare of the Russian Federation "2";
"1" Order of the Ministry of Health of the Russian Federation of October 7, 2015 N 700n "On the nomenclature of specialties of specialists with higher medical and pharmaceutical education" (registered by the Ministry of Justice of the Russian Federation on November 12, 2015, registration N 39696).
"2" Order of the Ministry of Health and Social Development of the Russian Federation of April 16, 2008 N 176n "On the Nomenclature of Specialties for Specialists with Secondary Medical and Pharmaceutical Education in the Healthcare Sphere of the Russian Federation" (registered by the Ministry of Justice of the Russian Federation on May 6, 2008, registration N 11634) as amended by Order No. 199n of March 30, 2010 of the Ministry of Health and Social Development of the Russian Federation (registered by the Ministry of Justice of the Russian Federation on May 11, 2010, registration No. 17160).
name of the professional standard;
date and number of the minutes of the meeting of the accreditation commission;
the full name of the educational and (or) scientific organization in whose premises the specialist was accredited;
the period until which the decision of the accreditation commission is valid.
8. A certificate of accreditation of a specialist is issued to a person recognized by the accreditation commission as having passed the accreditation of a specialist upon presentation of an identity document, or to a representative of the specified person in the presence of a power of attorney drawn up in the prescribed manner, or sent by mail in valuable mail with a return receipt.
9. To register issued certificates of accreditation of a specialist, the accreditation commission maintains a register of issued certificates of accreditation of a specialist, which indicates: last name, first name, patronymic (if any), specialty (direction of training), registration number of the certificate of accreditation of a specialist, last name, name, patronymic (if any) of the person who received the certificate of accreditation, number, date of issue and the authority that issued the identity document of the person who received the certificate of specialist accreditation, date of issue of the certificate of specialist accreditation.
10. The register of issued certificates of accreditation of a specialist is stored in the organizations specified in paragraph 8 of the Regulations on accreditation.
11. Information about the registration number and the date of issue of the certificate of accreditation of a specialist is entered by the executive secretary of the accreditation commission in the Federal Register of Medical Workers "1".
"1" Order of the Ministry of Health of the Russian Federation of December 31, 2013 N 1159n "On approval of the Procedure for maintaining personalized records in the implementation of medical activities of persons involved in the provision of medical services" (registered by the Ministry of Justice of the Russian Federation on April 21, 2014, registration N 32044 ).
12. In case of loss of a certificate of accreditation of a specialist or its deterioration (damage), a person who has received a certificate of accreditation of a specialist has the right to apply to the Ministry of Health of the Russian Federation with an application for a duplicate certificate of accreditation of a specialist, which must indicate:
surname, name, patronymic (if any) of the person who received the specialist accreditation certificate;
in case of loss of a certificate of accreditation of a specialist - the circumstances of the loss of a certificate of accreditation of a specialist;
in case of damage (damage) to the certificate of accreditation of a specialist - the circumstances and nature of the damage, excluding the possibility of further use of the certificate of accreditation of a specialist, with the damaged certificate of accreditation of a specialist attached.
13. A duplicate of the certificate of accreditation of a specialist is issued by the Ministry of Health of the Russian Federation, signed by an authorized person of the Ministry of Health of the Russian Federation and issued by the Ministry of Health of the Russian Federation in accordance with paragraph 8 of this Procedure.
14. Issuance of a duplicate certificate of accreditation of a specialist is carried out no later than 30 calendar days from the date of registration with the Ministry of Health of the Russian Federation of an application for a duplicate certificate of accreditation of a specialist with the following documents attached:
a copy of an identity document;
a copy of documents on higher education and qualifications (with attachments) or on secondary vocational education (with attachments) or an extract from the minutes of the meeting of the State Examination Commission;
a copy of the insurance certificate of compulsory pension insurance (if available).
15. On the first page of the duplicate certificate of accreditation of a specialist, in the heading under the words “certificate of accreditation of a specialist”, the word “duplicate” is put with a blue stamp.
16. Forms of a certificate of accreditation of a specialist spoiled during filling out are subject to destruction with the drawing up of an appropriate act.
to the order of the Ministry of Health
FORM OF THE CERTIFICATE OF ACCREDITATION OF A SPECIALIST
- in institutions with up to 100 beds;
- in institutions assigned to groups I - II in terms of remuneration of managers
- in maternity hospitals with antenatal clinics with less than 5 medical positions and a hospital with 100-180 beds; 1 position:
- in regional, regional, republican, district hospitals;
- Narcological and neuropsychiatric dispensaries of republican, district, regional, city (cities with a population of over 800 thousand) subordination; skin and venereal dispensaries of urban subordination, serving at least 200 thousand people; in the absence of a psycho-neurological dispensary, this position is established in one of the psychiatric hospitals that have a dispensary department;
- in central district and central city hospitals in rural areas and cities with a population of over 25 thousand people;
- in city hospitals with 360 or more beds;
- in children's city hospitals, the polyclinic of which serves 15 thousand or more children. When serving a smaller number of children, the specified position is introduced at the rate of 15 thousand children;
- in maternity hospitals, in antenatal clinics, in which there are 5 or more medical positions. In cases where there are fewer medical positions in the antenatal clinic, this position is introduced if there are at least 190 beds in the hospital
| N p / p | Job title | Number of positions |
| 1 | 2 | 3 |
| 1.6.1. | manager | 1 position in each institution. In pharmacies serving up to 150 beds, the position of the head is established instead of 1 position of a pharmacist, over 150 to 250 beds - instead of 0.5 of the position of a pharmacist. In control and analytical laboratories assigned to group V in terms of remuneration of managers, the position of head is established instead of 1 position of a pharmacist, in laboratories assigned to group IV - instead of 0.5 positions of a pharmacist |
| 1.6.2. | Chief Accountant | 1 position in institutions assigned to groups I - III in terms of remuneration of managers |
| 1.6.3. | Accountant | 0.5 positions in pharmacies assigned to group V in terms of remuneration of managers; in control and analytical laboratories and centers for quality control and certification of medicines assigned to groups IV - V in terms of remuneration of managers; 1 position in pharmacies assigned to III-IV groups in terms of remuneration of managers; in control and analytical laboratories and centers for quality control and certification of medicines classified as group III in terms of remuneration of managers; 2 positions in pharmacies assigned to group II in terms of remuneration of managers; control and analytical laboratories and centers for quality control and certification of medicines assigned to groups I - II in terms of remuneration of managers; 3 positions in pharmacies assigned to group I in terms of remuneration of managers |
| 1.6.3. | Head of economic department | 1 position in institutions assigned to groups I - II in terms of remuneration of managers |
| 1.6.4. | Head of the household | 1 position in institutions assigned to groups III - V in terms of remuneration of managers |
2.1. Positions of employees
| N p / p | Job title | Number of positions |
| 1 | 2 | 3 |
| 2.1.1. | Deputy Head of Technology | 1 position in medical and prophylactic institutions assigned to groups I - II in terms of remuneration of managers, equipped with complex medical and other equipment, apparatus and facilities |
| 2.1.2. | Chief mechanical engineer | 1st position: - medical and preventive institutions with a bed capacity, assigned to groups I - II in terms of remuneration of managers, in which the positions of heads of services are not introduced, except for the head of the repair service; - blood transfusion stations assigned to group I in terms of remuneration of managers |
| 2.1.3. | Chief Power Engineer | 1 position: - medical and preventive institutions with a bed fund, referred to group I in terms of remuneration of managers in the presence of an energy sector; - blood transfusion stations classified as group I in terms of remuneration of managers, in the presence of an energy economy |
| 2.1.4. | Chief technologist | 1 position: - blood transfusion stations assigned to group I in terms of remuneration of managers |
| 2.1.5. | Heads of services: plumbing, gas, elevator, air conditioning and heating, energy | Treatment-and-prophylactic institutions assigned to I-IV groups according to the remuneration of managers. At the same time, one position of the head of each service can be introduced: - water supply and sewerage - with an average daily supply of water and an average daily amount of liquid discharged through the sewer network of at least 4 thousand cubic meters. m; - gas - with the volume of work of the gas economy over 500 conventional units; - elevator - if there are at least 45 elevators; - air conditioning and heating - in the presence of central and autonomous air conditioners and ventilation facilities; - energy - in hospitals with energy facilities. In cases where it is inappropriate to introduce the positions of chiefs for individual services, positions of chiefs for joint services may be introduced. |
| 2.1.6. | Head of repair service | 1 position in medical institutions classified as group I in terms of remuneration of managers, in which positions of heads of services are not introduced |
| 2.1.7. | Head of technical department | 1 position in medical and preventive institutions assigned to III-IV groups for the remuneration of managers, equipped with complex medical and other equipment, apparatus and facilities: - blood transfusion stations assigned to groups II - IV in terms of remuneration of managers; - ambulance stations with a number of visits per year of at least 50 thousand, with radiotelephone communication |
| 2.1.8. | Head of Logistics Department | 1 position: - in the institutions provided for in paragraphs 1.1 and 1.2, assigned to groups I - IV in terms of remuneration of managers; - in blood transfusion stations that process 15 thousand or more liters of plasma per year in the production of plasma protein fractionation |
| 2.1.9. | Central warehouse manager | 1 position in institutions where a central warehouse is organized - instead of the position of a warehouse manager |
| 2.1.10. | Engineer | 1 position in republican, district, regional, regional hospitals - to ensure all the necessary work on the introduction of office equipment, small-scale mechanization, etc. if it is impossible to perform it by the available engineering and technical personnel |
| 2.1.11. | Metrology engineer | 1 position in medical and preventive institutions assigned to groups I - II in terms of remuneration of managers. If the healthcare system of the constituent entities of the Russian Federation has two or more regional, regional, republican multidisciplinary hospitals, the position of a metrology engineer is introduced in one of them |
| 2.1.12. | Engineers and technicians of boiler houses, pumping stations and other special installations, structures and industries | All institutions - according to the relevant inter-industry and industry standards and labor standards |
| 2.1.13. | Engineers and technicians of services: plumbing, gas, elevator, air conditioning and heating, repair, energy | All institutions - according to the relevant intersectoral and sectoral norms and labor standards. In cases where it is inappropriate to introduce positions of engineering and technical workers of individual services, positions of engineers and technicians for joint services may be introduced. |
| 2.1.14. | Programmer | In institutions that have computers on their balance sheet, if there is a volume of work |
| 2.1.15. | Employees of motor transport units (garages) | Establishments with more than 50 units of rolling stock (cars, tractors, road and other machines), except for electric and car trucks, etc. funds, - according to the standards for employees of motor transport enterprises |
| 2.1.16. | Employees for servicing electronic computers, special sea and river vessels, meteorological stations and posts, vivariums, as well as for the manufacture of koumiss | Institutions with relevant units and equipment - according to the standards in force in the relevant sectors of the economy |
At the same time, the names of positions of employees and professions of workers must correspond to their names provided for in the current staffing standards, tariff and qualification characteristics for industry-wide positions of employees and professions of workers approved by the Ministry of Labor of Russia. The names of the professions of workers that are not provided for by the tariff and qualification characteristics for industry-wide professions of workers are established in accordance with the names contained in the Unified Tariff and Qualification Directory of Works and Occupations of Workers (ETKS).
In the staff list of the institution, vacant positions are indicated by their basic name, for example, accountant, economist, engineer.
The names of positions occupied by specific employees are determined based on the compliance of their qualifications with the requirements provided for by the tariff and qualification characteristics for industry-wide positions of employees, for example, a specialist (economist, accountant, engineer) with a higher professional education and 4 years of experience as an economist, in the staff list of the institution, the position will be called an economist of the II category, etc.
3. Integer or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the final figures less than 0.13 are discarded, the figures 0.13 - 0.37 are rounded up to 0.25, figures 0.38 - 0.62 are rounded up to 0.5, figures 0.63 - 0.87 are rounded up to 0.75, and more than 0.87 - to one. If for several titles 0.25, 0.5 or 0.75 positions (units) are formed, they may be combined by categories of personnel (employees, workers) under one of the combined titles with the performance of functions in all the combined positions (professions).
Appendix No. 2
STAFF STANDARDS OF EMPLOYEES OF CENTRALIZED ACCOUNTING AT STATE AND MUNICIPAL HEALTH INSTITUTIONS1. The position of the chief accountant is established in each accounting department.
2. The positions of deputy chief accountants are established in the accounting department, which is subject to paragraphs 4 - 8 of these staff standards:
From 5 to 10 positions of accountants - 1 position;
From 11 and above positions of accountants - 2 positions.
2.1. Additionally, the position of deputy chief accountant may be introduced at the expense of one of the positions of group leaders in centralized accounting departments with a total number of beds over 2100 and the number of medical positions over 420 in the serviced institutions.
2.2. Additionally, the position of deputy chief accountant may be introduced in institutions that carry out tax and statistical accounting operations.
3. The position of the head of the accounting group is established for each functional group, which, according to paragraphs 4 - 8 of these staff standards, is entitled to at least 6 positions of accountants, instead of one of them.
4. The positions of accountants for accounting and costing food products are established at the rate of 1 position for 300 beds in medical institutions with a bed fund, and places in orphanages.
5. The positions of accountants for accounting of material assets are established at the rate of 1 position for:
300 beds in medical and preventive institutions with bed capacity and places in orphanages;
100 medical positions in institutions without beds.
6. The positions of accountants for settlements with workers and employees are established at the rate of 1 position per 200 full-time positions in the serviced institutions.
7. The positions of accountants in financial accounting are established at the rate of 1 position for:
150 positions of doctors in serviced institutions.
Additionally, the positions of accountants in financial accounting are established:
7.1. 1 position in the execution of cash transactions through the treasury system.
7.2. 1 position to work with funds: compulsory health insurance, pension and social development.
7.3. At the rate of 1 position per 1000 beds and 200 positions of doctors in serviced institutions operating in the compulsory health insurance system.
7.4. 1 position in servicing blood transfusion stations assigned to groups III - IV, and 2 positions - to groups I - II for the remuneration of managers.
7.5. Based on 1 position per 100,000 visits per year in serviced ambulance stations.
7.6. 0.5 positions in servicing the centers of the state sanitary and epidemiological supervision assigned to groups III - IV, and 1 position - to groups I - II for the remuneration of managers.
7.7. At the rate of 1 position for 60 medical positions in the service of the forensic medical examination bureau.
7.8. 0.5 positions in servicing dairy kitchens with a daily throughput of 1 to 5 thousand servings, 1 position - over 5 to 7 thousand servings and 1.5 positions - over 7 thousand servings.
8. The positions of accountants-auditors are established:
8.1. 1 position - when servicing less than 10 institutions with more than 300 beds (in total) and (or) 60 doctor positions (in total).
2 positions - at least 15 institutions with more than 750 beds (in total) and (or) 150 doctor positions (in total).
8.2. 1 position - when servicing ambulance stations with more than 100 thousand visits per year.
8.3. 1 position in the presence of centers of state sanitary and epidemiological surveillance with a population of more than 1 million people served.
8.4. 1 position when servicing blood transfusion stations with the amount of plasma harvested at least 10 thousand liters per year or processing at least 40 thousand liters of plasma per year.
8.5. 1 position in the service of the Bureau of Forensic Medical Examination with more than 60 medical positions.
9. The position of a senior cashier is established in the accounting department serving more than 1000 employees (physical eggs), instead of one cashier position, which is due under paragraph 10 of these staff standards.
10. The position of the cashier is established in each accounting department. When the accounting department directly conducts cash settlements with the population, additional positions of cashiers are established in its staff:
10.1. 0.5 positions in the presence of a dairy kitchen with a daily throughput of up to 2 thousand servings; 1 position - over 2 thousand servings.
10.2. 0.5 positions in the presence of a prosthetic department with the number of positions of dentists-orthopedists 5 or more.
10.3. 0.5 positions in the presence of a blood transfusion department with a procurement of at least 2 thousand liters of blood from regular donors.
10.4. 0.5 positions in the presence of a department of preventive disinfection with a staff of 10 or more positions of medical disinfectors for paid work on preventive disinfection, disinfestation and deratization.
10.5. 1 position for other paid medical services.
11. The position of an economist for financial work is established:
11.1. At the rate of 1 position for 200 beds and 50 medical positions, with the number of beds in serviced institutions over 300 (in total) and over 60 medical positions (in total).
11.2. Based on 1 position per 100,000 visits per year at ambulance stations.
11.3. At the rate of 1 position for 60 medical positions in the Bureau of Forensic Medical Examination.
11.4. 1 position in servicing the centers of state sanitary and epidemiological surveillance and blood transfusion stations assigned to groups III - IV, and 2 positions - to groups I - II for the remuneration of managers.
12. 0.5 - 1.0 the position of a typist is established in each accounting department.
Notes. 1. Economic maintenance of the centralized accounting department (cleaning and repair of premises, current monitoring of equipment and apparatus, etc.) is carried out by the personnel of the institution in which the centralized accounting department is organized.
The positions of employees and professions of workers of centralized accounting departments located in separate premises, as well as those employed in the technological process, are established according to the standards of the relevant employees provided for medical institutions.
2. Integer or 0.25, 0.5 and 0.75 positions (units) can be entered into the staff lists, when calculating them, the final figures less than 0.13 are discarded, the figures 0.13 - 0.37 are rounded up to 0.25, figures 0.38 - 0.62 are rounded up to 0.5, figures 0.63 - 0.87 are rounded up to 0.75, and more than 0.87 - to one. If 0.25, 0.5 or 0.75 positions (units) are formed for several items, they can be combined by categories of personnel (employees, workers) for one of the combined items with the performance of a function for all the combined positions (professions).
3. The formation of functional groups and the determination of the number of accounting and accounting personnel in each group is determined by the chief accountant within the limits of the number of positions that are due to centralized accounting for these model states.
4. When calculating the positions of accountants-auditors, economists for financial work in the number of beds and the number of positions of doctors
Notes. 1. When determining the number of employees in structural subdivisions for mobilization work and civil defense (individual employees as part of other subdivisions) in organizations with hospitals, the number of patients being treated (according to the number of estimated beds) is taken into account.
2. In medical institutions that have departments for non-transportable patients for a special period, instead of the position of a civil defense specialist, the position of head of the department may be introduced.
The Zakonbase website provides an order of the Ministry of Health of the Russian Federation of 09.06.2003 N 230 "On approval of full-time regulations of employees and workers and municipal institutions of health care and employees of centralized accounting at state and municipal health institutions" in the recent revision. It is easy to comply with all legal requirements if you familiarize yourself with the relevant sections, chapters and articles of this document for 2014. To search for the necessary legislative acts on a topic of interest, you should use convenient navigation or advanced search.
On the site "Zakonbase" you will find an order of the Ministry of Health of the Russian Federation dated 09.06.2003 N 230 "On approval of full-time regulations of employees and workers of state and municipal institutions of health care and employees of centralized accounting at state and municipal health institutions" in the fresh and full version, which made all changes and amendments. This guarantees the relevance and reliability of the information.
At the same time, the order of the Ministry of Health of the Russian Federation dated 09.06.2003 N 230 "On approval of full-time regulations of employees and workers of state and municipal health institutions and employees of centralized accounting at state and municipal health institutions" can be completely free of charge, both fully and individual chapters.
Order of the Ministry of Health of the Russian Federation of June 9, 2003 N 230
"On approval of staffing standards for employees and workers of state and municipal health care institutions and employees of centralized accounting departments at state and municipal health care institutions"
According to the letter of the Ministry of Justice of the Russian Federation dated June 26, 2003 N 07 / 6476-YUD, this order is recognized as not needing state registration (information published in the newspaper AKDI "Economics and Life", August 2003, N 31)
In order to improve the organization and standardization of work of employees of healthcare institutions and on the basis of the Decree of the Government of the Russian Federation of April 29, 2002 N 284 "On approval of the Regulations on the Ministry of Health of the Russian Federation" (Collected Legislation of the Russian Federation, 2002, N 18, Art. 1771) I order :
1. Approve the staffing standards for employees and workers of state and municipal healthcare institutions (Appendix N 1), staffing standards for employees of centralized accounting departments at state and municipal healthcare institutions (Appendix N 2) and staffing standards for structural units (employees) specially authorized to solve problems in the field of civil defense of state and municipal health care institutions (Appendix N 3).
2. Consider invalid the order of the Ministry of Health of Russia dated May 22, 2001 N 165 "On the approval of staff standards for employees and workers of health care institutions and employees of centralized accounting departments at health care institutions."
3. To impose control over the execution of this order on the First Deputy Minister of Health of the Russian Federation A.I. Vyalkov.
Minister Yu.L. Shevchenko
Appendix No. 1
Staff standards for employees and workers of state and municipal health care institutions
1. Positions of employees introduced by types of institutions
1.4. Blood transfusion stations, blood centers
|
NN p/n |
Job title |
Number of positions |
|
1.4.1. |
Head (chief physician, director) | 1 position in each institution. In institutions assigned to the IV group in terms of remuneration of managers, the position of the head is introduced instead of 0.5 of the position of a doctor |
|
1.4.2. |
Deputy Head of Economic Affairs | |
|
1.4.3. |
Deputy Chief Physician for Economic Affairs | 1 position in institutions assigned to groups I-III in terms of remuneration of managers |
|
1.4.4. |
Head of economic department | 1 position in institutions assigned to group IV in terms of remuneration of managers |
|
1.4.5. |
Chief Accountant | 1 position in each accounting department. In an institution that is entitled to up to 3 positions of accountants, this position is introduced instead of the position of an accountant, more than 3 to 6 - instead of 0.5 of the position of an accountant |
|
1.4.6. |
Deputy chief accountant, accountant, accountant-auditor, senior cashier | According to staff standards of centralized accounting departments at budgetary healthcare institutions, based on the indicators of this institution |
|
1.4.7. |
Cashier | |
|
1.4.8. |
Deputy Chief Physician for Human Resources, Head of Human Resources, Human Resources Specialist, Senior Inspector for Human Resources, Inspector for Human Resources, Typist | According to the standards provided for in paragraphs 1.1.10, 1.1.11, 1.1.12, 1.1.31, respectively |
|
1.1.10. |
Deputy Chief Physician for Human Resources | 1 position in institutions assigned to groups I-II in terms of remuneration of managers |
|
1.1.11. |
Head of Human Resources | 1 position in institutions assigned to groups I-II in terms of remuneration of managers; 1 position in institutions assigned to groups III-IV in terms of remuneration of managers - instead of one of the positions provided for in clause 1.1.12 |
|
1.1.12. |
Human Resources Specialist, Human Resources Inspector (Senior Inspector) | Based on 1 position for 150 positions, but not less than 1 position in the institution |
|
1.1.31. |
Typist | Based on 1 position per 8,000 typewritten sheets of service documentation per year |
|
1.4.9. |
Office manager | 1 position in institutions classified as group I in terms of remuneration of managers |
|
1.4.10. |
clerk | 0.5 positions in institutions assigned to group IV in terms of remuneration of managers. 1 position in institutions assigned to groups I-III in terms of remuneration of managers |
|
1.4.11. |
secretary typist | 1 position in each institution |
|
1.4.12. |
Economist | 1 position in institutions assigned to groups IV-III in terms of remuneration of managers. 2 positions in institutions classified in groups II-I in terms of remuneration of managers |
|
1.4.13. |
Economist for financial work | 0.5 positions in institutions not serviced by centralized accounting and classified in the IV group for the remuneration of managers. 1 position in institutions not serviced by centralized accounting and classified in groups I-III for remuneration of managers. |
|
1.4.14. |
Engineer | 1 position in institutions assigned to groups I-III in terms of remuneration of managers and not having production facilities (laboratories) for plasma protein fractionation |
|
1.4.15. |
Technician | 1 position in institutions assigned to IV-V groups in terms of remuneration of managers and not having production facilities (laboratories) for plasma protein fractionation. |
|
1.4.16. |
Labor protection engineer | 1 position in institutions with more than 100 employees (individuals) and additionally - according to intersectoral standards for the number of employees of the labor protection service in organizations. |
|
1.4.18. |
Merchandiser | 1 position in facilities that process at least 10,000 liters of plasma per year in a plasma fractionation facility, and an additional 1 position when processing at least 20,000 liters of plasma per year. |
2. Positions of employees and professions of workers, introduced depending on the organizational and technical conditions for the functioning of institutions
2.1. Positions of employees
|
Job title |
Number of units |
Number of positions |
|
| Car driver | For a car of any type. For an ambulance - per shift | ||
| Motor vehicle driver | On a motorcycle, motor scooter, motor sled or other motor vehicle belonging to category "A" used for the transport of goods | ||
| Snowmobile driver | The time for which the driver of the snowmobile is provided is determined by the health authorities according to the subordination of the institution | ||
| Electric and truck driver | On the electric and auto truck used for the transport of goods | ||
| Carter | On a workhorse | ||
| Wardrobe attendant | At the rate of 1 per 150 rooms, but not less than 1 per shift. In the states of district hospitals with less than 25 beds, outpatient clinics with less than 10 medical positions (including those that are part of district hospitals), orphanages and dairy kitchens, a cloakroom attendant is not introduced . | ||
| Stoker | If there are stoves for the heating season | ||
| Mason | Based on 1 for: - 30 thousand sq.m. of the total area of brick buildings or 33,700 sq.m. of the total area of large-block and large-panel buildings operated up to 10 years; or 22500 sq.m. respectively, in these buildings, operated for more than 10 years. | ||
| Castellane | For an independent medical institution that does not have a bed fund, with the number of medical posts 25-75. For an outpatient department with a number of medical posts from 25 to 75, which is part of a medical facility and located in a separate room. | ||
| For an independent medical and preventive institution that does not have a bed fund, with a number of medical posts over 75. For an ambulance station with more than 10,000 visits per year. | |||
| To the blood transfusion station, assigned to the II-III groups for the remuneration of managers. | |||
| To the blood transfusion station, assigned to group I in terms of remuneration of managers. | |||
| Storekeeper | In institutions with 75-120 beds, and in central district hospitals - with 50-95 beds. At blood transfusion stations with the amount of blood harvested up to 3 thousand liters per year. At ambulance stations - with the number of visits per year from 20 to 40 thousand. In the bureau of forensic medical examination with the number of medical posts from 20 to 40. | ||
| In institutions for 125-200 beds (beds), and in central district hospitals - for 100-150 beds. In institutions over 200 (in central district hospitals - over 150) beds additionally at the rate of 1 position per 250 beds. At blood transfusion stations with the amount of blood harvested 3 or more thousand liters per year. At the ambulance stations with the number of visits per year 40 thousand or more. | |||
| Roofer | Based on 1 for: - 10300 sq.m. of steel roofing - 9200 sq.m. of rolled roofing (soft) - 11800 sq.m. of slate roofing - 16500 sqm of asbestos-cement roofing - 12400 sq.m. of tiled roof |
||
| lifter | On a freight elevator per shift | ||
| Painter and plasterer | In total, based on 1 for: - 20,000 sq.m. of total area in stone buildings operated up to 10 years; - 13,500 sq.m. in the said buildings, which have been in operation for over 10 years; - 16000 sq.m. of total area in wooden buildings - 1400 sq.m. of total area in other buildings |
||
| Operator of electronic computers and computing machines | |||
| Copier and duplicator operator | In institutions assigned to groups I-II in terms of remuneration of managers, if there is a volume of work | ||
| Operator of microfilming and copying machines | Depending on the scope of work according to technically sound standards, and in their absence - according to the standards developed by the institution using the experimental statistical method | ||
| Hairdresser | Based on 1 per 200 beds | ||
| Document Binder | According to standard norms of time for binding work | ||
| Furnace, green farm worker or gardener, territory cleaner and other workers engaged in sanitary maintenance of territories | All institutions - according to service standards for furnace work, according to standard service standards for workers engaged in work on the sanitary maintenance of households. | ||
| Construction carpenter and joiner | In total, based on 1 for: - 18,000 sq.m. of total area in stone buildings operated up to 10 years; - 11,000 sq.m. in these buildings, which have been in operation for over 10 years; - 8000 sq.m. of total area in wooden buildings; - 10000 sq.m. of total area in other buildings |
||
| floor polisher | According to standard norms of time for flooring work | ||
| support worker | All institutions in the presence of a volume of work not provided for in other professions of workers. In pharmacies assigned to groups I-IV in terms of remuneration of managers. |
||
| Gold receiver of dental institutions (divisions) | - up to 15 kg; - over 15 kg. |
||
| Integrated building maintenance worker | It is introduced instead of the professions of workers (stoker, bricklayer, roofer, painter, plasterer, floor polisher, carpenter, carpenter, installer of internal sanitary systems and equipment, glass cleaner, electrician), when, according to the standards stipulated for each profession, workers of the specified professions by individual names | ||
| Workers of motor transport units (garages) | Institutions with up to 50 units of rolling stock (cars, tractors, road and other machines), except for electric and car trucks, etc. vehicles - according to the standards for motor transport workers | ||
| Laundry workers (operator for washing and repairing overalls, washing machine operator, ironer, etc.) | Occupations of laundry workers are introduced according to the labor costs of laundry workers, depending on the amount of work. | ||
| Workers of boiler houses, pumping stations and other special installations, structures and industries | All institutions - according to the relevant intersectoral norms and labor standards | ||
| plumber | Depending on the scope of work according to technically sound standards, and in their absence - according to the standards developed by the institution using the experimental statistical method | ||
| glass cleaner | According to the standard time standards for glass wiping work | ||
| carpenter | Depending on the scope of work according to technically sound standards, and in their absence - according to the standards developed by the institution using the experimental statistical method | ||
| Watchman (watchman) | Depending on the scope of work according to intersectoral and sectoral norms and standards | ||
| Local telephone operator | per switch per shift | ||
| Industrial and office cleaner | Based on 1 for: - 250 sq.m. wooden floors; - 350 sq.m. of floors covered with ceramic tiles; - 425 sq.m. of floors covered with linoleum; - 550 sq.m. of passages and tunnels connecting the building |
||
| Seamstress | Based on 1 per 300 beds (places) | ||
| Communication electromechanic | Institutions with automatic telephone exchanges - according to the standards of communications workers | ||
| Electrician for repair and maintenance of electrical equipment | Depending on the scope of work according to technically sound standards, and in their absence - according to the standards developed by the institution using the experimental statistical method |
Notes:
1. The title of the position of the head of the institution is established in accordance with the profile of the institution headed, for example: hospital, polyclinic - chief physician; hospital - chief; sanatorium, center - head physician, director; pharmacy - manager, etc.
In the staffing table of the institution, the position of the head is taken into account in the general institution staff.
The position of director, replaced by specialists who do not have a medical education, is established in sanatorium-and-spa institutions assigned to groups I-IV in terms of remuneration of managers. In this case, the position of director as deputy head of the institution is not introduced.
2. The head of the institution, based on production needs, has the right to strengthen individual structural units or introduce positions (professions of workers) not provided for by these staffing standards, at the expense of positions of other structural units within the limits of the wage fund established by the institution.
The introduction of additional positions in excess of the current staff standards is allowed only if there is a job description on the functional duties of an employee additionally introduced into the staff of the institution, and an economic justification for the expediency of introducing the specified position.
At the same time, the names of positions of employees and professions of workers must correspond to their names provided for in the current staffing standards, Tariff and qualification characteristics for industry-wide positions of employees and professions of workers approved by the Ministry of Labor of Russia. The names of the professions of workers that are not provided for by the Tariff and qualification characteristics for industry-wide professions of workers are established in accordance with the names contained in the Unified Tariff and Qualification Directory of Works and Professions of Workers (ETKS).
In the staff list of the institution, vacant positions are indicated by their basic name, for example, accountant, economist, engineer.
The names of positions occupied by specific employees are determined based on the compliance of their qualifications with the requirements provided for by the tariff and qualification characteristics for industry-wide positions of employees, for example, a specialist (economist, accountant, engineer) with a higher professional education and 4 years of experience as an economist, in in the staff list of the institution, the position will be called an economist of the II category, etc.
3. Integer or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the final figures less than 0.13 are discarded, the figures 0.13-0.37 are rounded up to 0.25, figures 0.38-0.62 are rounded up to 0.5, figures 0.63-0.87 are rounded up to 0.75, and over 0.87 - to one. If several titles form 0.25, 0.5 or 0.75 positions (units) each, they may be combined by categories of personnel (employees, workers) under one of the combined titles with the performance of functions in all the combined positions (professions).
Appendix No. 2
Staffing standards for employees of centralized accounting departments at state and municipal healthcare institutions
(approved by order of the Ministry of Health of the Russian Federation of June 9, 2003 N 230)
1. The position of the chief accountant is established in each accounting department.
2. The positions of deputy chief accountants are established in the accounting department, which relies on paragraphs. 4-8 of these staff standards:
- from 5 to 10 positions of accountants - 1 position;
- from 11 and above positions of accountants - 2 positions.
2.1. Additionally, the position of deputy chief accountant may be introduced at the expense of one of the positions of group leaders in centralized accounting departments with a total number of beds over 2100 and the number of medical positions over 420 in serviced institutions;
2.2. Additionally, the position of deputy chief accountant may be introduced in institutions that carry out tax and statistical accounting operations.
3. The position of the head of the accounting group is established for each functional group, which, according to paragraphs. 4-8 of these staff standards, at least 6 positions of accountants are required, instead of one of them.
4. The positions of accountants for accounting and costing of food products are established at the rate of 1 position for 300 beds in medical institutions with a bed fund, and places in orphanages.
5. The positions of accountants for accounting of material assets are established at the rate of 1 position for:
- 300 beds in medical institutions with bed capacity, and places in children's homes;
- 100 medical positions in institutions without beds.
6. The positions of accountants for settlements with workers and employees are established at the rate of 1 position per 200 full-time positions in the serviced institutions.
7. The positions of accountants in financial accounting are established at the rate of 1 position for:
- 750 beds;
-150 positions of doctors in serviced institutions. Additionally, the positions of accountants in financial accounting are established:
7.1. 1 position in the execution of cash transactions through the treasury system;
7.2. 1 position to work with funds: compulsory health insurance, pension and social development;
7.3. at the rate of 1 position per 1000 beds and 200 positions of doctors in serviced institutions operating in the system of compulsory health insurance;
7.4. 1 position in servicing blood transfusion stations assigned to groups III - IV and 2 positions - to groups I-II for the remuneration of managers;
7.5. at the rate of 1 position per 100 thousand visits per year in serviced ambulance stations;
7.6. 0.5 positions in the service of the centers of state sanitary and epidemiological supervision assigned to groups III - IV and 1 position to groups I - II for the remuneration of managers;
7.7. at the rate of 1 position for 60 medical positions in the service of the forensic medical examination bureau;
7.8. 0.5 positions in servicing dairy kitchens with a daily throughput of 1 to 5 thousand servings, 1 position - over 5 to 7 thousand servings and 1.5 positions - over 7 thousand servings.
8. The positions of accountants-auditors are established:
8.1. 1 position - when servicing less than 10 institutions with more than 300 beds (in total) and (or) 60 doctor positions (in total);
2 positions - at least 15 institutions with more than 750 beds (in total) and (or) 150 doctor positions (in total);
8.2. 1 position - when servicing ambulance stations with more than 100 thousand visits per year;
8.3. 1 position in the presence of centers of state sanitary and epidemiological surveillance with a population of more than 1 million people served;
8.4. 1 position in servicing blood transfusion stations with the amount of plasma harvested at least 10 thousand liters per year or processing at least 40 thousand liters of plasma per year;
8.5. 1 position in the service of the Bureau of Forensic Medical Examination with more than 60 medical positions.
9. The position of a senior cashier is established in the accounting department serving more than 1000 employees (individuals) instead of one cashier position, which is due under clause 10 of these staff standards.
10. The position of the cashier is established in each accounting department. When the accounting department directly conducts cash settlements with the population, additional positions of cashiers are established in its staff:
10.1. 0.5 positions in the presence of a dairy kitchen with a daily throughput of up to 2 thousand servings; 1 position - over 2 thousand portions;
10.2. 0.5 positions in the presence of a prosthetic department with the number of positions of orthopedic dentists 5 or more;
10.3. 0.5 positions in the presence of a blood transfusion department with a procurement of at least 2 thousand liters of blood from paid donors;
10.4. 0.5 positions in the presence of a department of preventive disinfection with a staff of 10 or more positions of medical disinfectors for paid work on preventive disinfection, disinfestation and deratization;
10.5. 1 position for other paid medical services.
11. The position of an economist for financial work is established:
11.1. at the rate of 1 position for 200 beds and 50 medical positions with the number of beds in serviced institutions over 300 (in total) and over 60 medical positions (in total);
11.2. at the rate of 1 position per 100,000 visits per year at ambulance stations;
11.3. at the rate of 1 position for 60 medical positions in the Bureau of Forensic Medical Examination;
11.4. 1 position in servicing the centers of state sanitary and epidemiological supervision and blood transfusion stations assigned to groups III-IV and 2 positions - to groups I-II for the remuneration of managers.
12. 0.5-1.0 the position of a typist is established in each accounting department.
Notes:
1. Economic maintenance of the centralized accounting department (cleaning and repair of premises, current monitoring of equipment and apparatus, etc.) is carried out by the personnel of the institution in which the centralized accounting department is organized.
The positions of employees and professions of workers of centralized accounting departments located in separate premises, as well as those employed in the technological process, are established according to the standards of the relevant employees provided for medical institutions.
2. Integer or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the final figures less than 0.13 are discarded, the figures 0.13-0.37 are rounded up to 0.25, figures 0.38-0.62 are rounded up to 0.5, figures 0.63-0.87 are rounded up to 0.75, and over 0.87 - to one. If several titles form 0.25, 0.5 or 0.75 positions (units) each, they may be combined by categories of personnel (employees, workers) under one of the combined titles with the performance of functions in all the combined positions (professions).
3. The formation of functional groups and the determination of the number of accounting and accounting personnel in each group is determined by the chief accountant within the limits of the number of posts that are due to centralized accounting for these model states.
4. When calculating the positions of accountants-auditors, economists for financial work, the number of beds and the number of positions of outpatient doctors include the indicated indicators only for those institutions that are financed through centralized accounting.
Appendix No. 3
Staff standards of structural units (employees) specially authorized to solve problems in the field of civil defense, state and municipal health care institutions (approved by order of the Ministry of Health of June 9, 2003 N 230)
|
Number of employees in the healthcare facility |
Job titles |
|
| Up to 500 people | 1 position of Deputy Chief Physician (Director, Head, Head) for the Medical Department (for mobilization work and civil defense) | |
| From 500 to 2000 people | 1 position of Deputy Chief Physician (Director, Head, Head) for the medical department (for mobilization work and civil defense); 1-2 positions of civil defense specialists | |
| From 2000 to 5000 people | 1 position of Deputy Chief Physician (Director, Head, Head) for the medical department (for mobilization work and civil defense); 2-3 positions of civil defense specialists | |
| Over 5000 people | 1 position of Deputy Chief Physician (Director, Head, Head) for the medical department (for mobilization work and civil defense); 4-5 positions of civil defense specialists |
In institutions, organizations and enterprises that are not classified as civil defense, with the number of employees over 200 people, 1 position of deputy chief physician (director, head, head) for the medical unit (for mobilization work and civil defense) is introduced.
Notes:
1. When determining the number of employees in structural subdivisions for mobilization work and civil defense (individual employees as part of other subdivisions) in organizations with hospitals, the number of patients being treated (according to the number of estimated beds) is taken into account.
2. In medical institutions that have departments for non-transportable patients for a special period, instead of the position of a civil defense specialist, the position of head of the department may be introduced.
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